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For-profit franchises that offer services to seniors who pay out of pocket are also having problems with staffing.
Two thirds of schools, however, said they could not expand because of a lack of funding, 47% were constrained by limited space and 54% had problems with staffing.
Officials say the Oklahoma State Medical Examiner's Office has lost its accreditation because of problems with staffing levels and facilities.
Recent inspection reports from the Care Quality Commission show that several homes and services owned by the company have had problems with staffing levels and standards of care.
"This puts pressure on us to provide the services we want to provide with an increased enrollment". "There have been problems with staffing - the department now needs more advisors, faculty and [teaching assistants]," Hunter said.
"We have a significant problem with correct coverage and problems with staffing when it comes to nurses getting breaks on a daily basis, every shift, every day," said Emily Sippola, a registered nurse for 16 years at United hospital in Saint Paul, Minnesota.
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"We have major problems with staff retention and staff training as a result of cutbacks in expenditure," Hurley told the BBC.
Helmut Kohanke, managing director of Mueller-Technik, told a press conference that there had been no problems with staff and that no one had recently been made redundant.
Fiona Godlee, editor in chief of the British Medical Journal, from where Hunt last year cherry-picked the data, wrote earlier this month that the health secretary was clearly warned there was no evidence to link the deaths to problems with staff shortages.
"We have not experienced any problems with staff unable to report to duty due to a lack of transport".
When we have problems with staff, we are instructed to use the grievance process.
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