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SUMMARY OF THE FINDINGS

We write to report the findings of the Civil Rights Division’s investigation into the conditions, practices, care, and treatment of individuals at the Maple Lawn Nursing Home (“Maple Lawn”) in Palmyra, Missouri. On July 1, 2009, the Department of Justice (“Department”) notified you of its intent to investigate Maple Lawn pursuant to the Civil Rights of Institutionalized Persons Act, 42 U.S.C. § 1997 (“CRIPA”), and Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, as interpreted by Olmstead v. L.C., 527 U.S. 581 (1999). CRIPA authorizes the Department to seek remedies for any pattern or practice of conduct that violates the constitutional and federal statutory rights (including those under the ADA) of persons who reside in public institutions. The Department also has authority to seek a remedy for violations of Title II of the ADA. 42 U.S.C § 12133.