StarTribune.com reports that fifty-four nursing homes are being told by the government that they're among the worst in their states in an effort to goad them into improving patient care. Lawmakers and advocacy groups have been pushing the Bush administration to make it easier for consumers to identify poorly performing nursing homes. They complain that too many facilities get cited for serious deficiencies but don't make adequate improvement, or do so only temporarily. The administration agreed, and the Centers for Medicare and Medicaid Services have posted the list of homes on its Web site today - Special focus facility public list.