 During the inspection, CMS found that 17 patients, among 60 whose cases were reviewed, received substandard care at the hospital.If the problems were resolved in that timeline, the hospital still could have lost its federal certification because it had failed to meet the terms of a March agreement with the U.S. Centers for Medicare and Medicaid Services.Despite multiple threats from the government, experts in hospital accreditation cite the federal government's relatively tempered response due to the hospital's unique history and special standing in the community, as well as its support from African American politicians.