<prompt> Translate the following text to SwahiliImproving Nursing Home Quality of The Health Care Financing Administration HCFA and several states-including California, Maryland, and Michigan-improved their oversight and enforcement of nursing homes quality of care standards in response to GAOs recommendations highlighting weaknesses in existing processes.  <response>: Usimamizi wa Ufadhili wa Huduma za Afya HCFA na majimbo kadhaa - ikiwa ni pamoja na California, Maryland, na Michigan - yaliboresha usimamizi wao na utekelezaji wa viwango vya ubora wa huduma za nyumba za uuguzi kwa kujibu mapendekezo ya GAO ya kuangazia udhaifu katika michakato iliyopo. 