<prompt> Translate the following text to SwahiliBased on GAOs work, HCFA now requires states to investigate serious complaints alleging harm to residents within 10 days, has proposed an expansion of its enforcement programs by subjecting homes with repeated serious deficiencies to immediate sanctions, and has revised the protocols that state surveyors use to inspect nursing homes to better focus the reviews.  <response>: Kwa kuzingatia kazi ya GAO, HCFA sasa inahitaji majimbo kuchunguza malalamiko mazito yanayodai madhara kwa wakazi ndani ya siku 10, imependekeza upanuzi wa programu zake za utekelezaji kwa kuweka nyumba zilizo na mapungufu mazito ya mara kwa mara kwa vikwazo vya haraka, na imerekebisha itifaki ambazo wapimaji wa serikali hutumia kukagua nyumba za uuguzi ili kuzingatia vizuri ukaguzi. 