<prompt> Translate the following text to EnglishKwa mfano, tangu 1998, GAO imetoa mfululizo wa ripoti juu ya Medicaid ikikazia ubora wa huduma za afya zisizo za kutosha katika baadhi ya nyumba za uuguzi za taifa.  <response>: For example, since 1998 GAO has issued a series of reports on Medicaid highlighting widespread inadequate health care quality in some of the nations nursing homes. 