Osawatomie ? A Kansas mental hospital that lost federal funding failed to supervise care, perform safety checks and protect suicidal patients, inspectors said.

The Centers for Medicare and Medicaid Services report cited a rape at the Osawatomie State Hospital in October as an example of the problems that prompted the federal government to cut off funding Monday. Kansas now has to pay for care at the facility, which is one of only two of its kind in the state.

The report found that staff members were not appropriately stationed to provide safety and oversight before the sexual assault, The Topeka Capital-Journal reported. The worker who was attacked told inspectors that two patients saved her.

Staff didn’t check on the patient who is charged in the attack and who had previously attempted to strangle his spouse. Video showed an observational check logged at about the same time as the attack didn’t actually take place.

An inspection last month also found the hospital didn’t meet a federal requirement to provide organized 24-hour nursing services.

“The cumulative effect of the systemic failure to supervise the provision of care, to perform required safety checks and to protect suicidal patients from hanging risks placed all patients receiving services at risk for harm,” the report said.

Angela de Rocha, a spokeswoman for the Kansas Department for Aging and Disability Services, which operates Osawatomie, said the Centers for Medicare and Medicaid Services had accepted a correction plan submitted by the hospital, which included providing workers with a personal alarm button. But she said a follow-up survey found the facility was still out of compliance, but that she had no information on why.

She said another survey was anticipated in January.

Earlier this year, the Centers for Medicare and Medicaid Services required hospital renovations that limited bed space. The hospital has been replacing items that could be used as weapons or for hanging.