Marian Grunwald (from left), Earl Elfstrom and Verna Matheson bounced a balloon back and forth with nursing assistant Rick Pavlisich on Dec. 13, 2013, at an Ecumen nursing home in Chisago City, Minn. Glen Stubbe/Star Tribune, Minneapolis St. Paul hide caption

itoggle caption Glen Stubbe/Star Tribune, Minneapolis St. Paul

NPR's analysis of government data found that harsh penalties are almost never used when nursing home residents get unnecessary drugs of any kind. Owen Franken/Corbis hide caption

itoggle caption Owen Franken/Corbis

Antipsychotic drugs aren't necessary in the vast majority of dementia cases, gerontologists say. The pills can be stupefying and greatly raise the risk of falls — and hip fracture. iStockphoto hide caption

itoggle caption iStockphoto

An American Red Cross worker stands on an inundated Brooke Avenue following heavy rains and flash flooding Aug. 13, in Bay Shore, N.Y. Andrew Theodorakis/Getty Images hide caption

itoggle caption Andrew Theodorakis/Getty Images

Jim Justice owns Southern Coal Corp., which has 71 mines that have racked up thousands of violations and millions of dollars in fines. Scott Halleran/Getty Images hide caption

itoggle caption Scott Halleran/Getty Images

Don Blankenship, former CEO of Massey Energy, is accused of thwarting mine safety enforcement and conspiring to violate mine safety law. Massey Energy owned the Upper Big Branch mine in West Virginia, which exploded in 2010, killing 29. Jacquelyn Martin/AP hide caption

itoggle caption Jacquelyn Martin/AP

The injuries Jack Blankenship sustained after a 300-pound rock pinned him to the ground while working in a coal mine prevent him from sitting for long periods of time or walking far. He says he's in constant pain. Anna Boiko-Weyrauch/NPR hide caption

itoggle caption Anna Boiko-Weyrauch/NPR

This photo of Roy Middleton working underground at the Kentucky Darby mine now sits on the mantel in the Middleton home in Harlan County, Ky. He was killed after an explosion in 2006. Anna Boiko-Weyrauch/NPR/Original photo courtesy of the Middleton family hide caption

itoggle caption Anna Boiko-Weyrauch/NPR/Original photo courtesy of the Middleton family

In the aftermath of Superstorm Sandy, a former Red Cross official says, as many as 40 percent of the organization's emergency vehicles were assigned for public relations purposes. This photo, which shows one of the trucks on Long Island, N.Y., in January 2013, is one example of the many publicity photos taken by the Red Cross. Les Stone/American Red Cross hide caption

itoggle caption Les Stone/American Red Cross

In the aftermath of Superstorm Sandy, a former Red Cross official says, as many as 40 percent of the organization's emergency vehicles were assigned for public relations purposes. This photo, which shows one of the trucks in Long Island, N.Y., in January 2013, is one example of the many publicity photos taken by the Red Cross. Les Stone/American Red Cross hide caption

itoggle caption Les Stone/American Red Cross

John Kelly speaks during a campus rally about sexual violence at Tufts University on May 1. Courtesy of Leah Mushkin-Pierret hide caption

itoggle caption Courtesy of Leah Mushkin-Pierret