WINNEBAGO, Neb. (AP) – A government-run hospital on a Native American reservation in Nebraska is getting a new clinical director and other staff in an effort to improve the quality of care provided to patients.

The Indian Health Service administers the hospital on the Winnebago Reservation. The federal agency on Tuesday said eight new full-time staff members, including the clinical director and a medical records administration specialist, have joined the hospital’s team.

The facility is one of four in the Great Plains that has been under the scrutiny over the past year after inspectors from the Centers for Medicare and Medicaid Services uncovered serious quality-of-care deficiencies.

Last May, inspectors determined that substandard conditions at the hospital in Winnebago put patients in an “immediate jeopardy,” including a man who died of kidney failure.