● a lack of coordination was found between the various specialists of retirement homes. Some individual medical assistance plans included diagnostics that were not properly reflected in the patient’s personal reports. No tests or medical assessments were performed by specialists with a view to prescribing suitable treatment; no suitable measures for diagnostic and therapy were provided, according to good medical practice rules. NPM did not discover cases limiting the patients’ rights regarding medication. ● NPM found that, in case of death of a beneficiary, the death was established by the general practitioner and no anatomic-pathological examination (autopsy) of the deceased was performed. In this context, the importance of performing an autopsy in all cases of death of a beneficiary of the concerned social service was underlined once again. At the same time, this would ensure that any doubts regarding the neglect of the beneficiaries’ rights can be discarded and may help identify any medical errors. ● In Podgumer, NPM established that the beneficiaries’ medical disorders did not meet the social service profile. Medical care was supplied by a general practitioner, who provided examinations together with a cardiologist once a week, in the retirement home. Four of the beneficiaries preferred their former general practitioner, and visits thereto were organized by their family. There were 0.5 vacancies - for a psychiatrist, a psychologist and a speech therapist. The manager of the home was a physician, who could be involved in the treatment if required. Dental care was supplied by a dentist with a part-time contract. All beneficiaries had performed dental examinations on an annual basis. ● A special room was allocated to occupational therapy, which was not properly equipped for the performance of rehabilitation activities. No physical therapist positions were available. ● NPM found damages in the sanitary facilities - strong odour, unbreathable air, improper number of sleeping areas compared to the number of beneficiaries. The alarm system was not working, as the buttons in the bedrooms had been removed. In the home for elderly persons with dementia of Sofia, NPM established that the sheltered persons met the profile of the social institution. The guardians of all 37