The OHFLAC, an oversight body, says more needs to be done at state-funded facilities to protect live-in patients, who have severe behavioral, mental, or addiction issues. There are more than 200 publicly funded, privately run residential facilities in the state. The report, released on Monday, described patterns of mistreatment and neglect at these centers that occurred within the last four years. Those included delaying necessary medical treatment, constraining and punishing patients in abusive ways, and letting patients live in filthy, broken homes. The report also cites incidents of preventable deaths. Those include reports of clients choking to death, overdosing on a staff member's personal medications, and dying in a “fiery crash” after stealing a facility vehicle. Those deaths happened in Cabell County, Mineral County, and Kanawha County respectively.