The Bush administration is hoping to shame some nursing homes into improving patient care by posting a list of the facilities considered among the worst in their states.

Fifty-six nursing homes from 33 states and Washington, D.C. are on the list posted on the Centers for Medicare and Medicaid Services Web site. The facilities on that list failed to make improvements after being flagged by inspectors. One is in Virginia.

Lawmakers and advocacy groups have been pushing the Bush administration to make it easier for consumers to identify poorly performing nursing homes. They complain that too many facilities get cited for serious deficiencies but don't make adequate improvement, or do so only temporarily.

Every nursing home receiving federal payments undergoes inspections about once a year. The inspectors look for whether residents are properly medicated, helped with daily tasks, and whether steps are taken to prevent accidents and infections.

The list includes Ruxton Health in Woodbridge, Virginia.