49 112(57) Confinement conditions at Casa de Reposo Guararapes (Guararapes Rest Home) were inhuman and degrading; as the Hospital did not have a doctor’s office for a long time, medical attention was frequently provided to patients at the reception and even in the presence of visitors and, more often than not, no proper medication was available. The hospital did not meet the required standards and did not conform to professional medical ethics.92 112(58) In the context of violence against patients, and prior to the death of Mr. Damião Ximenes-Lopes, at least two persons died violent deaths at Casa de Reposo Guararapes (Guararapes Rest Home), which may have involved beating about the head with a blunt instrument, and where patients were admitted to the hospital in good physical condition and died during hospitalization.93 Raimunda Ferreira de Sousa and Gerardo Alves da Silva died at Casa de Reposo Guararapes in October 1987 and February 1991 respectively. 112(59) Reports of maltreatment and offenses against patients, such as a rape allegation and one involving a nurse’s aide who allegedly broke a patient’s arm, were not investigated by the management of Casa de Reposo Guararapes (Guararapes Rest Home), whose director president, Mr. Sérgio Antunes-Ferreira-Gomes, never visited the institution or maintained any contact with the medical or nursing staff or inpatients’ families.94 H) Intervention of Casa de Reposo Guararapes (Guararapes Rest Home) 112(60) On October 13, 1999, Albertina Viana-Lopes filed a complaint with the Coordinadora Municipal de Control, Evaluación y Auditoría de la Secretaría de Salud y Asistencia Social (Control, Evaluation and Audit Municipal Coordinator for the Health and Social Services Bureau) against Casa de Reposo Guararapes (Guararapes Rest Home), in 92 Cf. report issued by the Grupo de Acompañamiento y Evaluación de la Asistencia Psiquiátrica Hospitalaria (Hospital Psychiatric Care Support and Evaluation Group) on November 5, 1999, supra note 91; report on the Administrative Investigation prepared at the request of the Coordinadora Municipal de Control, Evaluación y Auditoría de la Secretaría de Salud y Asistencia Social (Control, Evaluation and Audit Municipal Coordinator for the Health and Social Services Bureau), issued on February 18, 2000, supra note 43; and statement made by Francisco Ivo de Vasconcelos before the Tercera Sala del Juzgado de Sobral (Third Chamber of the Trial Court in and for Sobral) on August 16, 2000, supra note 90. 93 Cf. statement made by Maria Expedita Sousa Lira before the Tercera Sala del Juzgado de Sobral (Third Chamber of the Trial Court in and for Sobral) on February 15, 2000, supra note 55; and statement made by Maria Gorete Silva before the Tercera Sala del Juzgado de Sobral (Third Chamber of the Trial Court in and for Sobral) on February 15, 2000, supra note 55. 94 Cf. report on the Administrative Investigation prepared at the request of the Coordinadora Municipal de Control, Evaluación y Auditoría de la Secretaría de Salud y Asistencia Social (Control, Evaluation and Audit Municipal Coordinator for the Health and Social Services Bureau), issued on February 18, 2000, supra note 43; report issued by the Grupo de Acompañamiento y Evaluación de la Asistencia Psiquiátrica Hospitalaria (Hospital Psychiatric Care Support and Evaluation Group) on November 5, 1999, supra note 91; statement made by Francisco das Chagas Melo before the Tercera Sala del Juzgado de Sobral (Third Chamber of the Trial Court in and for Sobral) on February 16, 2001, supra note 62; statement made by Carlos Alberto Rodrigues dos Santos before the Tercera Sala del Juzgado de Sobral (Third Chamber of the Trial Court in and for Sobral) on April 24, 2000, supra note 41; record in the Daily Log Book of Casa de Reposo Guararapes (Guararapes Rest Home) of December 29, 1999, supra note 91; and statement made by Francisco Ivo de Vasconcelos before the Tercera Sala del Juzgado de Sobral (Third Chamber of the Trial Court in and for Sobral) on August 16, 2000, supra note 90.