Two Arizona state agencies are ordering a long-term care company to pay for a third-party manager to oversee the center where a patient in a vegetative state gave birth last month. In a letter Wednesday from top state health officials to Hacienda HealthCare's chief executive, the company is told to hire an outside manager at its own cost to “monitor and oversee the operations and appropriate delivery of health care services.” The letter says there have been "several significant concerns raised" about Hacienda HealthCare's center. It was signed by Arizona Department of Economic Security Director Michael Trailor and Arizona Health Care Cost Containment System Director Jami Snyder. The state agencies said the third-party manager must be hired by Jan. 23 and in place by Jan. 30. The hire will have to be approved by the state, the letter states. The center's CEO has until 5 p.m. Thursday to respond to the state's demand, "or the state will pursue any and all of remedies legally available to it," according to the letter. Hacienda HealthCare said in a statement Wednesday that it "remains fully committed to ensuring the safety of its patients" and that its board of directors has taken the letter under advisement. "The Board is considering the best possible option forward — for Hacienda's patients and their families, for the Hacienda team and for the organization," the statement said. "We will respond to the state in short order, per the guidelines outlined by regulators." Last week, Phoenix police executed a search warrant seeking DNA samples from male staff members at the Hacienda HealthCare center where the woman who has been in a vegetative state for years gave birth to a baby boy. The woman is nonverbal and incapable of moving on her own after suffering a near-drowning incident. She had been at the facility since she was 3 years old. The Arizona Department of Health Services and the state's Department of Economic Security have said they are working with police in their investigation. On Sunday, Hacienda HealthCare announced that it had hired a private attorney, former Maricopa County Attorney Rick Romley, to additionally conduct an "exhaustive" internal review. An attorney for the woman’s family said Wednesday that her parents were aware of the hiring of Romley and the investigation. "My clients trust that Mr. Romley's investigation will be as promised — fully transparent — and made available to them as the victims of this appalling tragedy,” the attorney, John Micheaels, said. "My clients also hope Mr. Romley’s investigation will result in the changes at Hacienda necessary to prevent further abuse and neglect of its patients."<doc-sep>“Once again, we offer an apology and send our deepest sympathy to the client and her family,” the facility’s statement said. “Hacienda intends to do everything possible to restore its credibility in the eyes of our patients, families, the community and our agency partners at every level.”<doc-sep>911 call: We had no idea she was pregnant (CNN) — Police investigators have begun to gather DNA from men who work at an Arizona care facility where a woman in a vegetative state gave birth last month. Phoenix police Sgt. Tommy Thompson said Wednesday the woman and child, who was in medical distress after being delivered December 29, remain in the hospital. CNN is not reporting the woman’s name because she is the victim of sexual abuse. Detectives have asked men at the Hacienda HealthCare facility in Phoenix to give buccal swabs, Thompson said. Investigators got court orders for those who didn’t voluntarily give samples. There is no suspect, Thompson said. “The family obviously is outraged, traumatized and in shock by the abuse and neglect of their daughter at Hacienda HealthCare,” the family’s attorney, John Micheaels said. “The family would like me to convey that the baby boy has been born into a loving family and will be well cared for.” Thompson said the sexual assault investigation will take some time. “We’re not going to point out who we’ve obtained DNA from or who we intend to get DNA from,” he said. “But suffice it to say, it is a large number of individuals. We have a very wide scope at this point.” Detectives also served a search warrant Tuesday to gather records relevant to the ongoing investigation, he said. Thompson would not say whether people who visited the facility have also given DNA samples. Woman is a member of Apache tribe The woman is a member of the San Carlos Apache Tribe and has long been in a vegetative state, the tribe’s chairman said Tuesday. San Carlos Apache Tribe chairman Terry Rambler called for justice. “When you have a loved one committed to palliative care, when they are most vulnerable and dependent upon others, you trust their caretakers,” he said Tuesday. “Sadly, one of her caretakers was not to be trusted and took advantage of her.” The woman has been a patient at the facility since 1992, according to court records. CNN affiliate KPHO/KTVK had earlier reported she had been at the facility for at least a decade following a near-drowning incident, the Phoenix-based station quoted a source as saying. Facility: It is an ‘absolutely horrifying situation’ Hacienda officials have called the situation “a deeply disturbing incident” and said they are cooperating with law enforcement and state agencies. The company’s chief executive officer, Bill Timmons, resigned Monday. Hacienda “will accept nothing less than a full accounting of this absolutely horrifying situation, an unprecedented case that has devastated everyone involved, from the victim and her family to Hacienda staff at every level of our organization,” said Gary Orman, executive vice president of Hacienda HealthCare’s board of directors. Last week the state’s department of economic security sent investigators to the facility for health and safety checks. Spokesman Brett Bezio said the work was finished but didn’t give any details about the results of the visits with patients. The department of health ordered Hacienda to implement “heightened safety measures,” spokeswoman Melissa Blasius-Nuanez said. Thompson told reporters that changes apparently have been made. “At this point it is our understanding that steps have been taken to protect anybody that’s there, and that was one of our concerns from the beginning,” he said. This story has been updated to clarify the woman’s medical condition. She is in a vegetative state, not a coma. It has also been updated to give the correct number of years she has been a patient at the facility. CNN’s Sara Sidner reported from Phoenix. CNN’s Keith Allen and Steve Almasy reported and wrote from Atlanta. CNN’s Amanda Watts, Sheena Jones, Marlena Baldacci and Chris Boyette contributed to this report.<doc-sep>
Two doctors at Hacienda HealthCare in Arizona, where a patient in a vegetative state gave birth in December, are no longer with the long-term care facility. One of the doctors resigned while the other has been suspended, a spokesperson for the facility told Fox News in a statement Tuesday. Neither doctor has been identified at this time but both cared for the 29-year-old woman who gave birth as a result of sexual assault last month. PATIENT IN VEGETATIVE STATE GIVES BIRTH, SEX ABUSE INVESTIGATION UNDERWAY: REPORT "The two physicians who were responsible for the care of the sexual assault victim are no longer providing medical services to Hacienda patients. One has resigned. The other one has been suspended,” the spokesperson told Fox News. "Once again, we offer an apology and send our deepest sympathy to the client and her family. Hacienda intends to do everything possible to restore its credibility in the eyes of our patients, families, the community and our agency partners at every level,” the spokesperson added. The latest development comes after the facility's CEO, Bill Timmons, resigned earlier in January following the incident. The woman, who has been in the care of the facility since she became incapacitated at age 3 after suffering a near-drowning, gave birth on Dec. 29. A source familiar with the situation previously told AZ Family that "none of the staff were aware that she was pregnant until she was pretty much giving birth." "From what I’ve been told she was moaning. And they didn’t know what was wrong with her," the source told the station. Her identity hasn't been released. CLICK HERE TO GET THE FOX NEWS APP The sexual assault triggered a police investigation and reviews by regulators, while investigators obtained DNA samples from men who worked there. The facility received a “below average” health-inspection rating in 2017, according to the Medicare website. Fox News' Bradford Betz and The Associated Press contributed to this report.