WINNEBAGO, Neb. (AP) — An Indian Health Service spokeswoman says the service’s Winnebago hospital in northeast Nebraska will remain open while officials access its future after losing its Medicare and Medicaid funding.

IHS spokeswoman Theresa Eisenman said the hospital had not filed an appeal as of Friday after the U.S. Centers for Medicare & Medicaid Services notified the hospital of its contract termination.

The hospital was warned earlier this month that funding would be terminated because it “no longer meets the requirements for participation in the Medicare program because of deficiencies that represent an immediate jeopardy to patient health and safety.”

A May federal report said the hospital’s inadequate treatment resulted in one death this year and harm to at least nine other patients.