OMAHA, Neb. (AP) — Omaha’s fire chief says his department ambulances will send trauma patients only to Nebraska Medical Center and not to Creighton University Medical Center, which is not a certified Level 1 trauma center.

Fire Chief Bernie Kanger said Tuesday that the decision doesn’t suggest that the Creighton hospital “has been lacking.”

The department had been sending trauma patients to both hospitals, depending on the day of the week. But state authorities have rejected CHI Health’s application for Level I status for Creighton’s trauma center.

The state’s chief medical officer told Creighton hospital officials in a letter last week that a review team found in October that the trauma center failed to meet four out of more than 160 standards. Creighton officials say they’re working with the state to resolve the situation.