(AP) - An unsealed report says medical care is so poor at an Idaho prison that it amounts to neglect and cruel and unusual punishment. Correctional health care expert Dr. Marc Stern says there have been some improvements at the Idaho State Correctional Institution near Boise.

But he says terminal and long-term inmates sometimes went unfed, nursing mistakes or failure likely resulted in some deaths, and one inmate wasn't told for seven months that he likely had cancer. The Idaho Department of Correction and the prison health care provider, Corizon say they're disappointed and are preparing a response that will show the care delivered to inmates meets constitutional and health care standards. Stern was appointed to study the care prison near Boise as part of a long-running lawsuit brought by inmates.