Content Warning: Some of the images in the interview above are graphic. Viewer discretion is advised. 

Not a list any state wants to be on, but Ohio is ranked second in the entire nation when it comes to having deplorable puppy mills. 

The Humane Society of the United States investigates puppy mill situations in every part of the country to create it's "Horrible Hundred" list. 

Spectrum News 1's Mindy Drayer talked with an animal advocate to find out why Ohio is ranked so high. Watch the full interview above.