Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection at the Southern Oregon Rehabilitation Center and Clinics in White City (facility) and Roseburg VA Health Care System (Roseburg) in Oregon to evaluate an allegation that a resident (resident 1) was admitted to the facility’s Mental...

The OIG’s administrative investigation examined whether the deputy executive director of VA’s Office of Construction and Facilities Management (OCFM), during his tenure as acting executive director, failed to respond appropriately to a 2018 audit by the office’s Quality Assurance Service (QAS). The...

The VA OIG contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s compliance under the Digital Accountability and Transparency Act of 2014 (DATA Act). CLA conducted this performance audit with data sampled from the fourth quarter of fiscal year (FY) 2020...

In April 2021, the VA Office of Inspector General (OIG) discovered VBA had incorrectly created a debt of about $210,000 for a veteran. Because of the size of the debt and VA’s plan to withhold the veteran’s entire monthly compensation benefits (over $1,100), and given the veteran’s history of...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Orlando VA Healthcare System and multiple outpatient clinics in Florida. The inspection covers key...

Social Security payments may increase annually based on changes to the cost of living. When this happens, the Veterans Benefits Administration (VBA) reduces pensions for veterans and other beneficiaries because they are receiving more income from another source. The OIG received two allegations in...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Caribbean Healthcare System, which includes the San Juan VA Medical Center in Puerto Rico and...

The VA Office of Inspector General (OIG) examined whether Veterans Integrated Service Network (VISN) 21, the regional system of hospitals serving northern and central California, Nevada, Hawaii, the Philippines, and US territories in the Pacific Basin, effectively managed its nonrecurring...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Bay Pines Healthcare System and eight outpatient clinics in Florida. The inspection covers key...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the James A. Haley Veterans’ Hospital. The inspection covered key clinical and administrative processes...