Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Sierra Nevada Health Care System in Reno. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The VA Office of Inspector General (OIG) issued a preliminary result advisory memorandum highlighting significant barriers to veterans’ access to specialty care—particularly radiology and mental health—at VA medical facilities. In November 2025, the OIG began a national review to assess whether...

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Oklahoma City VA Medical Center (system) in response to an allegation that patients awaiting possible cancer diagnoses experienced delays in receiving pathology testing results. The OIG reviewed nine specimens from...

The VA Office of Inspector General (OIG) completed a desk review of the single audit reporting package for the United States Veterans Initiative and Subsidiaries (U.S. VETS) for the year that ended June 30, 2024. The OIG performed this desk review consistent with its duties and responsibilities...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Healthcare Facility Inspection of the VA Central California Health Care System in Fresno. This evaluation focused on five key content domains...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Indiana Healthcare System in Indianapolis. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The VA OIG conducts information security inspections to assess whether VA facilities meet federal security requirements. The OIG followed up on an inspection it conducted at the VA Beckley Healthcare System in West Virginia in 2023. During this follow-up inspection, the OIG identified substantial...

The VA OIG contracted with the independent public accounting firm Kearney & Company, P.C. (Kearney) to audit VA’s financial statements as of September 30, 2025. Kearney provided an unmodified opinion and noted material weaknesses and significant deficiencies in internal control and instances of...

The VA Office of Inspector General (OIG) conducted an inspection to evaluate the Veterans Integrated Service Network (VISN) 7 leaders’ effectiveness in identifying and resolving concerns regarding the VA Dublin Healthcare System’s (system’s) leadership and operational challenges. The OIG determined...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Battle Creek Healthcare System in Michigan. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...