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 Gulf Coast Healthcare System in Biloxi, Mississippi. This evaluation focused on five key content domains: • Culture • Environment of care...

VHA pharmacies cannot dispense drugs that are damaged or expired or will be expiring soon. To address this issue and to recover some costs, VA contracted with Pharma Logistics LLC to provide national reverse distribution services, where manufacturers accept returned drugs in exchange for credits...

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 Clarksburg Healthcare System in West Virginia. This evaluation focused on five key content domains: • Culture • Environment of care •...

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 Sioux Falls Health Care System in South Dakota. This evaluation focused on five key content domains: • Culture • Environment of care •...

The OIG’s Mental Health Inspection Program (MHIP) evaluates Veterans Health Administration’s (VHA’s) continuum of mental healthcare services. This inspection focused on inpatient care delivered at the Martinsburg VA Medical Center (facility) in West Virginia. The facility met some VHA requirements...

The VA Office of Inspector General (OIG) issued this preliminary result advisory memorandum to report significant suicide hazards identified during an on-site inspection of inpatient mental health units at the VA Boston Healthcare System in Brockton, Massachusetts, conducted November 18–19, 2025...

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 Tampa Healthcare System in Florida. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the South Texas Veterans Health Care System in San Antonio. This evaluation focused on five key content domains: • Culture • Environment of care...

The VA Office of Inspector General (OIG) initiated a healthcare inspection at the VA Central Texas Healthcare System (system) in Temple to assess allegations that two pain management advanced practice registered nurses (pain management APRNs) were not appropriately supervised and were unqualified to...

The VA Office of Inspector General (OIG) issued a preliminary result advisory memorandum to inform the Veterans Health Administration (VHA) Under Secretary for Health of significant and recurring fire system and life safety deficiencies identified during a Healthcare Facility Inspection of the East...