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Source Id
324

Deficiencies in Case Management and Access to Care for HUD-VASH Veterans at the VA Greater Los Angeles Healthcare System in California

2025
24-01598-43
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess confidential complaints alleging a veteran was going to be discharged from the Housing and Urban Development VA Supportive Housing (HUD-VASH) program and “should not have been,” and that other veterans were...

Inspection of Pacific District 5 Vet Center Operations

2025
24-00390-41
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered throughout the Readjustment Counseling Service (RCS). This inspection evaluated four review areas within Pacific District 5 including leadership stability...

Leaders Failed to Ensure a Dermatologist Provided Quality Care at the Carl T. Hayden VA Medical Center in Phoenix, Arizona

2025
24-00194-42
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess facility leaders’ responses to a dermatologist’s deficiencies in quality of care and documentation. The OIG found supervisory staff and senior leaders failed to adequately address patient care concerns outlined by...

Healthcare Facility Inspection of the VA Southern Oregon Healthcare System in White City

2025
24-00587-45
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Southern Oregon Healthcare System in White City. This evaluation focused on five key content domains: • Culture • Environment of care •...

Care in the Community Inspection of VA Desert Pacific Healthcare Network (VISN 22) and Selected VA Medical Centers

2025
23-01739-26
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at eight VA Desert Pacific Healthcare Veterans Integrated Service Network (VISN) 22 medical facilities with a community care...

Healthcare Facility Inspection of the Durham VA Health Care System in North Carolina

2025
24-00586-11
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Durham VA Health Care System. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety • Primary...

Healthcare Facility Inspection of the VA Chillicothe Healthcare System in Ohio

2025
24-00550-32
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Chillicothe Healthcare System in Ohio. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Healthcare Facility Inspection of the VA Poplar Bluff Health Care System in Missouri

2025
24-00608-46
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Poplar Bluff Health Care System in Missouri. This evaluation focused on five key content domains: • Culture • Environment of care •...

Healthcare Facility Inspection of the Fargo VA Health Care System in North Dakota

2025
24-00602-33
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Fargo VA Health Care System in North Dakota. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Healthcare Facility Inspection of the VA Western New York Healthcare System in Buffalo

2025
24-00597-22
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Western New York Healthcare System in Buffalo. This evaluation focused on five key content domains: • Culture • Environment of care •...

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