Federal Reports

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 Eastern Colorado Health Care System in Aurora. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Integrated veteran care
     •    Veteran-centered safety net

The OIG issued 10 recommendations for VA to correct identified deficiencies in three domains:
   1.    Environment of care
     •    Liquid nitrogen storage
     •    Expired supplies
     •    Multidose medication labels
     •    Clean and dirty storage
     •    Repeat findings
   2.    Patient safety
     •    Test result communication policy and workflows
     •    Radiology staffing
     •    Community care imaging results
     •    Root cause analyses
   3.    Primary care
     •    Staffing and panel sizes

Fiscal Year 2025 Financial Statement Audit Letter to Management

Our Objective(s)To perform a quality control review (QCR) of Allmond & Company, LLC's (Allmond) management letter related to the audit of the National Transportation Safety Board's (NTSB) financial statements for fiscal year 2025. We reviewed Allmond's management letter, dated January 7, 2026, and related documentation.
About This ReportWe contracted with the independent public accounting firm Allmond to audit NTSB's financial statements. Allmond also issued a management letter discussing internal control matters that Allmond was not required to include in its audit report.
What We FoundThe independent auditor, Allmond, found five internal control matters in NTSB's management of operations:

Financial statements and footnotes did not comply with Office of Management and Budget financial reporting requirements,
Improvements needed in internal controls relating to the processing and review of employee benefit assignments,
Improvements needed in internal control relating to performance of property inventories,
Improvements needed in processing personnel actions, and
Accounts payable accrual calculation duplicated expenses that were separately accrued.

Our QCR disclosed no instances in which Allmond did not comply, in all material respects, with U.S. generally accepted Government auditing standards.
RecommendationsWe agree with Allmond's nine recommendations to help strengthen NTSB's internal controls.

An Amtrak extra board train attendant based in Seattle, Washington, was terminated from employment on February 23, 2026, following his administrative hearing. Our investigation found that the former employee violated company policies by misrepresenting his role at the company to two individuals, inappropriately seeking their personal identifying information, and sending internal company information to outside parties. The former employee is not eligible for rehire.

The U.S. Department of Agriculture (USDA) Office of Inspector General (OIG) initiated an engagement across select USDA facilities to determine how much USDA space was being used by employees and contractors reporting to work in-person.