Federal Reports

The VA Office of Inspector General (OIG) conducted a follow-up healthcare inspection in response to a 2023 OIG report regarding mistreatment of a resident at the Miles City VA Community Living Center (CLC) and the Fort Harrison VA Medical Center (facility). The OIG did not receive new allegations but initiated the inspection to review the current state of the CLC, including corrective actions and sustainability of changes implemented by system leaders. In addition, the OIG reviewed staffing shortages affecting the quality of care for CLC residents.
The 2023 OIG report substantiated an allegation of resident mistreatment and identified issues related to reporting and oversight processes. The OIG made seven recommendations that were closed as of May 9, 2024. The OIG determined system leaders’ actions to address previously identified CLC deficiencies specific to rights of residents to refuse treatment, patient safety reporting, screening and admissions, physician care oversight and documentation, and nursing care operations were sustained; therefore, the OIG did not have recommendations related to these areas. 
The OIG, however, identified gaps in CLC physician coverage and staffing shortages for the CLC physical therapist and social worker positions, affecting quality of care for residents. The OIG found that when the CLC physician was on extended leave, medical coverage was by phone to the facility medical officer of the day located over 300 miles away. Physical therapy needs, such as timely access to durable medical equipment, were still being covered by existing system staff. A social worker, to address residents’ psychosocial needs, had been hired as of September 11, 2024. While the OIG did not find that the CLC staffing shortages resulted in resident harm, the gaps and shortages may limit access to and continuity of care for residents. The OIG made two recommendations to the Facility Director regarding staffing.

This letter responds to the Government Charge Card Abuse Prevention Act of 2012 (Charge Card Act) reporting requirement for the Federal Trade Commission (FTC) for fiscal year 2025.

We performed an audit of MidFirst’s compliance with Federal Housing Administration (FHA) requirements for foreclosures that started in 2022.  Pursuant to the Coronavirus Aid, Relief and Economic Security Act (CARES Act), as extended by the Secretary, from March 18, 2020, through July 31, 2021, there was a pause on new and ongoing foreclosures for FHA single‐family mortgages for homes that remained occupied. We selected MidFirst Bank because it was among the first servicers to resume initiating foreclosures after the moratorium ended with a foreclosure rate above 1 percent.  Our audit objective was to determine whether MidFirst Bank complied with FHA’s requirements for loss mitigation before initiating and continuing foreclosure.

 MidFirst Bank did not follow FHA’s requirements for more than 14 percent of its foreclosures in 2022.  Based on a statistically valid sample drawn from a universe of 7,363 FHA-insured loans totaling $890 million, MidFirst did not complete the required loss mitigation activities before initiating or continuing foreclosure for an estimated 1,038 loans.  

Williams, Adley & Company – DC, LLP (Williams Adley), under contract with the Department of Homeland Security Office of Inspector General, issued an Independent Accountant’s Review Report on the United States Coast Guard (Coast Guard) Detailed Accounting Report for Drug Control Funds. Coast Guard’s management prepared the Table of FY 2024 Drug Control Obligations and related assertions to comply with the requirements of the ONDCP Circular, National Drug Control Program Agency Compliance Reviews, dated September 9, 2021.

Williams, Adley & Company – DC, LLP (Williams Adley), under contract with the Department of Homeland Security Office of Inspector General, issued an Independent Accountant’s Review Report on the United States Coast Guard’s (Coast Guard) FY 2024 Drug Control Budget Formulation Compliance Report. Coast Guard’s management prepared the Budget Formulation Compliance Report and the related assertions to comply with the requirements of the ONDCP Circular, National Drug Control Program Agency Compliance Reviews, dated September 9, 2021.

The U.S. AbilityOne Commission OIG has received zero complaints against OIG employees in the past five years.  Therefore, zero complaints contained an element of sexual harassment.

This report presents the results of our audit of progress on improvements at Richmond, VA, Regional Processing and Distribution Center.