Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
25-00243-56
Report Description
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 safety
• Integrated veteran care
• Veteran-centered safety net
The OIG issued two recommendations for VA to correct identified deficiencies in two domains:
1. Environment of care
• Medical equipment storage
2. Patient safety
• Service-level workflows for test result communication
Report Type
Inspection / Evaluation
Location
Reno, NV
United States
Number of Recommendations
2
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No
