The VA OIG is committed to providing independent oversight. This hotline inspection report focused on sentinel event falls at the North Carolina State Veterans Home in Black Mountain, part of the Western North Carolina VA Health Care System in Asheville.
Data Dashboard
Reports and Recommendations Published Within the Last 12 Months
The numbers totaled above are for published reports and recommendations only; the investigations and procurement-sensitive contract review totals can be found in the Semiannual Reports to Congress.