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Review of Inpatient Mental Health Unit Processes at the West Palm Beach VA Healthcare System in Florida

This healthcare inspection was initiated following a patient death perpetrated by another patient in the inpatient mental health unit. The OIG made six recommendations.

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Review of Inpatient Mental Health Unit Processes at the West Palm Beach VA Healthcare System in Florida
June 4, 2026

This healthcare inspection was initiated following a patient death perpetrated by another patient in the inpatient mental health unit. The OIG made six recommendations.

Click to Read the Report

Review of Emergency Dispatch and Facility Transport Processes at the Veterans Health Administration’s Veterans Crisis Line

The VA OIG is committed to providing oversight of VA processes and programs. This report evaluated dispatching emergency services and facility transport plans for VHA’s Veterans Crisis Line. The OIG made two recommendations.

Hospital bed

Review of Emergency Dispatch and Facility Transport Processes at the Veterans Health Administration’s Veterans Crisis Line
June 3, 2026

The VA OIG is committed to providing oversight of VA processes and programs. This report evaluated dispatching emergency services and facility transport plans for VHA’s Veterans Crisis Line. The OIG made two recommendations.

Click to Read the Report

Government Contractors Agree to Pay Over $3.6 Million to Settle False Claims Act Violations

The VA OIG is committed to protecting the integrity of VA programs. Two government contractors will pay more than $3.6 million to settle False Claim Act and Contract Disputes Act violations.

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Government Contractors Agree to Pay Over $3.6 Million to Settle False Claims Act Violations

June 2, 2026

The VA OIG is committed to protecting the integrity of VA programs. Two government contractors will pay more than $3.6 million to settle False Claim Act and Contract Disputes Act violations.

Click to Read the Investigative Update

Overview of Veterans’ Experience, Environment of Care, and Staff Perspectives for Women Veterans in VHA Mental Health Residential Rehabilitation Treatment Programs

The VA OIG is committed to helping VA deliver high-quality health care. This national review of the Veterans Health Administration looked at the mental health residential rehab treatment programs and how they address the unique needs of women veterans.

Emergency room

Overview of Veterans’ Experience, Environment of Care, and Staff Perspectives for Women Veterans in VHA Mental Health Residential Rehabilitation Treatment Programs
June 2, 2026

The VA OIG is committed to helping VA deliver high-quality health care. This national review of the Veterans Health Administration looked at the mental health residential rehab treatment programs and how they address the unique needs of women veterans.

Click to Read the Report

Review of VA's Oversight of a State Veterans Home at the Western North Carolina VA Health Care System in Asheville

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.

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Review of VA's Oversight of a State Veterans Home at the Western North Carolina VA Health Care System in Asheville
June 2, 2026

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.

Click to Read the Report

Data Dashboard

Reports and Recommendations Published Within the Last 12 Months
148
Reports
734
Recommendations
$2.5B
Monetary Impact

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.

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