Mental Health Inspections of VA Healthcare Systems in Brockton, Massachusetts; Jackson, Mississippi; and Kansas City, Missouri

The VA OIG is committed to helping VA deliver high-quality healthcare. The Mental Health Inspection program focuses on five domains of inpatient mental health care in VA facilities.

Mental Health Inspections of VA Healthcare Systems in Brockton, Massachusetts; Jackson, Mississippi; and Kansas City, Missouri

September 2, 2026

The VA OIG is committed to helping VA deliver high-quality healthcare. The Mental Health Inspection program focuses on five domains of inpatient mental health care in VA facilities.

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Review of Supply Chain Management at the VA Augusta Health Care System in Georgia

Hotline Inspection results: During this review, the VA OIG found that inventory inaccuracies, weak monitoring, and lapses in physical security increased the risks of equipment loss and items being out of stock, ordered in excess, or expiring—which, in turn, affected clinical operations.

Review of Supply Chain Management at the VA Augusta Health Care System in Georgia

September 2, 2026

Hotline Inspection results: During this review, the VA OIG found that inventory inaccuracies, weak monitoring, and lapses in physical security increased the risks of equipment loss and items being out of stock, ordered in excess, or expiring—which, in turn, affected clinical operations.

Click to Read the Report

Review of Contracted Backup Services for the Veterans Crisis Line

The VA OIG is committed to providing program oversight that safeguards taxpayer dollars. In this review, auditors found that VA paid more than $11 million for call responder backup services it did not receive for the Veterans Crisis Line’s National Suicide Prevention Hotline. The VA OIG made two recommendations.

Review of Contracted Backup Services for the Veterans Crisis Line

September 1, 2026

The VA OIG is committed to providing program oversight that safeguards taxpayer dollars. In this review, auditors found that VA paid more than $11 million for call responder backup services it did not receive for the Veterans Crisis Line’s National Suicide Prevention Hotline. The VA OIG made two recommendations.

Click to Read the Report

Review of VBA’s Processing of Adverse Actions for Service-Connected Disability Compensation

The VA OIG is committed to protecting the integrity of VA programs. This review details the results of a review of Veterans Benefits Administration’s processing of adverse actions for veterans’ benefits for service-connected disability.

Review of VBA’s Processing of Adverse Actions for Service-Connected Disability Compensation

August 31, 2026

The VA OIG is committed to protecting the integrity of VA programs. This review details the results of a review of Veterans Benefits Administration’s processing of adverse actions for veterans’ benefits for service-connected disability.

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Review of a Patient’s Care in the Intensive Care Unit at the Wm. Jennings Bryan Dorn VA Medical Center in Columbia, South Carolina

This report details the inspection assessing allegations of nursing practice issues, poor quality of patient care, and inadequate provider staffing in the intensive care unit and the care for one patient who suffered a postoperative stroke. The VA OIG substantiated the claims and made seven recommendations.

Review of a Patient’s Care in the Intensive Care Unit at the Wm. Jennings Bryan Dorn VA Medical Center in Columbia, South Carolina

August 31, 2026

This report details the inspection assessing allegations of nursing practice issues, poor quality of patient care, and inadequate provider staffing in the intensive care unit and the care for one patient who suffered a postoperative stroke. The VA OIG substantiated the claims and made seven recommendations.

Click to Read the Report