Healthcare Inspection - Alleged Quality of Resident Care Issues, Northport VA Medical Center, Northport, New York

The OIG conducted a review to determine the validity of allegations that residents were malnourished and abused, staff supported residents’ sexual activities in inappropriate ways, and that staff removed confidential employee information from the medical center. We did not substantiate the allegations of malnutrition, abuse, or neglect. However, we did find the pressure ulcer rates at the facility were higher than benchmarks. We could not substantiate or refute the allegation that staff removed confidential employee information from the medical center, or the lack of Nurse Manager’s action. However, we did find that medical center staff did not provide timely communication and follow-up for a breach of privacy related to resident identification bands. We recommended processes be strengthened to improve pressure ulcer management in the CLC units. We also recommended that privacy incidents be managed in accordance with VA policy related to timely follow-up and patient notification. The Veterans Integrated Services Network 3 and Medical Center Directors agreed with our findings and recommendations. The implementation plans are acceptable, and we will follow up on the planned actions until they are completed.