Report Summary

Healthcare Inspection Oversight of the Community Nursing Home Program Oklahoma City VA Medical Center Oklahoma City, Oklahoma

Report Number 08-02526-39, 12/8/2008 | Full Report (PDF)

The purpose of the review was to determine the validity of allegations concerning inadequate oversight provided to veterans in the Community Nursing Home (CNH) Program at Oklahoma City VA Medical Center in Oklahoma City, Oklahoma. The CNH Program was not in compliance with requirements that a CNH Oversight Committee and CNH Review Team were established, a nurse or social worker visit patients on a regular basis, and ongoing monitoring of exclusion criteria for nursing facilities participating in the CNH Program was conducted. We did not substantiate falsification of documentation in medical records, or that limits had been placed on the number of participating nursing homes. We identified a need for CNH staff education and training. We made recommendations for improvement in the following areas: Establish a CNH Oversight Committee and a CNH Review Team. Require CNH Program compliance with VHA policy regarding follow-up visits every 30 days and ongoing monitoring, and evaluation of nursing home exclusion criteria.

12/10/08