Healthcare Facility Inspection of the VA Hudson Valley Healthcare System in Montrose, New York

Report Information

Issue Date
Closure Date
Report Number
24-00601-254
VISN
2
State
New York
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Patient Safety
Major Management Challenges
Healthcare Services
Recommendations
4
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

This Office of Inspector General (OIG) Healthcare Facility Inspections program report describes the results of a focused evaluation of the care provided at VA Hudson Valley Healthcare System, which includes the Franklin Delano Roosevelt Hospital in Montrose, New York. This evaluation focused on five key content domains:
      •    Culture
      •    Environment of care
      •    Patient safety
      •    Primary care
      •    Veteran-centered safety net


The OIG issued four recommendations for improvement in one domain:
1.    Environment of care
      •    Address snow removal on pathways to and from buses
      •    Clarify signage on buildings
      •    Implement navigation tools for the visually impaired
      •    Distribute toxic exposure screening information

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 9/24/2024

The OIG recommends that facility leaders submit a plan to the OIG detailing steps to address snow removal on pathways leading to and from buses during and after snowstorms.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 1/22/2025

The OIG recommends that facility leaders consider clarifying signage by identifying the services located in each building to help direct veterans.

No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 1/22/2025

The OIG recommends that facility leaders implement navigation tools and cues that accommodate visually impaired veterans to help them enter the main doors.

No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 9/24/2024

The OIG recommends that facility leaders consider distributing toxic exposure screening information where veterans can easily obtain it when entering the facility.