Healthcare Facility Inspection of the VA Poplar Bluff Health Care System in Missouri
Report Information
Summary
This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Poplar Bluff Health Care System in Missouri.
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 three domains:
1. Culture
• Key leadership turnover
• Interactions with local union leaders
2. Environment of care
• Nonoperational security camaras
3. Primary care
• Primary care team staffing



The OIG recommends the Veterans Integrated Service Network Director takes actions to ensure stable and consistent leadership at the facility.
The OIG also recommends Veterans Integrated Service Network leaders assist facility leaders to improve interactions with local union leaders.
The OIG recommends the Interim Medical Center Director ensures all security cameras are operational.
The OIG recommends the Interim Medical Center Director ensures primary care teams are staffed according to Veterans Health Administration guidelines.