Healthcare Inspection Oversight of the Community Nursing Home Program VA North Texas Health Care System Dallas, Texas

We conducted an inspection to determine the validity of allegations concerning poor quality of care and inadequate oversight provided by the Community Nursing Home Program at VA North Texas Health Care System. We substantiated that ongoing patient monitoring and follow-up visits were not conducted every 30 days. We also substantiated that information for annual inspections and exclusion criteria were not consistently analyzed. We recommended that management comply with Veterans Health Administration policy concerning 30-day follow-up visits and evaluating annual inspections and exclusion criteria. Management concurred with the findings and implemented acceptable action plans.