Outside inspectors cited 52 out of 99 VA nursing homes for deficiencies that caused “actual harm” to veterans, newly released reports show.
At the Veterans Affairs nursing home in Brockton, Massachusetts, a severely impaired veteran with dementia sat trapped in his wheelchair for hours, his right foot stuck between the foot rests. Inspectors watched as staff walked past the struggling man without helping.
The facilities cited for shortfalls that caused harm are in 25 states, the District of Columbia and Puerto Rico. Harm and jeopardy are standard categories of severity in the industry, but non-VA nursing homes are rarely cited for them. “It’s heartbreaking, and you think these are our vets, how can we not be taking care of them?” Mollot said.
VA spokesman Curt Cashour said Wednesday that non-VA nursing homes also have problems. He said that by posting the VA reports for the first time,"we hope to drive improvements throughout the system." The inspection results – made public nearly a year after USA TODAY and the Globe disclosed the existence of the reports – reveal for the first time the deficiencies identified during surprise visits by the outside inspectors.
Residents weren’t properly monitored or were exposed to hazardous conditions at more than 50 VA nursing homes, inspectors concluded. And it wasn’t the first time – he previously had returned with burn holes in his clothing and on the seat cushion of his wheelchair. Inspectors cited a handful of VA nursing homes, including in Washington, for failing to meet standards of care in as many as 10 key categories, such as treating residents with dignity.
Taxpayers pay $1,125 each night to house a veteran in VA nursing homes. That's far higher than the average $296 each night in private facilities or $174 in state-run nursing homes where the VA pays a portion of the cost, according to agency budget documents. USA TODAY and the Globe revealed in June that the VA had long tracked the quality of care at its nursing homes through inspections as well as quality indicators and star ratings.
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