Healthcare Inspection: Alleged Inappropriate Care in the Community Living Center Tomah VA Medical Center, Tomah, Wisconsin

摘要

The VA Office of Inspector General (OIG), Office of Healthcare Inspections conducted an inspection at the Tomah Veterans Affairs Medical Center (the medical center) in Tomah, Wisconsin, after receiving a complaint regarding an incident in the Community Living Center (CLC). The purpose of the inspection was to determine the validity of the allegation. An anonymous complainant contacted the OIG regarding concerns reported by staff who witnessed an incident in the medical centers CLC the evening before a patient died. While the complainant was not a direct witness to the event, the complainant felt a duty to report. The complainant alleged that the events may have led to the patient's death based on staff's concern that a Registered Nurse (RN) on duty delivered inappropriate care and caused a patient distress.