In 2010, an anonymous complaint spurred inspectors to take a look at the hospital. It claimed a physician was responsible for several patient deaths. Inspectors found that complaint to be invalid, but discovered several other problems.
The OHI found “inadequate management, documentation, and review” of a patient’s cardiac arrest. It also found “inadequate Intensive Care Unit (ICU) monitoring” of a second patient.
A third patient should not have accepted in a community hospital transfer.
In a six month period, the inspectors found 23 days where there was no staff that could perform out-of-operating room airway management at one time or another.
The final violation found that Medical Officers of the Day were providing care opposing Veterans Health Administration policy.
Inspectors gave the hospital five recommendations to complete in order to help fix and prevent further violations.
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