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VA community living centers: opportunities exist to strengthen oversight of quality of care : report to congressional requesters
VA community living centers: opportunities exist to strengthen oversight of quality of care : report to congressional requesters
Why GAO did this study. VA is responsible for overseeing the quality of care provided in its CLCs, such as through unannounced inspections that identify deficiencies when CLCs do not meet quality standards. However, recent reports have raised questions about substandard treatment and conditions at certain CLCs, as well as about the transparency of VA data on CLC quality. GAO was asked to examine VA data on CLC quality and how the data are used to oversee CLCs. In this report, GAO describes what VA data reveal about quality at the CLCs and assesses VA’s oversight of CLCs and how, if at all, it could be strengthened, among other issues. To perform this work, GAO reviewed VA policies, analyzed the most recent 5 years of complete data on CLC quality at the time of its review, and interviewed VA officials. GAO also selected six VA CLCs based on factors such as CLC performance on VA’s quality ratings website and location. For each, GAO interviewed CLC officials and officials from corresponding VA regional offices. What GAO Recommends. GAO is making three recommendations, including for VA to update its policy and training documentation to identify the quality standards CLCs are required to follow and to prioritize development of a standard survey on CLC resident experiences. VA agreed with GAO’s recommendations.
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