The purpose of the review was to evaluate selected operations, focusing on patient care administration and quality management (QM). During the review, OIG provided crime awareness briefings to 128 employees. This review focused on 10 operational activities. The facility complied with selected standards in the following six activities: (1) colorectal cancer screening, (2) coordination of care, (3) environment of care, (4) medication management, (5) mental health treatment continuity, and (6) QM. The facility’s reported accomplishments were a facility physician’s receipt of an award for outstanding achievement in clinical research and receipt of multiple awards for collaborating with other Veterans Integrated Service Network 23 teams to improve the coordination of cancer assessment and treatment. OIG made recommendations for improvement in the following four activities: (1) moderate sedation, (2) polytrauma, (3) point-of-care testing, and (4) nurse staffing.