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 280 employees. This review focused on 10 operational activities. The facility complied with selected standards in the following three activities: (1) medication management, (2) mental health treatment continuity, and (3) nurse staffing. The facility’s reported accomplishment was implementing the “Veteran’s Recovery & Resource Workbook” to facilitate mental health patients’ recovery and treatment continuity. OIG made recommendations for improvement in the following seven activities: (1) colorectal cancer screening, (2) point-of-care testing, (3) moderate sedation, (4) coordination of care, (5) environment of care, (6) QM, and (7) polytrauma.