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 171 employees. This review focused on eight operational activities. The facility complied with selected standards in the following three activities: (1) medication management, (2) mental health treatment continuity, and (3) point-of-care testing. The facility’s reported accomplishments were a Systems Redesign Champion Award, events for homeless veterans, and the urology clinic redesign. OIG made recommendations for improvement in the following five activities: (1) QM, (2) environment of care, (3) coordination of care, (4) polytrauma, and (5) nurse staffing.