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 109 employees. This review focused on nine activities. The facility complied with selected standards in the following four activities: (1) coordination of care, (2) medication management, (3) point-of-care testing, and (4) polytrauma. The facility’s reported accomplishments were the establishment of a Homeless Veterans Resource Center and recognition for a score of 10 out of 10 on their first external peer review. OIG made recommendations for improvement in the following five activities: (1) QM, (2) colorectal cancer screening (3) environment of care, (4) nurse staffing, and (5) moderate sedation.