The purpose of the review was to evaluate selected health care facility operations, focusing on patient care quality and the environment of care. During the review, OIG provided crime awareness briefings to 125 employees. This review focused on six operational activities. The facility complied with selected standards in the following three activities: (1) environment of care, (2) medication management – controlled substance inspections, and (3) nurse staffing. The facility’s reported accomplishment was the domiciliary recovery model, which emphasizes enhancing life skills training. OIG made recommendations for improvement in the following three activities: (1) quality management, (2) coordination of care – hospice and palliative care, and (3) Mental Health Residential Rehabilitation Treatment Program.