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 158 employees. This review focused on seven operational activities. The facility complied with selected standards in the following five activities: (1) quality management, (2) suicide prevention safety plans, (3) moderate sedation, (4) management of workplace violence, and (5) long-term home oxygen therapy. The facility’s reported accomplishments were improved telehealth services and a robust voluntary service program. OIG made recommendations for improvement in the following two activities (1) environment of care and (2) medication management – controlled substances inspections.