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 210 employees. This review focused on six operational activities. The facility complied with selected standards in the following two activities (1) continuity of care and (2) management of workplace violence. The facility’s reported accomplishments were the Community Resource and Referral Center for homeless veterans, non-veterans, and their families and the Interdisciplinary Pain Management Program for veterans with complex pain issues who require treatment from multiple specialties. OIG made recommendations for improvement in the following four activities: (1) quality management, (2) environment of care, (3) women’s health, and (4) medication management.