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 265 employees. This review focused on seven operational activities. The facility complied with selected standards in the following four activities: (1) quality management, (2) medication management – controlled substances inspections, (3) coordination of care – hospice and palliative care, and (4) nurse staffing. The facility’s reported accomplishments were the implementation of a team-based outpatient mental health model of care and a promotional video that featured the Dementia Competencies at Home Program. OIG made recommendations for improvement in the following three activities: (1) environment of care, (2) construction safety, and (3) Mental Health Residential Rehabilitation Treatment Program.