VA Health Care: VA Needs to Continue to Strengthen Its Oversight of Quality of State Veterans Homes, Statement of Sharon M. Silas, Director, Health Care, Testimony Before the Subcommittee on Health, Committee on Veterans' Affairs, House of Representatives   [open pdf - 279KB]

From the Highlights: "Veterans--like over a million other Americans--rely on nursing home care to help meet their health needs. For eligible veterans whose health needs require skilled nursing and personal care, VA [Department of Veterans Affairs] provides or pays for nursing home care in three nursing home settings: the VA-owned and -operated community living centers, public- or privately owned community nursing homes, and state-owned and -operated SVHs [state veterans homes]. In fiscal year 2019, VA provided or paid for nursing home care for over 39,000 veterans. The majority of these veterans received care at SVHs. This statement summarizes the GAO's [Government Accountability Office] July 2019 report, GAO-19-428, with a focus on issues related to SVHs. Specifically, it describes the: (1) use of and expenditures for SVHs, (2) inspections used by VA to assess the quality of SVH care and VA's oversight of the inspection process, and (3) information VA provides publicly on the quality of SVH care. As part of that work GAO analyzed VA data on expenditures for SVHs and interviewed VA officials. For this statement GAO reviewed expenditure and utilization data for fiscal year 2019."

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