Care Concerns and the Impact of COVID-19 on a Patient at the Fayetteville VA Coastal Health Care System in North Carolina [open pdf - 1MB]
From the Executive Summary: "The VA [Department of Veterans Affairs] Office of Inspector General (OIG) conducted a healthcare inspection at the Fayetteville VA Coastal Health Care System (facility) in North Carolina to assess concerns related to quality, coordination, and timeliness of a patient's care in 2020. The impact of the coronavirus (COVID-19) on the care of the patient was also evaluated. The patient later died at another Veterans Health Administration (VHA) facility."
Department of Veterans Affairs, Office of Inspector General, Report No. 21-01304-275