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INTERNAL REPORT: VA HOSPITALS BESET WITH
PROBLEMS -- Have maintenance problems such
as mold, leaking roofs and even a colony of
bats.

Note: The VA issued a press
release on this subject...you can find that here...
http://www.vawatchdog.org/07/vap07/vap032107-1.htm
Story here...
http://www.nytimes.com/
aponline/us/AP-Veterans-Care.html
Story below:
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VA Hospitals Beset With Problems
By THE ASSOCIATED PRESS
WASHINGTON (AP) -- The Veterans Affairs' vast network of 1,400 health
clinics and hospitals is beset by maintenance problems such as mold,
leaking roofs and even a colony of bats, an internal review says.
The investigation, ordered two weeks ago by VA Secretary Jim Nicholson,
is the first topdown review of the facilities conducted since the
disclosure of squalid conditions at Walter Reed Army Medical Center.
A copy of the report was provided to The Associated Press.
The report found that 90 percent of the 1,100 problems cited were deemed
to be of a more routine nature: worn-out carpet, peeling paint, mice
sightings and dead bugs at VA centers.
The other 10 percent were considered serious and included mold spreading
in patient care areas. Eight cases were so troubling they required
immediate attention and follow-up action, according to the 94-page
review.
Some of the more striking problems were found at a VA clinic in White
City, Ore. There, officials reported roof leaks throughout the facility,
requiring them to ''continuously repair the leaks upon occurrence, clean
up any mold presence if any exists, spray or remove ceiling tiles.''
In addition, large colonies of Mexican Wing-tailed bats resided outside
the facility and sometimes flew into the attics and interior parts of
the building.
''Eradication has been discussed but the uniqueness of the situation
(the number of colonies) makes it challenging to accomplish,'' according
to the report, which said the bats were being tested for diseases.
''Also, the bats keep the insect pollution to a minimum which is
beneficial.''
In other findings:
--In Oklahoma City, secondhand smoke from an outside smoking shelter
sometimes infiltrated the building through the women's restroom.
--Deteriorating walls and hallways were common, requiring repair, patch
and paint in 30 percent of patient areas in Little Rock, Ark.
--Numerous unspecified ''environmental conditions'' affected the quality
of the building in New York's Hudson Valley, with the private landlord
repeatedly refusing to fix problems. The VA is taking steps to relocate
to another facility.
--Roof leaks or mold at facilities such as Hudson Valley; North Chicago,
Ill.; Indianapolis; Puget Sound, Wash.; Portland, Ore; and Fayetteville,
Ark.
In response, Nicholson this week ordered ''immediate corrective action''
to fix problems, with full accounting provided to the VA. He noted that
an overwhelming majority of the issues were normal ''wear and tear''
items.
In many cases where there were roof leaks or mold, officials had begun
action to order patches or repairs, the department said. In some
instances, they were moving to new facilities.
''The level of detail in the reports and the corrective actions
enumerated demonstrate your responsiveness to my request,'' Nicholson
wrote in an order Monday to VA medical center directors.
In interviews, VA officials said they were somewhat reassured by the
report, which they said indicated no red flags rising to the level of
problems at outpatient facilities at Walter Reed in Washington, D.C.,
one of the premier facilities for treating those wounded in Iraq and
Afghanistan.
Walter Reed is a military hospital run by the Defense Department.
Critics long have said problems of military care extend to the VA's vast
network, which provides supplemental health care and rehabilitation to
5.8 million veterans.
''There was no imminent threat of harm to patients,'' said Louise Van
Diepen, chief of staff to VA's acting undersecretary for health, Michael
Kussman. ''We have no indication to lead us to believe there is a
smoking gun.''
''Could it happen? Yes. But we're doing everything we can prospectively
to monitor the situation,'' she said.
Three high-level Pentagon officials have been forced to step down after
the disclosures last month at Walter Reed. The controversy also has led
to investigations by congressional committees, a presidential task force
and the Pentagon.
A separate review of the VA system for handling disability claims is
under way to determine how to cut through bureaucratic delays, confusing
paperwork and long appeals process as thousands of veterans return home
from Iraq and Afghanistan.
Investigators this month determined that the system was strained to its
limit, with backlogs of more than 400,000 and delays and appeals that
could take years.
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Larry Scott --