Show Notes
Each month, the VA Office of Inspector General publishes highlights of our oversight reports, congressional testimony, and investigative work. In August 2025, the VA OIG published 17 reports that included 72 recommendations to VA.
Report topics included a review of medical facilities in VISN 12 (VA Great Lakes Health Care System) and whether they correctly identified veterans eligible for community care, informed them of their care options, and delivered timely care. Another report recommended VA medical facilities improve the monitoring of pharmacy automated dispensing cabinets for accountability over high-risk medications.
VA OIG investigative efforts resulted in the conviction of a former nurse at a Texas VA medical center who falsely claimed she had checked on a patient who ultimately died. In addition, a former VA-appointed fiduciary was indicted for allegedly stealing more than $133,000 from an elderly veteran who resided at the Cincinnati VA Medical Center.
Related Reports:
· VISN 12 Needs to Improve How It Administers the Veterans Community Care Program
· Pharmacy Automated Dispensing Cabinets Need Improved Monitoring for Accountability over High-Risk Medications
· Inconsistent Implementation of VHA Oncology Program Requirements Due to Insufficient Oversight
More from Veteran Oversight Now
The Honorable Cheryl L. Mason was confirmed by the Senate as the inspector general of the VA on July 31, 2025, and shortly after being sworn in, took up her leadership of the VA OIG on August 4. IG Mason previously served as the chairman of the Board of Veterans’ Appeals at VA. For more information on IG Mason, see her bio.
Each month, the VA Office of Inspector General publishes highlights of our oversight reports, congressional testimony, and investigative work. In June 2025, the VA OIG published nine reports that included 81 recommendations. Report topics varied from an evaluation of VA’s governance of recruitment, relocation, and retention incentives awarded for VHA positions to mental health inspections of the VA Salem Healthcare System in Virginia and the VA Philadelphia Healthcare System in Pennsylvania.
Each month, the VA Office of Inspector General publishes highlights of our oversight reports, congressional testimony, and investigative work. In May 2025, the VA OIG published 11 reports that included 54 recommendations. Report topics varied from an audit of the VHA’s Pain Management, Opioid Safety, and Prescription Drug Monitoring Program to a healthcare inspection to assess allegations of deficiencies in the emergency department care provided to a patient at the Martinsburg VA Medical Center in West Virginia.
This Semiannual Report to Congress summarizes the independent oversight efforts of the VA Office of Inspector General (OIG) from October 1, 2024, through March 31, 2025. Visit the VA OIG's website to read the full report.
The latest podcast episode of Veteran Oversight Now highlights the VA OIG’s oversight work during April 2025, including three healthcare facility inspections reports on facilities in Tennessee, New York, and Colorado. April 2025 Monthly Highlights Each month, the VA Office of Inspector General publishes highlights of our congressional testimony, investigative work, and oversight reports. In April 2025, the VA OIG published 12 reports that included 51 recommendations. Report topics varied from a review to determine whether claims processors are properly assigning effective dates for PACT Act-related claims to an inspection related to a patient’s delayed diagnosis and treatment for lung cancer at the VA Eastern Kansas Healthcare System in Topeka and Leavenworth.