A report from the VA Office of Inspector General found that senior leaders failed to promptly address 'long-standing deficient conditions' and safety concerns at West Palm Beach VA Medical Center, which may have contributed to a patient's suicide in early 2019, according to an article on the Becker's Clinical Leadership and Infection Control website.
Investigators found numerous deficiencies in staffing, employee training and risk mitigation on the unit.
Cameras the hospital was required to have on the unit for patient safety reasons hadn't worked in three years.
In addition, staff members failed to properly conduct the required safety checks every 15 minutes on admitted patients, inspectors found.
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