Report identifies 95% of VA nursing homes
had at least one infection control deficiency in years before COVID-19
pandemic, with 81% having deficiencies in multiple years
Washington (February 8, 2021) – Following a request by
Senators Edward J. Markey (D-Mass.) and Elizabeth Warren (D-Mass.) and
Committee on Veterans’ Affairs Chair Jon Tester (D-Mont.), the Government
Accountability Office (GAO) has now released a report revealing pervasive
infection control deficiencies at U.S. Department of Veterans Affairs (VA)
nursing homes in the years leading up to the coronavirus pandemic. The report,
which analyzed available data on VA-operated community living centers (CLCs)
from Fiscal Years 2015 through 2019, showed that 95 percent of CLCs had at
least one infection control deficiency during the five-year review period.
Approximately 62 percent of the inspected CLCs had infection prevention and
control deficiencies in consecutive fiscal years and an additional 19 percent
of CLCs had multiple nonconsecutive infection prevention deficiencies,
suggesting that these issues were ongoing.
“The COVID-19 pandemic has shown us all the lifesaving
importance of infection prevention and control. This report documents that,
during the crucial years leading up to the coronavirus pandemic, the VA did not
do enough to ensure that VA-operated nursing homes were taking the necessary
precautions to protect our veterans, facilities, and staff,” said Senator
Markey. “We will continue to work to ensure that the VA is taking every
step possible to prevent infections in our nursing homes and community living centers.”
“Nursing homes and long-term
care facilities emerged as one of the most vulnerable settings for outbreaks
throughout the COVID-19 crisis,” said Chairman Tester. “This
report shows the previous Administration’s failure to implement
necessary precautions and follow-up on known infection control deficiencies
that placed veterans and their providers at greater risk of exposure to
the coronavirus. Moving forward, I remain committed to working with the Biden
Administration on ensuring that veterans and nursing staff across the
Department’s long-term care facilities have access to the resources and
protection they need in the face of this pandemic.”
“Veterans
and their families should be able to count on the VA to monitor the quality of
care in community living centers at all times but especially during this deadly
pandemic when residents are most vulnerable," said Senator
Warren. "This report shows that infection prevention and control
deficiencies were prevalent for years in VA-owned and -operated facilities. We
ask that the VA take swift action to implement necessary precautions to meet
quality standards and keep our veterans safe in community living centers during
the COVID-19 pandemic and beyond.”
A
copy of the GAO report can be found
HERE.
The
lawmakers originally
requested the GAO initiate a review of the quality rating system for community living
centers (CLCs) operated by the VA in September 2019, following years of poor
quality ratings at these facilities compared to private CLCs and reports
documenting subpar care and limited VA oversight. Following the
emergence of the COVID-19 pandemic, the Senators requested GAO also focus
its attention on infection control practices at CLCs, and have requested a
report on practices at State Veterans Homes as well.