By Larry Nader, US Navy Veteran
In Fall of 2018 Secretary of Veterans Affairs Robert Wilkie released the VA’s scorecard on veteran nursing homes under contract to the VA. That report indicates that of the 133 homes listed, 34 earned a five-star rating, the highest grade possible. The report also indicates that a total of 60 of the homes had seen improvement in their scores over the past year while 73 experienced no significant change, and one facility in Hot Springs, SD saw their rating drop from 5-star to a four-star rating.
On paper these look like good numbers overall although I would like to know of the 73 facilities that did not see any change from the previous year, what were their scores? Unchanged can mean they were five-star and remain five-star or they are 1-star and remain one-star.
When people start quoting statistics using partial numbers, I must question what they are not telling the public. And with the VA, as with any government agency or public corporation, what they do not tell you speaks louder than what they are telling you.
First, I must question why is the VA grading their own facilities and hospitals? Why not an independent team of auditors with no vested interest in the outcome of the report except to accurately report the truth. Yes, I do not trust the VA or our government to tell us the truth and history is on my side.
Per a Military.com article on this report, The VA used the overall star ratings to compare their nursing homes to private homes, which are given star ratings by the Centers for Medicare, a federal agency within the Department of Health and Human Services. Of the 15,487 homes rated by the Centers for Medicare, nearly 29 percent have five-star ratings, compared to about 26 percent of VA homes. However, the VA had a smaller percentage receive one-star ratings — 8 percent compared to 13 percent for private homes.
Now, here’s my rub on this. In private sector senior communities and nursing homes, you have numerous options in your area. If you do not feel you are getting proper care at one of these facilities in the private sector you can tour and select an optional facility to move to. This is not really the case with VA nursing homes as there are usually not more than one in any given area around where you live.

For instance, per Longterncarelink.org article the lists the VA nursing homes are in each state that 41 of the states have five or fewer veteran nursing homes available (15 states have one facility each, 10 states have two each, five states have three each, 7 states have four and six states have five facilities), while Maine, Mississippi and Pennsylvania have 6 each, Oklahoma and Texas have seven each and California, Florida and Texas have eight each. Strictly based on the numbers, that is not a lot considering the number of veterans in this country is at 18.2 million. Even if you took only 10-percent of those as vets needing a nursing home that would be 1.8 million vets.
However when you look at USA Today’s article from march of 2019, a total of 25 nursing homes were found to have caused harm to the veterans in their care. This report stated, “A VA nursing facility in Brockton, MA, a severely impaired veteran with dementia sat trapped in his wheelchair for hours, his right foot stuck between the footrests. Inspectors watched as staff walked past the struggling man without helping.”
The article goes on to say that inspectors from a private contractor cited 52 of the 99 VA nursing homes they inspected for major violations that “caused ‘actual harm’ to veterans. In three facilities, they found veterans’ health and safety in ‘immediate jeopardy,’ and in eight homes inspectors found both veteran ‘harm’ and ‘jeopardy.’
That same article also reports that in two out of three VA nursing homes the inspectors found that the nursing home staff did not following simple protocols such as wearing gloves and sterile gowns when treating vets. It also concludes that at 50 VA nursing homes residents were not being properly monitored and were exposed to hazardous conditions. And the list of deficiencies found goes on and on. There are far too many to list in this blog.

So why does the USA today report vary so extensively different from Wilkie’s and the VA’s own reports? It’s very simple. It’s the difference from having the fox guarding the henhouse and using an independent source to point out where these discrepancies and deficiencies lay. It is NOT in the VA’s best interest to air their dirty laundry, so why would they tell the truth?
All in all, the treatment of veterans in our country, no matter their age and health conditions, is horrible at best awful and horrific at worst. It is disgusting that vets are denied proper diagnoses of their service-related issues and, many times, are denied proper care and benefits by the VA system. But to have them treated this way when they are at their most vulnerable or at life’s end, is just downright disgusting for any “civilized” nation and the US Government, the Department of Defense and Veterans Affairs should all be called out on an international platform for the poor care and treatment they provide to our veterans.
Yes, there are some good things with the VA but where it really counts, the VA is failing our veterans and our country, and quite frankly, those in charge just don’t care. I would like to see a congressional oversight committee that would act totally independent from the VA and DOD have inspectors do a full evaluation of all VA nursing and assisted living homes. The VA’s only action in this should be to take the reports and act properly and swiftly (two traits the VA has never been known for) to correct any and all deficiencies. There is no reason why we cannot provide proper care for our veterans no matter their age or health conditions.
The problem is that government is more focused on funding wars then they are funding long term care for the veterans who served and defended the very country they are getting screwed by.
Speak up with your votes. Ask your Senators and Representatives what THEY are doing to assure the VA starts providing proper care for all veterans, and especially those in VA assisted living facilities and nursing homes and refuse to take their vague responses as answers. Politicians only care about their next election and quickly forget, or just outright ignore, their campaign promises. Therefore, you need to stay vigilant of your elected officials voting record. Don’t just vote for them and then forget about them until the next election. Those who refuse to make sure the VA is properly caring for our vets need to be voted out at their next election cycle and the newly elected politicians need to be aware that we will fire them when their term is up if they do not show a positive voting record on veteran issues.
Only by US making changes to the DC country club will these life-long politicians finally wake up and realize that if they are going to keep their cushy offices and exorbitant retirements plans, they WILL carry out the will of the people and not their corporate donors. When was the last time you saw a Senator, other than possibly a first term one, that wasn’t a millionaire or billionaire?
Let’s make 202 a great year for new political leaders that have yet to be corrupted by DC politics. If they have been in office for six or more years, they are corrupted and MUST be replaced. We need proper care for our veterans today. Educate yourself on these politicians and don’t just listen to bullet points about them form the TV talking heads. Educate yourself about the candidates running for office and use your vote wisely.






