Clinics providing care for military veterans in the D.C. area were cited for improperly assisting diabetes patients, sitting on mammogram results and allowing unapproved medical providers to conduct exams, according to recently released inspections.
The Department of Veterans Affairs' Office of Inspector General found that an outpatient clinic in Southeast D.C. did not complete a foot screening for nine of the 27 diabetes patients whose cases were reviewed. Foot screenings are vital for early detection of symptoms that may require a limb to be amputated.
Twice as many diabetes patients at the clinic were not educated on preventative foot care. Similar problems were noted at the Greenbelt Clinic, where 24 of 28 patients reviewed were not educated, and at a clinic in Stephens City, Va., which only educated 7 of 28 patients. All three facilities failed to conduct risk level assessments for nearly every diabetic patients.
A medical provider for the Stephens City facility conducted gynecological exams without the required approval to do so and a psychologist was working at the Greenbelt clinic without proper documentation, the inspections found.
The Stephens City facility was also cited for having buckets of paint and bags of chemicals in an electrical closet and for failing to deliver the results of mammograms within the two-week deadline.
The Greenbelt clinic did not hold an annual fire drill in 2011, as required by law, or yearly fire and safety inspections.