VA Justification for Two Nursing Home Care Construction Projects in Its Fiscal Year 1985 Budget Request

HRD-84-66: Published: May 15, 1984. Publicly Released: May 15, 1984.

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Pursuant to a congressional request, GAO reviewed the Veterans Administration's (VA) justification for nursing home construction projects in its fiscal year 1985 budget request to determine whether VA had adequately considered local needs and resources and alternatives to construction.

GAO reviewed the projected nursing home care unit at the Alexandria, Louisiana, VA medical center (VAMC) and a similar project at the Providence, Rhode Island, VAMC. GAO studied data from the VA medical district initiated program planning (MEDIPP) process and noted that, considering the age and condition of the Alexandria VAMC facilities, renovating or converting them would not be feasible. GAO found that the proposed 120-bed, $5.4 million nursing home care unit at the Alexandria VAMC appears to be needed. However, GAO determined that a unit at the Providence VAMC did not seem necessary. GAO studied MEDIPP data for the Providence area and determined that the area will have an ample supply of community and state home beds to meet veterans' nursing home needs in 1990. GAO noted that the Acting Chief Medical Director recommended to the Administrator that the Providence project be deleted from the fiscal year 1985 budget.

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