VA Justification for Construction of Nursing Home Care Facilities at Durham, NC, and Prescott, AZ

HRD-84-84: Published: Jul 31, 1984. Publicly Released: Jul 31, 1984.

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In response to a congressional request, GAO examined the Veterans Administration's (VA) justification for nursing home care construction projects at Durham, North Carolina, and Prescott, Arizona, which were included in its fiscal year (FY) 1985 budget request. GAO was asked to determine whether VA had adequately considered local needs and resources and less costly alternatives to new construction.

GAO found that the proposed 120-bed nursing home care project at Durham, which would cost $8.8 million, appears to be needed, and VA planners adequately considered the projected availability of community and state nursing home beds. An unmet need for 246 nursing home care beds would be partially met with construction of this facility. However, GAO found that VA data supported a need for a 60-bed nursing home care project rather than the proposed 120-bed project proposed for Prescott. For the proposed project, VA requested $8.3 million in its FY 1985 budget submission. In justifying the 120-bed project, VA did not adequately consider the number of community nursing home care beds potentially available in the Prescott area by 1990. GAO analysis of VA data showed that a 60-bed facility should meet VA nursing home needs given the potential availability of community beds.

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