This is the accessible text file for GAO report number GAO-02-510R 
entitled 'VA Long-Term Care: Implementation of Certain Millennium Act 
Provisions Is Incomplete, and Availability of Noninstitutional 
Services Is Uneven' which was released on March 29, 2002. 

This text file was formatted by the U.S. General Accounting Office 
(GAO) to be accessible to users with visual impairments, as part of a 
longer term project to improve GAO products' accessibility. Every 
attempt has been made to maintain the structural and data integrity of 
the original printed product. Accessibility features, such as text 
descriptions of tables, consecutively numbered footnotes placed at the 
end of the file, and the text of agency comment letters, are provided 
but may not exactly duplicate the presentation or format of the 
printed version. The portable document format (PDF) file is an exact 
electronic replica of the printed version. We welcome your feedback. 
Please E-mail your comments regarding the contents or accessibility 
features of this document to Webmaster@gao.gov. 

This is a work of the U.S. government and is not subject to copyright 
protection in the United States. It may be reproduced and distributed 
in its entirety without further permission from GAO. Because this work 
may contain copyrighted images or other material, permission from the 
copyright holder may be necessary if you wish to reproduce this 
material separately. 

GAO-02-510R: 

United States General Accounting Office: 
Washington, DC 20548: 

March 29, 2002 

The Honorable John D. Rockefeller IV: 
Chairman: 
Committee on Veterans’ Affairs: 
United States Senate: 

The Honorable Lane Evans: 
Ranking Democratic Member: 
Committee on Veterans’ Affairs: 
House of Representatives: 

Subject: 
VA Long-Term Care: Implementation of Certain Millennium Act Provisions 
Is Incomplete, and Availability of Noninstitutional Services Is Uneven 

The Department of Veterans Affairs (VA) spent about $3.1 billion on 
long-term care in fiscal year 2001, an amount that is likely to 
increase in the coming years as the veteran population ages. VA 
provides or pays for long-term care in institutional settings such as 
nursing homes and through noninstitutional care in veterans’ own homes 
and other locations in the community. VA generally provided or 
contracted for long-term care on a discretionary basis until passage 
of the Veterans Millennium Health Care and Benefits Act in November 
1999.[Footnote 1] The Millennium Act required VA to offer certain long-
term care services to eligible veterans, including care in 
noninstitutional settings. As part of our ongoing work addressing the 
availability of noninstitutional long-term care in VA, you asked us to 
provide the information we have obtained to date on (1) VA’s efforts 
to expand noninstitutional long-term care in response to the act’s 
requirements and (2) the noninstitutional long-term care services that 
VA’s medical facilities offer. As agreed with your offices, we are 
also providing data on the number of institutional services offered by 
VA’s facilities, and their utilization, to place the noninstitutional 
services in perspective. 

In summary, more than 2 years after the act’s passage VA has not 
completely implemented its response to the act’s requirement that all 
eligible veterans be offered adult day health care, respite care, and 
geriatric evaluation. Although VA published draft regulations that 
would make these three services available in noninstitutional settings 
to eligible veterans, the regulations had not been made final as of 
March 19, 2002. To be responsive to the act’s requirements before its 
draft regulations were finalized, VA issued a policy directive 
requiring that these three services be available in noninstitutional 
settings. At the time of our review, however, access to these services 
was far from universal in VA. More generally, the availability of all 
VA noninstitutional long-term care services, including the newly 
required services, is uneven across the VA system. In commenting on a 
draft of this letter, VA officials generally agreed with our 
assessment. 

To determine the status of VA’s efforts to expand noninstitutional 
long-term care in response to the Millennium Act’s requirements, we 
interviewed officials in VA’s Geriatrics and Extended Care Strategic 
Healthcare Group and evaluated directives, regulations, and other 
guidance that had been prepared in response to the act. To determine 
which long-term care services are offered by each of VA’s 139 
facilities,[Footnote 2] we compiled a list of the services as 
identified by VA officials and in VA documents. We subsequently used a 
survey instrument to collect data on the types of services offered at 
each of VA’s 139 facilities and the utilization of these services. In 
constructing this survey, we consulted with VA headquarters officials 
and pretested it with VA field staff to ensure that it would be clear 
to the respondents. We received responses for all 139 VA facilities. 
However, we did not conduct site visits or otherwise attempt to verify 
any of the data provided to us in the surveys. Our work was conducted 
from September 2001 through March 2002 in accordance with generally 
accepted government auditing standards. 

Background 

VA served about one-third of its fiscal year 2001 long-term care 
workload, or average daily census, in noninstitutional settings (see 
table 1). Noninstitutional care accounted for about 8 percent of VA’s 
long-term care costs during the same year. 

Table 1: VA Long-Term Care Workload and Costs, by Care Setting, Fiscal 
Year 2001: 

Long-term care setting: Institutional[B]; 
Average daily census[A]: 45,033 
Total cost: $2,888,659,000 

Long-term care setting: Noninstitutional; 
Average daily census[A]: 23,205 
Total cost: $239,939,000 

Long-term care setting: Total; 
Average daily census[A]: 68,238 
Total cost: $3,128,598,000 

Source: VA. 

[A] The average daily census represents the total number of days of 
inpatient care for institutional care and the total number of 
outpatient encounters for noninstitutional care, each divided by the 
number of days in the year. Although these figures represent VA’s 
average daily census during the year, they are not an unduplicated 
count of veterans in these settings because some veterans receive more 
than one service. 

[B] Institutional long-term care includes care that VA provides or 
pays for in nursing homes and other residential settings. 

[End of table] 

VA is not alone among federal agencies in spending a relatively small 
percentage of its long-term care dollars in noninstitutional settings. 
Noninstitutional care also accounts for a relatively small percentage 
of long-term care expenditures under Medicaid, the nation’s largest 
purchaser of long-term care. In 2000, for example, about 27 percent of 
Medicaid’s long-term care spending was devoted to noninstitutional 
care. 

VA’s Response to the Millennium Act Is Not Fully Implemented: 

The Millennium Act requires VA to provide adult day health care—health 
maintenance and rehabilitative services provided to frail elderly 
veterans in an outpatient day setting. The act also requires that VA 
provide two additional services—geriatric evaluation (evaluation of 
veterans with particular geriatric needs, generally provided by VA 
through one of two services, geriatric evaluation and management or 
geriatric primary care) and respite care (brief periods of care 
provided to veterans in order to give veterans’ regular caregivers a 
period of respite)—but does not specify whether these services must be 
provided in institutional or noninstitutional settings.[Footnote 3] 
(Descriptions of these and other VA long-term care services are 
provided in enclosure I.) The Millennium Act’s long-term care 
provisions were written partly in response to the 1998 report of the 
Federal Advisory Committee on the Future of VA Long-Term Care. 
[Footnote 4] The committee’s report stated that VA long-term care was “
marginalized and unevenly funded” and recommended that 
noninstitutional long-term care become the preferred option, when 
clinically appropriate, for veterans needing long-term care. 

More than 2 years after the act’s passage, however, VA has not 
completely implemented its response to the act’s requirement that all 
eligible veterans be offered adult day health care, respite care, and 
geriatric evaluation. In October 2001, VA published draft regulations 
to add the three required services in noninstitutional settings to its 
medical benefits package, the standard health plan available to all 
veterans enrolled in VA’s health care system. As of March 19, 2002, 
final regulations had not been published, although VA officials told 
us that VA sent the regulations to the Office of Management and Budget 
for approval on March 14, 2002. 

To be responsive to the act’s requirements before its draft 
regulations were finalized, however, VA issued a policy directive in 
October 2001 requiring medical facilities to ensure that veterans have 
access to adult day health care, respite care, and geriatric 
evaluations in noninstitutional settings. VA’s directive—as well as 
its draft regulations—specifies that respite care and geriatric 
evaluation be provided in noninstitutional settings even though the 
act does not state whether these two services must be provided in 
institutional or noninstitutional settings. (Adult day health care is 
by definition a noninstitutional service.) VA officials told us that 
VA made this decision because respite care and geriatric evaluation 
were already widely offered in institutional settings. A VA 
headquarters official told us that VA headquarters will soon begin 
monitoring field facilities to ensure that they provide access to 
these three services in noninstitutional settings. 

When VA issued its policy directive in October 2001, it was far from 
its goal of universal access to these three noninstitutional services, 
as shown in figure 1. Among the three services, respite care was most 
widely available, although at most facilities this care was still 
offered only in institutional settings. According to VA officials, 
noninstitutional respite care is not widely offered because until the 
Millennium Act VA was not authorized to provide respite care in 
noninstitutional settings. Second to respite care in availability was 
adult day health care, followed by geriatric evaluation. 

Figure 1: Number of 139 VA Facilities Offering Certain Long-Term Care 
Services Required by the Millennium Act and Available in 
Noninstitutional Settings, During September and October 2001: 

[Refer to PDF for image: stacked vertical bar graph] 

VA facilities offering service: 

Adult day health care: 
VA long-term care service: 
Offer care in noninstitutional setting only: 100. 

Respite care: 
VA long-term care service: 
Offer care in both settings: approximately 35; 
Offer care in institutional setting only: approximately 105. 

Geriatric evaluation[A]: 
VA long-term care service: 
Offer care in both settings: approximately 40; 
Offer care in noninstitutional setting only: approximately 30; 
Offer care in institutional setting only: approximately 15; 

Source: GAO survey of VA facilities; VA headquarters data. 

[A] Includes facilities reporting geriatric evaluation and management 
services in our survey and additional facilities reported by VA 
headquarters as offering geriatric primary care. 

[End of figure] 

Availability of Other Noninstitutional Services Is Uneven 

Uneven availability of noninstitutional services is not limited to the 
three services that VA requires its facilities to offer in response to 
the Millennium Act. Although at least nine different noninstitutional 
long-term care services are provided or paid for by VA (including the 
three services that VA requires as a result of the act), considerable 
unevenness exists in the number of these services offered by 
individual facilities and their utilization. For example, 123 VA 
facilities reported offering skilled home health care,[Footnote 5] 
while about half as many facilities—63—reported offering community 
residential care. These results are similar to the distribution of 
services noted by the 1998 Advisory Committee on the Future of VA Long-
Term Care, which stated that VA long-term care—institutional as well 
as noninstitutional—was not available universally and that access to 
long-term care was often restricted. Similarly, a VA headquarters 
official we spoke with noted that VA’s noninstitutional long-term care 
services are not equally accessible across the country. The services 
offered by each VA facility during the September and October 2001 
period, along with the number of veterans served in each, are shown in 
enclosure II. 

Agency Comments: 

We provided a draft of this letter to VA officials for comment and 
received oral comments on March 19, 2002. In providing comments, VA’s 
acting chief consultant, Geriatrics and Extended Care Strategic 
Healthcare Group, stated that VA agrees that its efforts to provide 
certain noninstitutional long-term care services in response to the 
Millennium Act’s requirements are not complete, and that the 
availability of noninstitutional services is uneven. The acting chief 
consultant also noted that VA’s home health care programs are widely 
available as shown in our survey results. This official also provided 
technical comments that we have incorporated as appropriate. 

As arranged with your offices, unless you publicly announce this letter’
s contents earlier we will make no further distribution until 30 days 
after its date. At that time, we will send copies to the secretary of 
veterans affairs and interested congressional committees. The letter 
will also be available on GAO’s home page at [hyperlink, 
http://www.gao.gov]. If you have questions, please contact me at (202) 
512-7101 or James Musselwhite at (202) 512-7259. Joe Buschy, Steve 
Gaty, and Stefanie Weldon also made key contributions to this letter. 

Signed by: 

Cynthia A. Bascetta: 
Director, Health Care—-Veterans’ Health and Benefits Issues: 

Enclosures - 2: 

[End of section] 

Enclosure I: VA Long-Term Care Services: 

Noninstitutional Services: 

* Adult day health care: health maintenance and rehabilitative 
services provided to frail elderly veterans in an outpatient day 
setting. 

* Alzheimer’s/dementia care: specialized outpatient services such as 
behavioral and medical management provided to veterans with 
Alzheimer’s disease or related dementias. 

* Community residential care: a service in which veterans who do not 
require hospital or nursing home care—but who (because of medical or 
psychosocial health conditions) are unable to live independently—live 
in VA-approved community residential care facilities; VA pays 
administrative costs only. 

* Geriatric evaluation: evaluation of veterans with particular 
geriatric needs, generally provided by VA through one of two services: 
(1) geriatric evaluation and management (GEM), in which 
interdisciplinary health care teams of geriatric specialists evaluate 
and manage frail elderly veterans, and (2) geriatric primary care, in 
which outpatient primary care, including medical and nursing services, 
preventive health care services, health education, and specialty 
referral, is provided to geriatric veterans.[Footnote 6] 

* Home-based primary care: primary medical care provided in the home 
by VA physicians, nurses, and other VA healthcare professionals to 
severely disabled, chronically ill veterans whose conditions make them 
unsuitable for management in outpatient clinics. 

* Homemaker/home health aide: home health aide and homemaker services, 
such as grooming, housekeeping, and meal preparation services. 

* Home respite care: home-based services provided to veterans on a 
short-term basis to give veterans’ caregivers a period of relief or 
respite. 

* Hospice care: home-based palliative and supportive services for 
veterans in the last phases of incurable disease so that they may live 
as fully and as comfortably as possible. 

* Skilled home health care: medical services provided to veterans at 
home by non-VA health care providers. 

GAO-02-510R VA Long-Term Care Services 

Institutional Services: 

* Alzheimer’s/dementia care: specialized inpatient services such as 
behavioral and medical management provided to veterans with 
Alzheimer’s disease or related dementias. 

* Community nursing home care: nursing home care provided to veterans 
in community nursing facilities. 

* Domiciliary care: residential rehabilitation and health maintenance 
services provided to veterans who do not require hospital or nursing 
home care but are unable to live independently because of medical or 
psychiatric disabilities; may be provided in VA domiciliaries or in 
state-owned and operated veterans’ domiciliaries.[Footnote 7] 

* Geriatric evaluation and management (GEM): evaluation and management 
of frail elderly veterans by interdisciplinary health care teams of 
geriatric specialists; may be provided in a distinct GEM unit or in 
existing nursing home or hospital beds. 

* Hospice care: palliative and supportive inpatient services for 
veterans in the last phases of incurable disease so that they may live 
as fully and as comfortably as possible; may be provided in a distinct 
hospice unit or in existing nursing home or hospital beds. 

* Respite care: hospital or nursing home care provided to veterans on 
a short-term basis to give veterans’ caregivers a period of relief or 
respite; may be provided in a distinct respite unit or in existing 
nursing home or hospital beds and may be provided in VA hospitals, VA 
nursing homes, or community nursing homes. 

* State veterans’ nursing home care: nursing home care provided to 
veterans in state-owned and operated veterans’ nursing homes, for 
which VA pays a portion of daily costs. 

* VA nursing home care: nonacute nursing care services, variously 
referred to as subacute, skilled, intermediate, or custodial nursing 
care, provided to veterans in a VA facility’s nursing home care unit. 

[End of section] 

Enclosure II: VA Long-Term Care Services By VA Facility: 

This enclosure provides information on the types and utilization of 
long-term care services, both institutional and noninstitutional, that 
VA’s 139 facilities reported as of the September and October 2001 time 
frame. Each table contains service utilization data for all VA 
facilities in one of the 22 VA health care networks existing at the 
time of our survey.[Footnote 8] Following are the key methods we used 
to collect and present the data. Because of differences in the way 
utilization is calculated, the numbers in this enclosure should not be 
compared to those presented in table 1. 

* We obtained data on the number of veterans receiving or authorized 
to receive services from each VA facility on the day the survey was 
completed.[Footnote 9] For example, if a veteran was receiving 
homemaker/home health aide services 3 days per week at the time of our 
survey, that veteran would have been counted in the utilization total 
even if the veteran was not receiving services on the particular day 
the survey was filled out. As a result, the utilization we report may 
exceed the average daily census for individual services, particularly 
in noninstitutional services, because on a given day the number of 
veterans authorized to receive services may be greater than the number 
who actually receive services. 

* Several facilities indicated they had “other” services—that is, 
services other than those we specifically asked about in our survey. 
In instances in which facilities reported “other” services with 
utilization of greater than 1,000 veterans, we note the types of “other”
services these facilities reported. 

Table 2: Long-Term Care Services Offered by VA Facilities in Network 
1, Boston, Mass. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 68; 
Boston HCS: 80; 
Connecticut HCS: 49; 
Manchester: 13; 
Northampton: 19; 
Providence: 4; 
Togus: [Empty]; 
White River Junction: 48; 
Total[A]: 281. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 200; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: 125; 
White River Junction: [Empty]; 
Total[A]: 325. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 202; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: 85; 
Providence: [Empty]; 
Togus: 75; 
White River Junction: [Empty]; 
Total[A]: 362. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 25; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: 28; 
White River Junction: 94; 
Total[A]: 147. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 15; 
Boston HCS: [Empty]; 
Connecticut HCS: 132; 
Manchester: --; 
Northampton: [Empty]; 
Providence: 63; 
Togus: [Empty]; 
White River Junction: [Empty]; 
Total[A]: 210. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 45; 
Boston HCS: 235; 
Connecticut HCS: 52; 
Manchester: 28; 
Northampton: 115; 
Providence: 12; 
Togus: 42; 
White River Junction: 13; 
Total[A]: 542. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: [Empty]; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: [Empty]; 
White River Junction: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care;
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: [Empty]; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: --; 
White River Junction: [Empty]; 
Total[A]: --. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 1; 
Boston HCS: 68; 
Connecticut HCS: 29; 
Manchester: --; 
Northampton: 40; 
Providence: 30; 
Togus: 90; 
White River Junction: 37; 
Total[A]: 295. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: [Empty]; 
Boston HCS: [Empty]; 
Connecticut HCS: 368; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: [Empty]; 
White River Junction: [Empty]; 
Total[A]: 368. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 110; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: 50; 
White River Junction: [Empty]; 
Total[A]: 160 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 32; 
Boston HCS: 95; 
Connecticut HCS: 62; 
Manchester: 15; 
Northampton: 34; 
Providence: 53; 
Togus: 23; 
White River Junction: 11; 
Total[A]: 325. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 42; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: [Empty]; 
White River Junction: [Empty]; 
Total[A]: 42. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 24; 
Boston HCS: [Empty]; 
Connecticut HCS: 13; 
Manchester: [Empty]; 
Northampton: [Empty]
Providence: 4; 
Togus: 0; 
White River Junction: [Empty]; 
Total[A]: 41. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 2; 
Boston HCS: 5; 
Connecticut HCS: 3; 
Manchester: 10; 
Northampton: 1; 
Providence: 1; 
Togus: 6; 
White River Junction: 2; 
Total[A]: 30. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 122; 
Boston HCS: 9; 
Connecticut HCS: 3; 
Manchester: 40; 
Northampton: 0; 
Providence: 3; 
Togus: 2; 
White River Junction: 46; 
Total[A]: 225. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: 152; 
Boston HCS: 146; 
Connecticut HCS: 9; 
Manchester: 70; 
Northampton: 59; 
Providence: [Empty]; 
Togus: 38; 
White River Junction: [Empty]; 
Total[A]: 474. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bedford: [Empty]; 
Boston HCS: [Empty]; 
Connecticut HCS: [Empty]; 
Manchester: [Empty]; 
Northampton: [Empty]; 
Providence: [Empty]; 
Togus: [Empty]; 
White River Junction: [Empty]; 
Total[A]: [Empty]. 

Source: GAO survey of VA facilities. Notes: Responses to our survey 
were submitted in September and October 2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 3: Long-Term Care Services Offered by VA Facilities in Network 
2, Albany, N.Y. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 123; 
Bath: 10; 
Canandaigua: 29; 
Syracuse: 107; 
Western New York HCS: 80; 
Total[A]: 349. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 100; 
Bath: [Empty]; 
Canandaigua: 49; 
Syracuse: 318; 
Western New York HCS: 222; 
Total[A]: 689. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 0; 
Bath: 68; 
Canandaigua: --;
Syracuse: --;
Western New York HCS: [Empty]; 
Total[A]: 68. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: [Empty]; 
Canandaigua: --;
Syracuse: [Empty]; 
Western New York HCS: 62; 
Total[A]: 62; 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 140; 
Bath: 160; 
Canandaigua: 109; 
Syracuse: 762; 
Western New York HCS: 259; 
Total[A]: 1,430. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 60; 
Bath: 104; 
Canandaigua: 211; 
Syracuse: 129; 
Western New York HCS: 261; 
Total[A]: 765. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: [Empty]; 
Canandaigua: [Empty]; 
Syracuse: [Empty]; 
Western New York HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: [Empty]; 
Canandaigua: 1; 
Syracuse: 1; 
Western New York HCS: [Empty]; 
Total[A]: 2. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 21; 
Bath: [Empty]; 
Canandaigua: 0; 
Syracuse: 5 [Empty]; 
Western New York HCS: 168; 
Total[A]: 194. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 2; 
Bath: [Empty]; 
Canandaigua: [Empty]; 
Syracuse: [Empty]; 
Western New York HCS: 13; 
Total[A]: 15. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: [Empty]; 
Canandaigua: 24; 
Syracuse: [Empty]; 
Western New York HCS: [Empty]; 
Total[A]: 24. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 50; 
Bath: 5; 
Canandaigua: 8; 
Syracuse: 32; 
Western New York HCS: 25; 
Total[A]: 120. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: 203; 
Canandaigua: [Empty]; 
Syracuse: [Empty]; 
Western New York HCS: [Empty]; 
Total[A]: 203. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: [Empty]; 
Canandaigua: [Empty]; 
Syracuse: [Empty]; 
Western New York HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 2; 
Bath: 7; 
Canandaigua: 0; 
Syracuse: 3; 
Western New York HCS: 3; 
Total[A]: 15. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 1; 
Bath: 4; 
Canandaigua: 1; 
Syracuse: 4; 
Western New York HCS: 6; 
Total[A]: 16. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: 28; 
Bath: 147; 
Canandaigua: 80; 
Syracuse: 30; 
Western New York HCS: 111; 
Total[A]: 396. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albany: [Empty]; 
Bath: [Empty]; 
Canandaigua: [Empty]; 
Syracuse: [Empty]; 
Western New York HCS: [Empty]; 
Total[A]: [Empty]. 

Source: GAO survey of VA facilities. Notes: Responses to our survey 
were submitted in September and October 2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. Dashes indicate that a facility 
reported the service but did not report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 4: Long-Term Care Services Offered by VA Facilities in Network 
3, Bronx, N.Y. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: 3; 
New Jersey HCS: 4; 
Northport: 34; 
New York Harbor HCS: 67; 
Total[A]: 108. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: 321; 
Northport: [Empty]; 
New York Harbor HCS: 29; 
Total[A]: 350. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: 272; 
New Jersey HCS: 230; 
Northport: 215; 
New York Harbor HCS: [Empty]; 
Total[A]: 717. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: [Empty]; 
New York Harbor HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: 107; 
Hudson Valley HCS: 65; 
New Jersey HCS: 143; 
Northport: 45; 
New York Harbor HCS: 137; 
Total[A]: 497. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: 35; 
New Jersey HCS: 196; 
Northport: 159; 
New York Harbor HCS: 127; 
Total[A]: 517. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: [Empty]; 
New York Harbor HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: [Empty]; 
New York Harbor HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: 22; 
Hudson Valley HCS: 6; 
New Jersey HCS: 38; 
Northport: 35; 
New York Harbor HCS: 19; 
Total[A]: 120. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: 241; 
New York Harbor HCS: [Empty]; 
Total[A]: 241. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: [Empty]; 
New York Harbor HCS: 14; 
Total[A]: 14. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: 19; 
New Jersey HCS: 36; 
Northport: 47; 
New York Harbor HCS: 4; 
Total[A]: 106. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: 133; 
New Jersey HCS: 165; 
Northport: [Empty]; 
New York Harbor HCS: 50; 
Total[A]: 348. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: 2; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: 2; 
New York Harbor HCS: 3; 
Total[A]: 7. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: 7; 
Hudson Valley HCS: 2; 
New Jersey HCS: 4; 
Northport: 7; 
New York Harbor HCS: 5; 
Total[A]: 25. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: 2; 
Hudson Valley HCS: 3; 
New Jersey HCS: 2; 
Northport: 1; 
New York Harbor HCS: 6; 
Total[A]: 14. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: 69; 
Hudson Valley HCS: 180; 
New Jersey HCS: 260; 
Northport: 101; 
New York Harbor HCS: 153; 
Total[A]: 763. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bronx: [Empty]; 
Hudson Valley HCS: [Empty]; 
New Jersey HCS: [Empty]; 
Northport: 11; 
New York Harbor HCS: [Empty]; 
Total[A]: 11. 

Source: GAO survey of VA facilities. Notes: Responses to our survey 
were submitted in September and October 2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 5: Long-Term Care Services Offered by VA Facilities in Network 
4, Pittsburgh, Pa. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: 26; 
Clarksburg: 6; 
Coatesville: 46; 
Erie: 1; 
Lebanon: [Empty]; 
Philadelphia: [Empty]; 
Pittsburgh HCS: 44; 
Wilkes-Barre: 2; 
Wilmington: 0; 
Total[A]: 125. 

VA service: Alzheimer’s/dementia care; Number of veterans in each 
service, by facility or health care system (HCS): 
Altoona: [Empty]; 
Butler: [Empty]; 
Clarksburg: [Empty]; 
Coatesville: 200; 
Erie: [Empty]; 
Lebanon: [Empty]; 
Philadelphia: [Empty]; 
Pittsburgh HCS: [Empty]; 
Wilkes-Barre: [Empty]; 
Wilmington: [Empty]; 
Total[A]: 200. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: 0; 
Butler: [Empty]; 
Clarksburg: 32; 
Coatesville: 115; 
Erie: [Empty]; 
Lebanon: 181[Empty]; 
Philadelphia: --; 
Pittsburgh HCS: 
Wilkes-Barre: 91; 
Wilmington: 4; 
Total[A]: 423. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: [Empty]; 
Clarksburg: [Empty]; 
Coatesville: [Empty]; 
Erie: [Empty]; 
Lebanon: [Empty]; 
Philadelphia: [Empty]; 
Pittsburgh HCS: 24; 
Wilkes-Barre: 5; 
Wilmington: 925; 
Total[A]: 954. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: 31; 
Clarksburg: [Empty]; 
Coatesville: [Empty]; 
Erie: [Empty]; 
Lebanon: 0; 
Philadelphia: 56; 
Pittsburgh HCS: 123; 
Wilkes-Barre: [Empty]; 
Wilmington: [Empty]; 
Total[A]: 210. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: 78; 
Clarksburg: 139; 
Coatesville: 94; 
Erie: 82; 
Lebanon: 7; 
Philadelphia: 30; 
Pittsburgh HCS: 113; 
Wilkes-Barre: 39; 
Wilmington: 13; 
Total[A]: 595. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: --; 
Clarksburg: 0; 
Coatesville: [Empty]; 
Erie: [Empty]; 
Lebanon: [Empty]; 
Philadelphia: [Empty]; 
Pittsburgh HCS: [Empty]; 
Wilkes-Barre: [Empty]; 
Wilmington: [Empty]; 
Total[A]: 0. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: [Empty]; 
Clarksburg: [Empty]; 
Coatesville: [Empty]; 
Erie: 0; 
Lebanon: [Empty]; 
Philadelphia: [Empty]; 
Pittsburgh HCS: [Empty]; 
Wilkes-Barre: 1; 
Wilmington: --; 
Total[A]: 1. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: 7; 
Butler: 15; 
Clarksburg: 37; 
Coatesville: 3; 
Erie: 15; 
Lebanon: 5; 
Philadelphia: 76; 
Pittsburgh HCS: 28; 
Wilkes-Barre: 16; 
Wilmington: 22; 
Total[A]: 224. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: 50; 
Clarksburg: [Empty]; 
Coatesville: [Empty]; 
Erie: 2; 
Lebanon: 0; 
Philadelphia: [Empty]; 
Pittsburgh HCS: 26; 
Wilkes-Barre: 1; 
Wilmington: [Empty]; 
Total[A]: 79. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: [Empty]; 
Clarksburg: [Empty]; 
Coatesville: 36; 
Erie: [Empty]; 
Lebanon: 17; 
Philadelphia: [Empty]; 
Pittsburgh HCS: 50; 
Wilkes-Barre: [Empty]; 
Wilmington: [Empty]; 
Total[A]: 103. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: 10; 
Butler: 6; 
Clarksburg: 29; 
Coatesville: 1; 
Erie: 3; 
Lebanon: 13; 
Philadelphia: 12; 
Pittsburgh HCS: 97; 
Wilkes-Barre: 6; 
Wilmington: 6; 
Total[A]: 183. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: 47; 
Clarksburg: [Empty]; 
Coatesville: 229; 
Erie: [Empty]; 
Lebanon: [Empty]; 
Philadelphia: [Empty]; 
Pittsburgh HCS: 74; 
Wilkes-Barre: [Empty]; 
Wilmington: [Empty]; 
Total[A]: 350. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: [Empty]; 
Clarksburg: [Empty]; 
Coatesville: [Empty]; 
Erie: [Empty]; 
Lebanon: 6; 
Philadelphia: [Empty]; 
Pittsburgh HCS: [Empty]; 
Wilkes-Barre: [Empty]; 
Wilmington: [Empty]; 
Total[A]: 6. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: 0; 
Butler: [Empty]; 
Clarksburg: 1; 
Coatesville: [Empty]; 
Erie: 6; 
Lebanon: 20; 
Philadelphia: [Empty]; 
Pittsburgh HCS: 6; 
Wilkes-Barre: 7; 
Wilmington: 4; 
Total[A]: 44; 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: 1; 
Butler: 4; 
Clarksburg: 0; 
Coatesville: 3; 
Erie: 1; 
Lebanon: 40; 
Philadelphia: 4; 
Pittsburgh HCS: 8; 
Wilkes-Barre: 60; 
Wilmington: 2; 
Total[A]: 123. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: 40; 
Butler: 70; 
Clarksburg: 
Coatesville: 217; 
Erie: 32; 
Lebanon: 74; 
Philadelphia: 208; 
Pittsburgh HCS: 336; 
Wilkes-Barre: 0; 
Wilmington: 56; 
Total[A]: 1,033. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Altoona: [Empty]; 
Butler: [Empty]; 
Clarksburg: [Empty]; 
Coatesville: [Empty]; 
Erie: [Empty]; 
Lebanon: 38; 
Philadelphia: 12; 
Pittsburgh HCS: [Empty]; 
Wilkes-Barre: 0; 
Wilmington: [Empty]; 
Total[A]: 50. 

Source: GAO survey of VA facilities. Notes: Responses to our survey 
were submitted in September and October 2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. aWe did not calculate the total 
number of veterans receiving services at each facility because 
veterans may be authorized to receive more than one service. Some 
veterans may thus appear in several services at one facility. 

[End of table] 

Table 6: Long-Term Care Services Offered by VA Facilities in Network 
5, Baltimore, Md. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: 7; 
Maryland HCS: 198; 
Washington, D.C.: 81; 
Total[A]: 286. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 148; 
Washington, D.C.: [Empty]; 
Total[A]: 148. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 0; 
Washington, D.C.: 50; 
Total[A]: 50. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 0; 
Washington, D.C.: 1,150; 
Total[A]: 1,150. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 180; 
Washington, D.C.: 109; 
Total[A]: 289. 

VA service: Homemaker/home health aide; 18 252 117 387 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: 18; 
Maryland HCS: 252; 
Washington, D.C.: 117; 
Total[A]: 487. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 0; 
Washington, D.C.: [Empty]; 
Total[A]: 0. 

VA service: Hospice care; 10 10 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 10; 
Washington, D.C.: [Empty]; 
Total[A]: 10. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 180; 
Washington, D.C.: 5; 
Total[A]: 185. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 42; 
Washington, D.C.: 3; 
Total[A]: 45. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 0; 
Washington, D.C.: [Empty]; 
Total[A]: 0. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: 22; 
Maryland HCS: 26; 
Washington, D.C.: 65; 
Total[A]: 113. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: 281; 
Maryland HCS: 50; 
Washington, D.C.: [Empty]; 
Total[A]: 331. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 24; 
Washington, D.C.: [Empty]; 
Total[A]: 24. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 23; 
Washington, D.C.: 16; 
Total[A]: 39. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: 2; 
Maryland HCS: 10; 
Washington, D.C.: 4; 
Total[A]: 16. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: 166; 
Maryland HCS: 200; 
Washington, D.C.: 90; 
Total[A]: 456. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Martinsburg: [Empty]; 
Maryland HCS: 101; 
Washington, D.C.: [Empty]; 
Total[A]: 101. 

Source: GAO survey of VA facilities. Notes: Responses to our survey 
were submitted in September and October 2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 7: Long-Term Care Services Offered by VA Facilities in Network 
6, Durham, N.C. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 61; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): 16; 
Hampton: 18; 
Richmond: [Empty]; 
Salem: 70; 
Salisbury: 14; 
Total[A]: 179. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 160; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): [Empty]; 
Hampton: 38; 
Richmond: [Empty]; 
Salem: 125; 
Salisbury: [Empty]; 
Total[A]: 313. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: 21; 
Durham: [Empty]; 
Fayetteville (N.C.): 
Hampton: 30; 
Richmond: [Empty]; 
Salem: 200; 
Salisbury: [Empty]; 
Total[A]: 251. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: [Empty]; 
Durham: 374; 
Fayetteville (N.C.): [Empty]; 
Hampton: [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: [Empty]; 
Total[A]: 374. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 33; 
Beckley: [Empty]; 
Durham: 36; 
Fayetteville (N.C.): [Empty]; 
Hampton: [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: [Empty]; 
Total[A]: 69. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 76; 
Beckley: [Empty]; 
Durham: 33; 
Fayetteville (N.C.): 0; 
Hampton: 60; 
Richmond: [Empty]; 
Salem: 40; 
Salisbury: 43; 
Total[A]: 252. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): [Empty]; 
Hampton: [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 4; 
Beckley: 1; 
Durham: [Empty]; 
Fayetteville (N.C.): 2; 
Hampton: --; 
Richmond: [Empty]; 
Salem: 5; 
Salisbury: [Empty]; 
Total[A]: 12. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 94; 
Beckley: 8; 
Durham: [Empty]; 
Fayetteville (N.C.): 70; 
Hampton: 21; 
Richmond: [Empty]; 
Salem: 65; 
Salisbury: --; 
Total[A]: 258. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: --; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): [Empty]; 
Hampton: [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: [Empty]; 
Total[A]: --. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): [Empty]; 
Hampton: [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: [Empty]; 
Total[A]: [Empty]. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 7; 
Beckley: 11; 
Durham: 22; 
Fayetteville (N.C.): 33; 
Hampton: 26; 
Richmond: 9; 
Salem: 5; 
Salisbury: 41; 
Total[A]: 154. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): [Empty]; 
Hampton: 151; [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: [Empty]; 
Total[A]: 151. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: [Empty]; 
Durham: 3; 
Fayetteville (N.C.): --; 
Hampton: --; 
Richmond: 13; 
Salem: 10; 
Salisbury: [Empty]; 
Total[A]: 26. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 5; 
Beckley: 3; 
Durham: 10; 
Fayetteville (N.C.): 5; 
Hampton: 4; 
Richmond: 10; 
Salem: 2; 
Salisbury: 8; 
Total[A]: 47. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 2; 
Beckley: 2; 
Durham: 4; 
Fayetteville (N.C.): 4; 
Hampton: 0; 
Richmond: [Empty]; 
Salem: 5; 
Salisbury: 4; 
Total[A]: 21. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: 98; 
Beckley: 36; 
Durham: 98; 
Fayetteville (N.C.): 37; 
Hampton: 72; 
Richmond: 71; 
Salem: 80; 
Salisbury: 204; 
Total[A]: 696. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Asheville: [Empty]; 
Beckley: [Empty]; 
Durham: [Empty]; 
Fayetteville (N.C.): [Empty]; 
Hampton: [Empty]; 
Richmond: [Empty]; 
Salem: [Empty]; 
Salisbury: 18; 
Total[A]: 18. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 8: Long-Term Care Services Offered by VA Facilities in Network 
7, Atlanta, Ga. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 19; 
Augusta: 0; 
Birmingham: 8; 
Central Alabama HCS: [Empty]; 
Charleston: [Empty]; 
Columbia (S.C.): 10; 
Dublin: 29; 
Tuscaloosa: [Empty]; 
Total[A]: 66. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: 5; 
Birmingham: [Empty]; 
Central Alabama HCS: [Empty]; 
Charleston: [Empty]; 
Columbia (S.C.): [Empty]; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 5. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 31; 
Augusta: 174; 
Birmingham: [Empty]; 
Central Alabama HCS: 124; 
Charleston: [Empty]; 
Columbia (S.C.): 30; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 359. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: [Empty]; 
Birmingham: [Empty]; 
Central Alabama HCS: [Empty]; 
Charleston: 250
Columbia (S.C.): 0; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 250. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 87; 
Augusta: 47; 
Birmingham: 90; 
Central Alabama HCS: 130; 
Charleston: 95; 
Columbia (S.C.): 63; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 512. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 67; 
Augusta: 149; 
Birmingham: 24; 
Central Alabama HCS: 46; 
Charleston: 50; 
Columbia (S.C.): 62; 
Dublin: 78; 
Tuscaloosa: 104; 
Total[A]: 580 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: 0; 
Birmingham: [Empty]; 
Central Alabama HCS: [Empty]; 
Charleston: [Empty]; 
Columbia (S.C.): 0; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 0. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 6; 
Augusta: [Empty]; 
Birmingham: [Empty]; 
Central Alabama HCS: 0; 
Charleston: 8; 
Columbia (S.C.): 5; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 19. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 62; 
Augusta: 83; 
Birmingham: [Empty]; 
Central Alabama HCS: 21; 
Charleston: 75; 
Columbia (S.C.): 60; 
Dublin: [Empty]; 
Tuscaloosa: 35; 
Total[A]: 336. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 10; 
Augusta: 144; 
Birmingham: [Empty]; 
Central Alabama HCS: 1,139[B]; 
Charleston: 18; 
Columbia (S.C.): 13; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 1,324. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: 72; 
Birmingham: [Empty]; 
Central Alabama HCS: 40; 
Charleston: [Empty]; 
Columbia (S.C.): [Empty]; 
Dublin: [Empty]; 
Tuscaloosa: 53; 
Total[A]: 165. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 71; 
Augusta: 53; 
Birmingham: 23; 
Central Alabama HCS: 4; 
Charleston: 12; 
Columbia (S.C.): 51; 
Dublin: 27; 
Tuscaloosa: 5; 
Total[A]: 246. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: 60; 
Birmingham: [Empty]; 
Central Alabama HCS: [Empty]; 
Charleston: [Empty]; 
Columbia (S.C.): [Empty]; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 60. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: 2; 
Birmingham: [Empty]; 
Central Alabama HCS: [Empty]; 
Charleston: 10; 
Columbia (S.C.): 0; 
Dublin: [Empty]; 
Tuscaloosa: [Empty]; 
Total[A]: 12. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: [Empty]; 
Augusta: 7; 
Birmingham: [Empty]; 
Central Alabama HCS: 11; 
Charleston: [Empty]; 
Columbia (S.C.): 8; 
Dublin: --; 
Tuscaloosa: 4; 
Total[A]: 30. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 0; 
Augusta: 0; 
Birmingham: [Empty]; 
Central Alabama HCS: 4; 
Charleston: [Empty]; 
Columbia (S.C.): 5; 
Dublin: --; 
Tuscaloosa: 1; 
Total[A]: 10. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 100; 
Augusta: 53; 
Birmingham: 
Central Alabama HCS: 80; 
Charleston: 28; 
Columbia (S.C.): 81; 
Dublin: 115; 
Tuscaloosa: 116; 
Total[A]: 573. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Atlanta: 0; 
Augusta: [Empty]; 
Birmingham: [Empty]; 
Central Alabama HCS: [Empty]; 
Charleston: [Empty]; 
Columbia (S.C.): --; 
Dublin: [Empty]; 
Tuscaloosa: 20; 
Total[A]: 20. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[B] Geriatric primary care. 

[End of table] 

Table 9: Long-Term Care Services Offered by VA Facilities in Network 
8, Bay Pines, Fla. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: 43; 
North Florida/South Georgia HCS: 29; 
San Juan: [Empty]; 
Tampa: [Empty]; 
West Palm Beach: 13; 
Total[A]: 85. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: [Empty]; 
North Florida/South Georgia HCS: [Empty]; 
San Juan: [Empty]; 
Tampa: [Empty]; 
West Palm Beach: [Empty]; 
Total[A]: [Empty]. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: [Empty]; 
North Florida/South Georgia HCS: [Empty]; 
San Juan: 90; 
Tampa: [Empty]; 
West Palm Beach: 165; 
Total[A]: 255. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 30; 
Miami: [Empty]; 
North Florida/South Georgia HCS: [Empty]; 
San Juan: 300; 
Tampa: [Empty]; 
West Palm Beach: [Empty]; 
Total[A]: 330. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 100; 
Miami: 150; 
North Florida/South Georgia HCS: 195; 
San Juan: 82; 
Tampa: 143; 
West Palm Beach: 
Total[A]: 670. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 100; 
Miami: 75; 
North Florida/South Georgia HCS: 280; 
San Juan: 19; 
Tampa: 45; 
West Palm Beach: 50; 
Total[A]: 569. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: [Empty]; 
North Florida/South Georgia HCS: [Empty]; 
San Juan: [Empty]; 
Tampa: 4; 
West Palm Beach: 
Total[A]: 4. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: [Empty]; 
North Florida/South Georgia HCS: [Empty]; 
San Juan: [Empty]; 
Tampa: 0; 
West Palm Beach: [Empty]; 
Total[A]: 0. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 154; 
Miami: 18; 
North Florida/South Georgia HCS: 35; 
San Juan: 5; 
Tampa: 180; 
West Palm Beach: 4; 
Total[A]: 396. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: 1,528[B]; 
North Florida/South Georgia HCS: 2,239[C]; 
San Juan: 373; 
Tampa: [Empty]; 
West Palm Beach: [Empty]; 
Total[A]: 4,140. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: [Empty]; 
Miami: [Empty]; 
North Florida/South Georgia HCS: 29
San Juan: [Empty]; 
Tampa: 61; 
West Palm Beach: [Empty]; 
Total[A]: 90. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 92; 
Miami: 24; 
North Florida/South Georgia HCS: 195; 
San Juan: 3; 
Tampa: 51; 
West Palm Beach: 12; 
Total[A]: 377. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 104; 
Miami: [Empty]; 
North Florida/South Georgia HCS: 
San Juan: [Empty]; 
Tampa: 17; 
West Palm Beach: [Empty]; 
Total[A]: 121. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 8; 
Miami: 5; 
North Florida/South Georgia HCS: 20; 
San Juan: [Empty]; 
Tampa: [Empty]; 
West Palm Beach: 0; 
Total[A]: 33. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 10; 
Miami: 15; 
North Florida/South Georgia HCS: 9; 
San Juan: 5; 
Tampa: 20; 
West Palm Beach: 10; 
Total[A]: 69. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 8; 
Miami: 4; 
North Florida/South Georgia HCS: 7; 
San Juan: 5; 
Tampa: 11; 
West Palm Beach: 3; 
Total[A]: 38. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 102; 
Miami: 127; 
North Florida/South Georgia HCS: 116; 
San Juan: 116; 
Tampa: 161; 
West Palm Beach: 98; 
Total[A]: 720. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Bay Pines: 24; 
Miami: [Empty]; 
North Florida/South Georgia HCS: [Empty]; 
San Juan: 27; 
Tampa: [Empty]; 
West Palm Beach: 17; 
Total[A]: 68. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[B] Geriatric primary care and geriatric psychiatry care. 

[C] Geriatric primary care. 

[End of table] 

Table 10: Long-Term Care Services Offered by VA Facilities in Network 
9, Nashville, Tenn. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: 18; 
Tennessee Valley HCS: 12; 
Total[A]: 30. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: 259; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: 
Tennessee Valley HCS: 100; 
Total[A]: 359. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: 42; 
Lexington: 96; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: 90; 
Tennessee Valley HCS: 213; 
Total[A]: 441. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: 338; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: [Empty]; 
Tennessee Valley HCS: 84; 
Total[A]: 422. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: 
Memphis: 95; 
Mountain Home: [Empty]; 
Tennessee Valley HCS: 
Total[A]: 95. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: 36; 
Lexington: 31; 
Louisville: 27; 
Memphis: 59; 
Mountain Home: 162; 
Tennessee Valley HCS: 194; 
Total[A]: 509. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: [Empty]; 
Tennessee Valley HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: 4; 
Louisville: 1; 
Memphis: [Empty]; 
Mountain Home: [Empty]; 
Tennessee Valley HCS: 
Total[A]: 5. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: 28; 
Lexington: 65; 
Louisville: 325; 
Memphis: 214; 
Mountain Home: 
Tennessee Valley HCS: 178; 
Total[A]: 810. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: [Empty]; 
Memphis: 3; 
Mountain Home: 180; 
Tennessee Valley HCS: 100; 
Total[A]: 283. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: 34; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: [Empty]; 
Tennessee Valley HCS: [Empty]; 
Total[A]: 34. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: 53; 
Lexington: 55; 
Louisville: 36; 
Memphis: 40; 
Mountain Home: 49; 
Tennessee Valley HCS: 43; 
Total[A]: 254. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: 330; 
Tennessee Valley HCS: [Empty]; 
Total[A]: 330. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: 20; 
Tennessee Valley HCS: 4; 
Total[A]: 24. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: --; 
Lexington: 2; 
Louisville: 2; 
Memphis: [Empty]; 
Mountain Home: 16; 
Tennessee Valley HCS: 10; 
Total[A]: 30. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: 4; 
Lexington: 4; 
Louisville: 2; 
Memphis: 0; 
Mountain Home: 5; 
Tennessee Valley HCS: 3; 
Total[A]: 18. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: 18; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: 63; 
Tennessee Valley HCS: 110; 
Total[A]: 191. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Huntington: [Empty]; 
Lexington: [Empty]; 
Louisville: [Empty]; 
Memphis: [Empty]; 
Mountain Home: [Empty]; 
Tennessee Valley HCS: 43; 
Total[A]: 43. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 11: Long-Term Care Services Offered by VA Facilities in Network 
10, Cincinnati, Ohio (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 2; 
Cincinnati: 85; 
Cleveland: 13; 
Columbus: 26; 
Dayton: 29; 
Total[A]: 155. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: [Empty]; 
Columbus: [Empty]; 
Dayton: [Empty]; 
Total[A]: [Empty]. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 267; 
Cincinnati: 22; 
Cleveland: 278; 
Columbus: 19; 
Dayton: 63; 
Total[A]: 649. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 80; 
Cincinnati: 201; 
Cleveland: 691; 
Columbus: [Empty]; 
Dayton: 197; 
Total[A]: 1,169. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: 190; 
Columbus: [Empty]; 
Dayton: 45; 
Total[A]: 235. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 230; 
Cincinnati: 37; 
Cleveland: 380; 
Columbus: 44; 
Dayton: 171; 
Total[A]: 862. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: [Empty]; 
Columbus: [Empty]; 
Dayton: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: 1; 
Columbus: --; 
Dayton: 3; 
Total[A]: 4. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 235; 
Cincinnati: 167; 
Cleveland: 175; 
Columbus: 697; 
Dayton: 180; 
Total[A]: 1,454. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: [Empty]; 
Columbus: [Empty]; 
Dayton: [Empty]; 
Total[A]: [Empty]. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: [Empty]; 
Columbus: [Empty]; 
Dayton: 24; 
Total[A]: 24. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 30; 
Cincinnati: 13; 
Cleveland: 41; 
Columbus: 16; 
Dayton: 39; 
Total[A]: 139. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 42; 
Cincinnati: 66; 
Cleveland: 92; 
Columbus: [Empty]; 
Dayton: 100; 
Total[A]: 300. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: 126; 
Columbus: [Empty]; 
Dayton: 30; 
Total[A]: 156. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 7; 
Cincinnati: --; 
Cleveland: 14; 
Columbus: [Empty]; 
Dayton: 22; 
Total[A]: 43. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 5; 
Cincinnati: 2; 
Cleveland: 2; 
Columbus: [Empty]; 
Dayton: 3; 
Total[A]: 12. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: 91; 
Cincinnati: 51; 
Cleveland: 137; 
Columbus: [Empty]; 
Dayton: 146; 
Total[A]: 425. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chillicothe: [Empty]; 
Cincinnati: [Empty]; 
Cleveland: [Empty]; 
Columbus: [Empty]; 
Dayton: [Empty]; 
Total[A]: [Empty]. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 12: Long-Term Care Services Offered by VA Facilities in Network 
11, Ann Arbor, Mich. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 0; 
Battle Creek: 16; 
Danville: 57; 
Detroit: 5; 
Indianapolis: 26; 
Northern Indiana HCS: 4; 
Saginaw: 0; 
Total[A]: 108. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: [Empty]; 
Northern Indiana HCS: [Empty]; 
Saginaw: [Empty]; 
Total[A]: [Empty]. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 0; 
Battle Creek: 0; 
Danville: 137; 
Detroit: 0; 
Indianapolis: 45; 
Northern Indiana HCS: 96; 
Saginaw: 0; 
Total[A]: 278. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: 28; 
Northern Indiana HCS: [Empty]; 
Saginaw: [Empty]; 
Total[A]: 28. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: 12; 
Danville: 21; 
Detroit: 1; 
Indianapolis: 19; 
Northern Indiana HCS: [Empty]; 
Saginaw: 2; 
Total[A]: 55. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 43; 
Battle Creek: 79; 
Danville: 66; 
Detroit: [Empty]; 
Indianapolis: 48; 
Northern Indiana HCS: 7; 
Saginaw: [Empty]; 
Total[A]: 243. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 0; 
Battle Creek: 0; 
Danville: 0; 
Detroit: 0; 
Indianapolis: 0; 
Northern Indiana HCS: 0; 
Saginaw: 0; 
Total[A]: 0. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: 3; 
Northern Indiana HCS: 4; 
Saginaw: [Empty]; 
Total[A]: 7. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 1; 
Battle Creek: 2; 
Danville: 6; 
Detroit: 6; 
Indianapolis: 17; 
Northern Indiana HCS: 22; 
Saginaw: 1; 
Total[A]: 55. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: [Empty]; 
Northern Indiana HCS: [Empty]; 
Saginaw: [Empty]; 
Total[A]: [Empty]. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: 23; 
Detroit: [Empty]; 
Indianapolis: [Empty]; 
Northern Indiana HCS: [Empty]; 
Saginaw: [Empty]; 
Total[A]: 23. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 19; 
Battle Creek: 17; 
Danville: 34; 
Detroit: 15; 
Indianapolis: 54; 
Northern Indiana HCS: 35; 
Saginaw: 5; 
Total[A]: 179. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: [Empty]; 
Northern Indiana HCS: [Empty]; 
Saginaw: [Empty]; 
Total[A]: [Empty]. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 16; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: [Empty]; 
Northern Indiana HCS: 
Saginaw: [Empty]; 
Total[A]: 16. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: 11; 
Danville: 42; 
Detroit: 2; 
Indianapolis: [Empty]; 
Northern Indiana HCS: 1; 
Saginaw: [Empty]; 
Total[A]: 56. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 2; 
Battle Creek: 3; 
Danville: 1; 
Detroit: 2; 
Indianapolis: --; 
Northern Indiana HCS: 1; 
Saginaw: 2; 
Total[A]: 11. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: 15; 
Battle Creek: 86; 
Danville: 125; 
Detroit: 62; 
Indianapolis: [Empty]; 
Northern Indiana HCS: 125; 
Saginaw: 70; 
Total[A]: 483. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Ann Arbor: [Empty]; 
Battle Creek: [Empty]; 
Danville: [Empty]; 
Detroit: [Empty]; 
Indianapolis: [Empty]; 
Northern Indiana HCS: [Empty]; 
Saginaw: [Empty]; 
Total[A]: [Empty]. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 13: Long-Term Care Services Offered by VA Facilities in Network 
12, Chicago, Ill. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 29; 
Hines: 60; 
Iron Mountain: 1; 
Madison: 5; 
Milwaukee: 73; 
North Chicago: 28; 
Tomah: 125; 
Total[A]: 321. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: [Empty]; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: 73; 
North Chicago: [Empty]; 
Tomah: [Empty]; 
Total[A]: 73. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: 20; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: [Empty]; 
North Chicago: [Empty]; 
Tomah: 0; 
Total[A]: 20. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 440; 
Hines: 805; 
Iron Mountain: [Empty]; 
Madison: 300; 
Milwaukee: 106; 
North Chicago: [Empty]; 
Tomah: [Empty]; 
Total[A]: 1,651. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 92; 
Hines: 219; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: 115; 
North Chicago: 115; 
Tomah: [Empty]; 
Total[A]: 541. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 49; 
Hines: 73; 
Iron Mountain: 14; 
Madison: 14; 
Milwaukee: 34; 
North Chicago: 2; 
Tomah: 3; 
Total[A]: 189. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: [Empty]; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: [Empty]; 
North Chicago: [Empty]; 
Tomah: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: [Empty]; 
Iron Mountain: 1; 
Madison: 6; 
Milwaukee: 5; 
North Chicago: [Empty]; 
Tomah: [Empty]; 
Total[A]: 12. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 58; 
Hines: 87; 
Iron Mountain: 15; 
Madison: [Empty]; 
Milwaukee: 37; 
North Chicago: [Empty]; 
Tomah: 2; 
Total[A]: 189. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: 180; 
Iron Mountain: [Empty]; 
Madison: 38; 
Milwaukee: [Empty]; 
North Chicago: [Empty]; 
Tomah: [Empty]; 
Total[A]: 218. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: [Empty]; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: [Empty]; 
North Chicago: 27; 
Tomah: [Empty]; 
Total[A]: 27. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 102; 
Hines: 78; 
Iron Mountain: 5; 
Madison: 12; 
Milwaukee: 43; 
North Chicago: 92; 
Tomah: 10; 
Total[A]: 342. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: [Empty]; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: 167; 
North Chicago: 159; 
Tomah: [Empty]; 
Total[A]: 326. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 120; 
Hines: 9; 
Iron Mountain: [Empty]; 
Madison: 4; 
Milwaukee: 10; 
North Chicago: --; 
Tomah: [Empty]; 
Total[A]: 143. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: 15; 
Iron Mountain: 5; 
Madison: [Empty]; 
Milwaukee: 30; 
North Chicago: 7; 
Tomah: 4; 
Total[A]: 61. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: 12; 
Hines: 6; 
Iron Mountain: 2; 
Madison: 0; 
Milwaukee: 4; 
North Chicago: 0; 
Tomah: 2; 
Total[A]: 26. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: 75; 
Iron Mountain: 33; 
Madison: [Empty]; 
Milwaukee: 93; 
North Chicago: 157; 
Tomah: 200; 
Total[A]: 558. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Chicago HCS: [Empty]; 
Hines: 33; 
Iron Mountain: [Empty]; 
Madison: [Empty]; 
Milwaukee: --; 
North Chicago: 
Tomah: [Empty]; 
Total[A]: 33. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 14: Long-Term Care Services Offered by VA Facilities in Network 
13, Minneapolis, Minn. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: 2; 
Minneapolis: 95; 
Sioux Falls: 6; 
St. Cloud: 58; 
Total[A]: 161. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 1; 
Fargo: --; 
Minneapolis: 14; 
Sioux Falls: [Empty]; 
St. Cloud: [Empty]; 
Total[A]: 15. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: 30; 
St. Cloud: [Empty]; 
Total[A]: 30. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: 5; 
St. Cloud: 10; 
Total[A]: 15. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: 25; 
Sioux Falls: [Empty]; 
St. Cloud: [Empty]; 
Total[A]: 25. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 35; 
Fargo: 49; 
Minneapolis: 195; 
Sioux Falls: 5; 
St. Cloud: 51; 
Total[A]: 335. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 0; 
Fargo: [Empty]; 
Minneapolis: --; 
Sioux Falls: 1; 
St. Cloud: 0; 
Total[A]: 1. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 4; 
Fargo: 1; 
Minneapolis: 12; 
Sioux Falls: 2; 
St. Cloud: 0; 
Total[A]: 19. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 49; 
Fargo: 48; 
Minneapolis: 229; 
Sioux Falls: 23; 
St. Cloud: 94; 
Total[A]: 443. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: [Empty]; 
St. Cloud: [Empty]; 
Total[A]: [Empty]. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: [Empty]; 
St. Cloud: [Empty]; 
Total[A]: [Empty]. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 11; 
Fargo: 16; 
Minneapolis: 84; 
Sioux Falls: 10; 
St. Cloud: 11; 
Total[A]: 132. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 132; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: [Empty]; 
St. Cloud: 105; 
Total[A]: 237. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: 1; 
St. Cloud: [Empty]; 
Total[A]: 1. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 15; 
Fargo: 2; 
Minneapolis: 10; 
Sioux Falls: 4; 
St. Cloud: 3; 
Total[A]: 34. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 4; 
Fargo: 1; 
Minneapolis: 4; 
Sioux Falls: 3; 
St. Cloud: 6; 
Total[A]: 18. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: 63; 
Fargo: 31; 
Minneapolis: 76; 
Sioux Falls: 30; 
St. Cloud: 215; 
Total[A]: 415. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Black Hills HCS: [Empty]; 
Fargo: [Empty]; 
Minneapolis: [Empty]; 
Sioux Falls: [Empty]; 
St. Cloud: 41; 
Total[A]: 41. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 15: Long-Term Care Services Offered by VA Facilities in Network 
14, Lincoln, Neb. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 4; 
Iowa City: 53; 
Nebraska/Western Iowa HCS: 2; 
Total[A]: 59. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: [Empty]; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 0; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: 0. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: [Empty]; 
Iowa City: 21; 
Nebraska/Western Iowa HCS: 12; 
Total[A]: 33. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 33; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: 33. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 8; 
Iowa City: 81; 
Nebraska/Western Iowa HCS: 32; 
Total[A]: 121. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 
Iowa City: --; 
Nebraska/Western Iowa HCS: 2; 
Total[A]: 2. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 0; 
Iowa City: 6; 
Nebraska/Western Iowa HCS: 3; 
Total[A]: 9. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 25; 
Iowa City: 243; 
Nebraska/Western Iowa HCS: 17; 
Total[A]: 285. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: [Empty]; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: [Empty]. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: [Empty]; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: [Empty]. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 25; 
Iowa City: 17; 
Nebraska/Western Iowa HCS: 58; 
Total[A]: 100. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 68; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: 14; 
Total[A]: 82. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 1; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: 1. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 13; 
Iowa City: 3; 
Nebraska/Western Iowa HCS: 3; 
Total[A]: 19. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 1; 
Iowa City: 0; 
Nebraska/Western Iowa HCS: 2; 
Total[A]: 3. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 179; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: 54; 
Total[A]: 233. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Iowa HCS: 14; 
Iowa City: [Empty]; 
Nebraska/Western Iowa HCS: [Empty]; 
Total[A]: 14. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 16: Long-Term Care Services Offered by VA Facilities in Network 
15, Kansas City, Mo. (Fall 2001) 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 1; 
Eastern Kansas HCS: 7; 
Kansas City: 7; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: 13; 
Wichita: 6; 
Total[A]: 34. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: [Empty]; 
Wichita: [Empty]; 
Total[A]: [Empty]. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: 10; 
St Louis: 172; 
Wichita: [Empty]; 
Total[A]: 182. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: 1,779; 
Wichita: [Empty]; 
Total[A]: 1,779. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 104; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: 114; 
Wichita: [Empty]; 
Total[A]: 218. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 57; 
Eastern Kansas HCS: 99; 
Kansas City: 65; 
Marion (Ill.): 32; 
Poplar Bluff: --; 
St Louis: 101; 
Wichita: 19; 
Total[A]: 373. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: 0; 
Wichita: --; 
Total[A]: 0. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: 0; 
Kansas City: [Empty]; 
Marion (Ill.): 3; 
Poplar Bluff: 2; 
St Louis: 0; 
Wichita: --; 
Total[A]: 5. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: 137; 
Kansas City: 6; 
Marion (Ill.): 144; 
Poplar Bluff: 8; 
St Louis: 83; 
Wichita: --; 
Total[A]: 388. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: 384; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: [Empty]; 
Wichita: [Empty]; 
Total[A]: 384. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: [Empty]; 
Wichita: [Empty]; 
Total[A]: [Empty]. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): --; 
Eastern Kansas HCS: 42; 
Kansas City: 50; 
Marion (Ill.): 26; 
Poplar Bluff: 12; 
St Louis: 36; 
Wichita: 11; 
Total[A]: 177. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: 176; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: 36; 
Wichita: [Empty]; 
Total[A]: 212. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 12; 
Eastern Kansas HCS: [Empty]; 
Kansas City: [Empty]; 
Marion (Ill.): [Empty]; 
Poplar Bluff: [Empty]; 
St Louis: 8; 
Wichita: [Empty]; 
Total[A]: 20. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 4; 
Eastern Kansas HCS: 4; 
Kansas City: [Empty]; 
Marion (Ill.): 1; 
Poplar Bluff: 
St Louis: 1; 
Wichita: 0; 
Total[A]: 10. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 1; 
Eastern Kansas HCS: 1; 
Kansas City: 1; 
Marion (Ill.): 2; 
Poplar Bluff: 22; 
St Louis: 9; 
Wichita: 0; 
Total[A]: 36. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): 25; 
Eastern Kansas HCS: 139; 
Kansas City: [Empty]; 
Marion (Ill.): 35; 
Poplar Bluff: 39; 
St Louis: 23; 
Wichita: --; 
Total[A]: 261. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Columbia (Mo.): [Empty]; 
Eastern Kansas HCS: 0; 
Kansas City: [Empty]; 
Marion (Ill.): 20; 
Poplar Bluff: [Empty]; 
St Louis: 5; 
Wichita: [Empty]; 
Total[A]: 25. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 17: Long-Term Care Services Offered by VA Facilities in Network 
16, Jackson, Miss. (Fall 2001) 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 14; 
Central Arkansas HCS: 75; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: 11; 
Jackson: 18; 
Muskogee: 43; 
New Orleans: 43; 
Oklahoma City: 7; 
Shreveport: [Empty]; 
Total[A]: 211. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: [Empty]; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: 261
Shreveport: [Empty]; 
Total[A]: 261. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: 62; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: 217; 
Jackson: 0; 
Muskogee: [Empty]; 
New Orleans: 9; 
Oklahoma City: [Empty]; 
Shreveport: 11; 
Total[A]: 299. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: [Empty]; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: [Empty]; 
Shreveport: [Empty]; 
Total[A]: [Empty]. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: 185; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: 53; 
Houston: 150; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: 82; 
Oklahoma City: 40; 
Shreveport: 65; 
Total[A]: 575. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 20; 
Central Arkansas HCS: 179; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: --; 
Houston: 50; 
Jackson: --; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: 27; 
Shreveport: 28; 
Total[A]: 304. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: [Empty]; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: --; 
Oklahoma City: [Empty]; 
Shreveport: [Empty]; 
Total[A]: --. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: [Empty]; 
Jackson: --; 
Muskogee: [Empty]; 
New Orleans: 0; 
Oklahoma City: --; 
Shreveport: [Empty]; 
Total[A]: 0. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 16; 
Central Arkansas HCS: 76; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: 6; 
Houston: 111; 
Jackson: --; 
Muskogee: 56; 
New Orleans: 9; 
Oklahoma City: 38; 
Shreveport: 73; 
Total[A]: 385. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: 0; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: 236; 
Shreveport: [Empty]; 
Total[A]: 236. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 16; 
Central Arkansas HCS: 32; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: 44; 
Houston: [Empty]; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: [Empty]; 
Shreveport: [Empty]; 
Total[A]: 92. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 52; 
Central Arkansas HCS: 44; 
Fayetteville (Ark.): 17; 
Gulf Coast HCS: 17; 
Houston: 27; 
Jackson: 22; 
Muskogee: 34; 
New Orleans: 17; 
Oklahoma City: 24; 
Shreveport: 25; 
Total[A]: 279. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: --; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: 66; 
Houston: [Empty]; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: [Empty]; 
Shreveport: [Empty]; 
Total[A]: 66. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 1; 
Central Arkansas HCS: 18; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: 10; 
Jackson: [Empty]; 
Muskogee: [Empty]; 
New Orleans: 0; 
Oklahoma City: 0; 
Shreveport: [Empty]; 
Total[A]: 29. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): --; 
Gulf Coast HCS: 8; 
Houston: 5; 
Jackson: [Empty]; 
Muskogee: 0; 
New Orleans: 1; 
Oklahoma City: [Empty]; 
Shreveport: [Empty]; 
Total[A]: 14. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 1; 
Central Arkansas HCS: 9; 
Fayetteville (Ark.): 1; 
Gulf Coast HCS: 2; 
Houston: 5; 
Jackson: 57; 
Muskogee: 0; 
New Orleans: 0; 
Oklahoma City: 1; 
Shreveport: 1; 
Total[A]: 76. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: 130; 
Central Arkansas HCS: 110; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: 65; 
Houston: 110; 
Jackson: 114; 
Muskogee: [Empty]; 
New Orleans: 53; 
Oklahoma City: 21; 
Shreveport: [Empty]; 
Total[A]: 603 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alexandria: [Empty]; 
Central Arkansas HCS: [Empty]; 
Fayetteville (Ark.): [Empty]; 
Gulf Coast HCS: [Empty]; 
Houston: 0; 
Jackson: 0; 
Muskogee: [Empty]; 
New Orleans: [Empty]; 
Oklahoma City: [Empty]; 
Shreveport: [Empty]; 
Total[A]: 0. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 18: Long-Term Care Services Offered by VA Facilities in Network 
17, Dallas, Tex. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 1; 
North Texas HCS: 11; 
South Texas HCS: 40; 
Total[A]: 52. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: [Empty]; 
North Texas HCS: [Empty]; 
South Texas HCS: 100; 
Total[A]: 100. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 
North Texas HCS: 67; 
South Texas HCS: 0; 
Total[A]: 67. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 
North Texas HCS: 60; 
South Texas HCS: 2,000; 
Total[A]: 2,060. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: [Empty]; 
North Texas HCS: 161; 
South Texas HCS: 168; 
Total[A]: 329. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 104; 
North Texas HCS: 77; 
South Texas HCS: 95; 
Total[A]: 276. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 0; 
North Texas HCS: 20; 
South Texas HCS: [Empty]; 
Total[A]: 20. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: [Empty]; 
North Texas HCS: 8; 
South Texas HCS: 0; 
Total[A]: 8. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: [Empty]; 
North Texas HCS: 48; 
South Texas HCS: 65; 
Total[A]: 113. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 12; 
North Texas HCS: [Empty]; 
South Texas HCS: 230; 
Total[A]: 242. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 4; 
North Texas HCS: 15; 
South Texas HCS: 58; 
Total[A]: 77. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 102; 
North Texas HCS: 59; 
South Texas HCS: 90; 
Total[A]: 251. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 0; 
North Texas HCS: 264; 
South Texas HCS: [Empty]; 
Total[A]: 264. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 10; 
North Texas HCS: 8; 
South Texas HCS: [Empty]; 
Total[A]: 18. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 0; 
North Texas HCS: 17; 
South Texas HCS: 20; 
Total[A]: 37. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 0; 
North Texas HCS: 10; 
South Texas HCS: 10; 
Total[A]: 20. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 379; 
North Texas HCS: 210; 
South Texas HCS: 214; 
Total[A]: 803. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central Texas HCS: 124; 
North Texas HCS: [Empty]; 
South Texas HCS: [Empty]; 
Total[A]: 124. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 19: Long-Term Care Services Offered by VA Facilities in Network 
18, Phoenix, Ariz. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 5; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: 42; 
Prescott: 37; 
Tucson: 25; 
Total[A]: 109. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 141; 
Amarillo: 0; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: [Empty]; 
Tucson: 10; 
Total[A]: 151. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: 19; 
Phoenix: 22; 
Prescott: [Empty]; 
Tucson: [Empty]; 
Total[A]: 41. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 111; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: 40; 
Phoenix: [Empty]; 
Prescott: 177; 
Tucson: 114; 
Total[A]: 442. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 124; 
Amarillo: [Empty]; 
Big Spring: 0; 
El Paso: [Empty]; 
Phoenix: 84; 
Prescott: [Empty]; 
Tucson: 203; 
Total[A]: 411. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 174; 
Amarillo: --; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: 57; 
Prescott: 2; 
Tucson: 138; 
Total[A]: 371. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: [Empty]; 
Tucson: 6; 
Total[A]: 6. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: 15; 
Prescott: [Empty]; 
Tucson: 31; 
Total[A]: 46. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 5; 
Amarillo: 5; 
Big Spring: 0; 
El Paso: 12; 
Phoenix: 200; 
Prescott: 74; 
Tucson: 138; 
Total[A]: 434. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: 16; 
Tucson: [Empty]; 
Total[A]: 16. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: 16; 
Tucson: 7; 
Total[A]: 23. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 70; 
Amarillo: 4; 
Big Spring: 4; 
El Paso: [Empty]; 
Phoenix: 64; 
Prescott: 16; 
Tucson: 56; 
Total[A]: 214. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: 120; 
Tucson: [Empty]; 
Total[A]: 120. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: --; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: 3; 
Tucson: 28; 
Total[A]: 31. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 11; 
Amarillo: 3; 
Big Spring: 0; 
El Paso: [Empty]; 
Phoenix: 14; 
Prescott: 10; 
Tucson: 17; 
Total[A]: 55. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 9; 
Amarillo: 0; 
Big Spring: 0; 
El Paso: [Empty]; 
Phoenix: 4; 
Prescott: 0; 
Tucson: 6; 
Total[A]: 19. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: 3; 
Amarillo: 117; 
Big Spring: 40; 
El Paso: [Empty]; 
Phoenix: 46; 
Prescott: 57; 
Tucson: 1; 
Total[A]: 264. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Albuquerque: [Empty]; 
Amarillo: [Empty]; 
Big Spring: [Empty]; 
El Paso: [Empty]; 
Phoenix: [Empty]; 
Prescott: 4; 
Tucson: 16; 
Total[A]: 20. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 20: Long-Term Care Services Offered by VA Facilities in Network 
19, Denver, Colo. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: 15; 
Fort Lyon: [Empty]; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: [Empty]; 
Sheridan: 3; 
Total[A]: 18. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: [Empty]; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: [Empty]; 
Sheridan: [Empty]; 
Total[A]: [Empty]; 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: 132; 
Fort Lyon: --; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: [Empty]; 
Sheridan: [Empty]; 
Total[A]: 132. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 
Denver: 150; 
Fort Lyon: [Empty]; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: 
Sheridan: [Empty]; 
Total[A]: 150. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: 72; 
Fort Lyon: [Empty]; 
Grand Junction: --; 
Montana HCS: [Empty]; 
Salt Lake City: 120; 
Sheridan: [Empty]; 
Total[A]: 192. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 82; 
Denver: 116; 
Fort Lyon: 0; 
Grand Junction: 
Montana HCS: 8; 
Salt Lake City: 60; 
Sheridan: 22; 
Total[A]: 288. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: 0; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: 0; 
Sheridan: [Empty]; 
Total[A]: 0. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: --; 
Grand Junction: [Empty]; 
Montana HCS: 3; 
Salt Lake City: 2; 
Sheridan: [Empty]; 
Total[A]: 5. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 3; 
Denver: 65; 
Fort Lyon: 172; 
Grand Junction: 20; 
Montana HCS: 11; 
Salt Lake City: 40; 
Sheridan: 26; 
Total[A]: 337. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: --; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: [Empty]; 
Sheridan: [Empty]; 
Total[A]: --. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: 8; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: [Empty]; 
Sheridan: [Empty]; 
Total[A]: 8. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 2; 
Denver: 57; 
Fort Lyon: --; 
Grand Junction: 7; 
Montana HCS: 33; 
Salt Lake City: 28; 
Sheridan: 2; 
Total[A]: 129. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: [Empty]; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: [Empty]; 
Sheridan: [Empty]; 
Total[A]: [Empty]; 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: 4; 
Fort Lyon: --; 
Grand Junction: [Empty]; 
Montana HCS: --; 
Salt Lake City: [Empty]; 
Sheridan: [Empty]; 
Total[A]: 4. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 5; 
Denver: 10; 
Fort Lyon: --; 
Grand Junction: --; 
Montana HCS: 3; 
Salt Lake City: 1; 
Sheridan: 1; 
Total[A]: 20. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 0; 
Denver: 3; 
Fort Lyon: 0; 
Grand Junction: --; 
Montana HCS: 3; 
Salt Lake City: 0; 
Sheridan: 1; 
Total[A]: 7. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: 37; 
Denver: 43; 
Fort Lyon: 27; 
Grand Junction: 30; 
Montana HCS: --; 
Salt Lake City: [Empty]; 
Sheridan: 50; 
Total[A]: 187. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Cheyenne: [Empty]; 
Denver: [Empty]; 
Fort Lyon: 0; 
Grand Junction: [Empty]; 
Montana HCS: [Empty]; 
Salt Lake City: 0; 
Sheridan: [Empty]; 
Total[A]: 0. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 21: Long-Term Care Services Offered by VA Facilities in Network 
20, Portland, Oreg. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: [Empty]; 
Puget Sound HCS: 40; 
Roseburg: [Empty]; 
Spokane: 15; 
Walla Walla: 
White City: 2; 
Total[A]: 57. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: 125; 
Puget Sound HCS: 410; 
Roseburg: [Empty]; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 535. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: [Empty]; 
Puget Sound HCS: [Empty]; 
Roseburg: [Empty]; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: [Empty]. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: 175; 
Puget Sound HCS: [Empty]; 
Roseburg: --; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 175. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: 116; 
Puget Sound HCS: 137; 
Roseburg: [Empty]; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 253. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 23; 
Boise: 52; 
Portland: 21; 
Puget Sound HCS: 95; 
Roseburg: --; 
Spokane: 25; 
Walla Walla: 8; 
White City: 31; 
Total[A]: 255. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: [Empty]; 
Puget Sound HCS: [Empty]; 
Roseburg: [Empty]; 
Spokane: 20; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 20. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 1; 
Boise: 1; 
Portland: 46; 
Puget Sound HCS: 8; 
Roseburg: [Empty]; 
Spokane: 3; 
Walla Walla: --; 
White City: [Empty]; 
Total[A]: 59. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 77; 
Boise: 60; 
Portland: 188; 
Puget Sound HCS: --; 
Roseburg: [Empty]; 
Spokane: 4; 
Walla Walla: 3; 
White City: [Empty]; 
Total[A]: 332. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 
Boise: [Empty]; 
Portland: 99; 
Puget Sound HCS: 3,127[B]; 
Roseburg: [Empty]; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 3,226. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: [Empty]; 
Puget Sound HCS: 18; 
Roseburg: 14; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 32. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 11; 
Boise: 17; 
Portland: 51; 
Puget Sound HCS: 150; 
Roseburg: 20; 
Spokane: 40; 
Walla Walla: 7; 
White City: 9; 
Total[A]: 305. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: [Empty]; 
Portland: 192; 
Puget Sound HCS: 
Roseburg: [Empty]; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: 658; 
Total[A]: 850. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: 4; 
Portland: [Empty]; 
Puget Sound HCS: 8; 
Roseburg: 0; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 12. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: 6; 
Portland: 7; 
Puget Sound HCS: 6; 
Roseburg: 3; 
Spokane: 4; 
Walla Walla: --; 
White City: [Empty]; 
Total[A]: 26. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 0; 
Boise: 49; 
Portland: 41; 
Puget Sound HCS: 16; 
Roseburg: 2; 
Spokane: 100; 
Walla Walla: --; 
White City: [Empty]; 
Total[A]: 208. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: [Empty]; 
Boise: 15; 
Portland: 270; 
Puget Sound HCS: 105; 
Roseburg: 32; 
Spokane: 28; 
Walla Walla: 21; 
White City: [Empty]; 
Total[A]: 471. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Alaska HCS: 33; 
Boise: [Empty]; 
Portland: [Empty]; 
Puget Sound HCS: [Empty]; 
Roseburg: --; 
Spokane: [Empty]; 
Walla Walla: [Empty]; 
White City: [Empty]; 
Total[A]: 33. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[B] Geriatric primary care, geriatric memory disorder care, and other 
services. 

[End of table] 

Table 22: Long-Term Care Services Offered by VA Facilities in Network 
21, San Francisco, Calif. (Fall 2001) 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: [Empty]; 
Honolulu: 2; 
Northern California HCS: 6; 
Palo Alto: 20; 
Reno: 6; 
San Francisco: 6; 
Total[A]: 40. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: --; 
Honolulu: [Empty]; 
Northern California HCS: [Empty]; 
Palo Alto: 100; 
Reno: [Empty]; 
San Francisco: 130; 
Total[A]: 230. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: [Empty]; 
Honolulu: [Empty]; 
Northern California HCS: [Empty]; 
Palo Alto: [Empty]; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: [Empty]. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 300; 
Honolulu: 423; 
Northern California HCS: 
Palo Alto: 100; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: 823. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 39; 
Honolulu: 61; 
Northern California HCS: 117; 
Palo Alto: 35; 
Reno: 7; 
San Francisco: 75; 
Total[A]: 334. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 6; 
Honolulu: 11; 
Northern California HCS: 67; 
Palo Alto: 20; 
Reno: 45; 
San Francisco: 70; 
Total[A]: 219. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: [Empty]; 
Honolulu: [Empty]; 
Northern California HCS: [Empty]; 
Palo Alto: [Empty]; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: [Empty]. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 2; 
Honolulu: [Empty]; 
Northern California HCS: 0; 
Palo Alto: 5; 
Reno: [Empty]; 
San Francisco: 5; 
Total[A]: 12. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: [Empty]; 
Honolulu: 6; 
Northern California HCS: 20; 
Palo Alto: 15; 
Reno: 3; 
San Francisco: 25; 
Total[A]: 69. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: --; 
Honolulu: [Empty]; 
Northern California HCS: [Empty]; 
Palo Alto: 50; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: 50. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: [Empty]; 
Honolulu: [Empty]; 
Northern California HCS: [Empty]; 
Palo Alto: 50; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: 50. 

VA service: Community nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 10; 
Honolulu: 3; 
Northern California HCS: 80; 
Palo Alto: 50; 
Reno: 8; 
San Francisco: 32; 
Total[A]: 183. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 
Honolulu: [Empty]; 
Northern California HCS: 
Palo Alto: 100; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: 100. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 2; 
Honolulu: [Empty]; 
Northern California HCS: [Empty]; 
Palo Alto: 0; 
Reno: [Empty]; 
San Francisco: [Empty]; 
Total[A]: 2. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 10; 
Honolulu: 3; 
Northern California HCS: 11; 
Palo Alto: 25; 
Reno: 4; 
San Francisco: 5; 
Total[A]: 58. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 300; 
Honolulu: 4; 
Northern California HCS: 5; 
Palo Alto: 200; 
Reno: 3; 
San Francisco: 3; 
Total[A]: 515. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: 43; 
Honolulu: 41; 
Northern California HCS: 62; 
Palo Alto: 343; 
Reno: 50; 
San Francisco: 75; 
Total[A]: 614. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Central California HCS: [Empty]; 
Honolulu: [Empty]; 
Northern California HCS: 27; 
Palo Alto: [Empty]; 
Reno: [Empty]; 
San Francisco: 0; 
Total[A]: 27. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

Table 23: Long-Term Care Services Offered by VA Facilities in Network 
22, Long Beach, Calif. (Fall 2001): 

Noninstitutional long-term care services: 

VA service: Adult day health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: --; 
Loma Linda: 38; 
Long Beach: [Empty]; 
Southern Nevada HCS: [Empty]; 
San Diego: 61; 
Total[A]: 99. 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: 
Loma Linda: 220; 
Long Beach: 225; 
Southern Nevada HCS: 
San Diego: [Empty]; 
Total[A]: 445. 

VA service: Community residential care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: [Empty]; 
Loma Linda: 44; 
Long Beach: 0; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 44. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: 350; 
Loma Linda: [Empty]; 
Long Beach: 300; 
Southern Nevada HCS: 53; 
San Diego: [Empty]; 
Total[A]: 703. 

VA service: Home-based primary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: --; 
Loma Linda: [Empty]; 
Long Beach: 72; 
Southern Nevada HCS: [Empty]; 
San Diego: 70; 
Total[A]: 142. 

VA service: Homemaker/home health aide; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: [Empty]; 
Loma Linda: 56; 
Long Beach: [Empty]; 
Southern Nevada HCS: [Empty]; 
San Diego: 34; 
Total[A]: 90. 

VA service: Home respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: [Empty]; 
Loma Linda: 20; 
Long Beach: [Empty]; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 20. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: [Empty]; 
Loma Linda: 59; 
Long Beach: 0; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 59. 

VA service: Skilled home health care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: --; 
Loma Linda: 602; 
Long Beach: 0; 
Southern Nevada HCS: 211; 
San Diego: [Empty]; 
Total[A]: 813. 

VA service: Other noninstitutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: --; 
Loma Linda: [Empty]; 
Long Beach: [Empty]; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: --. 

Institutional long-term care services: 

VA service: Alzheimer’s/dementia care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: [Empty]; 
Loma Linda: 28; 
Long Beach: [Empty]; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 28. 

VA service: Community nursing home care; 
Number o
Greater Los Angeles HCS: 64; 
Loma Linda: 178; 
Long Beach: 48; 
Southern Nevada HCS: 20; 
San Diego: 73; 
Total[A]: 383. 

VA service: Domiciliary care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: 247; 
Loma Linda: [Empty]; 
Long Beach: [Empty]; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 247. 

VA service: Geriatric evaluation and management; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: 7; 
Loma Linda: [Empty]; 
Long Beach: 3; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 10. 

VA service: Hospice care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: [Empty]; 
Loma Linda: 10; 
Long Beach: 14; 
Southern Nevada HCS: [Empty]; 
San Diego: 6; 
Total[A]: 30. 

VA service: Respite care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: 10; 
Loma Linda: 54; 
Long Beach: 3; 
Southern Nevada HCS: [Empty]; 
San Diego: 3; 
Total[A]: 70. 

VA service: VA nursing home care; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: 240; 
Loma Linda: 89; 
Long Beach: 76; 
Southern Nevada HCS: [Empty]; 
San Diego: 25; 
Total[A]: 430. 

VA service: Other institutional; 
Number of veterans in each service, by facility or health care system 
(HCS): 
Greater Los Angeles HCS: --; 
Loma Linda: [Empty]; 
Long Beach: 4; 
Southern Nevada HCS: [Empty]; 
San Diego: [Empty]; 
Total[A]: 4. 

Source: GAO survey of VA facilities. 

Notes: Responses to our survey were submitted in September and October 
2001. 

Empty cells indicate that a facility did not report offering the 
service at the time of our survey. 

Dashes indicate that a facility reported the service but did not 
report the service’s utilization. 

[A] We did not calculate the total number of veterans receiving 
services at each facility because veterans may be authorized to 
receive more than one service. Some veterans may thus appear in 
several services at one facility. 

[End of table] 

[End of section] 

Footnotes: 

[1] Pub. L. No. 106-117, 113 Stat. 1545 (1999). 

[2] Although VA has 172 medical centers, in some instances two or more 
medical centers have consolidated into health care systems. Counting 
health care systems and individual medical centers that are not part 
of a health care system as single facilities, VA has 139 facilities. 

[3] Although nursing home care and domiciliary care are also required 
by the act, we do not address these requirements. 

[4] Department of Veterans Affairs, VA Long-Term Care At The 
Crossroads: Report of the Federal Advisory Committee on the Future of 
VA Long-Term Care (Washington, D.C.: June 1998). 

[5] Skilled home health care consists of professional home health care 
services, mostly nursing services, purchased by VA and delivered by 
non-VA health care providers. 

[6] Geriatric primary care was not among the services included in our 
survey of VA facilities. 

[7] Because VA does not actively place veterans in state veterans’ 
domiciliaries or state veterans’ nursing homes (rather, veterans must 
apply to the facilities for admission, and admission requirements vary 
by state), state veterans’ domiciliary and state veterans’ nursing 
home services were not included in our survey of VA facilities. 

[8] In 1995, VA created 22 Veterans Integrated Service Networks, a new 
management structure to coordinate the activities of and allocate 
funds to VA hospitals, outpatient clinics, nursing homes, and other 
facilities in each region. In January 2002, VA announced the merger of 
networks 13 and 14 into a single organization known as network 23. In 
this enclosure, we report on these two networks separately because at 
the time of our survey they were operating as individual networks. 

[9] Although the surveys were sent out simultaneously, surveys for 
each facility were not completed on the same day. 

[End of document]