VA OIG report 26-00060-15, published Nov 13, 2026, found that inconsistent supervisory practices, fear of retaliation, and limited psychological safety led employees at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas, to hesitate to report patient-safety concerns. At the May 2026 inspection, 59 percent of physicians' and 58 percent of nurse practitioners' panels were above 100 percent capacity, and 24 of 51 panels (47 percent) exceeded 105 percent. OIG made 4 recommendations; the VISN and facility Directors concurred; recommendations 2 and 3 are closed, and 1 and 4 remain open.
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