For years, the Veterans Affairs has spent upwards of $1 billion a year funding state-run nursing homes for veterans, while requiring only a single annual safety inspection, performed by an outside contractor. Watchdogs both in and out of the VA have questioned the adequacy of the inspections for decades. Just months before the pandemic bore down, the GAO in 2019 warned that the VA inspections lack teeth, merely making recommendations about some deficiencies instead of meticulously documenting them and requiring that they be addressed.

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From the Texas Trial Lawyers Association news release.