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Tennessee Valley Healthcare System – Alvin C. York Campus

3400 Lebanon Pike Murfreesboro, TN 37129
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Top 10 Rehab In Murfreesboro

About Tennessee Valley Healthcare System – Alvin C. York Campus

The Alvin C. York Veterans’ Administration Medical Center is located in Murfreesboro, Tennessee. This is a medical center that operates under the VA Tennessee Valley Healthcare Network, serving veterans and their families. They provide a number of medical and mental health services here, including dedicated addiction and substance abuse recovery services.

They offer care in an outpatient setting, though the VA network has programs that provide 24/7 support if you are working through a more intensive treatment program, so they can connect you to these programs if necessary.

They accept VA benefits here and policies from most major insurance companies, and they even provide transportation services to help you get to and from your appointments.

Dedicated Addiction Recovery Services

This VA Medical Campus stands out because they have specialized addiction and substance use treatment right on site. While you do need a referral to receive services through this department, it’s easy enough to receive a referral through your primary care provider. You can receive your referral here at this medical facility or another VA clinic.

Their addiction recovery services are rooted in evidence based practice and include modalities like counseling, group therapy, and medication assisted treatment if your circumstances require it. No matter where you’re at in your recovery journey, you’ll be met with compassionate, judgment free support.

Integrated Health

Receiving care at this medical facility means you’ll have integrated healthcare that addresses other underlying concerns like a mental health disorder, homelessness, or medical issues impacting your health.

This collaborative approach to care ensures that all aspects of your health profile are addressed and that symptoms for one disorder are not neglected in order to treat symptoms of another.

Specialized Services for Particular Needs and Populations

Other ways you’ll be supported here are through their specialized programs including homeless support services, women’s veteran care, nutrition and dietary services, and other intentional programs.

You’ll also find many different holistic approaches to care too through programs like their Integrative Health Services, which incorporate acupuncture, meditation, yoga, and alternative medicines.

There’s also a whole health program that takes a patient centered approach to care as well. This program helps you get in touch with your interests, values, and recovery goals and puts you at the center of your treatment plan rather than the illness or disease you’re working through.

Latest Reviews

Tim Bruce
2 months ago on Google
5
I m 57 yo and this was my first visit to the center. It was the best medical center visit I have ever had. I was there for an urgent care visit. I had no wait at all before being seen, did not even have an opportunity to sit in the waiting area. I was seen by nurse, social worker, doctor and ct lab seamlessly! Had a less than 30 wait for scan to be read, dr came in and communicated the results, made prescription and I was checked out. Picked up my prescription within 10 minutes from on site pharmacy and done. Not only were the services VERY timely, everyone I dealt with from the check in desk to the pharmacy clerk were very professional and friendly. To top it off the entire, very large campus, was very clean and outside was neatly manicured. I can t say enough good things about my first visit.
E. Jones
2 months ago on Google
5
They go above and beyond.
Glen Fletcher
2 months ago on Google
1
The poorest treatment I think I've ever had in my life. Thank you for nothing. The doctor that seen me in urgent care took approximately 2 minutes to speak to me and tried to throw medicine at me that was going to make my condition worse. Then proceeded to laugh about the situation. No wonder most vets hate the VA, it's not helpful and bureaucratic.
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Rehab Score

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Scoring is assigned by a proprietary system which helps surface key metrics that determine quality. The 10-point scale factors in categories such as operations, customer satisfaction, and trust metrics. Read Full MethodologyCaret icon
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8.1 / 10

Other Forms of Payment

Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.

Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.

Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.

Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.

Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.

Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.

Addiction Treatments

Levels of Care

outpatient iconOutpatient
Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
medically-assisted-detox iconMedically Assisted Detox
Drug and alcohol addiction often takes a heavy toll on one's body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
intensive-outpatient iconIntensive Outpatient
Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
inpatient iconInpatient
Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.
sober-living iconSober Living Homes
Sober Living Houses (SLHs), aka sober homes or halfway houses, are safe, substance-free, supportive living facilities for those recovering from substance abuse. Ideal for those who've just been through inpatient or outpatient treatment, SLHs are supervised environments with rules that support sobriety, such as curfews, shared chores, and therapeutic meetings. Residents are also often trained on life skills and coping skills to make it easier to transition into society. SLHs also provide a strong sense of community that can lead to the kind of deep and lasting connections with other sober individuals that supports a new, healthy lifestyle.
partial-hospitalization iconPartial Hospitalization Program
A partial hospitalization program (PHP) is a short-term form of intensive rehab, usually for those with acute symptoms that are hard to manage but don’t require 24-hour care. PHPs have structured programming (i.e. individual and/or group therapy), and usually meet 3-5 days a week for around 6 hours (i.e. 9am-3m). Some PHPs are residential (patients sleep on site) and some are not, so patients sleep at home. PHPs can last from 1-6 months, and some offer transportation and meals.
aftercare iconAftercare Support
Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
12-step icon12-Step
12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. 12-Step offshoots including Narcotics Anonymous (NA), Cocaine Anonymous (CA), Dual Recovery Anonymous (DRA), Sex and Love Addicts Anonymous (SLAA) and Gamblers Anonymous (GA).

Treatments

The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.

When your day-to-day life is taken over by drug use, this is known as substance use disorder. If you abruptly stop using your drug of choice, you experience withdrawal symptoms. To overcome this cycle, professional drug rehab in Tennessee is usually needed.

Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.

A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

Programs

adult-program thumbnail image
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
lgbtq-program thumbnail image
LGBTQ Program
Recovery is most successful when clients feel accepted and validated by their peers and treatment providers. Facilities that offer LGBTQ-inclusive programming are committed to creating a safe space where everyone can grow and recover without fear of judgment or discrimination. They will have dedicated policies in place to create a safe and supportive environment that fosters free expression.
military-program thumbnail image
Military Program
Serving in the military is both mentally and physically challenging, and can result in trauma that persists even after combat ends. Military programs are tailored to the specific and often complex needs of active duty personnel, veterans, and military families. Clients often access these programs through the U.S. Department of Veterans Affairs (VA).
young-adult-program thumbnail image
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.

Clinical Services

Assertive Community Treatment (ACT) is a structured way of helping those with major mental illnesses and/or substance abuse by bringing services directly to the patient in home. Instead of hospitalization or an outpatient program, staff members like social workers, psychiatrists, and counselors come directly to the patient’s house for treatment. ACT is used primarily for those with severe and persistent mental illness like schizophrenia or bipolar disorder, some of whom also contend with substance abuse. ACT can be short- or long-term (months to years), and provides the same multidisciplinary, 24/7 staffing of a psychiatric unit, but in the comfort of the patient's own home and/or community.

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Equine therapy, aka equine-assisted therapy (EAT), is a form of experiential therapy that involves interactions and activities with horses. It does not necessarily involve riding horses, but all activities related to horses, such as feeding, grooming, haltering and leading them. A mental health professional frequently oversees the activities (often in conjunction with a horse professional), and helps patients process their thoughts, feelings, and behavior patterns during and/or after the interaction.

Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Fitness therapy blends exercise with psychotherapy for a fun, inspiring, and effective way of treating addiction and other issues. By incorporating movement into counseling sessions, clients become more empowered, motivated, and goal-oriented, all while strengthening their bodies and becoming more flexible. Fitness Therapy is usually used to complement a course of treatment (inpatient or outpatient) to make it even more successful. Increasing the connection between a patient’s mind and body helps both with healing as well as in creating new, healthy habits.

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.

Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.

Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.

Sound therapy (aka sound healing or vibrational medicine) uses sonic vibrations to stimulate healing at the cellular level. Vibrations, either from the human voice or resonant objects like tuning forks, gongs, or Tibetan bowls, affect cellular resonance in the body, which can help heal the impact of anxiety, depression, trauma, and more.

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.

Amenities

  • home-setting iconResidential Setting
  • private iconPrivate Setting
  • spa2 iconYoga Studio
  • car iconPrivate Transportation

Staff & Accreditations

Staff

Daniel Dücker, MSS, M. Ed.

Executive Director

Dwight 'Dan' Fields, MHA

Acting Deputy Executive Director

John H. Nadeau, M.D., FRCP (C)

Chief of Staff

Bridget Brozyna, MSN, DNP, APRN

Associate Director for Patient Care Services

Erin J. Coomes, Au.D., CCC-A

Acting Associate Director for Resources

Aaron Grobengieser

Associate Director for Operations

Joseph Blair

Acting Assistant Director

Accreditations

The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.

CARF Accreditation: Yes
Accreditation Number: 292180

The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.

Joint Commission Accreditation: Yes
Accreditation Number: 340932

The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.

SAMHSA Listed: Yes

Contact Information

Phone icon (615) 867-6000
Building icon

3400 Lebanon Pike
Murfreesboro, TN 37129

Fact checked and written by:
Nadia El-Yaouti, M. Ed.
Edited by:
Nikki Wisher, BA

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Reviews of Tennessee Valley Healthcare System – Alvin C. York Campus

3.91/5 (101 reviews)
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Reviews

5

For several years I have visited this place and I have noticed how it has improved. Each of the staff strives to provide the best patient care, they give more than the best. Thanks to all the staff members for the effort and dedication they put into their work.

Reviewed on 1/7/2019
Overall Experience
Date Submitted
Reviewer

Google Reviews

3.9 (100 reviews)
Tomi Murtha
1 week ago
5

Would like to give a shout out of thx for the care my father has received here the nurse Andrew and Michael and Dr dagapetti I believe was the spelling just a superb job guys the social worker Katrina and Tiffany went above and beyond to see my father was well taken care of and correspondence was fantastic 😍 he is on to rehab thx to their quick actions there were so many others that helped him forgive me can't remember names but God bless you all you are true angels 😇

Heather Serfas
1 week ago
1

My fiance found an elderly veteran walking down our street late at night while walking our dog. The man was in his eighties and had a walker with the wheels and seat. We had never seen him before and he was wearing a veteran's hat that said Viet Nam. My man asked him if he was ok and the gentleman said he was walking to the VA. We are several miles from there even in a car. My man offered to give him a ride. The gentleman was very nice. We had a pleasant conversation on the way there. Once there we got the walker out of the car and my guy walked him to the door. Granted it was almost 11:30 at night. I sat in the car with the window down to make sure they got in alright. The man knocked on the door since it wouldn't open up and no one answered. My guy hit the button for the door to hear someone come over the speaker to ask what was going on. The gentleman stated that he was thinking about unaliving himself to which the person said to hang on for a moment. My man the and veteran stood by the door talking and having a pleasant conversation while waiting. I could hear everything. Both of us were actually shocked to hear what the old man had said. It hurt us to the core to hear this stranger that had served our country say this. It seemed to take forever before an employee came out the door. He was not coming out for the man but my guy asked if he could help them. To which the employee scanned his badge and told them to go in. Literally seconds later this woman employee came out the door past my man and the veteran yelling for the cops that just got there. Telling them about how this man had threatened her. Saying that he threatened her with a knife. He had not. She refused to help him and the veteran asked her if she had a knife because he was done. That's when she ran past them to the cops saying he threatened her. Causing this veteran serious issues. My guy stood up for the veteran letting the cops know exactly what was going on. Once again I could still hear everything since I was in the car with the window down just feet away. Even the first cop that arrived said he heard the man say how he wanted to hurt himself and didn't make any threat against this employee. The whole time she's yelling about this. Nothing at all about the welfare of the veteran even though he had stated what he wanted to do. My guy said as soon as she walked up to them she started yelling at them that they were closed and couldn't be there. This man who served our country. Who risked his life to do so. The cops arrived quicker than she did. They seemed to care more than she did. The only quick thing about her was the absolute lie that she told. She definitely didn't want to deal with him. That was obvious. After we both spoke to the cops and made sure the gentleman would actually be taken care of we left to go back home. We still can't stop thinking about this. This has bothered us so much. Even though we had never seen him before he seemed like a nice enough man and he was a veteran for America. The absolute lack of care from this woman was haunting to say the very least. I understand being cautious but this was one of the worst things I've ever seen. I don't understand how this woman has this job. This is the V. A. This is for veterans. This man had just said he wanted to end himself and this was the response. She claimed he threatened her. He did NOT!!! There was not one ounce of compassion, care or really anything at all other than complete exaggeration. She completely overreacted in pretending to be a victim when you could clearly tell that she just didn't want to deal with him. I do plan on calling tomorrow to talk to someone at the V. A. I've never been so appalled in my life. Obviously this woman DOES NOT need to work at this place if this is how she's going to act. The man offered his life for our freedom and this is how he was treated. She was a pretty young black lady with long braids in her hair and tattoos down her forearm. She wore thick black rimmed glasses. About 5'2-5'4 feet tall and maybe about 130-150lbs.

Carrie Hamilton
3 weeks ago
5

Very good care over the years. Have a great NP for my annual checkups and come here for Eye Care and Urgent Care. It’s better care than I was getting before I started using the VA at Murfreesboro.

Sevin
1 month ago
5

Best VA in the USA!!

Milton Storm
1 month ago
5

Always helpful and caring

Tim Bruce
2 months ago
5

I’m 57 yo and this was my first visit to the center. It was the best medical center visit I have ever had. I was there for an urgent care visit. I had no wait at all before being seen, did not even have an opportunity to sit in the waiting area. I was seen by nurse, social worker, doctor and ct lab seamlessly! Had a less than 30 wait for scan to be read, dr came in and communicated the results, made prescription and I was checked out. Picked up my prescription within 10 minutes from on site pharmacy and done. Not only were the services VERY timely, everyone I dealt with from the check in desk to the pharmacy clerk were very professional and friendly. To top it off the entire, very large campus, was very clean and outside was neatly manicured. I can’t say enough good things about my first visit.

E. Jones
2 months ago
5

They go above and beyond.

Glen Fletcher
2 months ago
1

The poorest treatment I think I've ever had in my life. Thank you for nothing. The doctor that seen me in urgent care took approximately 2 minutes to speak to me and tried to throw medicine at me that was going to make my condition worse. Then proceeded to laugh about the situation. No wonder most vets hate the VA, it's not helpful and bureaucratic.

C G
2 months ago
1

I’ve watched a 100% disabled veteran be neglected in every way while being seen at this campus. They don’t work, doctors twiddle their thumbs, department to department. After witnessing this, congressional inquiries and Inspector General complaints across this whole facility. Please take your veterans elsewhere if you care about their physical and mental wellbeing. Currently preparing to sue each doctor for malpractice and creating false appointments to try and meet MISSION act guidelines. No wonder DOGE wants to dismantle you all.

Matt Thompson
3 months ago
5

Nice people and good service provided

Francisco Villanueva
3 months ago
5

Allan daigle
3 months ago
5

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