The report identified "poor-quality investigations" that could result in critical aspects of abuse or neglect allegations being overlooked or handled inappropriately, putting patients at risk and undermining trust in the system.

The Department of Behavioral Health and Developmental Services operates 12 behavioral health facilities around the state, including Hiram Davis Medical Center and Central State Hospital in Petersburg.

The Office of the State Inspector General reviewed 190 investigations into abuse or neglect complaints at those facilities and found 11 issues, leading to 32 recommendations for improvement.

Key findings included poor quality investigations conducted by staff who lacked proper training. In some cases, final determinations made by facility directors weren't supporte

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