The North Dakota State Auditor’s office released a scathing audit of the North Dakota Veterans Home in Bismarck, highlighting a series of financial and operational lapses that raise serious concerns for veterans and their families.

Questionable expenditures exceed $9.7 million

The audit identified over $9.7 million in expenditures that were approved by the facility’s administrative assistant without proper documentation or justification. While the report does not detail every line item, the sheer volume of unverified spending suggests a breakdown in internal controls and a need for stronger fiscal oversight.

Overtime paid without clear work records

In addition to the large spending discrepancies, the audit found that $56,766 was paid in overtime to a single employee. The auditor noted inconsistencies between the employee’s logged hours and the overtime compensation, indicating that the overtime approvals may not have been based on accurate timekeeping.

Tragic resident death linked to dietary error

Perhaps the most alarming finding involves the death of a resident who choked after being served the wrong meal. The resident’s physician had prescribed a specific dietary plan, but the home failed to follow that order, leading to a fatal choking incident. Following the death, a performance evaluation was conducted for the staff members involved.

Performance reviews lack disciplinary language

The audit revealed that two staff members received performance evaluations that simply stated they “met expectations,” with no mention of disciplinary action despite the serious nature of the incident. These evaluations are used to determine raises, raising questions about accountability and the incentive structure for staff.

Calls for corrective action

State Auditor Josh Gallion emphasized that the findings demand immediate corrective measures. He urged the Veterans Home’s leadership to implement stricter financial controls, improve overtime tracking, and ensure that dietary orders are followed without exception. Gallion also recommended a review of the performance evaluation process to align it with safety and quality standards.

What this means for veterans and families

For families of veterans residing in the home, the audit underscores the importance of vigilance and advocacy. The State Auditor’s office has pledged to monitor the facility’s response and to conduct follow‑up reviews to verify that recommended changes are enacted.

While the audit paints a troubling picture, it also provides a roadmap for reform. By addressing the identified gaps, the North Dakota Veterans Home can restore confidence among veterans, their families, and the broader community.

Original reporting: KFYR-TV Bismarck (news) — read the source article.