# VA - 20-03635-217 - 8
> **Closed** recommendation · 2021-08-18
**Report:** Deficiencies in COVID-19 Screening and Facility Response for a Patient Who Died at the Michael E. DeBakey VA Medical Center in Houston, Texas ([detail](https://api.ai-analytics.org/ig-report/29636))
**OIG report number:** 20-03635-217
**Recommendation number:** 8
## Text
The Michael E. DeBakey VA Medical Center Director ensures leaders complete root cause analyses within 45 days of leaders’ awareness of applicable adverse events.
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*Source: oversight.gov · AI Analytics · CC0 1.0*