Officials at Wisconsin’s troubled Tomah VA Medical Center confirmed today that its former director, Mario DeSanctis, is no longer employed by the U.S. Department of Veterans Affairs – the latest fallout from Reveal’s revelations of improper prescription practices at the hospital.
“The search process for a new Director will be initiated immediately,” the acting director, John Rohrer, wrote in an email to hospital employees this morning.
The VA had reassigned DeSanctis in March and appointed Rohrer interim chief of the facility, once dubbed “Candy Land” because of its seemingly unrestrained reliance on opiate prescriptions – sometimes leading to tragic consequences.
Last month, the VA’s chief watchdog office concluded that a lethal cocktail of prescription drugs had killed Marine Corps veteran Jason Simcakoski while he was being treated in the hospital’s psychiatric ward for anxiety that had left him feeling suicidal.
The hospital recently announced that the acute psychiatric unit would close temporarily as of Friday “(d)ue to critical psychiatric staff shortages.” Patients were to be transferred to VA facilities in Madison or Milwaukee, or to non-VA facilities.
“We intend to re-open the unit but will only do so when we have the necessary psychiatric staff to do so safely,” Rohrer said in the statement, which outlined a series of initiatives, including advertising job openings and increasing starting psychiatrist salaries to $240,000.
In its August report, the VA’s inspector general blamed Simcakoski’s death on “mixed drug toxicity” after being prescribed more than a dozen drugs, including buprenorphine, a potent medication distributed under the name Suboxone that often is used to treat opiate addictions.
The report blamed a breakdown in procedures, including the failure of psychiatrists at the hospital to adequately inform patients of the risks some drugs posed and for neglecting to get written consent before administering dangerous drugs.
His death was one of at least five fatal overdoses linked to the Tomah VA hospital while under the charge of chief of staff Dr. David Houlihan – nicknamed the “Candy Man” by some because of his prolific prescribing practices. A Reveal investigation earlier this year found that opiate prescriptions at the Tomah facility sharply increased under Houlihan’s watch.
Hospital spokesman Matthew Gowan said in an email that Houlihan remains on administrative leave. One of the doctors involved in the Simcakoski case, Dr. Ronda Davis, was terminated in July.