An investigation conducted by VA personnel is the wrong way to go about discovering the actual truth about poorly run VA facilities AND THEN fixing those myriad, continuing problems in Oregon, Alaska, elsewhere. But this is how the VA does it. They hire their own biased investigators to look into alleged problems and bring in VA "public affairs" personnel to ensure the final report is written so that the VA is absolved of all allegations and "problem VA employees" are assigned all the blame.   
There is no actual leadership up the VA chain of command. There is no commitment to meet the needs of veterans who rely on VA facilities for medical care and other benefits we have earned. Even VA secretary Shulkin showed an absence of any ethical foundation when he recently took his family on a European vacation using government aircraft/amenities. He's the one who disallows mileage $ for vets who must travel to Portland when they are assigned to the R'burg VA.
A VA inspection = no inspection.