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UPDATE | Third family of Clarksburg VA victim sues Department of Veteran's Affairs

The latest death marks three of the eleven suspicious deaths to be ruled as a homicide.
The latest death marks three of the eleven suspicious deaths to be ruled as a homicide.(WDTV)
Published: Aug. 23, 2019 at 2:01 PM EDT
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UPDATE 06/01/2020 @ 5:33 p.m

A third family of a Louis A Johnson VA Medical Center victim filed a lawsuit against the Secretary of the Department of Veterans Affairs Robert Wilkie.

Mark Hallman and Debra Cutler, the son and daughter of retired U.S. Navy Seaman John Hallman, filed the lawsuit in the U.S. District Court Northern District of West Virginia Monday.

According to the lawsuit, On Oct. 14, 2019, the plaintiffs submitted an administrative claim form to the Department of Veterans Affairs on. On Nov. 5, 2019, Department of Veterans Affairs sent Plaintiffs, through counsel, a letter acknowledging receipt of their administrative claim.

The Lawsuit claims that more than six months have passed since the plaintiffs' submission of the administrative claim and no acceptance or payment of claim has happened.

"Attempts have been made to contact the United States concerning the administrative claim and no response was received.," the lawsuit states.

The lawsuit states John Hallman was taken to the Clarksburg VA on June 12 for work up of abdominal pain related symptoms. After a chest x-ray revealed pneumonia vs. pulmonary edema, he was placed on antibiotics, prednisone/anti-inflammatory medication, and fluids and was admitted to Floor 3A.

According to the lawsuit, John Hallman died at the Clarksburg VA on June 13, 2018 while staying on level 3A. His glucose levels dropped early that morning.

The suit says that before June 13, 2018, the Clarksburg VA Medical Center "experienced a noticeable and statistically appreciable high death rate in patients admitted on Floor 3A."

You can find the full lawsuit in the "related documents" tab. (right on desktop, below on mobile).

UPDATE 04/21/2020 @ 10:28 a.m.

Another Louis A Johnson VA Medical Center victim's family has filed a lawsuit against the Secretary of the Department of Veterans Affairs Robert Wilkie.

The lawsuit was filed in the United States District Court Northern District of West Virginia Monday, April 20, 2020. The wife of Ret. Senior Master Sergeant George Nelson Shaw, Sr., Norma Shaw, filed the lawsuit

George, an Air Force Veteran and former employee of the Louis A Johnson VA Medical Center in Clarksburg West Virginia, was admitted as a patient to the facility in March 22, 2018.

The day after he was admitted, George was taken off telemetry

monitoring and was moved to Floor 3A, according to the lawsuit. He was able to walk and was cooperative but confused.

On March 24, 2018 discharge planning began including a discussion with Norma regarding concerns for post discharge wandering, the lawsuit states. The family began to make plans for caring for George as they were told he would be discharged.

George fell in the hall of the hospital on March 25, 2018, according to the lawsuit. A one on one sitter was assigned for George. A suspect under investigation was his sitter at the time.

The next morning, George was found with severe lethargy, clamminess, diaphoresis, low oxygen saturation, and an elevated heart rate, the lawsuit alleges. Dr. Clara Wang-Liang, MD was notified.

Testing revealed George had severe hypoglycemia.

According to the lawsuit, Dr. Getnet E Shawel assumed care and the recommended treatment plan was to monitor blood sugars, provide maintenance fluids and replace potassium for George.

The lawsuit claims Dr. Wang-Liang and Dr. Shawel violated medical standards of care in managing George's sudden unexplained severe hypoglycemia.

The lawsuit states George had not been diagnosed with diabetes, and no insulin therapy was prescribed to him. There was no investigation into the cause of George's severe hypoglycemia.

George never returned to baseline after the severe hypoglycemia, the lawsuit states. He was placed in hospice care and discharged to a nursing home. George's health deteriorated and was sent back to the Clarksburg VAMC.

George died at the Clarksburg VAMC on the morning of April 10, 2018.

Dr. Maria Menez determined the cause of death to be biventricular cardiomyopathy and advanced dementia, according to the lawsuit. Although he met mandatory criteria for referral to the State Medical Examiner, Dr. Menez determined that he did not and failed to make the mandatory referral.

Nine months after George died, his body was disinterred and an autopsy was performed at the Dover Air Force Base. The medical examiner found evidence of four injection areas that were immunohistochemically positive for insulin.

The medical examiner ruled George's death a homicide.

The lawsuit claims no physician order was issued for the insulin shots. The employee who administered the shots violated nursing standards of care.

The lawsuit says Dr. Glenn Snider, Medical Center Director, his leadership team, nursing managers on Floor 3A, and supervisory employees with oversight of the VAMC employee "who administered the insulin shot failed to take appropriate action to correct, retrain, and/or stop this employee from performing insulin injections on patients."

George's estate is seeking compensation for the damages, harms and losses caused by the defendant.

UPDATE 03/02/2020 @ 2:26 p.m.

The family of Felix McDermott filed a lawsuit against the Secretary of the Department of Veterans Affairs Robert Wilkie after McDermott received a fatal dose of insulin at the Louis A Johnson VA Medical Center.

The lawsuit was filed in the United States District Court Northern District of West Virginia Monday.

The lawsuit states Medical Center Director of the Clarksburg VA Dr. Glenn Snider, his leadership team, hospital physicians, nursing management and pharmacy inventory management violated non-discretionary rules, directives and protocols they were required to follow.

Dr. Snider and the Department of Veterans Affairs employed Jill Taylor-Phillips, MD, Maria R. Menez, MD, Kari E. Fawcett, RN, T Hartzell, RN, and Reta P. May, who participated in causing or failing to prevent the severe hypoglycemia event, negligent post management event and death of McDermott, the lawsuit alleges.

The lawsuit claims McDermott's daughter, Melanie Proctor submitted an administrative claim form to the Department of Veteran Affairs on Aug 21. The Department of Veteran Affairs sent her a letter acknowledging that they received her claim on Sept. 9.

Proctor hasn't seen any payment of the claim, the lawsuit states.

McDermott was admitted to the VAMC on April 6, 2018. He died of hypoglycemia, or severe low blood sugar, on April 9, 2018. He was 82.

The claim states that employees never told McDermott's family how he died. He was buried 4 days later.

On Oct. 23, 2018, McDermott's remains were exhumed and sent to the Dover Air Force Base for an autopsy and investigation.

The autopsy completed February 2019 confirmed that McDermott was not a diabetic and that he was showing improvement in his medical condition when was injected with insulin.

The autopsy ruled McDermott's death a homicide.

McDermott was staying on Floor 3A.

The lawsuit claims before April 9, 2018, the Clarksburg VA Mecial Center experienced a noticeable high death rate in patients admitted on Floor 3A. A pattern emerged in dying patients demostrating a suddent, unexpected severe decline in their medical condition between 1 a.m. and 6 a.m. followed by death in patients admitted on the floor.

The floor was not an intensive care unit for patients at risk of sudden death, according to the lawsuit.

Proctor is seeking compensation for the damages, harms and losses caused by the defendant.

She is being represented by Tony O'Dell.

The lawsuit can be found in the "Related Documents" tab (right on desktop, below on mobile).

UPDATE 1/30/2020 @ 10:30 a.m.

Federal Prosecutor began presenting evidence to a grand jury in their criminal investigation of at least 11 suspicious deaths at the Louis A. Johnson VA Medical Center, the Washington Post reports.

Two people familiar with the matter told the Post closed-door deliberations at the federal courthouse in Clarksburg began earlier this month with testimony from nurses and other medical professionals about the actions of the person of interest in the case, a former nursing assistant who worked the overnight shift at the Clarksburg VA.

Investigators believe she gave the victims, most of whom were not diabetic, multiple, unauthorized injections of insulin that led to their deaths of severe hypnoglycemia, or low blood sugar. The victims were staying in the ward known as 3A. The deaths are being investigated as homicides.

U.S. Attorney General William Barr has called U.S. Attorney for the Northern District of West Virginia Bill Powell at least twice since August to ask about the status of the investigation, according to the Washington Post.

The Post reports Powell has faced pressure from Veterans Affairs Secretary Robert Wilkie and Senator Joe Manchin (D-WV). Manchin has said publicly that hospital leaders took too long to put pieces together in the deaths.

The grand jury is expected to meet for weeks or months, people familiar with the matter told the Post.

The people familiar with the case told the Post investigators have focused on one person from the start. She was assigned to monitor the veterans who died in what are known as "one-on-one bedside vigils" for patients who needed extra attention. She was fired from the hospital last year.

The Post says they are not naming the woman since she has not been charged. She is now doing temporary work for a local construction company, a person familiar with her status told the Post.

Seven victims have been identified.

UPDATE 1/28/2020 @ 2:03 p.m.

Another victim has been identified in the Louis A. Johnson VA Medical Center deaths.

This is the seventh victim identified.

Attorney Tony O'Dell says the victim, an 89-year-old Army Veteran, was admitted into ICU at the Clarksburg VA Jan. 2018. The victim, who has not been named, was moved from ICU to floor 3A when his condition improved.

During the overnight hours on the night before the victim died, an unexplained hypoglycemic event happened, O'Dell said. His blood sugar dropped to 27.

The victim was not a diabetic, according to O'Dell.

The victim was administered dextrose but they couldn't stabilize him. He died 24 hours later. The cause of death was ruled a hemorrhagic stroke.

O'Dell says an autopsy was performed 19 month after the victim's death. A medical examiner from Dover Air Force Base, who performed the autopsy, changed the cause of death to undetermined.

There was no medical explanation or cause for the severe blood sugar drop, O'Dell said.

According to a medical examiner at Dover Air Force Base, the cause of death fit the pattern with the rest of the recent VA deaths ruled as homicides.

According to O'Dell, one of the victims, John Hallman's cause of death was changed from food or vomit in lungs to unexplained hypoglycemia. His body was cremated before an autopsy could be performed.

U.S. Attorney Bill Powell ruled both the victim and Hallman's deaths as homicide.

At least 11 suspicious deaths have been reported at the Clarksburg VA Medical Center.

UPDATE 11/27/19

A third claim has been filed over another victim identified in the Louis A Johnson VA Medical Center deaths.

William Holloway, an Army veteran, is the sixth victim identified.

According to a claim filed by Bordis and Bordis, Holloway died on April 8, 2018 as the result of being injected with inappropriate and unprescribed lethal dose(s) of insulin by an unidentified individual who is believed to have been an employee of the Clarksburg VAMC.

Holloway had a history of Type II Diabetes Mellitus, which was treated with insulin.

Holloway was taken to the emergency room on March 11, 2018 after an episode of confusion, hallucinations and anxiety, the claim states. He was discharged who the nursing home he lived at, but returned to the emergency room the next and was admitted to the Clarksburg VAMC.

Holloway was not acutely ill until the time leading up to his death. The claim states he was admitted for the primary purposes of being evaluated and monitored for symptoms of confusion, hallucinations, anxiety and other psychological issues, with goals of determining the appropriate medications and dosages, patient and family education and assistance with nutrition and daily activities.

Holloway was to be discharged from the Clarksburg VAMC once appropriate arraignments were made. Plans were made on March 30, 2018, according to the claim

On April 3, 2018, Holloway began to experience unusual, prolonged period of severe hypoglycemia. The claim says despite administration of dextrose, his blood sugar remained consistently and problematically low from April 3 to April 4, 2018. His health rapidly declined.

At the time of Holloway's death, his family was provided little information regarding his condition, according to the claim. They were informed his death was the result of hospital acquired pneumonia and sepsis.

Holloway's remains were disinterred on Dec 17, 2018 and sent to Dover Air Force Base for autopsy because of the suspicious manner of his death, according to the claim. Va investigators told Holloway's daughter that there was evidence of multiple other patient at the Clarksburg VAMC being wrongfully injected with insulin.

The claim says Holloway's daughters were forced to make the decision to have their father's remains exhumed from his resting place so an autopsy could be conducted.

An autopsy and toxicology screening was performed on Holloway's body on dec 18, 2018, the claim reports. The autopsy report revealed the Holloway experienced a "prolonged episode of severe hypoglycemia that was refractory to over 15 amplues of D50 solution and 5 percent dextrose IV fluid over a 30 hour period of time on April 3rd-4th, 2018."

The claim says the the VAMC breached its duty to protect Holloway, provide competent care and maintain a safe premises for him in multiple ways.

The plaintiffs are seeking $1 million dollars in damages for Holloway's personal injury claims and $5 million for the wrongful death of Holloway.

The full claim is attached to the right of this article.

UPDATE 11/25/19 @ 1:38 p.m.

Another victim has been identified in the Louis A Johnson VA Medical Center deaths.

Russell Posey Sr. is the fifth victim identified.

According to Tony O'Dell, he is intending to put in a notice of claim in for Posey.

O'Dell says that Posey was the last victim, chronologically. He believes that other claims will be filed.

"I believe that there are at least 10 cases out there, and I think that all those will be made at some point," said O'Dell

O'Dell says that they are working on filing the notice of claim and will have it done before the end of next week.

Posey was not a diabetic, according to O'Dell.

Posey died on July 3, 2018 at 1:50 a.m., according to his obituary. He was 92.

According to Posey's obituary, he served in the U.S. Navy. He graduated from West Virginia University with Bachelor's degree in agricultural engineering.

UPDATE 10/17/19 @ 11:35 a.m.

A claim has been filed over the death of John Hallman at the Louis A Johnson VA Medical Center.

According to the claim filed by Tony O'Dell, Hallman died at the Clarksburg VA on June 13, 2018 while staying on level 3A. His glucose levels dropped early that morning.

The claim obtained by 5 news says that the physician and physician assistant failed to order up any work to determine that cause of the blood sugar drop, failed to accurately or timely diagnose Hallman's medical conditions, failed to order close monitoring and failed to order any indicated treatment for his recurrent low blood sugar, lactic acidosis and low potassium.

It is unclear whether the lab and/or nursing personnel were time and accurately reporting test results to the physician and physician's assistant, according to the claim.

The claim states as a result of the failures, Hallman was injured, suffered the pain and fear of not getting enough oxygen and carbon dioxide building up, and then died.

No one timely reported to Hallman's family that several prior suspicious deaths happened on 3A, the claim alleges. No one also timely reported to the family that there was no reasonable explanation for Hallman's sudden hypoglycemia.

The hospital did not make a referral to the West Virginia Medical Examiner's office for autopsy, according to the claim. An autopsy was never done and Hallman was cremated.

These events were eventually reported to the VA Office of the Inspector General, which prompted and investigation of Hallman's death in early July 2018, according to the claim. member of the FBI met with the Hallman family on November 15, 2018.

The family was told that the results from the investigation showed a sudden medically unexplained severe drops in Hallman's blood sugar levels during the early morning hours on the day he died, according to the claim. The severe drops in glucose were not consistent with Hallman's medical history, diagnosis and condition for which he was being treated.

Hallman's death is considered a homicide based on the pattern of events leading to his death, even though his body is not available for autopsy, according to the claim.

The family is seeking damages of funeral costs over $2.8 million, loss of income over $4,300 per month through out the remainder of Hallman's natural life and loss of household services of $16,500 per year throughout the remainder of Hallman's life.

The full claim is attached to the right of the article.

UPDATE 10/16/19 6:45 p.m.

As VA leadership testified before a House Oversight Committee about misconduct within VA hospitals, including the Clarksburg Louis A Johnson VA Medical Center, details emerged of a third victim's death ruled as a homicide.

Attorney Tony O'Dell told 5 News that he spoke with an attorney in Clarksburg who's client who died at the hospital on Sept. 17, 2018. His death was ruled a homicide this week. 5 News was not able to learn the name of the attorney O'Dell spoke with, nor his client.

UPDATE 10/07/19 @ 10:30 a.m.

Federal authorities have identified a person of interest in the case of suspicious deaths at the Louis A Johnson VA Medical Center, according to the Washington post.

The Washington Post reports that the probe is focused on a now-fired hospital employee. The woman worked the overnight shift as a nursing assistant and left last year, according to people familiar with the case told the Washington Post.

The person of interest was assigned to monitor several of the veterans who died in what are known as one-on-one bedside vigils for patients who need extra attention, according to the Washington Post.

According to the Washington Post, the medical staff and those with oversight of hospital procedures were slow to identify a pattern. A failure that could've cost lives, several people familiar with the investigation told the Washington Post.

The Washington Post reports that they did not use the woman's name because she has not been charged. Through her son, she declined to speak with the Washington Post.

UPDATE 9/20/19 @ 6:30 p.m.

Families of the victims who died in a suspicious manner at the Clarksburg VA are waiting on the next steps in the legal process as criminal and civil cases progress.

Lawyers for the families expect charges and a conviction of a supposed 'Person of Interest' identified by investigators in connection to the deaths.

The U.S. Attorney for the Northern District of West Virginia is prosecuting the case. The office and investigators have been tight-lipped when it comes to that person of interest.

That's the criminal end of the investigation. The families are also pursuing civil action against the VA. That's where lawyers including Dino Colombo come into play. Colombo is representing the family of Army veteran Archie Edgell.

"The question is what is the VA going to do to make that right? That's the question," Colombo said. "Right now, we don't have an answer. They're not talking."

Colombo said the U.S. Attorney's Office is leaving "no stone unturned" and is satisfied with the thoroughness of the investigation.

"Everybody wants answers yesterday, but what we want is the right answer," Colombo said. "At the end of this, we want a conviction of the person who took this man's life for no reason."

UPDATE 9/19/19 @ 2:00 p.m.

We now know the identity of another man whose death at the Louis A Johnson VA Medical Center was deemed suspicious.

The lawyer representing the family of Archie Edgell is confident the Army veteran's death was among around 10 deemed suspicious at the Clarksburg facility in 2018. Two have publically been confirmed as homicides.

Archie Edgell died at age 85 when he was a patient at the Clarksburg facility in March 2018. He served as the street and water commissioner in Salem for 20 years. He had dementia but wasn't close to death, lawyer Dino Colombo said, who is representing the family.

Four days after he was admitted to the hospital, he was dead.

Nine months after his funeral, representatives from the VA Office of Inspector General showed up to Edgell's son's home in Doddridge County.

"They killed him, didn't they?" Colombo said Edgell's son asked investigators.

Edgell's body was exhumed and an autopsy was performed, finding four insulin injections on his legs and arms.

The autopsy ruled his death was suspicious, but investigators have not drawn the conclusion yet that it was a homicide. Colombo said investigators are still examining forensic evidence, but has no doubt the deaths followed a similar pattern to others previously reported.

Retired U.S. Army Sgt. Felix McDermott was the first death publically reported. His death, along with retired Air Force veteran George Shaw, was ruled a homicide.

The USA Today last week identified another man, John Hallman, as the third known victim.

The families' lawyers all said they know of at least 10 victims. Colombo said all of them died under the same suspicious circumstances on floor 3A of the facility during the same time period.

Colombo said the lawyers also have an idea of who the person of interest is, but deferred to the U.S. Attorney's office to release more details. U.S. Attorney Bill Powell contacted Colombo Thursday morning to let him know Edgell's death was on their radar as one of the victims.

"Whoever this person is, and we have an idea of who it is, was giving this man unauthorized insulin intentionally trying to kill him," Colombo said. "He eventually did."

UPDATE 8/29/19 @ 6:30 p.m.

George Nelson Shaw Senior, an Air Force Veteran and former employee of the Louis A Johnson VA Medical Center in Clarksburg West Virginia, was admitted as a patient to the facility in March 2018.

Weeks later, he was gone.

USA Today broke the story of his death Wednesday night in an interview with his family.

The Harrison County residents said federal investigators contacted them last winter asking to exhume their loved one's body.

His death was suspicious.

An autopsy at Dover Air Force Base revealed his death was a homicide. The medical examiner called it death by insulin injection.

Shaw's situation was strikingly similar to the family of Retired Army Sergeant Felix Kirk McDermott.

His body was exhumed in October. An autopsy found he also died after a fatal insulin injection he didn't need.

More striking - McDermott died the day before Shaw.

David Glover is the Shaw family's attorney. The family contacted him before reports surfaced of McDermott's death.

"We're discussing all legal remedies at this time," Glover said. "That's all I can say about that. They want answers and I think they deserve those."

West Virginia's congressional delegation says a person of interest has been identified in the string of deaths.

Republican Senator Shelley Moore Capito was told the person of interest no longer works at the VA.

"My question is why were they even allowed to stay at the VA and why have they not been brought to justice?" Capito said.

The lawyer representing McDermott's family said the number of suspicious deaths could total as many as 11.

Glover said the Shaw family has not filed a claim with the Department of Veterans Affairs like the McDermott's lawyer yet. Their filing serves as a six-month notice to the federal government of an impending lawsuit.

West Virginia Democratic Senator Joe Manchin says lawmakers were told of an investigation into the VA last July, but the VA Office of Inspector General never passed along updates, including the possibility of homicides.

"We were only told about one last week," Manchin said. "Now we're finding out there are more. I've heard from 10 plus family members who are concerned about how their family members may have passed away."

Manchin said the VA Office of Inspector General has been slow to respond to requests by lawmakers for updates in their investigation.

That's something Capito said is among the most frustrating aspects of the situation.

"They've been sitting on this for a couple of months or a longer period of time without informing our office so we can help our constituents and our veterans understand the situation," Capito said.

Manchin sent a letter to Attorney General William Barr Thursday asking him to get the justice department involved. He spoke with VA Inspector General Michael Missal Wednesday.

"I said, 'A year is enough to give us answers,'" Manchin said. "Can't we at least give the family some closure?"

The VA Inspector General's only statement since the initial homicide was reported publically acknowledged the investigation but issued no additional comment.

UPDATE 08/29/19 @ 5 p.m.

A lawyer for the estate of a Vietnam veteran says the FBI is involved in an investigation of suspicious deaths at a Veterans Affairs hospital in West Virginia.

Attorney Tony O’Dell said Thursday that his client and others have indicated the bureau is involved in investigating the Louis A. Johnson VA Medical Center in Clarksburg.

O’Dell represents the estate of Army Sgt. Felix Kirk McDermott. He’s filed notice of a pending lawsuit that says the 82-year-old was wrongly injected with a fatal dose of insulin in April 2018. The death was ruled a homicide.

The FBI referred questions to the U.S. attorney’s office, which has declined to confirm or deny an investigation. The VA’s inspector general has confirmed he is investigating “potential wrongdoing.”

U.S. Sen Joe Manchin says 11 suspicious deaths have occurred at the hospital.

UPDATE 08/28/19 @ 10:15 p.m.

According to USA TODAY, a second homicide has been identified out of 11 suspicious deaths at the Louis A. Johnson VA Medical Center.

USA TODAY says that Air Force veteran, George Nelson Shaw Sr. died on April 10, 2018 at the VA hospital. Federal investigators wanted to exhume the body and examine it for foul play.

Last month, investigators found that Shaw was killed and did not die of natural causes.

Shaw's death is one of 11 deaths that are being investigated by federal authorities, according to USA TODAY.

Stick with five news as more details develop.

UPDATE 08/28/19 @ 4:36 p.m.

U.S. Senator Joe Manchin said that he spoke with U.S. Department of Veterans Affairs Inspector General Michael Missal Wednesday.

According to a release from Manchin's office, Manchin sent a letter to Missal and Department of Veterans Affairs Robert Wilkie urging them to conclude the investigation into the 11 suspicious deaths being investigated at the Clarksburg VA, one of which was confirmed to be homicide.

“In the interest of assisting grieving family members and restoring public confidence across West Virginia, I urge you to quickly complete your investigation into the potential homicides resulting from unexplained episodes of hypoglycemia at the Louis A. Johnson Medical Center (VAMC) in Clarksburg, West Virginia," Manchin wrote in the letter. "I also ask you to contact grieving family members and share as much information as you can with them. Further, I ask you to establish a crisis hotline to answer questions from impacted Veterans and their families. As of this morning seven families have reached out to me, and they deserve answers and all of our support.”

Manchin's office says that they were notiified by Missal that a medical and criminal investigation into the matter was opened in July 2018. They were informed that at least nine in-patients at the Clarksburg VA hospital had been diagnosed with significant hypoglycemia, or low blood sugar, of unclear cause over a 9 month period.

The claim filed by Tiano O'Dell says that retired Army Sergeant Felix McDermott died of low blood sugar after he received a fatal dose of insulin in April 2018.

The claim says McDermott's death was ruled a homicide after an autopsy was completed.

UPDATE 08/26/19 @ 4:45 p.m.

According to a statement by VA Inspector General Michael J. Missal, the Department of Veterans Affairs Office of Inspector General are working with federal law enforcement partners to investigate the "allegations of potential wrongdoing resulting in patient deaths at the Louis A. Johnson VA Medical Center."

The office did not comment further on the activity, however, they assure that the VA OIG works to identify urgently address allegations related to patient safety.

UPDATE 08/26/19 @ 6:05 p.m.

5 News spoke with local veteran, Ken Warman about his experience at the Clarksburg VA Medical Center.

"That facility, I hate to tell you. Worst facility I have ever been to. Hands down, of all the states I have been to. Hands down the worst. I have been treated the worst," said Warman.

According to a 2018 report by the Department of Veteran's Affairs Office of the Inspector General, officials found one sentinel event at the medical center. A sentinel event is defined by the report as a "incident or condition that results in patient death, permanent harm, severe temporary harm, or intervention required to sustain life."

Originally, inspectors found six cases that appeared to meet the criteria for sentinel events, however, after discussing with facility managers, those cases were re-evaluated.

Inspectors also found a presence of "organizational risk factors - [noted as] lack of identification, tracking, and reporting of sentinel events and disclosure of adverse events."

The report notes that these risk factors could contribute to "future issues of noncompliance and/or lapses in patient safety."


UPDATE 08/26/19 @ 1:03 p.m.

U.S. Senator Joe Manchin's office say he spoke with the Department of Veterans Affairs Secretary Robert Wilkie and Louis A. Johnson VA Medical Center Director Dr. Glenn Snider Monday about the ongoing investigation into the suspicious deaths being investigated at VAMC. One of the up to 11 deaths was ruled a homicide.

“Today I made sure to talk to Secretary Wilkie and Dr. Snider to make sure that their investigation into these deaths is accurate and thorough. I was also assured by both Secretary Wilkie and Dr. Snider that the person of interest is no longer in any contact with Veterans at the VA facility," said Manchin. "These crimes shock the conscience and I’m still appalled they were not only committed but that our Veterans, who have sacrificed so much for our country, were the victims."

Manchin says he will do everything in his power to investigate and get to the bottom of what happened.

"These families and loved ones deserve answers as soon as possible and I will make sure they get them,” said Manchin.

The claim filed by Tiano O'Dell says that retired Army Sergeant Felix McDermott died of low blood sugar after he received a fatal dose of insulin in April.

The claim says McDermott's death was ruled a homicide after an autopsy was completed.

UPDATE 08/23/19

A claim filed by Tiano O'Dell law firm says that retired Army Sergeant Felix McDermott received a fatal dose of insulin while a patient at the Louis A. Johnson VA Medical Center.

According to the claim obtained by 5 News, first reported by the Clarksburg Exponent-Telegram, McDermott was admitted to the VAMC on April 6, 2018. He died of hypoglycemia, or severe low blood sugar, on April 9, 2018. He was 82.

The claim states that employees never told McDermott's family how he died. He was buried 4 days later.

On Oct. 23, 2018, McDermott's remains were exhumed and sent to the Dover Air Force Base for an autopsy and investigation.

The autopsy completed February 2019 confirmed that McDermott was not a diabetic and that he was showing improvement in his medical condition when was injected with insulin.

The autopsy ruled McDermott's death a homicide.

The claim also states that nine or 10 other patients died of severe low blood sugar before McDermott's death.

Tony O'Dell is the family's lawyer.

"It's all very disturbing that people who served our country were being killed either extremely negligently, grossly negligently, or intentionally, and nobody has done anything about it," O'Dell said.

The claim says the VAMC breached its duty and was negligent in several ways.

The claim says their client, the estate of McDermott, is seeking damages of up to $5 million for wrongful death, $1 million for personal injuries and expenses for the funeral and other costs.

"Each time one of these deaths happened, they have an obligation to run at the ground to find out what happened, why it happened, how it could be prevented," O'Dell said.

McDermott was a Vietnam Veteran who served for 20 years before retiring.

U.S. Senators Joe Manchin and Shelley Moore-Capito released statements about the claim.

“This news is sickening and troubling," Capito said. My office has reached out to the VA to learn more details, and I will do everything I can to make sure this is fully investigated.”

5 news reached out to Congressman David McKinely's office for a statement.

“Congressman McKinley is aware of an ongoing investigation at Clarksburg by the Veterans Administration Office of the Inspector General," said McKinely's Communications Director Amanda Hyman "We hope to get more answers about this situation as that investigation progresses.”

The full claim is attached to the right of this article.


ORIGINAL STORY

U.S. Senator Joe Manchin release a statement on a claim filed by Tiano O'Dell law firm that one of the up to 11 suspicious deaths being investigated at the Louis A Johnson VA Medical Center has been ruled a homicide.

“This report is shocking and if accurate, I am appalled that these crimes were not only committed but that our Veterans, who have sacrificed so much for our country, were the victims. As a member of the Senate Veterans Affairs Committee I will do everything in my power to investigate these accusations and get to the bottom of what happened. These families and loved ones deserve answers as soon as possible and I will make sure they get them,” Senator Manchin said.

The claim states that the other nine or ten suspicious deaths are also expected to be a homicide

Attorney talks about suspicious Clarksburg VA death

MORE: Dino Colombo (Colombo Law), the attorney for the family of a man whose death was ruled suspicious at the Clarksburg VA sat down with me this afternoon. "There's no question that Mr. Edgell is a victim of someone who tried to kill him through the administration of insulin."

Posted by Josh Croup WDTV on Thursday, September 19, 2019

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