ST. LOUIS (AP) — Missouri lawmakers are raising renewed concerns about care for veterans at the John Cochran VA Medical Center in St. Louis, following a government report citing problems that included the death of a patient following a nurse’s mistake.

The Department of Veterans Affairs’ Office of Inspector General on Monday issued a report that identified leadership problems in the hospital’s hemodialysis department. It issued six recommendations for improvement.

Messages left with the Cochran center were not returned. But a response to the report said recommended changes have been implemented.

In one case, a nurse failed to report changes in the condition of a 57-year-old hemodialysis patient with end stage renal disease. The patient died the next day.

Republican Sen. Roy Blunt called continued problems at Cochran “unacceptable.”

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