The Veterans Affairs Department says 114 patients in South Dakota are still waiting for initial medical appointments at VA hospitals and clinics 90 days or more after requesting them.
A nationwide audit found that an additional 569 people who enrolled in South Dakota's VA health care facilities in Sioux Falls, Fort Meade and Hot Springs over the past 10 years have never had appointments.
The audit of 731 VA hospitals and large outpatient clinics found that the agency's complicated appointment process created confusion among scheduling clerks and supervisors.
The audit says a 14-day goal for seeing first-time patients was unattainable given the growing demand among veterans for health care and poor planning. The VA has since abandoned that goal.