I know someone that worked at one of the "top rated" VAs in the US, she said it was fucking insane and only lasted 3 months before quitting and going to work at a normal hospital.
They'd have morning meeting and a nurse would be screaming at her boyfriend on her phone during a meeting of 10 people in a small room and the managers would do nothing about it. Tons of garbage in the halls/rooms that no one would bother to pick up, even janitors that were part of a different area would just pass right by something that would take 30 seconds to clean up wouldn't even if they weren't doing shit with managers doing nothing about it. Doctors/specialists that were contracted from other hospitals to come in never showing up for assignment/appointments and still getting paid $400k a year for doing so.