Gov. JB Pritzker on Friday addressed the findings of a new audit of the COVID-19 outbreak at the LaSalle Veterans’ Home.

An agency director who “abdicated” her duties; the lack of a comprehensive plan, poor training, education and communication; officials doing the work of multiple people and a dayslong delay in acknowledging the severity of the situation all contributed to last year’s deadly COVID-19 outbreak at the LaSalle Veterans’ Home, according to a  50-page audit published Friday that a legislative leader called “damning.”

The examination, which was performed by the Illinois Department of Human Services Inspector General Peter Neumer, shed new light on the COVID-19 outbreak that killed 36 veterans at the LaSalle facility.