By James C. Sherlock
Nursing home chains headquartered in New Jersey, New York, and Atlanta have, in the last decade, plagued Virginia with their operations here to a degree that should have proven intolerable to the Governor and the General Assembly. ย New Jersey-based Medical Facilities of America (MFA) is both the largest and the worst-performing chain operating in Virginia, but it is not alone in its practices here.
Too many facilities of out-of-state chains routinely neglect and abuse Virginians, causing patient injuries and wracked, premature deaths. ย Those are matters of public record, not conjecture. ย Many of their facilities and employees have been cited by Virginia Department of Health (VDH) inspection teams and, in some cases, the police at rates that far exceed those of their peers.
The most direct cause is a combination of understaffing and overpopulation, given existing facility staffing levels. ย That is actually a model of operation that is imposed and enforced by some chains. ย It is the core feature of a broader business model that maximizes both profits and tragedy. ย
Because of Virginiaโs weakest-in-the-nation nursing home laws, we present a target-rich environment to the unethical. ย Many out-of-state owners treat their investments as commercial real estate plays and simply do not care about patient and resident outcomes. ย Virginia regulators, restricted by the General Assembly in authority and personnel, have proven incapable of imposing penalties sufficient to deter them. ย
Strong staffing minima have been successfully implemented in nearby states. ย But none have addressed directly the specific problem posed by the understaff/overadmit business model featured by the worst chains.
We will highlight an existing option available to all states that is seldom used.













