by James C. Sherlock
Patterns of understaffing, medical harm and abuse in nursing homes are traceable:
- in some cases to a business model of understaffing to increase profits. Federal fines are built into the business models of the bad actors. Some of the worst post double-digit annual operating margins;
- in some to other systemic chain-wide issues, perhaps financial instability; and
- in yet others to local management incompetence and other site-specific issues.
Regardless of the reason, Virginia regulators and law enforcement agencies must execute the roles they are legally charged to perform.
State sanctions must be levied.
- The Health Commissioner can block the admission of new patients until staff levels support them or shut down those facilities that do not meet standards over a long period of time;
- The Department of Medical Assistance Services (DMAS) can suspend or halt Medicaid payments;
- The Attorney General can prosecute for civil or criminal violations.
Enforcement will result in fewer, but better and safer options. (more…)






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