by James C. Sherlock
This article will explore a single geographic area, Virginia Beach, to focus on what nursing home choices mean in practice to the citizenry of Virginiaโs largest city. ย
The quality of the nursing home inventory in Virginia Beach is illustrative of that of all of south Hampton Roads and much of Virginia. Offered below is an overview of the fifteen nursing homes in my city. The for-profit chain nursing homes here, eleven of 15, present an enormous challenge to citizens and to state oversight. The state is challenged because all are owned by out-of-state chains.ย
Except as noted, all facilities listed offer both skilled nursing beds certified for Medicare and long-term care beds certified for Medicaid. Many of the beds can be flexed to either purpose. Each may accept other insurance or out-of-pocket payments.ย
Virginia Beach (2) and Norfolk (2) general hospitals are all Sentara facilities. They are included among five Sentara general hospitals of the total of seven in south Hampton Roads. Both regional trauma centers are Sentara hospitals. Sentara exited the nursing home business in November of 2020, when it closed on the sale of all seven of its nursing facilities to Saber Healthcare. That healthcare system now faces the same mostly dreadful choices for patient transfers to skilled nursing after surgery as do its patients. ย
Most if not all hospitals in Virginia have contracts with nursing homes and also recommend nursing home options to patients seeking one. Some, like Sentara, are vertically integrated with insurance companies that have contracts with nursing homes. ย
Patients, and the government, have no idea what terms their nursing home contracts specify. Perhaps they should.














