by James C. Sherlock
Readers have stuck with me for a long time as I have reported on the dire state of many of Virginiaโs nursing homes. ย
Recently the employees of one of the worst have been charged with abuse and neglect in the death of a patient. Her suffering was what can only be called medieval.
Virginia political corruption. I have focused heretofore almost entirely on the failures of state and federal regulators and videotaped corruption in the Virginia General Assembly.
The nursing homes, like the hospitals and other interests, get influence in the General Assembly the old-fashioned way. They buy it. ย
Virginia is one of only five states with no limit on campaign donations. ย
The state regulator, the Virginia Department of Health, has been sabotaged by bipartisan majorities in that Assembly for decades. ย
- The General Assembly this year passed a bill to deny the Health Commissioner authority to levy penalties. They left her with the authority to grant state licenses to nursing homes but not to revoke them for cause. I must admit the bill showed imagination. I have never heard of such an arrangement in any other state or situation other than this attempt to shield Virginia healthcare facilities from regulatory oversight. I have recommended the Governor veto it
- The VDH inspection staff for licensing of healthcare facilities and services is the Office of Licensure and Certification (OLC). It also serves under contract to the federal Center for Medicare and Medicaid Services (CMS) to survey Virginia hospitals, nursing homes and home health agencies to ensure compliance with federal regulations. That staff has purposely been starved of funding by the General Assembly for nearly five decades. It has less than half of the highly experienced people necessary to do its job.
The feds. CMS refuses to use their vast data troves on nursing homes for enforcement of regulations. It instead has based its system of federal sanctions on the results of what are expected to be highly specified and detailed annual health surveys of each facility by the state regulator staffs who look for violations of federal regulations. But CMS takes that to an absurd level. For but one example:












