by James C. Sherlock
A terribly injured 33-year-old homeless male schizophrenic recently was found lying hidden in a church in Chesterfield County.
He was discovered with multiple displaced fractures in the lower pubic bone, a break on the left side of the sacrum (base of the spine), a large amount of blood in his pelvis, a nondisplaced fracture in the back part of the T5-T6 vertebrae and many other serious injuries. He was wearing both a catheter and a colostomy bag.
He had previously been admitted to and discharged from Virginia Commonwealth University Medical Center (VCU) with those injuries. It is at least unusual, and in most cases prohibited, for nursing homes to accept patients with schizophrenia. Yet upon discharge from VCU, the man had been admitted to and discharged from two skilled nursing facilities, Hanover Health and Rehabilitation Center (Hanover) and Colonial Heights Rehabilitation and Nursing Center (Colonial Heights).
Each is run by New Jersey-based Medical Facilities of Virginia (MFA). Each, thus unsurprisingly, is rated one star of five by Medicare for staffing. Neither has recently reported having mental health support capabilities.
The medical journey of that unfortunate patient would be literally unbelievable had it not occurred.
- He was transferred from VCU to a skilled nursing facility without a history of providing mental health services, from there to another skilled nursing facility with a similar history, and finally discharged from that one onto the street with his horrific and life-threatening injuries;
- He was not transferred from VCU to Hiram W. Davis Medical Center (Davis) in Petersburg. That state hospital had the distinct advantage of actually being able care for him.
So many questions.














