Tag: James Sherlock
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Getting Control of Nursing Home and Autism-Treatment Chains
by James C. Sherlock Virginia is awash with out-of-state nursing home and behavior-analysis chains operating as LLCs. Our state regulators know little to nothing about them and have no control over their presence in Virginia because they are not licensed by those regulators. The problems we are experiencing in both industries are centered on rogue…
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Did Anyone Even Notice?
by James C. Sherlock As a good citizen, this author was about to send a courtesy copy of today’s article, “Autism in Virginia,” to the Virginia Behavior Analyst Advisory Board, which helps the Board of Medicine regulate licensed behavior analysts. He found that the Behavior Analyst Advisory Board hadn’t met in a year. It…
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Autism in Virginia
by James C. Sherlock Autism therapy is the wild west of medical qualifications and spending. Autism is real, but industry professionals and the non-profits who lobby for limitless autism spending have richly earned widespread skepticism of the industry by not policing their own. They have created a closed loop for eternally increased spending: The profession…
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Nobody Home
by James C. Sherlock Last week, I conducted a short field survey in Virginia Beach of four businesses registered with the federal government to bill Medicaid as providers of Applied Behavior Analysis (ABA) (i.e., autism) services. Each is headquartered in Lakewood, NJ. Lakewood is, of course, the location of the Medical Facilities of…
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Government Oversight of the Integrity of Healthcare Programs in Virginia – Part 1
by James C. Sherlock This author’s unbroken experience over many years has been that majorities in the General Assembly have sought to protect the healthcare industry from competition (COPN) and leave it alone to operate as it sees fit. They have not wanted oversight because many of their largest donors and most influential constituents in…
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Coming Soon to a 2nd Grade Classroom Near You – Critical Whiteness
by James C. Sherlock Marx believed the economic system determines the nature of social, political, and intellectual life. The University of Virginia (Main Campus) School of Education and Human Development has established itself as a leader in Marxist thought in education. This author thinks that Virginians will learn from that school’s “Critical Whiteness Study…
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A Consequential Fight
by James C. Sherlock Michael Martz of the Richmond Times-Dispatch published an excellent report April 15 detailing the three-way fight among Governor Abigail Spanberger and various Democrats in the Virginia Senate and House of Delegates over the budget. The Governor proposed “hundreds of changes” to the competing budget bills proposed by each chamber. Long story…
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The General Assembly is Looking for Experts
by James C. Sherlock This is yet another story of state-sanctioned corruption by elected politicians serving the interests of the nursing home industry. New players, same play. That industry, led this time by out-of-state chains, has once again found it cheaper to buy the votes and influence of senior members of the General Assembly with…
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The Virginia Senate’s Louise Lucas Dilemma
by James C. Sherlock Scandals can have real victims. This one certainly does. The victims are poor people with intellectual and developmental disabilities, people who citizens think and hope are cared for by our Medicaid dollars under the Americans with Disabilities Act. A politically powerful member of the Virginia Senate has failed them in her…
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Betrayal 5 – Lucas Lodge LLC
Photo: Lucas Lodge Residential 4-Person Group Home by James C. Sherlock This is a real-life horror story. One hundred and two serious incidents with injuries reported since 2019 by a single provider of community-based residential services whose tiny houses host a maximum of 24 intellectually and developmentally disabled adults at a time. Not counting…
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Betrayal 2 – The Virginia General Assembly
by James C. Sherlock People, including our elected representatives in the General Assembly of Virginia, might not know that the Commonwealth is subject to a permanent federal court injunction requiring compliance with the Americans with Disabilities Act (ADA). The “Commonwealth of Virginia” is enjoined, not just the executive branch. The author herein informs the…
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Out-of-State Donors Push Nursing Home Campaign Contributions to New Heights
by James C. Sherlock “Organizing for Virginia Seniors” has jumped to number two on VPAP’s list of Top Political Donors in Virginia behind Dominion Energy. The funding for “Organizing for Virginia Seniors” comes from New York and New Jersey nursing home chains, about which this author has been less than complimentary. And then there…
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The Busiest Physician in Virginia
by James C. Sherlock In the first article in this series, the author revealed the names of the medical directors of each of Virginia’s nursing homes and the hours of medical director time for each facility as reported in the second quarter of 2025. Almost half of Virginia’s nursing homes reported zero hours from their…
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Is There a Doctor in the House?
Part 1: Medical Directors by James C. Sherlock The active presence of the medical director in a nursing home is vital to maintaining the quality of care. By overseeing medical practices, implementing care policies, ensuring compliance with professional standards, and, if required, butting heads with facility administrators and owners, the medical director plays a crucial…
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Massive Infusion of Rural Healthcare Funds will be a Magnet for Waste and Fraud
by James C. Sherlock The Trump administration has announced that Virginia will receive $189,544,888 for 2026 alone to improve rural healthcare. That figure is based on an application made by the Youngkin Administration that specified how it would be spent. That is just a down payment. The Rural Health Transformation Program’s $50 billion…