Tag: James Sherlock
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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…
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Demographic Change and Virginia Republicans
by James C. Sherlock The author attended a Virginia Republican convention a decade or so ago. He found it strange. He had the same unfortunate experience with too many members of both parties in the General Assembly. Since then, he has avoided advising the Virginia Republican Party leadership. But here goes. Republicans will have…
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Nursing Home Staffing – What Regulators Can See
by James C. Sherlock In the last episode of this series, the author wrote about what citizens should do to choose a nursing home. He made the case that a search should use Medicare Compare to make a list of facilities in the vicinity of your search area and then use the Staffing rating to…
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What to Look For When Seeking a Nursing Home
by James C. Sherlock The first thing to know when seeking a nursing home is that the Social Security Act spells out nursing home requirements relating to residents’ rights. See here subparagraph (c). Once informed of the rights you or your loved one will have, Medicare Compare is by far the best source available to…
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Democratic Priorities in the General Assembly and Campaign Finance Reform
by James C. Sherlock It is important that Virginians understand early what the total control of the Virginia Government by Democrats will mean in legislation, whether they support the bills or not. In pursuit of that effort, the author will post each of the General Assembly Democrats’ priority bills that are pre-filed. The format for…
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Virginia Nursing Homes – Southwestern Region Update
by James C. Sherlock This article was revised on November 16 to provide a better view of the data. The format the author chose wasn’t getting the job done, so he revised it. Changes in the text are made only to reflect the updated spreadsheet. It should provide more clarity. This is the third article…
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Virginia’s Nursing Homes – Central Region Update
by James C. Sherlock This article was revised on November 16 to provide a better view of the data. The format the author chose wasn’t getting the job done, so he revised it. Changes in the text are made only to reflect the updated spreadsheet. It should provide more clarity. This is the second article…
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Virginia’s Nursing Homes – Eastern Region Update
by James C. Sherlock This article was revised on November 16 to provide a better view of the data. The format the author chose wasn’t getting the job done, so he revised it. Changes in the text are made only to reflect the updated spreadsheet. It should provide more clarity. This will be a sub-series…
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Virginia’s Worst Nursing Home Chains – Part Six – A Picture of Deceit
by James C. Sherlock “This nursing home information is confusing, mindbending, and scary. Please draw us a picture to clarify.” Well, readers are right. It is all three of those things. It is meant to be so by some people in the system. Virginia has some excellent nursing homes and chains, but those are not…
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Virginia’s Dreadful Nursing Homes – Part Five – Chain Corporate Structures and the Undoing of the Regulatory Structure
by James C. Sherlock Today, we will examine a big factor in why nursing home regulation fails. It is doomed in part by the organizational structures of chains that mask a deadly lack of corporate ethics. Government regulators not only do not stop it, but are currently helpless to do so for the simplest of…
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Virginia’s Dreadful Nursing Homes – Part Four – Recommendations For 2026 Legislation
by James C. Sherlock This series is being constructed specifically to support legislation in the 2026 General Assembly. To reiterate the legislative recommendations from Part 3: Recommended legislation Consumer protection. Right now, citizens in Virginia Beach and in other communities have no defense against poor and badly staffed nursing homes that charge too much. The…
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Virginia’s Dreadful Nursing Home Choices Part 3 – Nursing Home Costs and Alternatives
by James C. Sherlock Nursing home costs and payments are complex subjects not often explained. Patients need a place for round-the-clock skilled nursing care to continue to heal from surgeries after hospital discharge. For some, their care is too complex to get at home, or their homes are not suitable for such care. They need…
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Virginians’ Dreadful Nursing Home Dilemmas Part Two – Virginia Beach
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 Virginia’s largest city. The quality of the nursing home inventory in Virginia Beach is illustrative of that of all of south Hampton Roads and much of…