by James C. Sherlock
Nursing facilities in Virginia offer an incredible mixed bag. There are heroes and villains. Much to see here.
This column will offer expansive views of government data on each of the 286 nursing facilities in this state.
I found out a lot things that really matter to the quality of a nursing facility in Virginia. And a lot of things about government oversight. nd government insurance payments.
From the visualization aids I provide, so will you.
- You will find absolutely outstanding facilities.
- You will find others that have fallen so short of government standards for so long that you will wonder why Virginia does not revoke their licenses.
- You will see the nursing homes in your region.
- You will see which chains deliver excellent facilities and which do not, apparently as business models in both cases. Many chains tend to be consistently good or consistently bad. They are color coded in the “Group Ownership” column based upon the overall performance of the chain.
- Take a look at the staffing star ratings. Those are based on quarterly filings of data that is linked to payrolls, so it is relatively up to date and relatively accurate. One- or two-star staffing is a very bad sign.
- You will see the stunning outperformance of nursing facilities in continuing care facilities in Virginia, also as a function of business models.
- Nursing home inputs — people — enter nursing homes in much different physical conditions and ages. You will see that where you live is a statistical predictor of health. And therefore of the nursing home challenges in areas of poor health. Which tracks with areas of poverty. And low government insurance payments.
Finally, take a look at the Inspection activity.
It reflects the massive understaffing of the VDH inspectors. Look at the “Last standard (full) health inspection” column. You will see coded in red that 42 (15%) of Virginia’s nursing facilities have not been fully inspected since 2018. The federal requirement is once a year.
You will be convinced by the data that strict and timely government oversight is required to ensure, and ensure Virginians of, of nursing facility quality.
The state must fix the statutory and budget issues that have resulted, purposely, in Office of Licensure and Inspection staffing shortfalls. Continue reading
Absolute Percentage Difference Between 2020 Projections and Census Count. Source: StatChat
The Weldon Cooper for Public Service at the University of Virginia, in charge of the state’s demographic count, has given itself a pat on the back for its ten-year projection of 2020 Virginia population. The self congratulations are probably deserved.
Weldon Cooper’s projection was only 0.27% higher than the Census Count. The actual population increase was 7.4% between 2010 and 2020. Also, projections for 90% of Virginia’s localities fell within 5% of the actual count.
Making population projections is a tricky business. Check out Shonel Sen’s discussion on the StatChat blog to get an idea of the challenge. The projections are used by a wide variety of state agencies for planning purposes, so accurate forecasts are important.
Click for larger view.
by A. Fletcher Mangum
A. Fletcher Mangum
Virginia’s employment growth has been underperforming the national economy for quite some time. As shown in Figure 1, soon after the recovery from the Great Recession began in earnest in 2011 Virginia’s year-over-year growth in total employment uncharacteristically fell behind the national economy and even briefly went negative in 2014.
Then in early 2020, just as in the rest of the country, economic conditions in Virginia changed drastically when the governors’ lockdowns of economic activity were imposed in response to the pandemic. Between March and April of that year nearly 20 million jobs were lost nationally (or approximately one out of every eight jobs in the country), while in Virginia the employment loss was 428,000 jobs (or approximately one out of every nine jobs in the state). Virginia was not as badly hit as the nation as a whole because of its heavy dependence on federal employment and contracting (which were not significantly impacted by the lockdowns) and disproportionate employment in the Professional and Business Services sector (where people were better able to work remotely).
However, history is now repeating itself as Virginia once again falls behind the nation in the recovery and that trend is getting worse. In April of this year, when year-over-year employment growth turned the corner and moved into positive territory nationally, Virginia trailed the pack and continues to do so. In April Virginia ranked 41st among the states in year-over-year total employment growth, gained ground to hit 32nd in May and 30th in June , and then fell back to 39th in July and all the way to 47th in August. Continue reading
Source: Virginia Public Access Project
If you’re applying to one of Virginia’s four-year colleges, you stand the best chance of being admitted if you come from a non-metropolitan area, judging by this map compiled by the Virginia Public Access Project on the basis of recently published State Council of Higher Education for Virginia data. The odds are best of all if you come from one of Virginia’s coalfield counties.
Of the 74 students from Dickenson County who applied to a Virginia college in the 2019-20 and 2020-21 academic years, 97.4% were admitted somewhere. That compares to a 71.1% admittance rate for Fairfax County students. On the other hand, the number of Fairfax students applying to college was immeasurably larger — more than 22,000. Continue reading
D.C. Statehood. There has been a long running chorus of cries for D.C. residents to have full representation in Congress. From “Taxation Without Representation” slogans on D.C. license plates to the Biden Administration’s calls for DC to become the 51st state … this debate has gone on for a while. Most discussion devolves into pure politics. D.C. would bring two more liberal U.S. senators and a liberal U.S. Representative who can vote. People either love or hate that idea. Back in May I wrote a column on this blog about Northern Virginia joining D.C. in the 51st state. In this column I’d like to put aside the politics and focus on the ethical considerations for making D.C. a state.
Because they’re Americans. The nearly 700,000 residents of Washington, D.C., pay their full share of federal taxes. Residents of D.C. were subject to be drafted in times of war, fought and died in our country’s battles and are required to obey all laws passed by Congress. In other words, D.C. residents have all the responsibilities of American citizenship. However, they are not represented in the U.S. Congress. They have no senators and their one representative can’t vote. The biggest ethical reason to make D.C. a state is so its citizens have all the rights of being American, including the right to representation in Congress. Continue reading
by James C. Sherlock
Many are fascinated with the nationally infamous Loudoun County School Board. Board members seem preoccupied with driving social change without pausing to look at data.
I have thought someone ought to check how the Loudoun students have been faring in SOLs to see if there are academic issues that need to be addressed.
State data show that in too many Loudoun high schools Black, Hispanic, immigrant and the poor students performed poorly in math SOLs. The data are presented relative to state average math SOL pass rates for those cohorts, which in many cases themselves are very disturbing in an absolute sense.
It is not a resource problem.
Loudoun is the nation’s richest county in median household income and neighboring Fairfax County is among the top few. Median household incomes in Loudoun were $142,299 and Fairfax $124,831. The state average median household income was about half Loudoun’s.
Again as before, 2018-19 remains the base year for assessments because that was the last year that SOLs were not interrupted by COVID and subsequently the last year for which the state has district and individual school evaluation data.
The Loudoun County School Board and its school superintendent need to investigate why students in all racial and social cohorts in profoundly poor Wise County in Southwestern Virginia crushed Loudoun students in high school math SOLs.
Maybe they will learn something. And then perhaps the students will.
You know, real school board work. Continue reading
State flag of New Columbia (including NoVa)?
By Don Rippert
Taxation without representation. The Democratic Party’s control of Congress and the White House has reopened the question of statehood for Washington, DC. This is not a new issue. The question of statehood for D.C. has been actively debated since 1980. Since the 98th Congress, more than a dozen statehood bills have been introduced. Two made it out of committee. The closest any bill came to success was a 1993 effort that was defeated 277 to 193 in the US House of Representatives. Support for D.C. statehood lies almost entirely along party lines with Democrats favoring statehood since it would yield two U.S. Senators and one Representative — all of whom would almost certainly be liberal Democrats. Republican opposition has been insurmountable over the years. Maybe a major repackaging of the idea of statehood for D.C. could break the logjam. Continue reading
Hamilton Lombard. Photo credit: UVA Today
by James A. Bacon
Northern Virginia’s population is growing, but not nearly as fast as before. According to a new study by University of Virginia demographer Hamilton Lombard, Northern Virginia accounted for 66.5% of the state’s population growth between 2010 and 2019, but slipped to 33.7% in the last year.
“While Northern Virginia is still growing in population, its recent slowdown is remarkable given how long so much of Virginia’s population growth has been concentrated in Northern Virginia,” Lombard said in an interview with UVA Today. “Since 1980, Northern Virginia has contributed to over half of the commonwealth’s entire population growth. Earlier in the 2010s, over two-thirds of Virginia’s population growth occurred in Northern Virginia.”
“Yet, since the mid-2010s, population growth in Northern Virginia has slowed considerably as more residents have left the region, often moving to other Southern states,” Lombard said. “Some of the initial out-migration may have been driven by the federal budget sequestration and shutdowns, which slowed growth in the region’s economy.”
Northern Virginia has driven demographic, political and economic change in Virginia over the past three or four decades. The region now dominates the state in much the same way that Chicago overshadows the rest of Illinois and New York City runs the Empire State. A marked slowdown in the region’s growth could have momentous consequences for Virginia’s economic prosperity and political economy. Here’s the big question: Was 2020 a transitory blip or does it portend longer-lasting changes? Continue reading
by James C. Sherlock
Since 2013, Mississippi has made unprecedented, best-in-the-nation improvement in the academic achievements of its children starting as measured in nationwide testing. The improvements were especially pronounced in 4th graders who benefited directly from its 2013 literacy law.
I have done a deep dive into those results and traced them back to public policy. There are actionable lessons for Virginia school districts seeking improvements in the literacy of their students. Mississippi has far better school literacy laws, and a markedly better Board of Education and education strategic plan than Virginia.
Fundamentally, Virginia is going in a different direction than Mississippi in terms of child academic achievement because the Governor, the General Assembly and Board of Education want it that way. It is simultaneously going in a different direction in measures of child academic achievement. Continue reading
By Peter Galuszka
I haven’t contributed much to BR lately since I am slammed with non-Virginia work. I did manage to help out on a Podcast about how the General Assembly has changed the state over the last two years as Democrats have gained power.
This Podcast is produced by WTJU, the University of Virginia radio station. I do a weekly talk show on state politics and economics and, on occasion, work on Podcasts.
Joining me is Sally Hudson, a delegate from the Charlottesville area. She is Assistant Professor of Public Policy, Education and Economics. Sally studied at the Massachusetts Institute of Technology and Stanford and is one of the youngest members of the General Assembly.
I hope you enjoy it.
Posted in Agriculture & forestry, Blogs and blog administration, Budgets, Business and Economy, Consumer protection, Courts and law, Demographics, Economic development, Energy, Entrepreneurialism, Environment, Finance (government), General Assembly, Health Care, Housing, Immigration, Individual rights, Infrastructure, Labor & workforce, Land use & development, Politics, Poverty & income gap, Property rights, Public safety & health, Race and race relations
Source: UVa Weldon Cooper Center; statchatva.com
by Shaun Kenney
For those who have taken the opportunity to get to know the Old Dominion, one would be well served to drive the Colonial Parkway.
Built by the Rockefeller family in the 1930s, the road is designed in such a way that you could travel the length from Jamestown through Williamsburg and to Yorktown without even so much as noticing the colonial capital.
This is by design, of course. Yet it is also a way of understanding how unique Virginia is among her sister colonies turned states. Whereas New England built townships upon the rocky yet rich black soil, Virginians built farms and plantations upon cheap land, pushing further west when the soil gave out or new opportunities arose.
Townships and cities were the oddities.
For almost 400 years, this concept of Virginia was Virginia. We were an agrarian society of farms and farmlets, ranchers and miners, fishermen and merchants. True, we built a great manufacturing city in Richmond and a great port at Hampton Roads — our own Athens and Piraeus — but much like our Colonial Parkway, these major ports could go unnoticed. Continue reading
by James A. Bacon
The Joint Legislative Audit & Review Commission has updated its scoreboard comparing Virginia on key metrics to other states — a project championed by Sen. Tim Kaine when he was governor. The idea was to allow Virginians to track the progress of the commonwealth in comparison to peer states on the basis of metrics of spending, taxes, and social well being.
There’s a lot to explore in this database, and I’ll highlight other metrics in future posts. But today, let’s focus on state and local taxes per capita — the most important measure of the size and scope of government. (It is an incomplete measure, to be sure; it does not include indirect levies such as high electric rates to advance green energy goals, but it’s what we have.)
Bottom line: Virginia, once considered a low tax state, has moved into the top 50%. As of Fiscal Year 2018, the most recent date for which JLARC collected data, Virginia ranked 24th in the country at $4,994 per capita in state and local tax collections. But there is another way to spin the data… Continue reading
Mark-Paul Gosselaar (left) and Alexis Bledel.
by James A. Bacon
America’s media and cultural elites are increasingly obsessed with race and ethnicity, viewing every public policy issue through a racial prism. But the American people aren’t cooperating. In their real-world behavior, race and ethnicity are becoming less important. The distinction between “whites” and “Hispanics,” never clear to begin with, is steadily eroding. Meanwhile, the increase of intermarriage between all racial/ethnic groups has given rise to a category of people, numbering in the millions, who identify as members of two (sometimes more) races.
Those are the thoughts that come to mind as I read Hamilton Lombard’s latest contribution to the StatChat blog about the misleading narrative of a disappearing white majority.
As Lombard writes, media headlines have touted a population tipping point in which the “white” majority of Americans will be overtaken numerically by minorities of other races and ethnicities. This narrative, I would add, has fed the fears of white supremacists who vow they will not be “replaced” as well as the aspirations of leftist politicians who believe they can ride minority grievances to power. Continue reading
by Carol J. Bova
The last thing the government needs to do is polarize citizens by prioritizing COVID-19 vaccination for favored races and ethnicities. Statements like those of Harald Schmidt, assistant professor in the University of Pennsylvania Department of Medical Ethics and Health Policy, amount to reverse racism.
“Older populations are whiter,” said Schmidt, as quoted in the New York Times. “Society is structured in a way that enables them to live longer. Instead of giving additional health benefits to those who already had more of them, we can start to level the playing field a bit.”
Those who decide who gets the vaccine should not consider race or ethnicity. Health departments should target those who, by virtue of their occupations and age, are the most vulnerable to catching and spreading the virus. Where possible, because there won’t be enough vaccines to do everything right away, priority should be given to those who, by virtue of their age and co-existing conditions, are most vulnerable to dying from it. Insofar as African Americans and Hispanics disproportionately work in exposed occupations or suffer from medical risk factors, they will be more likely to qualify for a vaccine — but not because of their race and ethnicity.