• A Solution for Effective Nursing Home Oversight

    A Solution for Effective Nursing Home Oversight

    Cutting the Gordian Knot

    by James C. Sherlock

    An overarching fact often overlooked is that the for-profit nursing home industry is the creation of Medicare and Medicaid. Few for-profit facilities and chains existed before the passage of those programs in 1965. Yet it is for-profit systems that overwhelmingly commit abuses. ย 

    Government oversight has proven an abject failure across much of the country and certainly here.

    In Virginia, in what started in October of 2024 as a police investigation of reported elder abuse, the Administrator and the Director of Nursing at Colonial Heights Rehabilitation and Nursing Center (Colonial Heights) were arrested in December of 2024 along with 16 other employees. They were joined on the docket in January of 2025 with the arrest of the facility Medical Director. ย 

    Police allege that a 74-year-old patient with cerebral palsy and diabetes was maltreated at the facility that resulted in her death. Among the charges are felony neglect and abuse, falsification of records and obstruction of justice. ย 

    The government alleges a sequence of events truncated below:

    • she was admitted to Colonial Heights;
    • she suffered a pressure ulcer caused by not being repositioned in her bed by nurse assistants;ย 
    • the ulcer was not properly treated;
    • she was readmitted to a hospital;
    • she was diagnosed there with sepsis acquired at Colonial Heights; and
    • died as a consequence.

    That exact sequence, assuming it happened that way, was predictable from government records. ย 

    Colonial Heightsโ€™ score on quality measure ย S_039_01: Percentage of infections patients got during their SNF stay that resulted in hospitalization during the period Oct. 1, 2022 to Sept. 30, 2023 ย was 15.38%. Nearly one in every six Medicare patients was re-hospitalized for infections acquired at Colonial Heights. Innovative Healthcare Management (now Lifeworks Rehab) was in charge during the entire grading period. That performance is noted in the record as ย โ€œworse than the National Rate.โ€ In government-speak, that means bottom 10% nationally.ย 

    That is hardly the only notice of danger the government had. They knew the facility remained grossly understaffed and very crowded. ย 

    VDH’s inspectors – nurses and other professionals:

    • report regularly and cite in detail abuses of helpless people. Their observations are called citations for a reason. The facilities are cited for violations of specific federal laws and regulations.
    • The facilities then promise never to do it again. Case closed. ย 
    • Until the next serious patient complaint or routine inspection. ย 
    • When the facility is cited again and again promises to reform. The state accepts those assurances without even a revisit to check.

    That passes for oversight here.

    Those inspectors conducted a complaint inspection of Colonial Heights that was in progress on the day of the police raid. The resulting report of deficiencies is 341 pages long. Every word of it details federal law and regulation violations.

    Colonial Heights isnโ€™t even the chainโ€™s worst facility in Virginia. That honor goes to Special Focus Facility Henrico Health & Rehabilitation Center, the worst nursing home in the state.ย 

    Nothing effective was done by the owners of Colonial Heights to fix the well-documented problems before that womanโ€™s death. The government proved helpless to stop it. It remains so.ย 

    I think I may have landed upon a solution that will work. (more…)


  • Judge Harrisonburg Council on Link Vote

    by Joe Fitzgerald

    Those who miss daily journalism could probably name the stories that have slipped under the radar this year. One is the countyโ€™s attempt to take over Massanutten Technical Center and the cityโ€™s decision to reject their bullying. Those who managed to keep up with the details knew the split was inevitable, with the only mystery being whether county officials thought theyโ€™d be successful in their takeover or if their behavior was intended all along to drive the city out of the facility.

    The other story that almost slipped past the turnstiles was The Link, a massive student housing project downtown. The City Council will hold a public hearing on the project Tuesday night. It would be beneficial to the city as a whole if everyone who plans to vote in the next two City Council elections would attend or watch the meeting.

    Many people may vote in those elections based on the outcome of the rezoning request from the out-of-town developers. If itโ€™s approved, incumbents may lose the votes of the thousand whoโ€™ve signed a petition against The Link and the hundreds more who tried to sign after the petition software failed. If the rezoning is denied, those same candidates may lose the votes of those whoโ€™ve accepted the developerโ€™s glib promises of a car-free paradise full of JMU students taking the bus to the grocery store.

    In a perfect world, citizens would not vote based on a single project, but on the qualifications of the candidates, and itโ€™s there that Tuesday night could be instructive.

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  • Spanberger Support for Mandatory Union Jobs Not “Moderate”

    With a PLA in place, these jobs
    likely would not be going to Virginians.

    By Chris Braunlich

    Democratic gubernatorial candidate Abigail Spanberger wants voters to believe sheโ€™s a moderate.

    Thatโ€™s understandable.ย  At a time when the Democratic Partyโ€™s favorability is at 33 percent and with an avowed socialist as the partyโ€™s nominee in the most highly visible election in the nation, the smart money is for Democrats in Virginia to run far from their partyโ€™s reputation.

    She is especially anxious to re-assure large and small employers of her โ€œmoderation,โ€ making much of her announcement that she would not โ€œrepealโ€ the stateโ€™s Right-to-Work law, but was merely open to โ€œreform.โ€ย  The problem for Ms. Spanberger, however, is that as a Member of Congress she voted multiple times for the PRO Act, a bill that would repeal Virginiaโ€™s Right-to-Work law, creating negative consequences for the employment rate.ย 

    Voting records are annoying reminders of where one stands, so in a further effort to credential herself as a moderate, Ms. Spanberger recently released her plan for economic growth, the Growingย Virginia Plan.ย  As blogger Jim Bacon notes, most of the plan โ€œdoes little more than restate the aims of existing state programs in workforce development, international trade and marketing.โ€

    But while it uses soothing moderate language (โ€œcultivate a supportive business environmentโ€ and โ€œgrow Virginiaโ€™s economy the right wayโ€), a core of the proposal is anything but soothing or moderate โ€“ at least not for Virginia workers or the people who hired them.

    Hidden in one paragraph on page four are essential promises reversing any good that might be done by the rest of the plan โ€“ prime among them a commitment to use Project Labor Agreements (PLAs) for large state construction projects.

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  • Stand Up to Big Data-Center Money

    by Chap Petersen

    On December 11, 2023, a small group of citizens stood outside the Prince William County Government Complex, distributing a letter delivered to the County Board that morning. The letter, drafted by your humble correspondent, pointed out that the County had failed to properly advertise its upcomingย December 12th public hearing re “the Digital Gateway” — the largest data center park in human history — and, therefore, any result wouldย be void.

    The next day, the late Bob Weir (R-Gainesville) formally asked the Board to set the hearing back two weeks. The motion was defeated. Afterย a 27-hour hearing, the “lame duck” Board approved the Digital Gateway on a 4-3-1 vote.

    The message was clear: the County and the data center developers had all the money and all the power. Who was going to stop them?

    This week, that person stepped forward: Circuit Court judge Kimberly Irving. In a brilliant 18-page opinion, Judge Irving affirmed the obvious, i.e. the County had violated state law in proceeding with the December 12th hearing and it was not entitled to any legislative exception.

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  • Jeanine’s Memes

    A humorous meme featuring a robot resembling a John Deere tractor, with a caption discussing who will pick crops, referencing Tesla's fictional 'Juan Deere-3000' robot.

    Find more memes at The Bull Elephant.


  • What Goes Around, Comes Around

    by Dick Hall-Sizemore

    Mark Christie Photo credit: Richmond Times Dispatch

    The Richmond Times-Dispatch had an interesting article about Mark Christie. Christie served a member of Virginiaโ€™s State Corporation Commission for 20 years until Trump appointed him to the Federal Energy Regulatory Commission (FERC) in his first term. In January, Trump named Christie to head FERC. Then, in June, Trump fired Christie without explanation.

    In the article, Christie has some important comments and warnings regarding the production and regulation of energy in the Commonwealth.ย I am not qualified to weigh in on those topics, but I do have a bone to pick with Christie on another matter.

    Christie came to Virginia state government as a senior member of Gov. George Allenโ€™s staff.ย A large part of Allenโ€™s campaign for governor was devoted to tearing down government.ย In his inaugural address, he lamented that state government was too big and had โ€œlost touch with the people.โ€ He complained about the โ€œheavy, grimy boot of excessive taxation and spending and regulation.โ€ย He declared, โ€œIn recent times, the will of the people has been frustrated by an unholy alliance of well-heeled interests, entrenched bureaucrats, and political opportunists.โ€ย He eliminated 5,500 state positions, five percent of the workforce, through buyouts.

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  • Fairfax School Staff Accused of Procuring Abortions for Students Without Notifying Parents

    A young woman sits on a bench in a dimly lit area near a lamp, looking pensive and contemplative.

    by Kerry Dougherty

    If ABC news reports are true – that Fairfax county school staff arranged and bankrolled abortions for pregnant students in 2021 without informing the girlsโ€™ parents — the state should come in and take control of the district.

    People need to go to prison for this.

    FAIRFAX, Va. (7News) โ€” Fairfax County Public Schools (FCPS) tells 7News Reporter Nick Minock that they are launching an investigation into claims that school staff arranged abortions for students and didnโ€™t tell their parents.

    This story has blown up on social media — a report that says school officials at Fairfax Countyโ€™s Centerville High School arranged and bankrolled abortions for girls without so much as a phone to their parents back in 2021.

    The report says one of the two girls involved was 17 years old.

    Iโ€™d say this is shocking, unbelievable even, but itโ€™s not. Everyone knows public schools are in the control of far-left teachers unions and administrators that work together to undermine parental rights.

    Shoot, Terry McAuliffe lost his race for the governorship in 2021 over that issue. The rim shot came during a debate with Glenn Youngkin. The words that cost McAuliffe the election?

    “I don’t think parents should be telling schools what they should teach.โ€

    Virginia voters disagreed.

    While most of the commonwealth has embraced parental rights, several Northern Virginia school districts have resisted. Continue reading.


  • Bidding Up the Price of Buying Virginia’s Legislature

    by Steve Haner

    Speaker Don Scott, $1.55 Million from Dominion Energy

    As of the last round of campaign finance reports, Dominion Energy Virginia is smoking its political nemesis Clean Virginia in donation totals, with more than $11 million given compared to $3.2 million. At $14.3 million in combined donations, the two are well on their way to matching or exceeding the $23 million they spent two years ago. ย 

    What is this unrestrained bidding war accomplishing? A powerful monopoly utility is getting much more powerful, and Virginiaโ€™s political process is taking on a deeper odor of corruption. It is important for those who think facts and arguments and public input decide issues at the General Assembly to get a dose of realpolitik.ย 

    The reports available on the Virginia Public Access Project track giving through the end of June, and the next round of reports will add in the totals for July and August.ย  Those are due September 15, just as early voting starts.ย  The amounts discussed here are just for this election cycle, donations in 2024 and for 2025 through the primary.

    Attorney General Nominee Jay Jones,
    $1.1 million from Clean Virginia

    The House of Delegates and the three top statewide offices are on the ballot this year, but the state Senate is not. Despite that, Dominion has made large contributions to several senators in both parties, mainly those in leadership positions or on committees that consider energy bills.ย 

    Virginia law allows all this. Virginiaโ€™s voters tolerate all this. Nobody really tries to make it a political issue because the powerful floor leaders and committee chairs in their own parties are the ones taking the money. Some cash has gone to campaign accounts and some to leadership political action committees, used to reinforce their power with their peers. ย โ€˜Tis a distinction without a difference.

    (more…)


  • Norfolk Baby Killer Gets 19 Years Max

    by Kerry Dougherty

    Little Iijayah Johnson spent only nine days on earth. 

    Her short sojourn was hell. Death, when it came, may have been a relief to her tiny battered body.

    According to news reports, when Iijayahโ€™s parents brought her lifeless body to Childrenโ€™s Hospital of The Kingโ€™s Daughters in Norfolk on the 4th of May the infant had several broken ribs, deep โ€œpartial thickness burns on her feet,โ€ a blunt force trauma to her head, โ€œhealing cuts on her face and headโ€ and bruises on her back.

    When asked the date of the babyโ€™s birth, her parents reportedly laughed, as they โ€œstruggled to remember.โ€œ

    Are you sick yet?

    It gets worse. 

    On Wednesday Norfolk Circuit Court Judge Jamilah LeCruise accepted a guilty plea from the newbornโ€™s father, Hilary Darnell Johnson II. In it, the 24-year-old pleaded guilty to 2nd degree murder. In exchange Norfolk prosecutors dropped charges of child abuse and neglect and agreed to a prison sentence that โ€œshall not exceed 19 years.โ€

    Nineteen years. 

    He will be sentenced in October. The judge could give him fewer than 19 years.

    Unthinkable.

    In Virginia, 2nd degree murder carries the possibility of 5 to 40 years. If the killing of a helpless newborn doesnโ€™t cry out for a maximum sentence, what does?

    Iijayajโ€™s mother, Zโ€™Ibreyea Parker is scheduled for trial on August 19. 

    Norfolk Commonwealth Attorney Ramin Fatehi just won the Democrat primary despite Mayor Kenny Alexander and other prominent Democrats supporting his opponent because they saw the cityโ€™s top prosecutor as soft on crime. He will almost certainly be elected to a second term as the cityโ€™s top prosecutor.

    Fatehi is a self-described โ€œprogressive prosecutorโ€ who opposes cash bail, long prison sentences and who took $200,000 from George Soros PACs when he ran for office last time. Continue reading.


  • The Colonial Heights Scandal – the Tip of a Very Large Iceberg

    The Boys from Lakewood

    by James C. Sherlock

    Most of them are quite young. ย They have a lot in common.

    • They are friends in many cases. Some grew up together. More are related through blood or marriage. Many have worked together. Some are a second generation of their families in the nursing home industry;
    • To address the elephant in the room, virtually all are ultra-Orthodox Hasidic (Haredi) Jews. Most are graduates of Touro University‘s New York or Skokie campuses or Lakewood, New Jerseyโ€™s Haredi Beth Medrash Govoha (BMG). BMG, with 9,000 students is the second largest Yeshiva – rabbinical school – in the world. We note that Israel has its own issues with the Haredi. So has New Jersey and the federal government. For Jewish people everywhere, my Reformed Judaism grandsons and many of my best friends, I sincerely wish that were not the case. But it is. And it is necessary to air it.
    • Many worked together for friends and family in the industry before starting their own companies. Most get nursing home administrator credentials working in a facility for a year or two before moving into chain management;
    • After a few years of experience there, they start their own chains. The junior managers become CEOs and the young accountants CFOs, usually before the age of forty;
    • The sources of their seed money are not banks or other traditional financial institutions but rather a relatively few number of trusts and LLCs. Private equity. Perhaps the money is not fully reported. Nothing else is.

    Today we will discuss one Lakewood partnership that operates nursing homes in five states. It is the largest chain in Virginia. ย 

    • It displays a business model that consistently features extreme understaffing combined with far above average occupancy rates. ย 
    • Onsite-assessments by facility staff on average show their residents to be in truly exceptional need of care. That spikes insurance per diems and authorized lengths of stay.
    • Low costs, high occupancy and high reimbursements have led to extraordinary profits.ย 
    • But their facilities have been documented repeatedly by state inspectors to produce resident humiliation, horrible suffering and premature death because of what happened to them in the nursing homes not because of the afflictions with which they arrived. ย 

    Here I will show rather than just tell readers what is wrong with government oversight at its core to demonstrate how they get away with it. It is a long storyย  It needs to be told.

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  • To Boldly Go Where No One Has Gone

    by Dick Hall-Sizemore

    Photo credit: Cardinal News

    A Virginia corporation is one of a handful of companies involved in developing an energy alternative that, if successful, will render the debates over solar, wind, and fossil fuels moot.ย The alternative is miniaturized nuclear power.

    Not to be confused with the small modular reactors (SMRs) being explored by Dominion Energy, these reactors, as described by the Washington Post, would be โ€œsmall enough to be packed in a shipping container and loaded on a truck.โ€ The fuel for these microreactors would be uranium sealed in poppyseed-sized pellets coated with layers of heatproof material.ย The U.S. Dept. of Energy describes them as โ€œmeltdown-proof.โ€ Instead of using water as a coolant, these reactors would use helium gas, molten salt, or air-cooled alkali. They can be designed to generate as little as a single megawatt of powerโ€”enough for a single manufacturing plant.ย One of these reactors next to every data center built in Virginia would go a long way toward resolving the Commonwealthโ€™s future power needs.

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  • Where Do Candidates Stand on a Discredited Environmental Law?

    by J. Kennerly Davis

    Three monkeys in suits mimicking the 'see no evil, hear no evil, speak no evil' pose, seated at a table.

    With statewide elections coming up this fall, all candidates have an opportunity, indeed an obligation, to state clearly their position on a fundamentally flawed piece of legislation passed during the Northam administration: the net-zero greenhouse gas emission goals contained in the Virginia Clean Economy Act (VCEA).

    The VCEA mandates Virginia reductions in the emission of carbon dioxide and other so-called greenhouse gasses such as nitrous oxide to the point where Virginia greenhouse gas emissions are completely offset by the amount of such gases removed from the atmosphere in Virginia. The VCEA sets goals to achieve net-zero emissions for electric generation by 2045 and for the entire Virginia economy by 2050.

    These utopian milestones cannot be achieved. Enormous economic and social damage will be done in the futile attempt to do so. The Electric Power Research Institute, the respected research arm of the American utility industry, published a detailed study showing that no combination of existing or feasible technologies -โ€“ wind, solar, hydro, nuclear, battery storage, energy efficiency, atmospheric carbon dioxide removal โ€“- can get our country to net-zero by 2050. The study estimates that attempts to achieve the impossible goal will cost hundreds of billions of dollars.

    Even if these milestones were achievable and achieved at enormous cost to the lives and livelihoods of Virginians, the result would do absolutely nothing to reduce the global emissions of the greenhouse gasses said by environmentalists to be the primary cause of global warming.

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  • SCC Faces Dueling Experts, Models on Future Energy Reliability

    Rendering of Chesterfield project from Dominion’s public website.

    By Steve Haner

    The State Corporation Commissionโ€™s (SCC) decision on whether Dominion Energy can build a new natural gas-fired power plant will depend on which expert or set of experts it believes, and which of the many computer models that dominate the testimony it judges best predict Virginiaโ€™s energy future. ย 

    Dominion has filed testimony to the SCC from its outside expert backed by computer modeling that concludes there is a risk to the reliability of our electric grid unless additional โ€œdispatchableโ€ generation resources are built.ย โ€œDispatchableโ€ means that they are under operator control, can be turned on or off as needed, and are not dependent on the weather.ย 

    The wind, solar and battery resources that are demanded under the Virginia Clean Economy Act are not considered โ€œdispatchable,โ€ at least not as dispatchable as a natural gas plant that starts on ten minutes notice. But opponents of the gas plant application have hired several experts of their own, armed with their own models, who assure the SCC those generation assets coupled with heightened efforts to limit demand will be adequate to keep the lights on in the next decade and beyond.ย 

    On behalf of Attorney General Jason Miyares, who participates in utility regulation as the stateโ€™s consumer counsel, an expert witness that office often uses endorsed the Dominion application. Scott Norwood did not dive into the reliability debate, however, and noted Dominion only expects the plant to run about 16% of the time. It is designed to be a โ€œpeakerโ€ plant, running only at times of constrained electricity supply.ย ย ย 

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  • Oops! We Forgot About That.

    by Dick Hall-Sizemore

    Abigail Spanberger

    The Republican National Committee (RNC) and Winsome Earle-Sears have attacked Abigail Spanberger for receiving a $50,000 campaign donation from an individual whom they claim is a member of the Chinese Communist Party.

    There is one little detail that the Republicans fail to mention.ย The individual, Pin Ni, has also donated to a long list of Republicans, including the RNC and the National Republican Campaign Committee.

    Ni is the president of Wanxiang America Corporation, a Chinese-owned auto parts company based in Chicago.

    Republicans claim Spanberger broke the law by accepting donations from a foreign national.ย However, according to the Virginia Political Newsletter, Ni has had a Social Security number since 1992.ย That would mean that he is at least a green card holder, making political contributions legal.ย Even if that were not true, then Sen. Steve Daines (R-Montana), the RNC, and other Republicans are also guilty.


  • A New President for The University

    And oh so many to manage and lead.

    A close-up view of a circular seal for Virginia, featuring a figure holding a sword and a spear, surrounded by the phrase 'SIC SEMPER TYRANNIS' and decorative elements.

    by Gordon C. Morse

    The University of Virginia, it announced on Monday, has an interim president. His name is Paul G. Mahoney and heโ€™s been around for a while โ€“ living and working within the body of the beast โ€“ and thatโ€™s promising. He has friends; he knows the culture. He might do some good while the 28-member search committee looks about for a permanent person.

    Mahoney is a former dean of the UVA Law School, a product of MIT and Yale Law School, a corporate law scholar -โ€“ securities regulation, financial derivatives, contracts, stuff like that — and a former clerk to U.S. Supreme Court Justice Thurgood Marshall.

    Interesting, huh? Interesting is good. Interesting may help get people to listen.

    Mahoney canโ€™t just occupy space, breathing. Not while matters continue to throb and roll. He should wield complete leadership, even if over a limited tenure. Between the existing UVA faculty, the existing governor, the existing state legislature and all the rest of the things that exist -โ€“ the students start returning soon -โ€“ calm seas hardly beckon.

    We know about the Department of Justice, of course. It seeks to enforce the Supreme Courtโ€™s 2023 Harvard ruling which bars racial discrimination as a categorical factor in the admissions process. Logic leads to an obvious conclusion: collegiate race-based administrative dictums are kaput.

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