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Audit finds contract nursing in WV state facilities costs $284M, hiring process typically 688 days • West Virginia Watch

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Audit finds contract nursing in WV state facilities costs 4M, hiring process typically 688 days • West Virginia Watch


State-run hospitals, struggling to fill full-time nursing positions, are heavily reliant on contract positions to fill gaps. It cost the state $284 million since 2015 since contract positions pay more than the state’s own full-time nursing jobs.

The Department of Health Facilities’ lengthy hiring process and questionable budgeting practices combined with a national nurse shortage have led to a reliance on contract labor, according to an audit presented to lawmakers on Tuesday. Meanwhile, contract labor’s price tag has risen. 

“From fiscal year 2015 to 2023, the total annual expenditure for contract clinical staff increased 955%,” said Mike Jones, audit manager with the Post Audit Division.

House Speaker Roger Hanshaw, R-Clay

The audit, conducted by the Legislature’s Post Audit Division, reviewed the Department of Health Facilities hiring process prior to it becoming its own agency this year. It found that, on average, it took 688 days to post jobs and hire full-time nurses. 

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“That’s among the most ridiculous things I’ve heard in a long time,” House Speaker Roger Hanshaw, R-Clay, said in response. “Can anyone respond to that? Anyone?”

Aaron Snodgrass, health facilities finance officer, said he couldn’t provide clarity but noted that the agency was posting jobs much more quickly at this time.

With the likely continued rising cost of contract nursing, the legislative auditor recommended that lawmakers “consider if the continued operation of health facilities by the state is in the best long-term interests of the state and address the issues as it sees fit. “

DHF leaders have said they’re already considering selling four of the state-run hospitals to private providers largely due to operation costs. Snodgrass told lawmakers that the audit was fair and he was not surprised by the findings.

“We are working with a broker to find investors who want to invest in these facilities. I can’t really provide any additional information on that because it’s not my project,” he said.

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In DHF’s official response to the audit, it said the department contracted with Lument Securities earlier this year to look for outside buyers. West Virginia Watch on Sept. 23 filed a Freedom of Information Act request for a copy of DHF’s contract with Lument; an attorney with DHF recently delayed possibly sharing the contract until Dec. 20.

DHF operates four long-term care facilities: Hopemont Hospital in Terra Alta; Jackie Withrow Hospital in Beckley; John Manchin Health Care Center in Fairmont; and Lakin Hospital in West Columbia. The department also operates two psychiatric facilities — William R. Sharpe, Jr. Hospital in Weston and Mildred Mitchell-Bateman Hospital in Huntington — along with Welch Community Hospital.

Contract nurses involved in crimes, patient death at hospitals

Lawmakers requested the audit due to concerns about “ambiguous information around expenditures,” cost concerns with state-run hospitals and more.

There was not a line item dedicated to contract nursing, according to the audit.

Kayla Young, D-Kanawha

There are 846 allocated positions in the seven hospitals for full-time clinical nurses. Del. Kayla Young, D-Kanawha, noted that the audit failed to say how many positions were being filled by contract nurses.

The COVID-19 pandemic worsened the state’s reliance on contract nursing, and from 2019 to 2020, the cost jumped from $20 million to more than $40 million.

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“These staffing issues are not new or unique to hospitals in West Virginia. They existed before COVID, which only worsened the issue … No single policy has addressed the issue,” Jones said.

The millions of dollars spent on contract nursing were paid out to 33 vendors over the last nine years; 28 of those were out-of-state vendors. Sharpe Hospital, where multiple contract employees have been charged with crimes, spent $30 million on contract staffing last year. 

The state spent $3.8 million on contract nursing in Hopemont Hospital in 2023. Three contract employees were fired there this year who were involved in a gruesome death of an elderly patient in a boiling whirlpool.

The audit noted that West Virginia was not immune to issues sparked by the national nursing shortage. Lawmakers and educators have attempted to bolster the state’s nursing programs, including the creation of a West Virginia Nursing Academy that starts for kids in ninth grade. The Legislature provided $20 million in surplus funding for continued education initiatives started in the Governor’s Nursing Workforce Program in 2024.

“Are any of the programs that we have done in the past few years to bolster the nursing programs working?” Young asked.

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Snodgrass said that it will take years to graduate more nurses in the state.

“We are seeing positive results within the department,” he said. “When we come back in budget meetings in the spring, if trends continue that we’re seeing, we’ll have good positive results to report for contract nursing.”

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Fall study to provide insight into trout harvest rates, movement in West Virginia

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Fall study to provide insight into trout harvest rates, movement in West Virginia


CHARLESTON, W.Va. — Biologists in West Virginia will be studying trout harvest rates during the state’s fall trout-stocking season to better understand how long trout stay in stocked streams, how they move over time, and whether they survive through the summer.

As part of the effort, the state recently released rainbow and golden rainbow trout marked with unique numbered blue tags into waters during fall stockings. Anglers who catch a tagged trout are asked to clip off the tag and report it using the contact information printed thereon.

Anglers may keep or release the trout after removing the tag.
Anglers may keep or release the trout after removing the tag. (Photo courtesy W.Va. Dept. of Commerce)

Brett McMillion, director of the W.Va. Division of Natural Resources in Charleston, said his agency is looking forward to the help of anglers in the process.

“We appreciate our anglers and their cooperation in this important research,” McMillion said. “Anglers who report tagged trout contribute to the science that helps us improve how we manage and stock trout across West Virginia.”

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Anglers may keep or release the fish after removing the tag. If a fish has more than one tag, all tags should be removed and reported to the authorities.

To assist with data collection, division biologists are asking anglers to provide the following information when reporting a tagged fish:

  • Tag number
  • Location and date of catch
  • Whether the fish was harvested or released
  • Contact information for sending the reward

All anglers 15 years old and older must have a valid West Virginia fishing license and a form of identification while fishing. Anglers fishing for trout are also required to have a trout stamp. Fishing licenses and stamps can be purchased online at WVFish.com, where anglers can also upgrade their annual license with a collectible license card.

Tag reports can be submitted by email to dnrfishtags@wv.gov or by calling 304-637-0245. Participants in the study will receive a gift card valued up to $100.


Trout in West Virginia

Trout are cold-water fish that play a vital ecological and cultural role in West Virginia’s highland environments. The state supports three primary species—the native brook (Salvelinus fontinalis), as well as two non-native but widely established species: the rainbow (Oncorhynchus mykiss) and brown (Salmo trutta). Brook is the only species native to the Appalachian region and is often regarded as a biological indicator of pristine water quality.

An angler casts into a trout stream. Trout fishing is perennially popular across West Virginia.An angler casts into a trout stream. Trout fishing is perennially popular across West Virginia.
An angler casts into a stream. Trout fishing is perennially popular across West Virginia. (Photo by Greyson Johnson)

Brook trout inhabit small, shaded headwater streams where water temperatures rarely exceed 65°F and dissolved oxygen levels remain high. These fish depend on coarse gravel beds for spawning and clear, well-oxygenated flows for survival.

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Their presence typically signifies stable watersheds with intact forest cover and minimal human disturbance. Genetic studies have shown that many of West Virginia’s brook trout populations are isolated remnants of postglacial colonization, making them of significant conservation interest.

Rainbow and brown species were introduced to West Virginia in the late nineteenth and early twentieth centuries to expand recreational fishing opportunities and now occupy a variety of cold-water streams and rivers. While both species have naturalized, they can outcompete native brookies for food and spawning habitat.

Environmental pressures, including acid rain, rising stream temperatures, and land-use changes, have reduced the range of native brook trout to an estimated 500 miles of streams, primarily in the Allegheny Highlands.

Restoration initiatives by the state and partner organizations focus on improving stream habitat, restoring riparian vegetation, and mitigating water chemistry imbalances through liming projects.

The species remains an important part of West Virginia’s aquatic biodiversity, serving as an indicator of ecosystem health and as an emblematic species of the state’s cool, high-elevation mountain waters.

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Trout fishing in West Virginia

West Virginia has earned a strong reputation as a top destination for angling thanks to its extensive network of cold, clear streams, active stocking programs, and accessible wild habitats. The state regularly stocks more than 40,000 pounds in about 40 lakes and streams each fall, bolstering both stocked fisheries and angler interest.

Meanwhile, many streams such as the Elk and Cranberry rivers are celebrated as quality wild and stocked waters. The state’s combination of rugged backcountry access, scenic mountain settings, and strong fisheries management attracts fly-fishing enthusiasts, families, and newcomers alike, making trout fishing an integral part of West Virginia’s outdoor tourism appeal.


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Floyd’s 25 points help send West Virginia past Mount St. Mary’s for first win in Hodge era

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Floyd’s 25 points help send West Virginia past Mount St. Mary’s for first win in Hodge era



Jasper Floyd scored 25 points shooting 9 of 13 and West Virginia pulled away from Mount St. Mary’s for a 70-54 win to usher in the Ross Hodge era in a season-opener for both teams on Tuesday night.

Honor Huff scored 16 points and Brenen Lorient scored 11 and grabbed 13 rebounds for West Virginia.

Trey Deveaux scored 15 points for Mount St. Mary’s, which owned a 38-29 rebounding advantage.

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Justin Amadi’s three-point play with 5:55 left in the first half gave Mount St. Mary’s a 25-22 lead. Huff responded with a 3-pointer to tie it and that helped prompt West Virginia on a 13-4 run to close the half.

Starting the second half with a 35-29 lead, West Virginia outscored Mount St. Mary’s 12-6 over the first six-and-a-half minutes for a 52-39 advantage. Mount St. Mary’s went on a 7-0 run to get within 52-46 but never got closer.

Hodge, who was hired in March, spent the last eight seasons at North Texas, including the last two as head coach, posting a 46-23 (.667) record.

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W.Va. Building lit up in teal for Alzheimer’s Awareness Day

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W.Va. Building lit up in teal for Alzheimer’s Awareness Day


HUNTINGTON, W.Va. (WSAZ) – The West Virginia Building in Huntington was lit up in teal on Monday night.

Nov. 3 is recognized all over as Light the World Teal for Alzheimer’s Awareness Day.

The West Virginia Building, Charleston Coliseum & Convention Center, the Kanawha Boulevard bridge, and the West Virginia state Capitol all were lit up in support.

More than 1,500 buildings and landmarks across the world were lit up in teal on Monday night to raise awareness.

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