West Virginia
Audit finds contract nursing in WV state facilities costs $284M, 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.
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.
“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.
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.
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.
“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.
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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West Virginia
West Virginia Wraps up Nonconference Slate with a Win Over Mercyhurst
Morgantown, WV – West Virginia senior guard Javon Small scored a game-high 19 points while senior center Eduardo Andre put in a Mountaineer career-best 14 points and senior guard Tobi Okani recorded a double double with 13 points and 12 rebounds as the Mountaineers (9-2) extended their winning streak to five with a 67-4 win over the Mercyhurst Lakers (6-9) Sunday afternoon.
Mercyhurst took the early lead, but West Virginia responded with a 7-0 run, ignited with a three from freshman guard Jonathan Powell, and forced Lakers head coach Gary Manchel to take a timeout.
Lakers senior forward Jeff Planutis buried a three out of the break to get back within two. The Mountaineers answered with another 7-0 run with Javon Small opening the run with a midrange jumper and Toby Okani finishing with a backdoor to cut to the rim to cap it off for the 16-7 lead at the 12:27 mark of the first half.
West Virginia struggled to pull away from a Mercyhurst program that jumped up to the Division I level over the summer and did not grab a double-digit lead until 5:50 left in the half after a jumper from senior guard Joseph Yesufu.
Eduardo Andre gave the Mountaineers their largest first half lead of 14, and the final field goal of the half, for his nine first half points with 3:32 remaining until halftime as the Mountaineers took a 35-22 lead into the break.
After West Virginia went up 16 to begin the second half, Mercyhurst dwindled the Mountaineers lead to nine with a 7-0 run, led by Aidan Reichert putting in the final five consecutive points.
West Virginia broke the game open with a 15-0 run midway through the second half with Toby Okani lead the way with six points as the Mountaineers took a 54-32 lead and coasted to a 67-46 victory.
West Virginia
Humanities Council’s traveling exhibition, ‘Born of Rebellion: West Virginia’s Statehood and the Civil War,’ on display in Bluefield
PRESS RELEASE:
CHARLESTON, W.Va. – The West Virginia Humanities Council’s flagship traveling exhibition, Born of Rebellion: West Virginia Statehood and the Civil War, is now on display at the Paine Gallery at the Bluefield Arts Center from now until February 3. Hours and information are available at www.barcwv.org.
This comprehensive, large-scale experience covers sectional tensions within Virginia preceding the Civil War, the violence and chaos of the war surrounding West Virginia’s formation and the difficult aftermath as the new state struggled to forge its destiny during Reconstruction. Born of Rebellion explores this tumultuous and complex era from a wide range of perspectives, including politicians, common soldiers, women and African Americans. Not simply a story of war and politics, Born of Rebellion conveys the complexities and pitfalls that accompanied West Virginia’s arduous journey to separation from Virginia.
“It has been such a pleasure working with Bluefield Arts and Revitalization Corporation to get Born of Rebellion in Mercer County for the holidays,” said Council Program Officer Kyle Warmack. “The Paine Gallery is a perfect display space for the exhibit, and we hope its time here provokes discussion about this part of West Virginia’s experience during the war and our journey to statehood.”
For more information about Born of Rebellion, visit wvhumanities.org and click “Traveling Exhibits” under the Programs menu. For more about the Paine Gallery, its hours of operation and other visitor information, please contact the Bluefield Arts & Revitalization Corporation at (304) 589-0239.
The West Virginia Humanities Council, an independent nonpartisan nonprofit, is the state affiliate of the National Endowment for the Humanities. The Council is supported by the NEH, the State of West Virginia and contributions from the private sector. The purposes of the West Virginia Humanities Council are educational, and its mission is to support a vigorous program in the humanities statewide in West Virginia.
West Virginia
No. 14 West Virginia Upset in Boulder Following Brutal Fourth Quarter
Boulder, CO – No. 14 West Virginia took an 11-point lead into the fourth quarter but shot 2-12 from the field and committed four turnovers in the final 10 minutes as the Colorado Buffaloes (10-2) went 9-11 from the floor and stormed back from a 16-point second half deficit to upset the Mountaineers (10-2) Saturday night 65-60.
West Virginia junior guard Jordan Harrsion led the Mountaineers with 18 points and five assists, but Frida Formann put in a game-high 22 points and forwards Lior Garzon and Jade Masogayo led the second half comeback to combine for 22 second half points.
West Virginia junior guard Syndey Shaw started the night with a three and a pair of steals in the backcourt by Harrison that led to layups gave the Mountaineers an early 7-6 advantage.
Frida Formann was off to a hot start, hitting her first three field goal attempts for seven of the nine Colorado points, including a three to give Colorado a 9-7 lead at the 4:30 mark of the first quarter.
The Mountaineers finished the first quarter with a 9-0 run with freshman forward Jordan Thomas leading the way with four points and a 16-9 WVU lead heading into the second quarter.
Jordan Harrsion opened the second quarter with a three to extend the lead to 10, but West Virginia went 3-9 and committed five turnovers while Colorado was 7-15 from the field and cut the deficit to three, 28-25, at the break.
Frida Forman led all scorers at the break with 15 points as Harrison scored a Mountaineer-high 12 points with two assists.
Jade Masogayo cut the WVU lead to one with a lay-in, but West Virginia responded with a 19-4 run, led by guard Kyah Watson putting in five of her eight points on the night for a 47-31 lead with 3:05 left in the third quarter.
Colorado began to build momentum heading into the fourth quarter, despite West Virginia leading by 11.
The Mountaineers went cold in the fourth quarter while the Buffaloes got hot. West Virginia missed its first four shots from the field while Colorado dwindled the lead to five before Harrison got the contested layup and ended a five-minute scoring drought.
The Buffaloes continued their momentum, while West Virginia struggled from the field and extending their run to 22-4 behind nine points from Garzon to build a seven-point lead with 36 seconds remaining in the game and held on for the 65-60 victory.
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