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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.”

YOU MAKE OUR WORK POSSIBLE.

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BREAKING: West Virginia Transfer DL Hammond Russell Commits to Wisconsin

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BREAKING: West Virginia Transfer DL Hammond Russell Commits to Wisconsin


Wisconsin has added a transfer portal commitment from former West Virginia defensive lineman Hammond Russell.

Russell played in 36 games for the Mountaineers during his career. As a senior, the 6-foot-3, 315-pound lineman posted 13.0 tackles and 2.0 sacks. For his career, Hammond has 40.0 tackles and 5.5 sacks. Russell is expected to get a redshirt for his 2022 season, in which he missed the entirety of due to a broken foot and a concussion.

A three-star recruit coming out of Dublin, Ohio, Russell chose WVU over Indiana, Iowa State, Michigan State, Pittsburgh, Minnesota, Illinois, Cincinnati, Kentucky, Purdue, and more.

During his transfer portal recruitment, Russell also visited Kansas.

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Russell joins a Wisconsin defensive line that’s set to return junior Charles Perkins and sophomore Dillan Johnson, among others. The Badgers also signed Junior Poyser out of Buffalo this week.

Russell is currently unranked as a transfer prospect, according to On3. He will have one year of eligibility remaining.



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West Virginia falters late in 71-66 loss to 17th-ranked Texas Tech – WV MetroNews

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West Virginia falters late in 71-66 loss to 17th-ranked Texas Tech – WV MetroNews


MORGANTOWN, W.Va. — The third quarter of Wednesday’s contest against 17th-ranked Texas Tech was among West Virginia’s best this season from an offensive standpoint.

What followed in the fourth, however, was perhaps the worst 10-minute stretch on that end through 16 contests. The Mountaineers missed numerous decent looks and shot 3 for 19 from the field and 6 for 12 on free throws in the final frame, while squandering a six-point advantage with inside 8 minutes remaining and falling to the unbeaten Red Raiders, 71-66.

“We took one bad shot that I didn’t like at all and had a bad turnover late, but we got 19 shots off in the fourth quarter and most were pretty good looks,” WVU head coach Mark Kellogg said. “We just didn’t convert. The defensive end concerns me as much as the offensive end. Giving up 40 points in the second half is way too many.”

Of WVU’s three fourth-quarter buckets, only one within the first 9:34 — a layup from Kierra ‘MeMe’ Wheeler with 7:10 remaining that left the home team with a 58-53 lead and came directly after Texas Tech’s Bailey Maupin had made a three-pointer.

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Despite the offensive struggles, WVU dug in enough defensively to maintain a 61-57 advantage with inside 2 minutes remaining before the game turned in the visitors’ favor over a 7-second stretch.

Snudda Collins scored on a drive to the basket, while being fouled by Carter McCray in the process. With 1:59 left, Collins stepped to the free-throw line but was unable to convert the three-point play. Tech’s Jalynn Bristow came up with a pivotal offensive rebound, and found Maupin on the perimeter, who drained her fourth and final triple to give the Red Raiders (17-0, 4-0) a 62-61 lead at the 1:52 mark.

“They’re really good in the third quarter and I would venture to say we’re really good in the fourth quarter from previous games,” Red Raiders’ head coach Krista Gerlich said. “I’m not real sure fatigue played a factor in it as much as our kids just kind of locked down, really tried to defend and we got better on the glass. They missed a lot of easy shots early in the fourth quarter and that maybe played toward fatigue, but our kids did a good job on the glass and limiting second-chance opportunities, and we quit fouling a bit.”

Jordan Harrison missed a pair of threes on WVU’s ensuing trip, before Maupin made two free throws for a three-point advantage with 38 seconds left.

“What a basketball game. We knew coming in this was going to be a huge challenge and I’m super proud of our kids for being resilient for four quarters,” Gerlich said.

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Harrison scored from close range 13 seconds later, but the Red Raiders continued to excel from the free-throw line and Collins made a pair for a 66-63 lead with 20 seconds to play.

Maupin then stole a Gia Cooke pass and made 1-of-2 free throws to make it a two-possession game, before another Mountaineer turnover all but ended any hope of late heroics for the home team.

“We made a lot of mistakes. They sped us up a little bit, but the mistakes we made were on us,” Harrison said. “When we go back and watch the film, we’ll see there was an easier way to score — slow down and read the defense.”

The third period was a far different story as WVU (13-3, 3-1) overcame a 31-28 halftime deficit by making 10-of-13 shots in what amounted to a 25-point frame. Harrison was the catalyst for the success, scoring 11 points on 4-for-4 shooting and dishing out three assists, while McCray continued to be a presence inside and scored seven points on 3-for-3 shooting.

But Texas Tech managed 19 points in the third to stay well within striking distance, with the Red Raiders making half of their six three-point attempts in that quarter, including both from Denae Fritz.

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“You’re up six in the fourth, you’re supposed to find a way to win that game,” Kellogg said. 

The entirety of the game was played within six points, with Tech’s largest lead coming at 29-23 after a Collins triple.

McCray and Harrison combined for the next five points, before Maupin capped the first-half scoring with a pair of free throws. She scored 11 of her game-high 27 points through two quarters and 13 more in the fourth.

“No basketball game is all ups and no basketball game is all downs,” Maupin said. “It’s finding a balance between your highs and lows and managing that to be able to come out with a win.”

Collins scored 19 points to help her team finish with a 25-2 advantage in bench points.

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Tech finished with a 37-33 rebounding edge, and despite having 16 offensive boards to WVU’s 18, the Red Raiders accounted for 20 of the game’s 28 second-chance points.

“We got a lot of offensive rebounds and didn’t convert very many of them,” Kellogg said.

Harrison led four WVU double-figure scorers with 22 points and added five rebounds and five assists. 

McCray added 15 points and Wheeler scored 11 to go with a team-best nine boards. Sydney Shaw scored 10 but shot 4 for 14, while Cooke was held to six points on 2-for-9 shooting.

The Mountaineers forced 20 turnovers, but managed only four steals.

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“We had too many things go wrong that we had control of,” McCray said, “and that led to our detriment in the end.”



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Public Service Commission holds hearing regarding Cabell County utility

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Public Service Commission holds hearing regarding Cabell County utility


State regulators are reviewing whether a Cabell County septic system is failing or distressed.

The Public Service Commission heard public comment and testimony on Wednesday on the Linmont septic system in Cabell County.

The Linmont subdivision is located just outside the city limits of Barboursville and has about 85 residents.

Linmont said it cannot afford the required DEP treatment upgrades estimated at more than $300,000.

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The manager of the septic system is wanting someone else to take over the system. Kenneth Toler testified that he can’t secure a loan to get the necessary work done.

Toler said if rates were raised to an amount to pay for the work many of the residents wouldn’t be able to pay it.

Ten witnesses were expected to testify during the hearing. Barboursville Mayor Chris Tatum also testified objecting to the possibility that Barboursville could be forced to take over the system.

“Why should our residents be punished with rate increases because another entity has not done their due diligence to take care of their system,” Tatum said.

The administrative law judge said a decision would not be made Wednesday.

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A DECISION WOULD NOT BE MADE TODAY



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