Agency
Virginia Department of Health
 
Board
State Board of Health
 
Guidance Document Change: This guidance document summarizes how the State Health Commissioner (“The Commissioner”) of the Virginia Department of Health (VDH), through the Office of Licensure and Certification (OLC), may consider imposing administrative sanctions for nursing facilities under 12VAC5-371-90 and Va. Code §§ 32.1-27, 27.1, and 135. This guidance document does not create new requirements or mandatory enforcement levels. Decisions regarding sanctions will always be fact specific. This guidance document does not limit VDH's or the Commissioner’s authority to take any action authorized by law.
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8/27/26  10:17 am
Commenter: Anonymous

Staffing levels must be state mandated with support and consequences
 

Absolutely enforce sanctions!  Staffing is difficult but there is no excuse.  The ALs and nursing homes know staff call outs are approx 20% everyday and holidays are greater at close to 50%.  Hence you schedule more people to cover but that isn’t done.  Having one person be responsible for 18 people (yes - happened to my dear momma) is ridiculous.  The state needs to have statutes with required staffing.  In support, VDH needs to do workshops on how to keep staff, how to discourage call outs, and how to schedule coverage.  

CommentID: 240878