Their concerns followed a CBS 6 report that found the Department of Medical Assistance Services (DMAS) gave a combined $5.2 million in extra money to facilities identified by the Virginia Department of Health (VDH) as the poorest performers in the commonwealth, which are called special focus facilities.

Such facilities rarely address underlying systemic problems that give rise to repeated cycles of serious deficiencies, which pose risks to residents health and safety," according to the federal government, and have been cited with the most serious violations of care and safety standards over the past three years.

One of those facilities, Henrico Health and Rehabilitation Center, received more than $700,000 in value-based payments in fiscal year 2025. That fact was a shock to Senator Mark

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