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In Nation & World | London attacker was released early after bomb plot conviction | Page B1


MARK GORMUS/TIMES-DISPATCH  

Winterfield Crossing (left), a development in the Midlothian area, is adjacent to new apartments.


Plus
Hotly debated vision for Midlothian heads to supervisors

After months of contentious debate, a plan laying out a vision for how Midlothian should develop in the coming years is heading to the Chesterfield County Board of Supervisors.

The Midlothian Special Area Plan was unveiled this year by county officials and community members who said it presented a long-range blueprint for maintaining a village feel and revitalizing Sycamore Square shopping center in the 8-square-mile community bisected by U.S. Route 60.

But the plan drew a chilly reception from critics who said it would invite dense residential developments in an area that has seen new apartments, condominiums and town houses sprout up. They said they did not want their community on the development-heavy path of Short Pump in Henrico County.

Bob Roe, a Midlothian homeowner who opposes the plan, said a revised version of the plan unveiled in November did not go far enough in addressing those concerns.

“If you sit down and read the first 20 and 30 pages, there’s a lot of verbiage in there that sounds very good,” Roe said. “But as you get back into the meat of the plan, it doesn’t look like much has been changed.”

The plan still calls for residential density to support the commercial core of the village along Midlothian Turnpike that’s home to such businesses as the Great Harvest Bread Co., Brick House Diner and Midlothian Apothecary.

It also calls for interconnected and walkable neighborhoods and a newly envisioned “Main Street” approach to the busy Route 60 corridor that would have a tree-lined median running through the middle of Midlothian Turnpike. It also envisions a new Sycamore Square shopping center with venues for outdoor and a village green.

Joanne Wieworka, a senior planner with the county, told the Planning Commission before a 4-0 vote on Nov. 19 backing the plan’s approval that it had been updated in response to residents’ concerns.

Among the changes: The updated plan calls for having a minimum of eight units and no more than 20 units per acre in an area around the village core, Wieworka said. A previous draft called for 12 or more residential units per acre in mixed-use developments.

The revised plan also says buildings in the village core should be no more than three stories high. Exceptions can be made to allow buildings up to five stories if the development projects provide open space beyond what’s typically required.

Roe said provisions requested by critics were not included in the final version of the 127-page document, such as one- and two-story height limits on Midlothian Turnpike and a prohibition on apartments over retail space. Roe fears the new plan will still lead to overly dense developments in the community.

“That’s what it’s written for,” he said in a telephone interview.

A number of new projects are being built off Route 60 in the Midlothian area, including an Aldi and a Starbucks at Winterfield Crossing, a development that rests across the street from apartments that opened this year.

The fate of the plan became an issue in the Midlothian District supervisors race. Republican Supervisor Leslie Haley, who won the seat, called it a balanced approach to drawing new development while maintaining the village feel of the community. Her Democratic opponent, Javaid Siddiqi, echoed concerns from critics that it could lead to overdevelopment and crowded schools.

The Planning Commission had held off on voting in August after a sometimes tense public hearing where many speakers voiced concerns about traffic and overcrowding at nearby schools like J.B. Watkins Elementary.

“I thought it was a very good plan in August. I think it’s a fabulous plan now,” said Robert “Peppy” Jones, the Midlothian planning commissioner, before the Nov. 19 vote that set up a public hearing before the Board of Supervisors in December.

Michael Jackson, the chairman of the Planning Commission, abstained from the vote. He said in an interview that he was not passing judgment on the merits of the plan.

Still, Jackson said he abstained to send a message that he was concerned about how the plan’s review process got embroiled in the campaign for the Midlothian supervisor seat.

“The manipulation of that process for political reasons did not serve the community well,” he said.


Plus
Family's hopes for pardon from Virginia governor languish for years

Believing their loved one is innocent of a murder-for-hire, the family of Jermaine Doss submitted a pardon request to then-Gov. Terry McAuliffe in May 2014.

More than five years later, they still don’t have an answer.

Virginia’s governors have the power to grant several types of pardons, at their prerogative. Requests are reviewed by the Virginia Parole Board and eventually the governor in a secret process. It’s not publicly known how many requests for a pardon from the governor are pending.

Gov. Ralph Northam won’t provide information on the status of Doss’ request or any other, or even say how many staffers are tasked with investigating pardon requests.

Virginia’s Freedom of Information Act doesn’t require any records to be made public.

“We don’t provide any status updates or specific details about pending pardon petitions, so I don’t have anything I can share with you at this time,” Secretary of the Commonwealth Kelly Thomasson said by email in October when asked about the status of Doss’ request.

Doss was convicted in 2000 in the shooting death in Norfolk of James Webb and was sentenced to life plus 38 years. The confessed shooter, Nathaniel McGee, was sentenced to 17 years for the killing, plus 10 years on related charges, but he later recanted his testimony.

One of the Norfolk detectives involved in the case, Robert Glenn Ford, was convicted of taking bribes from criminals and lying to the FBI about it and in 2011 was sentenced to 12 ½ years in federal prison.

Doss has “always maintained his innocence,” said Phil Wilayto, a civil rights activist in Richmond and editor of The Virginia Defender newspaper.

In July, Doss filed a petition for a writ of habeas corpus asking a court that he be freed or granted a new hearing.

Webb was found fatally shot in his home in March 1998. Two days earlier, Webb had gone to Doss’ business, armed with a gun, and threatened him, according to federal court records. The two were in a dispute over cocaine Doss sold to Webb.

In court, McGee testified that Doss drove him to Webb’s home and told him to kill Webb, saying he would pay him.

At one point, a charge of capital murder for hire and related charges against Doss were dropped because a judge found McGee’s confession was unreliable, according to court records.

Norfolk prosecutors took the death penalty off the table for McGee and he testified against Doss, who was convicted of first-degree murder and other charges related to the killing.

About six months later, in October 2000, McGee wrote Doss a letter that said: “I had no choice but to lie and say that you hired me to kill Webb because the prosecutor and the detectives kept wanting me to say. I know you did not know what I was planning on doing to Webb but I had to use you to get the plea or they would have killed me.”

But was his new statement credible?

A Norfolk judge found in 2006 that it was not — that the statement was motivated by a desire to help Doss, fear of Doss, and fear of being known as a “snitch” in prison, according to court records.

Doss has continued to fight in court. In March 2018 he received a letter from the Mid-Atlantic Innocence Project saying they were unable to help him at that time, following a long investigation.

Virginia abolished parole in 1995.

Wilayto questions why the governor’s office even has a pardon process if years pass without decisions being made.

“It raises hopes for prisoners who are at the end of the appeals process. It raises hopes for families,” he said. “This family has gone five years and five months without a response. This is crazy.”

If there’s a need for more personnel to review cases, let’s fund them, he said.

Doss’ family and supporters held a news conference near the Martin Luther King Monument in Norfolk in September to raise awareness.

Felicia Dixon-Bray of Virginia Beach, Doss’ sister, is among family members who regularly visit him at Sussex II State Prison.

“We know our family member is not gone, but it always feels like there’s one person missing,” she said. She added: “It’s like we’re locked up with him, too.”

When their mother got her house redone, Doss mapped out what walls she should take out. If he was ever released from prison he wants to open a juice bar, his sister said. He’s very intelligent like that, she said, with a mind for business.

She tries to steer their conversations toward family and uplifting things, she said, but “for some reason, he will always bring up the case.”


Plus
Increasingly diverse General Assembly to include first Indian American members

Washington Dulles International Airport is to Suhas Subramanyam what Ellis Island represents for many of his soon-to-be peers in the General Assembly.

The airport, he says, was his mother’s gateway to the United States, to Virginia, from her native India. Here she settled, here Subramanyam was born, and here he was elected to the Virginia statehouse.

Subramanyam is American, but he is also ethnically Indian, and in January, he’ll become the first Indian American member of the House of Delegates. He’ll also become the first practicing Hindu in the statehouse. His district, fittingly, includes Dulles Airport.

Ghazala Hashmi of Chesterfield County will be sworn in as the first Indian American in the Senate, and its first Muslim woman.

As the state’s Indian American population grows — particularly in swaths of Northern Virginia — the Indian American community will now have two of its own in the upper echelons of state government.

They’ll become part of the most racially and ethnically diverse General Assembly that Virginia has ever elected — a swift change from just a few decades ago when the body included few African Americans and almost no ethnic minorities.

“Not long ago, the General Assembly was a place by and for white males, you can’t put it any other way,” said Larry Sabato, a political analyst at the University of Virginia. “It’s changed.”

***

In 2010, Virginia had the seventh-largest population of Indian Americans nationwide at roughly 104,000 people, according to the most recent U.S. census. A 2018 census estimate showed that number has grown to about 154,000 people.

Northern Virginia is home to the highest concentration of Indian Americans in Virginia, with the most recent available data showing large populations in Loudoun and Prince William counties — parts of which Subramanyam will represent.

“Northern Virginia right now is growing and has become very diverse, and that has led to a lot of the community’s success,” Subramanyam said in an interview. “All of the counties have great economies, a lot of businesses that contribute to federal and state government. A lot of those are minority-owned and Asian-owned businesses.”

Subramanyam runs a consulting firm based in Loudoun that works on technology and government relations. He was formerly a White House technology policy adviser to President Barack Obama

Subramanyam said that with influence in the business sector, many Indian Americans and other Asian Americans are hoping for more representation in local and state government. Subramanyam noted that his Democratic primary for the 87th House District featured three other candidates who were all Asian American, which he described as a sign of political motivation.

“That’s the result of wanting to have a voice, and feel that they are part of the political process, not just the economy,” he said.

Subramanyam’s mother, Geetha, arrived in the U.S. from Bengaluru, India, in 1978 — joining her husband, Kalyanam, who was enrolled in medical school in Washington, D.C. Both of them became doctors and settled in Virginia to raise their two children.

“She felt America was a great place to get an education, raise a family. Virginia made sense for her,” Subramanyam said.

Growing up, Subramanyam says he felt thoroughly American — another boy on his Little League team.

“My childhood was typical, except that instead of going to church, I would go to a temple. At family parties and events, most people there were Indian American,” he said. “Your skin color is different, so you if you find yourself in the wrong situation, you’ll encounter hate, stereotypes.”

Subramanyam said a key part of his development was “trying to be and feel American while accepting and understanding the importance of where my family came from.”

It wasn’t until he left home for college that he began to more deeply embrace his Indian American identity.

“I realized that what defined me in a lot of people’s eyes is that I’m of a different color and have a funny name. It’s important to embrace that because people ask about it,” he said.

“If you’re hesitant, you’re hesitant about embracing yourself.”

That became an important personal facet of his run for office, he said, but when it came to his policy message, it was one for all kinds of voters.

“Indian Americans’ needs are the same as the needs of any other family. They want good schools, affordable health care, a vibrant economy,” he said. “I felt that I didn’t need to say anything differently to different communities.”

***

Hashmi, too, says her key policy goals translate to all voters in her district. She said her 10th Senate District, made up of parts of Chesterfield and the city of Richmond and all of Powhatan County, does not include a large Indian American population like Northern Virginia, but through her background, she hopes to represent the interests of those who lack a voice in state government.

Oftentimes, she said, that is women of color, particularly low-income women of color — a population she said is disparately affected when it comes to such issues as health outcomes and wages.

“I think it’s a necessary perspective. When we have a male-dominated structure, whether it’s state or national government, their concerns are not brought to the forefront or highlighted,” Hashmi said. She added that broadly, “My message has always been on the issues that really matter to all voters in my district: gun control, health care, education.”

Hashmi was born in Hyderabad, India, and arrived in the U.S. as a young child in 1969. Her family settled in Statesboro, Ga., where her father taught American government at Georgia Southern University.

“My family was the only South Asian family for many years in that small college town. I really did feel quite different from many of my classmates,” Hashmi said.

Racial integration in her elementary school came when she was 7, and she found herself in a unique position. “Because of my background, I was able to make friends easily in both communities. I always had friends that were from many different backgrounds as a result,” she said.

Hashmi, who became a U.S. citizen in 1989, eventually met her husband, Azhar Rafiq, and in 1991, settled in Richmond, where both found jobs in higher education. Hashmi works on professional development at Reynolds Community College for the school’s faculty.

Hashmi was living in Virginia when the effects of President Donald Trump’s travel ban levied on seven majority-Muslim nations rippled through Dulles and other international airports across the country. She said it prompted her to become more politically involved and run for office — to prove that she and other members of her faith belong.

“This is really home,” she said.

***

In January, when new lawmakers are sworn in, the state legislature’s black caucus will grow by four members to 23, and Subramanyam and Hashmi will represent new ethnic groups.

Women will hold a record number of seats — 40 or 41 depending on the outcome of a House race in Virginia Beach that is headed to a recount.

Sabato described the changes to the General Assembly’s makeup as “mind-boggling.”

“When I was growing up in the ’50s and ’60s, there was one woman and two African Americans in the statehouse. It was a sea of white males. You would have to have been there,” Sabato said.

The change hasn’t been all-encompassing. The House and Senate Republican caucuses remain entirely white — a reality the GOP is confronting as the party fights to maintain relevance and regain power. (Two Republican African American candidates, Garrison Coward in Richmond and D.J. Jordan in Prince William, lost House races to Democratic opponents on Nov. 5.)

“We must stop treating minority communities as appendages to the Republican Party; in fact, our minority communities should be our strongest voices,” Republican Party of Virginia Chairman Jack Wilson said in a memo to party members in November.

Hashmi described diversity among members as necessary for perspective.

“Just by being present, physically, as a woman and a woman of color, that disrupts the status quo that has always existed,” she said. “It changes the conversation.”

Sabato said he traces strong political motivation among Indian Americans in the state to the scandal that embroiled GOP Sen. George Allen of Virginia during his 2006 re-election bid, when he used a racial slur to describe an Indian American campaign tracker working for his opponent, Democrat Jim Webb.

Sabato — who taught the campaign worker, S.R. Sidarth — said many Indian Americans in the state felt the episode showed lack of awareness and respect for their ethnicity.

“They wanted to change that, and now they have,” he said.

Subramanyam recently attended delegate orientation in Richmond, and said that, already, he feels his presence is valuable.

“What I’m finding so far is that me being here alone is bringing a lot of awareness to my background and culture. Members are interested in hearing more. They want to know how to pronounce my name. Where I come from,” Subramanyam said.

“There’s some value to that. I can’t quantify it yet, but already I feel there is heightened awareness of a very important community in Virginia.”

As for his surname, Subramanyam explains: “It’s pronounced like ‘Superman,’ but with a ‘b’ instead of a ‘p,’ and ‘yum’ at the end.”

He was advised to change it to make him more electable in his run for the House of Delegates — which he refused.

“I’m proud that I won, even with the name,” he said.


Z-no-digital
Unguarded Part 3: Best Interest

Days after what would have been Richard Richardson’s 40th birthday, his three sisters stood in silence on a bridge in Bryan Park, where they’d played as kids, staring into the pond where they’d just scattered his ashes.

Around them, people were out enjoying the first cool day of October — playing Frisbee, biking and jogging — the kinds of things Richard hadn’t been able to do in his final years.

Jennifer, the middle sister, remembered a time years ago when she and Richard had been here with their kids. She laughed thinking about how Richard had joked about throwing his nephew into the pond if he didn’t behave.

That was before the accident, back when Richard was a fit, young father who rode his bike everywhere and practiced mixed martial arts.

But then, on Thanksgiving 2014, a fall from a second-floor balcony paralyzed him from the shoulders down.

Afterward, he had been shuffled from nursing home to hospital to nursing home. His serious medical needs and the fact that he was on Medicaid made it hard to find a decent place. He’d been most stable in the year he spent living with Jennifer, but after he started having seizures, he ended up back in the hospital.

“It was a terrible life for a person to have to live,” said Richelle Richardson-Hayes, Richard’s oldest sister.

He spent the last year of his life in a nursing home where, his sisters say, he often went hungry and was rarely moved out of his bed. They say the staff was rude to the family when they visited and spoke up for their brother.

It was a nursing home that he was sent to against his will.

While he was a patient at VCU Medical Center, he’d told the staff not to send him to the nursing home in Petersburg, about 45 minutes away from family who visited and looked after him. The sisters had been working on getting an apartment where Jennifer and their mother could take care of him again, but it was taking some time. And Richard already owed the hospital $86,000 that Medicare and Medicaid had refused to pay, according to court records.

So the hospital system petitioned Richmond Circuit Court to have Richard declared incapacitated and to have the attorney representing the hospital appointed his guardian, giving him the power to discharge Richard and have him admitted to the nursing home despite his objections.

The court appointed Henrietta Cannon as Richard’s guardian ad litem, an attorney charged with investigating the case and representing the person’s best interests. Cannon was the guardian ad litem in almost 90% of all VCU Health System guardianship cases from 2014 to June 2019. She died in May, before the Richmond Times-Dispatch could talk to her.

Richard insisted to Cannon that he was not mentally incapacitated and that he did not need a guardian. In her initial report to the court, Cannon said his medical records didn’t indicate any mental incapacity, and a VCU psychiatrist said he seemed to have the ability to make his own decisions. Still, Cannon wrote that Richard’s apparent inability to “execute a plan for his discharge” from the hospital did make him incapacitated and that he’d be helpless without a guardian.

Before Richard’s court hearing, Cannon wrote in her report that she called Richelle and left a message with the person who answered the phone, but she never heard back. Richelle said she never got the message.

Without speaking to Richard’s mother, three sisters or two adult sons, Cannon recommended that VCU’s attorney, R. Shawn Majette, be appointed Richard’s temporary guardian.

And so he was.

Majette had him promptly discharged to the Petersburg nursing home. When Richard died 16 months later, medical records show that he had heart failure, kidney failure, sepsis, malnutrition and at least nine bedsores.

***

While Virginia guardianship law lays out certain protections intended to safeguard individual rights, a yearlong Richmond Times-Dispatch investigation has found that, in Richmond Circuit Court, these safeguards regularly falter as scores of people lose their rights to make decisions about their medical care, where they live and how their money is spent. In more than 150 cases over the past six years, those rights were given to an attorney with ThompsonMcMullan law firm, which represented 95% of health care providers asking the court to take away the patient’s rights, often without the patient being present at the hearing or having a defense attorney to represent them in the brief court proceedings.

An analysis of more than 250 guardianship cases filed from January 2013 through June 2019 by health care providers in Richmond found that the city court exercises little oversight over private, professional guardians, both before and after the guardian is appointed.

In all guardianship proceedings, state law requires there be a guardian ad litem. The guardian ad litem is charged with visiting the person, informing them of the date and time of the hearing, and letting them know that the hearing could take away some of their most basic rights. The person must be told they have a right to court-appointed counsel, to request a jury trial and to be present at the hearing. The guardian ad litem may speak with any family members or friends before the proceedings.

The guardian ad litem then puts together a report giving a recommendation to the judge. This report holds significant weight with the judge, particularly in cases where neither the person whose capacity is in question nor family or friends attend the hearing.

Many hearings last no longer than 15 minutes, according to court records and observation of six hearings by The Times-Dispatch.

One case file included an email exchange between the secretary for the ThompsonMcMullan attorney and the judge’s assistant regarding scheduling for the hearing. The attorney’s secretary asked if they could switch the hearing to a different day to accommodate the guardian ad litem’s schedule.

“That’s fine,” the judge’s assistant wrote. “But there is a jury trial set at 10 a.m. so he has to be here promptly at 9 a.m. and it can’t take more than 15 minutes (:”

ThompsonMcMullan always files a request to waive the legal requirement that the petitioner, in this case the health care provider, must mail a copy of the hearing notice and the petition to any known family of the allegedly incapacitated person at least seven days before the scheduled hearing, according to Majette, an attorney with the firm. This means that if a hearing date opens up within seven days, the hearing can be held within a week of mailing the notices.

The reason, he said, is that it’s often difficult to schedule a hearing and the hospital has usually already been searching for and attempting to contact any family members before the petition is filed.

“Where we are at the point in this law firm of getting the call [from a hospital to file for guardianship] is at the end of the beginning,” Majette said. “And by that, I mean we have had what I think — in any of the clients that I serve — [is] a superb effort to try every other alternative than this.”

Still, court records show that some family members, like the Richardsons, say they didn’t receive notice before the hearing impacting their loved one.

“[Richelle] said that she did not get notice and that’s bad,” Majette said. “I know we send it out every time. ... I’m sorry she didn’t [but] I don’t apologize for the post office. We did what the law requires us to do.”

But Sally Balch Hurme, a Virginia-based elder law attorney and author who has served on the board of directors for the National Guardianship Association and advised on the drafting of the Uniform Law Commission’s model guardianship law, said that regularly waiving the seven-day notice requirement was an inappropriate use of the exception to the law. (Hurme is not related to the reporter.)

“The waiver is only if there is a case of an emergency,” Hurme said. “In this case, the emergency is only the hospital’s emergency because they are no longer getting paid by this patient and they want to discharge them. The person is well cared for, the emergency is only of the hospital’s own making, therefore, the waiver of the seven-day notice is inappropriate and I would say in violation of the statute and the intent of the statute.”

***

One morning in March, Majette and Cannon stood before Richmond Circuit Judge W. Reilly Marchant for a double-header of guardianship hearings.

The first case was to decide whether Majette, representing VCU Health System, would be appointed the guardian of a 38-year-old man who’d been admitted to the hospital after a motorcycle accident.

“We are trying our best to get him well enough to get discharged to a rehab hospital,” Majette said.

Cannon, the guardian ad litem, told the judge that the 38-year-old had “a habit of alcohol and substance abuse,” and that he might have been attempting to commit suicide when his motorcycle crashed. She said he was capable of making some decisions, but not the decision to go to a rehab facility.

“He doesn’t have any family?” the judge asked.

“They’re alienated,” Cannon said. She recommended that Majette be appointed guardian so the man could be admitted to a physical rehab facility.

According to Cannon’s written report, the man had asked if his friend, who was present at the hearing, could be granted his power of attorney instead of having a guardian appointed for him, but Cannon wrote that a power of attorney “might not be sufficient to help with the admission to a rehabilitative facility nor to the expedited goal of obtaining Medicaid benefits.”

Virginia law says the court must consider less restrictive options to guardianship, including an advance directive and durable power of attorney, before resorting to guardianship. It also says that poor judgment alone is not sufficient reason to declare a person incapacitated.

Majette emphasized that the court order would give him complete discretion to resign if he saw fit. “I can file a Medicaid application, reimburse my client [VCU] to some degree and make him a more agreeable patient at the next hospital,” Majette said.

Majette then called the man on FaceTime to speak with the judge.

“Do you understand what we’re doing today?” the judge said, incorrectly telling the man that Cannon had been appointed his lawyer. “She’s talked to me about your tragic accident. ... I think the proposal is we appoint Mr. Majette to be your temporary guardian and get you the medical care you need.”

“I am agreeable to it,” the man said.

“Mr. Majette does this frequently,” the judge said. “They’re very good lawyers and good people.”

The judge signed the order. Reports filed with the court months later would show that, after being discharged from the hospital, the man would check into an Extended Stay America hotel and refuse Majette’s services.

The next guardianship hearing began immediately.

“This is an ordinary — if there is such a thing — guardianship,” said Majette, describing the patient, a 67-year-old man with substance abuse disorder who had been brought in to the hospital with frostbite and gangrene.

Majette said his plan was to have the man admitted to a rehab facility and then to a nursing home. He would also retain his right to suspend his duties as guardian. “I can’t keep up with a fellow like that after he leaves the facility,” Majette said.

“This was a too-easy case,” Cannon told the judge. “He was not of this world. ... Could not tell me where he was from.”

The judge said he always wondered what happened to the homeless people he often saw on the street. Cannon said the man had left his nursing home in a wheelchair to find a drink and had been begging on the street.

“Doesn’t sound very encouraging,” the judge said. “As long as you represent to me there’s sufficient findings, that’s fine.”

***

The guardian ad litem in 85% of all guardianship cases filed by a health care provider over the past 5½ years was Cannon, despite there being more than 50 attorneys certified to serve as guardians ad litem in Richmond.

Cannon’s obituary, published in The Times-Dispatch after she died in May, said she served as guardian ad litem “for almost all of the guardianship cases for VCU Medical Center over the past 20-plus years.” VCU accounted for 76% of all health care guardianship petitions filed in the Richmond area from 2013 to 2018.

Court records show Cannon was paid at a rate of $100 per hour for her work on VCU Health System cases. In those cases, the health system paid her bill. On other cases, she was paid by the commonwealth of Virginia at a rate of $55 an hour for out-of-court time and $75 an hour for in-court time, rates set by the state Supreme Court.

State law requires the petitioner, in these cases VCU Health System, to pay the guardian ad litem fees except in indigent cases, when the fee can be paid through the state Supreme Court. However, although almost all of the VCU Health System cases were indigent cases, VCU still footed the bill.

Pam Lepley, vice president of university relations for VCU, said that the health system followed the law and was saving the state money by paying Cannon’s attorney fees.

“I would say ... that $100 an hour for a lawyer is very reasonable, especially a good lawyer,” Lepley said.

VCU Health’s chief medical officer, Dr. Ron Clark, said he had never met Cannon.

“I assume she was someone that was known and respected by the court that they turn to on a frequent basis,” he said.

VCU Health System officials emphasized that it pursues guardianship for its patients rarely and only as a last resort and that, once the petition is filed, it is out of the hospital’s hands.

“The court makes the appointment,” Lepley said. “We don’t.”

Cannon frequently worked closely with the ThompsonMcMullan attorneys who represented not only VCU Health System, but Chippenham Johnston-Willis Medical Center and a number of nursing homes in the Richmond area. In most cases, she recommended that the health care provider’s attorney be appointed guardian, even in cases where she thought a family member or friend could also be an appropriate guardian, according to court records.

“The guardian ad litem is supposed to be an independent person and should not be compensated by the petitioner,” said Hurme, the Virginia lawyer who served on the board of the National Guardianship Association. “If the guardian ad litem is being paid by the hospital to grease the skids — to make the appointment of the guardianship go without a hitch — obviously the guardian ad litem is not going to recommend a need for counsel to represent the interests of the individual. You cannot serve two masters.”

***

Charles Ellis IV had never heard of guardianship before he got the notice in the mail that ManorCare Health Services-Imperial had petitioned Richmond Circuit Court to have a guardian appointed for his father, Charles Ellis III.

In the weeks before the hearing notice, Ellis had received a couple of threatening letters from his father’s nursing home because the retirement income that he’d been collecting from his 30-year career as a city of Richmond firefighter had run dry. The letters said that if ManorCare didn’t receive the $37,569.72 that was owed them soon, they would evict him.

Ellis reached out to an ombudsman to figure out what to do. He was his father’s power of attorney and the agent of his advance medical directive. He’d tried applying for Medicaid twice, but both times was rejected because his father owned a home. It didn’t matter that the home was in serious disrepair and had gone into foreclosure.

Before Ellis could come up with a plan, the nursing home had hired Paul Izzo, an attorney working for ThompsonMcMullan, to petition the court to become the older Ellis’ guardian and conservator. Cannon was appointed the guardian ad litem. Ellis asked Cannon to allow him to continue to make his father’s medical decisions. The advance directive that the older Ellis had signed said, “I intend to avoid the necessity of guardianship or conservatorship proceedings by the creation of” the life-planning document, according to a copy of the document filed in court records.

Still, Cannon recommended that the power of attorney be suspended until Medicaid benefits could be obtained.

Since Ellis couldn’t attend the hearing, his aunt attended to speak up on the family’s behalf. Ellis said she cried and pleaded with the judge to allow the family to retain the medical power of attorney.

But Ellis said the judge told her that it was going to be all or nothing. Izzo was appointed both guardian and conservator.

“That is the court serving as a debt collector,” Hurme said of the Ellis case. “The use of the guardianship system to save hospitals money and to collect nursing home debts, in my view, is an abuse of the court process.”

Majette said that, “No power of attorney is suspended unless there is cause shown.”

A few months later, the older Ellis was taken to Bon Secours St. Mary’s Hospital for pneumonia, his son said. He was in the intensive care unit for a few days before he was discharged back to the nursing home, but his son said he wasn’t consulted or informed about the discharge.

Within days, the older Ellis died at the nursing home.

Ellis believes that Izzo may have been too quick to allow his father to leave the hospital. If he had had the power to make the decision, he would have wanted the doctors to continue to treat his father.

“At that point, it was out of my hands. I felt kind of helpless as a son not being able to speak on his behalf,” Ellis said. “I have mixed feelings on it. I feel like somewhere the system — whether that’s the state or the federal government — failed my dad.”

Christopher Malone, the president of ThompsonMcMullan, said a judge could look at the facts of a case, determine that the power of attorney was not acting in the best interests of the incapacitated person and choose to appoint one of their attorneys instead.

“But that’s not our job,” Malone said. “It’s the guardian ad litem [who] makes a recommendation and the court hears the evidence.”

***

Erica Wood, assistant director of the American Bar Association Commission on Law and Aging, has conducted national studies on public guardianship and guardianship monitoring. She said some courts and some states have implemented a guardian ad litem rotation to avoid the appearance of a conflict.

“If you just have the one guardian ad litem that’s always got the cases, it gives an appearance of a lack of an arm’s length relationship,” she said. “The idea of broadening it and opening it up — a rotation with some judicial discretion — is something to think about.”

In Florida, where every allegedly incapacitated person is appointed a defense attorney by law, there is a rotation in order to avoid the “pick my pal” scenario the courts have seen in the past, according to Ed Boyer, an elder law attorney who works guardianship cases there.

“When the same guardian ad litem pops up over and over, it looks like favoritism,” Boyer said.

The attorneys at ThompsonMcMullan said Cannon was selected by the court to serve as guardian ad litem so frequently because she was trusted by the court.

“We do not in this firm, the hospital does not, the petitioner ... does not appoint the guardian ad litem. The court and only the court appoints the guardian ad litem,” Majette said, while acknowledging that the court usually did so at his request. “We, practically, tell the court that we have a person that the court can use ... and the courts throughout the commonwealth decide who they know, who does a good job and who they are going to appoint. We propose, the court disposes. I don’t make that decision.”

Majette also said Cannon regularly made herself available to work at an hourly rate lower than what most attorneys are paid.

“Penny Cannon did phenomenally good work,” Malone said. “I’d stack up her guardian ad litem report against any I’ve seen. … You know when you have her on the case, you’ve got a 12-15 page report. I feel really good about that if I’m representing the hospital because I know that that job has been done well.”

In one case in which Majette was appointed a man’s guardian against the wishes of the man’s aunt, the aunt later hired an attorney and filed a counterpetition to have her appointed her nephew’s guardian. The petition also requested that the court appoint a guardian ad litem other than Cannon, who had been appointed for the first proceeding. “Preferably [one] who does not regularly work on cases where Mr. Majette is the proposed guardian and conservator,” the petition said.

Majette filed a response defending Cannon, saying that she was familiar to the judges and that the aunt had “presented no basis to impugn the integrity of Ms. Cannon in the exercise of her duties as guardian ad litem for [the man] or any other individual.”

The court appointed a different guardian ad litem, Robert Lesniak, who later took on most of VCU Health System’s cases for a few months after Cannon died in May and was also compensated at the rate of $100 per hour, according to court documents.

Lesniak said Majette, whom he’s known for about 25 years, asked him to fill in as guardian ad litem on his cases after Cannon died. He said it’s difficult to find an attorney to work for $100 an hour, let alone the $55 to $75 an hour paid by the Supreme Court.

While Cannon’s reports indicate that she always fulfilled her obligation to notify the person whose capacity was in question of their rights, she almost never recommended that they exercise them. None of the cases reviewed had a jury trial, and only a handful had defense attorneys. Only occasionally was the person whose capacity was in question present at the hearing, and even then, usually by teleconference.

In a 2015 case filed by Bon Secours Health System with the Henrico County Circuit Court with a different guardian ad litem, the hearing was held in the patient’s hospital room at the guardian ad litem’s request.

Once a guardian is appointed, Richmond Circuit Court does little to ensure that the guardian is fulfilling the responsibility to protect a person’s best interests.

“For the most part, the clerk’s office only receives filings and compiles the record, prepares bonds and gives oaths,” said Edward Jewett, clerk of the Richmond courts, in an email. “We do not have any decision making powers in these cases. In the clerk’s office, we do not do any monitoring of guardianship cases.”

The chief judge of the Richmond Circuit Court, Joi Jeter-Taylor, declined to be interviewed through Jewett.

***

It’s also a long and difficult process to have a person’s rights restored, according to Majette. “It takes a lot of time and it takes a lot of energy and it takes, sometimes ... a lot of money,” he said.

The disAbility Law Center of Virginia, which advocates for the rights of people with disabilities, takes on about a dozen cases to help people have their rights restored each year, but Colleen Miller, the center’s executive director, said there could be hundreds of people under a guardianship unnecessarily.

“We’re really limited in how many cases we can take on,” Miller said.

And the Virginia Indigent Defense Commission, which was created by state law to oversee public defenders and, according to its website, “to protect the Constitutional right to counsel for people who cannot afford to hire their own lawyer,” is not involved in guardianship cases.

The law requires that all private guardians submit an annual report to the local Department of Social Services and that the report be filed with the court that granted the guardianship.

But annual reports were missing from court files in at least 50 court cases reviewed by The Times-Dispatch. Most of the reports that were filed contained little detail and often indicated that the private guardians had rarely or never visited their wards during the year.

The Richmond Department of Social Services has never identified an abusive or neglectful guardian based on reviewing annual guardianship reports and has not recommended to the court that a guardian be removed since at least January 2013, according to Shunda Giles, the department director.

Wood, of the American Bar Association, said Virginia’s guardianship laws are strong on paper, but that it’s the only state in the nation that does not require the guardianship reports be monitored directly by the court. Instead, they go to the local department of social services.

Across the state, social services workers have seen a 33% increase from 2014 to 2018 in the number of guardianship reports they are tasked with monitoring, according to the state Adult Protective Services 2018 annual report.

At the same time, the demand for attention and services has increased and funding has stayed almost static, said Paige McCleary, APS director.

The social workers are also limited in how much oversight they can provide based on the annual guardianship reports.

“The difficulty is these are self-reports by the guardian,” said McCleary, adding that many times, the only way the worker can tell if there’s abuse or neglect of a person under guardianship is if a complaint is made to APS.

Gail Nardi, who was previously director of APS for nearly a decade, said the lack of funding meant that many caseworkers have to juggle high caseloads and few have the time to closely monitor guardianship reports.

“I — and anyone else who cares about the well-being of elders and adults with disabilities in our communities — would hope that those reports get the scrutiny that they deserve,” Nardi said. “It is not my experience that that is the case.”

Pamela Teaster, a professor of gerontology at Virginia Tech and a national expert on guardianship, said the safeguards in Virginia law are lacking and that relationships within the court are too friendly to ensure due process.

It’s a problem that faces almost every state in the nation.

“Unfortunately and too frequently, the fate of people under guardianship ... is poorly monitored in sufficient, meaningful, and diligent ways,” Teaster wrote in her testimony before the U.S. Senate Special Committee on Aging in April 2018. “This inattention threatens to unperson them, leaving them open to exploitation, abuse, and neglect. The awesome power over highly vulnerable adults wielded by the guardianship system ... demands adherence to the accountability protections already in place, but that are not well implemented ... ”

Although an estimated 1.5 million people in the U.S. were under guardianship in 2018 — a number likely to grow as the population ages — no state maintains a list of those people, making it “impossible to have an appropriate level of accountability for each person who has a guardian,” according to Teaster.

The Senate Special Committee on Aging published a report in November 2018 outlining how states could strengthen their guardianship systems.

“Aside from incarceration or civil commitment, potentially no other court process infringes upon an individual’s personal liberties more significantly than the appointment of a guardian,” the report says. “In order to protect individuals subject to guardianship from abuse, exploitation, and neglect, governments and courts must be vigilant in their enforcement of laws and procedures that provide oversight of these relationships. While all states have laws designed to protect due process rights and to ensure that guardians are performing their fiduciary duties, these laws are not always consistently enforced, and more must be done to protect individuals subject to guardianship.”

The report found that there was a lack of national and state data on guardianship, making it particularly difficult to identify trends and make policies to address problems.

Still, some states are trying to improve their oversight of guardianship cases.

Nevada enacted a wave of reforms in 2017 — including requiring that the allegedly incapacitated person have a defense attorney — after an article in The New Yorker exposed one professional guardian in the state who had used a court order to seize guardianship of an elderly couple and control of their assets without advance notice to them or their adult daughter, according to the Senate report.

The state now has a permanent guardianship commission that investigates problematic guardianship cases. Last year, the commission investigated 165 guardianship cases and identified $2 million in estates that were at risk of loss due to mishandling or exploitation, according to Kate McCloskey, Nevada’s guardianship compliance manager.

In 2016, Texas established the Guardianship Compliance Project, a special office dedicated to auditing guardianship cases to determine the effectiveness of existing safeguards. The auditors found that 41% of cases were out of compliance with state law, including missing required annual reports and financial accountings.

Minnesota tracks all guardianship transactions. Texas passed a law in 2017 requiring all guardians to be registered in a central database. Pennsylvania is working to launch a statewide guardianship tracking system, and Indiana has a 60-county guardianship registry.

“The problem is not with the state of the law as written but as practiced,” wrote Patricia M. Cavey, a Wisconsin-based elder law attorney, in a 2000 article for the Marquette Elder’s Advisor Law Review. “I have had the opportunity to work as a social worker and lawyer in a state with very progressive mental health laws, yet for almost two decades, I have shared many experiences with attorneys and advocates in states with much less ‘progressive’ laws. Over the last 10 years, many states have modernized their guardianship and adult protective service statutes. Few states fail to provide the theoretical right to either a lawyer for the defendant or a guardian ad litem. However, the benefits of good model statutes or case law protections are not realized for defendants unless the participants in the process know, follow, and enforce the law.”

In many places, like Richmond, whether a person is truly protected lies largely in the hands of the court system — a system that the attorneys at ThompsonMcMullan know well.

“I think I have the confidence of most courts throughout the commonwealth,” Majette said. “I hope I do.”

***

Once Richard Richardson’s family found out that VCU Health System and the court had bypassed them to get Richard discharged from the hospital, they were furious. His sister Richelle contacted Cannon and asked her how she could get guardianship of her brother.

A second hearing was scheduled, and Cannon visited Richard again to decide what would be best for him.

This time, Richard asked to have an attorney appointed for him, but Cannon said in her report that, because his sister was planning to attend the hearing, she didn’t think that was necessary.

“When you think about the gravity of having your rights taken away from you, I would think you’d need some legal representation,” Richelle said. She said she didn’t know that her brother had told Cannon that he wanted an attorney until months after Richard’s death because she wasn’t provided a copy of the report before or at the hearing.

Richard also told Cannon he’d like to be present for the hearing, but Cannon wrote in her report that transporting him to the courthouse “cannot be easily done” and that including him by telephone conference also wasn’t possible “due to the present lack of a telephone adaptable for that purpose.”

Cannon spoke with Richelle and wrote that she believed that Richelle basically had her brother’s best interests at heart, but didn’t think that her plan to eventually have her brother brought to live with her mother, Jackie, and sister, Jennifer, was advisable. She recommended that, if the judge should decide to appoint Richelle as guardian, the court order include a mandate that Richard remain in a nursing home unless Richelle could present the court with a “suitable” discharge plan.

When the court order was signed, Richelle was just relieved to be able to make decisions for her brother again. She wasn’t a lawyer. She’d never been through guardianship proceedings before. In spite of how she felt she’d been treated by the hospital staff, she trusted that a health system like VCU would be fair, and that the judge would protect her brother’s rights.

She didn’t realize that the court order she’d signed said Majette could override her as guardian at VCU Health System’s request, or that she wouldn’t be allowed to make any medical decisions for Richard in disagreement with his attending physician at the nursing home where Richard would spend his final year.

***

Advocates in Virginia and across the country have called for stronger protections for people brought to court for guardianship proceedings.

“Guardianship is the most restrictive option that we have for assisting somebody with a disability to make decisions,” said Miller, from the disAbility Law Center of Virginia. “There are many, many other options available that don’t have to take away their [rights]. … We really believe that guardianship should be a last resort in every situation and we also think that that is what the law requires.”

Miller said supportive decision-making — allowing people to retain their rights but putting resources in place to help them make those decisions — should be used more.

David Hutt, an attorney with the National Disability Rights Network, said national reform efforts are placing a greater emphasis on the guardian seeking out the interests and wants of the person under guardianship. This requires frequent interactions between the guardian and the person.

He said courts could do more to make sure people receive due process before they have any rights taken away, including ensuring there is advance notice to the appropriate people, that there is a fair hearing, that the judge sees the person, and that less restrictive alternatives are seriously explored.

“Courts are too quick to order guardians,” Hutt said.

Wood said the American Bar Association approved a new model law on guardianship reform to use as an example for state legislatures two years ago, but only two states — Maine and Washington — have adopted it.

“There’s a very strong emphasis on less restrictive options,” Wood said of the model law. “The judge cannot find that an individual is incapacitated and order a guardian without fully examining less restrictive options.”

Miller said the disAbility Law Center of Virginia supports efforts to better educate judges in the state about the limits of guardianship and the alternatives that exist.

In 2016, the Supreme Court of Virginia launched its Working Interdisciplinary Networks of Guardianship Stakeholders, or WINGS, a group that brings together representatives of the courts and community to work on improving guardianship practices and providing less restrictive decision-making options. The group has worked on improving state-level data collection on guardianships, creating a tutorial, FAQ document and pamphlet on the guardianship process to be given to people wishing to be appointed a person’s guardian, and advocating for a change in the law enacted this year that now allows the court to issue a summons to a guardian if the annual report is not filed on time.

But according to Cavey, the Wisconsin elder law attorney, the only chance of truly protecting the rights of the vulnerable is to abandon the assumption that all parties in guardianship proceedings are looking out for the incapacitated person’s best interests and to create an adversarial system with a strong emphasis on defense, much like in criminal court, according to her article, “Realizing the Right to Counsel in Guardianship: Dispelling Guardianship Myths.”

“The only hope for a constitutionally sound guardianship system is to ensure that those with the most at stake, the guardianship defendants, are able to access real advocates,” Cavey wrote. “For those of us who will age and be subject to this system, we hope that our lawmakers understand the conflicts and self-interest of those who advocate the [disassembling] of the adversary system. Since we all age, it is in the self-interest of practitioners and policy makers in the field to develop systems in which advocacy is fostered. Very good words on paper are just not enough. There is too much at stake to hope for self-activating justice because the ‘help’ we get isn’t always the ‘help’ we need or want.”

***

Richard Richardson wasted away in his final months at Petersburg Healthcare Center.

He would complain to his sisters that he wasn’t being turned to prevent bedsores, that he wouldn’t be fed for hours, and that his roommate would crank up the heat and stifle him.

The staff wouldn’t allow his wheelchair in the building, so he was often left in his bed, according to his sisters. Even when he seemed to be near death, the nursing staff would insist that only two people could visit him at a time, they said.

Fred Stratmann, a spokesperson for Petersburg Healthcare Center, said he couldn’t speak about a specific case because of patient confidentiality, but said the center encourages its administrators and staff to be sensitive to the needs of the residents.

Richard would go back and forth about whether he wanted to start hospice.

Before his accident, he didn’t believe in God. After he became paralyzed, he became a Christian for a while, but his faith waned again with the way he was treated by the hospitals and nursing homes.

He told Richelle he didn’t really know what happened after death, but he thought anything had to be better than what he was going through.

But as he and his family discussed the possibility of stopping his life-sustaining treatment toward the end of 2018, he said he wasn’t ready. He wanted to wait to see if his favorite football team, the Los Angeles Chargers, made it to the playoffs.

He held on to see them win one playoff game before losing to the New England Patriots in January.

Later that month, his condition worsened. The nursing home sent him to Southside Regional Medical Center in Petersburg.

In the beginning of February, Richard was nonresponsive, but he started to come back within a few days, Richelle said.

In his weeks at Southside Regional, Richelle felt like the hospital staff continually tried to exclude her from conversations about her brother’s care. One time, a staff member said they’d already called Majette, who was listed on Richard’s medical records as his next of kin, about treatment options. Richelle had been Richard’s guardian for a year.

“How are y’all calling Shawn Majette?” Richelle asked. As far as she was concerned, Majette had been removed from speaking for Richard at the court hearing the year before when she was made his successor guardian.

Majette said he never acted as Richard’s guardian after Richelle took over.

A spokesman for Southside Regional Medical Center said lawyers at Majette’s firm have been appointed guardians of patients after the medical center has petitioned for guardianship on occasion, but he had “found no facts that support the narrative” that Richelle described.

Richelle sent the hospital a copy of her court order, but she still felt like her right to speak for her brother was not respected.

Richard’s family decided to have him transferred to Retreat Doctors’ Hospital in Richmond to be placed on hospice care so his family would be nearby to spend his final days with him. But before Richelle could complete the arrangements, the medical staff at Southside Regional put Richard on comfort care — ceasing all efforts to keep him alive — without her permission, she said.

When a doctor realized two days later that the family hadn’t consented, he ordered the staff to restart Richard’s regular medical care, Richelle said.

The same day, a hospital staff member called Richelle and told her that they would be transferring Richard to Retreat Doctors’ Hospital.

Richard’s mother, three sisters, sons, nieces and nephews had planned to meet him at the hospital that night, but they’d never get the chance to say goodbye.

He died on the way.