WILBER CARE CENTER BOARD OF DIRECTORS MEETING APRIL 28, 2025 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Acting Board Chair Allison Suden, HR Coordinator Stephanie Hroch, Board Member Scott Albert, Board member Greg Hasenohr, Board Member Call to order: The regular monthly meeting was called to order at 5:26 p.m. by Randy Fulton, Board President. Motion to approve March 2025 minutes and meeting agenda motioned by Scott Albert. Motion carried. Current Updates: Both the Nursing Home and the Assisted Living were visited by state surveyors last week and the facility was found to be in compliance. The Wilber Care Center’s Business Office Manager, Missie Bramhall, will be gone until the beginning of June. Her position is being covered by Allison Suden, HR Coordinator, with assistance from RHD business consultants. Nurse consultant, Vicki, from RHD has been assisting administration to update policies and procedures for Assisted Living. Current Census: Current NH census is at 35, two are currently on a Medicare A stay. The current AL census is at 31. One NH resident will be moving to AL on Wednesday, April 30th, and one of the residents that is currently on a Medicare A stay in the nursing home also has plans to move to AL in the near future. One additional NH resident is interested in moving to AL, pending Medicaid waiver approval. Review of Personnel Openings: Current Assisted Living Coordinator, Kim Gronemeyer has decided to step down from her position to spend more time with her family. The search has begun for a new coordinator. Kim plans to remain on staff to ensure a smooth transition and as a PRN nurse. The facility is also searching for a new Activity Coordinator due to the resignation of Shelly Mannor in addition to a full-time days and part-time nights LPN. The facility has openings for CNA’s and Medication Aides, particularly on the weekends. Due to weekend shortages, Nicole Lane is looking into a possible weekend warrior program or an internal agency program that other facilities are utilizing to promote more interest in that position and ensure consistent staffing on the weekends. Nicole Lane has asked the board to consider reintroducing bonuses to incentive the facilities for current staff to pick up shifts rather than utilizing an agency to ensure continuity for quality of care. Administrator, Nicole Lane will work on a policy to present to the board. Rural Health Development Update: Matt Ross was unable to be present due to the change in date. General financials: Financial Statement and Aging of Accounts: Nicole Lane, Administrator, reports a decrease in Medicaid and an increase in private pay. This will continue to ebb and flow while Medicaid approval is pending. The facility has continued to work with families that Business Office Manager, Missie Bramhall, has been assisting through the Medicaid process to ensure the support continues while she is out. Medicare A and B services have increased. Jodie Harms, Social Services Coordinator, has been proactive with skilled referrals. Overall, revenue has been stable. CD activity: The current list of CDs was reviewed with the board. One CD is coming due on May 2nd and another on May 8th. Calls will be placed to find the best rates. Approval of the Income Section: Motion made by Greg Hasenohr. Motion Carried. General Expenses: The facility is focused on lowering the cost of AL supplies and pharmacy expenses. The nursing team is reviewing pharmacy expenses to look for areas to save costs. The wages were up slightly due to overtime. The phone bill will have a decrease after Windstream services are removed. Food costs are up due to the current market. Dietary Manager, Chris Lane has worked on price matching and lowering costs where she can. Approval of Income Section Joyce Wusk. Motion Carried. Bills: No questions or concerns from the Board of Directors regarding expenses. Approval of Expense Section made by Greg Hasenohr. All in favor. Motioned Passed. OLD BUSINESS: The MDS coordinator position was filled by Jodi Nelson, RN and she is receiving training from Contracted Services, SMK Medical to assist with the transition from their services. The administrator, Nicole Lane, will work with Maintenance supervisor per request from the board to begin getting quotes from contractors to determine the cost to create an office space at the front entrance. Activities moved their office space to the west hall and infection control and MDS will now share an office where activities used to be located. NEW BUSINESS: The budget is currently being worked on. It has not been finalized yet, but Administrator, Nicole Lane plans to review with RHD Consultant, Matt Ross and will present to the board at the next meeting for approval. Motion to adjourn the meeting was made by Stephanie Hroch; motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., May 19th, 2025. Board Secretary WR — June 04, 2025 ZNEZ
