WILBER CARE CENTER BOARD OF DIRECTORS MEETING AUGUST 25, 2025 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Board Member Allison Suden, HR Coordinator Stephanie Hroch, Board Member Greg Hasenohr, Board Member Call to order: The regular monthly meeting was called to order at 5:28 p.m. by Randy Fulton, Board President. RHD consultant, Matt Ross, absent. Visitors included AL Coordinator Karis Bredemeier and Maintenance Supervisor Levi Lane. A motion to approve the meeting agenda and the July 2025 meeting minutes, with minor grammatical corrections, was made by Joyce Wusk. Motion carried. Current Updates: There was a COVID outbreak at the facility a couple of weeks ago, which has since resolved, and all residents are now out of quarantine. Board President Randy Fulton asked about the infection rate among vaccinated versus unvaccinated residents. Administrator Nicole Lane explained that the majority of current residents are vaccinated and, with how quickly the virus spread, it was nearly impossible to track. Current Census: The current census stands at 33 residents in Skilled Nursing, four of which are skilled and 33 residents in Assisted Living with one room available. There have been multiple referrals for skilled care coming through, but due to staffing challenges and a need for a bariatric bed, some had to be denied. Nicole Lane will collaborate with social services and maintenance to do an inventory of all the facility’s current beds to assess future needs and possibly purchase a bariatric bed. Review of Personnel Openings: The Business Office position remains open. A few strong candidates have applied; A final decision is expected next week. A local nurse was hired for a PRN night shift position. One full-time CNA/MA and two PRN CNAs have also been hired. There are currently two night shift Med Aide openings in Assisted Living. Levi Lane began as Maintenance Supervisor earlier this month, and Karis Bredemeier started as Assisted Living Coordinator in late June. Overtime is down this month, with supervisors monitoring closely and flexing hours where possible to control costs. Rural Health Development Update: Matt Ross was not present. General financials: Financial Statement: Medicaid income is down in both Skilled Nursing and Assisted Living. Nicole Lane and Allison Suden met with RHD billers to address the issue. Some claims were denied due to incorrect admit dates but have been corrected and resubmitted. Additionally, MDS assessments are being monitored and reviewed to ensure all necessary data is captured to reflect accurate care levels; this includes all team members receiving additional training and extra oversight. Medicare A revenue is up, Medicare B revenue is down, and Private Pay has remained steady. Aging of Accounts: Some Medicaid applications are at a standstill, which is impacting the aging for some residents. There may need to be a lien put on the house of a former resident that moved out and has not paid the remainder of their bill. Meetings are being held with social services to ensure continuity of payment for residents that come in under private pay but need to transition to another payer source. Billing errors and outstanding co-insurance balances are also being corrected. CD activity: One CD at First Tri-County Bank will mature on September 5th. Calls will be made to find the best rate. A motion to approve the income section was made by Scott Albert, motion carried. General Expenses: Some wages were inflated due to July’s 19-day accrual. Health insurance was up because both July and August premiums were paid together. Consultant fees were up due to paying the RHD revenue fees. Nursing wages were steady. Agency costs were up. Assisted living wages remained steady. Agency is still being utilized for Assisted Living while the night shift remains open. Food costs for Assisted Living increased slightly. Dietary wages were up slightly. Activity wages also had an increase. Activity supplies were up significantly due to the annual renewal of the newspaper subscription. Maintenance wages were up due to a large PTO payout. Overall, the facility showed a loss for the month of July. Bills: One question was asked about the vendor Oak Creek Aviaries and what service they provide for the facility. It was explained that they are where the facility gets the birds for the aviary. Motion made by Stephanie Hroch to approve the expense section, motion carried. OLD BUSINESS: The office remodel project was put on hold until the Maintenance supervisor position was filled. Nicole Lane notified architect Denny Duer of the hire. Denny will send a letter of engagement, then meet with Levi to review plans before submitting them to the Fire Marshal for approval. NEW BUSINESS: The auditors from Lutz will be on-site tomorrow; RHD consultant Kristal Thorell available to provide remote assistance if needed. The Assisted Living program recently underwent a Home and Community-Based Services Survey in the form of a desk review, which was completed last week. In preparation, a new resident handbook was developed, and policies and procedures were updated. The Nebraska Healthy Families and Workplace Act will take effect on October 1st, with an anticipated budgetary impact of approximately $7,000 per year. The employee handbook will be revised to reflect these changes, and Nicole plans to seek additional guidance to ensure full compliance. Nicole is also collaborating with an individual completing a capstone project on fall rates in long-term care. Current initiatives include ongoing updates to policies and procedures, the development of a documentation improvement plan, and the creation of a Care Level Committee to ensure accurate documentation. In addition, formal training is planned for MDS submissions as well as formal Assisted Living administrator training. A motion was made to adjourn by Joyce Wusk, motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., September 15th, 2025. Board Secretary WR — September 24, 2025 ZNEZ
