WILBER CARE CENTER BOARD OF DIRECTORS MEETING JANUARY 20, 2025 Present: Joyce Wusk, Acting Board Chair Nicole Lane, Administrator Stephanie Hroch, Board Member Allison Suden, HR Coordinator Greg Hasenohr, Board Member Missie Bramhall, Business Office Manager Scott Albert, Board Member Randy Homolka, Attendee Matt Ross, Rural Health Development Consultant Absent: Randy Fulton, Board President Call to order: The regular monthly meeting was called to order at 5:30 p.m. by Joyce Wusk in the absence of Board President Randy Fulton. Wilber Care Center Maintenance Supervisor, Randy Homolka was recognized as a Visitor/ Attendee. The Meeting Agenda was motioned for approval by Stephanie Hroch; motion carried. Update of events/emerging issues: Current Census: The facility’s Skilled Nursing is currently serving thirty-seven individuals following 3 deaths in the past month and one pending admission. Assisted Living is serving thirty-four individuals following a discharge to the facility’s Skilled services. The Center currently has an active waiting list for one person for Assisted Living Care and the Skilled Nursing side continues to monitor referrals for Skilled Nursing Services. The Nebraska Health Department surveyors are currently conducting an Annual Survey with the exit meeting tentatively scheduled for January 23, 2025. Administrator Lane and RHD Consultant Vicki, Rural Health Development Nurse Consultant, are working on proposed changes in Policies and Procedures related to filing grievance procedures and pet policies. Current Personnel Position Openings include the Social Services Coordinator and Assistant Director of Nursing (ADON). Applications are being accepted and qualified applicants interviewed. Installation in two office areas: discussion of the current bid was tabled pending discussion at the February Board meeting. Administrator Nicole Lane discussed the need to explore with the Board possible expansion of position function and office space for the Assisted Living Director/Coordinator for HIPAA compliance issues; This was tabled for discussion at the February Board meeting. Rural Health Consultant, Matt Ross, noted Rural Health Development was currently assisting in policy revisions and development noted previously and assisting Director of Nursing Missy Pruss with needs in the Nursing Department. Matt Ross noted the Unicameral is back in session and Rural Health Development is currently working with Leading Age Nebraska and others in support of long-term-care related legislative changes. General financials: Census changes and holiday expenses (staffing and celebration costs) have reduced income and increased expenses. Seven Medicaid Applications and Renewals have been in process of approval with the State of Nebraska during November and December. Private Pay Aging Account occurrences remained unchanged for December. CD activity: None in December. One pending renewal prior to the next meeting was noted with Recommendation that the amount be moved from the Swanton Bank to First State Bank (Wilber), motion by Scott Albert; motion carried. General Expenses: Holiday activities, employee illness, and vacation accrual payment upon resignation increased December expenses. A motion was made by Stephanie Hroch to approve the Expense Report as submitted; motion carried. OLD BUSINESS: Discussion of Private Pay Room Rates resulted in a motion by Greg Hasenohr to raise Private Pay Room Rates by 8% starting April 1, 2025. Motion carried. Legal counsel information regarding the advisability of personal time donations when using a PTO system has not been received; discussion was tabled until needed information is obtained. NEW BUSINESS: Notice from the Facility’s Pharmacy Consultant announcing the termination of consultant services 1/31/2025 was reviewed. Administrator Nicole Lane has been in contact with potential replacement services and is going to reach out to offer a trial period before entering more formal arrangements. Action advanced to the February 17th Board meeting. A motion was made by Greg Hasenohr to enter an executive session with present Board Members, Administrator Nicole Lane, Rural Health Development Consultant, Matt Ross, Business Office Manager, Missie Bramhall and HR Coordinator, Allison Suden at 6:36 pm to discuss aging account issues. Motion carried. A motion was made to come out of the executive session at 6:51 pm by Greg Hasenohr. Motion carried. No further action related to the executive session was offered. Motion to adjourn the meeting was made by Hroch; motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., February 17, 2025. Board Secretary WR — February 26, 2025 ZNEZ
