Wilber Care Center Board of Directors Meeting June 15th, 2026 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Board Member Allison Suden, HR Coordinator Greg Hasenohr, Board Member Tracy Vitosh, Bus. Operations Coordinator Scott Albert, Board Member Matt Ross, RHD consultant Stephanie Hroch, Board Member Guests: Anna Cidlik Call to order: The regular monthly meeting was called to order at 5:30 p.m. by Randy Fulton, Board President. Director of Nursing Anna Cidlik was present as a guest. Motion to approve meeting agenda as presented and the May 2026 meeting minutes by Joyce Wusk. Motion carried. Current Census: The current Skilled Nursing census is 34, consisting of 18 residents with Medicaid as the payer source, and 14 private-paying residents, and two utilizing Medicare Part A. Assisted Living census is currently 24 in-house with three residents on hospital leave. Seven residents are utilizing the Medicaid Waiver and 20 are paying privately. Review of Personnel Openings: Since last month's Board meeting, the facility has hired three full-time Certified Nursing Assistants (CNAs), one part-time Certified Medication Aide (CMA), and three dietary aides. At this time, one CMA position continues to be covered by a contract staff member. The remaining open positions include a Weekend Registered Nurse (RN) and an Evening shift Licensed Practical Nurse (LPN). Recruitment efforts are ongoing to fill positions with permanent staff as qualified applicants become available. Current updates The Chimers concert, held at the facility and open to the public, was very well attended and now we are working on our Czech Days parade float, as staff and residents are looking forward to participating in this year's community celebration. The FY 2026–2027 operating and capital budget will be presented to the Wilber City Council on July 14, 2026. The State of Nebraska has implemented a new Assisted Living dementia reimbursement grant, providing additional reimbursement for eligible residents. The facility is working to ensure everything is set up to accept reimbursement. Therap implementation has been completed and is now ready for Nebraska Medicaid billing, improving documentation and billing efficiency for Assisted Living services. Rural Health Development Update: RHD consultant Kristal Thorell has begun training sessions with Business Operations Coordinator Tracy Vitosh. Nursing Consultant Vicki Lepant will begin to meet with Director or Nursing Anna Cidlik in the coming weeks. General financials: Financial Statement: Private Pay revenue was lower for the month due to one resident transitioning from Private Pay to Medicaid coverage. Medicare Part A revenue decreased as a result of a lower census of skilled residents during the month. Overall, May revenue was below budget, primarily due to the decrease in skilled Medicare census. CD activity: Two CDs will mature in early July. The facility has been rolling over the CDs at their current banks if the rates are favorable and will see if that is an option for these two as well. A motion was made by Scott Albert to approve the income section, motion carried. General Expenses: Agency staffing costs increased during the month to cover for multiple employees on medical leave. Overtime costs for assisted living increased due to one employee requiring coverage while on medical leave. Health insurance expenses were higher due to an increase in the number of full-time employees choosing to participate in the facility's health insurance benefit. Overall, the facility experienced a small net operating loss for the month of May, primarily attributable to the temporary increase in staffing-related expenses combined with lower Medicare Part A revenue. Bills: A question was asked regarding the services rendered by One Staff Medical. It was clarified that One Staff Medical is the staffing agency used for a contract LPN. Motion made by Stephanie Hroch to approve the expense section, motion carried. Old Business: Office remodel – The Fire Marshal inspected the proposed office space and determined that a wall may be constructed to enclose the area and create office space without requiring additional consultation with the project engineer or architect, provided the electrical work is completed as planned. The Fire Marshal also clarified that a fire-rated wall will not be required for the project. Maintenance Supervisor Levi Lane is waiting on a few more quotes for the electrical portion of the project. NEW BUSINESS: The facility has completed its recent Health Survey, Life Safety Survey, and a complaint survey during this reporting period. The Health Survey identified several opportunities for improvement related to documentation and regulatory processes. The facility developed and submitted a Plan of Correction, with staff education, policy updates, and ongoing audits already in place to ensure continued compliance. The Life Safety Survey resulted in citations focused on the facility's physical environment, fire protection systems, and compliance with Life Safety Code requirements. Survey findings primarily involved building systems, maintenance items, and documentation requirements rather than direct resident care concerns. The facility submitted its Plan of Correction and is addressing the items through scheduled maintenance, preventive maintenance improvements, documentation schedules, and capital planning. Several corrections have been completed, while others are being addressed according to the approved timeline. The facility also participated in a complaint survey following a resident elopement. The investigation identified concerns related to the aging WanderGuard system, which has experienced intermittent performance issues. Since that time, additional monitoring procedures, staff education, routine system testing, and other interim safety measures have been implemented to further enhance resident safety. Administrator Nicole Lane is actively obtaining estimates for a replacement WanderGuard system. Upgrading the system remains a priority to provide a more reliable resident elopement prevention system. A motion was made to adjourn by Scott Albert, motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., July 20th, 2026. Board Secretary: Date: WR — July 29, 2026
