WILBER CARE CENTER BOARD OF DIRECTORS MEETING MARCH 17, 2025 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Acting Board Chair Matt Ross, Rural Health Development Stephanie Hroch, Board Member Allison Suden, HR Coordinator Scott Albert, Board member Missie Bramhall, Business Office Greg Hasenohr, Board Member Randy Homolka, Maintenance Supervisor Call to order: The regular monthly meeting was called to order at 5:27 p.m. by Randy Fulton, Board President. Motion to approve February 2025 minutes and meeting agenda motioned by Stephanie Hroch. Motion carried. Current Updates: The Wilber Care Center continues to provide meals for the Dewitt Senior Center lunches typically once weekly and every other month. The Senior Center has a good turnout, and the partnership has been beneficial. Chris Lane, Dietary Director, is in talks with Dewitt’s Senior Lunch coordinator to host a luncheon at the Wilber Care Center for increased social benefits. Current Census: The Nursing Home currently has thirty-six residents as of today’s date. This includes 2 Medicare A residents and one more Medicare A resident coming on the 18th. Over the course of the month, the nursing home lost two residents to death and had one discharge to a higher level of care. Assisted Living currently has thirty-one residents, which is down from our previous month. One resident from Assisted Living passed and another moved to long-term care on the Nursing Home Side. The Assisted Living team has developed an “Interest” list of potential residents that have shown interest in the Assisted Living facility to maintain communication. Review of Personnel Openings: Wilber Care Center currently has one daytime C.N.A. position available. The facility is still looking for a Weekend Warrior RN as well as part time LPN’s. The ADON/MDS Coordinator remains open with qualified candidates applying. Rural Health Development Update: Matt Ross, RHD Consultant testified about Medicaid Appropriations during committee session last week. The current bill proposal is 3%. Nebraska has seen 2 more Longterm Care Facilities give their notice to shut down. Both LeadingAge NE and Nebraska Healthcare Association are concerned that the provider tax could potentially be removed. Rural Health Development is also working with our representatives to increase the Medicaid AL rate. General financials: Financial Statement and Aging of Accounts: Nicole Lane, Administrator, reports a slight increase in Medicaid due to the pending applications being approved. There was an increase in Medicare A. Medicare B and outpatient therapy have remained steady. We have seen an increase in Private Pay residents needing to sign up for Nebraska Medicaid. A focus on more Medicare A is the goal and the new Social Services Coordinator has been reaching out to all potential admissions. CD activity: The current list of CDs was reviewed with the board and a list of current CD specials from the area banks was shared with the board to choose from. Plans were made for the current CD’s needing addressed. Approval of the Income Section: Motion made by Joyce Wusk. Motion Carried. General Expenses: Salaries and wages were down across all departments due to the short month. Food costs continue to rise but the Care Center is being mindful of the expenses. 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: PTO Donation Policy: After further review of this policy, the resources required, and the lack of interest, administrator, Nicole Lane recommended that the policy be tabled. If there is an interest or need in the future, it will be re-examined. A motion to table the PTO Donation Policy by Joyce Wusk, all in favor. Motion passed. Pharmacy Consultant: Sarah Seacrest has agreed to a one-year contract with Wilber Care Center. She has begun auditing resident records and completing required regulatory consultation duties. NEW BUSINESS: AL Waiver annual review went well. Nicole Lane, Administrator, discussed the new regulations regarding the HCBS waiver. Nicole updated the Board reviewing a tracked list of potential admissions to WCC’s Assisted Living unit; none are currently seeking immediate admission. Facility Updates: Nicole Lane plans to follow up with her team members and put together a committee in-house on projects, especially for the office spaces. Randy Fulton would like a formal motion to put together a committee on office reorganization with a due date of May 19, 2025. Joyce Wusk motioned; motion passed. Motion to adjourn the meeting was made by Scott Albert; motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., April 21, 2025. Board Secretary WR — May 14, 2025 ZNEZ
