Wilber Care Center Board of Directors Meeting May 18th, 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 Stephanie Hroch, Board Member Guests: None Call to order: The regular monthly meeting was called to order at 5:30 p.m. by Randy Fulton, Board President. No visitors or guests were present. Motion to approve meeting agenda as presented and the April 2026 meeting minutes by Scott Albert. Motion carried. The previous month’s board meeting minutes and notice of public meeting for the May 2026 board meeting were published in the Wilber Republican. Current Census: The current Skilled Nursing census is 30, consisting of 14 Medicaid residents, and 16 private-pay residents. Assisted Living census is 28 in-house, one on a hospital leave. 10 residents are Medicaid and 19 are private pay. Review of Personnel Openings: The current staff member who recently graduated from the LPN program has accepted the full-time Charge Nurse position that has been held for her and is expected to transition into full-time status later this month. The weekend RN position remains open. However, with the new Director of Nursing beginning in June, there is potential for the current administrative nursing team to adjust and flex schedules to provide weekend RN coverage until a permanent candidate is hired. Recruitment efforts continue for a full-time evening CNA position, an evening nurse, as well as part-time openings in Housekeeping and Dietary. These positions remain posted and active recruitment is ongoing. Rural Health Development Update: Matt Ross could not attend; however, administrator Nicole Lane reported on his behalf that training for billing processes will begin at the end of May and occur on a weekly basis moving forward. General financials: Financial Statement: April had an overall increase in revenue that can be attributed to an increase in Medicare A and private pay revenue. CD activity: Multiple CDs will mature at the end of May. The facility will contact the relevant banks to discuss rollover options. Motion made by Joyce Wusk to approve the income section, motion carried. General Expenses: Expenses were stable across most departments for the month of April. Overall, the facility experienced a positive balance for the month of April. Bills: A question was asked regarding the services rendered by Segra. It was clarified that Segra is the company that provides phone and internet services for the facility. Motion made by Scott Albert to approve the expense section, motion carried. Old Business: Office remodel – Filipi electric sent the quote over for the electrical system for the proposed new office space. The cost was quoted at $11,440. Personnel project- The facility needs to fill 3.5 CNA/CMA openings well as an evening and overnight nurse to be fully staffed as and no longer utilize agency staff regularly. Final Budget Review- The facility is budgeting for an average census of 36 residents for the 2026–2027 fiscal year. Staffing schedules are being developed using Hours Per Patient Day (HPPD) calculations to better align staffing levels with resident census, improve efficiency, reduce unnecessary labor costs, and provide a clearer picture of staffing needs. A key focus during this budget year will be increasing Medicare A, Medicare Part B and outpatient therapy to maximize available reimbursement opportunities and support resident outcomes. Several budget adjustments are anticipated for the upcoming year. Pharmacy supply expenses are expected to decrease based on current utilization trends. Certificate of Deposit (CD) income is projected to decline as federal interest rates have decreased over the past year. Telephone expenses are expected to decrease once the facility is able to discontinue services through Windstream. Additionally, several expense categories are expected to increase. Health insurance premiums are projected to rise, along with workers’ compensation costs. RHD consulting expenses will increase with an increase in revenue. Nursing wages will also increase with the addition of the new Director of Nursing position and continued efforts to recruit and retain qualified nursing staff. Overall, the budget focuses on continued commitment to maintaining quality resident care while identifying openings for operational efficiency. Capital Budget review- The walk-in cooler is part of the 2025-2026 capital budget and is a priority for replacement. A quote for the electrical system for that was obtained from Filipi Electric, and the quote for the cooler came from Lee’s refrigeration. The board requested one more quote since the cost would be over the $30,000 threshold. Motion made by Joyce Wusk to obtain another bid for the cooler and all associated costs, motion carried. The budget was approved by the board to be sent to the city. Executive session regarding aging of accounts- A motion was made by Randy Fulton at 5:50 pm to move to executive session. Motion carried. Joyce Wusk motioned to leave the executive session at 6:18 pm. Motion carried. No action was taken. NEW BUSINESS: Chimers concert- The facility’s bell ringing choir, The Chimers, will have a concert on June 14th at 2 pm that will be open to the public. 4th of July- A 4th of July celebration will be held at the care center this year with the public invited. The board agreed to allot $500 towards supplies. Motion made by Joyce Wusk, motion carried. Engagement overview- A satisfaction survey feature that is available through the Onshift platform has been implemented to monitor staff satisfaction and engagement. A motion was made to adjourn by Joyce Wusk, motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., June 15th, 2026. Board Secretary: Date: WR — June 24, 2026 ZNEZ
