WILBER CARE CENTER BOARD OF DIRECTORS MEETING MAY 19, 2025 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Acting Board Chair Allison Suden, HR Coordinator Stephanie Hroch, Board Member Matt Ross, RHD consultant Scott Albert, Board member Greg Hasenohr, Board Member Call to order: The regular monthly meeting was called to order at 5:30 p.m. by Randy Fulton, Board President. Motion to approve April 2025 minutes and meeting agenda motioned by Stephanie Hroch, Motion carried. Current Updates: New Assisted Living resident, Verne Anthony is set to receive an award from the American Legion during their Memorial Day ceremony at the Care Center. Administrator Nicole Lane shared recent feedback from the residents and their family members. Based on the feedback, Nicole shared some action items the facility plans to implement, including (1) enhanced cleanliness standards, (2) the Quality Assurance Coordinator, Jodi Nelson is creating “at-a-glance” cards that highlight important details about each resident to help agency staff become better acquainted with residents’ preferences and needs, and (3) the on-call nurse scheduled each will begin visiting the facility for a few hours each weekend to check in and provide support. Current Census: Current NH census is at 37; five are currently on a skilled stay with two planned to discharge this week. There are currently 19 residents on Medicaid, and 13 residents with private pay with one private pay resident planning to discharge this week. The facility is currently reviewing two skilled referrals and working closely with the therapy company to increase therapy services. The current AL census is 32 with one resident receiving services in the nursing home while keeping their home in the Assisted Living. There are two residents with Medicaid waivers pending approval to potentially move to AL. One new nursing home resident admission has also expressed a desire to move to Assisted Living. Review of Personnel Openings: The Assisted Living Coordinator position has attracted several promising candidates. Historically, this role has been filled by a Registered Nurse (RN). However, given that assisted living facilities are required to have only four hours of RN coverage per month, the facility is shifting focus from clinical qualifications to candidates with strong backgrounds in management and leadership. To ensure a well-rounded selection process, a second round of interviews will be conducted with the final candidates. Two current AL staff members will participate in these interviews to meet the applicants and provide their insights. For the Activity Director role, the candidate pool has been narrowed down to two individuals. A final decision is expected within the week. There remain openings for part-time Licensed Practical Nurses (LPNs) on both night and day shifts. Additionally, there is a need for Certified Nursing Assistants (CNAs) and Medication Aides, particularly for weekend coverage. To address this, the facility is exploring a hybrid Medication Aide training program that combines online coursework with in-person instruction. Of note, a new full-time day shift LPN is scheduled to start tomorrow, and a new part-time RN has recently joined the team. Rural Health Development Update: RHD Business Management Consultant, Kristal Thorell has been assisting in the operations of the business office while Business Office Manager, Missie Bramhall, is on leave. Kristal and RHD Nursing Consultant, Vicki Lepant, have brought on an MDS consultant that will be conducting weekly webinars to assist RHD facilities in understanding the MDS process. The State of Nebraska and the federal government have been discussing the Medicaid cuts. Nebraska is working on a proposal to present to the governor. AL rates will be seeing an increase. General financials: Financial Statement and Aging of Accounts: A motion was made by Joyce Wusk to enter an executive session at 6:00 p.m. to discuss an outstanding bill; motion carried. A motion to exit executive session was made by Scott Albert at 6:06p.m.; motion carried. Following the discussion, a motion was made by Joyce Wusk to involve legal counsel in the collection of payment for the outstanding bill; motion carried. The income section was not included in the monthly financials as the books had not yet been closed at the time of the Board of Directors meeting. CD activity: Four CD’s will be coming due on May 29. Two of them will be rolled over into a shorter-term CD to diversify the funds. General Expenses: Administrative wage expenses were lower this month due to an employee being on leave. Nursing wages increased as a result of filling the MDS position and the transition of a salaried employee to an hourly status. Agency staffing costs decreased. Assisted Living wages rose due to new hire training and Medication Aide Certification. Dietary wages were higher due to Dietary Manager, Chris Lane covering shifts for staff members on leave. Food costs continue to run high, while expenses in all other departments remained relatively stable. Bills: A board member inquired about new vendor, Segra. It was explained that Segra will be replacing Windstream as the facilities phone and internet company. Approval of the Financial Section: Approval of the financials will be delayed due to the income section being incomplete. Once the financials are finalized, they will be emailed to all board members for review. Approval will be confirmed once responses have been received from all members. A motion to approve financials via email made by Joyce Wusk; motion carried. Approval of the financial section was completed via email. Motion to approve the financial section was made by Joyce Wusk; Motion carried. OLD BUSINESS: An internal committee meeting was held to assess current office space needs. It was agreed that the top priority should be creating an office in the main entryway for the Social Services position. This location would support a smoother workflow and provide a welcoming first impression for residents and their families. Board President, Randy Fulton reported that he had spoken with Denny Duer, the original architect of the assisted living facility. A motion was made by Stephanie Hroch for Randy Fulton to contact Denny to arrange a visit to the Care Center and explore options for designing the new office space; motion carried. Discussion on the bonus policy has been tabled at this time. NEW BUSINESS: The facility’s health insurance premiums with United Healthcare were quoted with an increase of 30% this year. A meeting with the Olson Group is scheduled for Friday to explore alternative options. The proposed budget was reviewed and approved for submission to the city. A motion to approve the budget was made by Stephanie Hroch; motion carried. Motion to adjourn the meeting was made by Scott Albert; motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., June 16th, 2025. Board Secretary WR — July 09, 2025 ZNEZ
