WILBER CARE CENTER BOARD OF DIRECTORS MEETING NOVEMBER 17, 2025 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Board Member Allison Suden, HR Coordinator Stephanie Hroch, Board Member Tracy Vitosh, Bus. Operations Coordinator Greg Hasenohr, Board Member Kristal Thorell, RHD consultant Scott Albert, 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. RHD consultant Matt Ross was unable to attend. RHD consultant Kristal Thorell attended on his behalf. No visitors were present. Motion to approve meeting agenda and the October 2025 meeting minutes by Stephanie Hroch. Motion carried. Current Updates: Operational & Compliance Update Last week, the facility experienced a sewer backup in the basement. New clean-outs have now been installed to improve access and make future drain maintenance manageable. A new drain snake will need to be purchased, with current pricing estimates averaging around $4,700. A complaint filed with the state resulted in an onsite visit from a survey team on Wednesday. All allegations were found unsubstantiated. Required financial documentation for the annual audit has been submitted. Lutz is expected to present their audit findings in December or January. Pharmacy Discussion- Administrator Nicole Lane met with pharmacy representatives to explore options for enhancing medication services and overall efficiency. Additional information is being gathered, with decisions considered after the first of the year. Current Census: The current Skilled Nursing Facility (SNF) census is 33, including 4 Medicare A residents, 14 Medicaid residents, and 15 private-pay residents. The Assisted Living census is 30 in-house, with 1 resident on bed hold, for a total census of 31. One potential admission from the waiver program is currently under review. Social Services continues to monitor referrals closely and maintains strong communication with area facilities and hospitals to support steady admission flow. Review of Personnel Openings: Staffing Update – Nursing Department The Director of Nursing (DON) position remains open. Administrator Nicole Lane met with the DON and administrative team at Goldcrest in Adams to discuss potential hiring strategies and gather insight into successful recruitment approaches. This collaboration provided valuable ideas for strengthening outreach and improving the applicant pool. In the absence of a DON, current nursing staff have stepped up to assume additional responsibilities to support day-to-day operations. Nursing consultant Vicki Lepant has also been on-site weekly to provide guidance, assist with oversight, and ensure regulatory compliance. Full-time CNA/CMA and LPN positions also remain open, with recruitment efforts continuing. Rural Health Development Update: RHD consultant Kristal Thorell continues training Tracy Vitosh on Medicaid and Medicare billing. General financials: Financial Statement: SNF income was up. Med A had a significant increase. Assisted Living income was stable. Aging of Accounts: No questions asked. CD activity: Three CD’s will be coming due soon. The facility will call local banks to get the best rates. Motion to approve the income section made by Joyce Wusk, motion carried. General Expenses: Administrative wages increased with the first full month with the facility’s new Business Operations Coordinator Tracy Vitosh. Maintenance contract expenses and Workers’ Compensation costs increased. Nursing wages decreased with agency usage continuing to trend down. Contract labor expenses in AL decreased. Assisted Living wages increased because of onboarding new hires. Pharmacy costs were also down for the month. Dietary expenses remained stable. Activities expenses decreased. Housekeeping, Laundry and Social Services expenses were unchanged. Maintenance repairs increased due to the replacement of lighting ballasts. Van repair costs were also up this month due to brake work. Overall, the facility ended October with a positive net income. Bills: One question was asked regarding what services are rendered by Rapid Fire protection; They service the call lights and fire detection system for the facility. Motion made by Greg Hasenohr to approve the expense section, motion carried. Old Business: Office remodel – Work continues on gathering quotes for the office remodel project. The facility is currently waiting for updated HVAC system estimates. The preliminary cost estimate is approximately $11,000, not including necessary parts. At this time, HVAC cassettes appear to be the most cost-effective option for the remodel layout. The Board requested that Administrator Nicole Lane develop a project projection sheet to provide ongoing updates on the remodel’s status, including vendor quotes, budget estimates, and project milestones. This tool will help ensure transparency and allow the Board to monitor progress. Personnel project- Administrator Nicole Lane and Board President Randy Fulton met to discuss current recruitment and retention strategies. As part of these efforts, Nicole has developed a new orientation plan designed to strengthen support for new employees and improve long-term retention. Additionally, LPN Jeanette Mares is in the process of retraining all Certified Medication Aides (CMAs) to ensure competency in medication administration practices. NEW BUSINESS: Holiday Bonus- The total financial impact of paying holiday bonuses was presented to the board. Motion to approve the holiday bonuses as presented by Joyce Wusk, motion carried. A motion was made to adjourn by Stephanie Hroch, motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., December 15th, 2025. Board Secretary WR — December 31, 2025 ZNEZ
