WILBER CARE CENTER BOARD OF DIRECTORS MEETING NOVEMBER 18TH, 2024 Present: Randy Fulton Joyce Wusk Scott Albert Greg Hasenohr Not Attending: Stephanie Hroch Others present: Nicole Lane-Administrator Missie Bramhall-Business Office Manager Matt Ross- Rural Health Development Visitors Randy Homolka, Maint. Director, WCC The regular monthly meeting was called to order at 5:30 pm by Randy Fulton, Board President. Randy Homolka, Maintenance Director at Wilber Care Center, was recognized as a visitor. Approval of the Agenda and the October 2024 Meeting Minutes made by Joyce Wusk. Motion passed. Current Updates: Current updates-. WCC is currently working to fill an overnight and day LPN position and will have an upcoming opening for a weekend RN position. The MDS/QA RN remains open; the center is currently using remote support for this function. The scheduling portal is up and running well and the administrative team will begin utilizing the reports to improve efficiency in each department. Current Census- The nursing facility census is thirty-six residents, and the Assisted Living census is thirty-four. Assisted Living currently has one room open and one planned discharge on 11/25/2024. There are a couple of residents on the list pending admission for AL. There is one new Skilled Care, and one long-term care admission planned for this week. RHD Update- Matt Ross, RHD Consultant, reported the Employee Retention Credit is seeing movement. Matt reported that LeadingAge Nebraska and the State of Nebraska are still working to repeal the 24 hr RN Nurse mandate. General Financials: Financial statement- WCC saw a profit for October 2024. Medicaid for the Nursing Home and Assisted Living income higher in October due to old claims and adjustments being paid. Medicare A revenue was up with Medicare admissions and remains steady. Aging of Accounts: Medicare B and Out-Patient Therapies bill was higher due to the therapy company omitting their charges for mileage in previous months. CDs-CD interest income has remained steady. Two CDs were renewed at longer terms and lower APR’s due to federal percentage rates dropping, and another will be renewed at the end of November for another six months at a lower rate due to interest rates dropping. Motion to approve the Income Section: Motion made by Scott Albert. Motion Passed. Expense Section: Salary and wages were lower across the facility due to less contracted staffing, the accruals for the month, and staff out on LOA. Food costs were down due to the Dietary Director price matching with vendors. Supplies were down across the facility with price saving tools and supplies coming from the state for resident care. The Maintenance contracts saw an increase due to a switch in providers. General Expenses: No concerns expressed by the Board of Directors. Motion to Approve Expense Section: Motioned by Greg Hasenhor. Motion passed. Old Business: Current openings: Full-time Overnight and evening staffing positions have been filled apart from some PRN and PT shifts. One FT and PT CNA/MA are needed on the first shift. LPN opening on first and third shift as well as an MDS/QA RN Manager open. One Laundry/housekeeping position and PT dietary position. The current contract nurse position will be ending in January 2025. The PTO donation policy was revisited and direction from the board was to have an attorney advise Wilber Care Center on what is the correct direction for this. Randy Homolka, Maintenance Director at Wilber Care Center came to present his bids for new AC/Heating units for the boardroom and south end of the facility. The Board motioned to have Randy go ahead with the project if Hawks Heating and Air can agree to the pricing of units and installation. If Hawks cannot, Randy Homolka will present another round of bids from Heating and Air companies at a future board meeting. New Business: Events: The Family Christmas Dinner will be held on 12/15/2024 for a noon meal. The Staff Christmas party will be held on 1/17/2025. The Board voted on employee Christmas bonuses. Joyce Wusk, Board Member, motioned to increase the current dollar amount by $25.00. Motion passed. Motion to adjourn made by Scott Albert. Motion passed. Next Board Meeting Date: Monday December 16th, 2024 @ 5:30 PM-Wilber Care Center. Minutes By: Board President Board Secretary WR — December 25, 2024 ZNEZ
