WILBER CARE CENTER BOARD OF DIRECTORS MEETING OCTOBER 20, 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 Matt Ross, 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. No visitors were present. Motion to approve meeting agenda with the addition of adding a bank signer to new business, moving the NE healthy family law discussion to current updates and the September 2025 meeting minutes as amended by Joyce Wusk. Motion carried. Current Updates: Administrator Nicole Lane reported that she met with City Attorney Tad Eickman to review the Nebraska Healthy Families and Workplace Act and its potential impact on the facility’s current PTO plan. After Mr. Eickman contacted the Nebraska Department of Labor for clarification, it was determined that the new law does not apply to Wilber Care Center because it is owned by the City of Wilber. Therefore, no changes will be made to the existing PTO or benefits policy. Nicole also reported that the new railing for the Assisted Living sidewalk will be installed soon. Installation was delayed because the original railing ordered was incorrect and reordered. Pharmacy Discussion-Administrator Nicole Lane has continued to review service processes and explore ways to make the facility’s pharmacy services more efficient and cost-effective. Office remodel- A meeting was held with Denny Duer and his team regarding the proposed office addition. According to architect and his team the estimated cost for the HVAC equipment of the project is approximately $12,000, excluding labor or engineering fees. Maintenance Supervisor Levi Lane is in the process of obtaining a local bid. Current Census: The current Skilled Nursing census is 35, consisting of 8 Medicare A residents, 13 Medicaid residents, and 14 private-pay residents. There is a referral that will be admitted later this week for a Medicare A stay with plans to stay after the Medicare A stay concludes. Assisted Living census is 29 in-house, with 3 residents on bed hold, for a total census of 32. This leaves one room currently available. Social Services continues to monitor incoming referrals and maintain strong communication with surrounding facilities and hospitals. Review of Personnel Openings: The Director of Nursing position remains open. An offer was extended to a qualified applicant; however, it was declined. Administrator Nicole Lane will meet with the DON and administrative team at Goldcrest in Adams to discuss potential hiring strategies and gather insight into successful recruitment approaches. Full-time CNA/CMA positions also remain open. The facility has recently hired several PRN CNA/CMA staff, along with one full-time dietary employee and a CMA for the Assisted Living overnight shift. LPN positions for evening and night shifts continue to be posted. Rural Health Development Update: RHD nursing consultant Vicki Lapent will be onsite weekly to support the nursing staff and conduct ongoing audits. RHD consultant Kristal Thorell continues to provide assistance to the business office with billing-related matters. General financials: Financial Statement: Nursing Facility private-pay income decreased this month due to one resident transitioning to Medicaid eligibility. Correspondingly, Medicaid income increased with that change. Medicare A income was down for the month but is expected to rise next month. Medicare B income increased as therapy continues to encourage residents to utilize therapy services after their Medicare A coverage ends. Assisted Living income remained steady. Aging of Accounts: Work continues collecting past-due balances. RHD billing consultants Kristal Thorell and Jessica Harris are actively correcting past Medicare billing errors contributing to the outstanding balance. CD activity: A CD will come due in December, and discussion on how to proceed will take place closer to the maturity date. A motion to approve the income section was made by Greg Hasenohr, motion carried. General Expenses: Administrative wages remained consistent with the previous month. Phone costs continue to be higher than anticipated and Administrator Nicole Lane is working with the facility’s IT company to complete the full transition the new phone systems. Health insurance costs aligned with expectations this month, following an inflated prior month when two payments were processed at once. Administrative consultant expenses increased due to work completed by Denny Duer. Nursing wages increased due to PTO payouts and agency staffing costs were higher this month. The facility continues to address this by hiring new staff and focusing on employee retention. Nursing supplies saw an increase due to the purchase of flu vaccines, which will be billable to Medicare. Assisted Living wages decreased while contract labor increased. Assisted Living supply costs were higher because of prior back orders; to improve tracking and prevent stock shortages, supply request forms will now be used. Activity wages increased due to additional activities and afternoon support needs. Housekeeping and Social Services wages were down this month. Maintenance wages increased. Overall, the facility experienced a loss for the month of September; Agency staffing remains a financial concern. All other accounts are currently below budget predictions. Bills: One question was asked regarding what services are by rendered Sanofi Pasture; They provide the flu vaccines for the facility. Motion made by Joyce Wusk to approve the expense section, motion carried. Old Business: Financial Audit – All requested items have been submitted to Lutz for review except for the bank reconciliations. Kristal and Matrix are still working to complete. Moving forward, bank reconciliations will be managed in-house. Nicole will meet with the business office monthly to ensure they are completed accurately and on time. NEW BUSINESS: Adding signer to bank accounts- Tracy Vitosh will be added to the signature cards at all banks the Wilber Care Center has an account with. Former Business Office Manager, Melissa Bramhall will be removed as a signer. Motion made by Greg Hasenohr to make this change, motion carried. Personnel Project- Administrator Nicole Lane met with Board President Randy Fulton to discuss strategies for engaging staff in efforts to reduce agency staffing costs. One idea discussed was to demonstrate how employee wages could be increased as agency use decreases, whether through successful recruitment of new staff or current employees picking up additional shifts. A motion was made to adjourn by Stephanie Hroch, motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., November 17th, 2025. Board Secretary WR — November 26, 2025 ZNEZ
