WILBER CARE CENTER BOARD OF DIRECTORS MEETING SEPTEMBER 15, 2025 Present: Randy Fulton, Board President Nicole Lane, Administrator Joyce Wusk, Board Member Allison Suden, HR Coordinator Stephanie Hroch, Board Member Matt Ross, RHD consultant Greg Hasenohr, Board Member Scott Albert, Board Member Guests: None. Call to order: The regular monthly meeting was called to order at 5:28 p.m. by Randy Fulton, Board President. No visitors were present. Motion to approve meeting agenda and the August 2025 meeting minutes as presented was motioned by Stephanie Hroch, motion carried. Current Updates: Discussion about pharmacy costs, research continues. No action at this time. Current Census: The current census includes 33 residents in Skilled Nursing, with three residents receiving skilled care and one on a Medicaid bed hold. The bed hold resident is expected to return once their care level needs decrease. In Assisted Living, there are presently 33 residents, with one new admission scheduled tomorrow, bringing the total to 34- filling all available beds. Social Services continues to actively manage new referrals. One potential admit remains on hold per the individual’s request until closer to the end of the year. Review of Personnel Openings: The business office position has been filled by Tracy Vitosh, who will begin her first day of employment on Wednesday September 17th. She has an extensive accounting background and has held an office position for much of her career. Administrator, Nicole Lane will reach out to other facilities and Leading Age to explore available focused on Medicaid and Medicare billing education to support Tracy’s onboarding and development. The director of nursing resigned last week. The position has been posted through Indeed and Leading Age. Nicole is handling scheduling until that position is filled. Sonya Smith and Jodi Nelson are managing additional operational nursing responsibilities with the help of RHD nurse consultant, Vicki Lepant. CNA and CMA applicants remain a need. Rural Health Development Update: RHD nursing consultant, Vicki Lapent, is offering support and education to current nursing staff following the DON’s resignation. General financials: Financial Statement: Medicare, Medicaid and private pay revenue remained steady compared to last month. RHD consultant, Kristal Thorell, continues to work on resubmitting previously denied Medicaid claims. Aging of Accounts: There remains a large outstanding balance for a resident that is trying to get on Medicaid. Once approved, the private balance will decrease significantly and Medicaid will be billed. Several Medicaid claims are currently being adjusted and rebilled. Kristal with RHD has been in communication with Medicaid and is managing this process. Remaining amounts deemed uncollectible will be written off in accordance with accounting practices at the conclusion of the facility’s audit period. CD activity: The CD at first Tri-County Bank due on the 5th was reinvested at the same interest rate. Motion to approve the income section was made by Joyce Wusk, motion carried. General Expenses: Administrative wages remained consistent with the previous month. Administrative maintenance contract increased due to the installation of new copy machines. Health insurance expense decreased due to the adjustment from two months of billing being paid within a single month. Nursing wages along with agency costs are down and being closely monitored. Assisted Living wages were up, otherwise Assisted Living costs remained steady. Overall, Dietary costs were down, and Activities costs were up slightly compared to last month. Housekeeping wages were up while Maintenance wages were down. Overall, the facility had a positive balance for the month August. Bills: One question was asked regarding the services rendered by Network Consulting Services. They provide IT services for the facility. Motion made by Stephanie Hroch to approve the expense section, motion carried. Old Business: Work continues on the 2024-2025 financial audit. RHD Consultant Kristal Thorell is currently completing the bank reconciliations. Allison Suden and Nicole are working on the remaining items needed. Steve Plake will present to the board once the audit has been completed. Notices were posted about the new sick time law that will go into effect on October 1st. A discussion occurred about what impact this will have on the facility’s current leave policy. It was explained that the facility’s current PTO plan is in compliance with the standards set forth by the state. The city’s attorney, Tad Eickman, is looking into how the facilities ownership by the city may affect part-time staff. Denny Duer will be at the facility tomorrow to meet with Levi and Nicole to go over the next steps for the office remodel plan. NEW BUSINESS: Assisted Living survey update. The Assisted Living survey was completed. While no critical tags were issued, the facility did receive three citations: Air circulation- vents in some resident rooms were not circulating properly; Self-medication competency- ensuring residents are re-evaluated for self-medication competency when transitioning from the Nursing Home to the Assisted Living; and Resident observations- confirming that required observation assessments are completed and documented within 5 days of moving into either side of the facility. The Plan of Correction (POC) for all three items has been completed and accepted by the state. Additionally, Randy Fulton requested that any policy or procedure be presented to the Board for review and approval moving forward. A motion was made to adjourn by Joyce Wusk, motion carried. Next regular Wilber Care Center Board Meeting, 5:30 p.m., October 20th, 2025. Board Secretary WR — October 29, 2025 ZNEZ
