[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6693431,"mediaKeyId","2171599-00a375bf7995c04b9f691cdf4a2e9438","parentId",2171599,"title","Carroll County officials hear improvement report for Mountain View nursing home; staffing and agency costs remain a concern","audioSeconds",415,"startMs",1000000,"endMs",1415000,"viewUrl","/Search/View?dp=1&key=2171599-00a375bf7995c04b9f691cdf4a2e9438&start=1000&end=1415","thumbnailUrl","https://assets.pipeline.soar.com/2171599-00a375bf7995c04b9f691cdf4a2e9438/thumbnail_1000000.jpg","articleUrl","/articles/6693431/Carroll-County/New-Hampshire/Carroll-County-officials-hear-improvement-report-for-Mountain-View-nursing-home-staffing-and-agency-costs-remain-a-concern","mediaUrl","https://secure.pipeline.soar.com/6693431-ebc67e7dc1ee7b2f976ab2b195657853/orig.mp4?Expires=1777221535&Signature=M50GMga9vCobfBtrXTPajmx1Kz8KwF24y-AG2MGeL2n8QGUlDQGFwDNSkv5sHrgfPZ-IKkeZLDcoYyKWY6Vlo84a4AaJLwn78G~pOWrw-ZkU2vwHNh2rimeVQOH2zmul68igLzomlDtnDyL1NF30pYUa0dq6QmRFfLhqWhqwbRadhq5rq~I751j99b17svPSBh3KiHZLTrrFuMPIu-W-jMiyi7X7TvXOM5QiQZQ0B8~wwGIUBzTcgAjGM2ajVjNLzwPwrx-MkzZtFyhjhADpwth~12mxWjHgP9TQI6MNaBKZvQvcz9~l3JVWgHr1bE5fpW8dWaIcOQ-r-sOuvyww0w__&Key-Pair-Id=KUT5TJCACFTXG","author","Carroll County","date","2025-01-28T05:08:57.4Z","article","Carroll County Commissioners heard a detailed year-end report on Jan. 27 from Mountain View’s leadership showing higher admissions, stronger revenue and an improved Centers for Medicare & Medicaid Services rating — alongside continuing staffing and agency-cost pressures.

County Administrator Dylan LaBeouf introduced the item and Mountain View leadership presented the operating summary for 2024. The facility’s average daily census rose “about 5 days,” admissions increased from 65 in 2023 to 112 in 2024, and the facility increased its short-term (Medicare) census — from about three Medicare residents in 2023 to eight in 2024, which the presenters said improves daily revenue per bed.

The presenter said revenue tied to bed days rose by roughly $1.1 million for 2024 (excluding Proshare and bed tax revenues) and that cash collections also increased by nearly $2 million. \"So a lot of positives. Very proud of the staff,\" the presenter said, crediting new admissions mix and front-line staff for the financial improvement.

The report said Mountain View’s CMS star rating rose from 1 to 3; presenters noted the facility would have a higher rating but for the continuing effect of a prior immediate-jeopardy finding that still weighs on the calculation from an earlier year. The presentation said that with continued performance the facility could reach at least a 4-star rating next year.

On workforce metrics, staff reported hires increased from 21 in 2023 to 31 in 2024 while total terminations fell from 43 to 32. The presenter said voluntary separations dropped and that the facility’s revised onboarding — a day-and-a-half orientation and structured floor mentoring — has reduced early turnover. Mountain View also launched an employee retention committee and an in‑house training program: the report noted 85 in-person training sessions in 2023 and increased in‑house training in 2024.

At the same time, agency staffing costs increased substantially. The presentation referenced an increase in agency (contract) staffing costs and said the county signed a new contract intended to lower agency hourly rates. Commissioners and presenters discussed regional competition for staff after a nearby new facility opened and the effects of local housing availability on recruitment. “We recognize the agency staff as a problem,” a commissioner said during questions.

Presenters described other operational initiatives: a staff recognition program called “You’ve Been Caught,” menu revisions developed with resident input, and branding efforts to promote pride and retention. They also said roughly 87% of Mountain View residents are Carroll County veterans.

Commissioners thanked the facility leadership and staff for reported improvements and stressed ongoing attention to agency staffing, recruitment, and training.

Ending: County leaders asked staff to continue monitoring agency costs and staffing metrics and to bring updates at future meetings; no formal financial appropriation or staffing hire was made at this meeting.","mediaType","Video","parentTitle","Carroll County NH Commission 1/27/25 FULL MEETING","oneSentenceSummary","County administrators and Mountain View leaders reported higher admissions, improved CMS star rating and increased revenue for 2024, while agency staffing costs rose and leaders outlined retention and training steps.","taxTitle","Carroll County, New Hampshire","taxId",67498,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6693421,"Votes at a glance: Carroll County Commission actions on Jan. 27, 2025",509,450000,959000,"/Search/View?dp=1&key=2171599-00a375bf7995c04b9f691cdf4a2e9438&start=450&end=959","https://assets.pipeline.soar.com/2171599-00a375bf7995c04b9f691cdf4a2e9438/thumbnail_450000.jpg","/articles/6693421/Carroll-County/New-Hampshire/Votes-at-a-glance-Carroll-County-Commission-actions-on-Jan-27-2025","https://secure.pipeline.soar.com/6693421-d8f11c1a657accb3b5626b27c0522891/orig.mp4?Expires=1777221535&Signature=N55KhWtQeuKKcK73U1OzF1zyp0C0l3W6TfNUoXznmd5GCs-3gqH~eBTPwtVi7W4imfK2v10eTM2PtNA8x7Fc5HWhz~dsP~aQ4tiwxiDgBRwSvxzwSq0xkzzKdcOkgAIG4j4aecapsQgtcH9d6e2OVQmX7sCydDnaq1KZWBicifvvOeVEXfu8IGT84Ev3BvsjR8NE8Ee4SPXDeVc1y3sUazDbFkaYeqv65Ope9y4UE1u7Xs0s43k-Txa4Ga3PbWIh7eXgN2Et~DZCZwPblNzfTepGaBCL0KIEHkNN-hAkz-fBDACnFOJq3~66~X~59N-VHFIy7FAo5llvY6GfAyPx-g__&Key-Pair-Id=KUT5TJCACFTXG","At its Jan. 27 meeting, the Carroll County Commissioners approved a series of routine and substantive items. The following votes or formal actions were recorded by voice vote or unanimous assent in the meeting transcript.

- Approval of minutes: The commission approved the Jan. 17 meeting minutes (motion and voice vote recorded).

- Accounts payable and payroll manifests: The commission approved the accounts payable manifest for Jan. 24, 2025 ($386,290.85) and the payroll manifest for Jan. 24, 2025 ($275,976.90) by voice vote.

- Sale of old box truck: Two sealed bids were opened. The commission awarded the old box truck to Kevin Gay for $3,212 (motion, second, voice vote recorded). A second bid from Bob Stetson was for $2,575.

- Intent to cut timber (Hale location): The commission accepted an intent-to-cut notice for approximately 178.3 acres with an estimated 30 acres to be cut; the document listed the White Mountain National Forest Saco Ranger District and contract number 188032. The commission moved to accept the filing.

- Grants for the sheriff’s office (New Hampshire Highway Safety): The commission accepted two grants from the New Hampshire Highway Safety program: an equipment grant with a county share of $2,915 and a state share listed as $8,745 (state provides 75% per staff statement), and a reimbursement grant for wages/hours with amounts discussed in the meeting of $82,100 (grant) and $25,100 (accounting/related figure). County staff said the contracted CFO had reviewed the applications prior to submission.

- Nonpublic session and sealing of minutes: The commission entered nonpublic session under RSA 91‑A (citation discussed during roll call) and later voted to exit and seal the minutes for the nonpublic sessions (motion and voice vote recorded).

- Annex project and maintenance motions: The commission voted to place the annex renovation project on indefinite hold pending a space‑needs assessment and to approve limited maintenance repairs of $11,000. (See separate article for full discussion.)

- Finance governance motions: The commission instructed staff to draft a full‑time county CFO job description within 30 days and to post the position afterward; it also moved to have Melissa Siemens oversee finance department staff and act as the commission’s conduit to the contracted CFO.

Where the meeting transcript recorded voice votes, the minutes reflect unanimous assent (“All in favor? Aye.”). The transcript did not include recorded roll-call tallies for each formal motion in every case; where dollar amounts or specific line items were read aloud in the meeting, this summary records the amounts as stated in the meeting.

Ending: Commissioners asked staff to implement the administrative directions and return with documentation — e.g., financing options, space-needs assessment results and job-description drafts — at a future meeting.","The commission approved minutes, financial manifests, an intent-to-cut filing, two highway-safety grants for the sheriff's office, sale of an old box truck and a set of administrative motions including placing the annex project on hold and initiating a CFO hiring process.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6693426,"Carroll County commissioners pause $7–8 million annex renovation, direct space study and move finance reorganization",340,2580000,2920000,"/Search/View?dp=1&key=2171599-00a375bf7995c04b9f691cdf4a2e9438&start=2580&end=2920","https://assets.pipeline.soar.com/2171599-00a375bf7995c04b9f691cdf4a2e9438/thumbnail_2580000.jpg","/articles/6693426/Carroll-County/New-Hampshire/Carroll-County-commissioners-pause-78-million-annex-renovation-direct-space-study-and-move-finance-reorganization","https://secure.pipeline.soar.com/6693426-6c1974870e6a8c62b892b262c1329234/orig.mp4?Expires=1777221535&Signature=ZozZOZJpZ7FjS18MyumwYQh7u7qNwG852rY3Lp2j9JfXZo3H8qbrC~y7nXkVIqrmPuNjPNdqyS7S5B7hD9EIKbfjZeFlfaE-jADx3i4rfKhS635dtbrBi3cRuKJO6xdY16uj3~oh6U3qnfn2~4GOWgGcTRE5qktTrMgoSlr5mGR~FbEfFkpqhaVjNORRjggProXF0SfLn4uau52V6LEqt9LGpZZ8hnWtrEG207Gow-X2spMo53FEVoYF~ekeXRE1do3sjnTkRhXCPOjPge3joy0oL6H5Mo0Wt~-ZkPqsDwfxC2HD11ftpfW3rkg60CwA-0vXz-V8oXMQxax83a1f6A__&Key-Pair-Id=KUT5TJCACFTXG","Carroll County Commissioners voted on Jan. 27 to put the ongoing annex renovation project on hold and directed staff to conduct a space needs assessment before committing to large-scale spending. The commission also approved limited roof repairs and moved to begin a search for a full‑time, county CFO and to make Melissa Siemens the finance department’s oversight conduit.

A commissioner opened the discussion by saying they wanted to “put a hold on all of the annex project from roof to hot top to rehabilitation until we do another space assessment of the county building to see if there is space in the county building” for meeting rooms and offices. Commissioners noted that the project had been moving forward, that current bids were in the $7 million range and that a $2 million USDA approval was still pending. After discussion, a motion to place the annex project on indefinite hold until a formal space‑needs study is completed passed by voice vote.

Commissioners asked county staff to examine whether existing county-owned buildings, including the old county building and the registry of deeds space, can accommodate meeting and office needs; they also directed consultation with the county attorney. The commission moved and approved a separate motion to proceed with limited, lower‑cost repairs to the complex roof and building maintenance where immediate upkeep is required.

On funding, commissioners discussed the financing approach for a previously approved $650,000 jail roof project and said they will explore paying that cost from existing county funds rather than issuing bonds or leases. The CFO was not available at the meeting to confirm details, and commissioners asked the contracted CFO and county finance staff to return with a funding plan.

Separately, commissioners voted to proceed with a modest $11,000 repair that had been presented as needed for ongoing maintenance of the complex; that motion passed by voice vote.

The meeting also produced two motions changing county finance governance: commissioners voted to direct staff to draft a job description for a full-time, county-paid CFO within 30 days and to advertise the position; and they voted to place Melissa Siemens in charge of overseeing the finance department’s contracted and public employees as the commissioners’ conduit to the finance team. The motions passed by voice vote.

Finally, the commission instructed the chair and county staff to survey the registry of deeds, consult the county attorney and report back on whether existing registry space could be repurposed for meeting rooms or offices.

Ending: The commission’s actions pause major renovation work pending study, authorize limited maintenance and begin a formal process to reorganize finance leadership. Commissioners said they will return to the larger annex project subject to the outcome of the space assessment and pending outside funding approvals such as USDA.","Commissioners voted to put the multi-million-dollar annex renovation on hold pending a county space assessment, instructed staff to explore reusing existing county building space, approved smaller roof work and directed steps toward hiring a full-time county CFO and assigning finance oversight to Melissa Siemens.","actionData","errors"]

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Carroll County officials hear improvement report for Mountain View nursing home; staffing and agency costs remain a concern

Votes at a glance: Carroll County Commission actions on Jan. 27, 2025

Carroll County commissioners pause $7–8 million annex renovation, direct space study and move finance reorganization