[{"_1":2,"_111":-5,"_112":-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",[32,75,87,99],{"_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",6223496,"mediaKeyId","3567930-e9fc05faf8a37fc77677a8b3bf6bf514","parentId",3567930,"title","Committee accepts Neighbors financial reports and vouchers; facility plans $40,000–$50,000 oven replacement","audioSeconds",524,"startMs",2926000,"endMs",3450000,"viewUrl","/Search/View?dp=1&key=3567930-e9fc05faf8a37fc77677a8b3bf6bf514&start=2926&end=3450","thumbnailUrl","https://assets.pipeline.soar.com/3567930-e9fc05faf8a37fc77677a8b3bf6bf514/thumbnail_2926000.jpg","articleUrl","/articles/6223496/Dunn-County/Wisconsin/Committee-accepts-Neighbors-financial-reports-and-vouchers-facility-plans-4000050000-oven-replacement","mediaUrl","https://secure.pipeline.soar.com/6223496-86dc68f2ebd3fbb40061a9fe2d6af376/orig.mp4?Expires=1774947208&Signature=NskfDk0WjwxeRsN6QbghL~2tD~~vUl54IhWBcgd3qpwtlkj6C2VglISxmalqaZJQiFAcrPuP3~c3qdc2AwbFJTywVLz-yhBE9PqXFmW2uh49Xgw0jJczAgAI2wDteJGzLv9mwvQZuhx-EV1ppUmkiWMQphBUYTUzWHUgETaP2o5V6BCrNxae7-a2GsUeBlbTECngp66P1YteEu6Eb9HLzGmYBgpZ-ig4IA12XV909N2~SlqzBJr8xpQY54EDwJSJzkJ7LFqcAK8VtvaMi7RbtBootwvlaWEMCEH~koa2RgngE~Yjxi0QnFieVL6t8Z9zxSIzJ78Kdqk0YOt47v~pow__&Key-Pair-Id=KUT5TJCACFTXG","author","Dunn County, WI","date","2025-05-27T14:56:54Z","article","The committee moved and approved acceptance of the Neighbors financial reports and vouchers for the period reviewed. Supervisor Both moved to accept the finance reports and vouchers; Supervisor Story seconded. The vote was recorded as all in favor and the motion passed.

Brianna and Carmen summarized January through April financials, noting revenues and expenses were close to projections and that some April postings (agency invoices, dietary invoices) were still pending. Carmen said the capital improvement plan (CIP) had not yet recorded the golf cart purchase but would be updated when the delivery and invoicing complete.

Staff described agency staffing costs as stable but noted a likely short-term increase to cover a nursing schedule gap with an agency RN while an internal nurse shifted into an MDS role. Chris and Carmen said agency staffing monthly costs have been in the low hundreds to low three-hundreds (dollars unspecified per unit) and that invoices sometimes post after the report.

Carmen told the committee the facility needs to replace its commercial ovens and estimated the cost between $40,000 and $50,000, including installation and plumbing. She said one oven still works and may be auctioned; the county will go out to bid and consider state-contract options or a local vendor. Staff said replacement and installation will be a near-term capital expense and that purchasing was coordinating the solicitation.

The committee confirmed the next meeting date would be moved to July 17 to allow the administrator to attend the first budget review; the change was agreed in the meeting and scheduled on the public meeting calendar.","mediaType","Video","parentTitle","The Neighbors of Dunn County Committee Meeting - 05/22/2025","oneSentenceSummary","The committee voted to accept April financial reports and vouchers. Staff highlighted steady agency staffing costs, near-capacity census, and a planned commercial oven replacement estimated at $40,000–$50,000.","taxTitle","Dunn County, Wisconsin","taxId",53943,"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},6223501,"Dunn County Neighbors conducts evacuation drill, discusses tornado and interior-evacuation plans",284,2316000,2600000,"/Search/View?dp=1&key=3567930-e9fc05faf8a37fc77677a8b3bf6bf514&start=2316&end=2600","https://assets.pipeline.soar.com/3567930-e9fc05faf8a37fc77677a8b3bf6bf514/thumbnail_2316000.jpg","/articles/6223501/Dunn-County/Wisconsin/Dunn-County-Neighbors-conducts-evacuation-drill-discusses-tornado-and-interior-evacuation-plans","https://secure.pipeline.soar.com/6223501-8d6845d8be3aaedd61ae8f28ad0f3950/orig.mp4?Expires=1774947208&Signature=o9y5bI1T-dbNH~vjhDsKn0AN8DxhRWcPd55sniRdXOmP-8btgFmna09zduu5pPvWvLuyZ9U8mteA02wFZ08LWdIatZ~G4ZuP7UzJxAgYykftoVgiw44EhaVk6OdLW~TKRJxuUKIMPJsqzyO8z50hHQCpQuAjDV6YyFy0kIznG7-2vQ-aTCZ23LDb7gnXebE7VnTcUWNW1pV8NYXFXYFsvChT3q1z3G7Am74wETl5MV~pW5c4vqKm0w3qyrqXyXugdIuRgbBBGuZbr3niJO84KA8O7HWrKzjXzJPm0J6Mc89NDCujUEsy968BAPI82glPHeIE8FZo0gc4aAF7LvvLTg__&Key-Pair-Id=KUT5TJCACFTXG","Brady and Scott, members of the Neighbors facilities and safety teams, told the committee the campus ran an evacuation drill and tabletop exercise and reviewed procedures for warnings and full evacuations.

The committee heard the exercises are intended to test staff response, communications and outside-agency coordination. Scott said the full evacuation drill moved residents and volunteers acting as residents to an alternate county building where the campus would stage residents while longer-term arrangements were found. Brady said the tabletop exercise and the drill included the local fire department and 911 dispatch and that the drill “went really well.”

Staff described tornado-warning and fire responses. For warnings and severe-weather watches, staff said residents typically shelter within the same household and gather in designated interior hallways where reinforced construction is present. Brady said interior evacuation is preferred when possible in a fire; residents can also be transferred to another household on campus or to partner facilities. He added that memorandums of agreement with nursing homes outside a 50-mile radius exist to receive residents if a true, large-scale evacuation were necessary.

Supervisor Lyon asked whether staff call in extra workers for a warning; Brady said daytime warnings are usually handled with existing daytime staffing, while a nighttime emergency would likely require calling in additional personnel. Staff also said they tested a mass-notification system to call or text nursing staff in emergencies. Brady and Scott noted some residents decline to leave rooms during warnings; staff said they document refusals and attempt to negotiate safer positioning if residents choose to remain.

No formal committee action was taken; the discussion was recorded as part of operations oversight.","Facilities and safety staff described a recent evacuation drill, tornado-warning procedures, interior evacuation practices and memorandums of agreement with out-of-area nursing homes.",{"_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},6223507,"Dunn County Neighbors reports staffing levels, hires and new CNA testing site",455,1510000,1965000,"/Search/View?dp=1&key=3567930-e9fc05faf8a37fc77677a8b3bf6bf514&start=1510&end=1965","https://assets.pipeline.soar.com/3567930-e9fc05faf8a37fc77677a8b3bf6bf514/thumbnail_1510000.jpg","/articles/6223507/Dunn-County/Wisconsin/Dunn-County-Neighbors-reports-staffing-levels-hires-and-new-CNA-testing-site","https://secure.pipeline.soar.com/6223507-579f9046c4987028d2a642a148cff0d8/orig.mp4?Expires=1774947208&Signature=HWQffHaODxHf0NN2WojQMz~xgjJFPNnWAMaF0jyMWxs-TyedDfZApDW6qSkI94fUmNLM9-ZM32asjWsCe1enJRdY8sqNa-AFFV4CZ7QT61dbLKvo7VRhDKYZxKWvs3aavuR~-sKkXsFaa86Ior2iD8qvmid1YQfjrk3UtqdEH8pvdn0XfyY2r43UDa7rRHHtpH8W3KWDQlTPgdk03s6igvntVvbvUdRidKE52AqdmzsP-f4YZqKHK4~WqGFr-F0AGTdmp9jZdJSjRlA-NZ7sc3L042NURB7djAIBD8ze3RAi~QalXFSobKXKoMKrVoNx0E4AsLa0lCdyCJrywPVyNQ__&Key-Pair-Id=KUT5TJCACFTXG","Chris, the facility employment/staffing coordinator, presented April hiring and recruitment data and told the committee the campus has a large CNA training class and that the facility was certified as a CNA testing site.

The detail matters to the county because staffing levels affect resident admissions, use of agency staff and operating costs. Chris reported 11 direct-hire interviews in April, eight positions offered and accepted, and that CNA open positions totaled 38 with 22 filled through agency staffing. He said nursing licensed positions totaled about 16 openings (mostly part-time) and that one agency RN would cover a temporary scheduling gap.

Carmen and Chris described internal promotions: Rebecca Proudlock was hired as the campus clinical mentor, Ashley Peterson was promoted from MDS nurse to assistant clinical mentor (central ACM) and a new MDS nurse named Corey was scheduled to start in mid-June. Carmen said those internal advances help retention and succession.

Carmen and Chris said a CNA training class began with 10 students and at least one current employee is enrolled. Carmen said the partner training organization had secured certification for the campus as an official CNA testing site; she said that will reduce travel and scheduling barriers because students previously traveled long distances to testing locations.

Committee members did not oppose the staffing updates. The employment report was informational; no formal personnel actions were voted by the committee in this session.","The facility reported recruitment numbers, open positions, promotions, a large CNA training class and new certification as a CNA testing site intended to reduce barriers to certification.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6223512,"Dunn County Neighbors outlines short-term rehab, long-term, memory care and hospice services",837,80000,917000,"/Search/View?dp=1&key=3567930-e9fc05faf8a37fc77677a8b3bf6bf514&start=80&end=917","https://assets.pipeline.soar.com/3567930-e9fc05faf8a37fc77677a8b3bf6bf514/thumbnail_80000.jpg","/articles/6223512/Dunn-County/Wisconsin/Dunn-County-Neighbors-outlines-short-term-rehab-long-term-memory-care-and-hospice-services","https://secure.pipeline.soar.com/6223512-104020cdb2efd5461a5f3ee7a658ac37/orig.mp4?Expires=1774947208&Signature=L7VPDpC8Tq0xxKDp-lGmalPjaNRYp813RA11r3BF9prWZGbqPCMQ0vTnBvwbxwLddCenXDH~lTsJZAgb9fQOdvksMY1~io9XGY87e0i3z27AbNw1ou8XpqYdm95Y1UTB~dZP6nmxG~it6Dow0H6oMBjQZyV6QT3ggcMmEnVRPf9pdXSUWAnYdqL5aUyF4EksXi-tk2lQkkT6a1siph~ADP6mP9IhZaPowwf1iV0yL2JqyGIYYZcRJ3vHewCW6eZVZFSSJ~C1LzxIk7I-nv4zfSmOPdTNSZLT2CENtuirqNAKiTll5dt929PceEWMao2FwZ9A6ei61Z1tMRMTx84xFw__&Key-Pair-Id=KUT5TJCACFTXG","Carmen, the community mentor/administrator for the Dunn County Neighbors campus, told the Dunn County standing committee that the campus is licensed as three separately certified skilled nursing facilities and can accept Medicare and Medicaid across the campus.

The explanation matters because payer rules and facility licensure shape who the campus can admit, what care residents receive and how services are billed. Carmen said roughly 70% of long-term residents are covered by Medicaid, with private pay and the Department of Veterans Affairs making up other long-term funding.

Carmen described two broad clinical categories of stay. Short-term rehabilitation stays typically follow a hospital admission for surgery, an acute illness or an injury; the stated goal is discharge to home or to a less-restrictive setting such as assisted living. Carmen said short-term stays rely on Medicare coverage (Medicare Part A or Medicare Advantage Part A) when residents meet clinical criteria, including an intensity of therapy usually described by staff as about five days per week and documented functional gains. If therapy or the interdisciplinary team determines a resident is no longer making progress, Carmen said the resident’s coverage can end with a “notice of noncoverage.”

Long-term stays, Carmen said, are for residents whose goal is not to return home and whose care focuses on maintaining functional and cognitive status. \"Medicaid is our number one payer source with about 70% of all residents on Medicaid,\" she said. She said long-term care residents have individualized care plans and regular care conferences that include the interdisciplinary team and, when appropriate, family members or an activated power of attorney.

Carmen also described memory-care households and hospice services. Memory-care areas are not locked units at the Neighbors campus; instead, the campus uses a range of safety measures including bracelet-style wander-guard alarms that sound and lock doors when a resident tries to leave a secured area. Carmen said wander-guard bracelets can be removed by residents and that staff sometimes place them on wheelchairs or ankles when needed. The campus contracts with outside hospice providers to supply additional nursing, medications and end-of-life services; Carmen emphasized hospice enrollment depends on hospice provider assessments and a general prognosis expectation of about six months or less.

Committee members asked clinical and regulatory questions. Supervisor Loper asked about medications used in memory care; Carmen deferred on specific drugs and suggested the facility’s physician, Dr. Brown, would be a better source. Carmen and others also told the committee that federal rules (Centers for Medicare & Medicaid Services) set minimum requirements and state agencies (DHS/DQA) add state-specific requirements when applicable.

The explanation concluded with an offer by Carmen to answer further questions and with committee members thanking her for the presentation.","Carmen, the community mentor/administrator for the Dunn County Neighbors campus, detailed facility licensure, types of stays, payer mix and specialized services including memory care and hospice during the committee meeting.","actionData","errors"]

Article not found

Committee accepts Neighbors financial reports and vouchers; facility plans $40,000–$50,000 oven replacement

Dunn County Neighbors conducts evacuation drill, discusses tornado and interior-evacuation plans

Dunn County Neighbors reports staffing levels, hires and new CNA testing site

Dunn County Neighbors outlines short-term rehab, long-term, memory care and hospice services