The Carroll County nursing home presented its draft budget to commissioners on Oct. 20, showing a projected 6.1 percent increase in revenue and a 0.08 percent increase in expenses.

The nursing home representative said the revenue increase primarily reflects a 3.2 percent Medicare market‑basket adjustment announced by federal payors and that the facility plans to hold Medicaid and private‑pay rates steady (private‑pay noted at $410 per day). The presenter said the nursing home is budgeting conservatively for pro‑share revenue at $1.7 million despite year‑to‑date receipts that were higher.

Staffing remains the primary operational concern: the facility reported roughly 25 vacancies and said it has recently hired a new supervisor and scheduler and planned additional hires. Administrator comments noted offers and in‑house training options under consideration to improve workforce stability; commissioners said they welcomed the prospect of an in‑house trainer.

The nursing home said it has split housekeeping, laundry and maintenance into separate budget lines to improve managerial clarity and that it expects to end the current fiscal year with revenue above budget but is budgeting conservatively for the coming year.

No formal vote was taken on the nursing home budget during the Oct. 20 session; commissioners asked staff to continue refining numbers for the next budget pass.