Donna Shrager, director of finance for Valley View, presented three proposed capital projects to the committee and said the facility has submitted a plan of correction in response to a recent New York State Department of Health complaint survey that identified three deficiencies in residents’ rights, staffing and facility assessment.

The committee approved creation of the capital projects and associated supplemental appropriations: $22,500 in bonding for replacement of deteriorated kitchen ceiling tiles (capital project #154, Legislative Request No. 210), $65,000 for replacement specialty wheelchairs (capital project #144, Legislative Request No. 211) and $117,230 in bonding for a portable generator for the wastewater treatment plant (Legislative Request No. 214). Shrager said the facility had been renting a generator for about three months at nearly $9,000 per month and will purchase the portable unit to replace rental costs.

Shrager described clinical and operational metrics. Based on 360 licensed beds, June census was 62.22%; the facility closed another 30‑bed unit because of staffing complexities and is operating at about 240 staffed beds. On that staffing base, Shrager reported a June occupancy rate of 90.78%. For June the facility reported 28 admissions (13 new, 15 readmissions), five deaths, six discharges to hospital and 14 discharges to home. Valley View staff said readmissions are typically residents returning from hospital observation or treatment rather than a new admission process.

On staffing, Shrager said LPN vacancies are the largest workforce gap: of 32 full‑time LPN positions 14 were vacant, about a 44% vacancy rate, and weekend coverage in particular remains challenging. She said the facility and County Human Resources are working on recruitment and retention strategies.

On finances, Shrager reviewed year‑to‑date figures through June: personnel and benefits costs and other entries produce an operating loss; an auditor’s report referenced a per‑patient‑day loss of about $72 after IGT (intergovernmental transfer) payments were included. Shrager explained that financial reporting includes large ‘‘opaque’’ entries (GASB reporting items) that inflate reported cost per day and that she will provide a breakdown to the committee at a future meeting. She said the Medicaid component of resident payer mix remains high and that Medicaid reimbursement rates have lagged, being calculated from a 2007 cost base, and that supplemental payments in 2024 were one‑time items that did not resolve structural shortfalls.

Shrager said the facility received the DOH exit survey the day of the committee meeting and expected the environmental surveyor to complete onsite work soon. She said a plan of correction had been submitted for the three deficiencies. Committee members asked that the full survey report be placed on a future agenda for review.