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Commissioners approve $103,659 in assisted-living write-offs and regrade assisted-living leadership roles
Summary
The board approved FY2025 assisted-living write-offs totaling $103,659.27 and in nonpublic session repurposed and regraded two long-term care leadership positions; nonpublic minutes were sealed.
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Rockingham County commissioners on June 18 approved assisted‑living accounts write-offs for fiscal year 2025 totaling $103,659.27 and later, in a sealed nonpublic session, approved staffing changes in the county's long‑term care operations.
During the public meeting finance staff explained most write‑offs arose when residents transitioned from private pay to Medicaid and documentation or timing prevented recovery of charges. Commissioners were told the county has adjusted billing processes and expects the newly developed Medicaid specialist role to reduce similar write‑offs going forward.
Later the board entered nonpublic session under RSA 91‑A and moved to seal the nonpublic minutes indefinitely. In the sealed session commissioners approved repurposing and regrading measures recommended by long‑term care and human resources leadership: the county will repurpose the "public relations and community outreach manager" position to "general manager of assisted living," and will retitle the executive director of assisted living/compliance officer position to "assistant director of long term care services" while retaining the same pay grade (grade 25) for the position. Those nonpublic votes were announced when the board returned to public session; the board also voted to seal the minutes of the nonpublic session on an indefinite basis.
The write-offs and the staffing changes were presented as recommendations from the senior directors of finance, long‑term care services and human resources.

