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County nursing home reports steady census, Medicaid rate bump and proshare surplus; laundry project, hiring continue
Summary
The county nursing home reported a stable census around 98, a Medicaid rate increase that will boost revenue, a large proshare payment, continued hiring gains and progress on a planned laundry renovation that will require further delegation funding.
The nursing-home administrator reported the facility's census held around 98 residents and said the state's Medicaid rate letter will raise the Medicaid daily rate by about $11, which the administrator estimated would increase revenue by roughly $125,000 over six months.
The administrator also said the county will receive a proshare payment of roughly $2.6 million (described in the packet as "almost 2.7") and that an estimated surplus of about $978,125 will result from the reconciliation. Staffing improved in May with seven new hires (including nurses and nursing assistants); the administrator said vacancies have declined and agency usage has dropped.
On capital projects, the county's laundry renovation engineering work is advancing: the architect will finalize design documents and the Bureau of Public Safety (BPS) will bid the project after engineering is complete. Delegation approval is required before construction funding is spent; the delegation previously approved about $300,000 for engineering work. The administrator asked the board to authorize the nursing-home administrator to sign a brochure certification; that authorization was approved by motion.
Why this matters: higher Medicaid rates and the proshare payment improve the facility's revenue outlook and may reduce reliance on agency staff. The laundry renovation is a multi-step project that will require separate delegation appropriation for construction.
