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Hospital leaders report improved STAR rating, staffing changes and plans to add CT and stabilize clinic services

3506946 · May 22, 2025
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Summary

Hospital managers told the board the facility's CMS star rating rose to three, staffing and admissions showed improvement, and administrators are advancing CT and radiology investments while continuing recruitment of clinic providers.

Hospital leadership told the board that facility-level quality and operations show improvement but still require targeted work to convert clinical gains into stable cash.

Operational updates: Staff reported a current census of 52 patients and told trustees that April admissions and discharges produced an average daily census improvement. Leadership said the facility's CMS star rating had improved to three stars from a previous one-star rating and that they expect further progress if documentation and workflows are sustained.

Staffing and training: Managers reported a successful CNA hybrid training cohort with 11 participants, several recent admissions to permanent nurse roles including a new LPN and a nurse manager hire (Daley Brooks), and plans to shift some agency/traveler roles to permanent staff where feasible. The board approved hiring a scheduler role to free RNs for clinical tasks.

Revenue-related operations: Administrators flagged seven pending Medicaid enrollments and described ongoing weekly coordination with Medicaid to resolve outstanding questions. Radiology, pharmacy and therapy volumes were described as showing steady increases; leaders said they were pursuing modest equipment and contract steps to expand capacity.

Capital and equipment: The administration described plans to procure or rent a CT scanner and an injector and reported a 50% down payment on a Radix purchase. Management said renting a CT temporarily would reduce downtime risks and ensure continuity of service while the facility finalizes capital plans. Trustees were asked to anticipate purchase or rental approvals in coming months.

Inventory, supply and billing changes: Finance staff described a new inventory-count process to seed an inventory system and integrate it with accounts payable to reduce billing and supply mismatches. Accounts payable staff additions and a move to better AP automation were presented as part of internal control improvements.

Next steps: Management will continue weekly meetings with auditors and vendors to improve charge capture and the clean-claim ratio; trustees asked for monthly progress updates to the finance committee and the board.