The Carroll County Delegation approved the Mountain View nursing home's 2025 operating budget and companion revenue and capital requests after hearing a detailed overview from facility management and the administrator.

Administrators told delegates the top cost drivers were agency/contract nursing staff, higher propane and electricity costs, and wage/benefit expense tied to recruitment and retention. The administrator said the facility had increased recruitment efforts and a retention committee that has reduced terminations compared with last year. Administrators also said the facility's revenue projection reflects a change in payer mix — a higher share of Medicaid/Medicare skilled residents and modest increases in private‑pay rates — which increases total revenue but does not remove the need for staffing resources.

The delegation approved the operating budget as presented and separately approved revenue estimates and $87,877 in capital purchases (refrigerators, mattresses, washers and accessible equipment) listed for Mountain View.

What was said
- On staffing and retention, the administrator described recruiting and retention work and said, “we have 8 new people in the nursing staff this year” and that the retention committee meets monthly to review staffing and terminations.
- On revenue, administrators said the facility had improved its payer mix and reimbursement position: “we were the second lowest reimbursed facility in the state a year ago; now we are closer to median,” and that daily reimbursement had increased by roughly a stated per‑day amount for some residents.

Votes and implementation
Delegates voted to approve the operating budget, the revenue estimate and capital purchases. The clerk recorded the motions and announced the approvals on roll call. Finance and Mountain View management were directed to provide follow‑up reporting on staffing, recruitment/retention progress, and periodic budget vs. actual reports.

Why it matters
The nursing home is a major county expenditure and employer; its budget and staffing plans determine resident care levels and county costs. Delegates sought details about the drivers of rising costs, especially the use of agency nursing staff and utility cost increases, and asked for ongoing reporting so the delegation can monitor implementation.

What remains
Delegates discussed but did not finalize a possible rate adjustment for private pay residents; administrators said any private‑rate change would require resident and family notice and adherence to state notification timelines. Finance and facility leadership will provide follow‑up budget tracking to the delegation.