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Pine Valley reports May cash shortfall and lower census; committee approves vouchers
Summary
The Pine Valley Subcommittee reviewed May financials showing cash receipts of $773,868.27, a monthly cash variance in the range reported (about $83,000 negative), and a decline in skilled nursing census; the committee approved payment of vouchers by voice vote and discussed plans to reduce agency nursing costs.
The Pine Valley Subcommittee reviewed May financial statements on May 20 and heard that cash receipts for the month totaled $773,868.27 while the presenter reported a monthly cash variance in the vicinity of an $83,000 shortfall as presented to the committee.
The financial presenter summarized May activity including payroll (reported as $645,733.89), contracted staff costs (about $30,002.87 for the month), and several check highlights: a $765 reimbursement to Pine Valley from the foundation for donated furniture; maintenance and equipment repair charges (ice‑machine repairs, dishwasher water pump, dryer parts); and therapy equipment purchases the foundation agreed to reimburse. The presenter also noted an annual vendor background‑screening fee (John Sterling Associates) of $2,200 and a Medicare cost‑report fee (JT and Associates) split across months.
The presenter reviewed receivables and reported collectible revenue days at 32.6 for May (below the 40‑day goal). A census recap showed the skilled nursing side reached a high of 62 and an average of 59 for May, below the 2023 skilled average of 64; the CBRF remained full at 16 and Medicare census averaged about 7 versus a budgeted 11.
Committee members asked operational questions, including bed capacity and hospice bed reservations; the presenter said the facility is certified for 80 beds and occupancy patterns have not returned to pre‑COVID levels.
On motions, the chair asked for a motion to approve vouchers for the month; a motion and second were made and the committee approved payment of the bills by voice vote ('Aye'). The meeting record does not record a numerical roll‑call tally for that vote.
Administrators and managers discussed plans to reduce agency (traveling nurse) usage, with the interim administrator and staff describing cross‑training and in‑house CBRF classes intended to reduce contracting by August and reporting estimated recent agency cost of about $30,000 for the prior month.
The presenter also explained state SP recoupment mechanics: because the state increased Medicaid rates in July 2023, the formulaic SP payments to county nursing homes are now smaller and a recoupment of about $84,000 was anticipated to appear in June financials; the presenter said the calculation followed the agreed methodology and that the county had set aside the position to take that as a single adjustment.
The committee discussed scheduling and adjourned after approving the meeting agenda and vouchers.
