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Strafford County delegation debates future of Riverside Rest Home, fiscal risks of managed care
Summary
Delegation members reviewed options for Riverside Rest Home — renovation, new build, managed care shift, or public‑private partnership — and exchanged data and cost estimates; Kelly offered a data‑driven report recommending a 140‑bed cap and a gradual 7–10 year phase‑down while members agreed to continue work and return with written proposals.
Strafford County delegation members spent their meeting debating how to handle long‑term care needs for county residents and the future of the county‑run Riverside Rest Home, focusing on funding mechanics, facility condition and policy options. Kelly, who said she is preparing a written, data‑driven briefing, urged the group to cap Riverside at 140 beds and to plan a gradual, fiscally responsible phase‑down of county‑operated nursing‑home beds.
The discussion centered on three broad options: build a new county facility under the current operating model; accept or prepare for a state move to managed care, which speakers warned could remove roughly $60 million in federal incentives systemwide and increase Stratford County’s costs by an estimated $8 million annually; or pursue a public‑private partnership in which the county would build or own a larger facility while a private operator managed day‑to‑day care. “The evidence supports capping RRH at 140…
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