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Nursing home census stable; county discusses CMS survey, Medicare education and telemedicine options

Graham County Commission · October 29, 2025
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Summary

Commissioners heard that the county nursing home census remains at 36 residents, that federal surveyors recently completed an inspection with only minor citations expected, and discussed expanding community education (including Medicare topics) and telemedicine to reduce travel for specialty care.

County staff updated the commission on long-term care and health-service outreach, reporting that the nursing home census remains at 36 residents and describing recent regulatory and outreach activity.

Speaker 4 said the nursing home is "still at 36 elders," reported that surveyors visited for the annual review and that surveyors left with generally positive impressions; Speaker 4 said there were a few paperwork tags and the facility will have 10 working days to address any deficiencies after receiving the final report. Speaker 4 also noted the facility did not receive CMS funds and that survey timing was affected by federal schedules.

Earlier, Speaker 1 outlined community education efforts coming from the Patient Family Advisory Council, describing recent Medicare education sessions that prompted at least one attendee to switch from Medicare Advantage to traditional Medicare; Speaker 1 emphasized a broader need to identify community education priorities (including diabetic education) and to measure whether education is effective.

Speaker 1 and others discussed telemedicine as a strategy to bring orthopedics and urology specialty visits to local clinics when specialists cannot travel to Graham County. Speaker 1 said expanding telemedicine would require funding to purchase equipment but could reduce travel burden for patients and keep specialty orders and follow-up care local.

No formal policy decisions were recorded in the transcript. Commissioners asked staff to gather additional community feedback on education needs and to explore funding options for telemedicine equipment.

What’s next: staff will solicit community input on education priorities, pursue funding avenues for telemedicine equipment and return with recommendations for any needed follow-up or purchases.