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Nursing-home staff shortages, lower Medicaid rates and repeated food-service failures prompt county review
Summary
Belknap County heard a detailed nursing-home operations report citing a modest Medicaid rate cut, ongoing staff shortages and multiple food-service failures under the current vendor; commissioners asked staff to meet a second vendor and return in two weeks with recommendations, with a potential 60‑day notice to the contractor if problems persist.
Michelle, the facility presenter, told commissioners the nursing-home summary covering Nov. 1–Feb. 20 showed a smaller-than-expected Medicaid rate reduction that nevertheless reduced revenue and that the facility is seeing higher resident acuity because of a low census.
She said the Medicaid rate change on Jan. 1 produced a smaller decrease than projected and that new rates due in July may shift funding again. Michelle reported the facility employs about 100 people and described turnover during the period (42 hires and 44 separations in the prior year, with a smaller net loss in the current reporting window). The nursing team continues to use agency/travel nurses and maintains ongoing recruitment through local job fairs and partnerships with area programs.
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