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Nursing-home administrator says occupational-therapy shortage limits admissions

Madison County Commissioners' Work Session · March 9, 2026
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Summary

Madison County nursing-home administrator reported the county cannot admit residents who need occupational therapy until Ruby Valley Medical Center or the county secures an occupational therapist; commissioners also discussed recent surveys and staff interviews.

Christine Preece, Madison County nursing-home administrator, told commissioners during the March 9 work session that the county’s nursing facilities are managing referrals but cannot admit residents who require occupational therapy until staffing at Ruby Valley Medical Center or the county changes.

Preece, participating by WebEx, said Ruby Valley Medical Center “requires an occupational therapist; once the necessary personnel are secured, the nursing home will be able to admit residents requiring occupational therapy services.” Becky DeBoer asked about the status of recent surveys at the nursing homes and suggested interviewing former employees as part of the review.

Commissioner Duke W. Gilman confirmed the county is coordinating follow-up on staffing and survey interviews but did not announce a timeline for when the nursing home could begin admitting residents needing occupational therapy. The exchange focused on operational readiness rather than a formal policy decision; no motions were taken at the work session.

The board is scheduled to meet next week for its regular commissioners meeting, where staff may present further updates or recommendations.