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Commissioners flag senior housing and access to skilled care as top needs

Daniels County Board of County Commissioners · September 4, 2024
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Summary

Daniels County officials and residents told planners the county lacks assisted living and skilled nursing capacity and faces staffing shortages at the hospital; planners will include aging‑in‑place and skilled care questions in the public survey and research programmatic supports to include in the plan.

Residents and officials told Interstate Engineering planners that Daniels County lacks adequate senior living and skilled nursing options and that staffing shortages at the county hospital complicate local care.

Commissioners and local residents described a range of gaps: no local doctor, reliance on nurse practitioners and physician assistants at the hospital, empty assisted‑living units in the past, and families selling assets to pay for long‑term care. Rachel Laqua said the growth‑policy survey will include questions about aging in place, where residents go for skilled care, and whether residents would consider single‑level or accessible housing to remain in the county.

Why it matters: an aging population strains housing and health resources. Participants said some residents move away to access care, while those who remain face high costs and limited options. The planners discussed small, incremental incentives — such as tax abatements, waiver of certain fees for accessible single‑story homes, or targeted grant pursuits — as plausible first steps in an implementation strategy.

Planners cautioned that creating a local assisted‑living facility requires reliable staffing and sustainable funding; commissioners said the availability of grants such as USDA Rural Development or state programs will shape whether projects are feasible. The growth policy will catalogue needs and possible funding sources but will not itself create a service provider.

Next steps: planners will include senior housing and health‑care access questions in the survey and flag potential grant programs and small incentives in the implementation table for the draft plan.