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Madison County approves nursing-home staff housing plan, salary increases and new bed purchase

Madison County Commissioners · June 23, 2026
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Summary

The county approved a plan to house core nursing-home staff at on-site accommodations, approved pay increases for multiple nursing positions, and rejected a high vendor bid in favor of a lower Direct Supply quote for beds and mattresses.

VIRGINIA CITY, Mont. — The Madison County Commissioners on June 23 approved a package of measures intended to stabilize staffing at the Madison County Nursing Home. Christine Preece, the Nursing Home Administrator, proposed allowing core staff who live outside the area to reside in on-site accommodation during three-day shifts for a daily rate; commissioners approved the housing plan unanimously.

Preece also presented a competitive salary proposal for nursing positions and certified nursing assistants. The board voted to approve salary increases for the director of nursing (DON), Compliance Nurse/ICP, RN/MDS Coordinator, LPNs, CNAs, Medical Aide II, Restorative Aide, Residential Aide and Ward Clerk. Commissioners voted 3-0 in favor of the pay changes.

On equipment procurement for the nursing facility, Grants Manager Shawna Lutgen recommended rejecting a SonderCare bid of $427,352.00 and presented three alternative quotes. The board rejected the SonderCare bid and accepted Direct Supply's quote of $121,513.80, which the minutes state includes shipping, freight and installation. Two other quotes recorded were Spinlife at $103,634.32 (installation excluded) and Medline at $152,456.80 (shipping excluded).

County officials described the housing plan and pay adjustments as measures to reduce reliance on higher-cost travel nurses and to make local employment more viable for staff living at a distance. All motions related to nursing-home staffing and procurement passed unanimously.

The board's minutes record these items as actions of the June 23 meeting; follow-up implementation will be handled by Nursing Home Administration and Human Resources.