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HomeMy WebLinkAboutCounty Board 12-18-01 ST. CROIX COUNTY BOARD OF SUPERVISORS December 18, 2001 9:00 A.M. CALL TO ORDER: Chairman Thomas Dorsey INVOCATION: Pastor Jed Watson, First Congregational Church, Hammond PLEDGE OF ALLEGIANCE TO THE FLAG ROLL CALL CONSIDERATION OF MINUTES OF PREVIOUS SESSION ADOPTION OF AGENDA ANNOUNCEMENTS: United Way Recognition - Supr. Mehls DATE OF NEXT SESSION: January 15, 2002 9:00 A.M. APPOINTMENTS: ADMINISTRATIVE COORDINATOR REPORT OLD AND UNFINISHED BUSINESS (Consideration and action on matters tabled, postponed or referred to a committee at a previous meeting) NEW BUSINESS: 1. Consideration of Nursing Home Options 2. Resolution Supporting Creation of a Technology Zone *3. Resolution Authorizing Goal Setting Session for Board of Supervisors *4. Resolution to Submit a Recommendation from the Four Options for the St. Croix County Nursing Home COMMITTEE AND BOARD REPORTS: APPLICATIONS FILED FOR ZONING ORDINANCE AMENDMENT FARMLAND PRESERVATION: David Afdahl Family Trust, Town of Pleasant Valley MILEAGE & PER DIEM REPORT CORRESPONDENCE ANNOUNCEMENTS: ADJOURNMENT (The above agenda is not necessarily in order of presentations) * Changes or Additions after the Preliminary Agenda ** Late Changes and Additions Cdrre�� R. County Board Minutes December 18, 2001 ST. CROIX COUNTY BOARD OF SUPERVISORS Regular Session December 18, 2001 Meeting called to order by Chair Tom Dorsey at 9:00 a.m. Pastor Jed Watson, First Congregational Church, Hammond gave the invocation. Pledge of Allegiance was recited. Roll Call: 30 present, 1 absent and excused - Supr. Hoberg. Chair Dorsey welcomed the guests and the press. Motion by Supr. Berenschot, 2 by Supr. O'Connell to approve the November 27 minutes. Carried. Motion by Supr. Malick, 2 by Supr. Speer to adopt the agenda. Carried. Date of the next session is January 15, 2001. United Way Recognition: Supr. Mehls complimented United Way for supporting many groups within the County. Six portable radios for the (Emergency Communication Van were approved for purchase by the County Board and the United Way will match this request by sponsoring six more radios. Mehls introduced John Coughlin, Executive Director, who in turn introduced United Way Board members Vice President Karen Bailey, Jill Everson, Max Hansen and Eric Johnson. Coughlin noted over $40,000 has been allocated to various County departments. Three defibrillators have been purchased. One was used to save a New Richmond lady's life recently. He recommended United Way have a seat on the Emergency Management Committee to be in the loop when a disaster occurs. Applause. Announcements: Supr. Standafer displayed a print titled "On Freedom's Wing" by Rick Kelly featuring a flying eagle. Standafer is selling tickets for the raffle with proceeds to the American Cancer Society. Administrative Coordinator: Chuck Whiting is working with Personnel Director Deb Kathan and the Personnel Committee on implementing the Springsted Personnel Study. No further word on the State Budget and possible cuts. Whiting thanked the Personnel Committee for the Employee Recognition Banquet held on December 13. The County will join the City of New Richmond in a review of County farm land for a conceptual development plan with Vierbicher and Associates. The Huber Facility Study is underway. Personnel Committee will review a Health Insurance Administration Policy approved by the Finance Committee. Whiting will take an 1 'County Board Minutes December 18, 2001 active role in performance evaluations and will contact Committee Chairs. Consideration of Nursing Home Options: Health and Human Services Director John Borup, Nursing Home Administrator Carolyn Krieger, Board Chair Robert Stephens, Accounting Supervisor Judy Ziegler, Director of Nursing Kristi Tellijohn, Long Term Support Coordinator Ron Lockwood, Social Services Director Lisa Leahy, John Keefe and Sandy Hayes from Keefe Associates present. Krieger and Ziegler outlined the cash balance status from 1992 to the present. Balances were in the black until 1999 when the Medicare funding changed and helped cause a $310,284 deficit cash balance. Supr. Krueger pointed out the $932,000 net cash decrease between 1998 and 1999 was mostly caused by a decrease in cash revenues of $310,000, an increase in cash paid to employees of $286,000 and other operating expenses increased $215,000. It was not caused by an increase in accounts receivables. The estimated cash balance for 2001 operations is ($130,930) which is less than expected due to increased InterGovernmental Transfer (IGT) payments. Discussion: Supr. Irwin said with the farm rental and county subsidy, there is a $2 million loss in 2000, not the $626,586 as shown. Krieger said, as instructed, increased wages were not included in the 2000 budget and this contributed to the deficit. Supr. Bjerstedt asked what if IGT funds get cut back. Krieger replied the funding should be o.k. until 2009. With State and Federal funding there is never any certainty from month to month. The Medicaid payment is way down ( -5% of median). Borup commented labor costs are higher due to structure of the building, 90% of residents use wheelchairs and ramps are used to move residents. Supr. Horne said the County pays a higher hourly wage and it is very expensive to run the home. Supr. Raymond noted private homes cost less to run than Government homes. Keefe said salary and fringe benefits are lower in for - profit homes, the turn over rate is much higher which has an impact on quality of care. Krieger showed census graphs which indicate private pay is decreasing because people are coming in older and have less money. Supr. Swenson questioned if staffing is decreased when census declines. Krieger replied level of care has increased so staffing hasn't gone down with the census. There is a total of 2 County Board Minutes December 18, 2001 150 full and part time staff in the Nursing Home. Turn over is fairly low. Supr. Standafer noted the Keefe report gave a pessimistic future for nursing homes. We have a declining elderly population which will not change in the near future. Krieger said more people are living in assisted living facilities. Hospitals release patients sooner so more care is needed in the nursing home. Supr. O'Connell stated Keefe should not have made a recommendation in his study report. H &HS Chair Stephens said he asked Keefe to make a recommendation and Supr. Wentz said we should have a recommendation after spending $50,000. Supr. Rose believed this is an industry under stress and there is not enough information on selling, closing, remaining status quo, evaluating alliances with private sector and other County homes. The Board is only looking at one portion of the puzzle and needs to look at the other pieces. Supr. Wentz stated we are the caretakers of the county's population. Motion by Supr. Wentz, 2 nd by Supr. King that St. Croix County stay in the Nursing Home Business. Motion by Supr. Bieraugel, 2nd by Supr. Krueger to amend the motion that an ad -hoc committee composed of seven St. Croix County Supervisors be appointed by the Board Chair for the purpose of securing a management audit firm capable of evaluating all operations at the St. Croix County Nursing Home and give a full report to the County Board in June of 2002, to be paid for by the 2002 Contingency Fund. Supr. Burri stated it is a great disservice to County residents to opt out of the business. We need to think about residents and staff, look forward, downsize and build on our County land. Supr. Olson asked what is the target of the audit. Supr. Bieraugel said a financial audit has been done; a management audit would find ways to do things more cost effectively. Supr. Horne advised the Keefe report said the Nursing Home would lose $10 to $14 million over the next 10 years. Supr. Mehls said the Board should not look at losing money but using money to provide service to residents rather placing people in adjacent counties if the home closes. Roll call on amendment to hire management audit: 26 yes, 4 no. Carried. Roll call on main motion to stay in business as amended: 19 yes, 11 no. Carried. 3 County Board Minutes December 18, 2001 Resolution #37 (2001): Recommendation from the Four Options for the St. Croix County Nursing Home. Motion by Supr. Malick, 2 nd by Supr. Horne to table this resolution. Roll call: 15 yes, 15 no. Tie vote, motion failed. Motion by Supr. Wentz, 2 nd by Supr. King to adopt the recommendation of the Health and Human Services Board to build a new building after downsizing. Motion by Supr. Irwin, 2 nd by Supr. Raymond to amend the motion to not sell any County land to finance the new building. Carried on voice vote. Motion by Supr. Wentz, 2 nd by Supr. Bethke to amend the resolution that the Board adopts the Human Services Board recommendation and directs the County Board Chair to appoint a steering committee comprised of Health and Human Services Board, Finance Committee members and other supervisors to present and recommend a detailed plan for a downsized facility. Amendment carried on voice vote. Main motion carried on a voice vote. Supr. O'Connell excused at 12:05 p.m. Resolution #38 (2001): Supporting Creation of a Technology Zone. Motion to adopt by Supr. Standafer, 2 nd by Supr. Bieraugel. Standafer explained companies who qualify would get income tax credits. Sales tax and property tax would still be paid by the business, but the aggregate values of both represent an income tax credit. St. Croix, Polk and Pierce Counties would work together on a joint application for the technology zone from the Department of Commerce. Carried. Resolution #39 (2001): Authorizing a Goal Setting Session for Board of Supervisors. Motion to adopt by Supr. Bieraugel, 2 nd by Supr. Wentz. Bieraugel indicated the Administration Committee is recommending a goal setting session to determine priorities and work direction which the Committee believes would be beneficial to Board Supervisors. An outside facilitator would be secured for the day long session, open to the public, at a cost up to $1500. The Finance Committee has approved payment from the 2002 contingency fund. Carried. Supr. Dowd voted no. Committee and Board Reports: None reported. Applications Filed for Rezoning: Donald Jensen, Town of Troy, Ag to Ag /Res; Schettle Estate, Town of St. Joseph, Residential to Commercial. 4 County Board Minutes December 18, 2001 Farmland Preservation: Motion by Supr. Jensen, 2 nd by Supr. Speer to approve the application of David Afdahl Family Trust, Town of Pleasant Valley. Carried. Mileage and Per Diem: Motion by Vice Chair Jacobson, 2 nd by Supr. Wolske to approve total of $6,124.72 for November, 2001. Carried. Correspondence: None received. Announcements: Chair Dorsey announced Mark O'Connell has been selected as the new Executive Director of Wisconsin Counties Association. Chair Dorsey reminded Supervisors to look for ways to conserve costs in this time of economic shortfalls. He asked Department Heads and Parent Committees to determine if duties of a vacated position could be reassigned within the department without causing any undue hardship or endangering County functions. Posting for any vacancy shall be done only after the vacancy is reviewed. Chair Dorsey wished everyone Happy Holidays. Motion to adjourn by Supr. Berenschot, 2 nd by Supr. Speer. Meeting adjourned at 12:15 p.m. Thomas Dorsey, Chair Sue E. Nelson St. Croix County Board of Supervisors County Clerk 5