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HomeMy WebLinkAboutNursing Home Proposal Review 12-12-07 Nursing Home Proposal Review Committee - October 24, 2007 Page 3 of 3 monitor that conditions are being met if it is even possible to monitor. It would be possible to monitor cost reports but this would occur after the fact and would not cover all areas. Resident level of care changes would make it difficult to monitor also. Purtell indicated Presbyterian Homes (PH) has indicated an interest in purchasing the beds as part of their master plan for a campus and only want 5o beds. They are not interested in taking over the facility or taking St. Croix Health Center residents. Benchmarks are set and requirements need to be met to receive enhanced capital reimbursement rates, which include serving a certain percentage of Medicaid and Medicare residents. Purtell indicated it may be possible to get credit for giving up beds previously but there will have to be discussion with DHFS, Dave Lund for clarification if the significant reduction in beds has already been met. However, there are other conditions that need to be met to receive enhanced capital reimbursement rates. Purtell indicated negotiations will need to include some qualifying language for the future of the nursing home and continued services to the financially indigent population. He indicated a lot could change in the future with factors such as Family Care implementation, etc. RECOMMENDATION TO COUNTY BOARD ON CLOSED SESSION Johnson brought forward a resolution from the committee to the County Board to enter closed session. Motion A motion was introduced by Krueger, seconded by Borup, and unanimously adopted: That the committee approves to change the wording in the resolution from two entities to any entities. Motion A motion was introduced by Caflisch, seconded by Krueger, and unanimously adopted: That the committee approves the following resolution: RESOLUTION AUTHORIZING NURSING HOME PROPOSAL REVIEW COMMITTEE TO MEET IN CLOSED SESSION Resolution No. St. Croix County, Wisconsin WHEREAS, on September 18 th , 2007, the St. Croix County Board of Supervisors appointed a new Nursing Home Proposal Review Committee to consider new options for the possible future disposition of the County Nursing Home; and WHEREAS, the St. Croix County Board of Supervisors passed a motion requiring meetings of the Nursing Home Proposal Review Committee to be held in open session unless the Health and Human Services Board or the County Board authorized meetings to be held in closed session; and WHEREAS, legal counsel representing the County in discussions with entities interested in the future operation of the County Nursing Home recommends that the Nursing Home Proposal Review Committee meet in closed session with any entities to negotiate final terms of proposals. THEREFORE, BE IT RESOLVED by the St. Croix County Board of Supervisors that the Nursing Home Proposal Review Committee is authorized to conduct meetings in closed session pursuant to Wisconsin Statute§ 19.85 0) (e) to negotiate with any entities the final terms of proposals for the future operation of the Nursing Home. It was requested that vendors come forward with their best offer for the meeting on November 16. It is anticipated Purtell and Raaths will be here in person for the meeting on November 16 Purtell and Raaths will structure the meeting discussions and set up the meeting format. Committee members are encouraged to ask questions. The meeting will be an open meeting with a probable closed session with each vendor to negotiate with each vendor separately. Motion A motion was introduced by Caflisch, seconded by Borup, and unanimously adopted: That the meeting be adjourned. 1,01 CARMICHAI:I. ROAD I It11DSO,v wl 54 016 715;386.46o0 LAS I' UPDAT is Oct 1, 2010 DISCL UTMER I http://172.17.128.87/Committee/Minutes/2007/HHS/nhIO2407.htm 2/17/2011 Nursing Home Proposal Review Committee - December 12, 2007 Page 1 of 3 St. Croix County * Wisconsin AGENDA - NURSING HOME PROPOSAL REVIEW COMMITTEE -" ST CROIX COUN'T'Y NOTICE OF COMMITTEE MEETING December 12, 2007 at 1:oo P.M. County Mau (Room 1281, Government Center, Hudson, WI) CALL TO ORDER REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING — 11/16/07 DATE OF NEXT MEETING - OLD AND NEW BUSINESS 1. Review of Ecumen's proposal for the future operation of the Nursing Home. 2. Closed session pursuant to Wisconsin Statute§ 19.85 0) (e) to complete preliminary negotiations with Health Dimensions and Presbyterian Homes for future operation on the Nursing Home. Reconvene in open session. 3. Review negotiated proposals. ADJOURN (Items may be taken in different order) * *Additions /Changes /Corrections MINUTES NURSING HOME PROPOSAL REVIEW COMMITTEE DECEMBER t2, 2007 The St. Croix County Nursing Home Review Committee met on December 12, 2007 at the St. Croix County Government Center. MEMBERS PRESENT: Esther Wentz, Chair Gordon Awsumb John Borup Thomas Caflisch Dr. Glenn Hoberg Don Jordan Stan Krueger MEMBERS ABSENT: none STAFF PRESENT: Fred Johnson, Health and Human Services Director Harold Morris, Nursing Home Administrator Chuck Whiting, Administrative Coordinator http://l72.17.128.87/Committee/Minutes/2007/HHS/nhl2l2O7.htm 2/17/2011 Nursing Home Proposal Review Committee - December 12, 2007 Page 2 of 3 Connie Sarauer, Director of Nursing OTHERS PRESENT: Brian Purtell, DeWitt, Ross and Stevens Law Firm (via phone) Buck Malick, County Board Chair Charles Struemke, County Board Supervisor Buzz Marzolf, County Board Supervisor Julie Speer, County Board Supervisor Sharon Norton- Bauman, County Board Supervisor Roger Rebholz, County Board Supervisor Ted Mackmiller Norm Matzek Wentz called the meeting to order at 1:03 PM noting the meeting was properly and legally publicized. Consent Agenda: Motion by Borup, seconded by Krueger to adopt the agenda. Carried unanimously. Motion by Krueger, seconded by Awsumb to approve the minutes of 11/16/07. Carried unanimously. REVIEW OF ECUMEN'S PROPOSAL FOR THE FUTURE OPERATION OF THE NURSING HOME Johnson forwarded copies of the Ecumen's written response (dated 12/04/07) to committee members and others present for review. This letter was written in response to Brian Purtell's request for Ecumen to define what their general proposal would be for the operation of the Nursing Home. Purtell commented that the response was not exactly consistent with the request. The letter references management and consulting services versus plans for the operations of the Nursing Home. Wentz asked why they walked away from Osceola, which Purtell did ask, but did not get any response in writing and understood that it may be related to a dispute related to recommendations that have not been followed. Questions were raised about their management fee, but Purtell reported he had no information on the fee as they did not address it in the letter. Borup questioned why they have not attended the last two meetings to discuss planning in person and Purtell indicated they were lined up for a phone conference for the meeting on 11/16/07, but an emergency prevented the conference call. Today they could not attend due to a scheduling conflict. Purtell recommended for consideration that Ecumen discussion be put on hold as we may get direction from the County Board on the other proposals and if neither of these are acceptable, then maybe look back to Ecumen. Awsumb asked that Purtell ask for further conversation with Ecumen related to the bullet point in their letter that indicates all owned and managed communities are expected to operate on a breakeven or better basis in compliance with their budget /pro forma — maximizing revenues and minimizing expenses without compromising quality. Purtell will seek a response from Ecumen related to this bullet point and plans they may have regarding the Health Care Center. Sarauer commented that many of the bullet points in Ecumen's letter have already been implemented. Johnson agreed that entering into another operational assessment would seem unnecessary given the December 2005 Wipfli study and implementation that has occurred to date on those recommendations. Marzolf asked what Ecumen is talking about in terms of FTE staff. Wentz responded that we don't have that information at this time. CLOSED SESSION PURSUANT TO WISCONSIN STATUTE§ i9.8s (1) (E) TO COMPLETE PRELIMINARY NEGOTIATIONS WITH HEALTH DIMENSIONS AND PRESBYTERLAN HOMES FOR FUTURE OPERATION ON THE NURSING HOME Motion A motion was introduced by Caflisch, seconded by Borup, to go into closed session pursuant to Wisconsin Statute§ 19.85 (1) (e) to complete preliminary negotiations with Health Dimensions and Presbyterian Homes for future operation on the Nursing Home. Roll call vote: Esther Wentz -yes Gordon Awsumb -yes John Borup -yes Thomas Caflisch -yes Dr. Glenn Hoberg -yes Don Jordan -yes Stan Krueger -yes http: //l72.17. 128. 87 / Committee /Minutes /2OO7/HHS /nhl2l2O7.htm 2/17/2011 Nursing Home Proposal Review Committee - December 12, 2007 Page 1 of 3 St. Croix County * Wisconsin AGENDA - NURSING HOME PROPOSAL REVIEW COMMITTEE -" ST CROIX COUN'T'Y NOTICE OF COMMITTEE MEETING December 12, 2007 at 1:oo P.M. County Mau (Room 1281, Government Center, Hudson, WI) CALL TO ORDER REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING — 11/16/07 DATE OF NEXT MEETING - OLD AND NEW BUSINESS 1. Review of Ecumen's proposal for the future operation of the Nursing Home. 2. Closed session pursuant to Wisconsin Statute§ 19.85 0) (e) to complete preliminary negotiations with Health Dimensions and Presbyterian Homes for future operation on the Nursing Home. Reconvene in open session. 3. Review negotiated proposals. ADJOURN (Items may be taken in different order) * *Additions /Changes /Corrections MINUTES NURSING HOME PROPOSAL REVIEW COMMITTEE DECEMBER t2, 2007 The St. Croix County Nursing Home Review Committee met on December 12, 2007 at the St. Croix County Government Center. MEMBERS PRESENT: Esther Wentz, Chair Gordon Awsumb John Borup Thomas Caflisch Dr. Glenn Hoberg Don Jordan Stan Krueger MEMBERS ABSENT: none STAFF PRESENT: Fred Johnson, Health and Human Services Director Harold Morris, Nursing Home Administrator Chuck Whiting, Administrative Coordinator http://l72.17.128.87/Committee/Minutes/2007/HHS/nhl2l2O7.htm 2/17/2011 Nursing Home Proposal Review Committee - December 12, 2007 Page 2 of 3 Connie Sarauer, Director of Nursing OTHERS PRESENT: Brian Purtell, DeWitt, Ross and Stevens Law Firm (via phone) Buck Malick, County Board Chair Charles Struemke, County Board Supervisor Buzz Marzolf, County Board Supervisor Julie Speer, County Board Supervisor Sharon Norton- Bauman, County Board Supervisor Roger Rebholz, County Board Supervisor Ted Mackmiller Norm Matzek Wentz called the meeting to order at 1:03 PM noting the meeting was properly and legally publicized. Consent Agenda: Motion by Borup, seconded by Krueger to adopt the agenda. Carried unanimously. Motion by Krueger, seconded by Awsumb to approve the minutes of 11/16/07. Carried unanimously. REVIEW OF ECUMEN'S PROPOSAL FOR THE FUTURE OPERATION OF THE NURSING HOME Johnson forwarded copies of the Ecumen's written response (dated 12/04/07) to committee members and others present for review. This letter was written in response to Brian Purtell's request for Ecumen to define what their general proposal would be for the operation of the Nursing Home. Purtell commented that the response was not exactly consistent with the request. The letter references management and consulting services versus plans for the operations of the Nursing Home. Wentz asked why they walked away from Osceola, which Purtell did ask, but did not get any response in writing and understood that it may be related to a dispute related to recommendations that have not been followed. Questions were raised about their management fee, but Purtell reported he had no information on the fee as they did not address it in the letter. Borup questioned why they have not attended the last two meetings to discuss planning in person and Purtell indicated they were lined up for a phone conference for the meeting on 11/16/07, but an emergency prevented the conference call. Today they could not attend due to a scheduling conflict. Purtell recommended for consideration that Ecumen discussion be put on hold as we may get direction from the County Board on the other proposals and if neither of these are acceptable, then maybe look back to Ecumen. Awsumb asked that Purtell ask for further conversation with Ecumen related to the bullet point in their letter that indicates all owned and managed communities are expected to operate on a breakeven or better basis in compliance with their budget /pro forma — maximizing revenues and minimizing expenses without compromising quality. Purtell will seek a response from Ecumen related to this bullet point and plans they may have regarding the Health Care Center. Sarauer commented that many of the bullet points in Ecumen's letter have already been implemented. Johnson agreed that entering into another operational assessment would seem unnecessary given the December 2005 Wipfli study and implementation that has occurred to date on those recommendations. Marzolf asked what Ecumen is talking about in terms of FTE staff. Wentz responded that we don't have that information at this time. CLOSED SESSION PURSUANT TO WISCONSIN STATUTE§ i9.8s (1) (E) TO COMPLETE PRELIMINARY NEGOTIATIONS WITH HEALTH DIMENSIONS AND PRESBYTERLAN HOMES FOR FUTURE OPERATION ON THE NURSING HOME Motion A motion was introduced by Caflisch, seconded by Borup, to go into closed session pursuant to Wisconsin Statute§ 19.85 (1) (e) to complete preliminary negotiations with Health Dimensions and Presbyterian Homes for future operation on the Nursing Home. Roll call vote: Esther Wentz -yes Gordon Awsumb -yes John Borup -yes Thomas Caflisch -yes Dr. Glenn Hoberg -yes Don Jordan -yes Stan Krueger -yes http: //l72.17. 128. 87 / Committee /Minutes /2OO7/HHS /nhl2l2O7.htm 2/17/2011