HomeMy WebLinkAboutResolution 2011 (74)
1 RESOLUTION APPROVING HEALTH CENTER PLAN OF CORRECTION
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3 Resolution No. (,~0 /
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5 St. Croix County, Wisconsin
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7 WHEREAS, the State of Wisconsin completed a State life safety code survey on June,
8 27, 2011; and
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10 WHEREAS, the St. Croix Health Center received three citations as a result of the State
11 life safety code survey and completed corrective action on two of the citations; and
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13 WHEREAS, the St. Croix Health Center planned to request a continued waiver on the
14 third citation, the K067 citation, which was issued because the corridor in the basement is being
15 used as an air plenum; and
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17 WHEREAS, on July 26, 2011, the Centers for Medicare and Medicaid Services (CMS)
18 completed a Federal look behind survey at the St. Croix County Health Center to determine if the
19 State of Wisconsin is appropriately surveying facilities; and
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21 WHEREAS, the St. Croix County Health Center received 21 citations as a result of the
22 Federal look behind survey; and
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24 WHEREAS, St. Croix County has engaged Short, Elliot, Hendrickson, Inc. (SEH) to
25 assist in developing a plan of correction for the Federal look behind citations; and
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27 WHEREAS, the initial plan of correction submitted on August 19, 2011 was denied by
28 CMS; and
30 WHEREAS, an amended plan of correction was resubmitted on September 13, 2011 after
31 direct consultation with a CMS representative to clarify requirements to obtain an approved plan
32 of correction; and
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34 WHEREAS, the amended plan of correction must be approved by CMS by September
35 27, 2011 or a mandatory three-month denial of payment for new Medicaid and Medicare resident
36 admissions will be imposed; and
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38 WHEREAS, 14 of the 21 Federal look behind citations will be corrected by September
39 26, 2011 as part of the amended plan of correction at an estimated cost of $40,600 to $47,250
40 (see attached); and
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42 WHEREAS, the amended plan of correction includes a temporary waiver(s) request for
43 additional time to complete corrective action to accommodate public bidding requirements,
44 determine a funding source, and receive authorizations beyond September 27, 2011 for 6 of the
45 21 Federal look behind citations; and
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47 WHEREAS, estimated cost for the temporary waiver items is $135,800 to $181,550 (see
48 attached); and
RESOLUTION APPROVING HEALTH CENTER PLAN OF CORRECTION - Continued
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50 WHEREAS, the amended plan of correction to CMS includes a request for an annual
51 waiver for the K067 citation; and
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53 WHEREAS, the estimated cost for correction of the K067 citation is $200,000 to
54 $225,000, but as long as a waiver is approved annually, this correction will not have to be made
55 (see attached); and
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57 WHEREAS, upcoming future expenses that have been identified by the Building
58 Services Department and SEH to meet code updates that will need to be addressed by 2013 have
59 an estimated cost of $80,000 to $105,000 (see attached); and
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61 WHEREAS, additional future expenses have been identified by the Building Services
62 Department and SEH for repairs to walls and for drainage problems at an estimated cost of
63 $50,000 to $100,000 (see attached); and
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65 WHEREAS, the St. Croix Health Center does not have funding available for the repairs
66 required to complete any corrective action; and
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68 WHEREAS, reallocation of current bond proceeds has been determined to be the
69 preferred alternative to finance costs of repairs identified in this resolution, not including the
70 K067 citation ($200,000 to $225,000) upcoming future expenses ($80,000 to $105,000) and
71 additional future expenses ($50,000 to $100,000) ; and
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73 WHEREAS, the Health and Human Services Board recommends that the Administration
74 Committee reallocate current available bond proceeds to cover the cost of repairs (the County
75 Board previously authorized the Administration Committee to reallocate bond proceeds).
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77 TIREEORE,_BE_1 RESOLVED_that the St. Croix County Board of Supervisors__ _
78 directs the Administration Committee to reallocate current bond proceeds in the amount of up to
79 $228,800 which is the highest estimated price range to pay for the costs in the plan of correction,
80 not including the K067 citation, upcoming future expenses and additional future expenses.
Offered b Health and Human Services Board
Yes No Abstain Absent This resolution was adopted by the St. Croix County
Esther Wentz l~ ❑ ❑ ❑ 1
Roger Larson ❑ ❑ ❑ Board of Supervisors on Q0,+5&e.r 4j 6!(
Fred Horne ❑ ❑ ❑
Linda Luckey ® ❑ ❑ ❑
Richard Marzolf ® ❑ ❑ ❑
Alfred Schrank K ❑ ❑ ❑
Dr. Lisa Ramsay ❑ ❑ ❑ ® Cindy Cam ell, County Clerk
Deb Rasmussen ® ❑ ❑ ❑
Leon Berens----- ❑ ❑ ❑ County Board Vote: Yes
I verify that the vote shown above is true and correct. (o e
/ Abstain
Absent
mohair, Health and Human Services Bo''
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RESOLUTION APPROVING HEALTH CENTER PLAN OF CORRECTION - Continued
LEGAL REVIEW FISCAL REVIEW
Reviewed as to form on September 19, 2011 ® There is a fiscal impact.
reg Timmerman ❑ There is no fiscal impact.
Greg Timmerman, Corporation Counsel See attached Fiscal Impact Statement.
LEGAL NOTE: None
VOTE REQUIREMENT: Majority of supervisors resent
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FISCAL IMPACT STATEMENT
Submitted By: Fred Johnson
Date: September 20, 2011
Department: Health and Human Services
Committee: Health and Human Services Board
Resolution Title: Resolution Approving Health Center Plan of Correction
❑ There is no fiscal impact on expenses or revenues
® There is a fiscal impact on expenses or revenues
Explanation:
Projected to be $228,800 maximum at this time.
FINANCE DIRECTOR ACTION:
® Approved by Finance Director
Signature: Michelle Pietrick Date: September 20, 2011
FISCAL IMPACT STATEMENT - REV. 09/12/2011 Page 1
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