LTC Board of Directors of City Convalescent Home

CITY CONVALESCENT HOME BOARD OF DIRECTORS Open Meeting Minutes for January 24, 2024 5:00 P.M. Present: Louise Lunkenheimer, Linda Douglas, Hanna Siems, and Dennis Talley. David Heumader joined session at 5:20 P.M. 1. Meeting called to order by L. Douglas at 5:04 pm with quorum present. 2. No potential conflicts of interest expressed by board members. 3. David Heumader was welcomed as the new board member when he joined meeting at 5:20 pm. 4. Motion to approve minutes for Open Session of 12/27/2023 and Executive Sessions for 1/7, 1/8, 1/10, and 1/17/2024 was made by H. Siems, seconded by L. Lunkenheimer and approved by vote of 4-0. (D. Heumader not present for this business). 5. H. Siems was nominated by L. Douglas, with second by D. Talley, to assume the role of Board Chairman. Vote was unanimous. Board Secretary position was deferred to February meeting. Current secretary,L. Douglas, term expires at the end of this month. 6. Facility update given by Jen Brumfield. a. C. Layman resigned as administrator on Jan. 4th and board determined to relieve her of duties Jan. 8. The interim administrator, Debra Howell started Jan. 23rd and was introduced to those present. The board has completed one interview for full-time administrator on Jan. 17 and has 2 more scheduled for Jan. 25. b. B. Charles, Business Officer manager has also resigned and been relieved of his duties as of Jan 8 as well. c. Jen Brumfield has resigned as the Director of Nursing with her last day being Feb. 5. She will be available for prn staffing. One interview for DON has been conducted but no offer has been made. d. J. Brumfield reported the sprinkler system inspection is due in Feb. Maintenance is working on getting this completed. e. Workman’’s comp (HAT) review has been received and they are due $5,000. f. Current lawn service sent letter of proposed rate increase to maintain both MFCC and Barone campus. J. Brumfield will attempt to negotiate but if no success, L. Douglas motioned and D. Talley seconded to accept proposal. Vote 5-0 passed motion. g. J. Brumfield presented the employee survey results. Major concern among employees is need to improve communication. See attached survey results. h. Good news: 6 pending Medicaid approvals came through today i. Facility still seeking employment of licensed nurses; this is main area of agency use currently. 7. Financial Report: Tabled until next month. 8. Policy Updates: a. Emergency Policy has been an ongoing project. Remaining step is to match and organize the policy manual to the “E” codes. J. Brumfield plans to complete prior to Feb. departure. b. PTO policy was discussed as the previous administrator indicated holidays were automatically paid and not included in the PTO policy. However, the policy clearly states the PTO accrual time does include holidays. The interim administrator will review policy and update/educate staff on changes. It was agreed all salaried employees should be entering PTO in the paycom system. 9. Transportation Policy: covered in #8 above. 10. Quality Measures report: It was noted that all areas of the report have improved in December. Falls decreased from 30 to 15 with 4 of these being repeat residents. Total incidents decreased from 32 to 19. See attached. 11. Insurance Update: D. Talley continues to work with Speciality Risk Insurance to decrease the policy on Barone which is currently for full replacement cost. The Rink house is being insured for approx. 4,000 square feet when in actuality it is about 2,300 sq. feet. The house is currently being vacated. Talley reports the policy will need changed to a vacancy policy if not rented within 90 days. Talley reported the current MFCC policy does not include coverage for the air conditioning units; policy also has $180,000 deductible for wind and water. Talley will continue to review and pursue policy costs reductions. 12. Other business: MFCC census is currently 54. There were 10 admissions, 11 discharges and 4 deaths since our December meeting. 13. L. Douglas moved to adjourn to executive session at 5:50 pm. L. Lunkenheimer seconded motion. Motion carried with 5-0 roll call vote. Open session resumed at 6:52. With no further business, motion to adjourn was made by L. Douglas, seconded by L. Lunkenheimer, and passed with 4-0 vote. Respectfully submitted, Linda Douglas, Board Secretary