LTC Board of Directors of City Convalescent Home

CITY CONVALESCENT HOME BOARD OF DIRECTORS dba Moore Few Care Center Open Meeting Minutes March 12, 2024, 5:00 PM, NRMC Mezzanine Hanna Siems opened meeting 5:03pm Attending: Hanna Siems, Dennis Talley, Dave Heumader, Denise Sloniker Absent: Louise Lunkenheimer No conflict of interest expressed by Board members Motion made to approve minutes for 1/24/2024 Open Session and Executive Sessions 1/24, 1/25, 2/5, and 2/12, 2/23/24 made by Dennis Talley, 2nd by Dave Heumader. Unanimously approved Election of Secretary - Denise Sloniker was nominated for secretary position - Dennis Talley made motion, 2nd by Dave Heumader Unanimously approved Facility Update: Search for Administrator and Director of Nursing - search continues Disposition of MFCC owned property - continues to be discussed Use of Agency - none in building Revised PTO policy - working on a policy. Past administration had rewritten policy but it was not presented to Board for approval. The policy currently used is the NRMC policy. It was noted that this is not the only policy rewritten by past administration that was not approved by Board. The Board will be reviewing. Insurance Update - Barone building insurance has been revised using Actual Cash value rather than replacement cost This change will save facility approx $10,000. per year. There will be a refund of approx $5,000.00 State visit due to complaint - complaint involved dietary - after investigating the State found the complaint to be unsubstantiated. There was another issue that involved a safety issue that had occurred in the past that the facility reported but did not provide necessary follow-up. There will be a deficiency cited for this but it has been corrected therefore there will not be a Plan of Correction required. Banking change - It has been found that the Resident Trust Fund is not in an interest bearing checking account. This is a requirement in regulation. After discussion a motion was made by Dave Heumader and 2nd by DennisTalley to move this account to Community National Bank. Hanna Siems move this account. An engagement letter from Josh Jones, attorney at law, Osceola, Mo was presented to the Board by Hanna Siems. After review a motion was made  by Dave Heumader and 2nd by Dennis Talley to accept. Unanimously approved Financial Report - Deb Howell provided information on the February revenue and expenses paid. Revenue $409,167.20 and expenses paid $401,338.99. It was noted that monthly financial statements continue to be unable to be completed due to past issues. Hanna Siems stated that the Board is asking for outside help and it was going to take time (to clean up records) There currently is a census of 50. There has been several new admissions recently. Motion made by Denise Sloniker and 2nd by Dave Heumader to accept this report, Unanimously approved Quality Measures Report- Leta, Interim DON presented Quality Measures report No documentation errors, falls are up but there is valid explanation - no injuries, skin issues 3, total incidents 24, Infections were discussed. Other Business-Items not known about or which could not be reasonably foreseen prior to the time of agenda posting - NONE The Board expressed their appreciation to the staff that was present for the care and dedication to the residents and facility. The Board stressed that the success of this facility for our residents and staff is our priority. Open meeting adjourned 5:54pm motion made by Denise Sloniker, 2nd by Dave Heumader to adjourn and to go into Executive Session. Unanimously approved Executive Session: In Accordance with RSM0 (2019) Section 610.021 Subparagraphs (1) Legal actions, causes of action or litigation involving a public governmental body and any confidential or privileged communications between a public governmental body or its representatives and its attorneys (2) Leasing, purchase or sale of real estate by a public governmental body where public knowledge of the transaction might adversely affect the legal consideration therefor and (3) Hiring, firing, disciplining or promoting of particular employees by a public governmental body when personal information about the employee is discussed or recorded Executive Session adjourned 5:54pm motion made by Denise Sloniker, 2nd by Dennis Talley to adjourn and go into Open Session. A daily rate increase for private pay individuals was discussed, motion made by Denise Sloniker, 2nd by Dave Heumader approving this increase. Dennis Talley abstained from voting. All others approved Adjournment - 5:59pm