LASATA
CARE
CENTER

BOARD
OF
TRUSTEES

April 12, 2005
March 8, 2005
February 8, 2005

January 11, 2005

December 14, 2004
November 9, 2004
October 12, 2004
September 14, 2004
August 25, 2004
August12, 2004
August 10, 2004
July 14, 2004
July 13, 2004
June 9, 2004
June 8, 2004
May 25, 2004
May 11, 2004
April 13, 2004
March 9, 2004
February 10, 2004
January 13, 2004
2003 Minutes
2002 Minutes
2001 Minutes
2000 Minutes

April 12, 2005

CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

ATTENDANCE Members present: Ted Egelhoff, Maryann Erickson, Lowell Levy and Walter Swietlik, Elizabeth Brelsford, Kathlynn Callen and Gladys Huber

Also present: Tom Meaux and County Board Supervisor Dan Herlache

VERIFICATION OF PROPER NOTICE The procedure for Proper Notice was followed.

REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

PUBLIC COMMENT None

MINUTES The minutes for the meeting held on March 8, 2005 were approved.

VOUCHERS The vouchers in the amount of $341,661.28 were approved.

LASATA HEIGHTS

Manager’s Report

All apartments are filled at this time, but there will be three vacancies in the next month.

The Financial report shows revenues over budget and expenses at budget.

After discussion regarding the cancellation policy for termination of the rental agreement prior to occupancy, motion by M. Erickson seconded by W. Swietlik to amend the cancellation policy to state "anytime during said 60-day notice, management is able to re-rent the apartment for the original occupancy date, the security deposit will be returned less a process fee of $250. If management is unable to re-rent the apartment for the original occupancy date, tenant will be responsible for all service fees due for 60 days from date of original occupancy date." Motion carried.

LASATA CARE CENTER

CEU’s The continuing education requests were approved.

MONTHLY STATISTICS The Financial report through February reflects the IGT payment already received this year, private pay income is lower, T19 income is higher and Medicare is lower than budgeted. Expenses are below budget through February.

ADMINISTRATIVE REPORT

The final plans for remodeling the medication room on 2West have been conditionally approved by the State.

Bids for air conditioning the lower level on the east side of the building are out and will be reviewed by the Public Works Committee.

The IGT payments are expected to be $300,000 in January, $317,000 in April and $540,000 in June for the year 2005.

The development of the Retzlaff property to the north of Lasata was discussed.

The annual luncheon for the volunteers will be on April 19th. Volunteers this past year gave a total of 12,000 hours, which is the equivalent of six full-time employees.

The Federal government has enacted a new life safety code requiring all nursing homes be fully sprinkled or use smoke detectors by 2006. We are in compliance.

Today marks the end of the Lasata Board of Trustees. Plaques were given to Community Member Trustees Swietlik, Huber and Levy as a thank you for the time they served on the Board of Trustees. Supervisors Egelhoff, Callen, Brelsford and Erickson were also thanked for their service and support of Lasata. Lasata Care Center and Lasata Heights will now be a part of the County Aging and Long Term Care Committee and all members on that committee will be County Supervisors.

ADJOURNMENT The meeting adjourned at 9:45 AM.

Respectfully submitted,

 

Ralph G. Luedtke, NHA

 

Approved: __________________________________________________

Table of Contents


March 8, 2005

CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

ATTENDANCE Members present: Ted Egelhoff, Maryann Erickson, Lowell Levy and Walter Swietlik. Members absent: Elizabeth Brelsford, Kathlynn Callen and Gladys Huber

Also present: Tom Meaux, County Board Supervisors Dan Herlache and Bob Walerstein

VERIFICATION OF PROPER NOTICE The procedure for Proper Notice was followed.

REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

PUBLIC COMMENT None

MINUTES The minutes for the meeting held on February 8, 2005 were approved.

VOUCHERS The vouchers in the amount of $215,043.29 were approved.

LASATA HEIGHTS

Manager’s Report

The manager reported a size B apartment is vacant and she will need to advertise as no one on the waiting list is interested at present.

The Board discussed different options regarding lease agreements such as a 90-day notice, charging an administrative fee, etc. More information will be gathered.

The Board reviewed the final 2004 Year-end report.

LASATA CARE CENTER

ADMISSION POLICY VARIANCE The Board discussed several situations regarding the Admission Policy and no changes will be made, Ozaukee County residents will continue to be given first priority for admission.

YEAR-END REPORT The 2004 year-end annual report was reviewed especially the financial statement showing an unaudited deficit of $173,830.

CEU’s The continuing education requests were approved.

ADMINISTRATIVE REPORT

The Administrator and Assistant Administrator attended a seminar in Madison sponsored by WAHSA. Issues covered were 2005-2007 State Budget and T19 divestment.

Year to date census is at budget with 196 residents and there have been 14 admissions and discharges so far in 2005.

The plans for remodeling of the medication room on the 2West nursing unit is waiting for State approval.

Air conditioning for the lower level east side has been advertised for bids.

The greenhouse on the lower level that was used as a smoking room for employees has been converted back to a greenhouse.

The volunteer luncheon is scheduled for April 19th.

A class for CNA's is being held at Grafton High school with some hands-on training to be done at Lasata Care Center. Recently a group of MATC nursing students did some of their clinical studies at Lasata.

The next meeting of the Board of Trustees is scheduled for April 12, 2005 at Lasata Care Center.

ADJOURNMENT The meeting adjourned at 10:15 AM.

Respectfully submitted,

Ralph G. Luedtke, NHA

Approved: __________________________________________________

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February 8, 2005

CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

ATTENDANCE Members present: Ted Egelhoff, Katie Callen, Maryann Erickson, Lowell Levy and Walter Swietlik. Members absent: Elizabeth Brelsford and Gladys Huber

Also present: Tom Meaux and John Kuhnmuench

VERIFICATION OF PROPER NOTICE The procedure for Proper Notice was followed.

REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

PUBLIC COMMENT None

MINUTES The minutes for the meeting held on January 11, 2005 were approved.

VOUCHERS The vouchers in the amount of $105,971.91 were approved.

LASATA HEIGHTS

Manager’s Report

Four apartments were vacated this month, with two tenants moving to Lasata Care Center.

A donation for $300 was received recently.

A draft of the annual report was reviewed and will be finalized before March 1, 2005.

LASATA CARE CENTER

CEU’s The continuing education requests were approved. Supervisor Erickson requested that the County Department Heads devise a form that County employees could use in reporting back after attending a conference.

DRAFT OF YEAR-END REPORT The draft of the year-end annual report was discussed with some changes to be made before presenting it to the County Board of Supervisors.

CARRYOVER FUNDS TO 2005 Funds need to be transferred to the 2005 budget from the 2004 budget for remodeling an area of the facility into a medication storage and treatment room for which the State has not approved the plans as yet, and to replace flooring in a public/resident area that was not completed in 2004. Also the elevator renovation was completed in 2004, but all the bills were not received before year-end financial closing. Motion by W. Swietlik seconded by K. Callen to transfer $80,000 from the 2004 budget to the 2005 budget to complete the remodeling projects and pay the bills for the elevator renovation when they are received in 2005. Motion carried.

COUNTY COMMITTEE REORGANIZATION PROCESS The Ozaukee County Board of Supervisors has decided to reorganize the various standing committees that report to the County Board. Lasata Heights and Lasata Care Center will fall under the oversight of the new Aging and Long Term Care Committee. The Board of Trustees will be replaced by this committee after the April 2005 meeting.

CLOSED SESSION The President then called a closed session under the provisions of Section 19.85(1)(c) of the Wisconsin Statutes to discuss the Union contract. Motion by K. Callen seconded by L. Levy that the Board convene into closed session. The role was called with all members present voting aye. Motion carried.

RECONVENE TO OPEN SESSION Motion by L. Levy seconded by K. Callen to reconvene into open session. Motion carried.

LABOR ASSOCIATION CONTRACT AND NON-UNION WAGES Motion by K. Callen seconded by W. Swietlik to approve the Union Contract recommendations that were presented by John Kuhnmuench, Personnel Director. Wages to be increased 1% in January 2005 and 1% in July 2005, 2% in January 2006 and 2% in July 2006. New Casual CNA's to start at $14.75/hour. Current Casual CNA’s to get $.25/hour on July 2005 and July 2006. New employees will pay 5% to the State Retirement Fund for the first six months then 2.5% for 12 months. All employees will pay 11% of the health insurance premium in July 2005 and 12% in July 2006. Motion carried with Trustee Erickson voting nay.

Motion by K. Callen seconded by W. Swietlik to approve the wages and benefits for non-union employees presented by John Kuhnmuench, Personnel Director. Non-union employee wages will be increased 1% in January and 1% in July 2005; non-benefit RN wages will be increased $.30/hour in January 2005 and non-benefit LPN wages will be increased $.25/hour in January 2005. Motion carried with Trustee Erickson voting nay.

ADMINISTRATIVE REPORT

A summary of monetary donations received in 2004 and purchases was presented to the Board and discussed.

As of February 1, 2005, the greenhouse attached to the lower level of the Care Center that employees used for smoking has been reverted back to a greenhouse. Employees must now smoke outside the building.

All private pay residents will be charged the rate of $215 per day and out-of-county residents will be charged $230 per day.

ADJOURNMENT The meeting adjourned at 10:40 AM.

Respectfully submitted,

Ralph G. Luedtke, NHA

 

Approved: __________________________________________________

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January 11, 2005

CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

ATTENDANCE Members present: Ted Egelhoff, Elizabeth Brelsford, Katie Callen, Maryann Erickson, Lowell Levy and Gladys Huber. Member absent: Walter Swietlik

Also present: Tom Meaux

VERIFICATION OF PROPER NOTICE The procedure for Proper Notice was followed.

REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

PUBLIC COMMENT None

MINUTES The minutes for the meeting held on December 14, 2004 were approved.

VOUCHERS The vouchers in the amount of $7707.82 for Lasata Heights and in the amount of $352,753.06 for Lasata Care Center were approved.

LASATA HEIGHTS

Manager’s Report

The manager reported that 9 residents transferred permanently in 2004 to the Care Center and 10 were residents for rehab and then returned to their apartment. A couple recently decided to enter Lasata Heights after being on the waiting list for 10 years.

The estimated year-end Financial report shows revenues 2% over budget and expenses 1% below budget. The turnover in apartments was not as high as in previous years.

There are no Transfer of Funds needed at this time.

LASATA CARE CENTER

CEU’s The continuing education requests were approved.

FINANCIAL/CENSUS STATISTICS Estimated year-end Financial report shows total revenues $626,255 over budget. Medicare revenues and the IGT payment were higher than budgeted.

The census for the year averaged 196.7 residents, .7 over budget; 70% of the residents are on Medicaid; there has been a decrease in Intermediate Care as more residents stay at home and use other services longer before coming to a nursing home, and there is an increase in more Intensive and Skilled Care residents.

There was a total of 123 new admissions in 2004 and 92% of the admissions were from Ozaukee County.

TRANSFER OF FUNDS There are no transfer of funds needed at this time.

ADMINISTRATIVE REPORT

  • The ability to allow resident or families to make payments through a credit card/debit card or direction account withdrawal is being pursued with the Finance Department and Treasurer.
  • The Administrator presented a report on Pharmacy services.
  • A tentative 2-year agreement for 2005-2006 has been reached with the employees labor association.
  • There was discussion regarding the planned changes in April 2005 from governance by Trustees to governance by a County Board committee.
  • ADJOURNMENT The meeting adjourned at 10:20 AM.

    Respectfully submitted,

     

    Ralph G. Luedtke, NHA

     

    Approved: __________________________________________________

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    December 14, 2004

    CALL TO ORDER Vice-President Elizabeth Brelsford called the meeting to order at 9:00 AM.

    ATTENDANCE Members present: Elizabeth Brelsford, Katie Callen, Maryann Erickson, Lowell Levy and Gladys Huber. Member absent: Ted Egelhoff, Walter Swietlik

    Also present: Tom Meaux

    VERIFICATION OF PROPER NOTICE The procedure for Proper Notice was followed.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    PUBLIC COMMENT None

    MINUTES The minutes for the meeting held on November 9, 2004 were approved.

    VOUCHERS The vouchers in the amount of $7707.82 for Lasata Heights and in the amount of $352,753.06 for Lasata Care Center were approved.

    LASATA HEIGHTS

    Manager’s Report

    Vinyl will be replaced in three laundry rooms and appliances are being replaced in some apartments, especially where needed.

    The Financial report is through October. The Board discussed the new accounting system and the changes it will make in the monthly report.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS The Financial report through the end of October shows revenues $430,000 over budget mostly due to the higher Medicare census. Expenses are $325,000 below budget including an estimated $170,00 in expenses for therapy, laundry services, nursing pool services and utilities, which are not shown in the ledger.

    The IGT payment for July 2004 through June 2005 is expected to be $1.3 million and $694,000 is expected to be paid sometime in December 2004. The IGT payment continues to be higher than expected.

    The average census through the end of November is 196.6 residents. It was noted that there is an increase in admissions from other nursing homes mostly due to the closing of Mequon Care Center. A total of 191 applications have been received through December 13th and there have been 116 admissions through the end of November.

    WRITE OFF OF ACCOUNTS UNABLE TO COLLECT Motion by L. Levy seconded by G. Huber to write off a total of $9410.53 in private pay accounts that we are unable to collect. Motion carried.

    OUT OF STATE CONFERENCE ATTENDANCE The Pharmacist is requesting permission to attend a convention in Orlando, Florida in July 2005. More information will be presented at a future meeting.

    ADMINISTRATIVE REPORT

  • State Mediation with the Union for the 2005-2006 Contract will be held on January 7, 2005.
  • The staff Christmas luncheon will be held on December 15th.
  • WCA (Wisconsin Counties Association) held a meeting December 8th regarding issues affecting county owned nursing homes and Ralph Luedtke, Tom Meaux, Maryann Erickson and Robert Brooks attended it.
  • The terms for Board of Trustee members Katie Callen and Maryann Erickson will expire in 2005. If interested in being nominated for another term, they will need to contact Chairperson Brooks.
  • The status of the Study report done in 2004 was reviewed. There was discussion as to what needs to be done now. At this pint it is assumed the County Board has accepted the report and recommendations.
  • ADJOURNMENT The meeting adjourned at 11:15 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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    November 9, 2004

    CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Maryann Erickson, Elizabeth Brelsford and Gladys Huber. Member absent: Lowell Levy

    Also present: Tom Meaux

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    VOUCHERS The vouchers in the amount of $12,935.73 for Lasata Heights and in the amount of $304,938.37 for Lasata Care Center were approved.

    MINUTES The minutes for the meeting held on September 14, 2004 were approved. There was no official business conducted at the October 12, 2004 meeting due to lack of a quorum of members.

    PUBLIC COMMENT Employee Carrie Roeder, the receptionist is retiring after 33 ½ years, was introduced to the Board of Trustees.

    LASATA HEIGHTS

    Manager’s Report

    At year-end 15 apartments will have turned over.

    The Financial report through September shows revenues 1.8% above budget and expenses 2.2% below budget.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS The Financial report through the end of September shows a surplus of $909,594.00 due to higher revenues in Medicare and Private Pay and also a larger than budgeted IGT payment. The final payment for the elevator project has yet to be made.

    Twelve applications for residency were received this past month with 9 county applicants and 3 out-of-county with a relative. Year-to-date average census is 195.9 residents with a total of 102 new admissions.

    SMOKE-FREE FACILITY There is a County Ordinance banning smoking in any room or area at the Justice Center and Administration Center, but the Ordinance does not include Lasata or Lasata Heights. Lasata does have a Work Rule Policy that limits smoking only to the greenhouse that is attached to Lasata or outside on the employee patio area. Motion by M. Erickson, seconded by K. Callen, beginning February 1, 2005, employees may smoke only on the patio area and that the greenhouse be converted back to the purpose it was intended. After further discussion, the motion carried.

    ADMINISTRATIVE REPORT

    The next scheduled date for negotiations with the Union is November 10, 2004.

    We received notice our July 1, 2004 T19 rates will increase 2.1%.

    The Lasata Medicaid losses per resident day, from the State IGT calculations, were discussed.

    The 2005 rates for private pay residents have been finalized with the Intensive Skilled rate per day $241, Skilled nursing care $215 per day, Intermediate Care for residents admitted prior to 2004, $197 per day and Intermediate care for new residents $215 per day. There also is an increase in fees for the Beauty/Barbershop.

    The 2003 nursing home statistics for Lasata in comparison to all nursing homes in the State of Wisconsin was discussed.

    On November 16, 2004, a public hearing will be held regarding sub-dividing the adjacent Retzlaff property.

    The Trustees went to Lasata Heights for the annual meeting with the tenants.

    ADJOURNMENT The meeting adjourned at 11:30 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

     

    Approved: __________________________________________________

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    October 12, 2004

    Attendance: Ted Egelhoff, Kathlyn Callen, Gladys Huber

    Absent: Elizabeth Brelsford, Maryann Erickson, Lowell Levy, Walter Swietlik.

    Due to lack of a quorum, no official business was conducted.

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    September 14, 2004

    CALL TO ORDER President Ted Egelhoff called the meeting to order at 8:30 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Lowell Levy, Maryann Erickson and Elizabeth Brelsford. Member absent: Gladys Huber

    Also present: Tom Meaux, Jason Dzwinel, and County Board Supervisor Bob Walerstein

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    VOUCHERS The vouchers in the amount of $9,783.66 for Lasata Heights and in the amount of $381,747.18 for Lasata Care Center were approved.

    MINUTES The minutes for the meeting held on August 25, 2004 were approved.

    PUBLIC COMMENT None

    LASATA HEIGHTS

    Manager’s Report

    All apartments are rented at this time.

    The parking lot and driveway will be seal-coated at a cost of $2,500, which is far lower than the budgeted amount.

    The Financial report through July shows revenues 1.2% over budget and expenses 4.2% below budget. At present there is a $41,000 surplus.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS The Financial report through the end of July shows revenues 4.7% below budget and expenses 1.2% below budget with a current operating surplus of $813,000.

    There were 13 applications received this past month, 10 were county residents and 3 out-of-county with no relative, 9 would be private pay and 4 Medicaid/T19. Occupancy is averaging 195.6 residents with 24% private pay, 69% Medicaid and 7% Medicare.

    2005 BUDGET The budget that will be presented to the Finance Committee at the end of September was reviewed. There will be an anticipated deficit of $758,000 for 2005, which requires a tax levy. There will be no increase in staffing levels and a 0% wage increase has been budgeted. The census is budgeted for 24% private pay, 8% Medicare and 68% Medicaid residents.

    The 2005 budget for Lasata Heights was also reviewed with a $40,000 deficit to be a tax levy. It includes a 0% wage increase and an anticipated 97% occupancy of the apartments. There will a slight increase of $10 per month in rental fees.

    RED CROSS CONTRACT After discussion and again reviewing the Red Cross contract asking for use of Lasata Care Center as a shelter site in the event of a local disaster, motion by M. Erickson seconded by K. Callen that Lasata should not enter into a contract with the Red Cross due to the responsibility of caring for the residents and tenants at Lasata Heights first. Motion carried.

    PARKING LOT RESTRICTIONS The north parking lot at Lasata is used occasionally by citizens for carpooling purposes or as a park and ride lot. After discussion it was decided that presently it does not present problems for visitors and employees and no changes will be made

    LASATA OPTIONS STUDY REPORT

    The Board of Trustees reviewed their preliminary recommendations regarding the Options Study. Changes were made so that the Trustees could encourage a volunteer to research and pursue an Endowment Fund program.

    The Trustees discussed representation on the County Board Citizen Ad Hoc Committee.

    ADMINISTRATIVE REPORT

    None

    CLOSED SESSION The President then called a closed session under the provisions of Section 19.85(1)(c) of the Wisconsin Statutes to discuss Union Contract Negotiations. Motion by L. Levy seconded by K. Callen that the Board convene into closed session. The role was called with all members present voting aye, motion carried.

    RECONVENE TO OPEN SESSION Motion by L. Levy seconded by T. Egelhoff to convene into open session. Motion carried.

    ADJOURNMENT The meeting adjourned at 10:10 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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    August 25, 2004

    CALL TO ORDER President Ted Egelhoff called the meeting to order at 8:30 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Lowell Levy, Maryann Erickson, Elizabeth Brelsford and Gladys Huber; Katie Callen present via telephone conference call. Also present: Tom Meaux and Jason Dzwinel

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    MINUTES The minutes of the meetings held on August 10 and August 12, 2004 were approved.

    PUBLIC COMMENT None

    DISCUSSION OF OPTIONS STUDY

    The Trustees discussed the comments made at the four public hearings held this summer in regards to the study. They also discussed what recommendations they will make to the County Board in October. By consensus the Trustees agreed on the following recommendations:

    Scenario #1: Status Quo: (Do nothing) is not a viable option, changes need to be made.

    Scenario #2: Assessing Changes in Internal Operations: We should continue to look for cost savings wherever possible. It was suggested that the County Board be encouraged to send a resolution to the State of Wisconsin regarding IGT funding, T19 Medicaid funding and Medicaid divestment loopholes.

    The admission policy was reviewed and the issue of admitting private pay before Medicaid payors was discussed. Due to the increased chance of possible legal liability per the Corporation Counsel decision and that it would not fall within our mission, it was decided not to change the policy.

    Scenario #3: Assessing Changes in Mission: Downsizing the Care Center or using a portion of the Heights to create assisted living does not appear financially viable and would diminish the quality of each facility, especially in view of the fact that the census at the Care Center is always high and there are no vacancies at Lasata Heights. However, the Trustees encourage the Citizen Ad Hoc committee to pursue a public/private partnership regarding assisted living and adult day care services.

    Scenario #4: Termination of County Services: Responses from the public hearings indicated that this would go against the wishes of the citizens. This should not be supported.

    Possible changes in the operation of the Pharmacy and other outsourcing will be explored. It was felt that people would not be interested in donating to a government entity, however the idea of endowments could be explored further by the Ad Hoc Committee.

    A referendum should not be held since the public was given the opportunity to voice their support or opposition through the public hearings held in June, July and August as well as through the county internet site.

    The Trustees felt that at least one and perhaps two Trustees should be appointed to the County Board of Supervisors Ad Hoc Committee to continue the operational study.

    RECOMMENDATIONS TO THE COUNTY BOARD The final recommendations of the Trustees will be presented to the County Board at their October meeting.

    ADJOURNMENT The meeting adjourned at 9:40 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Recording Secretary

    Approved: ___________________________________________

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    PUBLIC HEARING

    August12, 2004

    Call to Order President Ted Egelhoff called the meeting to order at 7:00 PM.

    Attendance Members present: Ted Egelhoff, Maryann Erickson, Gladys Huber and Lowell Levy. Absent: Walter Swietlik, Elizabeth Brelsford and Katie Callen.

    Lasata Options Study Interim Report The public hearing was held at the Cedarburg Cultural Center to present an update on the Lasata Care Center/Lasata Heights Options Study. Approximately 100 citizens and several department heads and county board members were present for the hearing.

    Public Comment After a presentation of the study by Ralph Luedtke and Jason Dzwinel, comments from the public were taken.

    Adjournment The meeting was adjourned at 9:30 PM

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Administrator

    Approved ____________________________________

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    August 10, 2004

    CALL TO ORDER President Ted Egelhoff called the meeting to order at 8:30 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Lowell Levy and Maryann Erickson. Members absent: Elizabeth Brelsford and Gladys Huber

    Also present: Jason Dzwinel, John Kuhnmuench, Bob Walerstein, County Board Supervisor

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    VOUCHERS The vouchers in the amount of $25,481.48 for Lasata Heights and in the amount of $277,939.42 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held on July 13th were amended to read under Lasata Heights Manager’s report that 3 apartments needed a combined total of 5 weeks for renovations and the minutes for the public hearing held on July 14, 2004 were approved.

    PUBLIC COMMENT None

    LASATA HEIGHTS

    Manager’s Report

    One application for tenancy was received this past month for a tenant with no county residency.

    The garage door fell on a tenant’s car and the tenant was reimbursed $1058 for repairs. The sensor has been repaired on the garage door.

    The Financial report through June shows revenues .8% above budget and expenses 19% over budget until the long-term debt payment is made. The increase in marketing efforts has resulted in fewer apartment vacancies this year, apartment revenues are 9% above budget.

    There has been a significant increase in people who are calling for information or touring the building reacting to all the recent media coverage and voicing concerns and asking questions about the future of Lasata Heights.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS The Financial report through June shows revenues 5.4% above budget due to the IGT payment and increased Medicare revenue. Expenses are 4.6% below budget. It was noted that therapy, laundry services, nursing pool services and utilities are one month behind in billing.

    There were 21 applications received this past month, 19 were county residents and 2 out-of-county with a relative, 3 would be private pay, 9 Medicare and 9 Medicaid. Occupancy is averaging 195.4 residents; the number of Medicaid residents is 68% in 2004 versus 72% in 2003; to-date we have had 76 new admissions this year and we continue to have an increase in Medicare admissions with residents returning to former living arrangements after rehabilitation.

    LASATA OPTIONS STUDY REPORT

    County Board Chairperson Robert Brooks is soliciting applications for an advisory committee made up of citizens with an interest to study the possibility of public/private partnerships to enhance Lasata operations. The July County Board survey of members indicated further examination of this option and the committee would be advisory only and provide the Trustees with additional information.

    The study done by Keefe and Associates regarding assisted living is outdated due to changes in the County since that study was done. The Board discussed getting quotes in regard to costs as Trustees would like more professional input in making their decision. The Administrator will solicit more information and quotes.

    A citizen has gotten nearly 400 signatures encouraging the County Board not to sell Lasata.

    The operation of the in-house pharmacy at Lasata was discussed relating to the cost and changes that could be made.

    RED CROSS CONTRACT The Greater Milwaukee Chapter of the American Red Cross would like to use Lasata as a shelter site in the event of a local disaster. It was decided to refer the information to Bill Stolte, Director of Emergency Management.

    ADMINISTRATIVE REPORT

    An interoffice memo was received from the Corporation Counsel regarding the responsibility of the Lasata Trustees versus the County Board. His opinion gives authority to oversee the Administrator and budget to the Trustees.

    The 2005 budget for Lasata Heights was presented with an increase in rent of $10/month and a levy of $42,500.

    The 2005 budget for Lasata Care Center was presented with an increase in revenues by 6.9% an increase in expenses of 6.2% and a total levy (loss) of $929,000.

    CLOSED SESSION The President then called a closed session under the provisions of Section 19.85(1)(e) of the Wisconsin Statutes to discuss Union Contract Negotiations. Motion by K. Callen seconded by M. Erickson that the Board convene into closed session. All members voting aye, motion carried.

    RECONVENE TO OPEN SESSION Motion by K. Callen seconded by W. Swietlik to reconvene into open session. Motion carried.

    SPECIAL MEETING A Special Meeting will be held on August 25, 2004 at 8:30 AM to discuss the reactions and comments at the Public Hearings held this summer and to develop a response and recommendations to the County Board.

    At 10:30 AM the Board moved to Kasten Hall for the purpose of a Public Hearing to present the Lasata Care Center/Lasata Heights Options Study to residents and interested citizens. There were comments from the public.

    ADJOURNMENT The meeting adjourned at 12:15 PM.

    Respectfully submitted,

     

     

    Ralph G. Luedtke, NHA

     

    Approved: __________________________________________________

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    PUBLIC HEARING

    July 14, 2004

    Call to Order President Ted Egelhoff called the meeting to order at 7:00 PM.

    Attendance Members present: Ted Egelhoff, Elizabeth Brelsford, Katie Callen, Maryann Erickson, Gladys Huber and Lowell Levy. Absent: Walter Swietlik

    Lasata Options Study Interim Report The public hearing was held at MATC North Campus to present an update on the Lasata Care Center/Lasata Heights Options Study. Approximately 60 citizens and several department heads and county board members were present for the hearing.

    Public Comment After a presentation of the study by Ralph Luedtke and Jazon Dzwinel, comments from the public were taken.

    Adjournment The meeting was adjourned at 9:00PM

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Administrator

    Approved ____________________________________

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    July 13, 2004

    CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Lowell Levy, Elizabeth Brelsford, Maryann Erickson and Gladys Huber. Also present: Tom Meaux, County Administrator; Fred Kaul, Tom Richert, and Bob Walerstein, County Board Supervisors.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    VOUCHERS The vouchers in the amount of $25,481.48 for Lasata Heights and in the amount of $277,939.42 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held June 8, 2004 were approved and the minutes for the public hearing held on June 9, 2004 were approved.

    PUBLIC COMMENT None

    LASATA HEIGHTS

    Manager’s Report

    The Manager reported 3 apartments will be vacated soon and all been rented again. It was noted that one apartment needed 5 weeks for renovations before it could be rented again.

    The Financial report through May has revenues .5% above budget and expenses 25% below budget due to the long term debt that still needs to be paid.

    Motion by K. Callen seconded by T. Egelhoff to remove from the Table, discussion regarding the Admission policy. Motion carried.

    The Board discussed the age for admission to the independent apartments. Motion by M. Erickson seconded by K. Callen to change the Admission policy that tenants be 62 years or older. Motion carried.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS There were 25 applications received this month, with an increase due to the closing of Mequon Care Center. We had 7 discharges and 6 admissions in the month of June.

    The Financial report through the end of May shows revenues 3.4% over budget due to a higher private pay census and Medicare revenue than budgeted; also the receipt of $413,000 extra IGT revenue. Expenses are 3.8% below budget.

    Census statistics through June show occupancy at 195.4 residents, with an increase in Medicare admissions and discharges

    DISCUSSION REGARDING LASATA GOVERNANCE The Board discussed the governance of Lasata Care Center and the issue of Trustee membership that was discussed at the County Board

    meeting on July 7, 2004. Discussion also covered financial and policy authority over Lasata and how private pay and T19 admissions should be handled.

    Motion by W. Swietlik that the Administrator request a formal legal opinion from the Ozaukee County Corporation Counsel on whether the Board of Trustees or County Board may legally establish an admission policy regarding the number either by numerical or percentage of Medicaid residents. The Corporation Counsel should submit a draft of such admission policy to the Board of Trustees for its consideration and whether or not such admission policy in his legal opinion would subject Ozaukee County or any of its representatives to any legal liability. Seconded by K. Callen. Amended by M. Erickson, seconded by W. Swietlik to have the Corporation Counsel also give an opinion on the legality of a separate private pay and separate Medicaid admission list. Motion on Amendment carried. Motion on Resolution as amended carried.

    LASATA OPTIONS STUDY REPORT

    Motion by W. Swietlik seconded by M. Erickson to schedule another public hearing after the Board meeting on August 10th, starting at 10:30 AM to enable residents and anyone who works in the evening to attend this day meeting. Motion carried.

    A meeting by the Board of Trustees was tentatively scheduled for August 25th at 8:30 AM to discuss the results of all the public hearings and draft a recommendation for the County Board.

    The study done by John Keefe & Associates regarding assisted living that was done in 1999 is outdated. Keefe will send estimates on the cost to do another study.

    STATE BUREAU OF QUALITY ASSURANCE ANNUAL SURVEY The Annual State Survey was completed with no deficiencies regarding resident care. There were 7 deficiencies regarding the life safety code.

    ADMINISTRATIVE REPORT

  • An employee had suspected whooping cough and as a result all residents and employees that came in contact with her were treated with antibiotics as a precaution.
  • Mequon Care Center will be closing and that will have an impact on nursing home care in the area.
  • The 2003-2004 final IGT payment was made with an additional $413,000 received.
  • The Medicare 2003 Cost Report was settled and we received $900.
  • After an appeal of the Medicaid rates for July 2003, we received $31,500.
  • The Cedarburg Light & Water State Public Benefits program will again give Lasata a $20,208 credit on our utility bills this summer.
  • The Donation account has a balance of $26,823 as of June 30, with $19,332 received to date this year and $10,219 has been used for various activities for the residents.
  • The State Elevator Inspector made some changes and has not completely certified all elevators yet.
  • A State Arbitrator ruled that an employee was justly terminated last fall for violating our Work Rules.
  • ADJOURNMENT The meeting adjourned at 11:05 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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    PUBLIC HEARING

    June 9, 2004

    Call to Order President Ted Egelhoff called the meeting to order at 7:00 PM.

    Attendance All members were present except Kathlynn M. Callen who arrived later.

    Lasata Options Study Interim Report The public hearing was held to present an update on the Lasata Care Center/Lasata Heights Options Study. Approximately 40 citizens and several department heads and county board members were present for the hearing.

    Public Comment After a presentation of the study by Ralph Luedtke and Jason Dzwinel, comments from the public were taken.

    Adjournment The meeting adjourned at 8:45 PM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Recording Secretary

    Approved ______________________________________

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    June 8, 2004

    CALL TO ORDER President Ted Egelhoff called the meeting to order at 9:00 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Lowell Levy, Elizabeth Brelsford and Maryann Erickson. Also present: Tom Meaux Absent: Gladys Huber

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    VOUCHERS The vouchers in the amount of $11,754.91 for Lasata Heights and in the amount of $205,162.85 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held May 25, 2004 were corrected to read June 2, 2004, is the date the County Board is meeting not June 8, 2004.

    PUBLIC COMMENT None

    LASATA HEIGHTS

    Manager’s Report

    The Manager reported 2 apartments would be vacated in July. The replacement of carpeting on the third floor, north hallway has been completed.

    The Financial report through April shows revenues $3700 above budget and expenses 21% below budget due to the debt payment not being made yet.

    The Tenant Annual Survey was discussed and 50 occupants of the 58 responded. More activities and services such as barber/beauty shop were requested. Overall tenants are very pleased.

    The Admission Policy in regards to status was discussed. Motion by L. Levy seconded by W. Swietlik to limit admissions to tenants who are 62 years or older. Vote was three yes votes and three no votes. Motion by K. Callen seconded by T. Egelhoff to table the Admission Policy to the next meeting for further discussion. Motion carried.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS There were 11 admissions in May, 12 discharges with 8 residents expiring, 1 resident returned to Lasata Heights, 1 went to the hospital and 2 returned home after rehabilitation.

    The Financial report through April shows revenues 4% over budget and expenses 2% below budget even though occupancy is under budget; the Medicare census is higher than budgeted.

    A report showing donations received at Lasata since the beginning of the year and purchases made was given to the Trustees.

    LASATA OPTIONS STUDY PROGRESS UPDATE The preliminary Options Study report was presented to the County Board. A special County Board meeting has been scheduled for June 23 to discuss the Study and plans for proceeding.

    ADMINISTRATIVE REPORT

    1. The preliminary budget for 2005 is due to the County Finance Committee August 2, 2004. The Trustees will be mailed a copy of the preliminary budget to review in lieu of a special meeting.
    2. More pool staff is being used due to cost issues. Pool staff costs are less than Lasata employees receiving overtime.
    3. Lasata Care Center is party to a lawsuit regarding unemployment compensation denied by the State to a terminated employee.

    ADJOURNMENT The meeting adjourned at 10:25 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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    May 25, 2004

    Call to Order President Ted Egelhoff called the meeting to order at 9:00 AM.

    Review of Agenda The Agenda was reviewed and accepted.

    Attendance Members present: Ted Egelhoff, Elizabeth Brelsford, Katie Callen, Maryann Erickson, Lowell Levy, Gladys Huber and Walter Swietlik. Also present: Tom Meaux, Jason Dzwinel and Robert Brooks.

    Minutes The minutes of the May 11, 2004 meeting were approved.

    Lasata Care Center/Lasata Heights Options Study Report County staff and Trustees reviewed, discussed and modified the power point presentation that will be used at the public hearings scheduled for June, July and August.

    K. Callen was excused from the meeting at approximately 11:00 AM.

    Following this review and discussion, motion made by M. Erickson, seconded by L. Levy, that the Board of Trustees recommend to the County Board at its June 8th meeting, that outside professional consultation be pursued at a cost not to exceed $50,000 to do an in-depth review of Option #3 – Change in Mission and #4 – Termination of Services. W. Swietlik expressed concern that this would be in opposition to the County Board position that the study be done without the added costs of an outside consultant. G. Huber questioned doing this before the public hearings and also stated that Option #4 should be removed from consideration. Motion carried (4-2).

    Adjournment Motion by L. Levy to adjourn, seconded by G. Huber. Motion carried (6-0), adjourned at 12:05 PM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Recording Secretary

    Approved: ______________________________________________

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    May 11, 2004

    CALL TO ORDER Vice-President Ted Egelhoff called the meeting to order at 9:00 AM.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Lowell Levy, Gladys Huber. Elizabeth Brelsford and Maryann Erickson. Also present: Tom Meaux, Jason Dzwinel and Brian Schoeneck, Financial Service Director of WAHSA

    ELECTION OF OFFICERS Vice-President T. Egelhoff asked for nominations for President. Motion by E. Brelsford seconded by W. Swietlik, to nominate T. Egelhoff for President. T. Egelhoff again called twice for nominations for President. No other nominations were made, a unanimous ballot was cast. Motion carried.

    President T. Egelhoff called for nominations for Vice-President. Motion by L. Levy seconded by T. Egelhoff, to nominate E. Brelsford for Vice-President. T. Egelhoff again called twice for nominations for Vice-President. No other nominations were make, a unanimous ballot was cast. Motion carried.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    VOUCHERS The vouchers in the amount of $8711.50 for Lasata Heights and in the amount of $308,855.43 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held April 13, 2004 were approved.

    PUBLIC COMMENT None

    LASATA HEIGHTS

    Manager’s Report

    Two apartments will be vacated as of July 1st and both will be filled with new tenants on that date. To date, nine apartments will have turned over since January 1st.

    2) The Financial report through March has revenues slightly above budget and expenses 14% below budget.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS There were 14 applications received this month, 11 admissions and 8 discharges.

    The Financial statement through March shows revenues slightly below budget although there is an increase in revenues from Medicare and Private Pay residents. Expenses are slightly below budget.

    The census average at 194 residents is lower than budgeted in previous years, the Medicare census is higher with more residents coming for short term rehab and then returning to their previous residence as we have had 45 admissions through March compared to 35 in 2003 and 23 in 2002. Ozaukee County residents make up 89% of our census.

    ADMINISTRATIVE REPORT

    The final inspection on the elevators will be June 8th and we will have limited power for a few hours. Cedarburg Light & Water will provide a portable generator in the interim.

    The project will come within the $296,000 budgeted.

    This is National Nursing Home week with many activities planned for residents and employees.

    The State Surveyors are expected at anytime for the annual survey.

    4) A tentative list of meetings regarding the Lasata Study was handed out with June 2, 2004, as the date the report will be presented to the County Board and also to the staff and residents.

    LASATA OPTIONS STUDY PROGRESS UPDATE In continuing the study for Lasata Care Center and Lasata Heights Options, Brian Schoeneck, Financial Services Director of WAHSA, presented the Board with financial information regarding Medicaid rates; costs per patient/resident day; wage rates in comparison to other nursing homes; a census comparison from 1997 through the 1st quarter in 2004; a summary of deficits and award payments by the IGT Program and also the future of IGT; and the effects of Medicaid payments when ‘downsizing’.

    He also dicussed the options of continuing to operate the 203-bed nursing facility; analyzing costs including wage and fringe benefits; downsizing and operating a 143-bed facility; converting a portion of the existing facility to assisting living, CBRF, or other community services, and/or selling the facility.

    ADJOURNMENT The meeting adjourned at 11:45 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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    April 13, 2004

    CALL TO ORDER Vice-President Ted Egelhoff called the meeting to order at 9:00 AM.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Katie Callen, Lowell Levy and Gladys Huber. Absent: Elizabeth Brelsford. Also present: Jason Dzwinel and Dale Wedde

    VOUCHERS The vouchers in the amount of $10,861.01 for Lasata Heights and in the amount of $426,714.13 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held March 9, 2004 were approved.

    PUBLIC COMMENT Mr. Luedtke introduced Dale Wedde, the new Building Supervisor. He also announced that Nancy Ritter, RN, was chosen Employee of the Quarter for April – June, 2004.

    LASATA HEIGHTS

    Manager’s Report

    All apartments are rented as of this date.

    2) The Financial report through February shows a surplus.

    In the past year there have been more Lasata Heights tenants going to the Care Center either for rehab and returning to their apartment or for permanent placement.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FINANCIAL/CENSUS STATISTICS There were 19 applications received this month, 14 admissions and 15 discharges.

    The Financial statement revenues are 24% ahead of budget. The 2004 County property tax has been credited to the Lasata account; Medicare admissions are higher with the Medicaid census lower and private pay the same as in previous years. Expenses are 13.5% below budget as only two months of county internal charges, Workers Comp, therapy, laundry contract services and utilities have been charged.

    The census was lower in January and February than budgeted; there have been 64 discharges and 62 admissions through March, which is substantially higher than in previous years.

    LASATA OPTIONS STUDY PROGRESS UPDATE County staff and Trustees continue to work on options regarding the operation of Lasata Care Center and Lasata Heights. A draft of the study with progress to date was reviewed and discussed. The drafts included two of the four scenarios that will be reviewed: 1) Status Quo (no change), and 2) Change in Internal Operations. The Board was reminded that Brian Schoeneck, from WAHSA will be at the next meeting to aid in the discussion regarding financial issues. A Trustee meeting was set for May 25th so the final draft can be reviewed before presentation to the County Board on June 2nd.

    ADMINISTRATIVE REPORT

  • The remodeling of the elevators will be done soon. A State requirement of emergency transfer switches was added with an additional $20,000 cost.
  • A list of county nursing homes and 2004 tax levy’s was given to the Trustees.
  • The donations account report updated to March 31st was given to the Trustees. Many donations have been received this past quarter.
  • The Cedarburg Fire Department has requested that plans for the building be available through electronic media.
  • ADJOURNMENT The meeting adjourned at 10:15 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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    March 9, 2004

    CALL TO ORDER Vice-President Ted Egelhoff called the meeting to order at 9:00 AM.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    ATTENDANCE Members present: Ted Egelhoff, Walter Swietlik, Elizabeth Brelsford, Katie Callen, and Lowell Levy. Absent: Gladys Huber Also present: Tom Meaux and William Murray.

    VOUCHERS The vouchers in the amount of $9,739.91 for Lasata Heights and in the amount of $254,415.58 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held February 10, 2004 were approved.

    PUBLIC COMMENT Mr. Luedtke presented William Murray, Building Superintendent, with a plaque for his 37 years of dedicated service to Lasata Care Center residents, Lasata Heights tenants and the citizens of Ozaukee County. Mr. Murray will retire on March 12, 2004.

    LASATA HEIGHTS

    Manager’s Report

    A sprinkler pipe sprung a leak on the south end of the building and was replaced. More work will be done soon to that entire area.

    A small one-bedroom apartment will be available on April 1st, and as of this date the Manager has been unable to rent it.

    The Board discussed the rental rates and the security deposit. The Manager made calls to several facilities for comparison and it was hard to find a complex that is similar and offers the same services as Lasata Heights. The Board decided to make no changes at this time in the security deposit or lease agreement in order to stay competitive with the market.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    FEBRUARY STATISTICS The financial report through February is not available. Twenty applications for admission were received this month. We had 17 admissions and 12 residents were discharged home, to other facilities or they expired. The census through February was 192.6 residents, which was 3.4 residents below budget. There has been an increase in Medicare residents as more residents come in for rehabilitation and then return home.

    LASATA OPTIONS STUDY PROGRESS UPDATE The meetings regarding the options study continue weekly with the web site updated frequently. Brian Schoeneck from WAHSA, Wisconsin Association of Homes and Services for the Aging, will be at the Board of Trustee meeting in May to discuss State and County home issues.

    ADMINISTRATIVE REPORT

  • The Annual report will be presented to the County Board on April 7, 2004.
  • The 100 shares of Merck stock received from Janice Ramaker were sold with net proceeds of $4868.75. A thank you letter was sent to Ms. Ramaker.
  • There will be an Arbitration hearing regarding the discharge of an employee on March 15, 2004.
  • Funds that were to be transferred from 2003 to 2004 for replacement of hallway carpeting and vinyl flooring, and the nurse call system are not available due to the operating deficit in 2003. The nurse call system on the west side is failing so funds from different sources will be used and other repairs will not be done this year.
  • ADJOURNMENT The meeting adjourned at 10:12 AM.

    Respectfully submitted,

     

    Ralph G. Luedtke, NHA

     

    Approved: __________________________________________________

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    February 10, 2004

    CALL TO ORDER President Clarence Boesch called the meeting to order at 9:00 AM.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    ATTENDANCE Members present: Clarence Boesch, Ted Egelhoff, Walter Swietlik, Katie Callen, and Lowell Levy. Absent: Elizabeth Brelsford and Gladys Huber Also present: Jason Dzwinel

    VOUCHERS The vouchers in the amount of $13,225.86 for Lasata Heights and in the amount of $457,936.37 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held January 13, 2004, were approved.

    PUBLIC COMMENT Terrence Touchett was introduced to the Board by Ms. Nelson, Lasata Heights Manager. Mr. Touchett donated the funds to purchase an aquarium for the lobby at the Heights and also paid for the maintenance for the aquarium for one full year. The Board thanked him for his generous gift.

    LASATA HEIGHTS

    Manager’s Report

    The Manager brought to the attention of the Board the January 12th newspaper article where the tenants put together a thank you board for Boy Scout, Mike Niksa. Mike spearheaded a drive for a pathway at the Heights and used this project to obtain his Eagle Scout award.

    A one-bedroom apartment will be filled by a tenant moving out of a two-bedroom, but that apartment will then be vacant as of May 1st.

    The Annual report was reviewed by the Board.

    A motion was made by W. Swietlik and T. Egelhoff to increase the tenant security deposit. After discussion the motion was withdrawn, because this was not a listed agenda item. Motion by K. Callen seconded by L. Levy to put this item on the agenda for the next Board meetimg. Motion carried.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    2003 CARRYOVER OF FUNDS TO 2004 Motion by K. Callen seconded by L. Levy to carryover funds from 2003 to 2004 of $105,000 for replacement of the west side nurse call system that was originally installed in 1987; $75,00 for replacement of hallway carpeting and vinyl flooring; and carryover a total of $110,000 to complete the remodeling of the four passenger elevators that are scheduled to be completed by April 2004. Motion carried.

    2004 ANNUAL REPORT The Financial Report through December shows revenues 1.1% above budget. There was an increase in Medicare and Medicaid revenue but a decrease in private pay, IGT, Appeals for Medicaid and Medicare and pharmacy due to a decrease in private pay revenue. Expenses were 5.7% over budget.

    The Annual Report to be presented to the County Board was reviewed with the year-end adjusted cash deficit at $821,795. Lasata is now dependent on a tax levy to meet operational expenses, which is drawing public attention to the care and services provided. There were several positive events noted such as the State of Wisconsin Bureau of Quality Compliance annual licensure certification survey with Lasata achieving a perfect survey. Also, staffing levels for certified nursing assistants has been very stable which results in better resident care and a decrease in cost for ‘pool’ nursing assistants.

    LASATA STUDY PROGRESS UPDATE Meetings continue to be held on Wednesdays and the group is continuing to gather information. A website is being developed. The Trustee’s were given a sample of material that is being used for the website.

    ADMINISTRATIVE REPORT

    A Milwaukee Business Journal article listing of nursing homes has Lasata as the 15th largest nursing home in southeast Wisconsin.

    Preliminary interviews are completed for the Building Supervisor position; final interviews will be held within the next few days.

    ADJOURNMENT The meeting adjourned at 10:35 AM.

    Respectfully submitted,

     

    Ralph G. Luedtke, NHA

    Approved: _____________

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    January 13, 2004

    CALL TO ORDER President Clarence Boesch called the meeting to order at 9:00 AM.

    REVIEW OF AGENDA The Agenda was reviewed and accepted as posted.

    ATTENDANCE Members present: Clarence Boesch, Ted Egelhoff, Walter Swietlik, Elizabeth Brelsford, Katie Callen, Lowell Levy and Gladys Huber (via telephone conference). Also present: Tom Meaux, Gus Wirth and Peter Waldkirch, Facilities Manager.

    VOUCHERS The vouchers in the amount of $11,783.76 for Lasata Heights and in the amount of $296,691.13 for Lasata Care Center were approved.

    MINUTES The minutes of the meeting held December 9, 2003 were approved.

    PUBLIC COMMENT None

    LASATA HEIGHTS

    Manager’s Report

    One apartment will be vacant in February and two apartments in March. The Board discussed the 60-day notice requirement in the lease and various options.

    The Financial Report through November, 2003, shows revenues 8.4% below budget and expenses 43.7% below budget.

    LASATA CARE CENTER

    CEU’s The continuing education requests were approved.

    MONTHLY STATISTICS/FINANCIAL REPORT The census through November was 195 residents, there is an increase in discharges and deaths this year versus previous years and also an increase in admissions with 86% of the current residents from the county and 18 residents from Lasata Heights. The Financial report through November shows revenues 6% below budget and expenses 6% below budget.

    2003 TRANSFER OF FUNDS No transfers were required.

    APPROVAL TO FILL BUILDING SUPERINTENDENT POSITION This matter was tabled at the November meeting. Motion by T. Egelhoff seconded by K. Callen, to bring back for discussion the matter of filling the Building Superintendent position. Motion carried. The Board discussed the Building Superintendent position and its relationship with the other maintenance departments in the County facilities and the County ordinance related to filling a non-union position. Motion by L. Levy seconded by T. Egelhoff to approve the hiring of a Building Supervisor at grade 107 in place of a Building Superintendent at grade 109, and forward to the Personnel Committee. The Nursing Home Administrator will be the direct supervisor, but the Building Supervisor will collaborate when possible with the County Facility Manager. Motion carried with Gladys Huber voting no.

    APPROVAL TO FILL RN ROORDINATOR AND RN SUPERVISOR POSITIONS Motion by L. Levy seconded by W. Swietlik to give Mr. Luedtke approval to hire RN Coordinators and RN Supervisors and to forward the approval to the Human Resources Committee. Motion carried.

    CHANGE PERSONNEL ORDINANCES 4.05(16)(b) After the Board discussed and reviewed Ordinance 4.05(16)(b), motion by T. Egelhoff and seconded by E. Brelsford to change the wording in Ordinance 4.05(16)(b) to exclude from review nursing positions that are supervisory, RN and LPN. Motion carried.

    ADMINISTRATIVE REPORT

  • Assembly Bill 592 giving an extra $13 million to County Homes was discussed, including an estimated $428,000 to Lasata. By general consensus the Board agreed to put any extra IGT in reserves to help offset future budget deficits.
  • A draft calendar of the Lasata Care Center Study was given to the Trustees. Weekly work sessions will be held on Wednesdays, from 3:00 – 5:00 PM starting on January 21.
  • ADJOURNMENT The meeting adjourned at 10:30 AM.

    Respectfully submitted,

    Ralph G. Luedtke, NHA

    Approved: __________________________________________________

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