Citizens/ Care Citizens Nursing Home Board Meeting  May 23, 2024  Call to order:  Citizens Care Board Chair Patricia Scott-Badeker called the meeting to order at 10:05 am. Wendell Baxter, Heather Cantos (for Jacob Bennett), Shobita DuBois, Carol Leinhard, Patricia Scott-Badeker, Rodney Swam, Cathy Vincenti, Andrew' Young, Kim Zavrotny. John Correri Jr.  Board Members present:  was absent.  Itwas determined that a quorum was present.  Staff present:  Ed Walter Administrator, Keith Streett Business Operations, Renata Truant- Director of Quality  Assurance/Staff Development.  Approval of Minutes  The minutes from March 28h, 2024 were approved as amended. The minutes from April 25th,  2024 were approved.  Nursing Report- - Ed Walter for Cassie Evering  Covid Outbreak status: Currently out of outbreak status with no positive test results. Masks are now optional, continuing to test newa admits and anyone who is symptomatic. Staffing improving, hiring more: staff in lieu of using agency nurses. One as-needed RN wants to 3 out of the 4 students are working on their own, 1 is still in training. All are registered for their Working to train staff on new Enhanced Barrier Protection regulations. Cost is an issue that is  switch to full-time. exam in June. being monitored daily.  2024 Recertification State Survey was conducted April 29th. - May 7th Asummary oft the results was distributed to the Board.  There were 9 State Surveyors on the Survey team. 37 patient charts, 7 staff HR files, multiple policies, 3 complaints, 2 days of meal temperatures, and 3 days of water F-Tags shared at exit will be reviewed at OHCQ office. Once official documentation is Carol Leinhard expressed the Board's thanks for the staff's hard work and stated that the  temperatures were all reviewed.  received, the facility will have 10 days to respond. Board is proud of the whole team. Life Safety Survey was conducted May 21st. Always occurs after a re-licensure survey.  Waiting for results, no serious issues reported but things seen as an opportunity for Rob Watson is preparing a list ofi items that have already been fixed.  improvement.    Administrator's Report - Ed Walter  Census: Insurance: Outreach:  The average daily census in April was 111. There were 23 admissions, 18 discharges, and 2 deaths. Medstar Family Plan application is still in review. Participated in GAIN Conference. Participated in Brightview Assisted Living Spring Fling. Visits to all local hospitals including Franklin Square. Participated in Harford County's Volunteer Fair. Participated in career Fair at Cecil College.  Human Resources: departure. Facility Turnover 1.2%. Losses/Concerns: 1Loss, resolved.  There were 8 new hires (1 RN, 2 LPNs, 2 GNAS, 2 Front Desk, 11 Nursing Admin) and 1  1Concern (1 bruise reported upon transfer, investigated to confirm origin).  Financial Report = Keith Streett  Positive income in April due to higher daily census, increase in nursing hours over agency hours,  payer mix (72% Medicaid, 12% Private, 16% Medicare/Managed Care).  Upcoming budget:  There was discussion about revenue VS. budget and expense breakdown. Structural expenses VS. operational expenses - operational overage is the part of Keeping the goal of 115 average daily census based on this year's actuals. Cassie  the budget Citizens Care can work to improve on.  provided a staffing plan based on this number. Budget will be ready for presentation next month.  Department Introduction - Director of Quality Assurance/Staff Development  Renata Truant, RN came to Citizens Care in February 2023 and started in her current role in Duties include tracking patient issues, chart signatures, administrative records, medication administration records, and clinical audits; overseeing employee health, required vaccinations, mask fit testing, infection control, and enhanced barrier protection regulations. Created ai form for staff suggestions for Quality Assurance Program.  2008.  Old Business  Facility and Building Update:  Roof Replacement project over Harborview/Admin area is 99% complete. Waiting for New nurse call system installation completed on Bay Lane and Riverwalk. Harborview is Met with County representatives on 5/21 concerning the status of Mallard Way. Completed Harford County Workforce Technical Grant application 4/26/24.  quality manager inspection. Noi issues during installation.  scheduled to start the week of 6/3.  Administrative Special Projects:    New Business  Employee Benefits  After 18 years with United Healthcare, continuing with them would have resulted in a 21% Citizens Care met with RCM&D and Allegeant for options - Arty Gibb with Allegeant had the best and most experience with those options and was recommended by the LifeSpan network. RCM&D did noti initially provide the Captive option until asked. The Citizens Care team has also done their due diligence with other facilities using the presented Presentation by Arty Gibb, LifeSpan Network, Vice President Employee Benefits. Insurance costs increased 34% in the last 3 years at Citizens Care. The scheduled increase would have resulted in a 16-17% increase to the budget. Presented high level, low deductible plans through LifeSpan Captive. Presented Medical Plan Analysis: United ($1,021,015 fixed, $237,000 claims) VS LifeSpan ($293,278 fixed, expected $637,220 claims). Minimum savings of  increase for employees next fiscal year.  plans.  $123, 970.  Provides alternate funding for specialty prescriptions. Noi increase in staff contribution - costs will be down about 1% initially with options for more. Currently 60/40 looking at 65/35 possibility. Allegeant will be onsite over the next few weeks meeting with employees during  Partners with clinical trials.  transition until July 1st changeover.  Adjournment  Board Chair Patricia Scott-Badeker adjourned the meeting at 11:50.  Minutes Compiled and Submitted by Heather Cantos, proxy to Jacob Bennett, Board Secretary.