Citizens Care Citizens Nursing Home Board Meeting  August 29, 2024  Call to order:  Citizens Care Board Chair Patricia Scott-Badeker called the meeting to order at 10:04 am. Wendall Baxter, Heather Cantos (for Jacob Bennett), Shobita DuBois, Carol Lienhard, Patricia Scott-Badeker, Rodney Swam, and Cathy' Vincenti. John Correri Jr., Andrew' Young, and Kim Zavrotny were absent. Cathy" Vincenti left at 10:49 am. Heather Cantos left at 11:25 at which time  Board Members present:  Shobita DuBois took over the minutes. Itwas determined that a quorum was present.  Staff present:  Ed Walter Administrator, Cassie Evering - Director of Nursing, Keith Streett - Business  Operations. Approval of Minutes  The minutes from July 25th, 2024 were approved. Covid Outbreak status: Not currently in outbreak status. September 23rd Flu vaccine clinic 10am-2pm. October 10th Flu and Covid vaccine clinic 10am-2pm.  Nursing Report - Cassie Evering  Vaccinations: Preparing for Flu and covid vaccine clinics through Giant pharmacy.  Fall GNA class updates:  Over 50 applicants. Over 30i interviews were scheduled. 17 showed up to interview. 10 offers have been prepared - 8 (maximum) students and 2 alternates.  Administrator's Report - Ed Walter  Census: Outreach:  The average daily census for July was 117. There were 15 admissions, 8 discharges, and 9 deaths.  Sponsored luncheon with the Churchville Golden Agers Club, presented education Applied for and accepted in the University of Maryland Post acute Care Collaborative. There were 9 new hires (2 LPN, 3 GNA, 1 Hospitality, 1 Nursing Admin, 1 Billing, 1E EVS  sessions. Human Resources:  tech) and 4 departures (1 retired). Facility Turnover 2.26%. 2Losses, both resolved.  Losses/Concerns:  2Concerns (one shower schedule related, one roommate conflict).    Financial Report - Keith Streett Occupancy: 82.3%. Budget VS. actual:  Payer Mix: 72% Medicaid, 16% Private, 11.5% Medicare/Managed Care.  Dietary wage expenses were higher than budgeted last month due to filling vacation hours.  Medicare and Private care over budget. Medicaid budgeted at a lower rate than received. plumbing repairs, and fire alarm repair. transportation costs.  Staffing under budget but continuing to work on agency use VS. staff. Maintenance over budget due to major expenses such as hydraulic oil in elevators, Nursing over budget due to costs of nursing supplies, prescription costs, and  Mr. Walter explained that while budget is created on historical actuals, new patients have different medications and diagnoses that may increase costs. Shobita suggested a "Fund the Need" fundraiser for a transport van to cut down  on costs.  Old Business  Facility and Building Update:  Dietary Food Carts expected delivery 8/29/24. Structural Site Survey received 7/18/24. Proposal for renovation was halted due to County budget.  Citizens Care will create a model room with basic renovations to see what can be done and how much each room might cost. This will include a quote for new windows int the Former State Delegate Mary Ann Lisanti reached out to the center and has access to Mr. Swam has a contact with the Maryland department of Economic Development to Havre de Grace Mayor Martin and Dr. Ricci, Director of Administration toured Citizens Citizens Care is grateful for their time and committed to working together.  area.  Talent Gov grants for recruitment and retention of staff,  show rooms that need renovation. Care along with Councilman Bennett.  Mayor Martin Tour:  CCRC Foundation: 2022. were eliminated. Board. Action items:  Jocelyn Silver is the last member still involved with Citizens Care. The last IRS filing was The last minutes show that all fundraising efforts were suspended, and paid positions There was discussion about al Foundation Board VS. a committee within the Citizens Care  There was discussion about reserve funds and allocation.  Wendell will call Joyce Jordan to piece together what happened to the Keith will ask Citizens Care's accountants about the taxi implications of dissolving the Foundation and transferring funds, and Citizens non-profit status.  Foundation Board.    New Business  Citizens Care is participating in the 2024 Harford/Cecil County Walk to End Alzheimer's. Join the Citizen's Care walking team or donate at ntps/Dty/ctzenswak Purchase an #ENDALZ bracelet or flower in the lobby (flowers will be placed on Contact Janet McDonald to volunteer at the water station or at our vendor table:  our Flower' Wall of Fame).  janet modonald@citzenscarecenter.com,  Adjournment  Board Chair Patricia Scott-Badeker adjourned the meeting at 11:43.  Minutes Compiled and Submitted by Heather Cantos, proxy to Jacob Bennett, Board Secretary.