Frank L. Hoffman, Pres. FLHC

Mary T. Hoffman, V. Pres. FLHC

Patricia Outhouse, Administrator, MMRHCF

Robert L. Reidy, Commissioner, MCDSS

Scott Schrader, MC Administrator

Bob Dougherty, DOH 518-478-1005

Bill Schroth, DOH Consultant

Charlie Abel, DOH, Financial Analysis

Thomas Fung, DOH 518-402-0904

Montgomery Meadows expressed the fact that from a quality of care standpoint the existing bedrooms and nursing stations were not conducive to providing proper care. The bedrooms are too small. More private rooms are needed. Nursing, service, and lounge areas need to be expanded with better visibility.

Tom Fung indicated that the maximum cost of the replacement beds could not exceed 75% of the maximum allowable construction cost for a new facility.

Tom Fung asked if there were physical deficiencies in the operation. He was informed that there were no listed ones from the Health Department, but that from an operational and handicapped standpoint, the facility is deficient. Tom indicated that a meeting should be set up with Sal Macione (518-402-0904) to perform a field investigation of the facility to determine whether or not replacement would be permitted. The meeting is set for 10 July 2002 at 10:00 A.M.

There was discussion on the bed need and whether or not some of the SNF beds should be decertified in favor of a lower level of care. However, Tom Fung did indicate that from an operational standpoint, a 120-bed facility seems to be the most economical to operate.

Montgomery Meadows indicated that there was a need for a 20 to 25-bed assisted living dementia unit, a similar sized rehab unit, and with the balance of the 80 beds being utilized to care for the discharged PA, PB, and CA residents of the nursing home.

Bob Dougherty indicated that there was no SSI funding for County-owned adult homes. He said he would check into what funding is available under Medicaid. The answer to this is critical to the feasibility study and future planning for Montgomery Meadows.

Presently, there are no available assisted living beds. The State is studying the possibility of increasing the number of assisted living beds. If Montgomery Meadows utilizes a Licensed Limited Home Health Care Agency, some services such as physical therapy would not be covered but would have to be billed separately.

From a physical plant standpoint, no one at the meeting indicated any problems with operating both a nursing home and an adult home in the same facility.

Montgomery Meadows discussed that there would be a new and renovated entry, lobby, and administrative offices, which would be shared between the nursing home and adult home. The main corridor leading from the lobby to the nursing home and adult home would be shared. The kitchen, laundry, boiler room, elevator, and basement storage would also be shared.

There was no indicated objection to the proposal.

Tom Fung indicated, unofficially, that he was 95% sure that Montgomery Meadows would qualify for rebasing.