08-29-1984 MinutesBOARD OF SUPERVISORS
MINUTES
August 29, 1984
Supervisors in Attendance:
Mr. Harry G. Daniel, Chairman
Mr. G. H. Applegate, Vice Chairman
Mrs. Joan Girone
Mr. Jesse J. Mayes
Mr. Richard L. Hedrick
County Administrator
Supervisors Absent:
Mr. R. Garland Dodd
Staff in Attendance:
Mr. James Gillentine,
Nursing Home Admin.
Mr. Robert Masden, Asst.
Co. Admin. for Human
Services
Mrs. Mary A. McGuire,
County Treasurer
Mr. Steve Micas, County
Attorney
Mr. Lane Ramsey, Dir. of
Budget and Accounting
1. CALL TO ORDER
Mr. Daniel called the meeting to order in Room 502 at 4:00 p.m.
(EDST).
2. SCHOOL ANTICIPATION BOND NOTES
On motion of Mrs. Girone, seconded by Mr. Daniel, the Board
adopted the following resolution:
Be it resolved by the Board of Supervisors of Chesterfield
County that pursuant to the authority set forth in the resolution
adopted by the Board of Supervisors on September 1, 1983
permitting the issuance of up to $4,950,000 in bond anticipation
notes, this Board hereby determines that it is in the best
interests of the County to issue a Note in the principal amount
of Three Million Dollars ($3,000,000), and to sell such note to
Dominion Bank of Richmond, National Association for a price of
par and accrued interest from the date of such note to the date
of deliVery thereof, such note to be executed by the County
Treasurer and the form and details of such note to be as
hereinafter set forth in Appendix A to this Resolution. The.
proceeds from this note shall be used to pay outstanding bond
anticipation notes due on September 4, 1984 in the amount of
$3,000,000. The County Treasurer and other appropriate officers
and employees of the County are authorized to take all action
necessary in the issuance and~delivery of such note.
Ayes: Mr. Daniel, Mr. Applegate, Mrs. Girone and Mr. Mayes.
Absent: Mr. Dodd.
3. REQUEST FOR BINGO PERMIT
On motion of Mr. Applegate, seconded by Mrs. Girone, the Board
approved the request for a bingo and/or raffle permit from the
Manchester Music Boosters Club for calendar year 1984.
Ayes:
Absent:
Mr. Daniel, Mr. Applegate, Mrs. Girone and Mr. Mayes.
.Mr. Dodd.
4. NURSING HOME WORK SESSION
Mr. Masden stated that the Nursing Home is incurring a deficit
because of the reimbursement payments for medicaid. He stated
because of the management initiatives by the administration, the
quality of care remains high while the costs have been reduced.
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Mr. Gillentine introduced members of his staff who were present.
He reviewed the financial position of the Nursing Home with the
Board. He stated the beginning of year projected deficit was
$950,000 because of reduced medicaid funding, higher salaries and
benefits and complete care and special therapies. He stated the
amount needed from the general fund is now actually only $250,000
to maintain the level of care, to offset reduced medicaid
funding, to fund higher wages and benefits and to provide special
therapies. He reviewed management initiatives which reduced the
deficit, a comparison of daily gross charges per patient to
medicaid reimbursement, the annual benefits comparison, a seven
year comparison of operating expenses, the salaries and
reimbursement comparison with state facilities, the seven year
comparison of personnel utilization, a comparison of salaries
only with area proprietary nursing homes, a comparison of
projected salaries and benefits to total medicaid reimbursement,
etc.
There was some discussion regarding staff working with the
General Assembly to obtain reasonable reimbursement for medicaid,
the energy management study at the Nursing Home, the cost per
patient, the number of medicaid and private pay patients, other
nursing homes which are experiencing similar financial problems,
the excellent reputation which the County's Nursing Home enjoys,
the salary and benefits of the employees which the Board
indicated they did not want to reduce, the number of County
residents in the Nursing Home, etc.
Mr. Hedrick stated that the team effort at the Nursing Home
should be commended. After further discussion, it was generally
agreed by the Board that the staff should continue to work with
the legislators to have reasonable reimbursements and/or formulas
approved, that the 1984-85 deficit of $250,000 be taken from the
Nursing Home cash reserves and if there is a deficit projected
for 1985-86 and reasonable medicaid reimbursements are not
forthcoming, the general fund will subsidize the operation of the
Lucy Corr Nursing Home and that this matter will be dealt with on
a year by year basis.
5. REPORTS
Mr. Hedrick presented the Board with a report on the fund balance
in the General Fund.
It was generally agreed the Board would recess for dinner.
6. DINNER
The Board met with the Crater Planning District Commission at the
Ft. Lee Officers' Club for dinner.
Reconvening:
7. ADJOURNMENT
On motion of Mrs. Girone, seconded by Mr. Applegate, the Board
adjourned at 9:30 p.m. until 7:00 p.m. on September 12, 1984.
Ayes: Mr. Daniel, Mr. Applegate, Mrs. Girone and Mr. Mayes.
Absent: Mr. Dodd.
Richa~d'~.. Hedrick
County Administrator
~arry G. ~ani~l " I
Chairman/
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