HomeMy WebLinkAboutBoard of Selectmen Agenda April 20, 2011 Packet_201402061623356099Our Island Home Our Island Home Enterprise FundEnterprise Fund Quarterly ReportQuarterly Report January January –– March 2011March 2011Board of Selectmen April 20, 2011Board of Selectmen Board of Selectmen April 20, 2011April 20, 2011
Our Island Home Our Island Home ““FactsFacts”” 45 Bed Skilled Nursing Facility45 Bed Skilled Nursing Facility Dually licensed in Medicare (since Aug. 2007) and MedicaidDually licensed in Medicare (since Aug. 2007) and Medicaid Offers both Long Term and Short Term care and rehabilitation Offers both Long Term and Short Term care and rehabilitation for those eligible for admissionfor those eligible for admission DPH survey results have shown significantly fewer Resident DPH survey results have shown significantly fewer Resident Care deficiencies than state average. 2010 Annual Survey and Care deficiencies than state average. 2010 Annual Survey and Life Safety Survey resulted in Zero Deficiencies.Life Safety Survey resulted in Zero Deficiencies. DPH Resident satisfaction surveys have historically resulted in DPH Resident satisfaction surveys have historically resulted in OIH as top 10% of state for satisfaction. Next survey will be OIH as top 10% of state for satisfaction. Next survey will be 2011.2011. CMS Five Star rating was recently updated on March 2011 and CMS Five Star rating was recently updated on March 2011 and OIH remains a 5 star facility based upon staffing, surveys and OIH remains a 5 star facility based upon staffing, surveys and quality indicators.quality indicators.
Mass Health Census by AcuityMass Health Census by Acuity 33rdrd QuarterQuarterJULY AUG SEP OCT NOVH 31 0 30 31 30J 3131606260K 124 124 30 31 0L 93 124 180 186 180M 186 172 180 155 146N 93 124 120 155 150P 133 155 90 93 90R 6262606260S 62 93 120 124 120T00000Blue = JanuaryPink = FebruaryYellow = MarchCENSUS BY ACUITY (MMQ)050100150200250300HJKLMNPRSTACUITY SCORETOTAL RESIDENT DAYS
Our Island Home Our Island Home Cost vs. RevenueCost vs. RevenueRevenue SourceRevenue SourceNumber of Number of Resident DaysResident DaysCost of Service Cost of Service Per DayPer DayAverage Average ReimbursementReimbursementVarianceVarianceMedicaid Medicaid 7,6757,675$470/Day$470/Day$177$177$(293)$(293)Private PatientPrivate Patient2,9172,917$470/Day$470/Day$420$420$(50)$(50)Mass Health Mass Health PendingPending261261$470/Day$470/DayN/AN/AN/AN/AMedicare AMedicare A548548$470/Day$470/Day$402$402$(68)$(68)Medicare BMedicare B35 recipients35 recipients$5,087$5,087$5,550$5,550$ 463 qtr.$ 463 qtr.CENSUS HAS SHOWN INCREASE DURING THIS QUARTER, AVG 42 RESIDENTS
Our Island Home 3rd Quarter Our Island Home 3rd Quarter Revenue Budget vs. ActualRevenue Budget vs. ActualRevenue SourceRevenue SourceFY2008 3rd FY2008 3rd Qtr ActualQtr ActualFY2009 3rd FY2009 3rd Qtr ActualQtr ActualFY2010 3rd FY2010 3rd Qtr ActualQtr ActualFY2011 3rd FY2011 3rd Qtr BudgetQtr BudgetFY2011 3rdFY2011 3rdQtr ActualQtr ActualMedicaid Medicaid ($ 1,258,912)($ 1,258,912)($ 1,098,364)($ 1,098,364)($ 1,000,813)($ 1,000,813)($ 1,050,000)($ 1,050,000)($ 1,183,468)($ 1,183,468)Private PatientPrivate Patient($ 1,003,990)($ 1,003,990)($ 924,036)($ 924,036)($ 1,294,235)($ 1,294,235)($ 975,000)($ 975,000)($ 1,144,082)($ 1,144,082)Patient PaidPatient Paid($ 356,833)($ 356,833)($ 451,471)($ 451,471)($ 378,474)($ 378,474)($ 375,000)($ 375,000)($ 404,816)($ 404,816)InsuranceInsurance($ 3,596)($ 3,596)($ 14,759)($ 14,759)($ 32,670($ 32,670))($ 18,750)($ 18,750)($ 67,161)($ 67,161)Medicare AMedicare A($ 29,085)($ 29,085)($ 87,376)($ 87,376)($ 145,851)($ 145,851)($ 75,000)($ 75,000)($ 187,935)($ 187,935)Medicare BMedicare B($ 0)($ 0)($ 0)($ 0)($ 9,631)($ 9,631)($ 0)($ 0)($ 16,368)($ 16,368)ACDC User FeesACDC User Fees($ 28,419)($ 28,419)($ 28,858)($ 28,858)($ 27,789)($ 27,789)($ 30,000)($ 30,000)($ 21,488)($ 21,488)RefundsRefunds$ $ 00$ 0$ 0$ 0$ 0$ 0$ 0$ 0$ 0General Fund General Fund SubsidySubsidy($ 1,682,133)($ 1,682,133)($ 1,620,735)($ 1,620,735)($ 1,426,462)($ 1,426,462)($ 3,327,041)($ 3,327,041)($ 3,327,041)($ 3,327,041)Total RevenueTotal Revenue($ 2,680,835)($ 2,680,835)($ 2,604,864)($ 2,604,864)($ 2,889,463)($ 2,889,463)($ 5,850,791)($ 5,850,791)($ 6,352,359)($ 6,352,359)
Our Island Home 3rd Quarter Our Island Home 3rd Quarter Expense Budget vs. ActualExpense Budget vs. ActualExpensesExpensesFY2008 3rd FY2008 3rd Qtr ActualQtr ActualFY2009 3rd FY2009 3rd Qtr ActualQtr ActualFY2010 3rd FY2010 3rd Qtr ActualQtr ActualFY2011 3rd FY2011 3rd Qtr BudgetQtr BudgetFY2011 3rd FY2011 3rd Qtr ActualQtr ActualAdministration Administration $ 898,260$ 898,260$ 802,171$ 802,171$ 921,687 $ 921,687 $$ 1,139,6071,139,607$ 908,907$ 908,907Nursing*Nursing*$ 2,028,191$ 2,028,191$ 2,045,160$ 2,045,160$ 2,025,099$ 2,025,099$ 3,033,444$ 3,033,444$ 2,075,566$ 2,075,566DietaryDietary$ 694,613$ 694,613$ 660,821$ 660,821$ 678,206$ 678,206$ 758,034$ 758,034$ 644,456$ 644,456Maintenance / Maintenance / Laundry / Laundry / HousekeepingHousekeeping$ 435,624$ 435,624$ 432,432$ 432,432$ 434,815$ 434,815$ 546,939$ 546,939$ 420,298$ 420,298Staff DevelopmentStaff Development$ 65,284$ 65,284$ 62,820$ 62,820$ 59,822$ 59,822$ 74,436$ 74,436$ 657$ 657Social ServicesSocial Services$ 21,553$ 21,553$ 22,903$ 22,903$ 38,042$ 38,042$ 41,115$ 41,115$ 37,131$ 37,131ActivitiesActivities$ 93,152$ 93,152$ 111,631$ 111,631$ 93,812$ 93,812$ 100,388$ 100,388$ 94,149$ 94,149ACDCACDC$ 107,468$ 107,468$ 81,574$ 81,574$ 62,442$ 62,442$ 83,102$ 83,102$ 54,119$ 54,119CapitalCapital$ 18,823$ 18,823$ 6,087$ 6,087$ 2,000$ 2,000$ 28,500$ 28,500$ 28,210$ 28,210Total ExpensesTotal Expenses$ 4,362,968$ 4,362,968$ 4,225,599$ 4,225,599$ 4,315,925$ 4,315,925$ 5,805,565$ 5,805,565$ 4,263,493$ 4,263,493
Our Island Home Our Island Home Budget to Third Quarter Actual OverviewBudget to Third Quarter Actual OverviewFY2011 Yearly FY2011 Yearly BudgetBudgetFY2011 ActualFY2011 ActualVarianceVariance% to % to BudgetBudgetRevenueRevenue($ 3,365,000)($ 3,365,000)($ 3,025,318)($ 3,025,318)$ 339,682$ 339,68289.90%89.90%General Fund SubsidyGeneral Fund Subsidy($ 3,327,041)($ 3,327,041)($ 3,327,041)($ 3,327,041)$ 0$ 0100.00%100.00%ExpenseExpense$ 6,578,041$ 6,578,041$ 4,235,483$ 4,235,483($ 2,342,558)($ 2,342,558)64.38%64.38%Capital Capital $ 114,000$ 114,000$ 28,210$ 28,210($ 85,790)($ 85,790)24.75%24.75%Total (Excess) DeficitTotal (Excess) Deficit$ 0$ 0($ 2,088,666)($ 2,088,666)($ 2,088,666) ($ 2,088,666)
Our Island Home Our Island Home ACDC Program Cost Vs. FeesACDC Program Cost Vs. FeesNumber of ParticipantsNumber of ParticipantsCost of Service Per Cost of Service Per QuarterQuarterAvg. Avg. ReimbursementReimbursementper quarter*per quarter*VarianceVariancePer quarterPer quarterVaries from 6 Varies from 6 --12 12 Clients DailyClients Daily$27,224$27,224$12,155$12,155$(15,069)$(15,069)* * Elder Services pays in some cases ($43.00/day) for September, just one client at that rate and for only one day. The Adult Community Day Care (ACDC) Program is a fee for serviceThe Adult Community Day Care (ACDC) Program is a fee for service program which program which provides stimulating activities for seniors with impaired physicprovides stimulating activities for seniors with impaired physical, social, emotional or al, social, emotional or psychological functions. The ACDC program offers a safe, supervpsychological functions. The ACDC program offers a safe, supervised day that ised day that includes structured and purposeful activity to maintain and imprincludes structured and purposeful activity to maintain and improve cognitive ove cognitive functioning.functioning.
Our Island Home Our Island Home Cost Containment MeasuresCost Containment Measures Current Quarter:Current Quarter: Frozen nursing, Frozen nursing, housekeeping, activities & housekeeping, activities & dietary positions (total dietary positions (total 8.25 FTEs)8.25 FTEs) SDC assisting with RN SDC assisting with RN paperworkpaperwork Continuous review of Continuous review of vendor cost comparisonvendor cost comparison Harmony Health Care Harmony Health Care review of MMQ reportingreview of MMQ reporting Next QuarterNext Quarter Continue effects presently Continue effects presently in place. OIH as a in place. OIH as a 24/7/365 entity with no 24/7/365 entity with no ‘‘peakpeak’’ seasons has costs seasons has costs that remain constantthat remain constant Energy audit 4/38Energy audit 4/38 User Fee Legislation: User Fee Legislation: ongoingongoing
Our Island Home Our Island Home Questions?Questions?
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementStormwater Improvement ProgramProgram Locations:Locations: ChildrenChildren’’s Beachs Beach Easy Street AreaEasy Street Area New Whale StreetNew Whale Street Commercial Commercial Street/Commercial Street/Commercial WharfWharf Marine FisheriesMarine Fisheries Francis Street BeachFrancis Street Beach Consue SpringsConsue Springs Orange StreetOrange Street Broad StreetBroad Street
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAMarine FisheriesNew Whale StreetEasy StreetChildren’s BeachOrange StreetCommercial WharfFrancis Street BeachConsue Springs
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Completed ProjectsCompleted ProjectsPhase IPhase I Children's BeachChildren's Beach Orange StreetOrange Street
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase I Phase I –– Completed 2009Completed 2009ChildrenChildren’’s Beachs Beach Installed 4000 ft of various Installed 4000 ft of various dia. pipe. dia. pipe. Added 4 CB on Easton StAdded 4 CB on Easton St Constructed three BMP Constructed three BMP tanks for run tanks for run –– off off treatment treatment Built the pump stationBuilt the pump stationOrange StreetOrange Street Installed 1200 ft. of 18 Installed 1200 ft. of 18 inch pipe to eliminate inch pipe to eliminate flooding at Orange St flooding at Orange St and West Creek Rd.and West Creek Rd. Added 9 CBsAdded 9 CBs 6 MH6 MH 1 BMP structure1 BMP structure
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater Improvement Stormwater Improvement Design Phase IADesign Phase IAConsue SpringsConsue Springs Design of Stormwater Design of Stormwater InfrastructureInfrastructure Dredging & Culvert Dredging & Culvert Replacement for Proposed Replacement for Proposed Bike PathBike Path Wetland RehabilitationWetland Rehabilitation InIn--Town Bike Path Town Bike Path ConstructionConstruction
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MA Easy St/Cambridge St Easy St/Cambridge St Extension.Extension.--India StIndia St-- Oak St.Oak St.-- Chestnut St. Chestnut St. New Whale St.New Whale St. Commercial WharfCommercial Wharf Marine FisheriesMarine Fisheries Francis Street BeachFrancis Street BeachStormwater Improvements Stormwater Improvements ProgramProgramPhase IBPhase IB
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IBPhase IBEasy St./Cambridge Easy St./Cambridge St. ExtensionSt. Extension Installing 127 ft Installing 127 ft -- various various dia. pipe (12dia. pipe (12”” to 18to 18””)) Replace 1 MHReplace 1 MH Install 1 CBInstall 1 CB Add 1 BMP treatment Add 1 BMP treatment tanktank Construct 1 tide flex Construct 1 tide flex Valve Valve
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IBPhase IBSouth Water StreetSouth Water Street Installing 169 ft Installing 169 ft -- various dia. pipe (18various dia. pipe (18”” to 12to 12””)) Replace 3 MHReplace 3 MH Add 5 CBAdd 5 CB Construct 1 tide flex Construct 1 tide flex Valve Valve
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IBPhase IBIndia StreetIndia Street Installing 117 ft Installing 117 ft -- various various dia. pipe (18dia. pipe (18”” to 12to 12””)) replace 3 MHreplace 3 MH replace1 CBreplace1 CB add 1 BMP treatment add 1 BMP treatment tanktank construct 1 tide flex Valve construct 1 tide flex Valve
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IBPhase IBE. Chestnut StreetE. Chestnut Street Installing 42 ft Installing 42 ft -- 1212”” dia. pipe dia. pipe Add 3 CBAdd 3 CB
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IIPhase II New Whale St.New Whale St. Commercial WharfCommercial Wharf Commercial St.Commercial St. Marine FisheriesMarine Fisheries Francis Street BeachFrancis Street Beach
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IIPhase IINew Whale St.New Whale St.Commercial St.Commercial St.Commercial WharfCommercial Wharf(Combination of sewer (Combination of sewer and storm drain)and storm drain) Installing 160 ft Installing 160 ft -- various various dia. drain pipe (18dia. drain pipe (18”” to 12to 12””)) replace 3replace 3--MHMH add 3 CBsadd 3 CBs add 2 BMP treatment add 2 BMP treatment tankstanks construct 2 tide flex Valve construct 2 tide flex Valve
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IIPhase IIMarine FisheriesMarine Fisheries Installing 102 ft Installing 102 ft -- 1818”” dia. dia. drain pipe drain pipe Replace 1 CBReplace 1 CB add 1 BMP treatment add 1 BMP treatment tanktank construct 1 tide flex Valve construct 1 tide flex Valve
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IIPhase IIWashington St.Washington St.Francis Street BeachFrancis Street Beach Installing 215 ft Installing 215 ft -- 1818”” dia. dia. drain pipe drain pipe Add 3 Add 3 MHsMHs Replace 4 CBsReplace 4 CBs add 1 BMP treatment add 1 BMP treatment tanktank construct 1 tide flex Valveconstruct 1 tide flex Valve
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IIPhase II Broad StreetBroad Street Construct 900 ft of 18Construct 900 ft of 18”” storm drain pipestorm drain pipe Construct 6 Construct 6 MHsMHs Construct 7 CBsConstruct 7 CBs Replace two SMH while working in the area Replace two SMH while working in the area
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IPhase ISummarySummaryCompleted projectsCompleted projects Children BeachChildren Beach Brant Point areaBrant Point area Orange StreetOrange Street Cost $5,054,210Cost $5,054,210
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementsStormwater Improvements ProgramProgram Phase IBPhase IBSUMMARYSUMMARYUnfinished projectsUnfinished projects Design PhaseDesign Phase: : Consue Spring, Consue Spring, Orange Street by Cumberland farmOrange Street by Cumberland farm Cost $149,000.00 for design onlyCost $149,000.00 for design only Construction funds not appropriated.Construction funds not appropriated. Cost 3.5 millionCost 3.5 million
Town of NantucketTown of NantucketDepartment of Public WorksDepartment of Public WorksAECOMAECOMConcord, MAConcord, MAStormwater ImprovementStormwater Improvement ProgramProgramOriginal FundingOriginal Funding Funding via ATM 2006 Article 10 of 5.5 Funding via ATM 2006 Article 10 of 5.5 million million Spent to date:Spent to date:$5,054,210$5,054,210 Remaining BalanceRemaining Balance$445,790$445,790