nursing home

From the Daily News (Tuesday):

• O glorious day! Today's Daily News features the third installment of Tom Rivers' adventures in agriculture series — cherry picking. Rivers begins the article with a confession of his rampant fear of heights, ladders in particular, which makes for a tense and funny start to what proves another gem in a great series. Go read it.
• United Memorial Medical Center received a $2.2 million state grant that will help finance the renovation of the Jerome Center on Bank Street. Reporter Paul Mrozek writes: "The project will provide 37 condominium-style apartments for low-income senior citizens, ages 55 or older. Rent will be from $475 per month to $575 per month, depending on the person's income." The total cost of the project is about $8.2 million. No date has yet been set for the start of the project, but UMMC spokeswoman Colleen Flynn said that they hope to start soon.
• The Genesee County Nursing Home was told it will get $800,000 in "retroactive Medicaid reimbursements," money that was supposed to be granted by the state as reimbursement for Medicaid patient care provided by the nursing home. Also, the state will start to pay more for Medicaid services and the county should see an added $600,000 "in unanticipated revenue," writes Paul Mrozek, which means more good news for an institution that hasn't heard much of it in recent months.
• And the money just keeps flowing... The city of Batavia received a check for nearly $630,000 from the state thanks to Batavia Downs video gaming facility. An article in the Daily News Friday made mention of the state funds — some went to the county and some to the town, as well. After reading today's article, I still don't quite understand why the state gives money to community's for hosting video gaming centers, which I believe are no more than video slot machines. Reporters Tom Rivers and Joanne Beck explain how it came about: "The state last year approved legislation allowing host communities to receive payments for having video gaming centers within their municipal borders. They share 3.5 percent of the total net revenue generated by the video gaming centers." I assume that "they" here refers to the "host communities." But then the next sentence says that the "money comes from the state and not the tracks that operate the gambling centers." I'm confused. Whose money is this? Is it the state's or does it belong to the Downs? Why do municipalities get a share? Anyone know how this works?
• A fire at a home in Corfu Monday morning resulted in the death of two cats and caused about $50,000 in damage. No one was home at the time, and the Corfu fire chief said the house is not habitable.
• The owner of BrightLine, a television marketing company, was honored as the Batavia High School Graduate of Disctinction Sunday. Jacqueline Corbelli Modzelewski graduated from the school in 1982.
• Brian Hillabush reports on the NFL-sponsored football camp at Batavia High School. More than 400 kids are enrolled in the camp, and they come from schools all over the area. It's an interesting article, worth reading.

For the complete stories, the Daily News is available on local newsstands, or you can subscribe on BataviaNews.com.

By way of a preface... When I was a reporter in Canandaigua and an editor would assign me a story about any sort of agency (pseudo, government or otherwise) and its finances, procedures or reportings, I cringed. Visibly, I'm sure. Scowling, grumpy and none too sure what was going on, I tried my best to crack the bureaucratic nut and spill out a tidy, readable article. I'm not talking the routine meeting stuff. I mean the hundred-page report in small type with definitions of the definitions of the indecipherable financial jargon. It took me half my shift once to figure out what one word meant on a company's earnings report. All I remember was that the term not only had nothing to do with its meaning but was very much an obstacle to understanding it — maybe like using the word liquid to describe something solid and unmoving.

So I sympathize with reporter Paul Mrozek wholeheartedly in his attempt to write a comprehensible article about an auditor's report on the Genesee County Nursing Home that showed the facility lost $1.7 million last year.

That being said, there is so much information involved in these sorts of articles, that too much is always said and too much is always left out.

Mrozek tells us that this was the second year in a row that the nursing home lost more than a million dollars and had to be bailed out by the county with subsidies — but that right there raises the first question that is never really answered. If the nursing home is a county-run facility, wouldn't the county already be responsible for its funding?

Further, how is the loss measured?

Mrozek tackles that fairly well by breaking down in simple language the facility's costs per resident versus its revenues: $229 to $204, respectively, for a shortfall of $25 (per resident per day). That sounds pretty significant when you consider the nursing home has 160 beds: 160 x $25 x 365 = $1.46 million lost per year if all beds are filled. They aren't. But at 96 percent occupancy, they're close.

So why are costs higher than revenue?

A few reasons are given in a few different places in the article. One, since the nursing home is a public facility it has to accept patients on "public assistance and people who have no health insurance," while a for-profit facility can fill its beds with people who have fully-funded private health insurance. Another reason is overtime for employees, an expense that seems problematic in both the public and private sectors, but not easily remedied.

Mrozek writes that the county legislature is looking at "a possible increase in Medicaid payments" to help offset the imbalance. One of the auditors is cited as saying that the increase would "reverse the trend of increased county subsidies." (That is one of a few instances in the article that Mrozek paraphrases the auditor using language such as reverse the trend or confluence of changes.)

That's really the best as I can do for a summary of this article, though it seems like an issue worth revisiting, or at least further explications. Check out the paper for more details.

A sincere kudos to Mrozek for tackling this tricky topic. Hopefully, we can get an article in the future explaining in simple language how the nursing home is funded — touched on some in this article. Is it all through Medicaid and insurance? What about the folks with no insurance?

I'm a financial dunce and could really use the detailed explanations. And I'm sure I'm not alone.

Also, if the county is putting up the big bucks to bail out the nursing home, what does that mean for us? Does the county just have that money lying around? Where does it come from? How is it managed?

From the Daily News (Tuesday):

• Batavia's Board of Education appointed Shawn M. Clark as principal of Jackson Elementary School last night. Clark will begin July 1 at a salary of $80,000. For a short bio of Clark, see the article by Joanne Beck.
• At the same meeting, the board also looked at switching from paper agendas to a digital version accessed via laptop computers. The decision is still some time out, but the change could save about 200 pages per board member per meeting if it goes through.
• Reporter Scott DeSmit writes that Rochester resident "Anthony E. Sloan, 46, pleaded guilty to two counts of using the Internet to entice a minor to engage in illegal sexual conduct. The conviction carries a manadatory minimum sentence of 10 years in federal prison." Sloan was one of four men indicted for becoming involved over the Internet with the same 15-year-old boy from Genesee County, "who investigators said actively searched for adult men on an Internet Web site."
• With a little help from the clubs of Batavia's Mike Spiotta, the Section 5 golf team took home the state title, beating Section 11 by 14 strokes. It's the first title for the section in 31 years. Congratulations!

For the complete stories, the Daily News is available on local newsstands, or you can subscribe on BataviaNews.com.