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HomeMy WebLinkAbout1999-04-26 99-164 ORDERDate: April 26,199 Item/Subject order, geafinning Council order 9y-aDg, Mapping Continuum of Care propose! For City Nursing Facility Responsible Department: City Manager This is the first of three capable Orders relating to the City Nursing Facility which appear on the agenda for first reading and refenal. This Oder word reaffirm Ne position taken "a Oty Council in Oouncll Order 91 That Order adopted the cmndnuum of Gre proposal which, as come" configured, would add 21 residential care beds to the facility in the area currently occupied by the Otis Health and Wei Department. The number of long-tmn care beds would be reduced! from the arrent 61 to 59 as an element of this proposal. The intent of this approach is m provide a broader range of cervine at the facility which would complement each other ant allow patients W move between various levels of care within the facility. At the present time, CNF offers inch long-term nursing care and acute care Fur patients who need short term service while undergoing rehabilitation. Unfortunately, the facility does not offer a lower level of cure into which patients might move as a part of their long-term recovery or from which patients who need a higher le el of care might inume into other facility services. The overall intent of the proposal, along with pmvlEing for residential bre lady that appear to be in demand in the community, is u increase the ocapanry rates of the longteitn rare Inch. Our analysis shows that Nis proposal should improve the overall Financial performance of the fadlay. Formosa, it does not appear that this approach will reduce the mounted] General Fund Solssidy below the Ned toss that wound wntinue sMuld Ne facilitybe closed. Further, a pprtkn tithe improvem t that would be gained would be used m cover Ne increased costs associated with moving the Health and Welfare Deparment to a new location. As 1 am sure you are aware, sided heti been waking toward implementing this proposal until last fall when revised financial projections and a more detailed analysis of the capital costs associated with the current bulking became available. This information Indicated the me frenal assumptions upon which the Council based fts decision m adopt Goland Order 97-900 were no longe valid Given this sivafon, staff felt compelled to bring the revised inmrmation bate m Councll for fuller review bafae proceeding with a plan which no longer appeared u attomplish the Coundl's Fu l goals. Slnce that time, first the MuMdpal Operations Commitee and subsequently the Counal as a whole has been involved in m iaeiy the original decision and the updated capital and finandal pecomance data which has been developed. We are new at the point where it is essential that the Council provide clear guidance m staff on the polity usues rnolved with tie City Nursing Facility. This Oder, as wall as the two which accompany it, are intend to more Nis process forward. I anticipate Nat a public hearing will he scheduled far blue ell Counl to remve public comment on the availeble options prior u final Council action on this tare. vj Oa; Manager's Comments: City Manager Associate ] Information: Circler Budget Approval: Ery Solirimr VVV IntroEu sager Passage X First ug Page_of X Referral al tto Public Hearing/Council Workshop 99-164 6i' p'— Assigned to Councilor Palmer April 26, 1999 W4: �;,' CITY OF BANGOR (TITLE.) Order, Reaffirming Council Order 97-9110, Adopting Continuum of Care Proposal for City Nursing Fatlliry WHEREAS, Coumd Ortler 97900Adopteda CWt#xa rr ofare Proposal far the Ory NuMng ferlNty which ilas desrgned 10 add residenbal care beds to One edsdrtg brg-term care beds currently avalbble,- and WHEREAS, thirXoposal was also infendcd (a /naease one finantlal wadlity of ofte insbWb'onc acrd WHEREAS; while nanoWonshave charigetl tlds ptopasal wdl sddserte the ln(eta'6 afthe Oryof earym and Hae Ofy Nunwrg fadUy by albWng bre fatly to oAera more competibW mope of Now, thevefine, RIs hereby Ordered by t/ae Coratti/ of the Ory ofEargor than The City Council hereby reaffirms its acceptance of Ne Continuum of Care Proposal developed by Baker, Newman, and Noyes and the staff of the Cry Nursing Facility and directs staff W move forward expeditiously with this proposal. This shall inu ude taking the necessary steps to bring abnut the relocation of Me Health and Welfare Department changes required to the physical plant of the facility, and proposals for additional funding, M necessary, for the required capital improvements. The City Solicitor is further directed to undertake the necessary tasks to establish a non-profit corporation to manage and operate the fadkity as well as such contracts or agreements between this corporation and the CM which may be necessary to allow for the effective operation of Oty Nursing. IN CRY m CIL April 26, 1999 neat Heading 99-164 Warred to Connell Workshop 0 H 4 8 H (May 6th - 5pa) As Conflict fooled for. Coweilor _ =Ngidv},og.Lh ttita"Pnsue' gytle, Reaffirming Covocil ceder 97-400, Adopting Continua, of Care Proprosal for"City ITT k`° TL.co-- Nursing PaciUty �. IN CI4, May 24, 199 1999 M to lndef ely Pos[poce Mde and seonded Motion Passed IndetSaltely Postponed