I published three stories on Thursday, all of which were related to Gracedale. One dealt with about half of the $5 million retention bonuses authorized by NorCo Council for Gracedale career service workers that was spent instead on operations. This happened without the assent of Council. Executive Lamont McClure told Council that even he was unaware of this until January of this year. A second story dealt with a daycare at the nursing home that was approved by County Council over three years ago but is still waiting for a state inspection and license. The third dealt with the agency nursing at the facility, which is somewhere between 70 and 80% of the staff. Council members want to know exactly how many agency nursing staffers are used there and what we've been paying them. I actually could have written more. Once again, the Controller's office was peppered with questions about the audit. And Council member John Brown has repeatedly claimed that finances there are a mess, and that the county is covering a deficit. This has been repeatedly denied by McClure and Fiscal Affairs Director Steve Barron with answers that make sense to me, but Brown has basically called them liars in his monotonal condescending style that would otherwise put you to sleep. Last night, Council was supposed to get answers to its questions with a presentation from Michelle Morton, Gracedale's new administrator. But it didn't happen. Instead, County Council listened for nearly an hour to a presentation from Battle Borne, leaving precious little time to discuss Gracedale before the Energy Committee was meeting. So most of Council's questions will have to wait until next month.
Council member Ron Heckman suggested that the next meeting of Council's Human Services Committee should be devoted exclusively to Gracedale. He recommended that all management staff should be present as well. "I'm very concerned about what's happened. I'm very concerned more so for the future."
Human Services Director Sue Wandalowski said that administrators have come up with a "strategic plan" for the home, and that will be provided next month.
Gracedale Administrator Michelle Morton started at the home in mid-March. She has over 40 years of experience in long-term care. Between January and May of this year, the nursing home has paid $9,102,000 for agency nursing staff. They worked 164,000 hours through June 6, which means the home is paying an average of least $55.50 an hour for outsiders.
Morton told Council that the home's nursing staff is 70-80% agency.
Although Morton's strategic plan will have to wait until next month, she said "we have already made a lot of progress moving forward. ... We have the right team in place."
Council member John Goffredo demurred. "From everything I'm hearing from people who have been there a long time, that's not the case." He noted that the home is only 25% staffed by actual employees. "We can't keep going at the rate we are. We're here to help but we need to be told realistically what's going on."
Two other Council members had a diametrically opposite view. Council member Jeff Warren thanked Morton for taking care of his mother in the rehab facility for the past two weeks when no other rehab facility would take her. Council member Kelly Keegan noted the home has improved in census, nursing care time, an increased rating and a decrease in overtime. She added that Gracedale cared for her grandmother once her funds were exhausted at other homes.
She questioned why, with all the improvements at Gracedale, half of Council continues to put out "an illusory truth effect", i.e. repeating the same false information until it is believed as true.
I am very dubious about Brown's claims, although even Executive Lamont McClure has agreed that discussions about the home's finances are always worthwhile. And there is no dispute that a home that is staffed largely by outsiders is unsustainable. And Ron Heckman is absolutely right to suggest that the county needs to plan long-term. While nursing homes like Gracedale are indispensable now, will they be needed in 50 years? Will any nursing homes be needed?