Board concerned about county nursing home
It passed unanimously last month and was sent to the county for consideration, said town Supervisor Greg Holden.
Holden proposed the resolution after reading in The Janesville Gazette about the county adjusting its resident mix at Lakeland.
To save taxpayer dollars, the county gradually has increased the number of beds available for patients who can pay privately or with Medicare.
That means fewer of the facility’s 120 beds are available for indigent patients covered by government-subsidized Medicaid.
Having more private-pay or Medicare residents creates some tax relief because Medicaid does not pay the full daily cost. A $3.5 million annual county tax levy makes up the difference to fund the center.
Of the 120 beds, about 27 of them are reserved for Medicaid or private paying residents. In 2009, that number will increase to about 31 beds, a number county officials believe will remain for some time.
Holden is OK with that. He just doesn’t want to see the county accept more and more private paying or short-term residents.
“I think it’s an important for the county to have a facility like that,” said Holden, a county supervisor from 1996-2000 whose wife also works there. “The citizens who need it can use it. It should be there.”
There is no county ordinance or resolution that would limit the number of non-Medicaid beds.
“I can understand the county’s desire to fund this in a better way and spread beds out a little bit, but when you hear the word ‘downsize,’ that’s a real easy way to keep going,” he said.
The Lakeland Health Care Center will review the resolution, but little is likely to change in the foreseeable future.
County Administrator David Bretl said the county board always envisioned having a mix of indigent and private pay residents at the new center.
The center accepts private pay or Medicare residents, but always likely will maintain a higher ratio of Medicaid residents than private nursing homes, he said.
“It’s achieving that balance,” Bretl said. “Future boards will decide what population it serves, (but) it will probably, in all likelihood, have a significant majority of Title 19 (Medicaid) residents.”
The county’s plan when building the new home was to operate it with a $3.5 million tax subsidy. It hit that mark, and it should continue to do so with the right mix of Medicaid and private pay residents, Bretl said.
The new center also was built with tax money from county residents who have the ability to pay.
“To close the doors to those private (pay) individuals, I don’t think that’s a good approach, either,” Bretl said.