Packet

September 16, 2026 Lakeland Health Care Center Board Of Trustees Agenda SEPTEMBER 16, 2026 LHCC BOARD OF TRUSTEES AGENDA.PDF September 16, 2026 Lakeland Health Care Center Board Of Trustees Packet SEPTEMBER 16, 2026 LHCC BOARD OF TRUSTEES PACKET.PDF 1. Documents: 2. Documents: Lakeland Health Care Center Board of Trustees MEETING NOTICE Wednesday, September 16, 2026 1:00 P.M. County Board Room 114 Walworth County Government Center 100 W. Walworth St., Elkhorn, Wisconsin Kenneth Monroe, Chair Kathy Ingersoll, Vice-Chair Supervisor Brian Holt Supervisor Joesph Schaefer Supervisor Tyler Schneider (Posted in compliance with Sec. 19.84 Wis. Stats.) A quorum of the Health and Human Services Board will be in attendance. It is possible that a quorum of the County Board or any of its other committees could be in attendance at this meeting. Agenda enclosures are available upon request from the County Administrator’s Office or on the County’s web page (www.co.walworth.wi.us). A G E N D A Note: all agenda items are subject to action. 1. Call to order 2. Roll call of committee members 3. Agenda withdrawals, if any 4. Agenda approval 5. Approval of Minutes a) July 22, 2026 Lakeland Health Care Center Meeting (encl. pp. 2-4) 6. Public Comment Period 7. New Business a) 2027 Lakeland Health Care Center Budget Presentation (encl. pp. 5-14) NOTICE: THIS MEETING IS PLANNED TO PROVIDE FOR REMOTE OR OFF -SITE ATTENDANCE BY COMMITTEE MEMBERS. THE PUBLIC CAN WATCH THE MEETING STREAMING LIVE: https://bit.ly/LHCCSept26 Individuals wanting to provide a Public Comment can do so remotely by telephone but must contact the County Administrator’s Office at 262-741-4357 on the day of the meeting and at least 15 minutes prior to the start of the meeting to obtain instructions. AGENDA – Walworth County Lakeland Health Care Center Board of Trustees Wednesday, September 16, 2026 at 1:00 PM Page 2 of 2 b) Res. No. **-10/26 Authorizing the Creation of a 1.00 FTE Nurse Manager Position at the Lakeland Health Care Center (encl. pp. 15-17) 8. Reports a) Vacant Wing Project Update (encl. p. 18) b) Business Activity Report (encl. pp. 19-20) c) HR Hiring Report (encl. p. 21) 9. Correspondence 10. Announcements 11. Upcoming Events 12. Set/confirm next meeting date and time – Wednesday, October 21, 2026 at 1:00 p.m. 13. Adjournment Submitted by: Ken Monroe – Board Chairperson Carlo Nevicosi – Director/Superintendent of County Institutions Posted: September 10, 2026 Lakeland Health Care Center | 1922 County Road NN | Elkhorn, WI 53121 www.co.walworth.wi.us | (262) 741-3600 (o) | (262) 741-3682 (f) Memorand um To: Lakeland Health Care Center Board of Trustees CC: Mark Luberda, County Administrator From: Carlo Nevicosi, Director/Superintendent of County Institutions Date: September 9, 2026 RE: September 16, 2026 Lakeland Health Care Center Board of Trustees Meeting ______________________________________________________________________________ The Lakeland Health Care Center Board of Trustees meeting agenda includes the following items:  2027 L akeland Health Care Center Budget Presentation We will provide a detailed presentation covering the proposed 2027 LHCC budget.  Res. No. * *-10/26 Authorizing the Creation of a 1.00 FTE Nurse Manager Position at the Lakeland Health Care Center We are requesting approval for early implementation of this position. Justification for the request will be covered in the Budget Presentation. This also appears on the Human Resources agenda.  Vacan t Wing Project Update We will provide a short update on the status of the vacant wing project.  Business A ctivity Report The monthly business activities report is included in your packet for review.  HR Hiring Report Hiring data is included in your packet for review. Page 1 of 21 DRAFT Wa lworth County Board of Supervisors Lakeland Health Care Center Board of Trustees Meeting Minutes Wednesday, July 22, 2026 Walworth County Government Center, County Board Room 114 100 West Walworth Street, Elkhorn, Wisconsin Cha ir Kenneth Monroe called the meeting to order at 1:00 p.m. Rol l call was conducted and the following members were present: Chair: Kenneth Monroe; Vice-Chair Kathy Ingersoll; Supervisors Brian Holt, Tyler Schneider, and Joseph Schaefer (Remote). A quorum was declared. Ot hers in Attendance County Staff: Walworth County Administrator Mark W. Luberda; Deputy Corporation Counsel Haley Johnson; Director-Health and Human Services/Superintendent of County Institutions Carlo Nevicosi (Remote); and Nursing Home Administrator Denise Johnson On mo tion by Supervisor Holt, second by Vice-Chair Holt, the agenda was approved with no withdrawals. On mo tion by Vice-Chair Ingersoll, second by Supervisor Schaefer, the June 17, 2026 Lakeland Health Care Center Board of Trustees meeting minutes were approved. Pu blic Comment – Patricia Kaczorowski, Delavan, Wisconsin spoke on behalf of Groundwell Collective showing interest in approval of the Lakeland Health Care Center feasibility study. Un finished Business 7a. 2027 Budget Ideas or Considerations Nursing Home Administrator Denise Johnson explained this item is on the agenda as an opportunity for Board members to ask questions and provide input into the 2027 budget. Johnson answered Supervisor Ingersoll’s inquiry by stating LHCC will be bringing some information next month on intergenerational plans at LHCC. New Business 8a. 2027 CNA Thrive Proposal Nevicosi referenced and presented the 2027 CNA Thrive Proposal, included on Pages 5-9 of the packet. He explained the proposal contains several strategies aimed at CNA recruitment and retention into a 2027 budget proposal. Nevicosi stated LHCC would like this proposal to be included in LHCC’s 2027 budget. He stated LHCC will be bringing the item back in September as a budget proposal. Johnson referenced and gave some background of the CNA Thrive Proposal, included in Pages 5-9 of the packet. She gave the presentation on this item covering: background, key findings, attendance costs & trends, four strategies: Reliable Care Champs, Pulse & Presence, Weekend Warriors, and Care Merge. Johnson discussed how CNAs are the backbone of 24/7 resident care. She also discussed the budget for the project. Discussion ensued. Johnson and Nevicosi collaboratively agreed that LHCC would like to proceed with all four strategies. They will be working with County Page 2 of 21 Walworth County Board of Supervisors July 22, 2026 Lakeland Health Care Center Board of Trustees Meeting Minutes Page 2 of 3 Administrator Luberda on how this proposal aligns with the budget and will come back in September to discuss it. Discussion ensued. Supervisor Schneider indicated he liked all the proposals but asked if instead of the Champions Lounge in Tier 1 of the Reliable Care Champions proposal, if there could be a $100 stipend incentive. Johnson and Nevicosi both stated that is a possibility and will speak to Human Resources. They will bring back information at the September meeting. Chair Holt concluded by stating this proposal aligns with what the board has requested for years.to bring forward proactive strategies. Re ports 9a. Capital Projects Update Including Discussion on Feasibility Studies Johnson referenced and discussed the Memorandum, included on Page 10 of the packet. She stated that residents have not been able to occupy the final wing, but Nicole Whitman is working on the hurdles and will focus on getting occupancy for the residents. Johnson also discussed the final change order in the amount of $165,000. In conclusion, she discussed the submission of the application for the FY2026 Community Project Funding/Congressionally Directed Spending Program on July 6, 2026. Johnson stated three bids were received from the submission and she will review the bids with Nevicosi and bring a business plan to the LHCC committee. 9b . Consideration for Alternative Intergenerational Engagement Nevicosi referred to and discussed his Memorandum, included on Pages 11-12 of the packet, which outlined some common approaches to intergenerational care. He discussed the three intergenerational care models: Shared-Site Intergenerational Center; Program- Based Intergenerational Engagement; and Community Intergenerational Networks. Nevicosi stated LHCC would like guidance on what topics the LHCC Committee would like to continue to proceed. He stated he recommends moving the discussion of childcare, intergenerational care, and the County’s role to the HHS committee. Supervisor Schneider offered a motion, second by Supervisor Schaefer, to forward Item 9b., Consideration for Alternative Intergenerational Engagement to the HHS Committee. Further discussion on the County’s obligation to address the issue of childcare; and the need for Committees to have regular updates on their ideas are going from the HHS Committee. Motion carried 5-0. 9c. Business Activity Report Johnson referenced the Business Activity Report, included on Pages 13-14 of the packet. She stated LHCC has a New Admissions Coordinator Kelly Fuller, and a new Director of Nursing Jessica Kuhart. 9d. HR Hiring Report Johnson referenced the Hiring Update Report, included on Page 15 of the packet, highlighting vacancies and candidates. C orrespondence – There was none. Page 3 of 21 Walworth County Board of Supervisors July 22, 2026 Lakeland Health Care Center Board of Trustees Meeting Minutes Page 3 of 3 A nnouncements There were none. U pcoming Events There were none. C onfirmation of next meeting date and time: The next meeting was confirmed for Wednesday, September 16, 2026 at 1:00 p.m. A djournment On motion and second by Supervisor Holt and Supervisor Schneider, Chair Monroe adjourned the meeting at 1:42 p.m. _________________________________________________________________________________ Submitted by Kathleen Aukland, Administrative Assistant. Meeting minutes are not considered final until approved by the Lakeland Healthcare Center Board of Trustees at the next regularly scheduled meeting. Page 4 of 21 2027 Proposed Budget Lakeland Health Care Center 1 2027 Budget Goals REDUCED LEVY DEPENDENCE EVALUATE REIMBURSEMENT RATES ADDRESS ABSENTEEISM AND VACANCIES PLAN FOR THE FUTURE OF LHCC 2 1 2 Page 5 of 21 Budget Comparison *Other expense includes $1,269,520 for estimated loss on building, offset in use of fund balance. 3 Sheriff 48.7% HHS 20.5% CDEB 9.2% DPW 12.4%LHCC 2.8% All Other 6.4% Tax Levy Impact 2026 Adopted Budget 4 3 4 Page 6 of 21 Census & Resident Revenues 80.03 76.57 78.44 79.9 83.66 85 84 72 74 76 78 80 82 84 86 2021 2022 2023 2024 2025 2026 2027 Census Census $435/day projection 5 Private Pay Rate & Cost of Care *2027 proposed budget includes a $30/day private pay rate increase 6 475 485 482 507 542 428 427 476 473 340 350 370 370 400 0 100 200 300 400 500 600 2023 2024 2025 2026 2027 Cost Per Resident Day Cost Per Resident Day:Budget Cost Per Resident: Actual Private Pay Rate 5 6 Page 7 of 21 Payroll Savings 7 CNA Thrive Recruitment & Retention Strategies Reliable Care Champs $30,850 Pulse & Presence Weekend Warriors $77,782 Care Merge $73,127 8 7 8 Page 8 of 21 2026 LHCC Crisis Shifts 9 LHCC Staffing Strategies 10 9 10 Page 9 of 21 Personnel Change Overview Consolidate 6 part-time CNA & RN positions into .80 FTE Roles Designate 16 .20 FTE CNA, LPN, RN positions as “Weekend Warriors” Add 1.0 FTE Night Nurse Manager • Strengthen consistency & care quality • Reduce reliance on agency staff • Provide leadership during isolated hours • Enhance oversight of quality & safety • Improve retention of NOC staff • Improve hiring competitiveness • Improve operational stability • No net FTE increase 11 Senior Nutrition Program Partnership Home Delivered • 41,500 meals Congregate • 17,000 meals HHS/LHCC Partnership • New menus New Pop-Up Locations 2027 Goals 2025 Participant Data Home Delivered Meals Total Participants: 321 >85 125 75-84 111 60-74 77 Under 60 7 DOB Missing 1 Congregate Meals Total Participants: 233 >85 75 75-84 68 60-74 78 Under 60 11 DOB Missing 1 12 11 12 Page 10 of 21 LHCC Fund Balance Internal Designation Balances Building $6,819,870 Equipment $2,811,332 Pandemic/Transition Allowance $1,500,000 Undesignated Balance Unrestricted $5,786,074 Approx available to commit $3,568,048 *Fund balances as of 12/31/2025 *Per Sec. 30-181, Pandemic/Transition Allowance is to be repurposed 12/31/2026 13 2027 Capital Projects 14 Vacant Wing Modification 4,000,000$ LHCC North Parking Lot Replacement 1,000,000$ LHCC Furniture Replacements 155,000$ Courtyard Sunshades & Access 150,000$ LHCC Chiller Replacement 50,000$ Laundry Washing System 25,000$ Food Holding/Transport Carts 12,000$ Various Nursing/Facility Equipment 60,500$ Total 2027 Capital Projects 5,452,500$ Planned 2027 Capital Projects 13 14 Page 11 of 21 Courtyard Improvements $150,000 • Safety issues with umbrellas identified • Permanent shades or sails provide necessary sun protection • Consider suns shades/pergolas Sunshades • Courtyard doors are open for B and C wing residents • Many are unable to operate the doors to let themselves back in • Door operators enhance safety and independence Handicap Door Operators Cost Breakdown • 3 total Sunshades with automatic door operators: ~$133,800 with architect/engineering fees 2028-2031 Projects 16 15 16 Page 12 of 21 Envisioning Tomorrow: Thoughtfully Transforming Our Vacant Wing NO RELIANCE ON TAX LEVY MAXIMIZE USE OF COUNTY ASSET ADDRESS UNMET NEED 17 Sustainable Business Model No Reliance on Tax Levy 20+ Bed Community Based Residential Facility (CBRF) • Fills a gap in continuum of care • CBRFs meet a wide range of needs • Payer mix can be adjusted to meet revenue targets • Federal funding support 18 17 18 Page 13 of 21 Thank you! 19 19 Page 14 of 21 Lakeland Health Care Center | 1922 County Road NN | Elkhorn, WI 53121 www.co.walworth.wi.us | (262) 741-3600 (o) | (262) 741-3682 (f) Memorandum To: Lakeland Health Care Center Board of Trustees Human Resources Committee Finance Committee From: Denise Johnson, NHA Date: August 18th, 2026 RE: Res. No. **-10/26 Authorizing the Creation of a 1.00 FTE Nurse Manager Position at Lakeland Health Care Center ______________________________________________________________________________ Lakeland Health Care Center is requesting early implementation of the Night Nurse Manager position, included in the proposed 2027 budget. This request is being brought proactively due to both emerging operational concerns and the anticipated difficulty in recruiting for this highly specialized leadership role. Over the past year, two serious citations occurred during the night shift. These incidents highlighted a critical gap, the absence of onsite leadership overnight. As a result, staff are left without immediate leadership support, guidance, and accountability during the hours when the facility is most vulnerable. Introducing a Night Nurse Manager will help ensure regulatory compliance, strengthen clinical decision-making, support staff performance, and improve resident safety during overnight hours. This role is essential to maintaining the high standards expected of Lakeland Health Care Center and to preventing future deficiencies. The financial impact of early implementation is manageable. LHCC is projected to return over $1million in payroll savings. Leveraging these savings allows us to address a critical need without increasing overall costs to the County. Given the urgency highlighted by recent citations and the potential recruitment challenges, early implementation is both fiscally responsible and operationally necessary. Page 15 of 21 1 Resolution No. **-10/26 Authorizing the Creation of a 1.00 FTE Nurse Manager Position at the Lakeland Health Care Center M oved/Sponsored by: Lakeland Health Care Center Board of Trustees, Human Resources 1 Committee, and Finance Committee 2 3 WHEREAS, there are currently 2.00 FTE Nurse Manager positions at the Lakeland Health Care 4 Center; and, 5 6 WHEREAS, management at Lakeland Health Care Center seeks to create a 1.00 FTE Nurse 7 Manager position for the night shift to help ensure regulatory compliance, strengthen clinical 8 decision-making, support staff performance, and improve resident safety during the overnight 9 hour; and, 10 11 WHEREAS, the Lakeland Health Care Center Board of Trustees, Human Resources Committee, 12 and Finance Committee have considered the creation of a 1.00 FTE Nurse Manager position and 13 hereby recommend the creation. 14 15 NOW, THEREFORE, BE IT RESOLVED by the Walworth County Board of Supervisors that 16 the creation of a 1.00 FTE Nurse Manager position at the Lakeland Health Care Center be and 17 the same is hereby approved effective as of October 26, 2026. 18 19 BE IT FURTHER RESOLVED that the County Administrator shall update the appropriate 20 Administrative Procedure to reflect the new FTE count of 3.00 FTE Nurse Manager positions at 21 the Lakeland Health Care Center, 104.75 total Lakeland Health Care Center FTEs, with the 22 Grand Total County FTEs being adjusted accordingly for the overall 1.00 FTE increase. 23 24 25 26 Rick Stacey Susi Pike 27 County Board Chair County Clerk 28 29 County Board Meeting Date: October 13, 2026 30 31 Action Required: Majority Vote Two-thirds Vote X Other ______ 32 Policy and Fiscal Note is attached. Reviewed and approved pursuant to Section 2-91 of the Walworth County Code of Ordinances: ____ ________________________ _____________________________ Michael P. Cotter Date Jessica Conley Date Corporation Counsel Finance Director Mark W. Luberda Date County Administrator If unsigned, exceptions shall be so noted by the County Administrator. Page 16 of 21 2 Policy and Fiscal Note Resolution No. **-10/26 I. T itle: Authorizing the Creation of a 1.00 FTE Nurse Manager Position at the Lakeland Health Care Center II. P urpose and Policy Impact Statement: The purpose of this resolution is to authorize the creation of a 1.00 FTE Nurse Manager position at the Lakeland Health Care Center. III. B udget and Fiscal Impact: Passage of this resolution for the creation of a 1.00 FTE Nurse Manager will result in a cost of $23,094 in 2026 and $120,599 annually. In 2026, the cost of this position will be offset by payroll savings from other LHCC vacancies. This position is included in the 2027 budget. I V. Referred to the following standing committees for consideration and date of referral: C ommittee: Lakeland Health Care Center Date: September 16, 2026 Board of Trustees V ote: C ommittee: Human Resources Committee Date: September 16, 2026 V ote: C ommittee: Finance Committee Date: September 17, 2026 V ote: C ounty Board Meeting Date: October 13, 2026 Policy and fiscal note has been reviewed and approved as an accurate statement of the probable policy and fiscal impacts associated with passage of the attached resolution. ____ _______________________________ ____________________________________ Michael P. Cotter Date Jessica Conley Date Corporation Counsel Finance Director Mark W. Luberda Date County Administrator Page 17 of 21 Lakeland Health Care Center | 1922 County Road NN | Elkhorn, WI 53121 www.co.walworth.wi.us | (262) 741-3600 (o) | (262) 741-3682 (f) Memorand um To: Lakeland Health Care Center Board of Trustees From: Carlo Nevicosi, Superintendent of County Institutions Date: September 9, 2026 RE: Vacant Wing Project Update ______________________________________________________________________________ We recently selected The Fox Group to conduct a market and financial feasibility analysis to support decision making on the development of an assisted living facility within LHCC’s vacant wing. The estimated project duration is eight to ten weeks from start date. We are working now to coordinate a kick-off meeting. The ana lysis and key deliverables will include: • Onsite Visit & Market Fieldwork: facility assessment, competitor evaluation, stakeholder interviews. • Market Analysis & Report: recommended licensure/operating model, unit mix, pricing, demand and occupancy projections, comprehensive market report. • Financial Feasibility & Business Plan: five-year operating pro forma, break-even and ROI analyses, sensitivity testing, final presentation. Page 18 of 21 Lakeland Health Care Center - Walworth County Nursing Home Administrator's Report - thru July 2026 Worker's Compensation January February March April May June July August September October November December Year to Date Prior Year Injuries 0 1 3 2 0 2 2 10 17 Claims Filed 0 1 2 2 0 1 2 8 9 Lost Time Hours 0.00 9.00 39.75 22.75 0.75 1.00 0.00 73 49.25 Worker's Compensation - Yearly Claims Totals Worker's Compensation-Yearly Transactions Total Paid Total Incurred 2026 113,474.38$ 167,051.38$ 2026 2025 202,731.71$ 220,315.15$ 2025 2024 $ 19,870.58 $ 19,870.58 2024 Grand Total 336,076.67$ 407,237.11$ Grand Total Transa Overtime Costs January February March April May June July August September October November December Year to Date Prior Year CNAs/CMAs 16,186$ 13,500$ 17, 216$ 18, 320$ 17, 091$ 22, 001$ 17, 576$ 121, 889$ 186, 832$ RNs 7,854$ 5,959$ 14, 309$ 7, 671$ 8, 074$ 7, 159$ 7, 497$ 58, 523$ 119, 897$ LPN 9,802$ 7,406$ 6, 029$ 5, 503$ 5, 182$ 6, 436$ 10, 769$ 51, 127$ 111, 488$ All Other 3,250$ 3,707$ 5, 541$ 3, 915$ 2, 613$ 2, 459$ 2, 619$ 24, 105$ 54, 954$ Total 37,093$ 30,571$ 43, 094$ 35, 409$ 32, 960$ 38, 055$ 38, 461$ -$ -$ -$ -$ -$ 255, 644$ 473, 170$ Crisis Hours January February March April May June July August September October November December Year to Date Prior Year Monthly Crisis Hours 557.5 463.75 783.25 694.25 658.75 655.75 501.50 4314.75 6,090.50 Avg Crisis Premium 10.00$ 10.00$ 10.00$ 10.00$ 10.00$ 10.00$ 10.00$ 10.00$ 10.00$ CNAs/CMAs January February March April May June July August September October November December Year to Date Prior Year* Overtime Hours 535.75 373.50 477.50 437.50 533.50 571.25 505.25 3,434.25 5,405.53 Call Ins 36 29 38 20 20 14 18 175.00 575.00 Mandatory Hours 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Licensed Staff January February March April May June July August September October November December Year to Date Prior Year* Overtime Hours 328.25 229.50 344.75 201.75 201.50 207.00 321.50 1,834.25 3,970.75 Call Ins 6 6 11 11 7 6 3 50.00 67 Mandatory Addt'l Hours 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Resident Census January February March April May June July August September October November December Year to Date Prior Year Admissions 16 11 16 14 13 19 17 106 203 Discharges/Death 13 15 13 12 16 12 16 97 203 Referrals 150 108 99 94 94 104 117 766 1,161 Average Resident Census 81 80 83 83 80 83 85 82 84 Percent of Capacity (90) 90.11% 88.33% 91.78% 92.00% 89.00% 92.22% 94.33% 91.11% 93.44% Patient Payor Mix January February March April May June July August September October November December Year to Date Prior Year Medicaid 65.90% 66.32% 63.65% 61.80% 63.38% 59.58% 57.50% 62.59% 62.16% Medicare 8.83% 8.08% 11.71% 9.90% 7.49% 11.21% 10.48% 9.67% 11.61% Private Pay 25.27% 25.60% 24.64% 28.30% 29.13% 29.21% 32.02% 27.74% 26.23% Total 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 0.00% 0.00% 0.00% 0.00% 0.00% 100.00% 100.00% Aging Balances January February March April May June July August September October November December Prior Year Decembe Current 807,978.74$ 690,712.85$ 840, 748.35$ 766, 441.22$ 773, 876.82$ 744, 275.34$ 816, 550.03$ 797, 343.48$ 30 Days 119,660.27$ 131,315.19$ 67, 082.55$ 151, 614.21$ 76, 291.21$ 91, 419.30$ 101, 475.40$ 111, 535.08$ 60 Days 7,348.97$ 12,806.74$ 9, 134.42$ 4, 617.95$ 49, 630.36$ 1, 415.46$ 7, 440.32$ 72, 057.91$ 90+ Days 189,717.25$ 193,752.67$ 125, 536.94$ 137, 477.57$ 122, 682.45$ 115, 606.59$ 111, 024.09$ 192, 495.98$ Total Aging Balance 1,124,705.23$ 1,028,587.45$ 1, 042,502.26$ 1, 060,150.95$ 1, 022,480.84$ 952, 716.69$ 1, 036,489.84$ -$ -$ -$ -$ -$ 1, 173,432.45$ Resident Accounts 90+ Past Due Over $30,000 January February March April May June July August September October November December Prior Year Resident F 113,580.15$ 113,570.15$ 111, 621.20$ 111, 611.20$ 109, 274.05$ 109, 264.05$ 106, 490.33$ 116, 049.71$ Resident I 33,654.87$ 33,654.87$ -$ -$ 33, 654.87$ Total 147,235.02$ 147,225.02$ 111,621.20$ 111,611.20$ 109,274.05$ 109,264.05$ 106,490.33$ -$ -$ -$ -$ -$ -$ 149,704.58$ Star Rating - Overall Health Insp. Staffing Quality Measures 3 STAR 2 STAR 5 STAR 3 STAR Open Senior Management Positions Ordinance Sec. 51-2 119,723.83$ Total Paid 231,611.91$ 540,437.63$ 189,101.89$ Page 19 of 21 12 month rolling period review Month Aging Balance Inc/(Dec) Prior Month Write-Offs 25-Jul $1,156,445.37 $4,216.84 $- 25-Aug $1,273,870.38 $117,425.01 $- 25-Sep $1,227,301.04 ($46,569.34) $- 25-Oct $1,332,130.65 $104,829.61 $- 25-Nov $1,298,088.77 ($34,041.88) $- 25-Dec $1,173,432.45 ($124,656.32) $31,059.66 26-Jan $1,124,705.23 ($48,727.22) $- 26-Feb $1,028,587.46 ($96,117.77) $- 26-Mar $1,042,502.26 $13,914.80 $50,804.79 26-Apr $1,060,150.95 $17,648.69 $- 26-May $1,022,480.84 ($37,670.11) $- 26-Jun $952,716.69 ($69,764.15) $- 26-Jul $1,036,489.84 $83,773.15 $- Lakeland Health Care Center - Walworth County Total Aging by Pay Source Page 20 of 21 Hiring Notes LPN Total Hires - 1 Applicants 1- Hired and did not start RN Total Hires - 0 Applicants 2 - No Response to email or phone call July and August 2026 CNA Total Hires - 14 Total Viable Applications - 30 Applicants 10- Applied and hired within July & August 2- Offered with start dates pending in September 2- Offered and did not accept 1- Pending interviews in September 8- No show to interview 7 - No response to email or phone call Page 21 of 21