Efforts on Facility Operations & Plant

1996 Lanzikos, McDonough & Associates Management Report

- Review of management and governance structure of OIH.

- Major findings included:

  • Seek rate relief from Medicaid program.
  • Alternative forms of ownership/management may not be beneficial as lose oversight of day-to-day operations and may impact rate relief efforts.
  • Deficit examined and strategies to bring down the deficit are limited.
  • Staffing levels and physical plant are standard with current standards.

2007 and 2009 reports from BruJan Consulting and Demarco Architects

- Providing an update to the 2007 presentation to provide acknowledgement of the bankruptcy status of Sherburne Commons, they presented 4 options in 2009:

  • Status quo (continue with increasing annual losses and an obsolete building with an institutional operational model).
  • Close OIH. Residents would move to off-island facilities or remain home.
  • Find an outside operator.
  • Make the investment to upgrade OIH to make it less costly to operate and less institutional.
  • This last option was the focus of more review to construct a new facility at the same location of the Sherburne Commons building (with potential repurpose of current building) as well as a design for the current East Creek Site was formulated.
  • No action was taken on these recommendations at that time.

September 2012 – OIH Workgroup developed

- Appointed by the Select Board to do an in-depth review of the finances and operations of OIH.

- 4 recommendations were presented for exploration and further community discussion.

  • Develop community-based care to be delivered to people in their homes rather than as residents of a skilled nursing facility.
  • Develop a Village Model which brings existing elder services together.
  • Build a smaller facility abutting the Sherburne Commons building
  • Sell current location to Land Bank to offset building new facility.

April 2014 SED Associates Mechanical Engineer Assessment

- Current facility’s current building systems (HVAC, plumbing, electrical) reviewed.

- Multiple system replacement or upgrades were recommended.

April 2015 Annual Town Meeting

- Multiple capital requests submitted for current building upgrades related to SED Assessment.

- Authorization to borrow $1,000,000 for costs associated with design of new facility.

June 2015 Feasibility Study

- Engaged SMRT Architects. After review of multiple sites, including phased or new build on the current site, it was initially determined a new facility adjacent to the Sherburne Commons building was the most feasible. Siting single phase construction, resident disruption, model/living environment, parking, future expansion options, and cost as leading reasons.

- Specific issues were later found including artifacts and costs of acquiring additional land.

- Community outreach on findings began September 2015 through January 2017.

November 2015 Special Town meeting

- Due to in an advertent error to do debt exclusion in April 2015 vote, re- authorization of original funds for designs of a new facility was sought. Opposition to the inclusion of the word ‘new’ was discussed. This passed with authorization of $1,000,000.

December 2015 

- Engagement with SK Advisors & Rabig Consulting through SMRT

- A joint effort to explore and determine bed size, model of care, financial pro-forma for options identified, demographic projections, and recommend an operating and staffing plan for OIH.

Final report provided January 2017 and explored financial options based on a four 10-unit small house model (30 skilled nursing beds and 10 rest home level of care beds). 

October 2016 Annual Town Meeting

Multiple capital requests submitted for current building upgrades while future of OIH options continue to be explored.

October 2016 Special Town meeting

Voters passed a citizen article requiring the formation of a workgroup to resolve financial and otherwise unanswered questions or open issues related to the relocation, design, staffing, site control and demographics.

November 2016

Select Board voted to explore plans for a new facility to be located at Miacomet Road (Sherburne Commons site).

December 2016 OIH Workgroup was formed

- Presentation to Select Board in March 2017 identified seven areas for further clarification.

- 2 main recommendations were:

  • More in-depth review of the current East Creek Road site
  • Any warrant article brought forth needs to also address commitment to continue to own and operate a skilled nursing home in the future.

December 2016 OIH Building Committee appointed

- Committee charged to perform document and design review for a new OIH.

- Also took a step back and reviewed work from the past 10-12 years, examined models of care (small house, traditional, etc.), additional site reviews, and examined potential capital costs associated with potential options.

- The two focus sites were Miacomet Road (adjacent to Sherburne Commons building) and the current East Creek Road site.  

January 2017 SMRT, SK Advisors & Rabig Consulting final report

- Examined financial options based on a four 10-unit small house model (30 skilled nursing beds and 10 rest home level of care beds) on the Miacomet Road site.

- Conceptual plans developed by SMRT accompanied this report.

- Explanation of current site logistics explained. Options for the existing site, including Landmark House relocation were explored further by Select Board directive after the January 2017 report.

November 2017

- Discussion with State Senator and Representatives on issues regarding OIH related to its current and future status and matters involving DPH that may impact future decisions on a new facility.

December 2017 

- Letter to MA DPH Commissioner Bharel related to our questions and concerns sent.

April 2017 Annual Town Meeting

- Four articles were put forth to authorize the borrowing of $30,000,000 for design and construction of a new facility along with the purchase and related sewer and zoning changes of private property adjacent to the Miacomet Road lot (Sherburne Commons).

While by a narrow margin, the article(s) did not pass.

October 2017 Select Board review of facility upgrade project status

- Discussion on April 2017 ATM outcome occurred resulting in a refocus on next steps and potential for a later discussion.

November 2017 Select Board discussion about possible actions to take to move forward with a new plan for OIH

- The Board voted that Town Administration start searching for a firm to make recommendations on operating options, cost estimates, demographics and determine the feasibility of building at the current location.

May 2018 engaged CliftonLarsonAllen (CLA)

- CLA explored financial impacts and operational analysis of OIH.

- Updates were presented in October and December 2018 that presented financial models for 45 or 40 bed configurations, anticipated square footage, and related operational and capital costs.

- Recommended engagement of Architect to assist in feasibility and conceptual design renderings. Efforts for this began September 2018.

March 2019 Feasibility study engaged LWDA

- Conduct an architectural/engineering feasibility study to explore what it would look like, what steps would be needed, and potential cost to either renovate or build a new facility on the existing site (East Creek Road).

- May 2019 hosted a Charrette to explore schemes developed.

- Presented two schemes to Select Board September 2019 with CLA. Both schemes represented a phased 2-story construction for a 45-bed facility.

April 2020 Annual Town meeting

- Select Board to determine what warrant articles to sponsor. Current discussion includes:

  • Operational override due to continued operating deficit.
  • Seek authorization for design and associated cost funding in the amount of $5,000,000 for phased construction on the East Creek Road site.