►
Description
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A
I'd
like
to
call
this
a
special
called
medium,
the
bedford
county
board
of
supervisors,
to
order
thank
you
for
coming
tonight
again,
any
cell
phones,
if
you
can
put
them
on
silent
or
vibrate,
please
any
gentlemen
wearing
hats.
If
you
could
remove
those
we're
going
to
get
started
with
the
staff
presentation
and
then
we'll
open
it
up.
A
If
you
have
signed
up
to
speak,
we'll
hear
from
you,
we
have
a
number
of
people
signed
up
to
speak
so
that
we're
not
all
here
super
late
tonight,
we'll
probably
limit
it
to
two
minutes
per
person
and
then
we'll
go
from
there
robert.
If
you'd
like
to
start
approval,
oh
yeah,
sorry,
I
do
need
to
ask
for
an
approval
of
the
agenda,
which
is
this.
One
public
hearing
got
a
motion
to
approve.
C
All
right,
thank
you,
mr
chairman,
and
board
members
and
audience
this
evening
for
coming
out
for
this
important
discussion.
Those
who
don't
know
me,
I'm
robert
hiss,
I'm
a
county,
administrator
and
well
before
I
took
this
job,
which
was
about
three
years
ago
and
really
in
most
cases
before
many
of
the
board
members
even
took
office.
There
has
been
talk
for
a
number
of
years
about
the
future
of
the
nursing
home
as
a
county
department
should,
or
should
it
be
a
county
department,
or
should
it
not?
C
That
question
has
been
around
and
circulated
in
the
community
and
the
government
for
for
quite
for
quite
a
number
of
years.
You
know
the
board
of
supervisors.
They
certainly
recognize
importance
in
having
a
nursing
home
on
this
on
this
particular
piece
of
property.
There's
no
doubt
that
the
board
of
supervisors
are
committed
to
having
that
service
on
that
piece
of
property.
The
board
of
supervisors
desire
to
continue
to
use
the
existing
building
for
elder
care
in
the
community.
C
I
know
there's
been
some
discussion
some
rumors
about.
Well,
you
know
we're
just
going
to
shut
down
the
whole
nursing
home
altogether.
That's
never
been
a
discussion
point.
The
commitment
has
always
been
that
elder
care
is
important.
There's
a
role
for
that
to
occur,
and
this
piece
of
property
has
served
in
that
role
for
decades
and
decades
and
decades,
and
it
should
continue
to
do
that
and
that
has,
but
there
has,
but
the
board
has
contemplated
pursuing
a
change
in
the
nursing
home
with
an
outside
buyer.
C
So
of
course
everybody-
and
I
would
ask
the
same
thing
if
I
were
sitting
in
your
shoes
or
I
know-
we've
talked
to
the
employees
about
this
about.
Why
make
this
change
and
why
make
it
now?
What
makes
this
so
special
to
do
it
right
now?
So
again,
like
I
said,
the
nursing
home
is
not
a
typical
government
function
in
virginia.
C
C
C
There
are,
or
there
have
been
other
nursing
homes
in
virginia
that
are
publicly
owned,
but
they
have
been
transformed
into
like
a
an
authority
kind
of
like
the
bedford,
regional
water
authority
or
the
economic
development
authority.
So
then
the
board
of
supervisors
in
those
communities
appoint
people
to
that
authority
to
govern
the
the
nursing
home.
So
that
has
happened
in
a
few
places
in
virginia.
C
C
Do
we
have
the
ability,
as
an
organization,
to
effectively
manage
a
an
important
facility
that
takes
care
of
the
lives
of
our
loved
ones
in
this
in
this
facility,
and
there's
no
doubt
that
we
have
employees
who
do
a
great
job
of
that
on
a
day-to-day
basis?
I'm
that's
not
not
a
question
at
all.
Employees
are
dedicated
to
doing
that
and
they
bring
themselves
to
work
every
day
and
do
a
tremendous
job
with
that.
But
then
there's
other
decisions
that
have
to
be
made
that
that
are
very
difficult
to
navigate
in
a
number
of
ways.
C
So
you
know,
with
kovid,
coming
on
board
that
again
that
added
a
whole
other
layer
of
expertise
that
needed
to
be
a
work
through
our
existing
nursing,
home
administrator
and
some
of
his
executive
staff
had
to
handle
a
number
of
the
rules
and
regulations
and
how
to
implement
those.
I
think
we
did
a
pretty
good
job,
but
again
it
was
very,
very
difficult
in
order
to
get
through.
All
of
that,
with
all
that
going
on,
you
know
there.
C
There
are
a
lot
of
other
issues
that
are
happening.
You
know
the
nursing
home
is
a
quality
facility
and
I'll
get
into
a
little
bit
more
details
about
what
that
means,
but
we
we
do
have
some.
We
do
have
some
wards
just
like
just
like
any
other
organization
or
company
or
whatever
you
may
want
to
call
it.
We
do
have
a
decreased
census.
Right
now
I
mean
we
have
an
entire
wing
of
a
nursing
home.
That's
vacant.
C
We
have
a
hard
time
finding
employees
to
work.
We
are
trying.
Sometimes
we
need
to
outsource
and
try
to
find
travel
nurses
in
order
to
work
that
cost
three
times
as
much
as
what
a
typical
nurse
would
cost
in
order
to
come
to
work
and
fill
positions,
and
probably
what
may
not
be
known
to
most
people
is
right
now
we're
losing
money,
and
we
will
finish
in
the
red
in
this
fiscal
year
when
it
finishes
in
june.
C
C
Another
thing
that
why
why
make
a
change
and
why
now
is
the
employer,
coveted
vaccine
mandate,
so
the
biden
administration
felt
that
it
was
necessary
and
I
don't
support
this,
but
they
felt
it
necessary
that
big
employers,
such
as
the
county
and
health
care
providers,
mandate
that
all
their
employees
can
have
coveted
vaccines.
C
That
is
something
that
the
board
of
supervisors
and
I've
spoken
to
all
of
them
individually.
Multiple
times
have
real
issues
and
concerns
with
so
what
happened
is
that
the
supreme
court?
You
know
through
a
number
of
different
rulings
and
so
forth.
The
supreme
court
overturned
the
biden
administration
rule
about
the
large
employers.
So
at
one
point
in
time,
every
single
county,
employee
in
bedford
county
would
have
had
to
have
a
vaccine,
otherwise
they
wouldn't
be
coming
to
work.
C
If
that,
if
they
didn't
want
to
get
vaccinated
so
that,
but
luckily
the
supreme
court
overturned
that
rule,
however,
what
the
supreme
court
upheld
was
for
healthcare
facilities,
so
what's
what's
that's
created
in
the
county
government
is
two
classes
of
employees.
C
We
have
500
or
so
employees
that
can
walk
around
and
come
to
work,
whether
they're,
vaccinated
or
not
vaccinated,
don't
have
to
worry
about
it
at
all.
They
can
do
whatever
they
want
in
terms
of
vaccines
or
not
vaccines,
but
we
have
100
employees
at
the
nursing
home
who
have
to
be
vaccinated
or
they
have
to
have
some
a
waiver
of
why
they're
not
vaccinated.
C
Someone
go
into
a
little
bit
of
been
looking
at
a
few
of
the
different
comments
and
emails
that
have
come
in
and
phone
calls
and
a
little
bit
of
social
media,
chatter
and
so
forth.
So
I'll
try
to
get
into
a
few
of
the
different
issues
that
may
answer
some
of
the
questions.
So
there's
been
some
talk
about
the
lack
of
transparency
in
this
process.
C
Well,
we're
in
the
private
sector,
nursing
homes
they're,
like
I
said
before,
we're
the
only
one
in
the
state
other
than
a
few
non-profits.
So
this
is
a
private
sector
world
in
terms
of
nursing
home.
So
if
we're
going
to
get
into
the
sale
of
a
nursing
home
that
we're
going
to
be
playing
by
we're
going
to
be
playing
in
the
private
sector,
sandbox
so
to
speak,
and
so
the
way
these
transactions
typically
occur
is
there's
negotiations
behind
the
scenes.
You
know
between
different
buyers
and
deals
are
struck
between
two
private
sector
entities.
C
The
employees
are
told
on
a
monday
that
on
tuesday
they're
going
to
be
an
employee
of
a
different
company,
that's
how
these
transactions
work
in
the
private
sector
or
the
real
world.
So
to
speak,
where
that's
fair
or
unfair-
that
that's
that's
how
it
works,
so
so
I'll
go
through
what
the
process
that
we
went
through.
But
this
is
the
transparency
they
don't
they
for
for
a
typical
private
sector
sale,
they
don't
have
to
have
a
public
hearing,
they
don't
have
to
have
a
public
meeting
or
anything
like
that.
C
C
So
what
the
process
that
was
used
is
again
going
through
the
reasons
why
about
six
months
ago,
or
so,
the
board
of
supervisors
asked
county
staff
to
start
researching.
How
do
we,
how
do
we
engage
with
a
private
sector
partner
or
a
potential
buyer
of
this
nursing
home?
So
we
we
engaged
with
some
individuals,
one
of
them.
His
name
is
sam,
phillips
of
walker,
phillips
healthcare,
consulting
and
some
legal
advice
from
williams
mullins,
because
dealing
with
nursing,
home
and
medicare
medicaid
issues
and
so
forth
is
pretty
complex.
C
Sam
phillips
and
williams,
mullins
law
firm
they've
been
involved
with
the
vast
majority
of
all
health
care
transactions
in
virginia
over
the
past
decade.
So
we
felt
very
comfortable
that
we're
dealing
with
professionals
and
pros
and
they
kind
of
knew
what
they
were
doing
in
terms
of
how
to
navigate
these
waters
through
that
process.
Before
we
really
got.
C
The
next
step
was
reviewing
with
the
board
of
supervisors.
What
kind
of
criteria?
What
were
we
looking
for
in
a
partner,
and
we
went
through
that
process
and
I'll
get
into
what
some
of
those
criteria
are
later,
but
we
talked
about
that
and
listed
that,
so
we
knew
what
we
were
looking
for
in
a
potential
buyer.
C
In
conjunction
with
us,
mr
phillips,
and
with
mr
phillips,
we
ended
up
shortlisting
five
candidates
or
companies
that
we
essentially
invited
to
bid
these
companies
all
had
presence
in
the
region
and
within
the
within
the
state,
and
they
met
a
number
of
the
criteria
that
we
were
looking
for.
Four
ended
up
submitting
offers
one
did
not
submit
an
offer,
but
four
of
them
did
we
a
group
of
a
committee
of
the
board
and
county
staff.
C
We
interviewed
all
the
different
offers
and
did
a
good
about
due
diligence
on
terms
of
what
their,
what
their
track
record
is
and
so
forth,
and
through
that
process,
american
health
care
emerged
as
a
as
a
top
candidate,
of
course,
in
a
transitioning
to
where
we
are
today,
of
course,
with
any
provider.
You
know
there
there's
going
to
be
some
changes
and,
of
course,
we're
looking
for
a
buyer
who's
closest
to
our
values,
our
culture
and
our
practice
model
american
is
relatively
similar
to
our
business
model.
In
a
lot
of
different
ways.
C
So
there's
lots
of
nursing
homes
that
exist
that
do
medicare
and
they
charge
a
lot
of
money
in
order
to
to
offer
services
that
are
paid
for
by
medicare,
but
we
are
facility
and
american
we
predominantly
cater
to
medicaid
residents.
So
medicaid,
of
course,
provides
services
to
a
statement
of
the
population
who
need
this
type
of
assistance,
and
this
is
that
has
been
the
mission
of
this
facility
for
decades
and
decades
and
has
also
been
a
mission
of
american
health
care
as
well.
C
American
operates
16
facilities
across
virginia
and
some
of
them
in
much
more
rural
areas
than
what
bedford
is,
but
I
will
go.
I
will
go
through
kind
of
what
the
goals
and
the
focus
points
that
the
board
and
we
identified
that
were
important
and
really
american,
just
checked
more
of
the
boxes
than
some
of
the
other
candidates
did.
C
Of
course
we
wanted
to
have
minimal
disruption,
I
mean
if
we
ended
up
selling,
you
know
in
terms
of
the
culture
and
how
the
facility
operates
and
want
to
have
minimal
disruption,
and
we
didn't
want
to
have
any
plans
to
reduce
staffing
or
want
to
limit
that
as
much
as
possible.
If
anything,
there
needs
to
be
added
added
staff.
I
mean,
of
course,
I
mentioned
earlier,
how
we're
we
have
a
short
census
in
the
facility
right
now,
so
you're
gonna
have
to
add
staff,
not
cut
staff.
C
Of
course
we
want
to
go
with
somebody
who
has
similar
rates.
So,
of
course,
medicaid
rates
are
pretty
static
and
they're
constant.
So
what
medicaid
rates
are
here
are
medicaid
rates.
Medicaid
rates
are
what
they
are
in
bedford,
where's,
what
they
would
stay
in
bedford,
no
matter
who
owned
that
nursing
home
the
medicaid
rates
are
going
to
be
what
the
medicaid
rates
are.
C
The
private
pay
rates,
and
we
do
have
some
private
pay
residents
in
that
in
the
facility
they
would
have
remained
the
same
or
they
may
have
even
decreased.
Actually
american
within
some
of
their
other
facilities.
They
actually
have
lesser
they
charge
less
for
private
pay
than
what
we
charge.
C
Employee
pay
rates
would,
of
course,
stay
the
same
or
potentially
even
increase.
There
be
no
decreases
in
pay
at
all
employee
benefits,
I'm
that
this
is
one
area
that
we
did
struggle
with,
and
we
had
a
lot
of
conversations
about
is
being
a
county
government.
We
are
all
participating
in
the
virginia
retirement
system.
So,
of
course,
a
private
sector
company
cannot
do
unless
we're
going
to
do
a
pension
which
almost
nobody
does
a
pension.
C
C
C
One
of
the
questions
is:
do
county?
Do
county
residents,
get
preferential
treatment
and
will
that
be
lost
by
selling?
Well,
the
answer
is
that
our
kind
of
residents
don't
get
preferential
treatment.
There
is
no.
If
you
want
to
get
into
the
nursing
home,
you
don't
get
to
go
to
the
frontal
line
because
you're
a
bedford
county
resident,
we
can't
discriminate
based
on
entry
into
a
nursing
home
based
on
your
zip
code.
Whenever
you
accept
medicaid
dollars
and
federal
dollars.
C
If
somebody's
meets
a
criteria
to
come
into
the
nursing
home
and
gets
on
that
waiting
list
or
that
they
live
here
somewhere
else,
they
can
come
into
the
bedford
county,
nursing
home.
It
is
local
and
yes,
there
are
more
bedford
county
residents
in
the
nursing
home
than
not,
but
that,
but
there
is
not
a
necessarily
a
a
true
benefit
for
a
bedford
county
resident.
C
You
know
some
people
may
say
well.
This
is
all
about
the
money.
Well,
I
mean
you
get
money
from
selling
a
facility,
certainly,
but
actually
in
terms
of
the
selection
process.
C
There
were
potential
buyers
who
offered
more,
and
if
it
was
all
about
the
money,
then
we
we
had
other
people
that
we
could
have
that
we
could
have
wanted
to
engage
with,
but
we
chose
american
because
we
again
for
a
lot
of
the
reasons
I
already
talked
about,
and,
of
course
you
know,
the
nursing
home
does
typically
make
money.
I
mean
it
is
its
own
self-supporting
fund,
but,
like
I
mentioned
earlier
the
past
couple
years,
we
have
had
a
loss
of
loss
of
money.
C
Fortunately,
the
we've
had
a
healthy
fund
balance
in
order
to
cover
that
and
absorb
those
those
losses
in
the
short
term
and
whether
we
can
absorb
those
in
long
term.
That
remains
to
be
seen.
This
was
some.
I
saw
this
at
one
point:
is
the
county
selling
or
restricting
access
to
fallen
creek
park?
The
answer
is
no
the
sale
would
the
sale
of
the
facility
would
have
encompassed
the
building
and
a
few
acres
that
would
be
going
back
to
fallen
creek
road.
C
The
main
parking
lot
that
employees
use
would
have
a
joint
use
agreement
when
there's
different
special
events
or
overflow
parking
is
needed
for
facility
for
functions
that
occur
at
fallen
creek
park
there
was
there
was
some
discussion
about
americans
how
they
do
have
a
few.
C
C
I
don't
think
everybody
in
this
room
agrees
that
we're
perfectly
average
but
we're,
but
that's
where
we
are
so
we
have
room
for
improvement.
C
An
american
did
have
does
have
some
facilities,
they
have
sticks,
as
somebody
pointed
out,
and
one
that
has
a
one
or
two
star.
Of
course
they
have
10
facilities
that
are
either
three
four
or
five
stars,
so
in
fact
they
have
three
five-star
facilities.
So
american
is
a
quality
operator
in
a
number
of
ways.
Otherwise,
wouldn't
have
these
four
and
five
star
facilities.
C
Somebody
asked
at
one
point:
does
this
impact
my
taxes
at
all,
and
it
doesn't
I
mean,
and
that's
good
and
that's
really
good.
The
nursing
home
is
accounted
for
and
budgeted
in
a
totally
separate
fund.
There's
no
taxpayer
subsidy,
so
to
speak
other
than
there's
no
overhead
for
the
building
is
necessarily
and
that's
so.
It
is
self-supported
financially
other
than
last
couple
years.
C
It's
has
some
tough
times,
but,
and
that
includes
any
indirect
costs
that
are
related
to
finance,
support
information
technology,
human
resources
or
administrative
assistants
that,
because
they
don't
have
their
own,
you
know
cis
employees
to
do
all
that.
Necessarily
so
really
that
mr
chair,
that
kind
of
that
really
concludes
my
comments,
except
for
one
thing,
and
I've
said
a
lot
of
this
to
say
that
earlier
this
afternoon
and
this
this
is
kind
of
an
unusual
meeting.
It's
an
it's
an
unusual
setting
and
a
different
type
of
topic.
C
C
Yeah
so
anyways
they've
indicated
that
they're
withdrawing
their
offer
to
be
part
of
this
process.
They
even
with
it
with
us
or
withdrawal
I
mean,
and
all
the
a
lot
of
the
things
I
went
over
and
talked
about,
still
remain,
and
there
are
still
things
that
we're
going
to
have
to
tackle
as
a
as
a
board
and
as
a
government
and
potentially
as
a
community
and
certainly
as
a
facility.
C
A
I'll
just
add
to
his
remarks,
and
that
is
you
know:
I've
had
a
number
of
people
ask
what
was
the
catalyst,
what
you
know
what's
what's
changed
and
the
change
was
the
the
vaccine
mandate.
A
You
know
all
the
other
issues.
You
know
a
government
entity
competing
with
the
private
sector
that
that
shouldn't
happen,
but
but
that's
been
the
case
for
a
number
of
years,
so
we
weren't,
you
know
we,
we
weren't
trying
to
disrupt
the
apple
cart
here,
but
with
the
vaccine
mandate,
the
federal
government
has
a
very
big
stick
and
that
big
stick
is:
if
you
don't
enforce
the
vaccine
mandate,
then
we
won't
pay
you
and
when
I
believe
it's
89
percent.
A
A
We
can
either
say:
well
we're
not
going
to
do
it
and
and
then
risk
bankrupting
the
nursing
home
or
we
can
say:
okay,
we're
gonna
have
to
do
that.
But
if
we're
gonna,
if
we're
gonna,
do
that,
then
we
are
the
enforcing
agent
we
as
a
board
because
they
answer
to
us.
We
become
the
ones
that
have
to
tell
administration
that
they
have
to
enforce
this
mandate
and
for
me
personally
I'll
say
that
that
is
absolutely
abhorrent
for
me
to
tell
an
individual
that
they
have
to
to
do
this.
A
A
A
D
D
D
A
lot
of
what
I
had
written
down
to
talk
about
robert
covered
in
there,
but
my
biggest
thing
is:
if
we
want
this
thing
to
be
out
there
for
a
long
time,
we
got
to
address
some
of
these
issues,
whether
it
be
us
running
it
or
a
private
company
running
it,
I'm
glad
that
he
did
mention,
because
this
little
graph
made
its
way
around
social
media
for
days
and
days
and
days.
D
I
did
check
it
to
make
sure
the
numbers
were
correct,
so
I
went
to
the
website,
but
it
had
been
conveniently
left
off
where
our
own
nursing
home
was
as
a
comparative
point.
So
we've
got
that
information,
and
just
if
anyone
is
curious,
oakwood
manor
is
a
two.
The
summit
is
four
autumn.
Carrying
alta
vistas
are
five,
westminster's
are
five
spring
trees
are
four
berkshires
are
four
guggenheimers
are
five
and
the
glebe
is
a
four.
D
So
that's,
what's
out
there,
we
have
an
excellent
home
out
there.
We
have
a
great
reputation,
it's
clean,
I
know
all
the
things.
I
got
a
whole
lot
of
emails
and
correspondence
that
they
hoped
I
never
had
to
do
this
with
my
family.
I'm
sorry,
but
I
have
so.
This
is
not
uncharted
territory
for
me
as
a
supervisor
or
as
a
family
member.
D
So
it
does
matter
to
me
what
you
have
to
say:
this
is
the
forum
to
say
that
and
for
the
record,
if
you
want
to
get
my
ear,
I
don't
know
about
the
other
board's
memory.
You
best
stay
off
of
social
media.
That's
all
I
can
say.
Yes,
I
work
for
truiss
bank.
Let
me
get
it
out
there.
I
work
for
truest
bank.
I
don't
know
anybody
that
deals
with
them.
D
We
have
12
million
clients
and
I
can
100
assure
you
100
that
I
would
never
make
a
decision
for
the
benefit
of
my
employer
for
this
county
and
if
you
think
that
I
would
you
do
not
know
me
at
all.
I
am
born
and
bred
here,
and
I
don't
do
this
because
it's
something
that's
so
enjoyable.
This
is
difficult
decisions
that
have
to
be
made
and
I'm
here
to
listen
to
you
and
I
know
a
lot
of
the
faces
out
here.
A
E
A
E
The
reason
I'm
on
this
board
is
because
I
care
about
this
county.
I've
been
here
for
over
50
years.
I
wasn't
born
here,
but
we
got
here
as
fast
as
we
could,
and
I
was
very
unhappy
with
the
way
I
saw
my
district
being
managed
and
I
felt
like
there
needed
to
be
a
change,
someone
who
actually
knew
how
to
run
a
business.
I've
run
a
business
for
I've
been
self-employed
since
I
got
fired
in
1982.
E
F
E
Of
us
up
here
care
100
percent,
for
the
well-being
of
those
folks
in
that
home
and
for
the
staff
and,
furthermore,
I've
gotten
some
phone
calls
from
people,
and
I
really
am
amazed
at
their
lack
of
intelligence
in
the
event
of
a
business
sale.
The
first
thing
that
happens
is
people
actually
a
lot
of
times.
The
employees
get
a
raise.
No
one
would
buy
a
business
to
run
it
in
the
ground.
E
We
could
to
find
a
solution
to
keep
the
home
open
and
running
well
for
the
long
term.
The
best
time
to
sell
a
business
is
when
it's
at
its
peak
value.
Again,
we
weren't
striving
to
make
money
here,
we're
striving
to
make
a
decision,
that's
in
the
long-term
best
interests
of
the
residents
of
the
county
home
and
for
the
taxpayers
of
bedford,
county
and-
and
you
may
not
believe
that,
but
I
can
assure
you
it's
like
a
man
told
me
when
I
was
a
21
year
old
kid.
E
I
asked
him
about
a
decision
on
ethics
and
he
said
bob.
I
got
to
shave
this
face
every
day
and
that
that
settles
it
for
me,
and
I
hope
you
all
will
know
that
from
the
heart.
That's
that's
where
we
are
here
and-
and
this
transaction
probably
won't
go
through,
but
but
I
want
you
to
know
we're
doing
the
best
we
can
to
make
the
best
decisions
for
everybody
in
this
county
and
and
one
other
thing,
I'd
like
to
say
too.
E
I
think
it's
great
that
everybody
showed
up
here
tonight
and-
and
I
appreciate
the
kind
remarks
and
I've
received
some
text
messages
that
were
downright
rude
from
some
folks
and
bordered
on
threatening
and
and
I
I
find
them-
you
know
kind
of
funny.
I
I
kind
of
enjoy
that
kind
of
stuff,
because
it
keeps
this
job
interesting.
E
But
but
I
I
really
enjoy
the
respectful
comments
from
those
of
you,
but
but
every
four
years
there's
an
election
here
and-
and
I
certainly
think
we
need
to
have
the
best
folks
in
this
county
up
here
and
I'm
glad
to
see
you
all
here
tonight.
Thank
you.
B
Yeah
go
ahead,
mr
chairman
I'll.
You
know
kind
of
an
opposing
view
here:
I've
I'm
opposed
to
the
county
selling
the
nursing
home.
I
think
that
it's
been
locally
run
and
it's
been
locally
managed,
and
I
understand
that
it's
not
restricted
to
bedford
county
residents,
but
everybody
that
I
know
that's
been
in.
G
B
Not
here
as
a
profit
center,
if
you
sell
it,
if
we
sell
it,
it's
going
to
be
bought
as
a
profit
center.
I
don't
think
I
don't
think
a
big
corporation
can
come
here
and
buy
because
they
love
our
bedford
county
residents.
I
think
they're
coming
here
buying
it
because
they
see
an
opportunity
to
make
money.
I
don't
have
the
answers.
B
A
A
Again,
everyone
two
minutes
and
if
you
could
just
state
your
name
for
the
record,
don't
let's
not
start
the
timer
until
they're
done
with
their
name
and
address.
Please.
H
A
Said
that
was
an
that
was
an
option
for
me.
I
said.
H
H
H
H
H
I
I
don't
have
that
many
comments.
After
listening
to
everything
that
was
said,
my
background
is
accounting.
I
worked
for
36
years
full-time
for
a
major
insurance
company,
all
over
the
united
states
and
puerto
rico.
Being
an
accountant.
I
do
understand,
cost
and
profit,
even
if
this
is
a
county-owned
facility.
I
So
just
let
me
say
that
I
will
look
forward
to
seeing
how
we
can
deal
with
this
situation.
There
is
no
way
around
it.
You
have
to
whether
you're
profit
or
non-profit
you've
got
to
meet
the
expenses
and
keep
things
going
on
a
level
where
it
is
viable,
whether
you
like
it
or
not,
I
don't
want
that
nursing
home,
because
my
wife
is
there
has
been
for
three
years.
I
She
is
seven
stage
alzheimer's.
She
can't
even
feed
herself
anymore
the
people
who
work
at
that
nursing
home
and
nothing,
but
my
love
and
respect
she
is
always
cared
for.
She
doesn't
know
me
much
anymore,
but
you
let
one
of
the
nurses
or
administrators
drop
by
her
room.
A
big
smile
crosses
her
face.
That's
worth
anything,
I've
got
to
do
to
help.
You
guys
keep
that
nursing
home
open.
J
J
There's
no
reason
that
idea
can't
be
explored.
There's
no
reason
why
appointed
members
of
an
authority
can't
require
a
vaccine
mandate
if
you
all
are
not
willing
to
follow
the
federal
law.
I
think
that's
disappointing,
to
say
the
least
that
you're
not
willing
to
do
that
because
for
so
many
years
we've
had
this
incredible
country
called
america
and
it
says
in
god
we
trust
up
there.
This
is
an
issue
that
me
and
my
family
have
prayed
a
lot
about
and
we're
not
going
to
stop
paying
attention.
J
K
Hi
good
evening,
everyone,
my
name,
is
bruce
hartwick.
Obviously
some
concerns
are
number
one.
Some
of
these
residents.
They
may
not
be
as
fortunate
as
what
my
grandma
was,
who
had
loved,
wants
to
really
care
for
them
some
of
these
residents.
This
may
be
the
only
way
to
get
the
care
that
they
need.
It's
not
just
the
residents
I'm
coming
to
bat
for,
but
it's
also
people
working
at
the
nursing
home.
I'm
worried
about
the
people
that
could
lose
their
jobs.
K
If
this
nursing
home
was
closed
down,
I'm
worried
about
the
elderly
that
could
be
thrown
out
on
the
streets.
Those
are
things
that
people
have
brought
to
my
attention
and
I
am
worried
about
now.
There
are
some
solutions.
Now
a
lot
of
people
are
against
selling
it.
A
lot
of
people
think
that
we
should
also
have
local
oversight.
K
Now.
I
do
believe
that
we
should
come
up
with
some
type
of
authority
similar
to
the
water
authority,
to
maybe
oversee
that
maybe
explore
that
as
an
option,
but
regardless,
where
we
move.
I
do
not
think
that
closing
the
facility
should
even
be
an
option
for
us.
Kicking
people
on
the
street
canning
people
that
definitely
should
not
be,
and
I
think
we
need
to
explore,
having
the
authority
and
explore
every
route
we
can
to
make
sure
that
does
not
happen.
Thank
you
for
your
time.
L
Good
evening,
first
off
mr
poff
and
your
staff
of
nursing
home,
thank
you
guys
for
being
here.
You
guys
are
rock
stars
and
all
that
you
do.
We
thank
you
for
that.
My
disagreement
with
this
decision
is
the
peers
of
this
sale
is
being
pushed
through
without
any
forethought
or
knowledge.
You
guys
say
that
it's
been
transparent,
then.
L
L
We
have
not
been
given
ample
time
to
understand
this.
This
is
not
a
private
business
transactions.
Mr
hiss
has
said.
I
don't
believe
this
is
the
county
running
this.
You
guys
have
said
it.
We
are
one
of
the
few
counties
of
anywhere
that
is
doing
this
kind
of
thing
as
far
as
running
a
facility
like
this.
Let's
be
that,
let's
be
that
one
facility
that
wants
to
stay
and
be
different
from
all
the
other
local
government
that
doesn't
know
what
they're
doing
and
I
work
in
local
government.
L
So
I
know
what
I'm
talking
about
anyway.
I
hope
you
take
this
time.
There's
lots
of
ways
to
figure
this
out.
We
have
a
great
county.
We
can
do
more
to
help
this
staff.
We
don't
have
to
make
tons
of
money,
but,
yes,
we
have
to
meet
our
expenses.
We
can
do
that
lots
of
different
ways
I'll
be
able
to
help
in
any
way.
I
can
thank
you
for
your
time.
M
I'm
so
sorry
that's
hard
to
top
my
husband.
He
works
in
local
government,
so
I
don't
know
that
I
can
speak
for.
You
know
abbreviate
it
to
three
minutes,
but
my
name
is
terry
lanham
agreed,
so
I
think
I'll
give
up.
You
know,
most
of
my
time
I
think
my
husband
said
most
of
what
we
wanted
to
say,
but
I
did
want
to
speak
for
my
mom,
who
is
a
resident
of
bedford,
county
nursing
home.
First
of
all,
we
are
bedford
county
residents
for
24
years.
M
My
brother
is
a
business
owner
and
he's
been
a
resident
for
32
years
when
we
had
to.
We
took
care
of
my
mom
for
four
years
at
home.
M
So
when
we
had
to
make
the
hard
decision
about
moving
her
somewhere,
we
did
a
lot
of
research.
We
talked
to
a
lot
of
folks.
We
talked
to
dr
luth.
We
talked
to
bedford,
county
families
and
there
was
across
the
board
feedback
that
came
back
and
the
things
that
came
to
light
were
that
bedford,
county,
nursing
home
was
loving
and
caring
and
cared
for
their
patients,
which
we
did
not
see
at
other
facilities
that
we
toured
and
we
toured
a
lot
in
lynchburg
in
the
surrounding
county.
M
So
I
want
to
thank
the
bedford
county
folks
that
are
here
that
care
for
our
mother
and
and
what
you
do
a
lot
of
what
I
wanted
to
say,
I
think,
has
already
been
covered,
but
I
wanted
to
offer
because
you
are
you
all
did
mention
that
you
are
looking
for
solutions.
M
I
work
as
a
controller
for
a
very
large
company
in
lynchburg,
so
if
you
truly
want
feedback
from
the
folks
that
are
in
this
room,
if
you
truly
want
solutions,
then
give
the
employees
or
the
members
of
bedford,
county
or
even
us
a
means
to
do
that.
Like
my
husband
said,
I
don't
think
we've
been
given
that
opportunity.
I
feel
like
that.
We
were
somewhat
blindsided.
So
if
you
truly
do
want
ideas,
then
I'm
willing
to
be
a
part
of
that
conversation.
So
thank
you.
F
Brought
my
mom:
this
is
my
mom
phyllis
burns
she's
at
the
bedford
county,
nursing
home
and
the
wonderful
employees
that
are
here
and
the
ones
that
aren't
here
do
a
fantastic
job
with
my
mom.
We
also
thank
you.
We
also
visited
a
lot
of
nursing
homes.
My
mom
had
a
small
stroke.
She
was
89
years
old
and
she
was
healthy
as
anything.
Nobody
would
have
guessed.
F
She
was
that
old
she
had
a
small
stroke
and
she
couldn't
stay
home
alone
anymore
and
we
visited
a
lot
of
nursing
homes,
and
I
heard
you
talk
a
lot
about
this
american
health
and
I
want
to
know
how
many
times
have
you
visited?
How
many
homes
did
you
visit?
Did
you
go
and
visit
their
homes
because
I've
been
in
a
lot
of
nursing
homes
and
the
minute
you
walk
in
the
door?
It
doesn't
smell
good.
It
doesn't
no
matter
how
much
money
they
put
into
it.
F
It
doesn't
smell
good
right
and
bedford,
county
nursing
home.
When
I
visited
that
and
I
was
recommended
by
a
county
resident,
I
wasn't
going
to
the
bedford
county
nursing
home
because
it
was
called
a
nursing
home.
I
said
I'm
not
putting
my
mom
in
a
nursing
home,
so
I
walked
in
the
bedford
county,
nursing
home
and
I
was
so
pleasantly
surprised.
It
was
beautiful
and
you
have
the
beautiful
courtyard
and
if
you
haven't
been
there
lately,
you
really
need
to
go,
walk
around
that
and
consider,
and
you
need
to
go.
F
First
to
10
nursing
homes,
go
to
bedford,
go
to
lynchburg,
go
to
roanoke
and
walk
in
these
nursing
homes
and
then
go
walk
in
the
bedford
county,
nursing
home.
It
is
different
and
it
is
special
and
when
I
tell
people
what
my
mom
has
at
bedford
county,
how
she
has
activities
twice
a
day.
She
goes
and
don't
cry
connie
she
goes
and
plays
bingo.
She
she
loved
her
bingo.
That
was
her
favorite
thing
to
do,
and
she
has
a
hard
time
with
it
now.
F
But
these
people
love
my
mom
okay
and
you
need
to
go
visit
other
nursing
homes
because
they
don't
love
their
residents.
Their
residents
sit
in
a
hallway
in
a
wheelchair
all
day,
and
when
I
tell
my
friends
what
my
mom
does
all
day,
they're
amazed
they're
amazed.
My
brother
is
up
in
new
jersey,
his
wife
visits
her
her
uncle
in
a
nursing
home
and
they
don't
have
activities
at
all.
You
they're
going
to
tell
you
they're
a
wonderful
organization.
Why?
F
Wouldn't
they
they're
trying
to
buy
your
nursing
home,
don't
sell
your
nursing
home
bedford
county
is
so
proud
of
its
nursing
home.
They
are
so
proud.
I
got
one
more
thing
I
got
to
say.
I
know
my
time
is
up,
but
you
talked
about
the
vaccination
all
of
these
employees,
whether
they
work
at
bedford,
county,
nursing,
home
or
some
other
place.
F
If
they're
healthcare
employees
they're
going
to
have
to
have
the
vaccine,
whether
you
save
them
from
it
or
not,
it's
not
going
to
save
them,
because
that
is
their
career
and
if
somebody
else
comes
in
they're
going
to
make
them
have
the
vaccine
and
it's
still
going
to
disrupt
these
patients
care.
Okay,
thank
you
for
your
time.
A
Jean
karns
and
then
danny
perdue
on
deck,
please.
N
I
speak
from
experience.
My
aunt
was
in
their
bedford,
county,
nursing
home
for
10
months.
She
got
excellent
care,
they
loved
her,
she
loved
them.
I
had
her
in
another
place
in
bedford
and
let
me
tell
you
she
I'd.
Go
there
she'd
be
crying.
Take
me
home.
Take
me
home.
I
don't
like
this
place.
The
doctor
finally
said
she'd
be
better
at
home
with
you.
N
N
They
really
do
give
excellent
care,
they're
competent
workers
and
whatever
we
can
do,
please
it's
it's
a
place
to
be
proud
of
it's
a
place.
We
all
love,
and
there
are
people
in
there
that
had
faith
in
bedford,
county
gave
up
their
homes,
sold
them
and
gave
them
money
for
their
care
at
to
the
nursing
home.
They
sold
everything.
They
went
on
medicaid
and
they
have
nothing.
They
can't
have
more
than
I
think
hello.
O
My
name
is
danny
perdue,
I'm
from
menino.
My
mother
is
currently
in
her
11th
year
of
battling
alzheimer's.
We
have
been
fortunate
to
keep
her
at
home.
To
this
point.
However,
between
three
and
four
years
ago,
I
did
start
searching
out
nursing
homes.
Should
the
time
come
that
we
need
to
place.
My
mom,
like
the
lady,
said
you
need
to
go
yourselves
and
pedro
you.
O
I
know
you
as
paige
or
everybody
asked
you
maybe,
but
I
heard
what
you
said,
but
with
all
due
respect,
you
don't
understand
until
it
becomes
your
parent
and
I
hear
from
other
people
their
child.
You
may
have
had
family
members
somewhere
when
you
are
the
primary
caretaker
and
you
are
the
power
of
attorney.
You
are
the
executive
state
and
you
have
to
make
decisions
based
on
what
you
know
that
your
parent
or
loved
one
wants.
Then
you
start
seeking
it
out.
You
go
look
for
the
very
best.
O
I
looked
all
over
roanoke,
benton
and
lynchburg.
I
searched
the
nursing
homes
and
excuse
me
smelled
strongly
of
urine
and
stool
and
it
was
appalling
to
see
the
people
as
they
sit
outside
in
the
halls.
Just
like
she
said,
uncared
for
bedford
county
is
way
beyond,
in
my
opinion,
the
five
star
they
should
have
10
star.
I
know
what
they
might
say
three
star:
they
should
have
10
star.
They
are
way
beyond
anything
else,
and
I
heard
what
you
said
pedro
I
for
one
would
like
to
sit
down
and
speak
with
you.
O
P
P
P
Think
of
what
the
citizens
want,
first
and
foremost-
and
it
is
not
the
sale
of
this
nursing
home
roger
cheek,
said
at
one
of
the
last
board
meetings.
When
this
item
came
before
many
of
us
showed
up
brought
in
thousands
of
signatures
of
petitions
asking
you
not
to
sell.
He
said
at
that
time.
Let's
put
this
on
the
table,
this
will
never
come
up
again.
Bedford,
county,
nursing
home
will
remain
part
of
the
county,
go
back
and
read
the
minutes.
Q
Hi,
I'm
d
bess,
I'm
a
29
year,
employee
of
bedford,
county
nursing
home.
I
started
out
there
as
a
cna
and
moved
up
to
a
staffing
coordinator,
then
administrative
assistant
and
I
do
a
little
multitude
of
jobs
now.
I
have
also
worked
in
private
corporations
before
for
nursing
some
in
lynchburg,
some
in
roanoke.
Q
The
difference
at
bedford
county
is
just
phenomenal
sure
I
could
go
to
roanoke,
salem
or
lynchburg,
and
I
could
make
a
lot
more
money
that
I
make
at
bedford.
County
bedford
county
is
my
family,
the
residents,
the
families,
the
employees
they're,
my
family.
You
do
not
get
that
feeling
at
any
other
nursing
home.
Q
I
have
lived
in
bedford
and
I
have
lived
all
over
I'm
getting
ready
to
move
back
to
bedford.
You
just
y'all
have
something
to
be
proud
of.
It
would
be
a
shame
to
give
that
up.
There
are
solutions,
and
several
people
here
have
said
that
they
would
help
you
figure
out
solutions,
give
the
citizens
and
the
employees
a
chance
to
weigh
in.
On
that.
R
I'm
sorry
overstreet,
mr
tuck,
you
might
recognize
me
from
social
media
no,
but
what
I'd
like
to
say
to
you,
I'm
60
years
old,
born
in
the
hospital
over
here
in
bedford,
my
grandma
worked
at
the
nursing
home.
R
R
A
R
R
R
A
We've
got
randy
patterson
and
then
dennis
stanley
on
deck.
A
S
S
S
The
retirement
community
is
a
very
close
facility
to
everything
around
here
and
I
know
if
I
had
loved
ones,
which
I
had
my
grandmother
worked
there.
My
great-grandmother
stayed
there
to
her
death.
My
wife's
mother-in-law
was
there
for
to
hell
jeff,
I
mean
some
great
people,
some
great
places
and
I've
been
to
all
of
them,
including
I
play
a
lot
of
music.
Some
might
recognize
it
from
that
and
I
go
into
a
lot
of
facilities.
S
S
Different
scales
are
paid.
That
way,
I
mean
there's
some
other
things
that
can
be
thought
of.
That's
I'd
be
glad
to
help
with
the
thought
process
and
that
I
like
marketing
things
on
that
end,
we
if
we
had
to
we
should
have
voted
tonight
to
delay
everything
until
all
this
information
was
on
the
table.
We
spoke
transparency
from
the
board.
We
also
spoke
to
corporations
having
shareholders
or
you
know
any
kind
of
entity
holds
that
shares.
We
are
holding
shares
because
we're
taxpayers
in
all
of
this.
S
T
Hi,
I'm
lisa
lauerman,
my
mom
anita
lichford
is
a
resident
of
bedford,
county
nursing
home.
I
was
on
the
waiting
list
for
seven
and
a
half
months.
I
have
been
in
there
for
one
month.
The
difference
is
huge.
I
had
to
witness
my
mother
sit
in
her
own
filth,
so
much
pee.
Her
shirt
was
wet
to
her
breast
many
occasions.
T
T
They
are
more
short
staffed
than
what
the
ones
in
lynchburg
are
every
day
and
due
to
my
grandmother
before
my
mom,
I've
dealt
with
it
for
17
years.
So
I
can
tell
you
stories
in
every
single
one.
I've
reported
to
state
I'm
still
waiting
for
an
ombudsman
to
call
me
back
because
of
covet
they're
so
backed
up
with
the
complaints,
just
appreciate
what
you
have
and
keep
it.
Thank
you.
U
Hello,
my
name
is
denise
gruggs,
I'm
the
director
of
the
beard
center
on
aging
at
the
university
of
lynchburg,
but
I'm
also
a
resident
of
bedford
and
have
been
for
over
25
years
and
in
addition,
I've
worked
in
nursing
homes
for
15
years
directly,
as
well
as
with
gerontology
for
30
years,
and
I
was
concerned
when
I
heard
also
that
we
were
going
to
look
at
the
sale
of
this
nursing
home
and
make
it
into
a
public
nursing
home,
because
research
shows
public
nurse.
Private
for-profit,
nursing
homes
are
not
better.
U
U
I
did
not
know
it
made
it
on
social
media,
but
because
I
felt
like
we
needed
to
make
sure
everybody
knew
all
about
all
16
facilities
and
how
they
rated-
and
there
were
a
lot
of
ones
and
twos
out
of
fives
and
and
you
know,
half
and
half
so
I
was
really
glad
that
american
health
care
pulled
out,
not
sure
what
they'll
be
out
there
that'll
even
be
any
better,
because
we
know
that
a
lot
of
times
they're.
Not.
I
look
at
medicaid
bids,
I'm
really
concerned.
U
You
know
we
have
a
lot
of
people
in
low
income
that
are
receiving
medicaid
and
we
know
one
of
the
first
things
that
for-profit
nursing
homes
does.
Is
they
cut
the
medicaid
bids?
Because
that's
where
you
lose
the
money,
they
don't
get
as
much
pay
from
the
government
as
they
would
from
a
private
citizen.
U
So
that's
the
bids
that
they
cut
and
then
we
end
up
sending
our
residents
of
bedford
all
over
the
state
of
virginia
wherever
there
happens
to
be
a
bed
and
we
send
them
away
from
their
home
and
their
family
and
their
friends,
and
I
used
to
be
an
admissions
social
worker
and
that's
what
we
did
at
the
hospital
over
and
over
and
over
when
there
were
not
medicaid
bids
in
the
area.
I
wanted
to
mention
too
some
other
things
that
we
know
for
medicaid.
U
Excuse
me
for
for-profit
nursing
homes,
there's
a
10
increase
in
mortality,
and
I
have
the
research
too,
that
I'll
leave
with
you,
10
increase
in
mortality,
50
increase
in
the
use
of
psychotropics
there's,
four
percent
decrease
in
nursing
staffing,
11
increase
in
taxpayer
spending.
We
see
those
and
many
other
issues
with
for-profit
nursing
homes,
and
these
are
parts
of
government
reports
that
just
came
out
that
are
recent.
All
I
want
to
say
too,
is
I'm
very
much
aware
of
bedford.
Community
nursing
home
has
had
their
issues.
I
want
to
say
we
mentioned.
U
Please
note
that
a
big
part
of
that
was
there
was
missing
information
that
lowered
their
rate.
That
was
missing
in
that,
and
it
was
not
a
deliberate
we
weren't
deliberately
leaving
that
out.
We
were
just
trying
to
describe
american
healthcare.
The
other
thing
I'd
like
to
say
is:
I'm.
F
A
V
Things
my
mom
was
in
a
private
home
for
a
year,
and
I
worried
about
her
every
single
day.
They
lost
her
clothes
on
pretty
much
a
monthly
basis,
even
though
they
went
out
in
a
bag
with
her
number
on
it.
They
would
go.
Who
knows
where
the
staff
used
the
resident's
bathrooms
and
left
obvious
evidence
that
they
had
been
there.
V
One
cna
left
my
mother
on
the
toilet
and
never
did
come
back
to
get
her
eventually.
My
mom
got
up
and
managed
to
get
her
way
to
her
bed
and
they
found
her
the
next
day
in
bed
with
yesterday's
clothes
on
contrasting,
where
she
is
now
at
the
home.
They
watch
out
for
my
mom
and
they
watched
out
for
her
sister
for
three
years
before
she
passed.
V
We
get
quarterly
care
plans
and
status
updates.
Even
if
my
mom
runs
her
hand
underneath
the
table
on
her
wheelchair.
They
will
call
and
tell
me
that
she's
got
a
new
bruise,
and
I
bet
you
dollars
to
doughnuts
that
this
is
the
only
place
in
the
world
where
this
building
engineer
saved
a
mother's
life.
V
She
looked
at
him
and
she
said
help
me
and
he
went
out
in
the
hall
and
got
help
and
15
minutes
later.
My
mom
was
in
an
ambulance
on
her
way
to
the
hospital
come
to
find
out.
She
had
a
massive
blood
clot
and
if
she
hadn't
gotten
that
help
when
she
did
she'd
be
dead,
these
guys
are
fabulous.
You
have
no
idea
and
you've
got
no
control
once
you
sell,
they
might
keep
it
a
year
and
sell
it.
V
W
I
am
dr
janice
luth.
I
have
practiced
medicine
and
cared
for
the
people
of
bedford
county
now
for
over
40
years,
and
I've
worked
at
the
bedford
county
nursing
home.
For
that
length
of
time
I
have
seen
many
nurses
and
staff
members
and
administrators
come
and
go.
I
have
never
had
a
question
concern
or
qualm
about
how
my
patients
were
taken
care
of
in
all
these
years.
W
W
Those
decisions
are
not
made
with
regards
to
what
is
the
cheapest
way
of
getting
the
care
done
and
filling
out
the
forms
and
checking
the
boxes.
The
decisions
are
made
by.
How
is
it
best
to
care
for
these
people,
because
these
people
are
our
family?
These
people
are
our
friends.
These
people
are
our
neighbors.
X
Hi
I'm
friday
easterly,
and
I
want
to
thank
you
all
first
for
letting
me
speak.
I
know
that
what
you
all
are
listening
to
tonight
and
everything
that
you
all
have
done
has
been
an
arduous
task
and
I
wouldn't
want
to
be
in
any
of
you.
All's
position,
but
I
do
want
to
thank
you
for
allowing
me
to
speak
and
for
letting
all
of
us
speak.
One
thing
I
did
want
to
say
I
do
take
exception
to
mr
davis's
remark
about
the
lack
of
intelligence.
X
The
things
that
you
may
be
seeing
is
lack
of
intelligence
is
simply
lack
of
transparency
that
we
are
seeing
and
when
we
don't
know,
we
simply
form
our
own
conclusions,
and
I
think
if
this
had
been
a
little
more
open
there
wouldn't
maybe
be
the
backlash
on
social
media
that
there
has
been,
because
when
things
aren't
open
to
us
we're
feeling
like
what's
going
on,
I
mean
we
elected
you
all,
but
we
still
kind
of
want
to
be
in
the
know,
and
especially
something
considering
this
nursing
home.
X
X
As
many
of
you
all
know,
she
was
quite
rowdy.
At
times
she
was
loved
when
she
died.
I
had
she
died
there
at
the
nursing
home.
I
in
fact
fired
hospice
because
I
didn't
like
the
care
I
was
receiving
from
them,
and
I
chose
to
let
the
nursing
home
take
care
of
everything
regarding
her
passing
hospice,
tried
and
tried
to
get
me
to
stay
with
them,
and
I
said
no,
I
have
everything
I
need
from
the
people
here
at
the
nursing
home.
X
Her
passing
was
long
but
peaceful
and
taken
care
of
is
my
two
minutes
up
already.
Oh
my
gosh.
Okay,
can
I
just
say
one
thing
real
quick.
I
have.
I
am
now
the
power
of
attorney
for
someone
who
is
in
the
nursing
home.
She
came
from
another
nursing
home
where
she
had
skin
breakdown.
X
She
had
lost
a
tremendous
amount
of
weight.
She
has
gained
over
25
pounds
since
she
has
been
at
the
nursing
home
she
at
the
bedford
county,
nursing
home
she's,
been
there
just
for
one
year.
I
will
like
to
say
that
I
would
suggest
perhaps
forming
a
committee
and
a
lot
of
people
here
have
already
volunteered
for
that
form,
a
committee
as
to
what
we
can
do
to
keep
things
going.
X
I
know
that
it
has
been
a
loss
but
again
who
hasn't
lost
in
the
last
two
years,
and
one
last
thing
I'd
like
to
say.
If
I
may.
X
A
Y
Thank
you
again,
I
say,
as
everyone
has
said,
for
the
work
you
do.
I
know
that
is
not
easy.
Before
I
came
over,
I
downloaded
the
resolution
authorizing
the
sale
of
the
home
that
has
today's
date
on
it
and
it's
prepared
to
be
signed
tonight.
If
I
understand
it
correctly,
it
is
in
the
packet
that
you
were
provided.
There
are
a
couple
of
things
in
there
I
take
exception
with,
and
that
says
that
the
home
was
established
in
an
era
in
which
it
was
necessary
and
appropriate
for
a
locality
to
maintain
and
operate
a
facility.
Y
Why
is
it
no
longer
appropriate
number
two,
whereas
the
private
sector
has
largely
taken
over
the
role
of
owning
and
operating
such
facilities?
We've
seen
that
happen
around
here
and
it's
generally
been
to
the
detriment
of
the
facility
that
current
market
conditions
identify
a
suitable
purchaser.
According
to
what
criteria
are
you
deve?
Are
you
deciding
what's
appropriate
and
that?
Last
but
not
least,
you
have
explored
the
potential
sale
of
the
home
for
several
years.
Y
U
We
know
that
when
we
look
at
the
statistics
of
the
future
here
and
the
projections
for
the
number
of
older
adults
in
bedford
county,
we
know
that
we
will
continue
to
have
one
out
of
four
residents
will
be
65
years
or
older.
Our
fastest
growing
population
between
now
and
2040
is
our
80
to
84
years
old
population
and
our
85
and
older.
We
need
a
nursing
home,
a
county,
nursing
home.
Z
Thank
you
for
allowing
me
to
speak.
I've
been
a
nurse
for
28
years,
which
I
know
seems
impossible
because
I
look
like
I'm
30.,
but
it's
but
it's
true.
I
started
when
I
was
11..
No
I'm
here
to
talk
to
you,
mr
sharp.
You
mentioned
the
federal
vaccine
mandate,
you're,
not
surprised
to
say
that
I
agree
with
you
with
a
mandate.
I
don't
think
the
mandate
is
a
good
idea,
although
I
am
pro-vaccine.
Z
The
problem
is
that
we
live
in
a
regulatory
framework
in
the
nursing
home.
In
fact,
the
nursing
homes
are
the
second
most
regulated
industry
in
the
country.
The
only
thing
that
tops
it
is
actually
nuclear
power
and
that's
amazing,
so
we
so
I
understand
your
concern.
This
is
not
the
only
thing
that's
going
to
come
up.
There
could
be
future
issues,
mandates
that
you
disagree
with.
Also
several
people
have
mentioned
appointing
a
commission
or
a
group
where
they
actually
denise
scruggs
is
actually
selling
herself
short
she's.
Z
Actually,
a
national
leader
with
jerry,
gerontology
and
geriatrics
we
have
the
experience
in
the
room
is
overwhelming.
I
would
ask
that
the
board
would
establish
a
commission
or
a
committee,
and
the
committee
would
be
responsible
for
exploring
options
trying
to
discover
ways
that
they
could
even
improve.
What's
already
a
good
home
part
of
my
experience
has
been
working
in
agency
nurses
as
an
agency
nurse,
where
I
have
been
in
many
homes
in
many
different
places.
Z
I
the
evidence
that
denise
was
going
to
present
it's
overwhelming
and
I
can
tell
you
from
personal
experience.
There
is
a
big
difference
between
for-profit
homes
and
non-profit.
It's
just
the
way
it
is.
I
don't
know
how
else
to
explain
it.
There
is
because
one
is
profit
motivated.
Yes,
they
want
to
care
for
the
people
right,
they
don't
want
to
shut
down,
they
want
to
give
good
service,
but
they
still
have
a
profit
motive.
Z
The
nursing
home
has
not
lost
money
until
recently.
The
historical
record
is
that
it
does
not
take
money
from
the
county.
I
think
this
is
a
very
unique
circumstance.
It'd
be
a
mistake
to
take
the
unique
circumstance
and
sell
when
the
opportunity
to
be
revenue
neutral
is
going
to
have
is
going
to
appear
again
the
same
thing
with
vaccine
mandate.
It's
going
to
go
away.
Thank
you.
A
AA
This
one
came
with
pictures,
gina
gin,
wren
anyway,
I'll
start
with
the
good
news.
Thank
you,
bedford,
county
nursing,
home
staff.
You
did
a
great
job
for
my
mother
and
I'm
proud
of
you
as
any
institution
in
bedford,
county,
probably
more
so
now
the
bad
news
there
are
other
places
around
here
that
somehow
got
raided.
AA
AA
AA
AA
AB
This
place
is
like
home
and
when
somebody
goes
into
this
home
it
becomes
their
home
and
they
treat
them
like
family.
They
love
on
them.
They
talk
to
them,
they
care
about
them.
They
try
to
help
them
solve
problems,
they
keep
them
active,
which
is
the
most
important
thing
in
their
lives
at
this
time,
I'm
83
years
old
or
82
years
old,
getting
ready
to
go
on
83,
and
you
know
my
time
is
near,
and
I've
already
told
my
wife,
if
anything
happens
to
me,
bedford,
nursing
home,
is
where
I'm
going
to
go.
AB
So
I
don't
want
anybody
to
have
any
consideration
about
letting
this
place
go
because
it
is
a
cherished
place.
Go
over
there
and
spend
some
time
how
many
have
been
in
the
bedford,
nursing,
home
and
spent
time
over
there.
Then
you
know
what
it's
like:
why
would
we
want
to
get
rid
of
something
that
is
helping
our
community?
AB
The
beauty
of
the
place,
there's
people
that
go
down
there
and
just
visit
it
because
of
the
beauty.
That's
there
get
down
there
and
get
into
that
center,
where
they've
got
the
flowers
growing
and
everything
it's
amazing
and
you'd
never
know
that
you're,
an
institution
of
any
sort
because
of
the
friendship
that
is
empowered
to
us
by
these
folks.
I
just
say
we
are
blessed
by
god.
AB
A
All
right
this
concludes
the
public
hearing
or
the
public
comment
portion
and
I'll
open
it
up
to
the
board
any
any
discussion
or
emotions.
AC
I
will
say
that
I
grew
up
my
dad's
a
pastor,
and
so
I
grew
up
in
a
lot
of
nursing
homes.
We
used
to
go
to
a
lot
of
nursing
homes
and
I
do
every
one
of
you
mentioned
about
just
how
clean
ours
is,
and
I
remember
being
there
you
guys
have
had
your
sundays.
You
used
to
have
them
more
often,
but
you'd
have
like
us,
come
in
and
and
have
different
functions
and
invite
us
in
and
it
always
does
smell.
I
mean
everybody
brought
that
up,
but
it's
true
our
nursing
home
really
is.
AC
E
AD
Mr
chair,
yes,
I
just
want
to
thank
everyone
that
came
out
tonight,
everyone
that
I've
talked
to
that
has
reached
out
to
me
by
phone.
I
really
appreciate
a
phone
call,
even
email
when
you
can't
call.
Obviously
an
email
is
fine.
AD
I
only
had
one
one
that
would
have
been
distasteful
and-
and
I
know
that
that
happens-
sometimes
you
get
emotionally
involved
and
and
and-
and
I
feel
for
you
as
being
easter
weekend-
probably
didn't-
have
quite
what
you
I
would
have
expected
to
have,
but
today
from
8
o'clock
until
I
had
to
get
a
shower
and
get
here,
I
was
on
the
phone
and
not
one
phone
call
or
email,
and
I
spoke
to
a
lot
of
people
said
that
they
wanted
to
see
the
nursing
home
change
hands.
AD
AD
There
is
no
comparison,
there
absolutely
is
not
y'all
do
a
phenomenal
job
and
I
really
appreciate
what
you
do.
Thank
you.
AE
Mr
chair,
yes,
just
for
clarity,
we
really
wasn't
trying
to
pull
anything
on
anybody.
We
had
to
have
these
meetings
behind
closed
doors
simply
because
there
was
so
many
parties
involved
in
it,
and
one
party
couldn't
know
what
the
other
party
might
offer
or
what
they
would
offer
or
whatever,
but
even
tonight
you
know,
I
think
everybody
on
this
board
was
open.
To
hear
I
mean
that's.
AE
The
whole
point
of
this
meeting
tonight
was
to
hear
you
come
out
and
what
you
said
and
we
listened,
and
we
are
listening-
and
I
know
that
I
heard
a
lot
of
comments
tonight
that
I
wasn't
aware
of,
and
I
have
to
take
all
that
into
consideration.
But
I
don't
think
that
I
I
even
had
some
phone
calls.
AE
That
said,
we
were
going
to
vote
tonight
to
sell
the
nursing
home
and
I
don't
think
that
was
ever
on
our
agenda
to
sell
it
without
the
public
input
and
giving
the
public
the
opportunity
to
say
what
you
said
tonight,
and
so
I
appreciate
all
of
you
coming.
I
appreciate
what
you
said
and,
and
I'm
I'm
glad
to
hear
what
you
said
tonight,
but
I
just
don't
want
you
to
think
that
we
were
trying
to
rush
something
through
and
pulling
a
shady
deal
or
any
of
that
stuff.
We
weren't
we
were.
AE
We
had
our
concerns,
we
were
told
you
know
not
told,
but
we
had
our
concerns
about
the
future
of
the
financial
and
you
know
beth
county's
a
government
also.
But
if
you
know
me,
I
I
don't
trust
government
too
much,
but
more
the
federal
government
and
state
governments
and
stuff
get
involved
and
stuff
the
harder
things
become,
the
more
they
put
their
thumb
on
you,
the
more
that
you
have
to
put
up
with
and
deal
with
the
more
you
grow,
the
government.
AE
You
know
what
happens
there
and
more
taxes
more
everything,
but
we
listened
tonight.
I
think
we
heard-
and
I
just
want
you
to
know-
that
we
never
intended
in
any
way
shape
or
form.
In
any
meeting
we
had
to
try
to
pull
anything
over
on
the
public
where
we
were.
AE
Trying
to
rush
something
through
simply
because
that
was
the
whole
purpose
of
this
meeting
tonight,
but
certain
things
that
we
deal
with
in
private
there's
no
way
we
can
let
the
public
know.
Otherwise
we
could
never
deal
with
the
issues,
and
so
I
just
want
you
to
know
that
that
nothing
was
ever
intended
to
rush
anything
through
to
pull
anything
off.
That
was
a.
G
AE
Deal
any
of
that
stuff,
none
of
that
was
ever
came
about
in
any
way.
Mr
hiss,
he
did
a
fantastic
job,
trying
to
keep
everything
together,
keep
it
organized
and
and
keeping
us
informed
and
patrick
there.
He
had
a
lot
of
legal
stuff.
He
had
to
deal
with,
make
sure
that
you
know
we
didn't
cross
any
lines
and
do
things
we
weren't
supposed
to
do
so
again.
Thank
you
for
coming.
AE
We
heard
you
we
listened
to
you
and
again
we
didn't
try
to
pull
anything
on
you
and-
and
I
have
to
admit
we
got.
I
got
some
dirty
emails
and
I
got
a
couple
calls
it
was
dirty,
but
it
was
all
people
excited
and
thinking
we're
pulling
a
shady
deal
which
we
were
not
trying
to
do
and
again
I
don't
want
to
keep
talking
say
the
same
thing
over,
but
I
appreciate
all
y'all
coming
out
and
thank
you.
F
D
D
AE
B
Would
just
remember,
let's
take
it
mickey
chairman,
mr
chairman,
I'd
like
to
just
commend
all
the
employees
and
and
the
citizens
that
came
out
tonight
to
speak
so
passionately
on
something
that
you
obviously
believe
in
with
your
heart
and
and
speak
with
your
heart
and-
and
I
think,
what's
obvious-
is
also
the
the
power
of
communication
on
both
ends
of
keeping
people
informed
and
trying
to
inform
you
to
the
best
of
our
ability
we
tried.
We
tried
to
tell
you
what
we
could.