| clarified that they would oversee all of them. Mr. Kenny replied that there |
|
| were six partners, and one was an RN. She was responsible for those |
|
| care limits, and she made sure they had the right type of nursing |
|
| relationships at each location. Every location required different things; in |
|
| Clarkston, it was very important to have a nurse on staff. In some of the |
|
| other locations, the residents did not really care about that. There were |
|
| costs associated with different things, and it allowed them to provide |
|
| services at a lower cost if there was not an RN on staff. They had one |
|
| partner that oversaw up to four locations and two operating partners. The |
|
| proposed facilities would present a new opportunity for someone to come |
|
| in and oversee them. They were thinking about combining that person |
|
| with Clarkston. Clarkston was a similar community to Rochester Hills, |
|
| and the service requirements would be similar. There were higher |
|
| expectations and nicer facilities were required. The operations managers |
|
| had site managers on site all the time, and there were staff that worked |
|
| with the residents daily. There was also one activities director for every |
|
|
| Mr. Yukon asked Mr. Kenny if he saw any challenges based on the size of |
|
| the parcel. Mr. Kenny thought initially that they might have challenges |
|
| with some of the utilities, but they found out they would be okay. The |
|
| other challenge was making sure they could meet fire access |
|
| requirements. Rochester Hills required sidewalks around all buildings, |
|
| which was a little tricky for them. They needed a way to make everything |
|
| look attractive. He was not sure what would be involved with making sure |
|
| the neighbors were happy, but they wanted to make sure they had the |
|
| screening they needed. He assured that the facilities would not be loud |
|
| with people running around. It would be very quiet, and there would not be |
|
| as much traffic as people might think. They had been in the business for |
|
| 12 or 13 years, and the amount of traffic in and out was not that busy. |
|
| People stayed with them from one to five years. Mr. Yukon recalled that |
|
| Mr. Kenny said that he saw the facilities as transitions from the Heartland |
|
| Health Care Center. Mr. Kenny said that when Heartland discharged |
|
| people, they had an obligation to make sure that the environment they |
|
| were discharging into would be safe, compatible and progressive. A lot of |
|
| people came out of a rehab facility who were not making enough progress |
|
| to go home, but they could not go home because they would not get the |
|
| care they needed. That was where they came in. That transitional |
|
| timeframe could be six months to a year where someone needed some |
|
| type of assistance. Some people called that respite care, but he said that |
|
| it was assisted living because people tended to be with them for months, |
|
|
