One taxpayer’s idea…

Footprint Proposal for Existing OIH location v2

Darcy Creech, a longtime supporter of Our Island Home and founder of The Nantucket Wheelers, attended the meeting March 5, 2016 at the American Legion and provided this sketch.  Input from taxpayers both familiar & unfamiliar with the current Our Island Home, and individuals who would like to learn more about options on Nantucket for our seniors when they can no longer be taken care of at home, please attend the presentation below.

 

Presentation of Our Island Home
Alternative Operational Models Report


Wednesday, March 23, 2016
Board of Selectmen’s Meeting
6 PM @ 4 Fairgrounds Rd, Commmunity Room
and/or
Thursday, March 24, 2016
noon to 2 PM @4 Fairgrounds Rd, Community Room

The public is welcome to attend either or both meetings.
BOS meeting has an agenda containing many other topics

Meeting Agenda – 3/1/16

Welcome to this meeting that has been arranged by the Friends of Our Island Home and by family members of some of the residents at Our Island Home.

There are maps, diagrams, and documents on the walls. Take a few minutes to have a look at them. Instead of filming or taping the meeting, a questionnaire is being distributed. We hope you will take the time to fill it out and add any comments you wish. If you do not want to answer any particular question, just skip it. To preserve anonymity, do not sign your name or identify yourself. If you need a pencil, raise your hand.

Please wait until after you have heard questions, answers, and discussion before responding to the questionnaire. Then drop it in the box by the door as you depart. Responses will be tabulated and sent to SK Advisors.

AGENDA

Introduction by moderator Charles Walters

  • Minute of silence for OIH residents who have passed on in the last six months
  • Recognition of representatives of various organizations

Q&A on topics in the following order:

  • Current cost of operation
  • Why a new building?
  • Projected future need/number of beds
  • Model of care: small house/pods vs current “institutional” model
  • Estimated cost of construction, and how to pay for it
  • Site of new facility
  • Adjournment of meeting/collection of exit questionnaires

Fran Karttunen

Timeline – decisions made for the present Our Island Home

In March 1975 the town was ordered to correct 26 deficiencies in the original OIH building or lose Medicare and Medicaid funds. It appeared from the list of deficiencies that the woodenbuilding could not be altered to meet the requirements, and it would be necessary to build a new facility.

Special Town Meeting, April 1, 1975, Article 14: To requestBOS to appoint a committee “to determine the present andfuture needs of this facility (OIH)” and to appropriate $2,000 for the committee’s necessary expenses.

Nov. 1975: Town considering applying to HUD for grant to 1.“rehabilitate” the wooden building: 2. Build a new facility; or 3. Move OIH to the hospital. 30 residents at present with 19 on waiting list. Estimated $16,000 per bed to build a new facility. Over a million dollars. HUD grants capped at $100,000. Town would have to come up with the rest.

Dec. 1975: OIH Study Committee recommends 60-bed facility with potential to expand to 100 beds. Selectman Esther Gibbs said that “if a new building is to be built, it should be in the area of the present DPW garage buildings.” Gerald O’Hara, chairman of the study committee agreed that this was the ideal site. Two parties (contractor and architect) with interest in building new facility. Nantucket Cottage Hospital also considering adding an extended care facility to replace OIH.

At OIH open house in Feb. 1976, residents polled by I&M about how they felt about having the hospital replace OIH with an extended care facility. Universally negative reaction. Among quotes: “people who have lived near the ocean all their lives don’t lose that love of it in their old age.” “Everybody likes the view here and the fresh air off the ocean. Here we have a beautiful view of the Creeks.” “Here we have lovely fresh air, a view of the ocean. In the summer we sit on the piazza. Even the crippled are pushed out in wheelchairs. It’s something to see. What will we have up there? [At the site of NCH] Nothing to see!” “I don’t intend to go up there (to NCH). I don’t want to look out at a graveyard. We all get there soon enough!” “This is just an ideal place. We have lovely rooms, plenty of air.” “I would like to see them build it out there (pointing at the DPW site). I like to see the harbor. We would not have such a good view at the hospital.” “Here I live under the window. I love it! I can see them out sailing, fishing, scalloping. I enjoy watching the DPW with those funny-looking vehicles. They tried to move me over to the other side of the building once, but I enjoy living here.” “My room looks out over the harbor and is most pleasant most of the day. I can see Brant Point light and the wharves and all the activities of the harbor.” “The desire of all the residents and staff of the institution is that a new building in this site will, in all ways and in the end prove to be the best solution of this very important current Nantucket problem.”

One concern: a new building would contain few, if any, single rooms SINCE STATE AID IS OFFERED ONLY FOR MULTI- OCCUPANCY ROOMS. !!! Expressed fear by residents that at a Nantucket Cottage Hospital facility they would be housed four or five to a room. “On one hand, sources point to the mental well-being of the residents of Our Island Home and stress the importance of providing them with a pleasant environment near the harbor which they seem to love so well. ‘These people are not just staying at this facility for a short visit,’ they point out. ‘ This is home!’ But the other side of the coin indicates that it will be financially wiser to move the town out of the nursing home business which seems to be the recommendation of at least some members of the Finance Committee.”

Sept. 1976: OIH files an application for a Determination of Need to build a new long-term care facility with 45 beds.

March 1977: Architect presents plan for new facility to replace the wooden OIH building. “The new 45-bed facility will be constructed behind the site of the present facility.” (Two patient wings and plans for an expansion to create a third one.) “…construction could begin as early as next fall with the facility ready for occupancy in 1978.” Plans presented to HDC. For months issuance of the necessary Certificate of Need held up by state, threatening federal deadline for grant proposal.

Sept. 1977: Town seeking variance to relocate DPW buildings to Madaket Road near landfill. Precipitated by proposed construction of new OIH facility at DPW’s present location.

March 1978: Certificate of Need finally issued. Then problem with architect’s plans, cost overrun.

April 1978: Town votes to build new OIH facility even if it fails to get federal or state funds to do so. Turning it over to hospital seen as a bad move. “The feeling of the patients is very much against going with the hospital. They feel it would be detrimental to their health and happiness.”

August 1978 Special Town Meeting: vote to build new OIH on Orange Street site. Bucked pressure to become part of the hospital, thereby releasing the land on the harbor for development. New architect hired.

Dec. 1978: Town receives one million dollars from HUD for OIH. Total cost estimated at $1.6 million.,

May 1979: DPW buildings moved off site.

Sept. 1979: bidding for construction work begun

Jan. 1980: Special Town Meeting: Voters go against FinCom recommendation, approve OIH appropriation

April 1980: Groundbreaking on new OIH building

May 1980: BOS discusses purchase of abutting property of Susan Cashman Foote between new OIH building and the edge of the marsh to preserve the view of the harbor for OIH residents. Peg Kelley had right to first refusal. Fear that someone else will purchase the land and build a large house. Possibility that NCF might buy the land.

Dec. 1980: OIH construction expected to be completed on schedule.

July 1981: New OIH open house.

August 1981: Dedication of new OIH building. Dedicated to all the townspeople of Nantucket. Ended up costing $2.4 million, built in 16 months. Physical therapy center with a Century whirlpool unit. (Whatever became of that?) Residents choosing who to share rooms with. Wooden building had single rooms. New facility will have shared rooms.

Sept. 1981: OIH residents move into new building.

Agenda OIH Long-Term Planning Work Group – 2/7/13

 

Town Building Conference Room

16 Broad Street

Nantucket, MA 02554

 

***AMENDED FEBRUARY 5, 2013***

1. Review and approval of minutes (11.8.2012, 12.07.2012, 1.10.2013)

2. Benchmarking meeting with John Brennan, Administrator of Taunton Skilled Nursing Facility

(Mr. Brennan will attend our meeting to benchmark performance with his community owned

 

OIH Work Group Members:

Joe Aguiar

Rachel Chretien

Charles Gifford

Phil Hubbard

Jim Kelly

Pam Meriam

Bruce Miller

Mickey Rowland

David Worth

Long Term Work Group Presentation – 7/2/13

 

Dear Board Members:

Our Island Home Work Group is pleased to present its final report to the Board of Selectmen.  This report is the culmination of the Work Group’s analysis, benchmarking, discussion and deliberations and represents the unanimous conclusions and recommendations of it’s members.

Since the Work Groups’s final meeting, the Nantucket Cottage Hospital has advanced a proposal to locate a new hospital at Wannacomet Water Company property.  In the course of our meetings and deliberations we discussed the option of tying Our Island Home and the hospital closer together but this option never seriously advanced due to land constraints at the hospital’s current location.

Non-the-less, our care conclusions and recommended future course for Our Island Home remain.  If availability is no longer a constraint the Work Group would strongly recommend that discussions with Nantucket Cottage Hospital be enjoined.

On behalf of the entire Work Group we have appreciated the opportunity to serve the Town in this important undertaking.

Respectively submitted,

Our Island Home Work Group

click here for the 17 page report: Our Island Home Long-Term Planning Work Group Agenda 02 07 2013 

Future Options and Recommendations for Our Island Home and Senior Citizens Relater Services – OIH Work Group – 7.2013

A comprehensive report – concise 7 page report.

Our Island Home Work Group presentation to Board of Selectmen 07 24 2013

OIH Feasibility Study – 10.7.15

Study presented to the Nantucket Board of Selectmen by SMRT, Architects and Engineers

A 39 page multi-media presentation

 OIH Board of Selectmen Meeting

OIH – Frequently Asked Questions – as of 11.15

Prepared by the Town of Nantucket

Please click on FAQs  – 4 pages

Responses from the Fourm – questionnaires,comments and suggestions

Footprint Proposal for Existing OIH location v2Suggested Footprint March 5, 2016

 

Thirty-nine exit questionnaires were turned in at the end of the meeting, and six responses with questions and comments from individuals had been submitted before the meeting. One letter was received from an individual unable to attend the meeting.

Nineteen of the respondents to the questionnaire were over 65; sixteen were between the ages of 51 and 65; and three were between the ages of 36 and 50. (One chose not to indicate age.) Twenty-six respondents indicated that they were familiar with OIH because a family member or loved one (including friends) are or have been residents there. Six indicated that they are health-care workers. Eight indicted “other,” and among these were one who stated “volunteer” and one elder advocate.

Twenty-nine respondents said they anticipate needing OIH for themselves or a loved one in the future. Four said they do not anticipate this need. Two indicated that they were unsure.

The questionnaire offered six potential concerns for the future of OIH, and respondents were invited to check as many as they wished. There was also the option of indicating another concern. Here are the responses:

Question 1. Concern(s) for the future of OIH

  • Location: 26
  • Model of care: 26
  • Cost to residents and their families: 22
  • Availability: 20
  • Cost to TON and taxpayers: 15
  • Physical plant: 15
  • Staffing: 10
  • Other: 5

Quality of care; communication policy; sustainability; “feel,” sense of community; transition; disruption to clients and their comfort during transition and the comfort and access to their family and friends

Question 2. Willingness to have reasonable tax increase to help pay for a new facility

  • Yes: 35
  • No: 4

Concern was expressed about the many large projects the Town of Nantucket is currently planning to undertake: new school building, new fire department building, new TON administrative offices, extension of sewers. One respondent remarked that “reasonable” is nebulous in the context of these other big projects. Tax increases are perceived as already too much. If instead of a tax increase, the TON sells the current OIH facility and the land it occupies, the proceeds should be restricted to building and maintaining a new OIH facility.

Question 3: Would respondent’s willingness to accept tax increase be:

  • Conditional on staying at the present site: 14
  • Conditional on a different site: 2
  • Unconditional: 17

“Conditional on best care option for residents”,“Not sure”

Question 4: Should the facility continue to be operated by the Town of Nantucket?

  • Yes: 32
  • Taken over by outside entity: 1

“Whatever makes more sense financially and operationally”,“Best financial model”, “Too soon to have an opinion”

Question 5: Is the small house/pod model appropriate for residents of OIH?

  • Yes: 18
  • No: 9

Comments rather than choice:

  • “Not sure:” 2
  • “Don’t know” 2
  • “Not as presently conceived”
  • “Unless the pods are connected”
  • “Think mixed use appropriate”
  • “Value of private rooms and social contact both”

Question 6: Do you anticipate needing OIH for yourself or a loved one in the future?

  • Yes: 29
  • No: 4
  • Unsure: 2

Question 7: How is respondent familiar with OIH?

  • Family member, loved one (including friend) current or former resident: 26
  • Health care worker: 6
  • Other: 8

“Other” respondents included a volunteer, and an elder advocate

Question 8: Age range of respondents

  • Over 65: 19
  • 51-65: 16
  • 36-50: 3

= 38

One respondent chose not to indicate age range.

 

Brunch – With Us and For Us

Each season prior to opening doors at the White Elephant, Nantucket Island Resorts hosts a Charity Brunch at the Brant Point Grill from 10:00 AM – 2:00 PM.  They provide a delicious brunch (which is served every Sunday while they are open) and patrons donate the cost of the brunch to one of the two charities chosen.  Along with the NantucketSTAR, a program for children with special needs, we will be the recipient of  (?? diners x $50 per =?) an excellent donation! Reservations suggested, still room as of today – 508-325-1320 – Sunday April 19th is just around the corner!

Checks to support Friends of Our Island Home need be made payable to Community Foundation for Nantucket with FoOIH noted.  Hope to see you there.  If you can’t be there, and want to brunch for us, please Support Us, above.

WEle

 

 

 

 

 

 

 

 

Our Sincere Thanks to:

NIRflatBrantPointGrill

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