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WASHINGTON COUNTY
Request for Proposals
Sale of County Nursing Home (Pleasant Valley) and/or Selected
Public Health Home Care Services


Board  
Statement of the Board of Supervisors Evaluation Criteria
Notes on Redaction of Proposals Timeline
Public Information Session Schedule Adobe Reader Required
New! Icon Washington County Public Meeting on County - Operated Home Care & Nursing Services - February 14, 15, & 16, 2012 - Handout Adobe Reader Required

Latest Information / Assessment

Washington County Pleasant Valley Nursing Home and Home Care Services Assessment - Phase II - September, 2011 Adobe Reader Required Washington County Pleasant Valley Nursing Home and Home Care Services Assessment - Phase III
Analysis of Selected Options
- November, 2011
Adobe Reader Required
Washington County Pleasant Valley Nursing Home Assessment - Phase I - December, 2010 Adobe Reader Required  

Redacted Proposals
(alphabetically listed)

Centers for Specialty Care Group Adobe Reader Required HCR Adobe Reader Required
Fort Hudson Health Systems, Inc. Adobe Reader Required National Health Care Associates, Inc. Adobe Reader Required
Glens Falls Hospital Adobe Reader Required Personal Healthcare, LLC Adobe Reader Required

Comments can be sent to
PVPHComments@co.washington.ny.us or mailed to Health Care Comments, Washington County Board of Supervisors
383 Broadway Bldg. B
Fort Edward, NY 12828.
County Attorney Roger Wickes is the information officer for this process. He can be reached via the contact information above or at 746-2216.
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  Green Dot The County-owned Pleasant Valley, including: a 122-bed Skilled Nursing Facility, a 33-bed Adult Home, and a 24-slot Adult Day Health Care Program; and/or

  Green Dot Three County-owned Public Health Home Care Services, including: a Certified Home Health Agency, a Long Term Home Health Care Program, and a Hospice program.

Statement of the Board of Supervisors
In light of the recent solicitation of Requests for Proposals (RFP’s) concerning future operations of Pleasant Valley and Washington County Public Health programs, the Board of Supervisors wishes to provide the public with the most current and accurate information possible to make the process transparent for the public, residents/patients and employees of the programs and facility. We know considerable speculation and rumors are circulating about what the Board intends to do and we want you to be as informed as possible, both now and as events occur over the coming months. No decisions have been made at this time regarding the future of these programs. The County is about to embark on a process to examine the range of options available regarding these operations and programs.

First, we want to assure the public that the County is committed to assuring that both Public Health services and Pleasant Valley nursing home services continue to be provided to County residents. What is not known at this time is whether those services will continue to be owned and provided by the County or under different ownership or structures. Again, absolutely no decisions have been made by anyone regarding whether or not to sell either Pleasant Valley or the home care programs.

The County is currently testing the waters to see what degree of interest there may be among potential buyers and/or operators and as of July 15, various entities have submitted proposals expressing interest in Pleasant Valley and/or the home care programs. The County has made it clear that it reserves the right to reject all potential offers, to determine that none of the proposals are in the County’s best interest and that it may choose to continue to operate Pleasant Valley and/or the home care programs as County-owned entities. The tentative timeline, which is attached, calls for an initial review period of several months. Initial interviews with those proposers the County finds promising are anticipated to be conducted this fall. If the County chooses to enter into further discussions with one or more of the responding entities, the process will be long and involved. A final deal may or may not resemble the initial proposals submitted or even be reached and the County may choose to end the process at any point along the way. One principal is clear however, the County is committed to make a decision that is in the best interests of its citizens, residents/patients and employees.

Even if a decision is made to change the current operations for either or both entities, there would be a lengthy review by New York State that would likely take 12 to 18 months. Thus, even if a decision was made to change one or both operations, they would remain under County ownership for at least that time period after a decision is made.

The County is committed to keeping the public informed of the status of the review process and opportunities will be provided for public comment to the Board of Supervisors on the process and specific proposals at appropriate times. The Health Committee meeting schedule and the proposals will be posted on the County’s website www.co.washington.ny.us. Comments can be sent to PVPHComments@co.washington.ny.us or mailed to Health Care Comments, Washington County Board of Supervisors 383 Broadway Bldg. B Fort Edward, NY 12828. County Attorney Roger Wickes is the information officer for this process. He can be reached via the contact information above or at 746-2216.

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Evaluation Criteria
The Board of Supervisors was asked to rate each of these items on a scale of one to five (one being the least important and five being the most important). The County’s consultant will compile the results for release.

1. Proposed sale price and viable and logical terms of purchase.

2. Evidence of sufficient “deep pockets”/financial capability to purchase Pleasant Valley and/or the home care services, and maintain them in the future.

3. Whether the potential buyer offers to buy both PV and the home care services, or only one or the other; in other words, does it matter if you wind up with possibly two owners versus only one owner if both are sold.

4. The experience of the proposer in operating similar nursing homes and/or home care services; this would include the length of time the operator has been in this business and the number of facilities/programs currently owned or operated.

5. A demonstrated history of offering excellent, high quality Skilled Nursing Facility and/or home care services (including evidence of recent survey results for SNFs owned or operated by the proposer).

6. Private for-profit versus not-for-profit status.

7. Local/regional location and experience.

8. Experience beyond local level, with network of statewide or national operations.

9. Responsiveness to the objectives and expectations outlined in the RFP.

10. The quality, feasibility and appropriateness of the transition plan from current operations to operations under the new owner.

11. The proposer’s proposed plan for continuation of services for current residents of Pleasant Valley and/or clients of the home care services.

12. Proposed admission/acceptance policies under the new ownership, including coverage of residents in all areas of Washington County.

13. The proposed plan for retention, if any, of current employees of Pleasant Valley and/or home care services, and evidence of previous experience with current employees in any previous purchases.

14. Proposed plan for addressing future salary and benefits of current employees, and evidence of previous experience with current employees in any previous purchases.

15. The value, feasibility and appropriateness of any changes an applicant may be proposing to current practices or configuration of services or facilities.

16. Quality of references.

17. Long-term commitment to providing services in the future.

18. Experience working with Unions, and proposed approach to working with issues raised by unions representing Pleasant Valley and home care employees.

19. How applicant proposes to work with and be accountable to the larger community.

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Timeline
Green Dot All responses to the RFP are due July 15. Upon receipt of all proposals, CGR will follow-up to the extent necessary on the Committee’s behalf on any incomplete responses, and/or to clarify any issues needing elaboration or clarification, as part of the review process.

Green Dot By no later than the 10th of August, CGR will produce for the Health Committee’s review a summary narrative report indicating pros, cons and other implications of each proposal.

Green Dot As early in August as possible (no later than during the second or third week in August), the Health Committee and/or other Supervisors meet to review the proposals and CGR’s summary report and identify proposals worth further consideration, plus any follow-up questions and issues that need to be pursued with each potential purchaser that passes the initial Committee review hurdle, and remains of interest to the Committee into a second round of the process.

Green Dot During the latter part of August, CGR summarizes the responses to the follow-up questions and issues and provides the summary in a second report to the Health Committee for its review.

Green Dot In late August or early September, the Health Committee meets for a second time to review the updated information from the “second round” applicants leading to a Committee decision as to which “finalists” if any, it wishes to interview and perhaps visit.

Green Dot During the first half of September, CGR would coordinate on the Committee’s behalf in-person interviews with any finalist candidates. Field visits may also be scheduled during this time.

Green Dot During October, final discussions of the Health Committee and Board concerning making final decisions about which proposals, if any, to accept to enter into the process of final negotiations take place along with identification of key issues that would need to be addressed in any final negotiations with the prospective purchaser(s).

Green Dot October or early November a final decision about whether or not to sell, and if so with whom to continue negotiations, is made.

Green DotNegotiations continue until a deal is reached or is unable to be reached.

Green Dot 12 to 18 months after an agreement is reached, Certificate of Need is granted and operations transition.

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Notes on Redaction of Proposals
1. Each proposer was requested to provide information under separate cover that they considered to be trade secrets. That material is not included in the redacted proposals.

2. Audited financials were requested for each proposer. That information was redacted from each response.

3. Email addresses were redacted in order to avoid “harvesting” from the internet.

4. Personal addresses were redacted.

5. The initial offering prices were redacted due to the fact that one proposer did not make a specific price offer in order to avoid unfair advantage to one or more responder.

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Request For Proposals Adobe Reader Required
 
Public Health Budget Analysis 2009 - 2011 Adobe Reader Required
Pleasant Valley Adopted Budget 2011 Adobe Reader Required Public Health Certified Home Health Care Agency Medicaid Cost Report 2009 Adobe Reader Required
 
Pleasant Valley Audited Financial
Statements 2009
Adobe Reader Required
Public Health Long Term Home Health Care Agency Medicaid Cost Report 2009 Adobe Reader Required
 
Pleasant Valley Audited Financial
Statements 2008
Adobe Reader Required
Public Health Medicare Cost Report 2009
(part I)
Adobe Reader Required
 
Pleasant Valley Property Map Adobe Reader Required Public Health Medicare Cost Report 2009
(part II)
Adobe Reader Required
 
Non-Union Employee Handbook Adobe Reader Required Public Health Certified Home Health Care Agency Medicaid Cost Report 2008 Adobe Reader Required
 
Non-Union Salary Schedule Adobe Reader Required Public Health Long Term Home Health Care Agency Medicaid Cost Report 2008 Adobe Reader Required
 
Public Health Nurses Union Contract Adobe Reader Required Public Health Medicare Cost Report 2008
(part I)
Adobe Reader Required
 
Home Health Aide Union Contract Adobe Reader Required Public Health Medicare Cost Report 2008
(part II)
Adobe Reader Required
 
Pleasant Valley Laborers Union Contract Adobe Reader Required Washington County Public Health Nursing Service Medicare Cost Report 2010 Adobe Reader Required
Public Health Nursing Service Annual Report 2010 (2.32mb) Adobe Reader Required  
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