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  "meeting": "l92ny2oguhk.stephenson_county_il_nursing_center_committee_meeting_6-11-26",
  "meeting_date": "2026-06-11",
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  "source_transcript": "./data/us_il_stephenson_county_board/normalized/l92ny2oguhk.stephenson_county_il_nursing_center_committee_meeting_6-11-26.txt",
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          "text": "Go ahead and call the meeting to order. It's the nursing home center committee.",
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      "subject": "Meeting Date/Time Confirmation",
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          "text": "Uh, this is May 14th, Thursday at six 30.",
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          "evidence": "Uh, this is May 14th, Thursday at six 30.",
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        {
          "text": "okay do I have a motion to approve the agenda this is Baker second second mr. And Hadley. All in favor say aye. Opposed say aye. Motion carries.",
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          "text": "Motion to approve. Snaker, Mr. Hadley, second. All in favor, say aye. Opposed, same sign. Motion carries.",
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      "summary": "The motion to approve the claims carried.",
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          "text": "Do I have a motion to approve the claims? Yes, I'm on the phone. Oh, okay. Tax requirement, $161, manual zero, total is $161. Motion to approve.",
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          "text": "All in favor, say aye. Aye. Opposed, say it's signed. Motion carried.",
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      "subject": "Staffing and Department Updates",
      "summary": "The facility continues to monitor staffing levels and is using agency CNAs due to new hires.",
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          "text": "All the POCs for annual life safety are submitted. Again, the facility continues to monitor staffing levels. We did have to start using the agency again the last couple of weeks because we added a few CNAs. So until we hire them from the community, we will have to use a couple of agency CNAs to keep that staffing ratio.",
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      "subject": "Nursing Department Expansion Training",
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          "text": "And this is not a metaphor, but I thought it was exciting that we're opening our nursing department even further for even more acute patients. We're gonna start training on TPN, CPT vests, and LVAD wires, so.",
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          "text": "Did I see something where the CNN Week starts today? Oh, I'm so sorry. Yes, CNN Week starts today. What's that entail? It's where we celebrate our CNNs. We'll do different activities every day for the next week.",
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          "text": "Sure. So, um, we got a g-tag, which would, which results in a monetary fine. A resident fractured her hip back in March, and then I reported to state, of course, and then we had an employee that I had to terminate, unfortunately, and she was upset by her termination, so she called state, and they, she called them on short staffing and she reported this incident and they came in to investigate and because the woman suffered a fracture, we ended up with a tag and a sign.",
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          "evidence": "Sure. So, um, we got a g-tag, which would, which results in a monetary fine. A resident fractured her hip back in March, and then I reported to state, of course, and then we had an employee that I had to terminate, unfortunately, and she was upset by her termination, so she called state, and they, she called them on short staffing and she reported this incident and they came in to investigate and because the woman suffered a fracture, we ended up with a tag and a sign.",
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          "text": "Well, we did the plan of correction right away when we got the tag because you did the plan of correction immediately where the entire staff, including therapy, got training on gait belt usage and transfer status and ambulation with residents. And then what else? We did competencies on the gatebelt usage and transferring as well. And it's being monitored multiple times a day to make sure that every staff member has all their equipment and staff that doesn't have equipment is given it to them.",
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          "text": "And then when you get the fine, what happens is you have to submit the POC again. So that's what I was doing this week because I was submitting it again.",
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          "evidence": "And then when you get the fine, what happens is you have to submit the POC again. So that's what I was doing this week because I was submitting it again.",
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      "subject": "County notification regarding license status",
      "summary": "The county notified them on Monday because the license is in their name.",
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          "text": "So we were notified on Monday, the county, since the license is in our name, they notified us.",
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          "evidence": "So we were notified on Monday, the county, since the license is in our name, they notified us.",
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      "event_id": "event_0015",
      "event_type": "discussion",
      "subject": "Payment handling with Serenity and IDPH",
      "summary": "Discussion occurred regarding whether Serenity pays IDPH directly or if they pay the county which then pays IDPH.",
      "grouping": {
        "method": "single_record",
        "duplicate_rules": []
      },
      "source_record_indices": [
        16
      ],
      "source_chunks": [
        2
      ],
      "components": {},
      "evidence": [
        {
          "text": "So as far as the payment's concerned, how is that being handled with Serenity? Serenity stands. Okay, but are they going to, because I think there's a 35% reduction if it's done within 10 business days. And I think we as a county need to respond to that. Is that not correct? I already did. You already did? Okay, all right. So, is Serenity paying IDPH directly or are they paying the county and the county's paying IDPH? How is that processed? They'll pay IDPH.",
          "source_record_indices": [
            16
          ],
          "timestamp": 446.61,
          "end_timestamp": 446.61,
          "video_id": "l92Ny2ogUhk"
        }
      ],
      "source_records": [
        {
          "record_type": "discussion",
          "subject": "Payment handling with Serenity and IDPH",
          "summary": "Discussion occurred regarding whether Serenity pays IDPH directly or if they pay the county which then pays IDPH.",
          "evidence": "So as far as the payment's concerned, how is that being handled with Serenity? Serenity stands. Okay, but are they going to, because I think there's a 35% reduction if it's done within 10 business days. And I think we as a county need to respond to that. Is that not correct? I already did. You already did? Okay, all right. So, is Serenity paying IDPH directly or are they paying the county and the county's paying IDPH? How is that processed? They'll pay IDPH.",
          "source_chunks": [
            2
          ],
          "timestamp": 446.61,
          "video_id": "l92Ny2ogUhk",
          "record_index": 16
        }
      ],
      "timestamp": 446.61,
      "end_timestamp": 446.61,
      "video_id": "l92Ny2ogUhk"
    },
    {
      "event_id": "event_0016",
      "event_type": "discussion",
      "subject": "Fine amount calculation",
      "summary": "The fine was $25,000, but with a 31% reduction, it equaled $16,000.",
      "grouping": {
        "method": "single_record",
        "duplicate_rules": []
      },
      "source_record_indices": [
        17
      ],
      "source_chunks": [
        2
      ],
      "components": {},
      "evidence": [
        {
          "text": "How much is the fine? It was $25,000, but with the reduction, you take like 31% off, which equaled like $16,000 that day.",
          "source_record_indices": [
            17
          ],
          "timestamp": 470.49,
          "end_timestamp": 470.49,
          "video_id": "l92Ny2ogUhk"
        }
      ],
      "source_records": [
        {
          "record_type": "discussion",
          "subject": "Fine amount calculation",
          "summary": "The fine was $25,000, but with a 31% reduction, it equaled $16,000.",
          "evidence": "How much is the fine? It was $25,000, but with the reduction, you take like 31% off, which equaled like $16,000 that day.",
          "source_chunks": [
            2
          ],
          "timestamp": 470.49,
          "video_id": "l92Ny2ogUhk",
          "record_index": 17
        }
      ],
      "timestamp": 470.49,
      "end_timestamp": 470.49,
      "video_id": "l92Ny2ogUhk"
    },
    {
      "event_id": "event_0017",
      "event_type": "decision",
      "subject": "Adjournment of meeting",
      "summary": "Motion to adjourn.",
      "grouping": {
        "method": "decision_sequence",
        "duplicate_rules": []
      },
      "source_record_indices": [
        18,
        19
      ],
      "source_chunks": [
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      ],
      "components": {
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        ],
        "vote": [
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        ]
      },
      "evidence": [
        {
          "text": "Do you have a motion to adjourn? So moved. Mr. Bush?",
          "source_record_indices": [
            18
          ],
          "timestamp": 492.35,
          "end_timestamp": 492.35,
          "video_id": "l92Ny2ogUhk"
        },
        {
          "text": "All in favor? Aye.",
          "source_record_indices": [
            19
          ],
          "timestamp": 515.75,
          "end_timestamp": 515.75,
          "video_id": "l92Ny2ogUhk"
        }
      ],
      "source_records": [
        {
          "record_type": "motion",
          "subject": "Adjournment of meeting",
          "summary": "Motion to adjourn.",
          "evidence": "Do you have a motion to adjourn? So moved. Mr. Bush?",
          "source_chunks": [
            2
          ],
          "timestamp": 492.35,
          "video_id": "l92Ny2ogUhk",
          "record_index": 18
        },
        {
          "record_type": "vote",
          "subject": "Adjournment of meeting vote",
          "summary": "Vote on the motion to adjourn.",
          "evidence": "All in favor? Aye.",
          "source_chunks": [
            2
          ],
          "timestamp": 515.75,
          "video_id": "l92Ny2ogUhk",
          "record_index": 19
        }
      ],
      "timestamp": 492.35,
      "end_timestamp": 515.75,
      "video_id": "l92Ny2ogUhk"
    }
  ]
}