Ashley Marie DeHerrera

The meeting addressed several critical operational and financial matters. Key discussions included the approval of the Baker Tilly Final Audit Report for FY2025, which resulted in unmodified opinions despite a significant deficiency noted in declining cash balances. The Board reviewed reports from the Nursing Home Administrator and Clinics Administrator, covering topics such as the utilization of GO Bond funding, ongoing recruitment efforts for clinical staff, operational updates concerning stormwater runoff, and confirmation of successful CMS recertification survey completion without findings of substandard care. Financial discussions focused on continued cash flow constraints necessitating the use of the Line of Credit until mill levy funds are received, and authorization was granted for the use of the LOC for operational costs. The Board also approved Pay Application #21 for the new Long Term Care Building project and approved an invoice from Cuddy & McCarthy. New business included tabling a decision on housing costs for the Urgent Care Radiologist and directing staff to provide clarification on the Mileage Reimbursement Policy. Finally, a Board Member raised a concern regarding budget transparency, leading to a management commitment to develop monthly department-level budget reporting tools.

The meeting commenced with the approval of the agenda. The Board then entered into an executive session to discuss a limited personnel matter and issues pertaining to threatened litigation, pursuant to NMSA 1978, Sections 10-15-1(H)(2) and 10-15-1(H)(7). Following the executive session, the Board reconvened in open session, reaffirmed that no action was necessary based on the closed-door discussions, and subsequently adjourned the meeting.

The agenda for this Regular Board Meeting includes standard items such as the approval of the agenda and reports from the Chairman/Vice Chair, Board Docket, and Committees. Key action items involve the election of Directors (Chairperson, Vice Chairperson, Secretary/Treasurer). Financial and operational reviews are scheduled for the Nursing Home Administrator Report and Clinics Administrator Report covering November 2025 through January 2026. Compliance reports for November and December 2025 will be reviewed. Significant project updates are scheduled for the New Long Term Care Building, including approval of Pay Applications and Change Orders, and the selection of an architectural firm for the New Moreno Valley Healthcare Clinic. The meeting includes a comprehensive financial review for November and December 2025, and approval of the FY 2026 BAR Schedule and Budget Adjustments Resolution. Discussions are slated for Colfax Healthcare Foundation Board Positions and the Mileage Reimbursement Policy. New business features the approval of invoices from Cuddy McCarthy LLP, LOC Renewal, a payback plan for the Line of Credit Urgent Care, selection of committee members, approval of the 2026 Salary Grid, and signing of Conflict of Interest Forms. The meeting concludes with executive sessions to discuss the performance evaluation of the administrators and a personnel matter potentially involving threatened litigation.

The meeting included the approval of the agenda as amended, which combined two executive session items to discuss a limited personnel matter and issues subject to attorney-client privilege regarding threatened litigation. The Board approved the minutes for the September 22, 2025, Regular Board Meeting and the October 7, 2025, Special Board Meeting. Discussions centered on the September/October 2025 Nursing Home Administrator Report, where concerns were raised regarding communication about an East Wing design presentation date conflict and the Administrator's attendance. The Clinics Administrator Report noted the completion of a locum tenens assignment, ongoing recruitment, the expected completion of the Moreno Valley Healthcare Clinic architectural proposal, and the transition of Moreno Valley Urgent Care to its winter schedule. Compliance reports for September 2025 were approved. Updates were provided on the GO Bond and Capital Outlay Projects. For the New Long Term Care Building Project, the Board addressed a drainage issue, agreeing on steps involving digging out an external bar ditch, and formally approved a prior change order and Pay Application #20. Financial reports for September 2025, the GO Bond Budget Adjustment Resolution #2114, and the FY2026 Q1 Financial Report were approved. Old business included the approval to purchase a Ford F-350 work truck for Colfax General Long Term Care, with final selection deferred to the Maintenance Director, and the approval of a purchase quote for a portable X-ray unit package. New business involved the approval to close a Restricted Cash Account with InBank and the acceptance of the FY25 Capital Development Program Fund Grant. During the executive session, a salary adjustment for the Licensed Nursing Home Administrator was discussed, but no motion was made, resulting in the item failing for lack of action; the Administrator subsequently requested documentation of her job description and duties. A significant portion of the meeting was dedicated to Board concerns regarding the need for dedicated snow removal equipment for the Angel Fire and Cimarron clinics, given their heavier snowfall compared to Springer. The next regular meeting was set for November 24, 2025.

The meeting included a presentation of design changes for the new long-term care facility to representatives from the New Mexico Aging and Long-Term Services Department (ALTSD). The board explained updates made following the Governor's visit, such as adding more private rooms, bathrooms, and a nurse's station for a future memory care unit. Limitations due to funding, land availability, and construction timelines were emphasized. The board agreed to forward finalized plans to ALTSD for further review, with a follow-up meeting scheduled involving ALTSD, architects, and potentially the Governor.