Page 2~A?THE BRUNSWICK BEA?
Pj
I UK/IIV
BY SUSAN USHER
An overwhelming display ol public
support prompted a Cardinal Health
Board evalution committee to over
ride s St#?? recommendation last
Wednesday anfl approve Beverly
Enterprises' application to build a
nursing home at Supply.
Following a hearing at Southport
City Hall that lasted almost six
hours, the project evaluation committee
voted 4-2, with one abstention,
in support of Beverly over Autumn
Corp. Autumn is the Rocky Mount->""Cd
firm "'h0S? nrniort
application was recommended by the
staff of the regional health planning
agency. Both companies plan to build
100 longterm care beds, the maximum
allowed by the state.
The committee's recommendation
was to go to the full Cardinal board of
directors Wednesday at a meeting in
I.umberton, accompanied possibly
by a minority report submitted by
Project Evaluation Committee
Chairman Wayne Burgess of Richmond
County and Wade Avant of Col
lunbus County, who voted agniast Die
motion made by I.irula Pearce of
New Hanover County.
"It's still up in the air between
Beverly and Autumn Corp.," said
Burgess. He explained that if the
committee's vote is unanimous the
board will follow its recommendaat
'in k 1 _ l 111 I.. 4_ ?? ..
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split vote, he added, predicting u
close vote by the full board.
In his own summary regarding
Beverly's presentation, Burgess
noted that unlike several ether board
members, "It hasn't changed my opinion
on Autumn, but I must say that
Beverly has made an excellent
presentation and shown excellent
community support."
A recommendation from the full
Cardinal board will be forwarded to
the N.C. Division of Facility Services,
which makes the final decision
on which application is approved.
Botli Beverly and Autumn received
support tor their projects from
towns, civic organizations and the
medical community Proponents
debated tiie advantages and disadvantages
of locating the home In
Mtutilotic or supply?factors such as
transportation in emergency and
non-emergency situations anil accessibility
to visitors such as family
members and volunteers, medical
and ministerial personnel.
In addition to the numerous letters
of support read to the committee by
Jolui K. Holden of Hidden Beach,
Commiss
It'ontlaued From Page 1-AI
Sons tins written ('ordinal seeking
clarification of whether a conflict of
interest exists for him in voting
because of tlic hospital's relationship
to llt'A and Beverly Enterprises
Soils Is an employee of Hospital Cor
uieuf jalt aJ A ii\,teioa
the hospital. IICA owils IB percent of
Beverly's common stock, but not
because it wants to. he indicated.
He said that wtiile tlic hospital and
nursing home would benefit from the
close proximity, that those with the
m&sl to gain are the patients.
HCA bought Hospital Affllatcs International,
inheriting its managemcnt
contract with Brunswick County
Hospital HAI also owneil nursing
homes, which HCA proceeded to
Flood Insu
BY TERRY POPE
Willie homos at Ocean Isle Beach
would have to be built taller, building
requirements at Sunset Beach would
become more relaxed under new
leurrm uixxi insurance slatxtards
discussed during ? public meeting
Tuesday night In Bolivia
Count) aim) town officials gathered
in the public assembly bunding ai die
county complex to review the flood
insurance program at a public
meeting conducted by tlx- Federal
Emergency Management Agency.
u*K<\ HntlnUfarw tKa {*^er?l t.%
Sufimv jjtt^r?!u
There were few questions ami comments
from the audience i< about bO
| nr*? TO SU
THE BRUNSWI
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Beverly also could claim nearly half
of those in the almost full former
courtroom as its supporters.
Holden had letters of support for a
Supply location from towns and
emergency groups scattered from
Boiling Spring Lakes to Calabash;
numerous businesses, seven of eight
physicians on the hospital and
several ministers, including the
pastor of Shallottc's First Baptist
Church. He implied support from
Ocean Isle Beach, which in fact had
not supported a Supply site.
Ono rvtitinn alnnn had more than
150 names.
Also speaking on Beverly's behalf
were Fred I^esh, owner of the property;
Hobcrt Sellers, chairman of the
county hospital authority; Dr.
Michael Bauerschinidt on behalf of
trie huspiiai's medical staff; Wilson
Arnold of Supply on behalf of the
Atlantic Telephone Membership
Corp. board of directors; Dcscy
Sellers of the Supply community;
Grace Peoples of the Holden Beach
Senior Citizens; Bil! l-ovclace of the
Holden Beach Property owners
Association; and Alice Wright of
" *
OUILICV licit uui .
Holden said the rescue squads and
fire departments he contacted supported
the location In part because
locating the nursing home away from
the hospital would put a greater
strain on the rescue squads to provide
non-emergency transport to the
hospital for testing and the like.
Kev. Ned Eaddy of the Brunswick
Christian Center echoed the reasoning
of the hospital's medical staff,
saying the nursing home's proximity
to the hospital would make it convenient
for ministering to the spiritual
needs of the residents.
He said he felt it would be "a real
miscarriage of Justice to locate it off
In a corner somewhere where it
would serve only a few people."
Those supporting the Autumn
Corp. proposal, however, argued differently.
Shallottc Mnvor Benmon Hewett
said the nursing home's location in
tluit town would be convenient to Die
rescue squad nnd for visits from
family and volunteers who come to
town regularly to shop.
"We're trying to establish the (set
that it is must needed in Shaiiciic.
From the l/wkwood Folly Hlvcr to
tin* StRiih Cnninnh liiic vhefe nfc
24,000 people. Shallottc Ls In the
center of this population," he saiu.
He also been advised by Mayor
ioners Endc
nuirUjil uittoa il Ju ??f\t its Ihn niiruimi
home business and doesn't want to
be, Sons said.
The "several, several million
dollar" sale was to Beverly Enterprises,
which offered a combination
of cash and stock, not agreeing to
.....1, ....I.. V... ,.M
i
"Anything I do here ! know is not
going to affect any decision Beverly
makes," said Sons. "On the other
hand, I do know the perception exists."
It Cardinal agrees there Ls no conflict
of interest, he continued, "Most
likely I will sit there and keep my
mouth shut."
rvoris cianuca questions raisca oy
the hospital's plans to double the
trance Study
who gathered to review tin' results of
the study completed in 1962 for
KKMA
As n result of the detailed flood
stud)'. Die minimum building level at
Sunset Beach would decrease from 14
feet to IS feet while Ocean Isle's re
quirements may increase from one to
three feet higher than the present
irirl. reueiiil officials tUT.tJ'fd 2C
transects along the Brunswick County
coast In preparing the JW-year
stud)'
Kor the first time, the impact of
hS?v nyuvaiS iTi nivow asMiCsa ? iin
"coastu! high hsutnl ??>?" ??i used
in deternunlng minimum building
levels Arras with higher sand dunes
RSCR'.BE TO "
CK^BEACON
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HOI-DEN BEACH DEVELOPER
John F. Holden documented
widespread support tui a Supply
location with a stack of letters.
1-aDane Bullington that Ocean Isle
Beach was supporting a location
"southwest of Supply."
"Qho t tnn fhny tvonfoH it In
Shallotte," he said. Autumn also had
letters of support from five physicians.
"We're definitely endorsing
Autumn Care," he added on behalf of
the ShaBotte town board.
Warren "Bud" Knapp of Carolina
Shores also spoke for the Autumn
project, noting the number of senior
citizens in the Calabash-Carolina
Shores area.
Beverly*? Flan?
Beverly Enterprises of California,
the nation's largest nursing home
company, also has regional office in
Rockvillo, Maryland, and operates
10% of all North Carolina nursing
home beds. I
It has an option to buy, at a listed l
purclu4.se price of $158,334, a tract adjoining
the hospital that is owned by
pharmacist Fred I>esh. I>esh serves
on the Brunswick County Hospital
Authority, operates the Brunswick
Hospital pharmacy and serves on the I
Brunswick County Board of Health, j
He said Beverly received the option 1
because he felt it would offer the best (
quality of care, but Autumn f
spokesman James It. Smith said t
several firms sought the option, with (
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VIIV uiKiicnv wiuuvi ?""ri i
Beverly proposes to build a $1.7
million project with 50 skilled and ?0 !
intermediate beds, and expects to 1
jrse Suooiv i
IB /
CopoCit; of Itr. sever plot)' vhlch !
will be shared with Beverly Enter- !
prises' nursing home if it is built.
An Autumn Corp. spokesman, i
James P.. Smith, raised the question |
of the system discharging directly in- i
to Doc Creek, a tributary of
lAiekwoou rOnj luVti.
The hospital had applied for. and
received, with "reluctance" on the
part of the state, he said, a permit to
discharge directly into the creek with
its new system, but under very
restrictive effluent standards and
monitoring.
"Some time ago," be continued,
the hospital abandoned Uie idea of
direct discharge because of the
possibility of an equipment
Introduced At
could cause a reduction in those stan
aaras in uh v rones, said caroi
Campbell, a specialist in the Atlanta
regional FKMA office
Both county and town officials
must pass or adopt new floodplain
management ordinances that meet
at least the minimum standards for
flood hsisrd rwiicoon mjr*. ionn cy
FEMA. The agency's recommendations
will be published in local
newspapers within the neit one to
two months, Campbell said
Kesidents and town officials will
then have a 90-day appeal period in
which to comment or to introduce
evidence contradicting the agency's
findings James Watt, a specialist
| with FKMA'r Washington. D.C. ct1
flee, said the agency welcomes new
I
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SHALLOTTE MAYOR Beamon
Hewett said Shallotte was the bub
?k. Ol MUI nMn tknt
U> MIV. (.ItUW-J/VJIUlOVIUU Ul vu M>u>
most needs a nursing home,
save money for both institutions by
snaring *VStC?" uHu 3CV7CS* luCitltiCS
with the hospital. It had the second
highest development costs of any
project considered, ranged near the
middle of the group in per diem
charges, staffing ratios and percent
of administrative costs. It is 1.5 miles
from the Supply fire department and
at least six miles from the nearest
rescue squads.
The 31,175 square-foot project has a
total cost per square foot of $54.53
and cost per bed of $17,000. It would
be financed through 20 percent cash
and 80 percent financing at 13 perppnt
interest
Beverly projects a patient mix of
iu% private pay, 2% Medicare and
88% Medicaid and would seek VA
certification.
Eighteen percent of Beverly's
stock is owned by Hospital Corporation
of America (HCA), which has
leased the Brunswick Hospital from
the Brunswick County Hospital
Authority.
Autumn's Plans
Autumn Corp. proposes to build a
tl.79 million project that includes 50
ikilled, SO intermediate and 10 home
or the aged beds at the intersection
>f Shallotte Avenue and Mulberry
Jtrcct in Shalloite. It has an option to
>uy the land from White Investments
R.D. (Doedy) White 111 and partners)
at a listed cost of J150.CG0. The
32,816 square foot facility will cost
153.59 per square foot, or second
lowest of all applicants, or $15,989 per
Location
breakdown and potential pollution of
the stream.
He reaffirmed that the hospital lias
never and does not intend to ever
pollute the streams or to discharge
directly into Doe Creek.
Instead tile hospital is doubling the
iij tn iui ui'tiiii tiviu lifiv, it.ViiiR
land that could otherwise be
developed, working with an exten
l/vn MUvlnlirt .n.l .alu nn.l
rwvzn oj/a-v mm .iuivv auiiu ttnu
hazardous waste officials in designing
the system.
In response to questions about
transportation of patients between
the nursing home and adjacent
hospital, Sellers and Sons have said a
van system could be worked out for
non-emergency transport with a
gurney.
Meeting
evidence against the study.
Floodplain studies have been changed
before based on new evidence, he
added
Jack Cook, mayor of Caswell
Beach, said he plans to question the
zoning of the- Ft. Caswell Baptist
Assembly and the Caswell dunes
area of tlie beach strand. According
fC tf*C Study, tt*C iiujai iuicu
under less stringent standards while
Cook feels the dunes area should also
fall under the same zoning.
i t
i vut MN*cu/irvA?K*frtAi \
!i i k. wMiwn yuivvni
Eitoblithtd Nov 1. 1962 j
T*l?phon? 754 6890
Pijhlj(K?H Py*rw TKnrtf^jy I
A? Main Strait
Shot ion* n C.
SUBSCRIPTION RATES
IN MUNSWKX COUNTY
Cr.s Yso; 73
Six Months $3 14
tlSraKttl IN NORTN CAROONA
On# V*or $7 32
Six Month# it 18
tUCWMHf IN U.S.A.
On# Yooi $10 00
Six Months S6 00
Socond closs poster# paid ot
th# Post OTTico in Shallott*
ij r sdica mcof tti 7 on
i Homp (
fm a a
bed, third lowest of all applicants.
The entire cost would be financed at
13.5% interest.
The facility would be located onehalf
mile from the fire department,
with a hydrant less than 500 feet
away, and about one mile from the
rescue squad. It would be served by
municipal paved road, city water and
sewer, ana offer fewer ancillary services
than Beverly. Autumn proposed
more staff per bed than any applicant.
Autumn anticipates a patient mix
of 14% private pay. 3% Medicare,
80% Medicaid and unlike Beverly, includes
3% for bad debt and charity
care write-offs.
Both Autumn and Beverly would
provide a similar range of services.
While Autumn Corp. also had expressed
interest in an option on the
Supply tract owned by Lesh, the firm
is one of three that had ultimately
proposed to build in or just outside
the Town of Shallotte. The town is
considered the hub of a growth area
initially identified by the Brunswick
County Board of Heaiih in Ociouei as
the most suitable location for the nur
inn hnmo
" O
However, in December the health
board rejected the idea of the growth
loop and instead gave its support to a
Supply location for the proposed
facility.
Briithavens move
Rather than promoting
BriUluivcn'a application, Robert Hill
Jr.. vice president of the familyowned
Hookerton firm, extended its
support to 1) a Shallotte location; 2)
the ranking system used by the staff
(though some factors "may not be
entirely lair to ail the applicants")
and 3) a North Carolina company,
any one or combination of Triad
Medical Services, Autumn Corp. and
Unifour Medical Management. Of
those three, only Autumn Corp. proposes
to build in the Shailotte area.
Hill said Rritthaven's application
had not been withdrawn, but that the
firm was backing away from the
local project while pursuing state approval
of a 62-bed project in Hoke
County.
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ten support was expressed last
Wednesday for developing at least
some skilled nursing beds to Ocean
Trail Convalescent Center in
Southport, Cardinal identified two
ways for that community to help H
meet local demand for long-term
care beds while still allowing con
struction elsewhere of the 100 beds
identified by the state as needed in
the county.
If Ocean Trail's proposal for 40
skilled care beds and 16 intermediate
care beds were approved, the staff
analysis indicated, three-fourths of
tne county s uuisiug home beds
would be concentrated within one
community.
Cardinal Health Systems Analyst
Craig Smith said that Dosher
Memorial Hospital in Southport,
because it has less than 50 beds and is
in a rural area, qualifies for participation
in a "swing-bed" program,
which aiiows some beds under
specific circumstances to be used for
skilled nursing care rather than
hospital car(>
Also, Ocean Trail, which presently
provides no skilled-care beds, could
convert as many as 10 beds per year
to that purpose by notifying the
certificate-of-need section of the N.C.
Division of Facility Services.
Cardinal's staff, which includes
Executive Director Larry Cnimbliss
and health system analysts Craig
Smith, Lydia Hayes, Kelly Rowan
ami A! Connor, had ranked the six
projects numerically based on
analysis of factors related to nursing
home operations such as financial
performance, costs, staffing plans
and the like.
They ranked Autumn at the top,
followed by Triad, which operates
Ocean Trail Convalescent Center in
Southport; Beverly Enterprises;
Health Care and Retirement Corp. of
America and last, Unifour Medicai
Management of Hickory', which proposed
to operate a nursing home in
the Bolivia area developed as part of
a retirement community to be known
as Cypress Springs. Cypress Springs
and the Ocean Trail project were the
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SJIIIJ ct'llliyliuiuuii ut ?nv pi ojovui IIK1I
could have been approved.
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