The grim math for Hope Creek Care Center is pretty simple. Changing it is not.
Right now, the 245-bed Rock Island County-run nursing home in East Moline is paid $127.48 by the State of Illinois for each Medicaid recipient it houses. The cost to care for each person, said Administrator Trudy Whittington, is $200 a day.
And because by law government-run homes can't turn away Medicaid recipients, typically more than 60 percent of Hope Creek residents are on the state/federal public-aid program.
So Hope Creek is nearly $4 million in the red each year from that disparity alone, and the current property-tax subsidy for the nursing home doesn't cover it. And that doesn't even consider other factors related to state government - such as late reimbursements and delays in approving Medicaid applications.
In that context, Rock Island County officials on October 10 bluntly announced that "after providing an option for the long-term-care needs for residents of our county since 1839 in one capacity or another, the county is looking to divest itself from the nursing-home business due to forces beyond our control that have made that commitment impossible to continue. ... The Rock Island County Board will take official action at their November 19 meeting to explore the potential of leasing or selling Hope Creek Care nursing home."
That statement brought immediate backlash - by the union representing Hope Creek workers, and by people concerned about the fate of Medicaid recipients who live at Hope Creek or might need to in the future. The county quickly retreated, and County Board Chair Phil Banaszek appointed an ad-hoc committee to look at other options.
Whittington said selling or leasing Hope Creek is Plan D and Plan E at this point - but the county would be remiss if it didn't do its homework on those alternatives. "We have to start looking at what Hope Creek's options are," she said last week. "If we don't do something, those may become our only options. ... That is ... our last resort."
The Rock Island County Board could as soon as its November 19 meeting take some sort of action on Hope Creek. The most likely course is approving a referendum question for the November 2014 ballot to raise property taxes in 2015 to further subsidize Hope Creek.