Human Resources Committee 6/5/25
Good morning. I FOILed for a staff list at the Adult Care Center in March, and what I received listed 160 employees, half of which were county employed and half through a variety of private agencies, predominately Infinitecare's agency, Frontline. Apart from one ward secretary, all the agency staff listed by name and position were medical, mostly CNAs and nursing staff. Medical staff such as doctors, nurse practitioners, phlebotomists, physician assistants, pharmacy, therapists and others were not included on the staffing list as they are now all subcontractors to Infinitecare. The Director of Nursing or Assistant Director of Nursing was not identified on the list either, although I'm told that position is held currently by one of the agency RNs who is listed as a unit leader. A Director of Nursing who is employed by a temp agency is obviously not in the residents' best interests as she is not accountable to the facility operator. Of course, all of the staffing is paid for by the county, but we have to take it on trust that Infinitecare is effectively screening and overseeing these subcontractors, since we don't know who they are and their job performances are not audited by the county. I'd like to ask this committee to think about whether that trust is warranted, based on the results of four years of Infinitecare's mismanagement of the human and other resources at our facility, as the trajectory of the ACC's ratings continues to slide downhill.
Having more than half of the staff temporarily employed as per diems by a variety of staffing agencies at work within the same facility as county employees has generated persistent personnel problems and poor morale and performance. It has not saved the county money or improved the quality of patient care. Few people predicted that Infinitecare would not receive their CON to lease the facility, but as time goes by, leaving only 2 more years until their CON application expires, the odds a...
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