compresse rivestite levitra augmentin sciroppo dosatore strattera generic name atomoxetine coumadin+necrosi della pelle dostinex dosaggio prolattina alta atrovent neonatal dose lariam innameschema lasix gocce posologia cibi da evitare nella terapia con coumadin prezzi hotel cipro cialis generico em bh generico do clomid diflucan due pastiglie fexofenadina clorhidrato allegra pediatrico voltaren alternative ratiopharm klacid e augmentin differenze posologia metoclopramide gatto a quoi sert le medicament clomid triamcinolone doses porti dell'isola di cipro feldene supposte foglietto illustrativo interaksi captopril dan allopurinol voltaren dispers magen diflucan come si assume cardura italiano augmentin al gatto dosaggio allegra d prednisone clindamycin rifampicin hidradenitis suppurativa aciclovir uso continuo trazodone medscape prezzo voltaren emulgel 1 allegra aronica motilium 1mg ml suspension oral istituto comprensivo padre maria allegra viagra per disfunzione erettile curso cipro unam triamcinolone acetonide cream .1 dosage augmentin bambini quanto costa ventolin salbutamol aerosol dosaggio augmentin in ml triamcinolone mupirocin risperdal consta depression generic for triamcinolone cream abilify gegen aggressionen allegra villa alla spiaggia propranolol cbip dulcolax medicine constipation assuefazione al viagra aldara con mestruazioni benzac mancha la ropa viagra legrand cialis generico opinioni cosa posso mangiare con coumadin risperdal consta lp 37.5 mg clomid e cicli anovulatori medicament risperdal 4mg voli diretti per cipro da roma cialis 5 mg acquisto on line hotel cinque stelle a cipro voltaren dose per day ventolin spray controindicazioni medicamento tegretol lc metoclopramide perinorm levitra dopo cena cipro mappamondo cos'è il viagra yahoo prezzo mobic compresse augmentin ad inizio gravidanza seroquel 25 mg beipackzettel voltaren panacod per lo xenical serve la ricetta limassol cipro vita notturna viagra e aritmia cardiaca ketoconazole cream nizoral ราคา lamisil smalto prezzo aciclovir dorom indicazioni cymbalta quelle famille zantac 300 grossesse propecia effetti a lungo termine co lepsze ventolin czy berotec zoloft 50 mg fait il grossir sintomi da cialis took provera no period not pregnant prograf iv to po conversion voltaren da 75 mg ordinare cialis on line risperdal consta suomi voltaren dolo szemcsepp viagra musica russian compare metformin gliclazide cipro price in india clomid gravidanza al primo ciclo generico levitra brasil metoclopramide farmacodinamia nifedipin verapamil diltiazem albendazole suspension dosage for puppies rosuvastatin calcium pharmacopoeia medicamento generico del nexium cialis 5 mg indicazioni terapeutiche prendo il coumadin posso prendere la tachipirina allegra quelle aciclovir sciroppo bambini dosaggio prednisolone alopecia areata viagra avec l alcool aspirin esomeprazole chemoprevention trial promethazine potentiate tramadol posti da vedere cipro lasix nei cani nome generico berotec e atrovent diltiazem fiale torrinomedica escitalopram nootropic lincocin generic name ca sert a quoi le viagra augmentin quando inizia a fare effetto strattera preço dostinex e lattazione qual o periodo fertil tomando serophene municipio via cipro roma coumadin interazioni con altri farmaci allergie au metoclopramide medicamento generico do allegra d albendazole mims india anafranil vision borrosa sale di cipro fiocchi augmentin senza ricetta lamisil compresse 250 mg cymbalta durata cura quando usare il viagra cialis 20 mg contre indication association risperdal et haldol voltaren retard 100 mg filmtabletten mestinon argentina ampicillin and gentamicin uti clomid da sonnolenza remeron compresse prezzo lamisil cream pityriasis versicolor farmacodinamia de escitalopram propecia finasteride opiniones cipro costochondritis voltaren gel ryggont voltaren bustine foglio illustrativo augmentin o farmaco generico cialis messico diflucan 10 mg/ml sospensione orale trazodone api uso di seroquel tratament duphaston si metformin clomid periodo fertile lamisil crema controindicazioni viagra sildenafil masticable ottenere viagra urologia cialis rivotril y viagra in quanto tempo agisce lo zoloft battaglia cipro allegra d é antibiotico medicament zoloft 50 mg inderal al bisogno assunzione diflucan 150 augmentin influenteaza menstruatia allegra negozio a quoi sert furosemide allegra d poison ivy ditropan medicamento viagra cibi posologie clomid 100 triamcinolone acetonide azmacort viagra nei diabetici metoprolol costo uso aciclovir in gravidanza tronchetti provera data di nascita metoprolol succinato 50mg anafranil et risperdal isola di cipro villaggi tegretol sciroppo costo voltaren supposte voltaren fiala prezzo mobic 7 5 posologia forum levitra generico risperdal consta directions voltaren ve buscopan kamagra gel come si assume si può usare zovirax in gravidanza geografia fisica di cipro aeroporti di cipro nord qual'è il problema di cipro indicazioni bactrim compresse consigli per andare a cipro bisoprolol metoprolol nebivolol finasteride fa cadere capelli finasteride ricrescita tempie dose augmentin bambini 40 kg mappa geografica di cipro ventolin dosaggio pediatrico propecia a vie risperdal e anoressia dosaggio di augmentin sciroppo prometrium giorno del transfer prometrium nel terzo trimestre di gravidanza prometrium 200 ovuli quanto costa iniezioni feldene e muscoril olanzapine allaitement grisogono prix bague allegra titanic o viagra pillola equivalente al viagra voltaren ip novartis differenza tra ventolin e broncovaleas cymbalta e aggressivita voltaren xr ingredients allegra d infantil chi ha usato remeron augmentin ed erezione cos'è il clopidogrel accutane gram negative folliculitis augmentin per infezioni ginecologiche acquistare levitra senza ricetta augmentin anziani amerimed viagra cialis per giovani provera no period after escitalopram motivation cialis e ernia iatale moduretic e impotenza risultati con propecia augmentin è buono per il mal di denti cipro hc otic suspension alc escitalopram pmdd posso prendere augmentin e oki augmentin esposizione al sole risperdal bei epilepsie nitrofurantoin color voltaren fiale e diabete viva allegra pbs cipro ambasciata roma viagra nei supermercati combivent mdi dose lamictal effetti collaterali gravidanza spiagge di cipro sud risperdal en im viagra generico principio ativo dulcolax pico liquid ingredients domperidona motilium suspension ristoranti via cipro roma augmentin compresse per gatto detrol anticholinergic feldene fiale posologia voltaren retard dosering chloroquine vs lariam voltaren root viagra e ipb che cos è il levitra augmentin e colon irritabile bugiardino viagra 100 medicamento plavix generico tegretol dementia trazodone contents cymbalta ciclo mestruale il cialis ci vuole la ricetta ventolin modo d'uso tutto su abilify voltaren tbl clomid allunga il ciclo vermox sciroppo per gatti viagra generico colombia precio compazine iv to po conversion voltaren oder diclac celebrex istruzioni alesse spotting no period provera in menopause ampicillin sulbactam pharmacologic class clima invernale cipro propranolol sindrome do panico generico do imuran elavil confusion si puo usare voltaren gel in gravidanza cialis prima dei pasti isoptin effetti collaterali proventil propellant strattera and vitamin d deficiency cialis è pericoloso is trazodone similar to percocet voltaren for ovarian cyst micardis ace inibitore provera composition augmentin antibiotico componenti risperidona o seroquel meclizine pharmacological classification strattera depersonalization melatonine en risperdal cytotec gravidez anembrionaria premarin progesterone seroquel rilascio prolungato 200 mg paracetamolo interazione con coumadin chi ha usato cialis ventolin istruzioni augmentin dolore addominale come comprare viagra farmacia cialis data scadenza hydrochlorothiazide ramipril combination trental 400 compresse prezzo coumadin e farmaci controindicati spartito la vedova allegra cardura è un betabloccante crestor 5 mg valor bartonella doxycycline rifampin allegra d preco droga raia lieu dung cua ventolin cialis 0 5 prezzo augmentin estrazione dente del giudizio cipro anse viaggi prednisone farmaci arcoxia 90 composizione la vedova allegra lehar libretto composicion farmacologica viagra cosa non mangiare se si prende coumadin allegra antialergico dosis pioglitazone (actos®) and rosiglitazone (avandia®) seroquel controindicazioni cardiologiche tome cytotec pero solo sangre 1 dia lamisil crema ricetta will cipro cure giardia quando usare augmentin bambini prevenir varicela con aciclovir cialis cura della disfunzione erettile lariam in gravidanza finasteride alopecia androgenetica clomid dopo quanto si rimane incinta clomid per secondo figlio limassol cipro mare informacion medicamento diovan finasteride generico costa rica voltaren salbe 60 g albendazole 10 suspension isoptin 40 mg prezzo voltaren colico renal con coumadin cosa non si deve mangiare clomid foglietto illustrativo dostinex fa male in gravidanza voltaren vs lonol nitrofurantoin uti while pregnant cipro sandton lamisil creme mycose genitale cialis viagra e simili comprare cialis legalmente escitalopram fda pregnancy voltaren d 50 clomid prezzo farmacia seroquel bei unipolarer depression viagra color rosa clomid fa venire fame temperature cipro gennaio cipro in g6pd ultime notizie su cipro triamcinolone acetonide lotion 0.025 percocet mobic costo levitra da 20 mg cialis ogni giorno voltaren matas colegio aleman cialis zyrtec i allertec strattera herzrasen il clomid fa ingrassare clopidogrel mylan scheda tecnica trazodone medline india allegra di carpegna suprax effetti indesiderati somministrazione aciclovir neonati danazol miomatosis uterina sigarette elettroniche roma cipro augmentin sciroppo bambini dosi cipro corsi inglese appartamenti in affitto a roma zona cipro lapatinib xeloda effetti collaterali antibiotico allattamento augmentin voltaren and ultram augmentin va bene per la gonorrea cipro guerra civile vermox 500 effetti collaterali www.voltaren.co.za antibiotico augmentin duo ampicillin contre indication dose iniziale coumadin ventolin donazione sangue clomid è mutuabile dramamine costo motilium compresse prezzo levitra modo di assunzione crema contro l'acne benzac musica allegra irlandese ventolin puff prezzo cetoconazol cialis augmentin e sospetta gravidanza voltaren facmed orlistat de laboratorio chile traghetti cipro pireo motilium 10 mg posologia medicine triamcinolone acetonide ointment zovirax creme efficace voltaren ft acquisto viagra generico on line risperdal impulsivité benzac ac gel sulit.com levitra generico prezzo mastodynie voltaren dipyridamole copd vacanze a cipro con bambini trazodone 150 mg cost allegra in analisi grammaticale mestinon liquid cipro serbia amichevole bibliografia cipro neto viagra effetti collaterali ipertensione voltaren gel dosage chart triamcinolone acetonide pregnancy ama la vedova allegra rapporti durante il clomid xyzal allegra comparison voltaren fiebre triamcinolone cream nose icare chloramphenicol high dose risperdal consta comprar viagra la paz bolivia trazodone hydrochloride india is risperdal an maoi inhibitor dutasteride muscoli dolo neurontin i doser viagra gratuit tegretol hematologic monitoring ni con cialis zoloft sintomi sospensione clomid e ciclo anticipato composition voltaren 50 mg cialis ipertensione arteriosa risperdal consta prices voltaren gel for pregnancy nitrofurantoin ulcerative colitis vacanze ayia napa cipro ci vuole la prescrizione medica per il cialis finpecia efficace località più belle di cipro costo viagra da 100 mg clomid e endometrio sottile adalat crono 20 mg prezzo provera aumenta senos finasteride e pressione adalat gonfiore caviglie sospensione improvvisa di zoloft prezzo pomata voltaren emulgel come ottenere ricetta cialis colchicine di indonesia differin vitiligo clomid con ciclo irregolare prednisone grossesse sostituto cialis viagra effetti sulla vista isoptin 120 effetti collaterali seroquel qt lungo apo metoprolol tartrate 25mg trazodone antibiotics voltaren salbe ebay compazine class seroquel per attacchi di panico metro roma termini cipro voltaren gel bunion isotretinoin gel pret glucophage e ovulazione augmentin antibiotico euro spezzare cialis 20 mg funziona il viagra naturale cap via cipro genova augmentin pranzo e cena minocin per rosacea allegra d generico nome condomínio rossi allegra marília diverticulitis flagyl cipro la7 tronchetti provera la percocet contiene aspirina coumadin modalità di assunzione tegretol cipralex provera a luteina propranolol in combinatie met alcohol candida sintomi diflucan come aprire un conto a cipro candida uti diflucan differin crema peggioramento allegra piu voltaren ofta indicazioni seroquel in pazienti con alzheimer voltaren gravid gel scandale du propecia minocin medicine quotidiani di cipro 75 mg trazodone insomnia tenormin bugiardino è meglio il malarone o il lariam il voltaren fa alzare la pressione augmentin reazione allergica renagel discontinued anafranil pronunciation evista costo
Share this page on facebook
Lasata plan drives wedge in divided County Board PDF Print E-mail
Feature
Written by BILL SCHANEN IV   
Wednesday, 20 November 2013 18:47

Officials seek compromise to keep project on track while pinning down cost

   A multi-million-dollar plan to upgrade Ozaukee County’s Lasata Senior Living Campus in Cedarburg, which just last month appeared to have significant support, is now dividing a fractured County Board.

    Scrambling to find a way to move the project forward while keeping it politically viable, members of the Executive Committee decided last week to scrap plans to call for a vote next month on borrowing $3 million for the first phase of the improvements for fear it would endanger the entire project.

    Instead, in a nod to supervisors who have questioned the planning for the project, the committee agreed to draft a resolution seeking money to hire a project manager or architectural firm to draft detailed designs and determine costs for a community-based residential facility (CBRF) for the frail elderly and those with dementia.

    The second and more costly phase of the project — renovating the antiquated Lasata Care Center nursing home at an estimated cost of $7 million — would be considered separately at a later date after further analysis.



    The compromise was a bitter pill to swallow for supervisors who have spent more than a year studying and planning the project.

    “In October 2012 we headed down this road,” said Supr. Cynthia Bock of Mequon, a member of the Executive Committee and chairman of the Health and Human Services Committee, which oversees Lasata Senior Living Campus. “It’s now mid-November,  and this is the first I’ve heard someone say you’ll have to have a detailed design plan before moving forward. At the 11th hour they say we need a detailed plan.”

    County Board Chairman Lee Schlenvogt, chairman of the Executive Committee, urged members not to risk the project by forcing a vote on the borrowing next month. Instead, he said, the committee should recommend hiring a firm to provide detailed specifications and costs so the board can vote on borrowing in February or March.

    “There’s enough opposition on the board now that you won’t get the votes to get your bonding,” Schlenvogt said.

    Borrowing resolutions require the support of three-quarters of the board members, or 20 of the 26 supervisors.

    “We need to get the board behind this, and we need to move forward with it,” Schlenvogt said.

    Supr. Dan Becker of Port Washington, also a member of the committee, agreed.

    “I’m comfortable voting on a $3 million bonding resolution in December and moving forward, but I don’t want to put that resolution on the agenda and watch it go down in flames,” he said.

    But whether the committee’s compromise is enough to keep the project on track remains to be seen. Supr. Robert Brooks of Saukville, who became a lightning rod for criticism from some supervisors when he questioned the process earlier this month, said the Executive Committee’s plan is less than ideal.

    The county, Brooks said, should have detailed plans for both phases of the project before voting on funding for the CBRF. Some committee members oppose that approach for fear it will delay the project.

    “I know some supervisors are looking to me to say whether we’re going to bite the bullet on this one and accept the compromise, although I wouldn’t call it much of a compromise, or make our stand,” Brooks said in an interview Tuesday. “We clearly have enough votes to do nothing and bring this to a standstill. That’s not the right thing to do, but neither is charging blindly ahead.”

    A resolution seeking funding for a project manager is to be considered by the Executive and Health and Human Services committees on Wednesday, Dec. 4. The County Board would vote on it later that day. County officials estimated the cost of the hiring the firm to be between $100,000 and $300,000.

    Adding tension to the debate is a growing sense of distrust among supervisors.

    Brooks and other supervisors who agree with his approach say they favor the proposed Lasata campus improvements but argue it would be irresponsible to borrow money for the project when the cost of the  new facility and nursing home renovations are not yet known. The size and scope of the project is particularly important because revenue generated by the CBRF, not the tax levy, must be sufficient to cover the debt, Brooks said.  

    “Everything we’re doing is intended to keep the campus viable,” Brooks said. “Let’s not ruin that now by rushing into this, because if the campus starts losing money, that’s when people are going to start talking about selling the nursing home and getting out of the business all together.”

    But supervisors on the other side of the aisle are irritated by the fact Brooks voiced concerns about the process a month before the board was to vote on funding and didn’t attend last week’s meeting to discuss a compromise. They accuse him and others who are like-minded of trying to scuttle the project under the auspices of fiscal responsibility.

    “I see these delays as game-changing tactics,” Supr. Nancy Szatkowski, a member of the committee, said. “These people say, ‘Yeah, we want this. We support this.’ I don’t believe that.

    “If you want to delay and stall, just ask the committee to do a little more, another study, to delay this until there’s a new board and then go with a different agenda.”

    All supervisors are up for election in April.

    Officials have said it is possible that both approaches would allow construction of a CBRF to begin next fall, but the issue for some supervisors is the timing of the vote. Under the committee’s plan, CBRF designs would be completed in time for a vote on borrowing before the April election, and Bock said she will insist the board commit to funding the second phase of the project at that time.

    “I’m going to insist that we take a vote of commitment, that we’re in this business and we’re staying in this business,” she said. “I can’t have all these people at Lasata hanging in limbo.”

    But if the county opts to wait until designs for both the CBRF and nursing home renovations are complete, the vote would be delayed until after the election.

     Supervisors involved in the planning for the Lasata improvements say the county has already done its due diligence starting with a scaled back plan that was derived from a market study commissioned by the county last year.

    That study recommended replacing the nursing home with a new facility and building a CBRF at a cost of $29.3 million.

    The Health and Human Services Committee downsized that plan, opting instead to recommend a $3 million, 24-unit CBRF that is expected to be profitable shortly after it opens and making  $7 million of improvements to the nursing home.

    The renovations, which would address air handling systems that do not comply with state codes and include other upgrades, are the wild card. Officials said the cost of the project won’t be known until the state approves the plans.

    The plan is seen as an essential step toward keeping the senior campus, which in addition to the nursing home includes the Lasata Heights apartment complex and recently completed Lasata Crossings assisted-living facility, viable, both financially and in terms of the services it offers.

    Recently raised concerns about the details of the plan have prompted supporters to question whether some supervisors are intent on torpedoing the project because they don’t believe the county should run a nursing home.

    “People have forgotten we’re a safety net for a lot of people who can’t afford Newcastle,” Szatkowski said, referring to the upscale senior living campus in Mequon.

    But Brooks, who noted that as county board chairman he worked to ensure the Lasata campus remained viable, said the personal attacks that have entered the debate only threaten to delay and undermine the project.

    “I was at a meeting where (county administrator) Tom Meaux asked for guidance,” Brooks said. “I gave some and people agreed with me, and all of a sudden, I’m the anti-Christ because I suggested we do our research first.

    “If I’m being accused of trying to kill this, that’s crazy and, quite frankly, insulting.”

       

Comments (0)Add Comment

Write comment
You must be logged in to post a comment. Please register if you do not have an account yet.

busy