finasteride effetti sulle donne temperature medie stagionali cipro viagra meccanismo monica provera rodriguez voltaren images allegra inmobiliaria pacchetto cipro last minute alimenti permessi in terapia con coumadin cialis originale vendita contrassegno clomid dolori ovaie post ovulazione sito sicuro per comprare cialis generico rash cutaneo dopo augmentin accutane senator's son cymbalta dá sono viagra per nachname danazol 200 capsule diflucan 150 gravidanza metoprolol farmacocinetica farmacodinamia generico do viagra azul allegra neule metoprolol contraindicatii seroquel rilascio prolungato prezzo vytorin colombia dulcolax lassativo controindicazioni vendo cialis chile canzone più allegra di sempre diflucan pfizer prezzo risperdal consta patient assistance program bactrim forte foglio illustrativo ritardo mestruale con clomid viagra gnocca forum allergie voltaren salbe farmacia milano cialis il nuovo levitra triamcinolone acetonide nih bactrim sospensione orale prezzo viaggio cipro nord claritin non medicinal ingredients benzac principio ativo comment diminuer risperdal spezzare viagra clozaril generic name diflucan sciroppo indicazioni escitalopram 10 mg price nizoral anti-dandruff shampoo discontinued dose létale risperdal ciclo mestruale con clomid metoprolol ne ilacı cialis ogni 24 ore villaggi all inclusive cipro viagra natural en costa rica cozi pasta tramontina allegra amantadine and influenza vaccine non prescription ventolin bactrim forte nella prostatite diflucan reazioni allergiche voltaren tarm viagra chino 100 natural sin contraindicaciones nitrofurantoin und pilz feldene fast principio attivo ventolin spray e bambini voltaren in infusione continua voltaren emulgel 2 foglietto illustrativo confronta prezzi cialis provera postpaid racuna u mts prochlorperazine compazine® propecia risico aldactone dermatologia triamcinolone acetonide cream anti itch einnahme seroquel prolong dulcolax e latte motilium uso pediatrico tegretol precio colombia seroquel ilaci nedir durata effetto cialis 20 mg posso dare l augmentin al gatto propranolol su farmacocinetica provera australia escitalopram pills trazodone nicotine propranolol creme viagra prezzi italia tenormin effetti collaterali impotenza gel tipo viagra voltaren 75 mg ingredients voltaren trotz pille pco insulinresistenz metformin abnehmen cialis non ha fatto effetto the medicine voltaren aciclovir lattanti quoi sert medicament atarax interpol provera automobila tronchetti provera facebook comprare viagra senza ricetta in italia cipro italia under 21 pronostico prima moglie di tronchetti provera diovan vs bisoprolol interazioni tra diflucan e pillola carafate suspension dosage erboristeria effetto viagra angioplastica e viagra cialis e cigarette diovan farmacologia cialis e prostatite il viagra come si prende prednisone doctissimo il viagra naturale in erboristeria propranolol hyperventilatie augmentin sciroppo bambini dose per 20 kg italiani che vivono a cipro la tana allegra di carugate voltaren prices us simvastatin contra crestor forum acheter viagra generique cialis effetti collaterali mal di schiena post natal depression zoloft atenolol bisoprolol metoprolol thuoc triamcinolone acetonide cream atarax 100 mg effet secondaire colchicin und allopurinol risperdal 3 mg prezzo colchicine pericarditis nejm allegra columbia il cloridrato de diltiazem 30 mg bula comprare accutane voltaren ndc code indocin pda neonates come si prende coumadin indocin vs voltaren nystatin triamcinolone acetonide psoriasis farmaco aricept 5 mg albendazole constipation prospect ventolin solutie de inhalat meclizine contents cipro linea a nome commerciale viagra generico lamictal 50 posologia seroquel brevetto tegretol dosaggio bambini augmentin prezzo euro costo farmaco arcoxia viagra brescia renagel precio chile antibiotic nitrofurantoin macro allegra frasco viagra oro 50 mg prezzo tegretol carbamazépine 200mg vendita di viagra come assumere cialis 5 decadron in palliative care cardizem la generic voltaren gel 1 100g price clomid quando prendere metoclopramide e loperamide compra cialis on line senza ricetta augmentin infezioni ginecologiche chloramphenicol palmitate zinett orari centro per l'impiego brescia via cipro roche rocaltrol calcitriol voltaren gel gravid ciclo irregolare e clomid aerosoli ventolin flixotide copertura gazebo cipro farmacie lugano viagra voltaren sr cena posologia aciclovir catapora effetti collaterali aciclovir 400 voltaren fiale scaduto nervo sciatico muscoril e voltaren via cipro roma metro diflucan con il ciclo prezzo avodart (dutasteride) costo viagra cialis levitra strattera ilaç fiyat diovan vs nifedipine effetti collaterali del nexium costa allegra agosto 2012 triamcinolone acetonide nystatin gramicidin neomycin triamcinolone acetonide cream vs hydrocortisone glucophage xr ovario poliquistico allegra chen-carrel allegra consultora tucuman cipro spiagge sabbia ricetta per cialis generico losartan conversion to diovan on provera no period voltaren rapid na gravidez triamcinolone acetonide appropriate for cold sore cialis 5 mg miglior prezzo escitalopram oxalate ip monograph comprare levitra 5 mg triamcinolone at cvs viagra dea schedule tempo azione vermox voltaren cerotti prezzi coumadin liquirizia viagra per donne menopausa prednisone dosage pericarditis caravan international cipro 2 diovan tabs generic propecia spermien zovirax interferisce con la pillola allegra e celestamine meglio lucen o nexium tegretol effetti collaterali forum dividere le pastiglie di cialis allegra galimberti porro contraindicatii arcoxia 90 mg precio diovan d 160 meteo cipro fine ottobre autobus termini cipro lasix insufficienza cardiaca pcos provera no period sostituti naturali del viagra risperdal note aifa serophene utrogestan bactrim foglio illustrativo prometrium 200 mg to induce period dove posso comprare viagra senza ricetta resistenza ad augmentin voltaren 50 mg czopki paxil diverticulitis voltaren suppository singapore meglio propecia o trapianto youtube valzer vedova allegra prometrium e ritardo del ciclo strattera producent quanto costa il cymbalta a quoi sert prednisolone mylan depo provera muscle deterioration augmentin 125 mg pediatrico propecia potenzstörungen mosaici di cipro voltaren e fastum gel canzone allegra pianoforte amiodarona diltiazem meclizine diabetes metoprolol succ price quando utilizzare il cialis il meteo.it cipro costo del diltiazem voltaren 125 mg triamcinolone acetonide cream 30gm farmaco antitumorale femara costo levitra orosolubile 10 mg sporanox e pillola yasminelle periorbital cellulitis augmentin topamax stabilizzatore umore raiffeisen provera racuna aciclovir soluzione orale singulair effetti collaterali viagra tempi di assunzione fibrillazione atriale cialis triamcinolone acetonide herpes zoster bula vytorin medicamento inibitore della 5 alfa-reduttasi finasteride augmentin compresse rivestite con film medicamentul strattera augmentin pediatrico 400 mg propranolol taquicardia sinusal fitoterapico viagra natural fermata metro cipro indirizzo cialis originale inghilterra cipro for uti prevention allegra diaper bag indonesia pressione alta e moduretic avodart donazione sangue cialis 5 mg e prostata medicamento valtrex 500 mg assuefazione al cialis dove comprare finpecia contre indication prise viagra costo cialis da 20mg generico do viagra 50mg dolore spalla voltaren viagra schweiz legal olanzapine procyclidine voltaren per quanto tempo dramamine pediatrico gotas finasteride per ricrescita capelli eccesso viagra il miglior sito per acquistare viagra cebolla viagra impotenz durch cialis risperdal mi ritalin mi quante compresse ci sono in una scatola di augmentin clomid sudorazione notturna seroquel 25 mg ne ilacı triamcinolone cream cvs viagra prestazioni sessuali voli ryanair milano cipro allegra imie medicamento strattera 40 mg diflucan capsule 150 mg prezzo rifampicin isoniazid ethambutol combination causa crisi di cipro iniezioni viagra clopidogrel nome generico effet secondaire chibro proscar aciclovir x bambini cijena voltaren gela viagra generico prezzo farmacia alergia a tegretol provera appetite stimulant teva trazodone 50 mg effet secondaire foto di cipro nord cipro tendons magnesium parrocchia albenza cialis una volta a settimana feldene gel posologia trazodone effetti collaterali engravidei com clomid e utrogestan differin crema per macchie dove si puo comprare viagra senza ricetta trazodone anziano i cibi da evitare con il coumadin viagra synteza ricetta per vermox mobic farmaco posologia clopidogrel e intervento chirurgico quanto custa o viagra generico durata effetto viagra 100 mg allattamento dopo dostinex qual generico do arcoxia medicamento tegretol cr 200 abilify da dipendenza effetti collaterali viagra generico tegretol missed period musica allegra per foto quando non fa effetto il viagra paphos cipro cosa vedere doxazosin effetti indesiderati viagra generico in svizzera cipro bancomat augmentin stomaco vuoto o pieno clomid possibilità di successo allegra saenz coleman voltaren resinat magen darm allopurinol silbernitrat cialis del laboratorio lilly come assumere minocin augmentin bambini opinioni prezzo inderal compresse arcoxia 60 prezzo norvasc 10 mg a cosa serve lasix diuretico foglietto illustrativo actonel 35 foglietto illustrativo anafranil trastorno bipolar il cialis fa male alla salute logo voltaren escitalopram pi farmaco motilium 10mg voltaren ibuprofen salbe aciclovir crema nei bambini effetti collaterali abuso viagra naltrexone impianto no period after provera negative pregnancy test voltaren na hemoroidy seroquel rp 200 mg prezzo cipro chemical name chi prende coumadin cosa non deve mangiare seroquel 25 mg foglio illustrativo cialis effetti collaterali ipertensione cipro bellezze voli piu hotel cipro volo monaco cipro farmaci contrari al coumadin augmentin antibiotico da 1 grammo compresse voltaren prezzo aciclovir pomata prezzi voltaren gel for lupus pain nitrofurantoin antibiotic dosage dosaggio augmentin nel cane suprax suspension cost dulcolax picosulfato de sodio effetti indesiderati nizoral shampoo estrace applicators farmaci antivirali aciclovir aldara 5 generico propecia finasteride costo viagra quelle age dosaggio prednisone gatto cialis e fibrillazione atriale cialis generico da 5 mg j'ai arreter le risperdal medicamento diltiazem 60 mg clomid per ovaio multifollicolare coumadin e frutta da evitare intossicazione da plavix a cosa serve il medicinale cardura piano annan per cipro cialis generico nome nonna piu allegra del mondo clomid progesterone grossesse rocaltrol pi enoteca via cipro roma che differenza ce tra il viagra e il cialis allegra brigata fondi voli genova cipro allegra cetirizine allegra amazon com differenza tra cortisone e prednisone cozaar dizziness viagra oferta chile si puo dare augmentin al gatto topamax effetti indesiderati interazione cortisone coumadin crema tipo voltaren pt chiara allegra living colchicine in acute pericarditis nejm inderalici propranolol side effects voltaren gel lumbalgia le meridien limassol spa resort cipro diflucan insufficienza epatica echantillon gratuit voltaren conversion of risperdal consta to oral chipolino allegra отзывы cytotec misoprostol argentina precio 2013 gia voltaren gel cialis generico comprar voltaren supposte per emicrania herpes labial tratamento aciclovir posologia seroquel disturbo borderline dove posso comprare cialis generico diltiazem infusion svt cymbalta è un antidepressivo triciclico zoloft a lungo termine perindopril viagra interaction clomid e ingrassare depo provera seizure disorder voltaren mit ibuprofen propranolol bol glowy risperdal à long terme voltaren gel grams bracciale allegra bulgari prezzo voltaren gel recall 2013 la vedova allegra mymovies vendita viagra con ricetta effetti lungo termine viagra autonoleggio economico cipro viagra generico da 100mg voltaren gel for ms allopurinol 300 gichtanfall trental nome generico malassezia folliculitis nizoral cloridrato de propranolol posologia quanto costa il cialis 5 mg viagra citrato de sildenafil propranolol corta efeito anticoncepcional aciclovir tratamento profilatico acquisto cialis e viagra viagra cosa cura voltaren zel a ciaza zoloft mestruazioni ile clomid po dece feldene compresse costo vorrei acquistare levitra dose mortelle risperdal anti diarrhea medicine cipro contre le risperdal benzac acne opinioni viagra nn funziona voltaren patches australia camping cipro nord lopressor lp posologie side effect voltaren suppositories costo di cialis in farmacia comprare viagra con bonifico ventolin si sarcina intervento cataratta e coumadin epilim lamictal bipolar doza ventolin copii garsoniera de inchiriat in calan ventolin durant grossesse prednisone contain sulfa comprare viagra online è illegale componentes do allegra pediatrico aciclovir generico prezzo de legale viagra - blue pill meclizine vicodin viagra cialis levitra differenza dove acquistare cialis originale generico do medicamento singulair trazodone sommeil augmentin 600 mg pediatrico mestinon interazioni temperatura del mare a cipro casino' di cipro voltaren gel for sale chi non puo prendere il viagra generico del diovan 320 viagra 25 mg non funziona zoloft per ansia generalizzata miglior cialis generico cipro è ancora divisa bissulfato de clopidogrel 75mg generico meclizine 25 mg for dizziness cymbalta qual laboratorio cipro trivago
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