Public Health and HealthPlanning Council
Project # 102376-C
Albany County Nursing Home
Residential Health Care Facility
November 15, 2010
Albany County Nursing Home, a 250-bed county-ownedresidential health care facility (RHCF), requests approvalto construct a 200-bed replacement facility and certify a30-slot adult day health care program (ADHCP). The200-bed facility will consist of 180 RHCF beds and 20ventilator-dependent beds. Currently, the facility does notconsist of any ventilator-dependent beds.This new facility will be constructed on land adjacent tothe existing facility, which has reached the end of itsuseful life. The County is proposing that this new facilitywill address deficiencies in the existing building, includinga lack of air conditioning, storage space and sprinklersystem.Construction of this new facility will comply with therecommendations of the Commission on Health CareFacilities in the 21
Century (the “Berger Commission”).The Commission recommended the merger of Ann LeeInfirmary and Albany County Nursing Home, building amodern unified facility, and downsizing the number ofnursing home beds. Ann Lee and Albany County NursingHome have been merged at the recommended number ofRHCF beds.Total project costs are estimated at $70,938,554.
Albany County Nursing Home proposes to decertify 50RHCF beds and certify a 30-slot ADHCP. Albany Countyhas exceeded the RHCF bed need by 65 beds.The decertification of beds will bring Albany County closerto the 2016 planning optimum. After this replacementfacility has been completed the projected excess capacityfor the County will be reduced to 15 beds.
The replacement of the Albany County Nursing Homewith a modern nursing facility will provide a significantlyimproved residential environment. The facility design is inkeeping with contemporary nursing home designconcepts; however several noted issues should beaddressed and incorporated into the final design.
Project costs will be met via General Obligation Bonds(30 yrs. @ 4.00%).Budget: Revenues: $ 24,327,915Expenses: 50,813,787Gain/(Loss): $ (26,485,872)The applicant provided a letter from the Albany CountyExecutive’s Office indicating the County’s willingness tocontinue to offset the losses. Also, the applicant provideddocumentation from the County Legislature supportingand directing the submission of this Certificate of Needapplication.Subject to the noted contingency, it appears that theapplicant has demonstrated the capability to proceed in afinancially feasible manner.
The proposed replacement RHCF and new ADHCP willbe attached. The new facility will be a two-story buildingwith a total of 187,590 SF. The existing facility will bedecommissioned.
Project # 102376-C Exhibit Page 1