Government

Mount Sinai School District's board of education during its March 8 meeting. File Photo Photo by Kyle Barr

The Mount Sinai school district swore in a new board member Sept. 26 to replace three-year trustee Michael Riggio, who vacated his position in August.

AnneMarie Henninger, a physical therapist and Mount Sinai resident, was unanimously voted in by the six remaining board members several weeks after the seat became open.

The board decided to vote internally on a new board member soon after Riggio announced he was stepping away from his position. Board President Robert Sweeney said the entire board spent two nights for four hours each in September reviewing the 10 applications submitted by district residents.

“We were looking for people who were looking to build consensus, listen, participate and learn,” Sweeney said. “In our process one of the questions we asked was ‘how have you worked for the support of the community and volunteered for the community previously?’”

Henninger did not respond to multiple requests for comment.

The board had three options in choosing a new member to fill the position vacated by Riggio. It could have either held a special election, leave the seat vacant until the scheduled trustee elections in May or request applications from interested community members and then vote on a new board member internally. Sweeney said the board did not want to miss out on having a seventh member and not have a swing vote, and that it did not think it was financially viable to hold a special election so soon after the last community board and budget vote in May.

Candidates for the position needed to be a qualified voter in the district, be a resident of the district for at least one year and could not be a current employee of the district. Mount Sinai looked for candidates to show their prior community service or volunteer work in the district as well as their ability to attend one to three meetings a month and be available at all times to communicate. Sweeney said Henninger fit all those qualities, and more.

“It was very interesting to listen to her perspective on how she has often been called into special education committee meetings,” Sweeney said. “We had 10 good community members come forward – all good people with varying degrees of participation in the community, but it was also her knowledge of the district, her participation in the district and its board meetings that made us choose her.”

Riggio was elected to trustee position during the May board elections, though he decided to officially step down Aug. 5 after receiving an offer for a new job in Florida. The job would take too much of his attention from his responsibilities that he didn’t wish to become a detriment to the work of the board, he said.

Henninger’s seat will come up for vote again in May 2019. Three at-large seats will be up for grabs at that time, and the person to receive the third most votes will take up Riggio’s seat, which will have a two-year tenure instead of the usual three years for the other seats.

From left, Northport Village Mayor Damon McMullen; Deputy Mayor Tom Kehoe; state sennators Carl Marcellino and John Flanagan; village trustees Mercy Smith and Jerry Maline; and state Assemblyman Andrew Raia outside Northport Village Hall. Photo from Sen. John Flanagan's office

Northport village trustees and state elected officials came together to announce $3 million in state funding has been secured to extend sewer access to the village’s waterfront after a summer of record algal blooms.

New York State senators John Flanagan (R-East Northport) and Carl Marcellino (R-Syosset) visited Northport at the end of September to announce the funding would help pay to extend sewers to 140 homes and two business districts in the Steers Pit and Bluff Point communities.

This Northport project will safeguard our water and expand needed access to an updated sewer system.”

— Carl Marcellino

“It is critical that we make serious financial investments in our aging infrastructure all across Long Island,” Marcellino said. “This Northport project will safeguard our water and expand needed access to an updated sewer system.”

Northport trustee Ian Milligan, commissioner of the village’s wastewater treatment plant, said the $3 million helps cover the remaining $8 million price tag of the project, as the village previously received $5 million through the New York State Clean Water Act. This has allowed village officials to move forward with putting Phase I of the project out to contractors for bids last week.

Milligan said Phase I will consist of sewering Bluff Point Road, Duffy Court and Duffy Road in addition to upgrading the pump station that services the Steer Pits condominiums. He said the village hopes to award the bid to a contractor by the end of October, with work to be started mid-fall if the weather holds.

The second phase of extending access to the village’s wastewater treatment plant will bring sewage mains to the remainder of the Steers Pits community, according to Milligan.

“The houses are very close to the water and what they were left on is gravel, like a bed of gravel, so it drains fairly quickly,” he said. “Our septic systems are draining into the bay in a matter of months, where most systems it takes years to get into the water. It’s definitely contributing to nitrogen and possibly pathogens in the harbor.”

This summer, Northport Harbor suffered a bloom of Dinophysis, a type of algae that releases a powerful neurotoxin that can affect shellfish. Both Northport and Huntington harbors showed a rash of paralytic shellfish poisoning in other marine life from eating shellfish.

“This is the last of the waterfront in the village to be sewered,” Milligan said. “We believe it will make a big difference in the water quality in Northport and Huntington harbors.”

The village board hopes to be able to put out a request for proposals to contractors to bid on Phase II early next year.

“We believe it will make a big difference in the water quality in Northport and
Huntington harbors.”

— Ian Milligan

Northport homeowners in these areas will have to take on some of the burden to connect their houses to the sewer district, according to Milligan. The village has received estimates of approximately $10,000 per house to connect, but the trustee warned the final cost can vary greatly based on individual homeowner’s situations.

Northport village trustees are working with Suffolk County Legislator William “Doc” Spencer (D-Centerport) to see if a county program that helps homeowners get funds to install upgraded, modern cesspools can be tapped to help offset costs of connecting to the new sewage mains.

“We haven’t heard an answer yet, but we feel it’s close and we are hopeful,” Milligan said. “No guarantee though.”

A public meeting will be held at 7 p.m. Nov. 1 at the American Legion Hall, located at 7 Woodside Ave., to further discuss details for home and business owners regarding anticipated road closures during upcoming construction and connection costs.

“I believe in the long run that [homeowners] will be better off,” Milligan said. “For certain, the general public will be better off with the benefit of cleaner water.”

Smithtown Town Hall. Photo by Sara-Megan Walsh

A change of leadership at Smithtown Town Hall has resulted in a proposed 2019 budget that could increase homeowners town taxes for the first time in three years.

Supervisor Ed Wehrheim (R) presented his $109 million tentative budget for 2019 to the town council in a short meeting Oct. 5, on deadline under New York State Law. The proposed budget represents an increase of $4 million more than this year’s budget, with $1.5 million additional in the taxes levied among Smithtown’s homeowners. The supervisor promised it will be used to the benefit of its residents.

“We’ve committed in this administration to invest in Smithtown,” Wehrheim said. “We are going to do just that. I looked at the operating budget and we’ve stayed within the 2 percent mandated state tax cap.”

If approved, the 2019 tentative operating budget will be a total $66.60 annual increase for the average Smithtown homeowner, according to Wehrheim, with $28 of that increase attributable to a rise in solid waste district fees.

This graph shows the Town of Smithtown’s 2018 salaries for three positions — town supervisor, town council member and supervisor of highways — with their proposed 2019 salary increases and how that relates to similar positions’ pay in the neighboring townships of Brookhaven and Huntington. Graphic by David Ackerman

The town’s singular largest driving cost behind the proposed budget was a $1.1 million increase to health care insurance contributions for its full-time union employees, according to the supervisor. He also expects operational expenses such as fuel and utility costs to continue to grow over the year ahead.

The tentative budget sets aside $5.5 million for road, curb and sidewalk improvements, which Wehrheim said he decided in conjunction with Superintendent of Highways Robert Murphy (R).

The town supervisor has also proposed an approximately 40 percent increase to the Community Development Fund, which he said is used to help fund a list of neighborhood projects to improve local look and character of the neighborhoods. Most of the town’s funds will be used to kick-start projects, according to the supervisor, before hopefully being reimbursed through a combination of state aid or other grants.

Wehrheim is looking to increase the salary of each town council member by more than $9,000; from $65,818 up to $75,000. This represents a year-to-year increase of about 14 percent.

“I feel that it is in line with surrounding neighboring municipalities,” he said. “I feel the council position deserves that salary. It’s a different administration and they have far more responsibilities than they did previously.”

By comparison, each Town of Brookhaven council member is poised to make $72,316 in 2019 while to the west, the proposed annual salary for Huntington town council members is $76,841 next year.

In Smithtown, Wehrheim has proposed $30,000 for a new government liaison position, which if approved, will become an additional title and responsibilities for one of the town board members. The supervisor said the individual appointed will take on responsibilities similar to a deputy supervisor or chief of staff.

“It’s a more economical way as opposed to additional full-time staff in the supervisor’s office,” he said.

Murphy also stands to get an additional $20,000 a year, increasing the highway supervisor’s salary from $110,000 up to $130,000 per year, if the proposed budget is approved. Wehrheim said the 18 percent hike is warranted and has been talked about for several years.

“[Highway] is the town’s largest department,” Wehrheim said.

In perspective, Murphy’s new salary would be more than Brookhaven’s highway superintendent, poised to earn $119,132 in 2019 but less than Huntington’s $140,000 salary per year.

Wehrheim said that while he has added a few new positions to his administration in 2018, including a public information officer, he is hoping to hire two additional laborers each for the Highway Department and Parks, Buildings & Grounds Department next year. The exact salary for these positions has yet to be determined, according to the supervisor, as the town is in the midst of negotiating new contracts with both the Civil Service Employees Union, representing the municipality’s employees, and the Smithtown Administrators Guild, which represents its departmental directors. The previous contracts expired Dec. 31, 2017.

“Any increase would be result of union negotiations,” Wehrheim said.

The supervisor has also put forth a proposed $10 million capital budget for 2019, presented at the same time as the operating budget. He said $8 million of that budget will be borrowed by the town, and allocated toward large projects such as $2.3 million for new water mains along St. James Lake Avenue business district and $2 million in 2019 toward renovation of Flynn Memorial Park.

The Setauket Mill Pond is being considered for an upcoming alewife study. Photo by Rita J. Egan

Setauket Harbor and its surrounding area will be a bit cleaner due to a grant secured by a state senator.

“Long Islanders are fortunate to have access to natural resources like the Setauket Harbor and we must continually fight to preserve them.”

— Sen. John Flanagan

Sen. John Flanagan (R-East Northport) secured a $1 million grant from the state for the Town of Brookhaven in 2016 to be used to improve water quality in Setauket Harbor, which will also help clean out the pond slightly west of Se-Port Delicatessen on Route 25A and fix the dock on Shore Road. While the grant was secured two years ago, the contract period began Oct. 1.

“Long Islanders are fortunate to have access to natural resources like the Setauket Harbor and we must continually fight to preserve them,” Flanagan said in a statement. “That is why projects like this are so important, and it is my pleasure to work with the Setauket Harbor Task Force as well as the Town of Brookhaven to ensure that this beautiful natural resource is protected.  These fragile ecosystems are so critical to every facet of life for the people who live, work and play in our region, and it is imperative that we continually join together to make sure they are available to future generations of Long Islanders.”

Veronica King, the town’s stormwater manager, explained how the money would be put to use.

“The project has three distinct components — repair the failing bulkhead at the Shore Road park, remove sediment from the retention pond at [East] Setauket Pond Park, and implement stormwater improvements to mitigate stormwater inputs into the harbor,” she said.

King said the work will take approximately three years to complete and a professional engineering firm will be hired to assist with design, permitting and construction.

“If we don’t fix the pond, we’re just kind of spitting into the wind in terms of all the other stuff we do.”

— George Hoffman

Members of Setauket Harbor Task Force, an organization created with the goal to improve water quality in the harbor, have been consulting with the town about the project, according to task force co-founder George Hoffman.

He said the largest source of pathogens in the harbor are most likely from stormwater from the pond.

“If we don’t fix the pond, we’re just kind of spitting into the wind in terms of all the other stuff we do,” he said.

Hoffman said the pond near the delicatessen serves as an inlet to Setauket Harbor, and stormwater from Route 25A — from around the fire station northeast to the water — washes into it. Hoffman said the pond’s old, faulty water treatment structure is allowing sediment to build up and currently stormwater is going straight into the harbor. He said sediment can include sand that’s been put down on the roads in the winter, items that fall off trucks and cars and pet waste.

“The town has a strong commitment to protecting our natural environment.”

— Veronica King

Hoffman said the goal is to dredge the pond and remove 10 feet of sediment. He said the reconstruction of the stormwater inputs would enable the sediment to go into a catch basin that’s specifically designed to capture it. The sediment will settle and then only water would go into the harbor.

King said the town will contribute $500,000 worth of capital funds, bringing the total allocation to the project to $1.5 million.

“The town has a strong commitment to protecting our natural environment,” she said. “It makes it so much easier when we have the community’s support for projects such as the Setauket Harbor project.”

The town will also need to get approval from the New York State Department of Environmental Conservation before removing the sediment, which is standard DEC procedure as at times it may contain toxins. King said it shouldn’t be a problem as the town recently did a grain size analysis and found a high percentage of coarse sand material, and she doesn’t expect any surprises as far as chemical compounds.

Hoffman said he looks forward to the improvements as many people attending the Route 25A Visioning meetings in 2017 pointed to the area around the harbor as having potential.

“We see it as the first phase,” he said. “I think we have some plans to make it the centerpiece of downtown East Setauket.”

Dean Jones, a resident of the Concern for Independent Living facility in Amityville which is constructing a new project in Port Jeff Station, speaks during a press conference on affordable housing in Suffolk County Oct. 2 flanked on the left by Richard Koubek, chair of the Welfare to Work Commission, and on the right by Legislator DuWayne Gregory. Photo by Kyle Barr

It’s already difficult for both the young and old to find affordable housing in Suffolk County, but according to a recent report, the lack of low-cost homes and apartments is forcing some people to live without roofs over their heads entirely.

The Suffolk County Legislature’s Welfare to Work Commission, which advises the legislature on issues related to poverty in the county, released a report Oct. 2 that detailed the holes in affordable housing and government programs. Many of those homeless in Suffolk have some sort of job or income, according to the report.

“There has been some progress on public acceptance for affordable housing especially for working people, and especially for young people and senior citizens,” said Richard Koubek, the chair of the commission. “There still remains obstacles for creating affordable housing for two groups of residents: one is working poor families … the other are people who have mental illness which often leads to homelessness.”

The commission spent two-and-a-half years studying the issue of affordable housing and other related problems, including the county’s capacity to aid the homeless and those suffering from mental health issues. The final report showed high home and rent costs, along with government programs unable to handle the current numbers of people suffering from mental health issues, among its conclusions.

“There still remains obstacles for creating affordable housing for two groups of residents: one is working poor families … the other are people who have mental illness which often leads to homelessness.”

— Richard Koubek

Need for more affordable and supportive housing

As of January 2018, the advocacy group Long Island Coalition for the Homeless reported there were 3,868 homeless individuals in Nassau and Suffolk counties. Not all homeless are considered chronically homeless, or individuals who have a disability and have been homeless for more than 12 months, or have had at least four stints without a home in the last three years. About 500 families are homeless, or 2,500 individuals, in Suffolk County, of which half have a source of income but are still unable to afford housing or rent costs, according to the report. The report said the county spends more than $19 million annually feeding and supporting this population.

The report noted the 2017 Suffolk County area yearly median income is $110,800, while the median price of a home in 2017 was $376,000, according to census data. If an individual or family spent 30 percent of income on housing costs, the national and suggested average, they would have to earn $125,000 a year to afford the median home price.

If a family wanted to rent, only 18 percent of available housing is rental, compared to the national average of 37 percent. Market rate for monthly apartment rentals in Suffolk was $1,589 in 2017, according to census data, meaning families in that market would have to earn $57,204 — 52 percent of the area median income — a year if they spent 30 percent of their income on the apartment costs. New York State Comptroller Thomas DiNapoli (D) said Suffolk was ranked 57th out of 62 New York counties in rental affordability.

Greta Guarton, the executive director of the Long Island Coalition for the Homeless, said among government entities there is more of an emphasis on removing people from poverty rather than aiding people in poverty.

“The thinking used to be 20 percent of those who are homeless use 80 percent of emergency services,” Guarton said. “A fresh look at homelessness shows 80 percent of homeless families do not have disabilities. … In places like Long Island these people are homeless because they cannot find an affordable rental unit in this region’s tight, extremely expensive housing market.”

The LICH director added the most effective approach to combating homelessness is the Housing First Model, which tries to provide stability in a person’s life through housing, in addition to treatment and supportive services. With housing secured, those suffering from chronic homelessness can focus on stabilizing other parts of their lives, the report said.

“In places like Long Island these people are homeless because they cannot find an affordable rental unit in this region’s tight, extremely expensive housing market.”

— Greta Guarton

It is especially difficult for those suffering from mental illness to find affordable housing. Koubek said the emphasis has been moving away from asylums since the 1960s and toward community care facilities, but those smaller-scale places have not been financially supported, and there simply aren’t enough of them. The Suffolk County Department of Health Division of Community Mental Hygiene Services’ Single Point of Access program, which places people with mental illness into supportive housing, had a wait list 887 people long as of late 2017, according to the report. Those who wish to be placed on the list must attain a physician’s diagnosis, which the report calls difficult if the person is suffering alone or is already homeless.

People with undiagnosed mental illness also create a vacuum of funds — utilizing a huge chunk of the county’s money allocated for homeless programs. The report noted as much as $8 million of the $10 million in grants for homeless programs awarded to Long Island’s federal Department of Housing and Urban Development funded Continuum of Care program went to serving those with undiagnosed mental issues.

The study also pointed to incidents where people suffering from mental health issues were discharged from hospitals before they could receive the proper care. This puts more of an emphasis on requiring local government to funnel these people into supportive housing, which is difficult if they are released onto the street or remain undiagnosed.

The commission named a number of countywide solutions to address these issues, including increasing funding for the SPA program and improving the number of placements, prioritizing homeless families on the Public Housing Authority waiting lists, addressing substandard housing, improving Suffolk hospital discharge policies for the homeless and creating a coordinated county response to address low-income housing.

Current affordable housing projects trying to meet demand

New York Gov. Andrew Cuomo (D) announced May 10 $25.6 million had been awarded to four housing developments on Long Island to create 239 affordable homes.

On the state level, the report requested New York increases financial supports for capital construction and operating costs of supportive housing, and that it turns over unused state property to the county for the construction of more supportive housing.

Legislature Presiding Officer DuWayne Gregory (D-Amityville) and Legislator Tom Donnelly (D-Deer Park), who also chairs the legislature’s Education & Human Services Committee, each said Oct. 2 a need exists for public-private partnerships to create more affordable housing options.

“Homelessness is not imagined — it exists here in Suffolk County because of government policies which create instability,” Gregory said. “If people are spending a greater percent of their income on housing costs it leads to difficult choices. Will they buy food and clothing for their children or will they pay for their own home?”

“If people are spending a greater percent of their income on housing costs it leads to difficult choices. Will they buy food and clothing for their children or will they pay for their own home?”

— DuWayne Gregory

In 2007 the commission issued another report, “Affordable for Whom? Creating Housing for Low and Moderate-Income People in Suffolk County,” which noted a public opinion poll showing 70 percent of Long Islanders seeing the need for more affordable housing while two-thirds of the same population not wanting it near their own communities. Koubek said this attitude is changing somewhat, but getting projects like these approved remains a tall task.

Roger Weaving Jr., the president of the Huntington Township Housing Coalition, said the lack of affordable housing is a major reason why so many young people are leaving for other states. Many Long Islanders express concerns about having affordable two- to three-bedroom apartments in their communities, despite obvious demand for such dwellings.

“On the North Shore you can either have a single-family house or you can leave,” Weaving said. “While some of this is affected by state and county actions, a lot of action is at the town level, because they control zoning.”

Out of the money Cuomo helped set aside for affordable housing, $8.1 million was tabbed for construction of six two-story buildings on vacant land off Route 112 in Port Jefferson Station, north of East Grove Street and south of Washington Avenue. The project is being constructed by Medford-based Concern for Independent Living Inc. The development came under fire from the community, during a Port Jefferson Station/Terryville Civic Association meeting in May for various reasons, including concerns about overdevelopment and costs to educate children living in the new buildings.

Ralph Fasano, the executive director of Concern for Independent Living, said a section of the development is dedicated to housing veterans as well. He said the company plans to break ground on the project by December.

“It’s going to look [like the company’s development in Amityville] – it’s going to be quiet.” Fasano said.

PJSTCA president, Sal Pitti, declined to comment, and said the association would be having a civic member vote Oct. 23 at 7 p.m. on whether or not to publicly support the project.

From left, Legislative Aide Bill Maggi, Hobbs Farm President Larry Corbett, HF Vice President Ann Pellegrino, Suffolk County Legislator Tom Muratore, Brookhaven Town Councilman Kevin LaValle and HF Treasurer Cindy Gallo. Photo by Heidi Sutton

By Heidi Sutton

Suffolk County Legislator Tom Muratore (R-Ronkonkoma) was honored at the Bethel Hobbs Community Farm’s Harvest Fair Oct. 6 for his many years of dedicated support of the farm’s programs. The legislator was recently able to secure a $29,616 grant for the 11-acre Centereach farm, which donates 90 percent of its vegetables to area food pantries.

Children enjoy the farm’s Harvest Fair. Photo by Heidi Sutton

“This is a great place in Centereach — the last remaining farm we have in this area. Legislator Muratore was the one that really turned me on to Hobbs Farm and what was going on here,” Brookhaven Town Councilman Kevin LaValle (R-Selden) said before presenting a plaque to the legislator along with the farm’s President Larry Corbett and Vice President Ann Pellegrino. “He’s been, for years, a huge supporter of this farm, whether it’s been working with me to do the Run the Farm to raise money, to bring in grants, to help out any way possible.”

“I can’t do enough for Hobbs Farm. This is our jewel here in the district. We love this place – it brings so much,” Muratore said, pointing to the families enjoying the festival. “I thank Ann, I thank Hobbs Farm and, most of all, I thank you my community. God bless you.”

Stock photo

By Nancy Burner, Esq.

Nancy Burner, Esq.

Concerns about accessing long-term care in the community is something we often discuss with our clients. How will they access the care? Who will pay for it? Is the care reliable? Can I safely and affordably age in place? 

The positive news is that there are many options for care in the community. We are fortunate to live in an area where care is accessible, reliable and affordable. Many of our clients are surprised to learn that Community Medicaid is a way to access care in the community. 

Unlike Chronic Medicaid, which requires a five-year financial look back as a prerequisite for eligibility, Community Medicaid does not have any look back. This means that with some relatively simple planning (in most cases) the financial eligibility requirements can be met with little to no waiting time.

It is important to note there are strict asset and income limitations for applicants for Community Medicaid. An applicant is permitted to have $15,150 in liquid nonretirement assets in his or her name (in New York for 2018). They can have an unlimited amount of qualified (retirement) accounts in their names so long as they are taking the required distribution as set out by the local Medicaid program. 

The primary residence is also an exempt resource, provided the Medicaid recipient remains in the home. It is advisable for all Medicaid recipients to do some estate planning with their home to ensure that it will remain protected should a need arise for care in a facility. Additionally, such planning can ensure that the home is protected from potential estate recovery after the death of the applicant. The applicant is also permitted to have an irrevocable prepaid prearranged funeral account.

With respect to income a single Medicaid applicant is permitted to retain $862 in monthly income. Any income amount over this allowance is considered “excess income.” The good news is that all of the Medicaid applicant’s excess income can be redirected into a pooled income trust, which is a type of special needs trust established and managed by nonprofit organizations for the benefit of disabled beneficiaries. The excess income transferred into a pooled trust can be used to pay the Medicaid applicant’s monthly household and personal expenses.

As you can see, with some relatively straightforward planning most people can qualify for Community Medicaid benefits. Once you have applied and been accepted under the Community Medicaid program, you can access a variety of services that will help you to remain in the community. 

For most of our clients the greatest benefit is the availability of a care provider who can come into their home and provide assistance with activities of daily living such as dressing, bathing, light housekeeping and meal preparation. 

Community Medicaid will also cover the cost of certain approved assisted living facilities and some adult day care programs. The availability and accessibility of care in the community is oftentimes far more available than most of our clients think. 

The community-based Medicaid program is invaluable for many seniors who wish to age at home but are unable to do so without some level of care and certain supplies the cost of which would be otherwise too expensive to sustain on their own. With some careful planning aging in place is certainly a viable option for most clients we meet.

Nancy Burner, Esq. practices elder law and estate planning from her East Setauket office.

Feds recommend trio of changes in staffing, hiring and overtime management to facility’s new leadership

Northport VA Medical Center. File photo

A federal investigation into Northport Veterans Affairs Medical Center’s four community living centers has shown a troubling trend of chronic nursing staff shortages and excessive overtime, issues that could have placed patients “at a higher risk for adverse events.”

In one case, federal investigators found a nurse’s assistant worked double shifts for six straight days — more than 96 hours in a single week – while expected to diligently oversee a patient requiring one-on-one care.

As the Northport facility is the only VA Medical Center on Long Island it serves more than 31,000 patients per year and oversees several outpatient clinical sites. Its four nursing homes are located in two buildings, with an approximate capacity of 170 beds.

The Office of Inspector General, a division of U.S. Department of Health & Human Services, charged with independent oversight of Department of Veterans Affairs programs, received several anonymous complaints about the quality of care received at Northport VAMC in 2017 following the deaths of two patients.

In September 2017, the OIG launched a year-long investigation into staffing shortages after receiving two further emails: the first from an employee at Northport VAMC, the second from a liaison to the House Committee on Veterans’ Affairs. The investigation produced a Sept. 18 report (click here to read the full report) that found Northport VAMC’s leadership knew about the staff shortages, forced administrative level nurses to care for patients, and yet still continued to accept new patients despite knowing they wouldn’t have the staff needed to provide the expected level of care.

Federal investigators recognized in August 2017 there was significant turnover in the leadership at the Northport VAMC, affecting key positions such as its director, acting chief of staff and acting nurse executive, who were cited “as catalysts for this change.” Staff members’ remarks indicated it’s given them hope for a better future.

The agency recommended a series of changes for the Northport VAMC pertaining to the nursing staff currently being enacted, and the facility says is bringing immediate tangible results.

Two patient deaths

Anonymous complaints about two patient deaths at the Northport VAMC in 2017 started the series of federal investigations into the facility.

The first death was a male patient in his late 60s who died as a result of choking on his food. Federal inspectors found insufficient evidence the man’s death was due to a lack of nurse oversight, as alleged in the complaints, but did conclude Northport VAMC had ongoing challenges in maintaining basic necessary staffing levels.

“Conditions such as staffing shortages could create an environment where the increased workload assigned to each staff member was such that it became more difficult to remain vigilant,” the report reads.

A forum was held for the Northport VA nursing homes staff to voice their concerns with the facility and its operation while an investigation of the first patient’s death was ongoing.

“Many [staff members] shared a concern about staffing levels being too low,” the report reads.

A second death raised claims of poor quality of care in the Northport vets nursing homes, after a patient in his mid-60s slipped, fell and fractured his hip. He underwent surgery and six days later stopped breathing. Allegations included the VA staff failed to protect the patient from falling and failed to properly provide
one-on-one observation post surgery, neither of which was substantiated by federal investigators.

The investigation into the second death showed the nurse’s assistant caring for him was on her sixth consecutive day of double shifts — 16 hours at a stretch. Investigators again cited “concern that working extra hours with double shifts could lead to staff becoming tired and less vigilant.”

A staff member working double shifts was not common practice, according to Northport VAMC spokesman Levi Spellman, who said union workers are contractually required to have 10 to 12 hours off between nursing shifts.

Closer look at staffing numbers

Records pulled by the federal investigators showed Northport VAMC has been chronically short of nursing staff dating back to at least 2016. Allegations were made that understaffing could lead to a higher rate of “nurse-sensitive outcomes,” such as surgical wounds getting infected, urinary tract infections, ulcers and pneumonia.

Northport’s four nursing homes were found to be short approximately 6.3 full-time employees in 2016 needed to meet VA’s recommended number of nursing hours spent with patients per day. By 2017, the facility’s staffing shortage had more than doubled, with 15.3 additional full-time employees needed. Northport VAMC’s nursing homes were only staffed at 60 to 80 percent of recommended levels over the two years, according to federal investigators.

Northport VAMC’s leadership attempted to tackle the short staffing issue by using “floating” shifts and overtime — sometimes mandatory, according to the federal report. Floating shifts meant staff from other areas of the VAMC were brought in to assist with patients in the nursing homes.

In 2016, Northport VAMC’s nursing home employees put in a  total of 19,991 hours of overtime. It nearly doubled by the end of 2017 as only 107.9 of the facility’s authorized 128 full-time positions were filled, according to Spellman, causing the facility’s overtime costs to skyrocket to nearly $1.5 million.

“Nurse managers had no mechanism to alert them if one of their unit nursing personnel worked excessive OT,” the report reads.

Federal investigators found part of the nursing homes’ staffing issues were due to an inability to hire and retain the members of its nursing staff. Northport VAMC got approval to hire 10 additional registered nurses and 10 nurse assistants as intermittent staff in November 2016, though the team wasn’t assembled until August 2017.

Often the process of hiring new nursing staff was delayed. In one instance, Northport’s leadership said two applicants interviewed and hired in January 2017 were told they would not start working until July.

“This delay in hiring often resulted in the loss of selected applicants who took other jobs,” the report reads.

The leadership of Northport VAMC said the high cost of living on Long Island has also made finding and maintaining a full-time staff difficult.

“Not only does this affect our ability to retain talent, but to recruit it as well,” spokesman Spellman said.

Steps to improvement

The federal investigators made three recommendations to Northport VAMC in order to  ensure it has adequate nursing care for its patients and improve quality of care for residents.

First, that the VAMC’s acting director, Dr. Cathy Cruise, completes a review of the nursing homes to ensure staffing levels align with the needs of its current residents. More staff should be recruited and hired to fill the current vacancies “until optimal staffing is attained,” reads the report.

Spellman said leadership of Northport VAMC, including Cruise, have already started taking action, implementing changes to improve the quality of care and working conditions.

A registered nurse clinical coordination position has been added in order to streamline nursing staff’s efficiency, according to Spellman. At the beginning of 2018, the facility was given approval to hire 2.6 more full-time employees and another 10 staff members were recently approved to bring the total nursing staff to the equivalent 140.6 positions.

“A staffing methodology is in the process of being completed, with additional staff expected,” Spellman said.

The Northport VA has received approval to directly hire its nursing staff and is giving new employees immediate start dates, according to him. It also had plans to expand its nursing floating pool, and to cross train other VAMC nurses in long-term care to continue to grow the available number of staff who can provide residents with care.

Third, Northport’s leadership was also told to improve its management of staff’s overtime hours and make sure of future responsible use of financial resources, citing the $1.5 million in 2017 overtime.

“Federal employees are expected to be good stewards of government funds,” the report reads. “The OIG found a lack of accountability for managing OT expenditures.

Spellman said the nursing homes staff had a total weekly average of 437.3 hours of overtime for the 2018 fiscal year, which ended Sept. 30. This indicates a significant drop from last year, where the total weekly average of overtime exceeded 750 hours.

“All of this is to say that, while the OIG has helped Northport identify areas in which we can improve, we have implemented measures to make those improvements — and we are already seeing results,” Spellman said.

Volunteers, above, plant lettuce at Bethel Hobbs Community Farm in the spring. Photo by Heidi Sutton

More educational programs are coming to the last farm in Centereach thanks to a county grant.

Suffolk County Legislator Tom Muratore (R-Ronkonkoma) sponsored a resolution to amend the 2018 operating budget and transfer funds to Sachem Teen Center, Suffolk County Police Athletic League and Bethel Hobbs Community Farm. The transfer resulted in a $29,616 grant for the farm, which donates 90 percent of its vegetables to area food pantries.

Vice President Ann Pellegrino by one of the farm’s raised gardens. File photo

Vice President Ann Pellegrino said Muratore has been one of the farm’s biggest supporters for years, and to thank him, he will receive a plaque at Bethel Hobbs Community Farm’s annual Fall Harvest Festival Oct. 6.

“He sees the good work that we’re doing over here, and he always likes to help us out,” she said. “And this year, he really pushed for a grant.”

Muratore said he loves the farm. A few years ago, he joined Town of Brookhaven Councilman Kevin LaValle (R-Selden) in organizing Run the Farm, an annual four-mile race fundraiser.

“I think it’s a wonderful, wonderful asset that we have in the district and in the county,” the legislator said. “Ann Pellegrino does so much with that place and with the children, and people get to buy fruits and vegetables there that are homegrown. It’s really a big plus for the community.”

Muratore said his fellow county legislators voted unanimously for the grant.

He said it’s up to Pellegrino what she does with the funds. The farm’s vice president said she plans to use the money to enhance the educational programs it offers for students with things like farm tours and making salads with them. In the future, she said she would love to build an indoor classroom so when it’s cold or raining outside, programs can be held indoors. She said it’s the first time they received a significant amount of money. “We’ve never had that, never,” Pellegrino said. “We’re always scrounging for pennies. There is so much we can do with that.”

Pellegrino invites the community to the farm’s 10th annual Fall Harvest Festival which will be held this Saturday, Oct. 6, from 11 a.m. to 5 p.m. The afternoon will feature tractor rides, live music, face painting, pumpkins, a bounce house, games and contests, food, a visit from the “Science Guy,” a farm stand and much more. Admission to the festival is free with fees for certain activities.

Bethel Hobbs Community Farm is located at 178 Oxhead Road, Centereach. For more information, visit www.hobbsfarm.info.

Brookhaven Town Supervisor Ed Romaine. File photo by Erika Karp

Brookhaven Town residents will see a small increase in their 2019 town tax bill, and minimal use of surplus to balance the proposed operating budget for the upcoming fiscal year. Brookhaven Supervisor Ed Romaine’s (R) roughly $302 million tentative spending plan, presented during a media briefing at Town Hall Sept. 28, maintains all constituent services and full-time staffing from the current operating budget, increases funding for road maintenance and keeps the garbage district rate flat at $350 annually.

The 2019 tentative budget represents an approximately $8 million increase compared to the current year. The primary cost drivers of the budget cited by Romaine are a collective bargaining agreement mandated cost-of-living raise for town employees; an extra pay day for all employees in 2019; and a more than 6 percent increase in cost of employee benefits. Still, the proposed budget complies with the state-mandated 2 percent property tax increase cap.

Romaine discussed the lack of a need to use fund balance reserve dollars to balance the budget as a point of pride in presenting the ’19 tentative budget.

“One of my key strategic financial goals since taking office in November 2012 has been to bring the town’s finances to structural balance,” he said. “The three-point plan I implemented six years ago has put an end to deficit spending, has rebuilt the town’s surpluses and has improved the town’s credit rating to a AAA with Standard & Poor’s.”

Matt Miner, town chief of operations, said it’s been more than a decade since the town had a balanced budget requiring no fund balance.

“This is really the highlight of the supervisor’s budget,” he said. “You can see that the town, prior to Supervisor Romaine’s arrival, relied heavily on the use of fund balance surplus to balance its budget and the supervisor has been very aggressive and instructed both [Tamara Wright, town commissioner of finance] and myself and all of the department heads to craft budgets to bring that application of surplus down. Each year, we’ve been doing that and to the supervisor’s credit, it is now at zero in all six major funds, something that really hasn’t been achieved.”

The supervisor touted a rededication to growing non-property tax sources of revenue, including a “huge rally” in mortgage tax receipts in recent years. The 2017 operating budget was boosted by an increase in mortgage tax revenue also not seen in nearly a decade, though 2018 estimates are falling slightly short of that performance, according to Romaine. Still, he indicated there are positive signs for the town’s housing market. In 2013, more than 62 percent of the operating budget was funded by property taxes, according to him, compared to an estimated 58.7 percent in the tentative ’19 budget.

“We have 41 grants that we have been successful in receiving, and we have another 25 in the hopper,” Romaine said, of other revenue streams for the town. “So by attracting and aggressively going after grant money, we’ve been able to cut down on our dependence on property tax.”

The town’s proposed budget includes about $87 million in capital projects for 2019. About $58 million of those funds will be set aside for new capital projects with the remainder going to projects started in prior years. Brookhaven also received a $20 million grant as the winner of New York State’s Municipal Consolidation and Efficiency Competition.  

A public hearing on the budget is slated for Nov. 8 at 5 p.m. at Town Hall with expected adoption to take place Nov. 20.