. The summer 1998 bringing a diversification in Gary’s disposition at the Kiowa District Hospital, Administrator Buck McKinney proposing the hospital take under their ascendancy the proprietorship of the Kiowa Manor, a Hunter Care 37 bed skilled nursing facility. After an open public meeting, the acquisition process being approved and put in ambulation, McKinney attempting to solicit volunteers from the hospital staff willing to traverse their employment to the Manor, discovering that not a single employee was willing to leave their employment status at the hospital.
. Gary after some serious thought, volunteered to move to the nursing home, accepting the safety and maintenance task at the Manor, in addition to maintaining his responsibilities at the hospital. His first concern was to establish an office, enabling a home for his computer and files, the only area designated for maintenance was a very small work bench area off the rear door entrance. A brief search for an unoccupied room was nil, but discovering a delightful Hannah Watson offering to share her office. Hannah was responsible for coding and billing the Medicare paperwork for reimbursement, utilizing the 1996 HIPAA Health Insurance Portability and Accountability Act.
. The Manor, unlike the hospital, hosted an in-house laundry, small but adequate for the facility, employing a young man with Down’s Syndrome from Medicine Lodge, the youth chauffeured by car five days a week. Gary discovering he was sponsored by Arrowhead West, a Community Integrated Employment Services . The program that benefits both employees and employers by assisting individuals with disabilities to obtain and keep jobs in the community, while at the same time offering reliable and qualified employees to area businesses.
. Buck McKinney in an effort to cut cost for the Nursing Home eliminated the kitchen at the Manor, requiring Ivette Starzyk and the hospital kitchen to provide the manor with three daily meals. Gary having to regulate his hours acquiring the additional duty, transporting the meals to the Manor utilizing the manors van, McKinney’s daughter Robyn either fulfilling the Manor needs or finding someone for weekends.
. McKinney and the hospital board coming to a decision to hire a subjective administrator for the Nursing Home. The ongoing search for an administrator concluded, the Manor staff introduced to the new administrator, Gary having some questioning doubts about the board’s selection. On one occasion, entering the manors new administrator’s office without knocking, the administrator seated at his desk, his back to the door, Gary noticing a monitor screen situated on a shelf behind him displaying what appeared to be porn. The administrator aware of his presence, turning, his body movements trying to break Gary’s line of sight, immediately retreating, withdrawing from the room, knowing his interruption of the administrators aspersions, would someday come back to haunt him.
. A fall afternoon found Gary coming across Susan Luthi leaving the Manors administrator’s office, Susan approaching, saying he was just the person she wanted to talk to. She continued with an explanation. She was a representative of Arrowhead West, and the sponsor of the laundry employee. The organization holding a recognition dinner in Medicine Lodge, to recognize the handicapped and mentally challenged employees in Barber County for their labors, and honor the employers, who gave them the opportunity. Susan relating she had approached the manor administrator, and he had declined to attend and stand be introduced with the youth as his sponsor.
. Susan asking Gary if he would attend, and Gary with a smile, giving Susan assurance, of course he would be more than happy to participate. The night of the event, Gary in attendance greeting two other employers he was acquainted with, Jim Reed from the Kiowa CO-OP and Kevin White, the Medicine Lodge Hospital administrator, both having sponsored challenged employees. Gary seated for dinner with the manor’s employee, and later standing with the down syndrome employee, as he received a plaque of recognition for his work accomplishment. Gary also receiving a plaque of recognition for his attendance, in the form of a hug from a thankful Susan Luthi.
. A additional maintenance employee was hired, Rory Reed, Gary being told he was hired to make the once abandon large garage outbuilding on the Manor property suitable for use. Rory’s previous employment was with the Kiowa CO-OP, his father Jim managed. Gary finding it was good to have a second pair hands at the facility. With the new administrator, and the addition of a new Nursing Director, he wasn’t the only one who noticed a uncertain atmosphere prevailed at the manor, still realized the unexpected entry into administrators office could have repercussions. He sensed a feeling of being watched, also having confrontations with the Manors Nursing Director about staff not making rounds, a toilet overflowing for hours, flooding rooms and half way down the east hall, receiving a call at 2 o’clock in the morning.
. A maintenance monthly responsibility was conducting and logging a fire drill at both medical facilities, including the clinic, documenting the sounding of the alarms and the staffs response. During a morning drill at the hospital, Gay Farney, the Lab Director approached Gary with a concerned look on her face, stating that she had received a call from the Manors administrator, directing her to perform a blood alcohol test on him. The request raised some suspicion, curious if his recent confrontation with the Manors D O N, their past disagreements and his unexpected walk-in on the Administrator may have given this request meaning. Gary was comfortable submitting to the lab test, his concern wasn’t the test results, but the implication leading to a questionable future. That evening receiving a phone call from the administrator, apologizing for the administrative misjudgment in asking for the test, the negative results confirming his aberration. The administrator stating, his reasoning for the test was based on statement from the Director of Nursing, Gary realizing, his tenure at the Nursing Home would not endure, concluding he was now a target for dismissal.








