Title
a. Approve and authorize the Director of Health Services or designee to execute a retroactive Mental Health Services Agreement between the County of Monterey and GHC of SAC-SNF, LLC DBA Gramercy Court for the provision of mental health services to Monterey County adult residents with severe psychiatric disabilities in a Skilled Nursing Facility Institution for Mental Disease with Special Treatment Program, for a maximum County obligation of $1,410,360 for the term of July 1, 2025 through June 30, 2026; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($141,036) of the original Agreement, do not significantly change the scope of services, and do not increase the total not to exceed maximum amount over $1,551,396.
Report
RECOMMENDATION:
a. Approve and authorize the Director of Health Services or designee to execute a retroactive Mental Health Services Agreement between the County of Monterey and GHC of SAC-SNF, LLC DBA Gramercy Court for the provision of mental health services to Monterey County adult residents with severe psychiatric disabilities in a Skilled Nursing Facility Institution for Mental Disease with Special Treatment Program, for a maximum County obligation of $1,410,360 for the term of July 1, 2025 through June 30, 2026; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($141,036) of the original Agreement, do not significantly change the scope of services, and do not increase the total not to exceed maximum amount over $1,551,396.
SUMMARY:
GHC of SAC-SNF, LLC DBA Gramercy Court operates licensed Skilled Nursing Facilities with Special Treatment Program with round-the-clock psychiatric care and treatment and services Monterey County adult residents with severe psychiatric disabilities. This is a new agreement that provides an alternative to utilizing State hospitals.
DISCUSSION:
The County previously contracted with GHC of SAC-SNF, LLC DBA Gramercy Court from April 1, 2025 until June 30, 2025, for mental health services to Monterey County adult residents with severe psychiatric impairment that has led to their grave disability and require a Skilled Nursing Facility (SNF). Gramercy Court is a SNF Institution for Mental Disease (IMD) for adults with psychiatric impairments and disabilities that required a locked skilled nursing level of care and often takes severe cases that other facilities do not. Treatment includes individualized programs and rehabilitation services to develop new self-management skills.
This Agreement with GHC of SAC-SNF, LLC DBA Gramercy Court is for one (1) fiscal year term from July 1, 2025 to June 30, 2026, which establishes a new contract to provide six (6) more IMD beds for Monterey County residents with psychiatric impairments and disabilities, which historically is limited. The contract is standard Mental Health Agreement that is used with contractors with similar services.
Due to late and ongoing contract negotiations, with direction for an effective date of July 1, 2025, the agreement took additional time to review and agendize, which by necessity makes the agreement retroactive when presented to your board.
Approval of this Agreement meets the requirements of the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act) and the California Code of Regulations Titles 9 &22 and sustains the continuity of core services to seriously mentally ill clients of Monterey County.
This Agreement contains the County’s standard 30-day “no cause” provision (Section V, B) and an additional defunding provision (Section V, D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
This work supports the following County of Monterey Health Department 2025-2028 Strategic Plan Goal(s): 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 7) Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT/COMMITTEE ACTIONS:
The Office of the County Counsel and Auditor-Controller have reviewed and approved this Agreement as to form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by the 1991 Realignment funding. The funds for this Agreement are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2025-26 Adopted Budget.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS:
Mark a check to the related Board of Supervisors Strategic Plan Goals:
_X_ Well-Being and Quality of Life (Support and improve the quality of life for residents by
providing exceptional facilities and health programs in the County.)
____ Sustainable Infrastructure for the Present and Future
_X_ Safe and Resilient Communities (Provide essential justice focused activities to support
disabled residents.)
____ Diverse and Thriving Economy
____ Administrative
Prepared by: Tami Nguyen, Management Analyst II, 279-4740
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Agreement