An Indiana nursing facility is blocked from forcing a 98-year-old Medicaid resident to move to a part of the facility set aside for patients whose care is funded by Medicaid.
Katherine Lemons, 98, had lived in the same room at Westminster Village North for several years. But things were about to change when the U.S. Center for Medicare and Medicaid Services (CMS) ordered Westminster to consolidate its Medicaid beds in one segregated "distinct part" of the nursing home. Previously, Medicaid patients had been mixed in with other residents throughout the Westminster facility.
As part of its effort to comply with CMS's order, Westminster tried to move Ms. Lemons to a newly created segregated Medicaid unit. Ms. Lemons challenged the facility's efforts.
An Indiana trial court rules that the attempted move is contrary to Indiana law, which states that residents can be moved only for medical reasons or to protect their own welfare. The court issues a preliminary injunction requiring Westminster to retain Ms. Lemons in her present room, pending further orders of the court.
The case raises broader questions about the legality of CMS's efforts to move Medicaid patients into segregated units. The federal Nursing Home Reform Law explicitly prohibits nursing homes from discriminating against Medicaid residents in the provision of services. The law also requires nursing homes to protect the privacy of residents' financial information, which would appear to be violated when all the residents of a segregated unit have one payment source.
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