WASHINGTON – RealEstateRama – Over a week has passed since disturbing reports emerged of thousands of vulnerable older Americans being wrongfully discharged from nursing homes across the country during the COVID-19 pandemic. In response to continued CMS and HHS inaction to stop these evictions, today, House Democratic Caucus Task Force on Aging and Families (TFAF) Co-Chairs Reps. Jan Schakowsky (IL-9), Doris Matsui (CA-6) and Conor Lamb (PA-17) along with Vice Chairs Lucille Roybal-Allard (CA-40), Debbie Dingell (MI-12), Ayanna Pressley (MA-7) and House Democratic Caucus Chairman Hakeem Jeffries (NY-08) wrote Administrator Seema Verma and Secretary Alex Azar demanding accountability.
As the COVID-19 crisis continues to disproportionately impact already-vulnerable populations like Older Americans — and particularly those in our nation’s nursing homes — the Task Force on Aging and Families urges the Administration to deliver Congress with a meaningful plan to stop the evictions and investigate the exploitative, dangerous practice. The letter is the latest of an ongoing effort by the Task Force on Aging and Families to call attention to the nursing home crisis, noting that the COVID-19 pandemic has worsened a number of long-standing issues facing families navigating America’s nursing home system.
Last week, The Task Force on Aging and Families discussed the issue of involuntary discharges and the skyrocketing number of COVID-19 fatalities among nursing home residents and workers in a virtual roundtable with stakeholders representing clinicians, frontline workers and impacted families.
Full text of today’s letter is below:
Dear Secretary Azar and Administrator Verma:
We are writing to ask that you immediately intervene to prevent nursing homes across the United States from evicting residents with little to no notice during the coronavirus disease 2019 (COVID-19) pandemic. The Centers for Medicare & Medicaid Services (CMS) must fulfill its responsibility to ensure that its standards and enforcement are adequate to protect the welfare, safety, and rights of nursing home residents.
We are concerned by recent reports that several U.S. nursing homes have maintained an unofficial policy “to clear out less-profitable residents to make room for a new class of customers who would generate more revenue: patients with Covid-19.” Over 6,000 nursing home residents have reportedly been displaced to homeless shelters, motels, boarding houses, or even sidewalks without consent from the resident or adequate advance notice to the resident or resident representative. Some facilities, likely concerned about the liabilities inherent in eviction, have “pressure[d] residents to leave” and misinformed them of their right to remain.
These actions clearly do not adhere to the statutory requirement that skilled nursing facilities and nursing facilities provide notice “at least 30 days before the resident is transferred or discharged,” “ensure a safe and effective transition of care,” and, most importantly, notify residents of their right to appeal a transfer or discharge to a state administrative law judge. We recognize that CMS has waived these regulations to a certain extent, but those waivers apply only to efforts to “cohort” residents based on COVID-19 status.
Though one facility claimed that these evictions were “appropriate,” we argue that they are not only inappropriate and illegal, but heartless during a global health crisis caused by a highly communicable disease. Many older Americans and individuals with disabilities turn to nursing homes when they require continuous medical care or cannot access home and community-based services. It is unconscionable that they would be betrayed by the facilities they rely on to survive and evicted without notice because they are not as lucrative as a COVID-19 patient. Though the issue of involuntary discharge is unfortunately not new, these evictions now place nursing home residents at risk for disease or death from COVID-19.
Further, CMS has yet to issue any enforcement standards or necessary regulations to ensure safe “cohorting” of COVID-19 patients in nursing homes. As a result, the admission of COVID-19 patients to nursing homes poses its own extreme threat to residents and workers, who are already struggling with inadequate personal protective equipment and staffing support. CMS itself has recognized this danger, as Administrator Verma has been vocally opposed to state policies that require nursing homes to admit COVID-19-positive patients from hospitals.
Your failure to acknowledge the reported evictions of nursing home residents is unacceptable. Over ten days have passed since this report was published and CMS has yet to inform Congress of any action to investigate or rectify the assertions. We urge you to take immediate action to prohibit all future evictions and inform us whether you will launch an investigation into evictions that have occurred no later than Thursday, July 9, 2020.
Thank you for your prompt attention to this request.