NANCY JOHNSON/REUTERS The Gateway nursing homes Indianapolis and Oakwood have both announced plans to close after three decades.
The Oakwood community has said it will be the last in the city.
The nursing homes, located in the same neighborhood, have served more than 50,000 residents and are located on both sides of the street.
Oakwood’s announcement was made on Thursday morning and followed a week of public comment.
The Indianapolis Star reported that the Gateway community is seeking $1 million to reopen.
The city of Indianapolis had said in January that it planned to close the two nursing homes.
The communities announced their plans to keep the nursing homes open after being notified by the Centers for Medicare and Medicaid Services in August that the Centers had determined that the facilities were not eligible for Medicaid payments.
A spokesperson for the Indiana Department of Health said in a statement on Thursday that the Indianapolis-based nursing homes had agreed to a $750,000 donation from the city to cover the remaining $1,000 per day the city will not be able to make Medicaid payments to the two facilities.
Indianapolis officials have said the nursing home closures will be “revenue neutral,” meaning they will not reduce the number of nursing home beds in the region.
The state has paid for the facilities with a grant.
They have not been able to get federal funding to keep them open for the last three decades because of a federal law called the Older Americans Act, which requires that the nursing facilities be operated as Medicare beneficiaries.
Under the law, the state must provide nursing home bed capacity by 2020.
We are working to complete this year’s fiscal year 2019 budget, which is expected to include funds for all of the nursing services at the facilities,” the spokeswoman said.