Cathedral Rock of Granite City, Inc. v. Illinois Health Facilities Planning Board

720 N.E.2d 1113, 308 Ill. App. 3d 529, 242 Ill. Dec. 158
CourtAppellate Court of Illinois
DecidedOctober 19, 1999
Docket4-98-0893
StatusPublished
Cited by16 cases

This text of 720 N.E.2d 1113 (Cathedral Rock of Granite City, Inc. v. Illinois Health Facilities Planning Board) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cathedral Rock of Granite City, Inc. v. Illinois Health Facilities Planning Board, 720 N.E.2d 1113, 308 Ill. App. 3d 529, 242 Ill. Dec. 158 (Ill. Ct. App. 1999).

Opinion

JUSTICE GARMAN

delivered the opinion of the court:

The Illinois Health Facilities Planning Board (Board) granted a certificate of need (CON) jointly to defendants Rosewood Care Center, Inc., of Cook County, No. 4, and HSM Development No. 5, L.L.C. (hereinafter referred to collectively as Rosewood), on January 27, 1997, allowing Rosewood to build an 80-bed, long-term-care nursing facility in Granite City, Madison County, Illinois. Plaintiff Cathedral Rock of Granite City, Inc. (Cathedral), a competing nursing facility, appealed the decision to the circuit court of Sangamon County pursuant to section 11 of the Illinois Health Facilities Planning Act (Planning Act) (20 ILCS 3960/11 (West 1998)). The circuit court affirmed the Board’s decision. Plaintiff raises the following arguments on appeal to this court: (1) the Board’s decision to grant the CON is void because the proceedings before the Board were tainted by ex parte communications, (2) plaintiff was denied procedural due process by the proceedings before the Board, (3) the Board’s decision was against the manifest weight of the evidence and/or arbitrary and capricious, and (4) if this court invalidates the Board’s regulations, plaintiff is entitled to attorney fees under section 10 — 55 of the Illinois Administrative Procedure Act (Procedure Act) (5 ILCS 100/10 — 55 (West 1998)). We affirm.

I. BACKGROUND

The purpose of the Planning Act is to “establish a procedure designed to reverse the trends of increasing costs of health care resulting from unnecessary construction or modification of health care facilities.” 20 ILCS 3960/2 (West 1998). In furtherance of this purpose, section 4 of the Planning Act provides for the creation of the Board and governs its duties and functions. 20 ILCS 3960/4 (West 1998). The Planning Act provides that no person may construct or modify a health care facility without first obtaining a CON from the Board. 20 ILCS 3960/5 (West 1998). The Illinois Department of Public Health (Department) serves as administrative and staff support for the Board. 20 ILCS 3960/4 (West 1998). The Department is authorized, with the prior approval of the Board, to prescribe rules, regulations, standards, and procedures to carry out the provisions and purposes of the Planning Act. 20 ILCS 3960/12 (West 1998). These regulations (Regulations) are contained in sections 1110.10 through 1260.50 of Title 77 of the Illinois Administrative Code. 77 Ill. Adm. Code §§ 1110.10 through 1260.50 (1996).

On July 10, 1996, Rosewood filed an application for a CON with the Board, requesting a permit to build an 80-bed nursing facility in Granite City, Madison County, Illinois. Rosewood owns or operates 15 other similar facilities in Illinois and Missouri. An application for a CON consists of two parts: (1) part 1110, which requires the applicant to submit information and documents showing that it meets the applicable general review criteria set forth in sections 1110.10 through 1110.2650 of the Regulations (77 Ill. Adm. Code §§ 1110.10 through 1110.2650 (1996)) and (2) part 1120, which requires the applicant to submit information and documents showing that it meets the financial and economic review criteria set forth in sections 1120.210 through 1120.310 of the Regulations (77 Ill. Adm. Code §§ 1120.210 through 1120.310 (1996)). The Board forwarded the application to the Department for its review and investigation. By letter dated July 15, 1996, the Department advised Rosewood that its application was substantially complete.

Pursuant to section 1200.30 of the Regulations (77 Ill. Adm. Code § 1200.30 (1996)), the Department published a notice in the Granite City Press that Rosewood had submitted an application for a CON and that a public comment hearing could be requested by any interested person. The Department also sent notices by mail to various nursing homes and hospitals in Granite City; to medical societies in St. Clair, Monroe, and Clinton, Illinois; and to state representatives and senators. Plaintiff received one of these individualized notices. Upon receipt of a request for a public hearing, the Department scheduled a public comment hearing and published a notice that such hearing would be held on August 19, 1996, in Granite City.

Twenty-eight people attended the public hearing. Sixteen people offered oral testimony and five submitted written materials. Twelve of the sixteen people who offered oral testimony spoke in favor of Rosewood’s proposed project. Four nursing homes, including plaintiff, submitted written material in opposition to Rosewood’s intended project. The opposition can be summarized as follows: (1) if constructed, Rosewood’s nursing home would take all of the private paying patients, leaving only the lower-paying Medicaid patients for the other nursing homes in the area; (2) no need was shown for an additional nursing home because of the high number of empty beds in the existing nursing homes in the area; and (3) the existing homes were finding it difficult to find qualified applications to fill vacancies in their nursing staffs and Rosewood’s nursing home would only compound the problem.

Following the public hearing, plaintiff and several other nursing care facilities submitted additional letters opposing Rosewood’s project. Specifically, these parties contended that Rosewood’s history demonstrated that it was not committed to helping Medicaid patients. They claimed that Rosewood often discharged Medicare and/or Medicaid patients from its other facilities after the patients’ Medicare funds were exhausted, leaving them to find other accommodations on short notice. They also claimed that Rosewood had been very dilatory in submitting information to the Illinois Department of Public Aid to obtain Medicaid certification. The parties again urged the Department to find that the proposed area lacked both a bed need and adequate staffing. At least one party also alleged that Rosewood had improperly .certified certain physician referral letters. Rosewood submitted letters and additional information rebutting all of these claims.

The first hearing before the Board was held on October 24, 1996. At the hearing, the Department submitted a report of its review of Rosewood’s application. The Department’s report concluded that Rosewood’s proposed project was not in conformance with part 1110 of the application, but that it was in conformance with part 1120. Specifically, the Department found that of 18 applicable general review criteria, Rosewood did not meet the following three criteria: (1) allocation of additional beds (77 Ill. Adm. Code § 1110.320(b) (1996)), (2) location (77 Ill. Adm. Code § 1110.230(a) (1996)), and (3) alternatives (77 Ill. Adm. Code § 1110.230(e) (1996)).

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Bluebook (online)
720 N.E.2d 1113, 308 Ill. App. 3d 529, 242 Ill. Dec. 158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cathedral-rock-of-granite-city-inc-v-illinois-health-facilities-planning-illappct-1999.