Christenbury Surgery Center v. North Carolina Department of Health & Human Services

531 S.E.2d 219, 138 N.C. App. 309, 2000 N.C. App. LEXIS 611
CourtCourt of Appeals of North Carolina
DecidedJune 6, 2000
DocketCOA99-871
StatusPublished
Cited by10 cases

This text of 531 S.E.2d 219 (Christenbury Surgery Center v. North Carolina Department of Health & Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christenbury Surgery Center v. North Carolina Department of Health & Human Services, 531 S.E.2d 219, 138 N.C. App. 309, 2000 N.C. App. LEXIS 611 (N.C. Ct. App. 2000).

Opinion

*310 MARTIN, Judge.

Petitioner, Christenbury Surgical Center (the “Center”), is a licensed multi-specialty ambulatory surgical facility located at 449 North Wendover Road, Charlotte, North Carolina, and received a Certificate of Need to develop and operate a multi-specialty ambulatory surgical facility in 1992. On 6 October 1998, the Center filed a Request For Declaratory Ruling from the Division of Facility Services of the Department of Health and Human Services (the “Department”) requesting a ruling that the Center “can operate in more than one location under one license and that the location of some of its operating rooms and ancillary space at a second site within its service area does not require a Certificate of Need.” As applicable to this appeal, the Request for Declaratory Ruling required that the Department apply the provisions of G.S. Chapter 131E, Article 9 (Certificate of Need) to the following facts:

Christenbury Surgery Center proposes to develop additional operating rooms, a recovery room, and necessary ancillary space by leasing space at a location in Charlotte different from the location of its main facility on North Wendover Drive in Charlotte. The use of this additional space at a different location is necessary because there is insufficient space on North Wendover Drive for the facility’s needed expansion and relocation of the entire facility would be too expensive. . . .
The additional space that The Center proposes to lease for use of its facility will be located in Charlotte and will be operated as part of Christenbury Surgery Center. The cost of expanding into this additional space will be less than $2 million and will not involve the acquisition of major medical equipment.
The two locations will be operated as one ambulatory surgical center, with the same ownership and administration, policies and procedures, accounting system, and billing system. The administrator of the Center will be responsible for both locations, and employees at both locations will be employees of the Center. The roster of medical personnel having surgical and anesthesia privileges at the Center will be the same at both locations. The nursing department will be under the supervision of one director of nursing and at least one registered nurse will be at each location during the hours it is in operation. Each location will meet all requirements of 10 N.C.A.C. 3Q.1400, et seq. Regarding physical plant requirements. Both locations will provide the necessary *311 equipment and trained personnel to handle emergencies. The quality assurance committee for the facility will be the same at both locations.

The Department issued its Declaratory Ruling requiring the Center to obtain (1) a separate license for each location at which it offered an ambulatory surgical program, and (2) a certificate of need before it developed additional operating room, recovery room, and ancillary space at a second site within its service area. The Center petitioned for judicial review of the Department’s Declaratory Ruling, contending the Department’s ruling was contrary to law, in excess of its statutory authority, and arbitrary and capricious.

Upon review, the superior court affirmed the Department’s ruling that the Center must obtain a separate license for each location at which it operates an ambulatory surgical program, but ruled that the Department had exceeded its statutory authority, had erred as a matter of law, and had acted arbitrarily and capriciously in ruling that the Center must obtain a certificate of need before it develops additional facilities at a second site within its service area. The superior court reversed the Department’s Declaratory Ruling requiring the Center to obtain a new certificate of need before developing the second site. The Department appeals.

The only matter before this Court is the Department’s ruling that the Center must obtain a new certificate of need before developing additional ambulatory surgical facilities at a second site within its service area. The Center has not appealed from the superior court’s decision affirming the Department’s ruling that it must obtain an additional license to operate the second site. For the reasons stated herein, we affirm the decision of the superior court and hold the Center is not required to obtain an additional certificate of need before developing additional operating room, recovery room, and necessary ancillary space at a second site within its service area.

An appellate court’s review of a superior court order regarding an administrative decision consists of examining the superior court order for errors of law; i.e. determining first whether the superior court utilized the appropriate scope of review and, second, whether it did so correctly. In re Declaratory Ruling by North Carolina Com’r of Ins., 134 N.C. App. 22, 517 S.E.2d 134, disc. review denied, 351 N.C. 105, — S.E.2d — (1999) (citing Act-Up Triangle v. Com’n for Health Service, 345 N.C. 699, 483 S.E.2d 388 (1997)). The nature of *312 the error asserted by the party seeking review of the agency decision dictates the proper scope of review. If the party asserts the agency’s decision was affected by a legal error, de novo review is required; if the party seeking review contends the agency decision was not supported by the evidence, or was arbitrary or capricious, the whole record test is applied. Id. Where the issue raised is one of statutory interpretation, the reviewing court is not bound by the agency’s interpretation of the statute, although some deference is traditionally afforded the agency interpretation. Brooks v. McWhirter Grading Co., Inc., 303 N.C. 573, 281 S.E.2d 24 (1981).

In this case, the Center alleged both that the Department’s decision was affected by error of law, G.S. § 150B-51(b)(2)&(4), and that it was arbitrary and capricious, G.S. § 150B-51 (b)(6). The superior court’s decision indicated that the court applied a de novo standard of review in considering the Center’s contention that the declaratory ruling was affected by error of law and was in excess of the Department’s statutory authority, and that it considered the agency record in determining that there was no rational basis for the Department’s ruling so that it was arbitrary and capricious. Thus, we conclude the superior court utilized the correct standards of review.

Initially, we review the superior court’s determination that the Department exceeded its statutory authority and erred as a matter of law when it declared that the Center would be required to obtain a new certificate of need to utilize additional space for an ambulatory surgical center at a second location within its service area. G.S. § 131E-178(a) provides, in pertinent part: “[n]o person shall offer or develop a new institutional health service without first obtaining a certificate of need from the Department...” (emphasis added).

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Bluebook (online)
531 S.E.2d 219, 138 N.C. App. 309, 2000 N.C. App. LEXIS 611, Counsel Stack Legal Research, https://law.counselstack.com/opinion/christenbury-surgery-center-v-north-carolina-department-of-health-human-ncctapp-2000.