Concourse Nursing Home v. Engelstein

181 Misc. 2d 85, 692 N.Y.S.2d 888, 1999 N.Y. Misc. LEXIS 251
CourtNew York Supreme Court
DecidedMarch 30, 1999
StatusPublished
Cited by1 cases

This text of 181 Misc. 2d 85 (Concourse Nursing Home v. Engelstein) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Concourse Nursing Home v. Engelstein, 181 Misc. 2d 85, 692 N.Y.S.2d 888, 1999 N.Y. Misc. LEXIS 251 (N.Y. Super. Ct. 1999).

Opinion

OPINION OF THE COURT

Louise Gruner Gans, J.

Defendants Daniel Engelstein and the law firm of Vladeck, [86]*86Waldman, Elias & Engelhard, P. C. (Vladeck, Waldman)1 move to dismiss the complaint for failure to state a cause of action. (CPLR 3211 [a] [7].) Plaintiff Concourse Nursing Home (Concourse) cross-moves for an order compelling defendants to proceed with discovery. (CPLR 3124.).

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FACTUAL BACKGROUND

This action arises from an earlier litigation which, in the words of the Federal Judge who handled it, was a “hotly contested and long outstanding” action. (See, Local 144, Hotel, Hosp., Nursing Home & Affiliated Servs. Union v C.N.H. Mgt. Assocs., 799 F Supp 1554 [SD NY 1992, Sweet, J.].) Defendant Vladeck, Waldman represented the plaintiff, Local 144. The defendants were C.N.H. Management Associates, Inc. and Marvin Neiman, the sole proprietor of Concourse. Concourse is a privately owned nursing home which relies on Federal Medicare and Medicaid reimbursements for 90% of its revenues. Concourse’s employees are represented by Local 144.

In 1987, a labor dispute arose between Local 144 and Concourse regarding Concourse’s payment of its employees. Local 144 commenced an action in Federal court, Local 144, Hotel, Hosp., Nursing Home & Affiliated Servs. Union v C.N.H. Mgt. Assocs., alleging that Neiman misappropriated Medicaid reimbursements that had been paid by the New York State Department of Health (DOH) for the express purpose of paying industry standard wages and benefits to Concourse employees represented by Local 144.

On October 9, 1989, after the lawsuit had been filed, Concourse and DOH entered into a letter agreement to resolve Concourse’s pending administrative appeals regarding the Medicaid rates used to determine reimbursements for providing nursing home services. DOH agreed: (1) to review Concourse’s outstanding rates as if Concourse had paid parity in full; (2) to provide Concourse with the opportunity to object to any proposed revisions in advance; and then (3) to pay on the basis of those rates, if there was a settlement with Local 144 under which the Medicaid reimbursements generated from the appeals would benefit Concourse’s employees. On May 11,1990, [87]*87DOH provided Neiman with proposed rate calculations; Neiman was given a number of extensions to file objections to the rate appeals, but failed to do so by the August 22, 1990 deadline.

The proposed rate calculations would have generated a gross amount of $8.7 million for the period through April 30, 1991, with a net cash payment in excess of $7.1 million. While the value of the rate appeals had been calculated, unrelated audits remained, which could have potentially reduced the amount of the net lump-sum payment.

In the spring of 1991, as the trial date approached, the parties entered into settlement negotiations. The negotiations required a “tri-party agreement” in that DOH would not make any payments to Concourse without a settlement of its parity dispute with Local 144, since the funds Concourse would use to make the payments on the settlement with Local 144 would come from DOH’s payments on the pending rate appeals. A settlement was reached on May'23, 1991, on the eve of trial, which provided for the parties to enter into a collective bargaining agreement and required Neiman to pay more than $7.5 million to Local 144 for distribution to Concourse employees represented by Local 144.

Unbeknownst to Local 144, Neiman had met with DOH in April 1991, at which time he informed the agency that there were errors in the Medicaid rate calculations, and that Concourse should receive an additional $3.3 million. Local 144 was never informed that DOH agreed to reimburse Concourse this additional amount.

Upon learning in early June 1991 that Concourse had sought and DOH had granted a $3.3 million enhancement of the reimbursement package prior to the settlement, Local 144 advised Concourse that it would both enforce the existing settlement and reserve its right to seek damages for fraud in the settlement process. On July 1, 1991, defendants Engelstein and Sillies met in Albany with Steven Anderman, a Deputy Director of DOH, to discuss DOH’s failure to inform Local 144 of the rate adjustments and to determine the basis of the additional amount to be paid to Concourse (the July 1st meeting).2 At the July 1st meeting, DOH conceded its failure to advise Local 144 of the increase in the rate calculations before the [88]*88settlement had been reached. Following the July 1st meeting, DOH rescinded the additional reimbursement and informed Local 144 that it would reinstate the original rates upon which the settlement was negotiated. In addition, DOH requested that the State Department of Social Services (DSS) conduct an audit of Concourse’s 1983 labor cost accrual.

DOH paid Concourse $7,367 million in August 1991. Concourse then commenced an action in this court against DOH officials seeking payment of the additional $3.3 million; the court dismissed the action for lack of subject matter jurisdiction, on the ground that the Court of Claims was the exclusive forum for such a claim. (Concourse Nursing Home v Axelrod, Sup Ct, NY County, Oct. 31, 1997, Miller, J., index No. 24844/ 91.) Concourse’s appeal from that decision is pending.

The record in that case (of which this court may take judicial notice) includes an affidavit by Steven Anderman describing the July 1st meeting. According to Anderman, during the meeting defendants brought to the attention of DOH an apparent inconsistency in the labor costs claimed by plaintiff in its 1983 and 1984 reports. Anderman states that after investigation of those discrepancies, the Department determined that prudence required DOH to withhold payment of the additional $3.3 million pending further audit. Currently plaintiff reports that of the $3.3 million, only $1.1 million was found to be payable to plaintiff, and has been paid.

Neiman also sought to alter the distribution of the payments in connection with the settlement of the Federal court action, which was rejected by that court on October 4, 1991. After Neiman failed to comply with the terms of the settlement by making the second installment, Local 144 moved to hold Neiman in contempt for failure to comply with the settlement and Neiman cross-moved for relief from the settlement order. In a September 22, 1992 decision, the Federal court granted Local 144’s motion, held Neiman in contempt of the court’s prior order, and denied Neiman’s cross motion. (Local 144, Hotel, Hosp., Nursing Home & Affiliated Servs. Union v C.N.H. Mgt. Assocs., supra, 799 F Supp, at 1558.)

Plaintiff commenced the instant action in October 1994. The complaint alleges that by meeting with various officials of DOH, Vladeck, Waldman conspired with DOH officials in violation of 42 USC § 1983 and engaged in conduct constituting prima facie [89]*89tort and tortious interference with contractual relations. After removing the action to the United States District Court for the Southern District of New York, defendants moved for summary judgment. The District Court granted the motion with respect to the first cause of action only (the 42 USC § 1983 claim), declined to exercise supplemental jurisdiction over the State law claims, and remanded the matter to this court. (See, Concourse Nursing Home v Engelstein, 1997 WL 672015, 1997 US Dist LEXIS 16822 [SD NY, Oct.

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Related

Concourse Nursing Home v. State
1 A.D.2d 675 (Appellate Division of the Supreme Court of New York, 2003)

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181 Misc. 2d 85, 692 N.Y.S.2d 888, 1999 N.Y. Misc. LEXIS 251, Counsel Stack Legal Research, https://law.counselstack.com/opinion/concourse-nursing-home-v-engelstein-nysupct-1999.