Elevate Care Country Club Hills, LLC v. Kennedy, Secretary of United States Department of Health and Human Services, in his official capacity

CourtDistrict Court, N.D. Illinois
DecidedSeptember 30, 2025
Docket1:24-cv-04755
StatusUnknown

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Elevate Care Country Club Hills, LLC v. Kennedy, Secretary of United States Department of Health and Human Services, in his official capacity, (N.D. Ill. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

ELEVATE CARE COUNTRY CLUB HILLS, LLC, No. 24-cv-04755 Plaintiff, Judge John F. Kness v.

ROBERT F. KENNEDY, Jr. et al.,1

Defendants.

MEMORANDUM OPINION AND ORDER Before the Court is Defendants’ motion to dismiss (Dkt. 19). For the reasons that follow, the motion is granted, and Plaintiff’s complaint is dismissed. By separate order, Plaintiff will be given leave to submit an amended complaint if it believes it can cure the deficiencies identified in this opinion. I. BACKGROUND Elevate Care Country Club Hills, LLC (“Country Club Hills” or “Plaintiff”) is a healthcare company that operates skilled nursing facilities (“SNFs”) and participates in the Medicare program, a subsidized health care program that reimburses certified providers for certain services provided to Medicare beneficiaries. To participate in the Medicare program as a certified provider, Plaintiff must comply with a statutory and regulatory regime that is enforced, at least in part, by the United States Department

1 The caption has been changed to reflect that Robert F. Kennedy, Jr. was sworn in as Secretary of Health and Human Services on February 13, 2025. See Fed. R. Civ. P. 25(d) (successor to office “is automatically substituted as a party.”). of Health and Human Services (“HHS”). See 42 U.S.C. § 1395 et seq. At relevant times, the Secretary of HHS administered Medicaid through the Centers for Medicare & Medicaid Services (“CMS”), an agency within HHS administered at the time this

lawsuit was filed by Chiquita Brooks-LaSure. (Dkt. 1 ¶¶ 6–7.) HHS also contracts with state health agencies, including the Illinois Department of Public Health (“IDPH”), to conduct examinations of CMS participants and determine whether those participants are compliant with the Medicare Act and its underlying regulations. This case stems from determinations made by IDPH on behalf of HHS that Plaintiff failed to comply with certain regulations, which led to the assessment of a monetary penalty against Plaintiff. But rather than challenging the determinations

made by IDPH within the HHS administrative process, Plaintiff agreed to waive its right to an administrative hearing in exchange for a 35% reduction in its outstanding penalty. (See Dkt. 20-14.) Plaintiff then filed a complaint in federal court alleging that Defendants violated the Administrative Procedure Act, the United States Constitution, and its own internal policies. (See Dkt. 1.) Defendants have moved to dismiss Plaintiff’s complaint on the grounds that Plaintiff did not properly present

its claims to HHS nor exhaust its administrative remedies through the HHS appeals process, a prerequisite for this Court to retain subject matter jurisdiction over the matter. (Dkt. 19.) A. The Statutory and Regulatory Framework of the HHS Administrative Process CMS contracts with state agencies such as IDPH to administer surveys of SNFs that participate in Medicare to determine whether the SNFs are in substantial compliance with Medicare requirements. 42 U.S.C. §§ 1395aa; 1395i-3(g). IDPH conducts different types of surveys, as specified under the Medicare Act. For example, SNFs receive an annual or “standard” survey at intervals of no more than 15 months;

statewide average intervals must be 12 months or less. Id. § 488.308(a)-(b). Revisit surveys are used to determine whether nursing homes have corrected the deficiencies cited within previous surveys. 42 C.F.R. § 488.308(c). When a SNF survey identifies deficiencies, the facility completes a “Plan of Correction” to explain how it will cure those deficiencies. 42 C.F.R. § 488.401 (defining Plan of Correction). Plans are reviewed by IDPH, which either accepts the plan or works with the facilities to modify it. (Dkt. 1 ¶ 9.) Deficiencies may result in the imposition of a civil monetary penalty.

42 U.S.C. § 1395i-3(h)(2)(B)(ii)(I). Regulators impose a penalty from the time the SNF goes out of compliance until it returns to substantial compliance. See Neighbors Rehab. Ctr., LLC v. Dep’t of Health and Hum. Servs., 910 F.3d 919, 921–22 (7th Cir. 2018) (explaining the regulatory framework). CMS maintains an internal policy, according to Plaintiff’s allegations, that revisit surveys must be conducted within 60 days of the initial survey date. (Dkt. 1

¶ 12 (citing State Operations Manual (“SOM”) § 7317.2).) When a revisit survey finds that a facility has returned to substantial compliance, the facility receives a Post- Certification Revisit Report. If a facility is found to be outside of substantial compliance for over three months, the Medicare Act requires the Secretary to impose a denial of payment for new Medicare or Medicaid admissions (“DPNA”), and after six months of continuous noncompliance, the Secretary must terminate the facility’s provider agreement. 42 U.S.C. § 1395i-3(h)(2)(C)-(D). DPNAs also continue in effect, and per-day fines continue to accrue, while a facility remains out of substantial compliance. 42 C.F.R. §§ 488.417, 488.440(b).

When CMS imposes an enforcement remedy against a facility that has failed to substantially comply with a Medicare requirement, the facility may request a formal evidentiary hearing before an administrative law judge to contest its deficiency findings. 42 C.F.R. §§ 488.408(g)(1), 498.3(b)(13). Facilities may appeal initial deficiency findings for which remedies are imposed as well as findings regarding the duration of noncompliance, provided that the duration affects the remedies. Elant at Fishkill, DAB No. 2468, 2012 WL 4863666, at *1 (2012). HHS

incentivizes SNFs to waive their rights to a hearing and to the appellate process in exchange for 35% reduction in the monetary penalty. (Dkt. 1 ¶ 37); 42 C.F.R. § 488.436(b). B. IDPH Surveys of Country Club Hills Plaintiff alleges that IDPH conducted a survey at Country Club Hills between October 5, 2023 and October 11, 2023 (the “October Survey”). (Dkt. 1 ¶ 59.) IDPH

found that Plaintiff had not provided certain incontinence care to a resident, which led IDPH to find that Plaintiff was not in substantial compliance. (Id.) Plaintiff submitted a Plan of Correction in response. (Id. ¶ 60.) Plaintiff alleges that it was prepared for IDPH to conduct a revisit survey “shortly thereafter” to determine whether Plaintiff was in substantial compliance, but IDPH instead conducted a new survey from November 9 to November 15, 2023 (the “November Survey”). During the November Survey, IDPH found additional instances of noncompliance related to wound care. (Id. ¶¶ 60–62.) IDPH then conducted three more surveys in December 2023 (the “December Survey”), January 2023 (the “January Survey”), and March

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Elevate Care Country Club Hills, LLC v. Kennedy, Secretary of United States Department of Health and Human Services, in his official capacity, Counsel Stack Legal Research, https://law.counselstack.com/opinion/elevate-care-country-club-hills-llc-v-kennedy-secretary-of-united-states-ilnd-2025.