Feder v. SB2, Inc.

CourtDistrict Court, S.D. Ohio
DecidedMarch 2, 2020
Docket1:18-cv-00274
StatusUnknown

This text of Feder v. SB2, Inc. (Feder v. SB2, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Feder v. SB2, Inc., (S.D. Ohio 2020).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

Cheryl Feder, ) ) Plaintiff, ) Case No.: 1:18-cv-00274 ) vs. ) Judge Michael R. Barrett ) SB2, Inc. et al., ) ) Defendants. ) ) )

OPINION & ORDER

This matter is before the Court on the Motion to Dismiss of Defendants SB2, Inc. and Jennifer Coy. (Doc. 7). Plaintiff1 filed a Response in Opposition (Doc. 8) and Defendants filed a Reply (Doc. 9). I. BACKGROUND2 On November 4, 2015, Plaintiff was admitted to Eastgatespring of Cincinnati, a nursing home, for care and assistance. (Doc. 4, PageID 67) (stating Plaintiff was admitted on or about November 4, 2015). But see (Doc. 4-1, PageID 79) (stating Plaintiff’s “Original move-in date” was “2-22-2016”). She was subsequently discharged and readmitted to the same nursing home on or around April 20, 2016. (Doc. 4, PageID 67). She suffered from asthma and fluid on her heart, was unable to walk, and reliant on both a wheelchair and

1 Plaintiff Audrey Feder died during the pendency of this litigation (Doc. 12) and, with the Court’s permission, Cheryl Feder, the acting trustee of her estate, has been substituted as Plaintiff (Doc. 14). For purposes of this Order, and to maintain uniformity with the parties' filings, the Court will refer to “Plaintiff” as referencing Audrey Feder.

2 The following facts are alleged in the Complaint (Doc. 4) and its exhibits (Doc. 4-1). The Court declines consideration of the exhibits attached to Plaintiff’s Response in Opposition. See FED. R. CIV. P. 12(d) (providing that if, in a 12(b)(6) motion to dismiss, “matters outside the pleadings are presented to and not excluded by the court, the motion must be treated as one for summary judgment under Rule 56.”). oxygen. Id. When she was readmitted to the nursing home, she signed expedited move- in process paperwork (“the Agreement”) in which she acknowledged that, [t]he last time that you were admitted to Eastgatespring of Cincinnati, you reviewed numerous documents that contained the policies and procedures of the center and in which you stated certain preferences to us. At that time you signed numerous documents to indicate that you understood their contents and to acknowledge their receipt. We have listed below all of the documents that you received during your original move-in to the center in addition to the residency agreement. If you agree to abide by all of terms outlined in the policies below, and if the information provided to us in those forms has not changed since your last move-in, then you may sign below to indicate that fact.

(Doc. 4-1, Ex. A, PageID 79). Plaintiff signed the Agreement as the “Resident,” Cheryl Feder signed the Agreement as “the Representative,” and a representative from Eastgatespring signed for the nursing home. (Id., PageID 80-81). As the Representative, Cheryl Feder expressly declined to voluntarily personally guarantee payment to Eastgatespring, be jointly and severally liable for all services and supplies received by her mother, and make all payments for her mother. (Id., PageID 82). As the Representative, Cheryl Feder also agreed to cooperate in the Medicaid Process. (Id., PageID 84-85). In that regard, she agreed that she [s]hall cooperate fully in any application, redetermination or appeals process related to Medicaid eligibility. The Representative agrees to pay from his/her own resources any unpaid charges due to Eastgatespring of Cincinnati as a result of the Representative’s failure to cooperate in the Medicaid eligibility or determination process, or appeals thereto. “Failure to cooperate” shall include, but is not limited to, failing to provide documentation to the Medicaid agency in the time frames defined by law or as indicated by the relevant representative to the Medicaid agency.

Id. As the Resident and Representative, Audrey and Cheryl Feder agreed, inter alia: to pay all charges and fees billed by Eastgatespring; that they would remain responsible for any charges that are not paid for by a governmental payer (e.g., Medicare or Medicaid); and that, if Eastgatespring retained the services of a collection agency or an attorney to obtain the payment of amounts due under the Agreement, Eastgatespring shall be entitled to recover from them all collection agency and attorney’s fees, court costs

and other collection expense. (Id., PageID 83). Additionally, Audrey Feder and Cheryl Feder signed an agreement to resolve legal disputes, including breaches of contract, through arbitration but the Eastgatespring representative did not so sign. (Id., PageID 89- 90). Sometime during her stay following her readmittance to Eastgatespring, Plaintiff applied for Medicaid with Eastgatespring’s assistance, but that application was later denied.3 (Doc. 4, PageID 67). On March 13, 2017, Eastgatespring filed a complaint for equitable relief and motion for preliminary injunction in the Clermont County, Ohio Court of Common Pleas. (Doc. 4- 1, PageID 72-90, 91-110). Defendant Jennifer Coy, an attorney, working for Defendant

SB2, Inc., a law firm, represented Eastgatespring in that lawsuit. Id. In the complaint, Eastgatespring stated that Plaintiff entered in a Resident Admission Agreement on November 4, 2015 and, in doing so, agreed to compensate Eastgatespring for all care provided including, if necessary, pursuing Medicaid eligibility and payment of her social security income, less the exempt $50.00 personal allowance. (Doc. 4-1, PageID 74). Eastgatespring also stated that Plaintiff’s account was delinquent in the amount of

3 The parties disagree as to why Plaintiff’s Medicaid application was denied. Plaintiff asserts that it was denied because she was unable to get the appropriate documentation necessary to process the application due to her physical conditions (Doc. 4, PageID 67), whereas Defendants assert that her application was denied, in part, because she refused to liquidate her resources to become financially eligible for Medicaid (Doc. 4-1, PageID 73). $111,000.00 as of January 11, 2017, that she refused to spend down her resources to become eligible for Medicaid or pay her balance, and that it attempted to discharge her pursuant to Ohio law, but it was unable to do so until it could find a replacement location to transfer her to. (Id., PageID 73-74). Eastgatespring brought a claim of breach of

contract arguing that the November 4, 2015 Resident Admission Agreement constitutes a valid contract under which Eastgatespring performed its duties, but Plaintiff did not. Id. Eastgatespring also brought a claim of unjust enrichment arguing that Plaintiff is being enriched by her failure to pay her balance and comply with the Medicaid process. (Id., PageID 75). Eastgatespring requested relief in the form of specific performance of the November 4, 2015 Resident Admission Agreement. Id. It requested that the court (1) compel Plaintiff to cooperate in the Medicaid Application/Spend-down process or, alternatively, designate it as her Limited Power-of-Attorney or Guardian Ad Litem to assist her in that process; (2) compel her to turn over and remit to it any financial resources

identified in the Medicaid denial letter as preventing her from Medicaid eligibility; and (3) compel her to designate it as payee of her social security income (if she received any) in satisfaction of her balance. (Id., PageID 75-76). Eastgatespring attached the April 2016 expedited move-in process paperwork to the complaint and not the November 2015 Resident Admission Agreement. (Id., PageID 79-90).

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Feder v. SB2, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/feder-v-sb2-inc-ohsd-2020.