Hinton Adult Care Facility v. Ohio Dept. of Mental Health & Addiction Servs.

2017 Ohio 4113
Ohio Court of Appeals·Decided May 26, 2017·No. 16CA3566·Published·Cited by 3 cases

Opinion

[Cite as Hinton Adult Care Facility v. Ohio Dept. of Mental Health & Addiction Servs., 2017-Ohio-4113.]

IN THE COURT OF APPEALS OF OHIO FOURTH APPELLATE DISTRICT ROSS COUNTY

HINTON ADULT CARE FACILITY, et al., :

:

Appellants-Appellants, :

: Case No. 16CA3566 v. :

: DECISION AND OHIO DEPARTMENT OF MENTAL HEALTH : JUDGMENT ENTRY AND ADDICTION SERVICES, :

:

Appellee-Appellee. : RELEASED 05/26/2017

APPEARANCES:

Kevin L. Shoemaker, Shoemaker Law Office, Dublin, Ohio, for appellants Hinton Adult Care Facility and Friendship Adult Care Facility.

Michael DeWine, Ohio Attorney General, and Roger Carroll, Principal Assistant Ohio Attorney General, Columbus, Ohio, for appellee Ohio Department of Mental Health and Addiction Services.

Hoover, J.

{¶ 1} In May 2015 the Ohio Department of Mental Health and Addiction Services (“ODMHAS”) denied the renewal of an adult care license for Friendship Adult Care Facility (“Friendship”), and revoked the adult care license for Hinton Adult Care Facility (“Hinton”), after it determined that both facilities had overcharged their residents who participated in the Residential State Supplement (“RSS”) program. The ODMHAS’s decision to revoke and deny renewal of the licenses was memorialized in two separate Adjudication Orders. Friendship and Hinton appealed from the Adjudication Orders to the Ross County Common Pleas Court pursuant to R.C. 119.12. The Ross County Common Pleas Court consolidated the two cases and

Ross App. No. 16CA3566 2

affirmed the Adjudication Orders, finding that the Adjudication Orders were supported by reliable, probative, and substantial evidence and were in accordance with the laws of Ohio. On appeal to this Court, Friendship and Hinton contend that the common pleas court erred in affirming the Adjudication Orders because they were not in accordance with the law. For the reasons that follow, we conclude that the arguments raised by Friendship and Hinton are without merit. Accordingly, we affirm the judgment of the common pleas court.

I. Facts and Procedural Posture {¶ 2} Friendship and Hinton are adult group homes operating in Ross County, Ohio, and have residents who participate in the RSS program. Both Friendship and Hinton voluntarily agreed to take residents who were enrolled in the RSS program.

{¶ 3} On September 28, 2012, the ODMHAS sent a memorandum to all adult care facilities and their various associations, including Friendship and Hinton, reminding the facilities that the maximum monthly allowable fee for RSS participants living in an adult group home was $877. The memorandum clarified that the allowable fee was to be accepted as payment in full for accommodations, supervision, and personal care services pursuant to Ohio Administrative Code 5122-36-04 and 5122-36-05. Notably, the memorandum emphasized that the failure to adhere to this directive or other administrative code provisions could result in regulatory action.

{¶ 4} On November 23, 2012, the ODMHAS notified Friendship and Hinton again. The notification was that the facilities may be charging their RSS residents more than the allowable fee. In response, Friendship and Hinton provided the ODMHAS with their residential agreements setting forth what they were charging the RSS participants. Based upon the records provided, it was determined that Friendship had seven residents who participated in the RSS program; and contrary to the rules, these residents were being charged $1,294 a month. Furthermore, the

Ross App. No. 16CA3566 3

ODMHAS determined that Hinton was charging four RSS residents $1,294 per month, one RSS resident $1,258, one RSS resident $1,280, and one RSS resident $1,050, all in violation of the administrative rules.

{¶ 5} On September 23, 2013, the ODMHAS issued a notice to deny the renewal of Friendship’s adult care license, and a notice to revoke Hinton’s adult care license, based upon the investigation evidencing the overcharging of RSS residents. By agreement of the parties, the matters involving the denial of the renewal of the adult care license for Friendship and the revocation of the adult care license for Hinton were set for joint administrative hearing on April 22, 2014. An administrative hearing occurred on that date before an impartial Hearing Examiner pursuant to R.C. Chapter 119.

{¶ 6} At the administrative hearing, sworn testimony was received from Janel Pequignot, Chief of the Bureau of Licensure and Certification for the ODMHAS, and Nellie Book, owner and operator of Friendship. The testimony was transcribed by a court reporter. The ODMHAS, Friendship, and Hinton all admitted documentary exhibits into evidence. Furthermore, because the issues were the same and the witnesses were to be the same, the parties agreed that the testimony would serve as evidence in both cases.

{¶ 7} Pequignot testified that the ODMHAS licenses adult foster homes and adult care facilities for people living in RSS placements. She explained that there are two types of adult care facilities: adult group homes, which are licensed for 6-16 residents, and adult family homes, which are licensed for 3-5 residents. Friendship and Hinton are both adult group homes. Pequignot clarified that adult care facilities are not required to serve RSS participants; and if there are no RSS participants in the facility, there are no restrictions on the fee that can be charged residents. However, Pequignot testified that once a facility accepts an RSS participant as

Ross App. No. 16CA3566 4

a resident, then the facility must comply with the RSS program rules, including the maximum allowable fee which can be charged the resident.

{¶ 8} Pequignot further testified that while over 900 RSS residents in the state are being charged the correct allowable fee; 36 are not. Pequignot testified that all but five of the adult care facilities in Ohio are in compliance with the rule regarding maximum allowable fees. Two of the five non-complying facilities are Friendship and Hinton. Finally, Pequignot testified that she reviewed the RSS resident agreements at Friendship and Hinton, and she discovered that the RSS residents were being charged more than the allowable fee.

{¶ 9} Book testified that she knows the maximum allowable fee that can be charged an RSS resident is $877. Book also acknowledged that the Ohio Administrative Code states that a group home cannot accept any money from a resident or the resident’s family above $877. Book testified, however, that she charged the increased rates based upon information she received at a meeting in 2009. Book explained that sometime in the fall of 2009, a resident of Friendship was informed that the Social Security Administration had overpaid her and the overpayment needed to be returned. Book then set up a meeting to explain the overpayment. According to Book, several people attended the meeting including herself, Ms. Lois Hinton (the operator of Hinton), Joyce Peck (an employee of the Social Security Office in Ross County), Becky Simon (RSS supervisor of the Department of Aging District 7), and Ted Baer (RSS case manager). According to Book, Peck stated at the meeting that a resident can only keep $30 of the money received from the Social Security Administration as a personal needs allowance. Based on this statement, Friendship and Hinton decided to keep all of the residents’ Social Security and RSS money, with the exception of $50 ($30 personal needs and $20 income disregard) as payment for their living arrangements. Book acknowledged that Simon did not agree with Peck’s interpretation given at

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the meeting in 2009. Counsel for Friendship and Hinton also stated that Peck’s statements were not being “offered for the truth of the statement [but merely] * * * to show what the effect was on the listeners, the providers. That’s what we’re proffering in testimony.”

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Hinton Adult Care Facility v. Ohio Dept. of Mental Health & Addiction Servs., 2017 Ohio 4113 (Ohio Ct. App. 2017).

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