In re Avery Health Care Ctr.

2020 Ohio 3383, 155 N.E.3d 286
CourtOhio Court of Appeals
DecidedJune 18, 2020
Docket19AP-539
StatusPublished

This text of 2020 Ohio 3383 (In re Avery Health Care Ctr.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Avery Health Care Ctr., 2020 Ohio 3383, 155 N.E.3d 286 (Ohio Ct. App. 2020).

Opinion

[Cite as In re Avery Health Care Ctr., 2020-Ohio-3383.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

In the Matter of: :

Avery Health Care Center, : No. 19AP-539 (ODH File No. 9115-01-17A) (Avery Road Realty, LLC et al., : (REGULAR CALENDAR) Appellants). :

D E C I S I O N

Rendered on June 18, 2020

On brief: Vorys, Sater, Seymour & Pease LLP, Victor A. Walton, Jr., and Jeffrey A. Miller; Webster & Associates Co., LPA, and Geoffrey E. Webster, for appellants Avery Health Care Center and Avery Road Realty, LLC.

On brief: Dave Yost, Attorney General, and Henry G. Appel, for appellee Ohio Department of Health.

On brief: Rolf Goffman Martin Lang LLP, Ira S. Goffman, and Joseph F. Petros, III, for appellees Vrable Land Holding Dublin, LLC, Vrable VI, Inc., Dublin Geriatric Care Co., and Healthcare Ventures of Ohio, LLC.

APPEAL from the Ohio Department of Health SADLER, P.J. {¶ 1} Appellants-appellants, Avery Health Care Center and Avery Road Realty, LLC (collectively "Avery"), appeals from an adjudication order issued by appellee-appellee, the director of the Ohio Department of Health, denying Avery's application for a certificate of need ("CON"). For the reasons that follow, we reverse. I. FACTS AND PROCEDURAL HISTORY {¶ 2} Harold Sosna is the owner and/or operator of a number of nursing homes in Ohio, and he is a licensed Ohio nursing home administrator. In 1998, Sosna and a partner No. 19AP-539 2

formed a company known as 72 Ventures LLC ("72 Ventures"). There is no dispute that Sosna owns half of the ownership units in 72 Ventures. In 2013, 72 Ventures purchased an existing nursing home known as Bryden Place. Several residents of Bryden Place were registered sex offenders and many others were individuals struggling with substance abuse and mental health issues. Because neither Sosna nor his partner had experience operating a non-traditional nursing home, 72 Ventures leased Bryden Place to a company by the name of Carrington. Another company, Provider Services, subsequently purchased Carrington and became the lessee and operator of Bryden Place. {¶ 3} The evidence shows Bryden Place began having serious regulatory problems while being operated by Provider Services, and it was subsequently designated as a "special focus facility" by the Center for Medicare & Medicaid Services ("CMS"). Sosna testified that on learning in February 2017 that Bryden Place had been designated as a "special focus facility" by CMS, 72 Ventures terminated the lease agreement with Provider Services and entered into a lease agreement with Embassy Health Care ("Embassy"), whereby Embassy became operator of Bryden Place as Embassy Bryden Place. {¶ 4} According to Sosna, though Embassy corrected many of the deficiencies cited by CMS, on July 21, 2017, Bryden Place received an R.C. 3721.03 notice from the Ohio Department of Health ("ODH") of a proposed license revocation. When a subsequent inspection by ODH revealed Bryden Place had not resolved a number of the deficiencies by the August 1, 2017 deadline, Bryden Place closed. {¶ 5} On August 2, 2017, Avery submitted an application to ODH for a CON which would allow Avery to "purchase 115 beds from Regency Manor Nursing Home & Rehabilitation and 23 beds from Bryden Place to relocate to a newly constructed facility on Avery Road in Dublin, Ohio." (Joint Ex. 1 at 2.) A CON is written approval from the director of ODH authorizing a "reviewable activity." R.C. 3702.51(C). "Reviewable activities" include construction or replacement of a long-term care facility, renovation of an existing facility that involves a capital expenditure of two million dollars or more, an increase in bed capacity, or a relocation of beds. See R.C. 3702.511. The Avery CON application identified Sosna as the President/CEO and sole owner of the proposed new facility. No. 19AP-539 3

{¶ 6} On December 22, 2017, ODH denied the application. In denying the application, ODH claimed the July 21, 2017 notice to Bryden Place triggered the application of R.C. 3702.59(B)(1), which provides in relevant part as follows: The director [of ODH] shall not approve an application for a certificate of need for the addition of long-term care beds to an existing long-term care facility or for the development of a new long-term care facility if any of the following apply: *** (b) During the sixty-month period preceding the filing of the application, a notice of proposed license revocation was issued under section 3721.03 * * * for * * * a nursing home owned or operated by the applicant or a principal participant, unless in the case of such a nursing home the notice was issued solely because the nursing home had already closed or ceased operations. {¶ 7} Pursuant to the 60-month prohibition, a CON application shall not be approved if a "principal participant" of the CON applicant also owned or operated a nursing home that has been issued a notice of proposed license revocation in the 60 months prior to the applicant's submission of a CON application. {¶ 8} Avery appealed the denial of the CON application and requested a hearing. R.C. 3702.60(A). On October 1, 2018, an evidentiary hearing was conducted by a hearing examiner. Vrable Land Holdings, LLC, Vrable VI, Inc., Dublin Geriatric Care Co., and Health Care Ventures of Ohio, LLC ("Vrable") intervened in the appeal as an "affected person" under R.C. 3702.51(M). At the hearing, Debra Walsh, supervisor of the Health Care Services Program and the CON program for ODH, testified the sole reason for the initial denial of Avery's CON application is set forth in the staff recommendation section of the CON staff report submitted December 20, 2017. The staff recommendation provides in relevant part as follows: On August 2, 2017, this CON application was filed. The applicant, Avery Road Realty, LLC, is 100% owned by Harold Sosna. As defined in §3702.51(R), Harold Sosna is a principal participant because he is a "person who has an ownership or controlling interest of at least five percent in an applicant." *** Because Mr. Sosna is the owner of the long-term care beds and the building for Bryden Place, which is the subject of a No. 19AP-539 4

proposal to revoke its license, and a principal participant in the applicant, Avery Road Realty, LLC., the director is prohibited from granting this application. (Joint Ex. 1 at 262-63.) {¶ 9} On January 8, 2019, the hearing examiner issued a report and recommendation concluding that "Avery's CON application should not have been denied under R.C. 3702.59(B)(1)(b)." (Report & Recommendation at 3.) The hearing examiner agreed with Avery that Sosna was neither an owner or operator of Bryden Place. The hearing examiner's report and recommendation provides in relevant part as follows: 2. * * * The Director's letter that denied Avery's CON application is expressly, based on a staff report, and the staff report concluded that Harold Sosna was a "principal participant" of Avery and that he owned the Bryden Place nursing home in 2017. In 2017 Bryden Nursing Home was served with a revocation notice under R.C. 3721.03. The staff report therefore concluded that Avery's application was precluded under R.C. 3702.59(B)(1)(b). 3. Although Avery concedes that Harold Sosna was its "principal participant" in 2017, it has shown, by a preponderance of the evidence, that Sosna did not own or operate Bryden Place during the sixty-month period preceding Avery's CON application date. *** 6. In 2017 Bryden Place was owned by 72 Ventures. 7. In 2017 Harold Sosna owned 50% of the ownership units in 72 Ventures. 8. In 2017 Harold Sosna was not the owner of Bryden Place. 9. Under R.C.

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2020 Ohio 3383, 155 N.E.3d 286, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-avery-health-care-ctr-ohioctapp-2020.