Joseph J. Emmons, III, Etc. v. Elmwood Hills Healthcare Center, LLC

New Jersey Superior Court Appellate Division·Decided March 20, 2026·No. A-0089-24·Published

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-0089-24

JOSEPH J. EMMONS, III, Administrator of the ESTATE OF JOSEPH J. EMMONS, JR., APPROVED FOR PUBLICATION March 20, 2026

Plaintiff-Appellant, APPELLATE DIVISION

v.

ELMWOOD HILLS HEALTHCARE CENTER, LLC,

Defendant-Respondent.

Argued February 24, 2026 – Decided March 20, 2026 Before Judges Firko, Perez Friscia, and Vinci.

On appeal from the Superior Court of New Jersey, Law Division, Camden County, Docket No. L-2996-

21.

Richard J. Talbot argued the cause for appellant (Law Office of Andrew A. Ballerini, attorneys; Richard J.

Talbot, of counsel and on the briefs).

Thaddeus J. Hubert, IV, argued the cause for respondent (Goldberg Segalla LLP, attorneys;

Thaddeus J. Hubert, IV, of counsel and on the brief).

The opinion of the court was delivered by FIRKO, J.A.D.

This appeal concerns a dispute over the proper interpretation and application of a counsel fee-shifting provision contained in the New Jersey Nursing Home Responsibilities and Rights of Residents Act (the NHA), N.J.S.A. 30:13-1 to -19. Relevant here, N.J.S.A. 30:13-8(a) states as follows:

Any person or resident whose rights as defined herein are violated shall have a cause of action against any person committing such violation. The Department of Health and Senior Services may maintain an action in the name of the State to enforce the provisions of this [A]ct and any rules or regulations promulgated pursuant to this [A]ct. The action may be brought in any court of competent jurisdiction to enforce such rights and to recover actual and punitive damages for their violation. Any plaintiff who prevails in any such action shall be entitled to recover reasonable attorney's fees and costs of the action.

[(Emphasis added).]

Plaintiff Joseph J. Emmons, III, Administrator of the Estate of Joseph J.

Emmons, Jr., his father, filed a complaint against defendant Elmwood Hills Healthcare Center, LLC (Elmwood Hills)—a nursing home, alleging negligence, gross negligence, violations under the NHA, including N.J.S.A. 30:13-5(j),1 and wrongful death. Plaintiff claimed Elmwood Hills caused and

1 The NHA rights of nursing home residents, N.J.S.A. 30:13-5(j) states:

Every resident of a nursing home shall: [h]ave the right to a safe and decent living environment and considerate and respectful care that recognizes the

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exacerbated decedent's decubitus ulcers, commonly referred to as pressure injuries or bed sores, which led to his demise. After obtaining a $100,000 jury verdict in his favor, plaintiff sought fees under the NHA. The judge rejected plaintiff's request for counsel fees and costs. She concluded he had not prevailed on his NHA cause of action under N.J.S.A. 30:13-8(a) because he failed to prove damages caused by a violation of rights. Specifically, the judge ruled plaintiff was not eligible for mandatory counsel fees and costs under the NHA because he failed to establish the alleged NHA violations were the proximate cause of decedent's injuries, resulting in the jury not reaching an award of damages under the NHA cause of action. Plaintiff appeals from the provision of the August 2, 2024 order of final judgment denying his application for counsel fees and costs under the NHA.

The sole issue raised by plaintiff on appeal is whether the judge erred in denying his application for counsel fees and costs under the NHA. Plaintiff contends he is a prevailing party as defined by the NHA because he established Elmwood Hills committed NHA violations and was not required to prove

dignity and individuality of the resident, including the right to expect and receive appropriate assessment, management and treatment of pain as an integral component of that person's care consistent with sound nursing and medical practices.

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proximate cause. Plaintiff also argues that he prevailed because the jury awarded compensatory damages on his negligence claim stemming from the same conduct as alleged in his NHA claims. We hold that a plaintiff must prove proximate cause as a result of an NHA violation in order to be considered a prevailing party under the NHA. Accordingly, for the reasons that follow, we affirm the judge's denial of counsel fees and costs under the NHA.

I.

The facts and procedural history of this case are summarized from the record as follows. Decedent resided at Elmwood Hills in Blackwood from October 26, 2019 through May 23, 2020. Prior to his admission to Elmwood Hills, decedent was admitted to Inspira Medical Center (Inspira) after experiencing respiratory failure and septic shock. While at Inspira, decedent developed deep tissue pressure injuries on his right buttock and hip. After his discharge from Inspira, decedent was transferred to Atrium Post Acute Care (Atrium), a physical rehabilitation center and nursing home.

Decedent's condition worsened, and he was transferred back to Inspira for treatment of urosepsis and respiratory failure for the second time. On September 6, 2019, decedent was discharged from Inspira and re-admitted to Atrium, where he remained until October 26, 2019. A doctor at Atrium

A-0089-24

diagnosed decedent with "significant cognitive dysfunction" and noted he could only understand his name. Decedent was unable to walk on his own, which required the use of a wheelchair. Upon admission to Elmwood Hills, decedent was placed on a care plan specifically designed for his "risk of skin breakdown" based on his prior history of pressure injuries. Around March or April of 2020, decedent developed another pressure injury on his right buttock and hip.

On April 14, 2020, Elmwood Hills brought in Dr. Chin Yi Li to treat decedent's pressure injuries. Dr. Yi continued treating decedent until he was discharged. Plaintiff alleged the pressure injuries were exacerbated because they were untreated for an extended period of time, caused by Elmwood Hills's failure to properly administer care. Plaintiff asserted Elmwood Hills should have discovered decedent's bed sores sooner.

On May 12, 2020, a podiatrist from Jefferson Hospital identified additional pressure injuries on decedent's heels. On May 23, 2020, decedent was discharged from Elmwood Hills and transferred to Jefferson Hospital. Regrettably, decedent passed away eight days later.

On October 1, 2021, plaintiff filed a twelve-count complaint against Elmwood Hills alleging common law negligence and gross negligence, inadequate supervision and monitoring, negligent hiring of staff, negligent

A-0089-24

monitoring/management/supervision of staff, punitive damages, NHA violations, and counts naming fictitious defendants. Plaintiff sought compensatory and punitive damages generally, as well as attorney's fees and costs under the Omnibus Budget Reconciliation Act (OBRA), 42 C.F.R. § 483.25, and the NHA.

Plaintiff contended Elmwood Hills: permitted abuse of decedent;

condoned acts of abuse by its employees; inadequately and falsely charted his medical records; failed to notify decedent, the physician, and family in a timely manner of action which affected decedent's safety and well-being; had inadequate staffing, violated state statutes, administrative regulations, the NHA, and OBRA; employed untrained/unlicensed individuals; failed to provide proper assistance and monitoring; failed to prevent development or worsening of decedent's injuries; and failed to properly move, roll, and/or assist him in bed.

Elmwood Hills filed an answer denying the allegations in plaintiff's complaint. It countered decedent's pressure injuries resulted from "adult failure to thrive," a common geriatric syndrome that caused catastrophic weight loss and exacerbated his skin breakdown and pressure injuries.

Prior to trial, Elmwood Hills moved for summary judgment dismissal of the complaint. The judge partially granted the motion and dismissed a portion

A-0089-24

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Joseph J. Emmons, III, Etc. v. Elmwood Hills Healthcare Center, LLC, (N.J. Ct. App. 2026).

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