Manahawkin Convalescent v. Frances O'neill (071033)

85 A.3d 947, 217 N.J. 99, 2014 WL 923546, 2014 N.J. LEXIS 228
CourtSupreme Court of New Jersey
DecidedMarch 11, 2014
DocketA-17-12
StatusPublished
Cited by197 cases

This text of 85 A.3d 947 (Manahawkin Convalescent v. Frances O'neill (071033)) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Manahawkin Convalescent v. Frances O'neill (071033), 85 A.3d 947, 217 N.J. 99, 2014 WL 923546, 2014 N.J. LEXIS 228 (N.J. 2014).

Opinion

Justice PATTERSON

delivered the opinion of the Court.

This appeal concerns a dispute between a nursing home and the daughter of one of its residents, arising from the nursing home’s attempt to collect a claimed unpaid balance following the resident’s death. The case requires the Court to determine whether the parties’ contract, which imposed obligations on the daughter as a “Responsible Party,” violated the Nursing Home Act (NHA), N.J.S.A 30:13-1 to -17, which bars certain nursing homes from requiring third parties to guarantee payment as a condition of admitting or retaining a resident. The appeal also involves two consumer protection statutes: the Consumer Fraud Act (CFA), N.J.S.A 56:8-1 to -20, and the Truth-in-Consumer Contract, Warranty, and Notice Act (TCCWNA), N.J.SA 56:12-14 to -18.

When Frances O’Neill (O’Neill) arranged for her mother, Elise Hopkins (Hopkins), to become a resident of Manahawkin Convalescent Center (Manahawkin), she decided to pay Manahawkin’s bills from Hopkins’ Social Security benefits, rather than arranging for those benefits to be directly paid to the facility. When her mother was admitted to the nursing home, O’Neill signed *106 Manahawkin’s “Rehabilitation and Nursing Home Admission Agreement” (Admission Agreement). The Admission Agreement designated O’Neill as the “Responsible Party” for purposes of processing her mother’s bills, and set forth remedies in case of a default of that obligation. O’Neill did not sign a section of the Admission Agreement, applicable only to residents whose expenses were privately paid, which required Responsible Parties to guarantee payment of resident costs. She received a copy of a separate form that confirmed, consistent with the NHA, that Manahawkin could not require O’Neill to guarantee payment from her own assets as a condition of her mother’s admission to the facility.

Following Hopkins’ death, Manahawkin demanded in writing that O’Neill pay a balance due on her mother’s account. It initially threatened, and then filed, a collection action against her. In a counterclaim, O’Neill asserted various causes of action, including claims based on the NHA, the CFA and the TCCWNA. After the parties stipulated to the dismissal of Manahawkin’s collection action, resulting in no payment to Manahawkin, O’Neill reasserted her NHA, CFA and TCCWNA claims and sought class certification, which the trial court denied. The trial court granted summary judgment dismissing O’Neill’s claims and construing the Admission Agreement to impose no obligation on O’Neill to devote her personal funds to her mother’s care. The trial court therefore deemed the Admission Agreement to conform to the NHA, and dismissed O’Neill’s remaining claims. An Appellate Division panel affirmed, holding that the Admission Agreement met the requirements of the NHA, and that Manahawkin accordingly committed no unlawful act within the meaning of the CFA.

We affirm the Appellate Division’s judgment. We concur with the trial court’s finding that the Admission Agreement imposed no requirements on O’Neill that contravened the NHA. We hold that neither the Admission Agreement nor the collection complaint filed by Manahawkin gave rise to a cause of action under the CFA or the TCCWNA, and that the trial court properly granted *107 summary judgment dismissing O’Neill’s claims. We caution nursing homes and their counsel, however, that the NHA’s constraints on the liability of a “Responsible Party” should be clearly reflected in contracts and communications between facilities and individuals who arrange payment on a resident’s behalf.

I.

On January 22, 2007, Hopkins was admitted to Manahawkin, a Medicaid and Medicare certified nursing home located in Mana-hawkin, New Jersey. Prior to Hopkins’ admission, O’Neill obtained a durable power of attorney, and was managing Hopkins’ bank account and other assets. Rather than assign Hopkins’ Social Security payments directly to Manahawkin, O’Neill elected to have those payments deposited in her mother’s bank account. She then used funds from that account to pay the nursing home’s bills.

The Admission Agreement prepared by Manahawkin set forth the terms and conditions of O’Neill’s residence at and treatment by Manahawkin, and provided that it was governed by New Jersey law. The Admission Agreement identified O’Neill as the “Responsible Party,” defined as “the person acting on behalf of the Resident as his or her representative and guardian in fact, or one who has been appointed by the Court as legal guardian.” It described Manahawkin’s responsibilities for Hopkins’ care, including her diet, “lodging in a clean, healthful, properly outfitted sheltered environment,” twenty-four hour nursing care, assistance with daily living, a supply of hospital gowns and bed linens, social services, activities and opportunities for religious practice.

The Admission Agreement also described O’Neill’s duties as “Responsible Party,” including the provision of personal clothing and effects, spending money and uninsured hospital costs, physician fees and medication costs. O’Neill agreed to “pay basic rates as agreed upon with [Manahawkin] at stated intervals,” to “comply with all terms and conditions of this Agreement,” and to “pay all costs, expenses and reasonable attorneys fees” for any collection *108 action instituted by the nursing home for “sums due and owing by the Resident.”

The Admission Agreement set forth the billing responsibilities of “Resident/Responsible Party”—in this case, Hopkins and her daughter, O’Neill—for the payment of the facility’s bills:

Resident/Responsible Party shall pay [Manahawkin’s] bills within ten (10) days of receipt____ If no contact has been made by the Resident/Responsible Party in relation to paying these amounts within 15 days of receipt of the original bill, the process will begin to notify Resident/Responsible Party of intent to discharge due to nonpayment within 45 days. Should [Manahawkin] retain an attorney to enforce any provision of this Agreement, Resident/Responsible Party agrees to pay reasonable attorney’s fees, collection costs and other costs of litigation. Resident and Responsible Party hereby agree to allow [Manahawkin] to place a lien on any owned properties in the event there is a financial obligation to [Manahawkin] that remains unpaid for a period of 60 days or more.

The Admission Agreement did not distinguish between the resident and the Responsible Party, and did not specify precisely whose “owned properties” could be the subject of a lien.

The Admission Agreement also included a section entitled “Private Pay Guarantor (if applicable),” with a separate signature line for a “Guarantor.” That section provided:

The undersigned hereby acknowledges and agrees to the undertakings of the Responsible Party as set forth hereinabove and further agrees to provide, from his/her own funds, and guarantees payment of all financial obligations of the Resident, including but not limited to the per diem rate and other charges incurred by the Resident, under this Agreement.

Consistent with her mother’s status as a Medicaid-eligible resident rather than a “private payor” resident, the signature line for a “Guarantor” was not signed by O’Neill.

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Cite This Page — Counsel Stack

Bluebook (online)
85 A.3d 947, 217 N.J. 99, 2014 WL 923546, 2014 N.J. LEXIS 228, Counsel Stack Legal Research, https://law.counselstack.com/opinion/manahawkin-convalescent-v-frances-oneill-071033-nj-2014.