Martin County Nursing Center, Inc. v. Medco Centers, Inc.

441 N.E.2d 964, 1982 Ind. App. LEXIS 1489
CourtIndiana Court of Appeals
DecidedNovember 16, 1982
Docket1-981A255
StatusPublished
Cited by5 cases

This text of 441 N.E.2d 964 (Martin County Nursing Center, Inc. v. Medco Centers, Inc.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martin County Nursing Center, Inc. v. Medco Centers, Inc., 441 N.E.2d 964, 1982 Ind. App. LEXIS 1489 (Ind. Ct. App. 1982).

Opinion

NEAL, Judge.

STATEMENT OF THE CASE

Respondent-appellant Martin County Nursing Center, Inc. (Martin); Petitioner-appellee Medco Centers, Inc.; and Washington Nursing Center, Inc. 1 (Washington) all submitted competing applications to the Designated Planning Agency (DPA) for construction of a new nursing facility in Loogootee, Martin County, Indiana. The Indiana State Board of Health serves as the *966 DPA for Indiana under Section 1122 of the Social Security Act (Act). 2 Under that Act and pursuant to an agreement with the Secretary of the Department of Health and Human Services (HHS), the DPA conducted an administrative review of the above three applications; subsequently, the DPA hearing officer denied Medco’s and Washington’s applications and approved Martin’s application for construction of a new 60-bed comprehensive care facility in Martin County to be known as Martin County Nursing Home. On judicial review, the Gibson Circuit Court reversed the administrative determination for lack of substantial evidence in granting Martin’s and in denying Med-co’s application, and it entered summary judgment in favor of Medco. From that ruling, Martin appeals. We reverse.

STATEMENT OF THE FACTS

All applications for the construction of a new health care facility are evaluated by the DPA for conformity with four criteria: 1) whether the proposed project is needed; 2) whether the project can be adequately staffed when completed; 3) whether the proposed capital expenditure is economically feasible; and 4) whether the project will foster cost containment. Initially, Martin, Medco and Washington each submitted Section 1122 applications which the DPA disapproved, finding in each case that the proposed project and expenditures “would not foster cost containment in the area by creating an unnecessary duplication of services.”

Each of the applicants appealed the DPA’s initial disapproval and a “fair hearing” 3 was conducted on each application by an appointed DPA hearing officer, David A. Steckbeck. The evidence submitted by all three applicants indicated there was definitely a need for a new 60-bed facility in Martin County. As many as 83 persons were required to seek nursing care outside of Martin County because the existing 36-bed facility was constantly filled. One Mr. Greg Merchanthouse, a consultant for an Iowa-based corporation which develops and manages nursing facilities, projected a need of 110.5 beds for Martin County. The May- or of Loogootee, representatives from the Loogootee Chamber of Commerce and the Martin County Welfare Department all indicated that a need existed for an additional facility in Martin County. There was testimony from disinterested witnesses that the existing 36-bed facility owned and operated by Medco was inadequate to meet the needs of Martin County. Furthermore, witnesses testified that they would rather see a company other than Medco operate a new facility in Loogootee.

The hearing officer found that Medco’s cost of construction “exceeded the limitation imposed by the Indiana Department of Public Welfare as to rate reimbursement for capital expenditures.” In its application Medco proposed a greater than $17,000 cost per bed amount when the maximum reimbursement for new construction at the time of the hearing was $14,600 per bed. In contrast, Martin’s per bed cost was $12,500, an amount well within the market area limitation of $14,600 per bed.

In light of the foregoing evidence, the hearing officer found that the Martin application was the only proposal which met all four of the Section 1122 criteria while the Medco and Washington applications both failed to meet the cost containment and financial feasibility requirements.

Thereafter, Medco sought judicial review, and, on May 28, 1981, the trial court, on a summary judgment, reversed the administrative determination, finding, inter alia, that 1) the Indiana State Plan projected a need in Martin County for only 11 additional beds; 2) the only evidence indicating a need for more than 20 additional beds was *967 offered by Mr. Greg Merchanthouse, who used a need formula not adopted by the State; 3) if Martin’s application is approved it would increase the total number of beds to 96 in Martin County; 4) Medco has greater manpower resources, more ability to recruit personnel and a plan more carefully conceived to adequately staff its proposed facility; 5) Martin’s application does not include certain cost items required in the application; and 6) Medco’s application is more detailed as to the particular cost items absent from Martin’s application.

Upon entering these and other findings, the trial court concluded the evidence showed that only Medco had substantially demonstrated cost effectiveness and cost containment, and therefore, the hearing officer’s decision in favor of Martin and against Medco was not based upon substantial evidence.

ISSUES

Martin presents the following two issues for review:

I. Did the trial court err in finding that the conclusion of the hearing officer below, favorable to Martin County Nursing Center, Inc., was unsupported by substantial evidence?
II. Did the trial court err by engaging in reweighing the evidence upon which the hearing officer below rendered a decision favorable to Martin County Nursing Center, Inc.?

DISCUSSION AND DECISION

We begin by stating the standard for reviewing an administrative agency determination. A review by the court of actions of an administrative agency is not a trial de novo, but is a review of the evidence appearing in the record made during the agency’s proceeding which led to its determination. The reviewing court is forbidden to reweigh the evidence presented to the administrative agency. Indiana Education Employment Relations Board v. The Board of School Trustees, etc., (1976) 171 Ind.App. 79, 355 N.E.2d 269. The scope of judicial review of an administrative decision is limited to consideration of whether there is any substantial evidence to support it. Pendleton Banking Co. v. Department of Financial Institutions, (1971) 257 Ind. 363, 274 N.E.2d 705. In determining whether an administrative decision is supported by substantial evidence, the trial court must examine the whole record to determine whether an agency’s decision lacks a reasonably sound basis of evidentiary support. Natural Resources Commission of the Department of Natural Resources v. Sullivan, (1981) Ind.App., 428 N.E.2d 92.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Medical Licensing Board v. Robertson
563 N.E.2d 168 (Indiana Court of Appeals, 1990)
Lenoir Memorial Hospital, Inc. v. North Carolina Department of Human Resources
390 S.E.2d 448 (Court of Appeals of North Carolina, 1990)
Humana Hospital Corp. v. Blankenbaker
734 F.2d 328 (Seventh Circuit, 1984)

Cite This Page — Counsel Stack

Bluebook (online)
441 N.E.2d 964, 1982 Ind. App. LEXIS 1489, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martin-county-nursing-center-inc-v-medco-centers-inc-indctapp-1982.