Miller v. Onix Silverside, LLC

CourtSuperior Court of Delaware
DecidedAugust 26, 2016
DocketN15A-03-009 AML
StatusPublished

This text of Miller v. Onix Silverside, LLC (Miller v. Onix Silverside, LLC) is published on Counsel Stack Legal Research, covering Superior Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. Onix Silverside, LLC, (Del. Ct. App. 2016).

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

MARY J. MILLER (deceased) and DEBORAH MILLER,

Defendant-BeloW/Appellant and Cross-Appellee,

v. C.A. N15A-03-009 AML

ONIX SILVERSIDE, LLC, t/a CADIA REHABILITATION SILVERSIDE,

Plaintiff-BeloW/Appellee and Cross-Appellant.

Subrnitted: May 10, 2016 Decided: August 26, 2016

ORDER

On appeal from a decision of the Court of Common Pleas: AFFIRMED, in part, and REVERSED, in part.

This is an appeal from a post-trial decision of the Court of Common Pleas in a breach of contract case involving an agreement between a nursing home facility, a resident, and the resident’s daughter. The facility filed a claim against the resident and her daughter, both of Whom signed a residency agreement, for failure to make payments for nursing care and residence services. vOn February 27, 2015, the Court of Common Pleas entered judgment against the resident’s daughter for $13,920 plus attorneys’ fees and post-judgment interest. The resident’s daughter

has appealed the trial court’s decision. The facility cross-appealed In this

decision, I deny the appeal because the claims of error raised by the daughter lack merit. I similarly deny the facility’s cross~appeal, except as to the trial court’s

interest award, Which I reverse.

MT_S A. The Resident Admission Agreement

On December 26, 2013, Mary Miller (“Mary”)l Was admitted to Onix Silverside, LLC, t/a Cadia Rehabilitation Silverside (“Cadia”).2 On December 28, 2013,3 Mary, her daughter, Deborah Miller (“Deborah”), and Cadia signed a contract: the “Resident Admission Agreement” (the “Agreement”).4 Under the terms of this Agreement, Deborah Was designated Mary’s “Responsible Party.” As

such, the Agreement required, and Deborah agreed, to:

exercise the Resident’s rights and fulfill the Resident’s obligations under this Agreement as authorized in the document(s) appointing him/her Responsible Party.

The Resident/Responsible Party Will pay promptly from the Resident’s income or resources all fees and charges for Which the Resident is liable under this Agreement. The undersigned agrees therefore, that she/he Will take all actions necessary to insure that such funds of the

l l use l\/Is. Miller’s first name to distinguish her from her daughter and not as a sign of

disrespect. 2 Om'x Silverside v. Miller, C.A. No. CPU4-l4-000859, at 57 (Del. Com. Pl. Jan. 28, 2015)

(TRANSCRIPT) (hereinafter cited as “Tr.”). 3 Tr. 57 (l\/loreci). The Agreement Was not signed until two days after l\/Iary’s arrival at Cadia.

Generally, upon arrival at the facility, residents are given seven to ten days to sign the resident

admission agreement Ia'. at 47. 4 Ia'. at 21. The Agreement is attached to Appellant’s App. 12-20 (hereinafter cited as

“Agreement”).

Resident (less $44.00 per month) Will be paid to the Facility, and that the undersigned is personally and financially liable to the Facility, for all such funds under his/her control, that s/he does not pay to the Facility pursuant to this Agreement . . .5

B. Mary’s Medicare coverage terminates.

When Mary arrived at Cadia in Decernber, Medicare skilled care benefits covered a portion of her expenses6 On February 12, 2014, Cadia determined Mary’s progress had plateaued, she no longer needed skilled care, and, therefore, as of February 15, 2014, she no longer Was eligible to receive Medicare benefits7 Under the Agreement, because Medicare no longer covered Mary’s expenses, l\/Iary, or her Responsible Party, remained “responsible for charges for the entire duration of [l\/lary’s] stay at the Facility.”8 As of February l6, 2014, Cadia began billing Mary as a “private pay” resident The parties dispute What daily rate Mary should have been charged as a private pay resident The Agreement states the daily rate Was $270,9 but Cadia contends the rate increased to $300 a day as of

February 2014. l\/Iary left Cadia on April 7, 2014 and did not return.lo

5 Agreement III. (A.)-(B.) (emphasis added). 6 Tr. 128-29 (l\/Iiller). Medicare skilled care benefits covered 100% of Mary’s first 20 days at Cadia and 80% Of the next 31 days at Cadia, and l\/Iary’s medi-gap insurance contributed $IOO a

day to the latter. Id. 7 Tr. 40-41, 62 (l\/Ioreci). The Notice of Medicare Non-Coverage is dated February 12, 2014

With a last coverage date of February 15, 2014. Appellant’s App. 27.

8 Agreement II. (B.) (3).

9 Id. 11. (A.) (i).

10 Tr. 22 (Moreci). A resident is not charged for the day he or she leaves the facility. Id.

On or about April 7, 2014, almost two months later, the Millers appealed the decision that disqualified Mary from receiving Medicare benefitsll On April 9, 2014, Medicare denied the appeal and issued a W.V.M.I. Quality Insight Report (the “WVMI Report”). The WVMI Report stated Medicare Was “upholding

”12 The l\/Iillers did not appeal Medicare’s decision.13

Cadia’s recommendation According to the WVMI Report, Mary’s Medicare coverage ended on “12/15/2014,” Which is inconsistent With the February 15, 2014 date previously referenced A Cadia employee testified that the WVMI Report Was generated by Medicare, not Cadia. The Cadia employee suggested that the date in the WVMI Report Was a typo and that the date should have read “2/15/2014.”'4 C. Deborah engages in Medicaid planning for Mary.

Before she moved to Cadia, Mary lived in her horne in Claymont, Delavvare, while Deborah lived in Park Plaza Condorniniums in Wilmington in an apartment leased under Mary’s name.15 From January to April 2014, Mary paid Deborah’s living expenses, including her rent, utilities, credit card bills, car insurance, and

home insurance16 On March 4, 2014,17 Mary executed a Durable General Power

of Attorney, giving Deborah authority over Mary’s funds and assets.

" ld. at 64-65, 72.

‘2 ld. at 64.

‘3 ld. at 72-73.

‘4 Id. at 58-59.

‘5 Id. at 86 (Miuer).

'6 ld.at99-105,109-11,120.

On February 12, 2014, when Deborah learned Mary’s l\/Iedicare benefits were going to stop, Deborah retained Karla Levinson to assist in obtaining Medicaid for Mary.18 Deborah testified that she did not consult with anyone at Cadia about Medicaid and that the extent of any conversation with Cadia on the topic was that the Millers would need to seek l\/ledicaid.19 Deborah testified that she chose to use outside assistance ~ the Levinson Firm ~ “to make sure that everything was done and handled properly.”20 Ms. Levinson did not testify at trial, but various email exchanges between Ms. Levinson and Cadia’s counsel were referred to during witness testimony, and the emails subsequently were introduced into evidence over Deborah’s counsel’s objection.21

Deborah paid Ms. Levinson a total of $4,750 in February and March. Deborah personally paid for Ms. Levinson’s services, but later partially reimbursed herself from her mother’s funds,22 Deborah testified that Ms. Levinson’s retention was for a dual purpose: (1) obtaining Medicaid coverage for Mary’s stay at a

nursing home and (2) protecting Mary’s Claymont house and transferring it to

'7 Id. 150-51 (Miller). According to Deborah’s testimony, the power of attorney Was signed on two different dates: March 4, 2014 and March 18, 2014. Id. at 74, 151.

‘8 ld. ar 81, 119, 129-30.

’° 1d.at82,128.

20 Id. ar 128.

21 Ia’. at 181-84 (Moreci). A Cadia employee Was carbon copied on these emails. Ia'. at 181. 22 ld. at 107, 119, 131 (Miller). Deborah only partially was reimbursed because Mary “didn’t

have enough to reimburse [her] fully.” Id. at 131. 5

Deborah’s name.23 To accomplish this, Ms.

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

Related

Dover Historical Society, Inc. v. City of Dover Planning Commission
902 A.2d 1084 (Supreme Court of Delaware, 2006)
Baker v. Connell
488 A.2d 1303 (Supreme Court of Delaware, 1985)
Downs v. State
570 A.2d 1142 (Supreme Court of Delaware, 1990)
Watkins v. Beatrice Companies, Inc.
560 A.2d 1016 (Supreme Court of Delaware, 1989)
Weber v. State
457 A.2d 674 (Supreme Court of Delaware, 1983)
Moskowitz v. Mayor & Council of Wilmington
391 A.2d 209 (Supreme Court of Delaware, 1978)
Culp v. State
766 A.2d 486 (Supreme Court of Delaware, 2001)
Metropolitan Mutual Fire Insurance v. Carmen Holding Co.
220 A.2d 778 (Supreme Court of Delaware, 1966)
Citadel Holding Corp. v. Roven
603 A.2d 818 (Supreme Court of Delaware, 1992)
ATP Tour, Inc. v. Deutscher Tennis Bund
91 A.3d 554 (Supreme Court of Delaware, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
Miller v. Onix Silverside, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-onix-silverside-llc-delsuperct-2016.