Sunrise Healthcare Corp. v. Azarigian

821 A.2d 835, 76 Conn. App. 800, 2003 Conn. App. LEXIS 219
CourtConnecticut Appellate Court
DecidedMay 20, 2003
DocketAC 22959
StatusPublished
Cited by15 cases

This text of 821 A.2d 835 (Sunrise Healthcare Corp. v. Azarigian) is published on Counsel Stack Legal Research, covering Connecticut Appellate Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sunrise Healthcare Corp. v. Azarigian, 821 A.2d 835, 76 Conn. App. 800, 2003 Conn. App. LEXIS 219 (Colo. Ct. App. 2003).

Opinion

[802]*802 Opinion

PETERS, J.

Under the medicaid act, 42 U.S.C. § 1396r (c), a nursing facility may require an individual who has legal access to a resident’s assets to sign a contract requiring that individual to use those assets to pay for services rendered to the resident.' The act authorizes such contracts as long as the legal representative is not required to guarantee the payments personally. The issue in this case is whether the contract between the plaintiff nursing facility and the defendant legal representative complied with this statutory requirement. The trial court concluded it did and that the defendant had acted in disregard of the contract. We agree and affirm the judgment of the court in favor of the plaintiff.

On May 3,1999, the plaintiff, Sunrise Healthcare Corporation,1 filed a complaint against the defendant, Vicki M. Azarigian, alleging a single count of breach of contract. The plaintiff alleged that the parties had entered into a contract for the care of the defendant’s mother, Gloria Wood, at the plaintiffs musing home. The plaintiff further alleged that the defendant, as Wood’s power of attorney and “responsible party” under the contract, had failed (1) to take the necessary steps to ensure Wood’s eligibility under the medicaid act and (2) to use Wood’s assets to pay for services rendered by the plaintiff. The plaintiff sought damages for the defendant’s alleged breach of the contract as well as for prejudgment interest pursuant to General Statutes § 37-3a and attorney’s fees.

The defendant denied the allegations of the plaintiff and asserted a special defense. In that special defense, she alleged that the contract, by its terms, did not render her personally liable for any missed payments and that [803]*803she had upheld her obligations under the contract in good faith.

On March 28, 2002, the trial court rendered judgment for the plaintiff. The court concluded that the contract did not violate § 1396r (c) because it did not require the defendant personally to guarantee payments due to the plaintiff. The court determined, however, that the defendant had acted in breach of the contract when she transferred some of Wood’s assets for estate planning purposes and used assets to pay for a personal companion for Wood. Accordingly, the defendant was ordered to pay the plaintiff $78,779.09, the stipulated amount outstanding under Wood’s account.

The parties have stipulated to the following facts. On February 3, 1994, Wood gave the defendant a power of attorney. The defendant acted in such a capacity at all times relevant to this appeal. During this time, Wood had only two accounts: a Fleet Bank account and a Paine Webber account.

On December 4,1995, the parties executed a contract for Wood’s admission to the plaintiffs nursing home. The plaintiff was a resident there until her death on February 27, 1998.

In January, 1996, the defendant executed several transfers from Wood’s accounts.2 The defendant also made payments from the Fleet Bank account for a private companion to look after Wood while she was a resident of the plaintiffs nursing home. The payments for the private companion totaled $31,760.

The defendant kept Wood’s account current with the plaintiff through the end of December, 1996. The defendant, however, ceased making payments between January 1, 1997, and Wood’s death on February 27, 1998. [804]*804The expenses for Wood’s care that accumulated during this time totaled $78,779.09.

In March, 1997, the defendant had applied for Title XIX assistance on Wood’s behalf. On March 1, 1999, the Connecticut department of social services (department) issued a preliminary decision denying the application because of the transfers from Wood’s accounts between November, 1994, and January, 1996. The department noted the previously mentioned transfers and an additional $285,000 that was placed in a revocable trust in August 1995 by Wood’s husband.3

The defendant now appeals from the court’s judgment in favor of the plaintiff. She claims that the court’s judgment was improper because it violated § 1396r (c) and misconstrued the terms of the contract. As a matter of federal law, the defendant argues that the contract is unenforceable because it does not meet the requirements of the federal statute. As a matter of contract law, the defendant argues (1) that the contract contemplated and authorized the types of transfers that she executed, and (2) that she is not liable for Wood’s expenses because she was acting as Wood’s agent.

The defendant challenges both the court’s findings of fact and legal conclusions. Our standard of review of such challenges is well established. “To the extent that the trial court has made findings of fact, our review is limited to deciding whether such findings were clearly erroneous. When, however, the trial court draws conclusions of law, our review is plenary and we must decide whether its conclusions are legally and logically correct and find support in the facts that appear in the record.” (Interna! quotation marks omitted.) Johnson [805]*805Electric Co. v. Salce Contracting Associates, Inc., 72 Conn. App. 342, 344, 805 A.2d 735, cert. denied, 262 Conn. 922, 812 A.2d 864 (2002); see also Pandolphe’s Auto Parts, Inc. v. Manchester, 181 Conn. 217, 221-22, 435 A.2d 24 (1980).

I

Before we can address the merits of this appeal, we must establish the legal landscape in which the parties entered into the contract at issue. Accordingly, we begin our analysis with an overview of the medicaid program.

“The program, which was established in 1965 as Title XIX of the Social Security Act and is codified at 42 U.S.C. § 1396 et seq. (medicaid act), is a joint federal-state venture providing financial assistance to persons whose income and resources are inadequate to meet the costs of, among other things, medically necessary nursing facility care. . . . The federal government shares the costs of medicaid with those states that elect to participate in the program, and, in return, the states are required to comply with requirements imposed by the medicaid act and by the secretary of the Department of Health and Human Services. . . . Specifically, participating states are required to develop a plan, approved by the secretary of health and human services, containing reasonable standards . . . for determining eligibility for and the extent of medical assistance to be provided.

“Connecticut has elected to participate in the medicaid program and has assigned to the department the task of administering the program. . . . Pursuant to General Statutes §§ 17b-262 and 17b-10, the department has developed Connecticut’s state medicaid plan and has promulgated regulations that govern its administration. . . .

“The medicaid act requires that a state’s medicaid plan make medical assistance available to qualified indi[806]*806viduals. . . .

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Bluebook (online)
821 A.2d 835, 76 Conn. App. 800, 2003 Conn. App. LEXIS 219, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sunrise-healthcare-corp-v-azarigian-connappct-2003.