Vesper v. Otterbein Lebanon

2021 Ohio 4545
CourtOhio Court of Appeals
DecidedDecember 27, 2021
DocketCA2021-02-016
StatusPublished
Cited by4 cases

This text of 2021 Ohio 4545 (Vesper v. Otterbein Lebanon) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vesper v. Otterbein Lebanon, 2021 Ohio 4545 (Ohio Ct. App. 2021).

Opinion

[Cite as Vesper v. Otterbein Lebanon, 2021-Ohio-4545.]

IN THE COURT OF APPEALS

TWELFTH APPELLATE DISTRICT OF OHIO

WARREN COUNTY

MARY GLORIA VESPER, et al., :

Appellants, : CASE NO. CA2021-02-016

: OPINION - vs - 12/27/2021 :

OTTERBEIN LEBANON, :

Appellee. :

CIVIL APPEAL FROM WARREN COUNTY COURT OF COMMON PLEAS Case No. 19CV92211

Pro Senior, Inc., and Miriam H. Sheline and M. Elizabeth Hils, for appellants.

The Holfinger Stevenson Law Firm, Ltd., and Michael S. Kearns; Rolf Goffman Martin Lang LLP, and David S. Brown and W. Cory Phillips, for appellee.

BYRNE, J.

{¶1} Plaintiffs, Mary Gloria Vesper and Catherine Vesper (collectively, "the

Vespers"), appeal from the decision of the Warren County Court of Common Pleas, which

denied the Vespers' motion for summary judgment and granted the summary judgment

motion of Defendant, Otterbein Lebanon Seniorlife Community ("Otterbein")t, thereby

dismissing the Vespers' claims against Otterbein for alleged violations of the Ohio Warren CA2021-02-016

Consumer Sales Practices Act. For the reasons discussed below, we affirm the trial court's

decision.

I. Factual Background

{¶2} Mary Gloria Vesper was the wife of George Vesper. Catherine Vesper is Mary

Gloria and George's daughter. George was admitted to Otterbein's long-term care facility

in October 2015 and began receiving personal care and nursing services, as well as room

and board. Contemporaneous with George's admission, Mary Gloria signed Otterbein's

Residency Agreement. Mary Gloria executed the Residency Agreement as

"Representative," which is a defined term in the agreement. George did not sign the

Residency Agreement.

{¶3} Consistent with federal and state laws and regulations, the Residency

Agreement specifically provided that the person executing the agreement as

Representative bore no personal liability as to the financial obligations incurred by the

Resident for services rendered by Otterbein.1 However, the Representative did agree to

the following relevant terms:

Duty of Representative on Behalf of Resident. During the term of his/her residency, the Resident may need assistance in arranging for payment for the services provided. You have asserted to Otterbein that the Representative shall act in a fiduciary capacity on the Resident's behalf to satisfy the Resident's financial obligations under this Agreement if the Resident chooses not to, or is unable to, meet those obligations. The Resident shall be primarily responsible for making payments to Otterbein until such time as he/she assigns the responsibility for making payment to the Representative or until he/she can no longer make payments on his/her own behalf; at such time, the Representative shall become primarily responsible for making such payments.

1. Federal and state law prohibits nursing facilities from requiring a third party to personally guarantee payment of charges incurred by a resident. 42 U.S.C. 1396r(c)(5)(A)(ii) and (B)(ii); 42 C.F.R. 483.15(a)(3); and O.A.C.5160-3-02(C)(4). These statutes and regulations, however, do not prohibit a nursing facility from requiring third parties who have access to the resident's funds from entering into a contract requiring payment by the third party from the resident's funds. Id.

-2- Warren CA2021-02-016

Legal Authority to Access Resident's Funds. You have asserted that the Representative has legal access to the Resident's income, assets or resources, including, but not limited to, social security, pension or retirement funds, annuities, insurance, bank accounts, and mutual funds; and, You understand that Otterbein is entering into this Agreement in reliance on that assertion. * * *.2

Diversion of Resident's Resources. Representative agrees to be a good financial steward of the Resident's income, resources and assets over which he/she has control. * * * If any payments or funds of the Resident that are available to pay for the Resident's care are withheld, misappropriated for personal use, or otherwise not turned over to Otterbein for payment of the Resident's financial obligations under this Agreement, then Representative agrees to pay those amounts to Otterbein from the Representative's own resources. * * *.

{¶4} Catherine was not present during George's admission. She also did not sign

the Residency Agreement. However, Catherine had previously met with Otterbein's

representatives and provided them with a copy of a general, durable power of attorney

nominating her as George's attorney-in-fact. Catherine worked with Otterbein's Medicaid

specialist to transition the payments of George's Medicaid benefits to Otterbein.3

{¶5} George's Medicaid benefits were successfully transitioned to pay for

Otterbein's services. Otterbein's Medicaid specialist regularly contacted Catherine,

requesting and receiving certain records to ensure that Otterbein continued receiving

George's Medicaid benefits. From October 2015 through July 2017, Otterbein received

uninterrupted payments from the Ohio Department of Medicaid for services and supplies

furnished to George.

{¶6} However, on July 31, 2017, George's Medicaid benefits were terminated. This

was apparently due to a determination by Job and Family Services that George had failed

2. The Residency Agreement defined "You," as referring to both the Resident and Representative.

3. Prior to entering Otterbein, George was receiving Medicaid benefits and had been at a different facility.

-3- Warren CA2021-02-016

to "cooperate with the redetermination process." It is not clear from the record how the

agency made this determination. Catherine and Otterbein thereafter worked on submitting

a new application for Medicaid benefits on behalf of George. George's Medicaid benefits

were eventually reinstated, but not for many months. Despite not being paid during this

period of time, Otterbein continued providing George with healthcare services and room

and board.

{¶7} George died in February 2018, prior to a determination regarding his new,

pending Medicaid application. At the time of George's death, Otterbein had still not been

paid for services and room and board rendered to George between August 2017 and

February 2018. George's outstanding bill at Otterbein at that time was approximately

$61,000.

II. The Hamilton County Lawsuit

{¶8} In April 2018, Otterbein filed suit against Mary Gloria and Catherine in the

Hamilton County Court of Common Pleas. Against Mary Gloria, Otterbein alleged breach

of contract, promissory estoppel, and a claim for necessaries under R.C. 3103.03(C).

Against Catherine, Otterbein asserted claims for promissory estoppel and a statutory action

pursuant to R.C. 1337.092(B) for alleged negligent/unauthorized acts Catherine undertook

as George's attorney-in-fact.

{¶9} The Vespers separately answered and counterclaimed. The counterclaims

both alleged that Otterbein had violated Ohio's Consumer Sales Practice Act, R.C. 1345.02

and 1345.03 ("CSPA"). Specifically, the Vespers allege that they were consumers and

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Bluebook (online)
2021 Ohio 4545, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vesper-v-otterbein-lebanon-ohioctapp-2021.