MARGARET ANNA CUSACK CARE CENTER, INC., ETC. VS. SHARON WILLIAMS (L-3667-18, HUDSON COUNTY AND STATEWIDE)

NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the
internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-2761-19
MARGARET ANNA CUSACK
CARE CENTER, INC., a
New Jersey non-profit
corporation d/b/a PEACE
CARE ST. JOSEPH'S,
Plaintiff-Respondent,
v.
SHARON WILLIAMS, a/k/a
SHARON JONES WILLIAMS
and BLANCHE JONES,
individually and as fiduciary
for SHARON WILLIAMS,
Defendants-Appellants.
____________________________
Submitted December 13, 2021 – Decided December 22, 2021
Before Judges Fasciale and Sumners.
On appeal from the Superior Court of New Jersey, Law
Division, Hudson County, Docket No. L-3667-18.
Vincent J. D'Elia, attorney for appellants.
Hardin, Kundla, McKeon & Poletto, PA, and John A.
Smith, III, attorneys for respondent (James L. Fant and
John A. Smith III, on the briefs).
PER CURIAM
Sharon Williams a/k/a Sharon Jones Williams (Williams), and Blanche
Jones (Jones) individually and as fiduciary for Williams (collectively
defendants), appeal from two January 28, 2020 orders: a denial of their motion
for reconsideration of an earlier order dismissing their counterclaim for failure
to serve an affidavit of merit (AOM); and a grant of summary judgment in favor
of Margaret Anna Cusack Care Center, Inc. a New Jersey non-profit corporation
d/b/a Peace Care St. Joseph's (plaintiff) against Williams and Jones jointly and
severally. We affirm.
Williams suffered a stroke that rendered her paralyzed, unable to speak,
and in need of constant nursing care. Williams, through her sister and fiduciary
Jones, was admitted to plaintiff's licensed nursing care facility for short-term
rehabilitative care on March 12, 2018. Jones was a named agent for Williams
pursuant to a durable power of attorney.
Plaintiff alleges defendants learned that insurance would no longer cover
the costs of Williams's care at plaintiff's facility, and they were required to pay
for services rendered effective April 8, 2018. Defendants filed appeals of the
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non-coverage determination, which were later denied. Plaintiff claims that it
presented defendants with an admissions agreement around April 12, 2018,
which would allow Williams to continue to receive care and maintenance as a
private pay resident, but defendants refused to sign the agreement. Thereafter,
defendants refused to have Williams vacate the facility, and she remained there
without making payments.
On September 17, 2018, plaintiff filed a collection action against
defendants, jointly and severally, for the balance of the payments, amounting to
$61,920 with charge increases at a per diem rate of $360. Plaintiff alleged Jones
breached her fiduciary duty to Williams by failing to pay for the care after being
denied insurance coverage and failing to provide an alternative living
arrangement for Williams.
In their amended answer, defendants denied plaintiff's allegations and
claimed plaintiff never advised them regarding a change in insurance coverage.
Jones maintained that she believed insurance covered Williams's care.
Defendants also filed a counterclaim, alleging plaintiff was professionally
negligent in failing to provide quality care, specifically because Williams
suffered from bed sores and had not received speech therapy. Williams
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remained at plaintiff's facility until January 23, 2019, when she was admitted to
Jersey City Medical Center to treat infected bed sores.
On June 13 and 17, 2019, the case management judge held Ferreira1
conferences with the parties. Jones appeared pro se. Counsel for defendants
was present at both conferences but did not make a formal appearance on their
behalf. Following the June 17 conference, the case management judge entered
an order requiring defendants to serve an AOM by no later than August 12, 2019.
On August 12, 2019, counsel entered a notice of appearance on behalf of
defendants and supplied a certification from Jones, in which she claimed that
she requested plaintiff furnish Williams's medical records months ago and had
not received them. The August 12, 2019 deadline passed without defendants
serving an AOM.
On August 27, 2019, plaintiff filed a motion to dismiss defendants'
counterclaim for failure to file the AOM, pursuant to N.J.S.A. 2A:53A-29. On
September 24, 2019, defendants filed a certification from Jones in opposition to
plaintiff's motion to dismiss with an attached and unfiled AOM. The attached
AOM was dated August 12, 2019, and executed by a registered nurse.
Defendants argued they could not meet the AOM deadline because plaintiff
1
Ferreira v. Rancocas Orthopedic Assocs., 178 N.J. 144 (2003).
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failed to provide Williams's medical records. The motion judge heard oral
argument on the motion to dismiss, entered an order granting plaintiff's motion
to dismiss the counterclaim for failure to serve a timely AOM, and rendered a
written decision.
On October 21, 2019, defendants filed a motion for reconsideration of the
order. Plaintiff subsequently filed a motion for summary judgment as to its
collection action. On January 28, 2019, the motion judge denied defendants'
motion for reconsideration and granted plaintiff's motion for summary
judgment. The summary judgment order entered judgment against defendants
for $115,545.60, jointly and severally.
On appeal, plaintiff raises the following points for this court's
consideration:
POINT I
IN THE INTERESTS OF JUSTICE, THIS COURT
SHOULD GRANT BLANCHE JONES'[S] MOTION
FOR AN ORDER BY THIS COURT, NUNC PRO
TUNC, TREATING HER DIRECT APPEAL HEREIN,
OF THE ORDER GRANTING SUMMARY
JUDGMENT, AS AN APPEAL OF AN
INTERLOCUTORY ORDER. (Raised in concurrent
motion to this [c]ourt).
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POINT II
GRANTING SUMMARY JUDGMENT AGAINST
BLANCHE JONES, JOINTLY AND SEVERALLY
WITH SHARON WILLIAMS, WAS AN ABUSE OF
DISCRETION, AND ERROR OF LAW, BY THE
[JUDGE] BELOW, AS (A) BLANCHE JONES'[S]
SOLE ROLE WAS THAT OF A FIDUCIARY; (B)
N.J.S.A. 30:13-3.1(a)(2) EXPRESSLY PROHIBITS A
NURSING HOME FROM SEEKING TO IMPOSE
SUCH LIABILITY; AND (C) A FIDUCIARY IS NOT
PERSONALLY LIABLE TO THIRD PARTIES FOR
DEBTS OF THE PRINCIPAL, UNDER NEW JERSEY
LAW. (Not raised by either party below).
POINT III
PERMITTING BLANCHE JONES, WHO WAS NOT
AN ATTORNEY, TO REPRESENT HER SISTER,
SHARON WILLIAMS, AS ATTORNEY-IN-FACT,
PRO SE, WAS PREJUDICIAL TO SHARON
WILLIAMS, WRONGLY PERMITTED WITH
DELIBERATE INDIFFERENCE, BY THE
ATTORNEYS FOR [PLAINTIFF] AND AN ABUSE
OF DISCRETION BY THE [JUDGE] TO PERMIT
I[T]S CONTINUANCE. (Not raised by either party
below).
POINT IV
THE [JUDGE] BELOW ABUSED [HER]
DISCRETION IN GRANTING SUMMARY
JUDGMENT TO PLAINTIFF, DISMISSING MS.
[WILLIAMS'S] COUNTERCLAIMS WITH
PREJUDICE, INSTEAD OF FINDING
SUBSTANTIAL COMPLIANCE BY MS. WILLIAMS
WITH N.J.S.A. 2A:53A-27, AND FAILING TO
CONSIDER THE PREJUDICE TO MS. WILLIAMS
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FROM [PLAINTIFF'S] FAILURE TO PROVIDE
MEDICAL RECORDS TO MS. WILLIAMS, AND
FROM THE EXTENDED ENGAGEMENT OF MS.
WILLIAMS IN EXTENSIVE LITIGATION, WHEN
SHE WAS NOT REPRESENTED BY AN
ATTORNEY AT LAW.
POINT V
GRANTING SUMMARY JUDGMENT, WITHOUT
HOLDING A PROOF HEARING OR TRIAL ON THE
ISSUE OF DAMAGES, WAS AN ABUSE OF
DISCRETION BY THE [JUDGE] BELOW, WHERE
PLAINTIFF SOUGHT AN AWARD OF $115,545 IN
A QUANTUM MERUIT CLAIM, UPON A
COMPLAINT THAT ORIGINALLY SOUGHT ONLY
$61,920, AND WHERE THERE WAS EVIDENCE OF
THE FAILURE OF [PLAINTIFF] TO PROVIDE THE
SKILLED NURSING CARE THAT IT WAS
OBLIGATED TO PROVIDE TO MS. WILLIAMS,
INCLUDING THE FAILURE TO OBSERVE AND
TREAT MS. WILLIAMS'[S] SEVERELY INFECTED
BED SORES.
We disagree and affirm.
I.
We begin by addressing defendants' request to treat their direct appeal as
an appeal of an interlocutory order in the interests of justice. Under Rule 2:2-
3(a)(1), a litigant may appeal as of right from "final judgments of the Superior
Court trial divisions." "A judgment is final for purposes of appeal if it
'dispos[es] of all issues as to all parties.'" Wein v. Morris, 194 N.J. 364, 377
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(2008) (alteration in original) (quoting Hudson v. Hudson, 36 N.J. 549, 553
(1962)). This court has discretion to grant leave to appeal nunc pro tunc when
a party fails to seek leave to appeal an interlocutory order. See Medcor, Inc. v.
Finley, 179 N.J. Super. 142, 144-45 (App. Div. 1981). We conclude the two
orders are final judgments and will address the matter on the merits.
II.
Defendants argue that the judge erred in permitting Jones to appear pro
se. Defendants contend that the judge had a duty to protect Williams and failed,
and further allege plaintiff's counsel engaged in a "deliberate effort" to take
advantage of defendants by serving detail interrogatories and notices to admit to
Jones as a pro se litigant. Defendants concede that they raise this issue for the
first time on appeal. Issues not raised below "will ordinarily not be considered
on appeal unless they are jurisdictional in nature or substantially implicate the
public interest." N.J. Div. of Youth & Fam. Servs. v. M.C. III, 201 N.J. 328,
339 (2010). Nonetheless, we reject the merits of defendants' argument. There
is no support for the contention that the judge erred by allowing Jones to appear
pro se, especially because counsel was present at the Ferreira conferences and
appeared on behalf of defendants from that point forward.
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III.
The judge followed the applicable law in denying reconsideration of the
previous order dismissing the counterclaim. We review a trial judge's denial of
a motion for reconsideration for abuse of discretion. Branch v. Cream-O-Land
Dairy, 244 N.J. 567, 582 (2021). An abuse of discretion "arises when a decision
is 'made without a rational explanation, inexplicably departed from established
policies, or rested on an impermissible basis.'" Flagg v. Essex Cnty. Prosecutor,
171 N.J. 561, 571 (2002) (quoting Achacoso-Sanchez v. I.N.S., 779 F.2d 1260,
1265 (7th Cir. 1985)).
A.
The AOM statute "requires plaintiffs alleging malpractice against a
licensed professional to include an affidavit from a medical expert in their
filing" to demonstrate "there exists a reasonable probability the standard of care
exercised in the alleged malpractice fell outside the acceptable professional or
occupational standards." Cowley v. Virtua Health Sys., 242 N.J. 1, 8 (2020).
The statute prescribes the deadlines for filing an AOM:
[i]n any action for damages for personal injuries,
wrongful death or property damage resulting from an
alleged act of malpractice or negligence by a licensed
person in his profession or occupation, the plaintiff
shall, within [sixty] days following the date of filing of
the answer to the complaint by the defendant, provide
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each defendant with an affidavit of an appropriate
licensed person that there exists a reasonable
probability that the care, skill or knowledge exercised
or exhibited in the treatment, practice or work that is
the subject of the complaint, fell outside acceptable
professional or occupational standards or treatment
practices. The [judge] may grant no more than one
additional period, not to exceed [sixty] days, to file the
affidavit pursuant to this section, upon a finding of
good cause.
[N.J.S.A. 2A:53A-27.]
Failure to comply with the statute "shall be deemed a failure to state a cause of
action." N.J.S.A. 2A:53A-29.
Defendants filed their counterclaim against plaintiff alleging professional
negligence on October 15, 2018, and plaintiff filed its answer on November 19,
2018. N.J.S.A. 2A:53A-27 requires the AOM be filed within sixty days
following the date of the answer; thus the deadline for the AOM was January
18, 2019. The case management judge held two Ferreira conferences in June
2019, amended the deadline, and issued an order requiring defendants to serve
the AOM by no later than August 12, 2019. Plaintiff's counsel certified on
August 27, 2019, in support of the motion to dismiss with prejudice, that
plaintiff did not receive the AOM by August 12.
On September 24, 2019, defendants filed opposition to plaintiff's motion
to dismiss the counterclaim with an attached, unfiled AOM executed by a
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registered nurse. The AOM was dated August 12, 2019. Defendants did not
comply with the AOM statute, warranting dismissal of their counterclaim;
however, they argue that the motion judge should have used her discretion in
finding substantial compliance with the statute.
Our Court has recognized that the doctrine of substantial compliance
applies to the AOM statute. Fink v. Thompson, 167 N.J. 551, 561 (2001). The
defaulting party may invoke the doctrine of substantial compliance if the party
demonstrates the following:
(1) lack of prejudice to the defending party; (2) a series
of steps taken to comply with the statute involved; (3)
a general compliance with the purpose of the statute;
(4) a reasonable notice of petitioner's claim, and (5) a
reasonable explanation why there was not a strict
compliance with the statute.
[Ibid. (quoting Alan J. Cornblatt, P.A. v. Barow, 153
N.J. 218, 239 (1998)).]
"Establishing those elements is a heavy burden." Galik v. Clara Maass Med.
Ctr., 167 N.J. 341, 357 (2001).
Defendants justify their non-compliance by arguing plaintiff did not
timely deliver Williams's medical records, and Jones was representing
defendants pro se. Jones certified that defendants' other sister made a form
request for records at plaintiff's facility "many months" before August 12, 2019.
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Plaintiff provided a March 12, 2019 letter and FedEx receipt showing that they
sent medical progress records to an agent of Stark & Stark, a law firm which
plaintiff claims represented defendants at that time. Defendants counter that
they never retained Stark & Stark at any point during the litigation, and they
never received the records. Jones sent a written request to plaintiff for records
on August 6, 2019. Six days later, on August 12, Jones received a response
dated August 9 from plaintiff's facility that the records were available for pick -
up at a cost of $200 for the copies.
Defendants failed to demonstrate the series of steps taken to comply with
the statute, general compliance with the statute, or a reasonable explanation of
why there was not strict compliance. See Fink, 167 N.J. at 561. A verbal request
made "many months" ago is insufficient to demonstrate a series of steps taken
towards compliance with the statute. Furthermore, defendants' counsel was
present at the Ferreira conferences and fully aware of the revised deadline, even
if he was not making a formal appearance. The motion judge properly
concluded, both on the motion to dismiss and on the motion for reconsideration,
that defendants did not offer "a reasonable explanation of why the [AOM] is 120
days overdue, in violation of a court order" despite defendants having "had
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ample time to secure the necessary records and documents, and to submit the
Affidavit."
B.
Defendants also contend the motion judge erred by dismissing the
counterclaim with prejudice. Dismissal for failure to comply with the
procedural requirements of the AOM statute should result in dismissal with
prejudice unless extraordinary circumstances exist. Allan J. Cornblatt, P.A., 153
N.J. at 242. "[C]arelessness, lack of circumspection, or lack of diligence" are
not extraordinary circumstances. Palanque v. Lambert-Woolley, 168 N.J. 398,
404-05 (2001) (quoting Burns v. Belafsky, 326 N.J. Super. 462, 470 (App. Div.
1999)). Here, defendants' belated written request to plaintiff for medical records
on August 6, only six days before the revised deadline to file the AOM, reflects
a lack of diligence and does not qualify as an extraordinary circumstance.
C.
Finally, defendants argue that the "mere appearance in a nursing home
patient of infected bed sores" falls under the common knowledge doctrine; thus
the counterclaim did not require an AOM. Defendants did not raise their
common knowledge argument below, but we address its merits by providing
these brief remarks.
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There exists an exception to the AOM statute where "the alleged conduct
or failure to act, if accepted as true, would be readily recognizable, by a person
of average intelligence, as a failure to exercise the appropriate standard of care."
Cowley, 242 N.J. at 8. In a common knowledge case, "an expert is not needed
to demonstrate that a defendant breached a duty of care." Hubbard v. Reed, 168
N.J. 387, 394 (2001). The common knowledge doctrine "applies where 'jurors'
common knowledge as lay persons is sufficient to enable them, using ordinary
understanding and experience, to determine a defendant's negligence without the
benefit of the specialized knowledge of experts.'" Ibid. (quoting Est. of Chin v.
Saint Barnabas Med. Ctr., 160 N.J. 454, 469 (1999)). The exception is construed
"narrowly in order to avoid non-compliance with the [AOM] statute." Id. at 397.
The professional negligence issues, in this case, are not within the average
lay person's ordinary understanding and experience. Defendants' counterclaim
involves inadequate care in nursing, a lack of speech therapy, and wound care.
These allegations require the benefit of expert testimony from medical
professionals and are not within the common knowledge exception. Therefore,
defendants' counterclaim was properly dismissed for failure to comply with the
AOM statute.
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IV.
Defendants argue the judge erred in granting summary judgment in favor
of plaintiff. An appellate court reviews a trial judge's decision on a summary
judgment motion de novo. Giannakopoulos v. Mid State Mall, 438 N.J. Super.
595, 599 (App. Div. 2014). We utilize the same standard as the motion judge
and consider "whether the competent evidential materials presented, when
viewed in the light most favorable to the non-moving party, are sufficient to
permit a rational factfinder to resolve the alleged disputed issue in favor of the
non-moving party." Brill v. Guardian Life Ins. Co. of Am., 142 N.J. 520, 540
(1995).
A.
Defendants argue the judge erred in granting summary judgment
personally against Jones, jointly and severally with Williams, because she was
acting solely as a fiduciary for Williams. Defendants argue that plaintiff, as a
nursing care facility subject to N.J.S.A. 30:13-3.1(a)(2), is prohibited from
requiring an agreement with a resident's fiduciary, under a durable power of
attorney, to impose personal liability on the fiduciary. Defendants contend that
there is not valid authority imposing direct personal liability on a fiduciary to a
third party for failure to pay an obligation of the principal. Defendants concede
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that they did not raise this issue below. Nonetheless, we reject defendants'
contention on the merits and conclude the judge did not err in imposing joint
and several liability against Jones and Williams.
Under N.J.S.A. 30:13-3.1(a) a nursing home may not
require a third party guarantee of payment to the facility
as a condition of admission or expedited admission to,
or continued residence in, that facility; except that
when an individual has legal access to a resident's
income or resources available to pay for facility care
pursuant to a durable power of attorney, order of
guardianship or other valid document, the facility may
require the individual to sign a contract to provide
payment to the facility from the resident's income or
resources without incurring personal financial liability.
Plaintiff argues that its pursuit of Jones for joint and several liability is not as a
guarantor as prohibited under N.J.S.A. 30:13-1.1(a)(2), but rather Jones's
personal liability as a fiduciary. In its original compliant, plaintiff alleged that
Jones was liable because she breached her fiduciary duty owed to Williams and
plaintiff as a third party.
Under N.J.S.A. 3B:14-35, "[i]f the exercise of power concerning the estate
is improper, the fiduciary is liable to interested persons for damage or loss
resulting from breach of [her] fiduciary duty to the same extent as a trustee of
an express trust." In statutorily-sanctioned and tort causes of action, our Court
recognizes that an executor or other fiduciary may be liable to a third party when
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she breaches her duty to secure or protect estate assets. In re Est. of Stockdale,
196 N.J. 275, 305 (2008).
The durable POA gave Jones "the powers . . . with the understanding that
they will be exercised for [Williams's] benefit, on [her] behalf, and solely in a
fiduciary capacity." Further in the POA, in the paragraph titled "Reliance by
Third Parties," Williams agreed to "hold harmless any third party who acts in
reliance on this power for damages or liability incurred as a result of that
reliance." The motion judge noted that Jones admitted to being Williams's POA
and having access to Williams's bank account. The judge also found that
plaintiff was obligated by law to continue housing Williams instead of
discharging her even after months of non-payment because Jones "gave up"
Williams's apartment, leaving her without a viable housing alternative.
We are not persuaded by defendants' argument that Jones cannot be held
liable as a fiduciary under N.J.S.A. 30:13-3.1(a)(2) because plaintiff's pursuit of
joint and several liability was not based on guarantor liability, but instead
Jones's breach of fiduciary duty for failure to secure assets to pay for Williams's
care. From plaintiff's statement of material facts, which defendants never
provided a counterstatement to, there is sufficient evidence that Jones failed to
secure assets properly on behalf of Williams. Jones was informed that the
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insurance would no longer cover Williams's stay at plaintiff's facility but did
nothing when her status changed to a private pay resident. Jones terminated
Williams's permanent housing, thus preventing her discharge from plaintiff's
facility and resulting in more debt. Jones did not apply to Medicaid on
Williams's behalf to cover the expenses of plaintiff's care. The judge did not err
in concluding Jones was jointly and severally liable with Williams for the
amount owed to plaintiff.
B.
Defendants argue that the judge erred in awarding $115,545.60 to plaintiff
on summary judgment without conducting a proof hearing as to damages
because the original complaint demanded only $61,920, and this amount was
disputed based on the alleged inadequate care.
On a motion for summary judgment, "if a case involves no material factual
disputes, the [judge] disposes of it as a matter of law by rendering judgment in
favor of the moving or non-moving party on the issue of liability or damages or
both." Brill, 142 N.J. at 537. Since this is a collection action, plaintiff's cause
of action relies on the equitable doctrine of quantum meruit. "[Q]uantum meruit
allows 'the performing party to recoup the reasonable value of services
rendered.'" EnviroFinance Group, LLC v. Env't Barrier Co., LLC, 440 N.J.
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Super. 325, 349 (App. Div. 2015) (quoting Weichert Co. Realtors v. Ryan, 128
N.J. 427, 438 (1992)). The elements of quantum meruit are "(1) the performance
of services in good faith, (2) the acceptance of the services by the person to
whom they are rendered, (3) an expectation of compensation therefor, and (4)
the reasonable value of the services." Ibid. (quoting Starkey, Kelly, Blaney &
White v. Est. of Nicolaysen, 172 N.J. 60, 68 (2002)).
As defendants did not submit a counterstatement of material facts as
procedurally required, the judge appropriately accepted plaintiff's statement of
material facts, which established that: Jones, as POA, understood and consented
to Williams's housing and care at plaintiff's facility; Williams received those
services; and Jones knew that insurance was not covering Williams's care.
Plaintiff provided a bill from September 7, 2018, listing defendants' balance as
$61,920 for Williams's room and board from April 2018 to September 2018. In
her response to plaintiff's request for admissions, Jones could "neither" admit or
deny the total amount owed to plaintiff was $61,920 and that Williams's care
continued to be charged at a per diem rate of $360. Plaintiff provided an October
18, 2019 bill to defendants totaling $115,545.60 with a list of charges for room
and board and late fees, as well as some payments received from insurance from
April 2018 to September 2019. Although the judge noted that plaintiff's "bills
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are not particularly detailed or in-depth in their description of services
rendered," ultimately, summary judgment was appropriate because the rates are
reasonable and customary, and defendants did not provide any evidence to
contradict their validity.
We reject defendants' argument that a proof hearing is required because
the original complaint only requested $61,920. Plaintiff provided an updated
bill in support of its motion for summary judgment listing the charges, which
totaled $115,545.60. Plaintiff's complaint clearly stated the charges would
increase at a daily rate, and the bill reflected room and board and late fees from
the complaint's filing to Williams's discharge in January 2019.
Defendants allege that the charges are in dispute because of alleged
negligence, but their counterclaim on that issue was dismissed with prejudice,
and they have not submitted any evidence to prove the bills are inaccurate.
Defendants did not raise a genuine issue of material fact as to the validity of the
amount owed; therefore, the judge correctly rendered judgment as to liability
and damages.
Affirmed.
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