This appeal concerns a dispute between a nursing home and the daughter of one of its residents, arising from the nursing home's attempt to collect a claimed unpaid balance following the resident's death. The case requires the Court to determine whether the parties' contract, which imposed obligations on the daughter as a "Responsible Party," violated the Nursing Home Act (NHA), N.J.S.A. 30:13-1 to -17, which bars certain nursing homes from requiring third parties to guarantee payment as a condition of admitting or retaining a resident. The appeal also involves two consumer protection statutes: the Consumer Fraud Act (CFA), N.J.S.A. 56:8-1 to -20, and the Truth-in-Consumer Contract, Warranty, and Notice Act (TCCWNA), N.J.S.A. 56:12-14 to -18.
When Frances O'Neill (O'Neill) arranged for her mother, Elise Hopkins (Hopkins), to become a resident of Manahawkin Convalescent Center (Manahawkin), she decided to pay Manahawkin's bills from Hopkins' Social Security benefits, rather than arranging for those benefits to be directly paid to the facility. When her mother was admitted to the nursing home, O'Neill signed Manahawkin's "Rehabilitation and Nursing Home Admission Agreement" (Admission Agreement). The Admission Agreement designated O'Neill as the "Responsible Party" for purposes of processing her mother's bills, and set forth remedies in case of a default of that obligation. O'Neill did not sign a section of the Admission Agreement, applicable only to residents whose expenses were privately paid, which required Responsible Parties to guarantee payment of resident costs. She received a copy of a separate form that confirmed, consistent with the NHA, that Manahawkin could not require O'Neill to guarantee payment from her own assets as a condition of her mother's admission to the facility.
Following Hopkins' death, Manahawkin demanded in writing that O'Neill pay a balance due on her mother's account. It initially threatened, and then filed, a collection action against her. In a counterclaim, O'Neill asserted various causes of action, including claims based on the NHA, the CFA and the TCCWNA. After the parties stipulated to the dismissal of Manahawkin's collection action, resulting in no payment to Manahawkin, O'Neill reasserted her NHA, CFA and TCCWNA claims and sought class certification, which the trial court denied. The trial court granted summary judgment dismissing O'Neill's claims and construing the Admission Agreement to impose no obligation on O'Neill to devote her personal funds to her mother's care. The trial court therefore deemed the Admission Agreement to conform to the NHA, and dismissed O'Neill's remaining claims. An Appellate Division panel affirmed, holding that the Admission Agreement met the requirements of the NHA, and that Manahawkin accordingly committed no unlawful act within the meaning of the CFA.
We affirm the Appellate Division's judgment. We concur with the trial court's finding that the Admission Agreement imposed no requirements on O'Neill that contravened the NHA. We hold that neither the Admission Agreement nor the collection complaint filed by Manahawkin gave rise to a cause of action under the CFA or the TCCWNA, and that the trial court properly granted summary judgment dismissing O'Neill's claims. We caution nursing homes and their counsel, however, that the NHA's constraints on the liability of a "Responsible Party" should be clearly reflected in contracts and communications
On January 22, 2007, Hopkins was admitted to Manahawkin, a Medicaid and Medicare certified nursing home located in Manahawkin, New Jersey. Prior to Hopkins' admission, O'Neill obtained a durable power of attorney, and was managing Hopkins' bank account and other assets. Rather than assign Hopkins' Social Security payments directly to Manahawkin, O'Neill elected to have those payments deposited in her mother's bank account. She then used funds from that account to pay the nursing home's bills.
The Admission Agreement prepared by Manahawkin set forth the terms and conditions of O'Neill's residence at and treatment by Manahawkin, and provided that it was governed by New Jersey law. The Admission Agreement identified O'Neill as the "Responsible Party," defined as "the person acting on behalf of the Resident as his or her representative and guardian in fact, or one who has been appointed by the Court as legal guardian." It described Manahawkin's responsibilities for Hopkins' care, including her diet, "lodging in a clean, healthful, properly outfitted sheltered environment," twenty-four hour nursing care, assistance with daily living, a supply of hospital gowns and bed linens, social services, activities and opportunities for religious practice.
The Admission Agreement also described O'Neill's duties as "Responsible Party," including the provision of personal clothing and effects, spending money and uninsured hospital costs, physician fees and medication costs. O'Neill agreed to "pay basic rates as agreed upon with [Manahawkin] at stated intervals," to "comply with all terms and conditions of this Agreement," and to "pay all costs, expenses and reasonable attorneys fees" for any collection action instituted by the nursing home for "sums due and owing by the Resident."
The Admission Agreement set forth the billing responsibilities of "Resident/Responsible Party" — in this case, Hopkins and her daughter, O'Neill — for the payment of the facility's bills:
The Admission Agreement did not distinguish between the resident and the Responsible Party, and did not specify precisely whose "owned properties" could be the subject of a lien.
The Admission Agreement also included a section entitled "Private Pay Guarantor (if applicable)," with a separate signature line for a "Guarantor." That section provided:
Consistent with her mother's status as a Medicaid-eligible resident rather than a "private payor" resident, the signature line for a "Guarantor" was not signed by O'Neill.
In the Admission Agreement, O'Neill acknowledged that she had received the "Resident's Bill of Rights" form. That form provided in relevant part:
The Admission Agreement was signed on the day of Hopkins' admission by a representative of Manahawkin and by O'Neill twice, first as "Representative" of her incapacitated mother, and second as "Responsible Party."
The record reveals no dispute between Manahawkin and O'Neill regarding billing for nursing home services during the seventeen months during which Hopkins lived at Manahawkin. Following Hopkins' death on June 13, 2008, O'Neill was named as executrix of her mother's estate.
Several months after Hopkins' death, a dispute arose between O'Neill and Manahawkin regarding a balance of $878.20 recorded on Hopkins' account. On March 26, 2009, David Goldberg, on behalf of Manahawkin's Collection Department, wrote a letter to O'Neill stating that the facility had advised the Collection Department that O'Neill was "the responsible party for [Hopkins], which means that you have the obligation to pay any debts owed by this resident to the facility." The letter advised O'Neill of the $878.20 balance "owed to the facility on this resident[']s account," and demanded a prompt response from O'Neill. Goldberg wrote that O'Neill's failure to contact Manahawkin to arrange payment "will leave us no choice but to proceed with legal action against you as the responsible party," and that Manahawkin would sue O'Neill "for the monies due with [accrued] interest plus court costs and legal fees." He added that O'Neill would be "reported to the credit rating agencies," and that his letter was the only notice that she would receive "prior to the commencement of legal proceedings." Notwithstanding the letter, the contested balance remained unpaid.
On April 3, 2009, eight days after sending its collection letter, Manahawkin filed a complaint in the Special Civil Part of the Law Division (Special Civil Part). The complaint, signed by Goldberg as the facility's representative, named O'Neill as the sole defendant and did not assert a claim against Hopkins' estate. Manahawkin alleged:
Following the assertion of O'Neill's individual, fiduciary and class action claims, the matter was transferred to the Superior Court, Law Division. Thereafter, Manahawkin abandoned its attempt to claim the alleged balance on Hopkins' account. By a stipulation dated September 15, 2009, Manahawkin's complaint was dismissed with prejudice, with no award of costs to any party. The parties agreed that the dismissal of Manahawkin's collection claim was "made without any admission by the parties as to the merit of the claim and specifically [did] not affect defendant's counterclaim in any way." The record reflects no payment by O'Neill of any portion of the amount that Manahawkin had sought when it filed its action in the Special Civil Part, and it appears that the claimed balance remained uncollected.
On April 1, 2011, O'Neill filed a First Amended Complaint, naming as third-party defendants Broadway Health Care Management, LLC (Broadway), M & A/Comprehensive Health Care Management Systems LLC (Comprehensive), M.R. of Manahawkin, LLC and H.W. of Manahawkin, LLC d/b/a Manahawkin Convalescent Center (collectively, defendants).
The trial court granted summary judgment in defendants' favor. It concluded that the Admission Agreement was devoid of any provision compelling a "Responsible Party" to assume personal liability for a Medicaid patient's contractual obligation, or language that would lead a Responsible Party to believe that his or her assets were implicated when the resident incurred charges for nursing home care. The court noted that the Private Pay Guarantor provision was unsigned in this case, and that the Resident's Bill of Rights form — with its express disclaimer of a third party guarantee of patient obligations — was among the documents provided to O'Neill during the admission process.
The trial court further found that the letter from David Goldberg, which notified O'Neill of Manahawkin's claim of an outstanding balance and threatened potential litigation, sought to compel O'Neill to pay the balance from her mother's funds, not O'Neill's personal funds. The court acknowledged that Manahawkin's Special Civil Part complaint was poorly drafted, but concluded that all parties understood that the complaint sought to compel O'Neill to assist Manahawkin's effort to collect Hopkins' assets in payment of the amount allegedly owed to it. The trial court held that the NHA was clear, the Admission Agreement language was clear, and that both constrained Manahawkin from seeking to collect a Responsible Party's personal assets as payment for a resident's care. The trial court entered summary judgment dismissing O'Neill's claims.
O'Neill appealed, and an Appellate Division panel affirmed the trial court's judgment. Manahawkin Convalescent v. O'Neill, 426 N.J.Super. 143, 147, 43 A.3d 1197 (App.Div.2012). The panel acknowledged that federal and state law barred Manahawkin from legally requiring O'Neill to use her personal assets to satisfy her mother's obligations. Id. at 152-53, 43 A.3d 1197. It concurred with the trial court, however, that Manahawkin had neither expressly nor implicitly attempted to collect O'Neill's personal assets in payment of her mother's account, and accordingly concluded that the nursing home had not violated the NHA. Id. at 153, 43 A.3d 1197. The panel concluded that Manahawkin was entitled to seek payment from O'Neill as the Responsible Party, and that it had pursued such payment in a lawful manner. Id. at 156, 43 A.3d 1197. It therefore held that O'Neill had failed to satisfy the CFA's threshold requirement that a plaintiff demonstrate unlawful conduct by the defendant. Id. at 153-54, 43 A.3d 1197. Raising an issue that had not been addressed by the parties before the trial court or on appeal, the panel further concluded that nursing homes are not within the scope of the CFA by virtue of the learned professional exception to the statute. Id. at 154-56, 43 A.3d 1197. The panel did not reach O'Neill's TCCWNA claim. It held that the trial court had properly granted summary
This Court granted certification. 212 N.J. 431, 54 A.3d 811 (2012).
O'Neill argues that by its plain language, the Admission Agreement violates the NHA. She cites a provision of the Admission Agreement that authorizes Manahawkin to place a lien on the property of the "Resident and Responsible Party" if a nursing home bill is unpaid. O'Neill also notes the absence of language limiting Manahawkin's remedy to payment from the resident's assets. O'Neill challenges the characterization of Manahawkin's action in the Special Civil Part as a form of notice to O'Neill about her mother's outstanding balance, rather than as an attempt to hold O'Neill personally liable for that balance. She asserts that reliance upon the Private Pay Guarantor section of the contract is improper because this provision is not part of the parties' agreement, and is therefore irrelevant. O'Neill challenges the Appellate Division's holding with respect to the learned professional exception to the CFA as both procedurally improper, given the parties' failure to raise that issue before the trial court, and substantively incorrect. She argues that the panel should not have dismissed her TCCWNA claim without undertaking a separate analysis of that claim.
Defendants argue that the Admission Agreement does not violate the NHA because it does not purport to require a Responsible Party to use his or her personal assets to pay a resident's nursing home bills. Defendants cite the unexecuted Private Pay Guarantor provision in support of this assertion. They contend that Manahawkin's Special Civil Part action against O'Neill was not filed to press O'Neill to personally pay the outstanding balance on Hopkins' account as a "Responsible Party," but to compel her to exercise her control over her mother's assets, including Hopkins' final Social Security payment, to pay off Hopkins' account balance. Defendants argue that O'Neill's CFA claims were properly dismissed under the "learned professional" exception to the CFA.
Amicus Curiae Legal Services of New Jersey (LSNJ) asserts that in an effort to circumvent the NHA, nursing homes routinely create third-party liability for costs incurred by residents covered by Medicaid and Medicare by designating "Responsible Parties" in admission agreements, and pursuing those parties personally for residents' unpaid bills. LSNJ argues that nursing homes have NHA-compliant remedies in collection actions that do not implicate the personal liability of the Responsible Party, including specific performance, declaratory relief, or tort remedies. LSNJ further argues that O'Neill's CFA claim should not have been dismissed, because she presented evidence establishing the elements of that claim, and because nursing homes should not be exempted from the CFA under the "learned professional" exception to the statute.
The Court reviews de novo the trial court's entry of summary judgment dismissing O'Neill's claims. Town of Kearny v. Brandt, 214 N.J. 76, 91, 67 A.3d 601 (2013); Coyne v. State of N.J. Dep't of Trans., 182 N.J. 481, 491, 867 A.2d 1159 (2005). "Summary judgment must be granted if `the pleadings, depositions, answers to interrogatories and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact challenged and that the moving party is entitled to a judgment or order as a matter of law.'" Brandt, supra, 214 N.J. at 91, 67 A.3d 601
The factual findings of a trial court are reviewed with substantial deference on appeal, and are not overturned if they are supported by "adequate, substantial and credible evidence." Pheasant Bridge Corp. v. Twp. of Warren, 169 N.J. 282, 293, 777 A.2d 334 (2001), cert. denied, 535 U.S. 1077, 122 S.Ct. 1959, 152 L.Ed.2d 1020 (2002); see Brandt, supra, 214 N.J. at 92, 67 A.3d 601. However, a "`trial court's interpretation of the law and the legal consequences that flow from established facts are not entitled to any special deference.'" Brandt, supra, 214 N.J. at 92, 67 A.3d 601 (quoting Manalapan Realty, L.P. v. Twp. Comm. of Manalapan, 140 N.J. 366, 378, 658 A.2d 1230 (1995)). When a trial court's decision turns on its construction of a contract, appellate review of that determination is de novo. Kieffer v. Best Buy, 205 N.J. 213, 222, 14 A.3d 737 (2011) (citing Jennings v. Pinto, 5 N.J. 562, 569-70, 76 A.2d 669 (1950)). Appellate courts give "no special deference to the trial court's interpretation and look at the contract with fresh eyes." Id. at 223, 14 A.3d 737 (citing Manalapan Realty, supra, 140 N.J. at 378, 658 A.2d 1230).
We first consider whether' the Appellate Division properly concluded that Manahawkin did not violate the NHA. As enacted by the Legislature, the NHA serves to complement the federal Nursing Home Reform Act, 42 U.S.C.A. § 1396r, Congress's statutory scheme intended to protect nursing home residents and their families. See generally Omnibus Budget Reconciliation Act of 1987, Pub.L. No. 100-203, § 4211, 101 Stat. 1330, 182, 182-221. One component of the federal statutory scheme, 42 U.S.C.A. § 1396r(c)(5)(A)(ii), provides that "a nursing facility must ... not require a third party guarantee of payment to the facility as a condition of admission (or expedited admission) to, or continued stay in, the facility." As explained in 42 U.S.C.A § 1396r(c)(5)(B)(ii), there is a distinction between a nursing home resident's assets in the control of a third party, which may be pursued by the facility, and that third party's personal funds, which are beyond the facility's reach:
Similar language appears in 42 U.S.C.A § 1395i-3(c)(5)(A)(ii) and 42 U.S.C.A. § 1395i-3(c)(5)(B)(ii), which govern skilled nursing facilities that accept Medicare.
Although our Legislature enacted the NHA in 1976, prescribing a nursing home's responsibilities to its residents and the corresponding rights of those residents, it did not address the payment of resident bills in the original statute. L. 1976, c. 120 §§ 1-12; N.J.S.A. 30:13-1 to -11. In 1997, the Legislature amended the NHA to add language similar to that of 42 U.S.C.A. § 1396r(c)(5)(A)(ii):
This provision applies only "to those distinct parts of a nursing home certified to participate in the Medicare or Medicaid program." N.J.S.A. 30:13-3.1(c).
The Legislature incorporated enforcement and remedial provisions in the NHA. The statute authorizes the Commissioner of Health to promulgate regulations pursuant to the statute. N.J.S.A. 30:13-10. The Department of Health and Senior Services is empowered to maintain an action in the name of the State to enforce the provisions of the NHA and any pertinent regulations. N.J.S.A. 30:13-8(a). Any "person or resident whose rights as defined herein are violated" has a cause of action against "any person committing such violation," with provisions for an award of "actual and punitive damages" and "reasonable attorney's fees and costs[.]" N.J.S.A. 30:13-8(a). In addition to the remedies prescribed by N.J.S.A. 30:13-8(a), "treble damages may be awarded to a resident or alleged third party guarantor of payment who prevails in any action to enforce the provisions of [N.J.S.A. 30:13-3.1]." N.J.S.A. 30:13-8(b).
O'Neill's NHA claim against Manahawkin is premised upon three alleged violations of the statute. First, O'Neill contends that the Admission Agreement's language required her to spend her personal funds to pay her mother's bills. Second, O'Neill asserts that Manahawkin's March 26, 2009 letter demanding payment of a claimed outstanding balance constituted an attempt to coerce her into using her own assets to pay the facility's final bill. Third, O'Neill contends that when it filed its collection action against O'Neill in the Special Civil Part, Manahawkin sought a remedy against O'Neill in her individual capacity, rather than in her fiduciary role as Executrix of Hopkins' estate.
We consider the Admission Agreement in accordance with familiar rules of construction. Contracts should be read "as a whole in a fair and common sense manner." Hardy ex rel. Dowdell v. Abdul-Matin, 198 N.J. 95, 103, 965 A.2d 1165 (2009). Courts enforce contracts "based on the intent of the parties, the express terms of the contract, surrounding circumstances and the underlying purpose of the contract." Caruso v. Ravenswood Developers, Inc., 337 N.J.Super. 499, 506, 767 A.2d 979 (App.Div.2001) (citing Marchak v. Claridge Commons, Inc., 134 N.J. 275, 282, 633 A.2d 531 (1993)). If the language of a contract "`is plain and capable
The trial court properly construed the Admission Agreement, and correctly concluded that the Agreement contravened neither 42 U.S.C.A. § 1396r(c)(5)(A)(ii) nor its state law analogue in the NHA, N.J.S.A. 30:13-3.1. Nowhere in the definition of "Responsible Party," or the Admission Agreement's provision addressing the Responsible Party's role in the payment of resident's obligations, is there any suggestion that the Responsible Party commits his or her personal assets to pay for the resident's care. The only language suggesting such an obligation appears in the section entitled "Private Pay Guarantor (if applicable)," which O'Neill was not required to execute as a condition of her mother's admission as a resident covered by Medicaid. Indeed, any suggestion that O'Neill's assets were at risk by virtue of her execution of the Admission Agreement is belied by the Resident's Bill of Rights form, the receipt of which O'Neill acknowledged in the Admission Agreement. Consistent with federal statutes and regulations and the NHA, the Resident's Bill of Rights form specifically limited O'Neill's obligation to the payment of bills using Hopkins' assets under O'Neill's legal control, and underscored the parties' intent to comply with federal and state law. The Resident's Bill of Rights form confirms that neither party to the Admission Agreement intended that O'Neill's personal assets would be used to pay Hopkins' nursing home bills. The trial court properly construed the Admission Agreement to limit O'Neill's obligation to the payment of Hopkins' bills with Hopkins' assets, and correctly found that the Agreement therefore complied with the NHA.
Manahawkin's March 26, 2009 collection letter was inartfully drafted and devoid of important details. It did not, however, purport to assert rights on the facility's behalf beyond those set forth in the Admission Agreement, and authorized by the NHA. The letter referred to O'Neill's status as the Responsible Party, and reiterated that the "debts" sought to be collected were those that Manahawkin claimed were "owed by [Hopkins] to the facility." The letter's reference to an "obligation" on O'Neill's part to pay Hopkins' debts was consistent with the provision in the Admission Agreement that required the Responsible Party to pay Manahawkin's bills. The trial court correctly found that the March 26, 2009 letter did not attempt to impose upon O'Neill an obligation to use her personal assets on her mother's behalf.
The Special Civil Part complaint — prepared, according to Comprehensive's owner Stephen Krausman, by a non-lawyer — was similarly imprecise. As O'Neill and amicus concede, Manahawkin had a potential cause of action against O'Neill, in her capacity as Executrix of her mother's estate and in accordance with her obligation to pay the bills with Hopkins'
Nonetheless, Manahawkin's filing of the Special Civil Part complaint did not violate the NHA. N.J.S.A. 30:13-3.1(a)(2) defines the scope of the agreement that a nursing home can require a "Responsible Party" with legal access to a resident's income or resources to execute as a condition of the resident's admission at or retention by a Medicaid or Medicare-certified nursing home. Manahawkin's Special Civil Part complaint was an action to enforce that Agreement. It included no allegation that the Admission Agreement required O'Neill to use her personal funds to pay Hopkins' bills.
Accordingly, the trial court's conclusion that the collection action filed by Manahawkin in the Special Civil Part did not improperly target O'Neill's personal funds was correct, and the court's dismissal of plaintiff's NHA claim was proper.
We next consider O'Neill's CFA claim. The CFA was intended "to greatly expand protections for New Jersey consumers." Bosland v. Warnock Dodge, Inc., 197 N.J. 543, 555, 964 A.2d 741 (2009); see D'Agostino v. Maldonado, 216 N.J. 168, 183, 78 A.3d 527 (2013); Gonzalez v. Wilshire Credit Corp., 207 N.J. 557, 576, 25 A.3d 1103 (2011); Gennari v. Weichert Co. Realtors, 148 N.J. 582, 604, 691 A.2d 350 (1997). It was enacted "to combat `sharp practices and dealings' that victimized consumers by luring them into purchases through fraudulent or deceptive means." Cox v. Sears Roebuck & Co., 138 N.J. 2, 16, 647 A.2d 454 (1994) (quoting D'Ercole Sales, Inc. v. Fruehauf Corp., 206 N.J.Super. 11, 23, 501 A.2d 990 (App.Div. 1985)). "The CFA is intended to `be applied broadly in order to accomplish its remedial purpose, namely, to root out consumer fraud.'" Gonzalez, supra, 207 N.J. at 576, 25 A.3d 1103 (quoting Lemelledo v. Beneficial Mgmt. Corp. of Am., 150 N.J. 255, 264, 696 A.2d 546 (1997)); see also Barry v. Arrow Pontiac, Inc., 100 N.J. 57, 69, 494 A.2d 804 (1985) (noting that CFA was "passed in response to widespread complaints about selling practices that victimized consumers" and is "liberally construed in favor of protecting consumers"). To that end, N.J.S.A. 56:8-19 prescribes a cause of action on behalf of "[a]ny person who suffers any ascertainable loss of moneys or property, real or personal, as a result of the use or employment by another person of any method, act, or practice declared unlawful under this act." N.J.S.A. 56:8-19.
A CFA claim requires proof of three elements: "1) unlawful conduct by defendant; 2) an ascertainable loss by plaintiff; and 3) a causal relationship between the unlawful conduct and the ascertainable loss." Bosland, supra, 197 N.J. at 557, 964 A.2d 741; accord Lee v. Carter-Reed Co., L.L.C., 203 N.J. 496, 522, 4 A.3d 561 (2010); Int'l Union of Operating Eng'rs Local No. 68 Welfare Fund v. Merck & Co., Inc., 192 N.J. 372, 389, 929 A.2d 1076 (2007); N.J.S.A. 56:8-19. A
N.J.S.A. 56:8-2 identifies the type of conduct that constitutes an "unlawful practice" under the CFA:
The statute defines sale as "any sale, ... offer for sale, ... or attempt directly or indirectly to sell." N.J.S.A. 56:8-1(e). Services are included within the purview of the statute. N.J.S.A. 56:8-1(c) defines "merchandise" to "include any objects, wares, goods, commodities, services or anything offered, directly or indirectly to the public for sale." N.J.S.A. 56:8-1(c).
An unlawful practice under the CFA requires "fraudulent, deceptive or other similar kind of selling or advertising practices." Daaleman v. Elizabethtown Gas Co., 77 N.J. 267, 271, 390 A.2d 566 (1978). "[A] simple breach of warranty or breach of contract is not per se unconscionable." Gennari v. Weichert Co. Realtors, 288 N.J.Super. 504, 533, 672 A.2d 1190 (App.Div.1996), aff'd as modified, 148 N.J. 582, 590, 691 A.2d 350 (1997). A party may, in certain circumstances, satisfy the "unlawful commercial practice" element of the CFA by presenting evidence of an agreement containing an unlawful term. See, e.g., D'Agostino, supra, 216 N.J. at 189, 78 A.3d 527 (upholding finding of unconscionable commercial practice based upon defendant's preparation of complex transactional documents that contravened parties' understanding of their agreements); Green v. Morgan Props., 215 N.J. 431, 453-56, 73 A.3d 478 (2013) (affirming denial of defendant's motion to dismiss under Rule 4:6-2(e) on ground that plaintiff had presented prima facie evidence of "unlawful commercial practice," based upon allegation that defendant required execution of contract of adhesion incorporating unreasonable attorneys' fee provision); Ryan v. Gina Marie, L.L.C., 420 N.J.Super. 215, 227, 20 A.3d 442 (App. Div.2011) (finding landlord liable under CFA where provision of lease required tenant to pay rent in excess of municipality's rent control ordinance).
In her First Amended Complaint, O'Neill predicated her CFA claim upon defendants' alleged violation of the NHA, and upon defendants' alleged violation of TCCWNA, which in turn is premised upon a violation of the NHA. She alleged:
Thus tethered to her NHA claim, O'Neill's CFA claim was properly dismissed by the trial court. In light of the Admission Agreement's compliance with the NHA, Manahawkin did not engage in the unlawful practice alleged by O'Neill when it required O'Neill to execute the
The parties raised two other issues with respect to the CFA. First, before this Court, the parties addressed whether nursing homes are exempt from the statute pursuant to the exception for learned professionals. Before the trial court and Appellate Division, neither party had raised the question of whether the transactions at issue — Manahawkin's Admission Agreement, collection efforts and lawsuit against O'Neill — constitute services provided by learned professionals in their professional capacity. Further, Manahawkin did not assert the learned professional exception as a defense in its answer to O'Neill's counterclaims. Nonetheless, the Appellate Division panel held that nursing homes qualify as learned professionals, and, in part, premised its decision affirming the trial court's grant of summary judgment on that holding. In light of our affirmance of the trial court's finding that Manahawkin committed no "unlawful practice" for the purposes of the CFA, we do not reach the issue of whether the nursing home's conduct at issue in this case is exempt from the CFA under the "learned professional" exception. No record was developed before the trial court sufficient to support a determination as to whether the exception applies, and the parties had no opportunity to brief the issue prior to the Appellate Division's decision. We have serious doubts that the billing and collection function at issue in this case would qualify for the learned professional exception to the CFA, "whereby certain transactions fall outside the CFA's purview because they involve services provided by learned professionals in their professional capacity." Lee v. First Union Nat. Bank, 199 N.J. 251, 263, 971 A.2d 1054 (2009) (citing Macedo v. Dello Russo, 178 N.J. 340, 345-46, 840 A.2d 238 (2004)).
Second, the parties disputed whether O'Neill made a showing of "ascertainable loss" within the meaning of N.J.S.A. 56:8-19. In the absence of proof of an "unlawful practice" for purposes of the CFA, we do not determine whether O'Neill sustained an "ascertainable loss" by virtue of the Admission Agreement, Manahawkin's March 26, 2009 letter or the collection action filed by Manahawkin, which was dismissed with prejudice at an early stage and never proceeded to judgment.
Finally, we consider O'Neill's claim under the TCCWNA. N.J.S.A. 56:12-15 provides in relevant part:
The TCCWNA was enacted in 1981 "to prevent deceptive practices in consumer contracts by prohibiting the use of illegal
Like her CFA claim, O'Neill's TCCWNA claim is predicated upon an alleged violation of the NHA's prohibition on Medicaid or Medicare certified nursing homes requiring third party guarantees of payment as a condition of resident admission or retention. Citing Rule 1:7-4, O'Neill argues that the Appellate Division erred when it affirmed the dismissal of all claims, including O'Neill's TCCWNA claim, without separate findings or independent analysis. Rule 1:7-4 requires the trial court "by an opinion or memorandum decision, either written or oral, [to] find the facts and state its conclusions of law thereon... on every motion decided by a written order that is appealable as of right." "Implied in the judge's fact-finding responsibilities is the judge's obligation to decide all critical issues." Pressler & Verniero, Current N.J. Court Rules, comment 1 on R. 1:7-4 (2014). Nonetheless, when a trial court fails to make findings on a specific issue, an appellate court may "opt, in appropriate circumstances and particularly where there has been considerable litigation delay, to decide the legal issues clearly raised despite the lack of findings of fact" and conclusions of law on the specific issue. Ibid. (citing Leeds v. Chase Manhattan Bank, 331 N.J.Super. 416, 420-21, 752 A.2d 332 (App.Div.2000)).
Here, the trial court's key determination — that the Admission Agreement did not improperly condition Hopkins' admission to Manahawkin on O'Neill's guarantee that she would pay Hopkins' bills with her own assets — resolved O'Neill's TCCWNA claim. O'Neill pled no violation of the TCCWNA independent of her claim that the Admission Agreement contravened the NHA. Accordingly, while the trial court should have addressed the TCCWNA claim in its ruling, the Appellate Division's determination on that claim was consistent with Rule 1:7-4. Therefore, we affirm that determination.
Although Manahawkin did not violate the NHA, TCCWNA or CFA, its Admission Agreement, collection letter and Special Civil Part complaint failed to adequately set forth the respective rights and duties of the parties. In the Admission Agreement, Manahawkin should have explained to O'Neill the specific obligations that may be imposed upon a Responsible Party, consistent with the NHA, and the remedies available to Manahawkin in the event of a default of those obligations. Manahawkin accurately summarized the relevant NHA provision in its Resident's Bill of Rights form, and should have incorporated similar language in the contract itself. The Admission Agreement would have better served both parties had it specifically addressed the status of a Responsible Party who acts on behalf of a resident in a Medicaid or Medicare-certified nursing home.
We urge counsel for this important industry, serving elderly and disabled residents and their families, to ensure that nursing home contracts are prepared — and collection practices conducted — in a manner that fosters a clear understanding of each party's rights and remedies as it complies with the law.
The judgment of the Appellate Division is affirmed.
For Affirmance — Chief Justice RABNER and Justices LaVECCHIA, ALBIN, PATTERSON and Judges RODRIGUEZ (temporarily assigned) and CUFF (temporarily assigned) — 6.
Opposed — None.
