ALTENHEIM GERMAN HOME, an Illinois not-for-profit corporation, Plaintiff-Appellee, v. Bernard J. TURNOCK, as Director of the Illinois Department of Public Health, and John R. Lumpkin, as Associate Director, Defendants-Appellants.
Nos. 89-1840, 89-2505.
United States Court of Appeals, Seventh Circuit.
Argued Feb. 12, 1990. Decided May 15, 1990.
902 F.2d 582
Valerie J. Peiler, Deputy Atty. Gen., Neil F. Hartigan, Atty. Gen., Jill Deutsch, Asst. Atty. Gen., Sean Mulroney, Deputy Atty. Gen., Chicago, Ill., for Bernard J. Turnock.
Before POSNER and EASTERBROOK, Circuit Judges, and FAIRCHILD, Senior Circuit Judge.
POSNER, Circuit Judge.
The district judge permanently enjoined the Illinois Department of Public Health from depriving the Altenheim German Home, a nursing home, of its unconditional license, on the ground that the Department had denied “The Altenheim” (as it is called) the hearing to which it was entitled by the due process clause of the Fourteenth Amendment. We could reverse with a citation to Somerset House, Inc. v. Turnock, 900 F.2d 1012 (7th Cir.1990), a nearly identical case in which another panel of this court reversed the grant of a preliminary injunction, but since the facts and some of the arguments made by the parties are different we shall soldier on--briefly.
On November 28, 1988, after several incidents in which demented residents of the home had wandered off--and this after the Department, pursuant to the Nursing Home Care Reform Act of 1979,
The Department concedes that these measures, which go beyond the mere disparagement found in cases like Goulding v. Feinglass, 811 F.2d 1099, 1103 (7th Cir.1987), work a sufficient impairment of the Altenheim‘s property right in its unconditional license (it is a “property right” in the Fourteenth Amendment sense of this much-abused term because the license cannot be revoked without cause, Reed v. Village of Shorewood, 704 F.2d 943, 948 (7th Cir.1983)) to entitle the Altenheim to due process.
The Altenheim complains that it was denied a right to a full evidentiary hearing before the measures constituting the deprivation of its property were put into effect. It is correct that there was no evidentiary hearing in the usual sense. There was instead the following. When the Department‘s inspector discovers a violation of the safety or health regulations with which a licensed nursing home is required to comply, the inspector on her way out of the facility informs the manager in writing of what she has found and the facility has ten days within which to file written comments with the Department, which then issues a written order.
No more than the panel in Somerset do we agree with this extravagant suggestion. The nature and extent of the hearing that due process requires depends on the nature of the issues. Even a person facing the loss of all his property in a civil suit is not entitled to a full evidentiary hearing unless there are genuine issues of material fact. If there are no such issues, all he gets is a paper hearing, just like the Altenheim.
There is much argument in the briefs about when a state must offer a pre-termination (here, more accurately, pre-sanction) evidentiary hearing. The Altenheim says that the state must always do so unless there is an emergency and that there was none here, as shown by the fact that even though the district judge issued the injunction on March 27, 1989--more than a year ago--the full evidentiary hearing to which the statute entitles the Altenheim after imposition of sanctions has not yet been held. (The Department does not argue that because its sanctions were enjoined, there has never been an imposition and therefore the statutory entitlement has not yet kicked in. Such an argument if accepted would produce complete paralysis.) For all we know, the Illinois Department of Public Health is so understaffed that it takes a year or more to reach hearing even in emergency cases. If so, that would hardly help the Altenheim‘s argument; it would merely show that pre-termination hearings were infeasible. But all this is beside the point. As the parties have framed the issues, the question is not whether a nursing home is ever entitled to a pre-termination evidentiary hearing as well as to a post-termination one. It is not even how little pre-termination process the Department can get away with offering (perhaps very little) precisely because the Altenheim is entitled to a post-termination hearing. Cleveland Bd. of Education v. Loudermill, 470 U.S. 532, 545-46, 105 S.Ct. 1487, 1495, 84 L.Ed.2d 494 (1985); Brock v. Roadway Express, Inc., 481 U.S. 252, 261-62, 107 S.Ct. 1740, 1747, 95 L.Ed.2d 239 (1987) (plurality opinion);
The judgment is reversed with instructions to dissolve the injunction and dismiss the suit.
