Elgin Nursing Center v. U.S. Dept. of Health and Human Services, No. 12-60086 (5th Cir. 2013)
Annotate this CaseElgin sought review of a final decision by DHHS upholding a ruling of an ALJ affirming a determination by the CMS that Elgin had violated certain safety requirements by serving "undercooked" eggs to its elderly residents. The court concluded it would not defer to DHHS's interpretation of the State Operations Manual (SOM); there was not substantial evidence to find that Elgin violated the SOM; and DHHS could not issue ambiguous interpretative documents and then interpret those in enforcement actions. Accordingly, the court granted the petition for review and set aside the finding of deficiency and resultant penalties.
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