A Samuel's Christian Home Care v. Department of Health

CourtCommonwealth Court of Pennsylvania
DecidedJuly 19, 2021
Docket1400 C.D. 2019
StatusUnpublished

This text of A Samuel's Christian Home Care v. Department of Health (A Samuel's Christian Home Care v. Department of Health) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
A Samuel's Christian Home Care v. Department of Health, (Pa. Ct. App. 2021).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

A Samuel’s Christian Home Care, : : Petitioner : : v. : No. 1400 C.D. 2019 : Submitted: August 21, 2020 Department of Health, : : Respondent :

OPINION NOT REPORTED

MEMORANDUM OPINION PER CURIAM FILED: July 19, 2021

A Samuel’s Christian Home Care (Licensee) petitions for review of the Final Agency Determination of the Secretary of Health, of the Department of Health (Secretary and Department, respectively), adopting the Proposed Report of a Department hearing examiner (Hearing Examiner) that affirmed the Department’s January 23, 2018 Amended Order (Amended Order). The Amended Order rescinded Licensee’s regular license to operate a home health care agency,1 dated September

1 Section 806(a) of the Health Care Facilities Act (Act), Act of July 19, 1979, P.L. 130, as amended, added by the Act of July 12, 1980, P.L. 655, 35 P.S. §448.806(a), states: “No person shall maintain or operate or hold itself out to be a health care facility without first having obtained a license therefor issued by the [D]epartment. No health care facility can be a provider of medical assistance services unless it is licensed by the [D]epartment and certified as a medical assistance provider.” In turn, Section 802.1 of the Act, added by the Act of July 12, 1980, P.L. 655, 35 P.S. §448.802a, defines “home health care agency,” in relevant part, as “[a]n organization . . . staffed and equipped to provide nursing and at least one therapeutic service to persons who are disabled, aged, injured or sick in their place of residence or other independent living environment. The agency may also provide other health-related services to protect and maintain persons in their place of residence or other independent living environment.” 1, 2017, through August 31, 2018; revoked Licensee’s home health care agency license effective February 23, 2018; directed the closure of Licensee’s home health care facility and discharge of its patients to other home health care agencies; and dismissed Licensee’s exceptions to the Proposed Report. We affirm. Licensee is a home health care agency owned by Ebenezer Singha (Singha) located at 309 Huron Street, Industry, Beaver County, and was operating under Department License No. 02140501. From August 9, 2017, to August 16, 2017, the Department conducted and completed a Survey2 of the facility and found 13 violations of the Department’s regulations with respect to Licensee’s operations. Based on the Survey, the Department issued a Form CMS-2567 extensively setting forth the specific facts underlying the purported violations. See Certified Record (C.R.) at 81-139.3

2 Section 806.4(a) of the Act, added by the Act of July 7, 2006, P.L. 334, 35 P.S. §448.802d(a), provides: “An application for licensure or the issuance and renewal of any license by the [D]epartment shall constitute consent by the applicant or licensee for a representative of the [D]epartment to have access to enter the premises for inspection purposes during regular business hours.” See also Section 601.4 of the Department’s regulations, 28 Pa. Code §601.4 (“The home health care agency shall be subject to inspection at any time by authorized representatives of the Department. Inspections may be scheduled in advance or be unannounced.”).

3 The Secretary summarized the violations as follows:

The Department’s January 23, 2018 Amended Order set forth deficiencies on [Licensee’s] part, constituting violations of the Department’s regulations at 28 Pa. Code [§§]601.21 (related to organization, services and administration); 601.21(c) (related to governing body); 601.21(d) (related to administrator); 601.21(e) (related to supervising physician or registered nurse); 601.31(a) (related to patient acceptance, plan of treatment and medical supervision); 601.31(b) (related to plan of treatment); 601.31(c) (related to periodic review of plan of treatment); 601.31(d) (related to conformance with physician orders); 601.32 (related to skilled nursing service); 601.32(a) (related to supervision); 601.32(b) (Footnote continued on next page…) 2 Ultimately, on January 23, 2018, the Department mailed an Amended Order directing the rescission of Licensee’s regular license dated September 1, 2017, to August 31, 2018, and revoking Licensee’s home health care agency license effective February 23, 2018, pursuant to Sections 811(1),4 812,5 814(a),6 and 817(d)

(related to duties of the registered nurse); 601.33(a) (related to qualified therapists); and 601.36(a) (related to maintenance and content of record). Id. Those deficiencies were based on specific factual allegations set forth in the Summary Statement of Deficiencies. Id.

C.R. at 283-84.

4 Added by the Act of July 12, 1980, P.L. 655, 35 P.S. §448.811(1). Section 811(1) states, in relevant part, that “[t]he [D]epartment may refuse to renew a license or may suspend or revoke or limit a license for all or any portion of a health care facility, . . . for . . . [a] serious violation of provisions of this [A]ct or of the regulations for licensure issued pursuant to this [A]ct. . . . For the purpose of this paragraph, a serious violation is one which poses a significant threat to the health or safety of patients or residents.”

5 Added by the Act of July 12, 1980, P.L. 655, 35 P.S. §448.812. Section 812 states, in pertinent part:

When there are numerous deficiencies or a serious specific deficiency in compliance with applicable statutes . . . or regulations and when the [D]epartment finds the applicant is taking appropriate steps to correct the deficiencies in accordance with a timetable submitted by the applicant and agreed upon by the [D]epartment and there is no cyclical pattern of deficiencies over a period of two or more years, then the [D]epartment may issue a provisional license for a specified period of not more than six months which may be renewed three times at the discretion of the [D]epartment. Upon substantial compliance, including payment of any fines levied pursuant to [S]ection 817(d), a regular license shall be issued.

6 Added by the Act of July 12, 1980, P.L. 655, 35 P.S. §448.814(a). Section 814(a) provides:

(Footnote continued on next page…) 3 of the Act,7 based on the stated deficiencies in the Form CMS-2567 appended thereto. C.R. at 79-141.8 The Amended Order stated that although Licensee “had

(a) Notice of violations.--Whenever the [D]epartment shall upon inspection, investigation or complaint find a violation of this chapter or regulations adopted by the [D]epartment pursuant to this chapter or pursuant to Federal law, it shall give written notice thereof specifying the violation or violations found to the health care provider. Such notice shall require the health care provider to take action or to submit a plan of correction which shall bring the health care facility into compliance with applicable law or regulation within a specified time. The plan of correction must be submitted within 30 days of receipt of the written notice or sooner if directed to do so by the [D]epartment. The [D]epartment may ban admissions or revoke a license before a plan of correction is submitted whenever deficiencies pose a significant threat to the health or safety of patients or residents.

7 Added by the Act of July 12, 1980, P.L. 655, 35 P.S. §448.817(d). Section 817(d) states: “Whenever the [D]epartment determines that deficiencies pose an immediate and serious threat to the health or safety of the patients or residents of the health care facility, the [D]epartment may direct the closure of the facility and the transfer of patients or residents to other licensed health care facilities.”

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Bluebook (online)
A Samuel's Christian Home Care v. Department of Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/a-samuels-christian-home-care-v-department-of-health-pacommwct-2021.