Commonwealth v. Golden Gate Nat'l Senior Care LLC

194 A.3d 1010
CourtSupreme Court of Pennsylvania
DecidedSeptember 25, 2018
Docket16 MAP 2017
StatusPublished
Cited by144 cases

This text of 194 A.3d 1010 (Commonwealth v. Golden Gate Nat'l Senior Care LLC) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth v. Golden Gate Nat'l Senior Care LLC, 194 A.3d 1010 (Pa. 2018).

Opinion

SAYLOR, C.J., BAER, TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, JJ.

OPINION

JUSTICE DONOHUE

*1015 The Office of the Attorney General ("OAG"), on behalf of the Commonwealth, filed suit against more than two dozen nursing homes and their parent companies (collectively, "Appellees"), 1 alleging violations of the Unfair Trade Practices and Consumer Protection Law, 73 Pa.C.S. §§ 201-1 - 201.9.3 ("UTPCPL"), and unjust enrichment. Upon consideration of Appellees' preliminary objections, the Commonwealth Court dismissed the claims and this appealed followed. 2 For the reasons discussed herein, we find that the dismissal of the UTPCPL claims was improper, but the dismissal of the unjust enrichment claim was proper because the claim was filed prematurely. Accordingly, we reverse the Commonwealth Court's order and remand for further proceedings.

Appellees are individual nursing homes located throughout Pennsylvania as well as their affiliated companies and parent entities. On July 1, 2015, the OAG filed a complaint and petition for injunctive relief in the Commonwealth Court's original jurisdiction alleging violations of the UTPCPL and unjust enrichment. The complaint named the Parent Companies and fourteen Facilities. Following the filing of preliminary objections, the OAG filed an amended complaint asserting the same claims and naming an additional eleven Facilities as defendants. 3

Although raised under four discrete provisions of the UTPCPL, specifically, sections (4)(v), (ix), (x), and (xxi), discussed infra, the essence of the OAG's UTPCPL claims is that through deceptive advertisements and marketing materials, Appellees made materially misleading statements *1016 about the nature and quality of the care provided to their nursing home residents. Amended Complaint, 9/8/2015, ¶¶ 6, 11, 77-88. The OAG further alleged that Appellees knowingly failed to provide the level of care they advertised, as they purposefully understaffed the facilities so as to maximize their profits. Id. , ¶¶ 13, 16, 106. The OAG alleged that the actionable conduct occurred in chain-wide and facility-level misrepresentations. Id. , ¶¶ 10-11, 77-107. With regard to the chain-wide misrepresentations, the OAG claimed that through various marketing materials, including brochures, videos, websites, and video advertisements, Appellees misrepresented the level of basic care provided to their residents in their facilities. Id. , ¶ 82. By way of example, the OAG pointed to multiple statements, including the following:

• "Snacks and beverages of various types and consistencies are available at any time from your nurse or nursing assistant."
• "We have licensed nurses and nursing assistants available to provide nursing care and help with activities of daily living .... Whatever your needs are, we have the clinical staff to meet those needs."
• "Clean linens are provided for you on a regular basis, so you do not need to bring your own."
• "A restorative plan of care is developed to reflect the resident's goals and is designed to improve wellness and function. The goal is to maintain optimal physical, mental and psychological functioning."
• "A container of fresh ice water is put right next to your bed every day, and your nursing assistant will be glad to refill or refresh it for you.' "
• "We work with an interdisciplinary team to assess issues and nursing care that can enhance the resident's psychological adaptation to a decrease of function, increase levels of performance in daily living activities, and prevent complications associated with inactivity."

Id. , ¶¶ 83-84. The OAG averred that based on information it received through former residents and employees of the Facilities, these statements are misleading because they create the impression that the Facilities will provide care that the Facilities do not in fact provide. Id. ¶¶ 85-87. In contrast to the impression that these statements give, the OAG claimed that residents routinely have to wait hours for food, assistance with toileting, changing of soiled bed linens, and other elements of basic care, and sometimes must forgo them entirely. See id.

On the individual facility level, the OAG alleged that the Facilities made misrepresentations not only by providing the marketing materials addressed above, but also in the resident assessment and care plans created for each resident. Id. , ¶¶ 91-92. These care plans, which are created after an evaluation of the resident and updated quarterly, detail the types of assistance that the facility will provide each resident based upon his or her need. 4 Id. , ¶ 92. The OAG alleged that the services promised in the care plans were not provided because of intentional understaffing. Id. , ¶ 98.

Further, the OAG contended that the Facilities generated billing statements which indicated that certain care was provided when it was not. Id. ¶¶ 99-100. Of importance, for residents who received *1017 Medicaid or Medicare, these billing statements were paid by the Pennsylvania Department of Human Services ("DHS") with public funds. Finally, the Commonwealth alleged that the Facilities deceived the Pennsylvania Department of Health ("DOH") as to the levels of care they provided by temporarily increasing the number of staff on hand during DOH inspections and by willfully creating inaccurate and/or falsified resident care records for DOH's review. See id ., ¶¶ 101-104.

For all of these violations, the OAG sought an injunction prohibiting Appellees from engaging in the alleged misconduct, as permitted by section 4 of the UTPCPL, as well as restitution (or "restoration"), as permitted by section 4.1 of the UTPCPL, "including monies paid by consumers and the Commonwealth in the form of per diem payments[.]" Id. , ¶ 272 (citing 73 P.S. §§ 201-4, 201-4.1 ). It also sought civil penalties of $1000 to $3000 for each violation (the amount increasing with the age of the victim), as provided by section 8(b) of the UTPCPL. Id. , ¶ 271 (citing 73 P.S. § 201-8(b) ).

Regarding its unjust enrichment claim, the OAG asserted that Parent Companies directed the Facilities to transfer the amounts received as a result of their deceptive billing practices, including amounts paid by DHS, to them. Id. , ¶¶ 279-280. The Commonwealth asked that Parent Companies be ordered to disgorge all money received through these allegedly unlawful actions. Id. , ¶ 281.

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Bluebook (online)
194 A.3d 1010, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-v-golden-gate-natl-senior-care-llc-pa-2018.