Department of Health v. Office of Open Records

4 A.3d 803, 2010 Pa. Commw. LEXIS 506
CourtCommonwealth Court of Pennsylvania
DecidedSeptember 9, 2010
StatusPublished
Cited by55 cases

This text of 4 A.3d 803 (Department of Health v. Office of Open Records) 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
Department of Health v. Office of Open Records, 4 A.3d 803, 2010 Pa. Commw. LEXIS 506 (Pa. Ct. App. 2010).

Opinion

OPINION BY

Judge COHN JUBELIRER.

The Department of Health (Department) petitions for review of the final determination of the Office of Open Records (OOR) that granted HCR-ManorCare’s (Requester) appeal from the decision of the Department’s Agency Open Records Officer (AORO) denying Requestor’s request to obtain certain documents, including notes, witness statements and other materials, relating to governmentally mandated inspections and surveys conducted by the Department on a nursing home (Request) pursuant to the Right-to-Know Law (RTKL). 1 Before this Court, the Department contends that the OOR erred in concluding that the documents requested are not exempt from public disclosure under the noncriminal investigation exemption set forth in Section 708(b)(17) of the RTKL, 65 P.S. § 67.708(b)(17), and the internal, predecisional deliberative records exemption set forth in Section 708(b)(10)(i)(A) of the RTKL, 65 P.S. § 67.708(b)(10)(i)(A). 2 The Pennsylvania Association of County Affiliated Homes, *805 Pelican Insurance, Pennsylvania Health Care Association, Pennsylvania Association of Non-Profit Homes for the Aging, and The Hospital & Healthsystem Association of Pennsylvania (collectively, Amici Curiae) have filed a brief expressing their support for the Department’s position. For the reasons that follow, we reverse the OOR’s final determination.

I. Facts and Procedural Posture

A Requester

Requester is a nursing and rehabilitation center that provides skilled nursing, rehabilitation, sub-acute, Alzheimer’s, and dementia care. As a health care facility, Requester is required to be licensed and is subject to licensing inspections. See Sections 807, 808, and 813 of the Health Care Facilities Act (HCFA), 3 35 P.S. §§ 448.807-448.808, 448.813 (requiring li-censure of health care facilities and allowing for entry and inspection of such facilities). Requester is also a Medicare provider. As a Medicare provider, Requester is required to be certified and is subject to certification surveys. See Section 1819(g) of the Social Security Act, 42 U.S.C. § 1395i — 3(g) (requiring certification of compliance with requirements, based on the completion of a survey, for a skilled nursing facility to participate in the Medicare program).

B. The Department

The Department is the entity responsible for issuing licenses to health care facilities. -See 35 P.S. § 448.808 (making the Department responsible for the issuance of licenses). As such, the Department is authorized to conduct inspections of health care facilities in order to enforce licensing requirements and applicable state and federal laws and regulations (Inspections). See 35 P.S. § 448.813 (authorizing the Department to conduct inspections of health care facilities). Specifically, Section 813 of the HCFA authorizes the Department to: “enter, visit and inspect the building, grounds, equipment and supplies of any health care facility licensed or requiring a license”; “have full and free access to the records of the facility and to the patients and employees therein”; and “have full opportunity to interview, inspect, and examine such patients and employees.” 35 P.S. § 448.813. Additionally, the Department is authorized to: cite health care facilities for any deficiencies that are found during an Inspection, Section 814 of the HCFA, 35 P.S. § 448.814; take adverse licensing action against health care facilities, Sections 811 and 812 of the HCFA, 35 P.S. §§ 448.811-448.812; impose civil penalties against health care facilities, Section 817(b) of the HCFA, 35 P.S. § 448.817(b); and maintain civil actions against health care facilities for injunctive or other necessary relief, Section 817(a) of the HCFA, 35 P.S. § 448.817(a).

The Department also serves as the “State Survey Agency” for the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (HHS) and the Pennsylvania Department of Public Welfare (DPW). As such, the Department is responsible for conducting surveys to monitor compliance with Medicare and Medical Assistance (MA) certification requirements (Surveys). 4 *806 5 See Section 1864(a) of the Social Security Act, 42 U.S.C. § 1395aa (directing that agreements be made, where possible, with state agencies to monitor compliance with certification requirements for participation in Medicare and Medicaid Programs); Section 1902 of the Social Security Act, 42 U.S.C. § 1396a(a)(9)(A) (requiring that the state agency used with regard to Section 1864(a) of the Social Security Act be used in monitoring compliance with requirements for state medical assistance programs); 42 C.F.R. §§ 488.10-488.26, 488.300^88.335 (discussing functions of state survey agencies and procedures to be used in determining compliance). The Survey process, as it applies to nursing homes, is designed “to assess whether the quality of care, as intended by the law and regulations, and as needed by the resident, is actually being provided.” 42 C.F.R. § 488.110. The Surveys are required to “be conducted by a multidisciplinary team of professionals, which must include a registered nurse.” 42 C.F.R. § 488.314. During the Survey process, the Survey team: (1) conducts an entrance conference, which entails meeting with facility staff to explain the Survey process and gather preliminary information; (2) selects a resident sample; (3) tours the facility; (4) reviews medical records of residents within the resident sample and observes and interviews those residents, as well as family members and staff; (5) makes a drug pass observation, which involves observing the preparation and administration of medications to residents; (6) makes a dining area and eating assistance observation in order to determine if dietary needs are being met; (7) collaborates with each other to discuss findings and make determinations as to deficiencies, analyzes the severity and frequency of any deficiencies, and prepares a Statement of Deficiencies; and (8) conducts an exit conference with the facility staff to explain its findings and to arrange for the preparation of a Plan of Correction. 42 C.F.R. § 488.110. While completing these tasks, the Survey team uses various worksheets to take notes and collect and record relevant information. Id.

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Bluebook (online)
4 A.3d 803, 2010 Pa. Commw. LEXIS 506, Counsel Stack Legal Research, https://law.counselstack.com/opinion/department-of-health-v-office-of-open-records-pacommwct-2010.