GRANE HEALTHCARE CO. v. MAXIM HEALTHCARE SERVICES, INC

CourtDistrict Court, W.D. Pennsylvania
DecidedAugust 7, 2024
Docket2:23-cv-01199
StatusUnknown

This text of GRANE HEALTHCARE CO. v. MAXIM HEALTHCARE SERVICES, INC (GRANE HEALTHCARE CO. v. MAXIM HEALTHCARE SERVICES, INC) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
GRANE HEALTHCARE CO. v. MAXIM HEALTHCARE SERVICES, INC, (W.D. Pa. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

GRANE HEALTHCARE CO. and ) LAURELWOOD CARE CENTER, LLC, ) No.: 2:23-cv-01199-RJC ) Plaintiffs, ) ) Judge Robert J. Colville v. ) ) MAXIM HEALTHCARE SERVICES, INC. ) d/b/a Maxim Staffing Solutions and MAXIM ) HEALTHCARE STAFFING SERVICES, ) INC. d/b/a Maxim Healthcare Services, )

Defendants.

MEMORANDUM OPINION Robert J. Colville, United States District Judge Before the Court is a Motion to Dismiss (ECF No. 14) the Amended Complaint (ECF No. 10) filed by Defendants, Maxim Healthcare Services, Inc. d/b/a Maxim Staffing Solutions and Maxim Healthcare Staffing Services, Inc., d/b/a Maxim Healthcare Services. The Court has jurisdiction in this matter pursuant to 28 U.S.C. § 1332(a). The Motion has been fully briefed and is ripe for disposition. I. Factual Background & Procedural History In the Amended Complaint, Plaintiffs set forth the following factual allegations relevant to the Court’s consideration of the Motion at issue: Plaintiff, Laurelwood Care Center, LLC, is a skilled nursing center managed by Plaintiff, Grane Healthcare Co. Am. Compl. ¶¶ 12-13. Defendant, “Maxim Staffing is a supplemental staffing agency that employs licensed health care personnel to staff skilled nursing facilities” and Defendant, Maxim Services “holds a controlling interest in Maxim Staffing.” Id. at ¶¶14-15. On July 23, 2019, Grane and Maxim Services entered into a Master Service Agreement (“MSA”) under which Maxim Services was to provide staffing to Grane’s skilled nursing facility. Id. at ¶ 16. Under the MSA, Maxim Services was to provide “health care personnel including LPNs, LVNs, RN Supervisors, CNAs, and PCA/Sitters to Grane facilities” upon request of Grane.

Id. at ¶ 17. The MSA set forth specific rates for each of these positions and, pursuant to Section 5.1 of the MSA, “Maxim Services was responsible for accurately invoicing Grane at the applicable rates” each week. Id. at ¶¶ 18-19. “On November 16, 2020, Grane d/b/a Laurelwood and Maxim Staffing executed a COVID- 19 Addendum” to the MSA for the purpose of adding COVID-19 rates for support personnel who would treat COVID positive residents at Laurelwood. Id. at ¶ 20-21. Section 1.1 of the COVID Addendum stated that the Amendment would remain in effect for the duration of the “Red Zone” activation or until Grane d/b/a Laurelwood did not require Maxim staff to work in the Red Zone. Id. at ¶ 22. Section 1.3 of the COVID Addendum established the rates (“Red Zone Rates”) for staffing personnel treating COVID positive patients. Id. at ¶ 23. Then, on April 26, 2021, Grane

and Maxim Staffing executed an additional amendment (“Agreement Amendment”) which set new standard rates for health care personnel not working in the Red Zone. Id. at ¶ 25. Grane had eleven patients at Laurelwood test positive for COVID-19 in 2021. Id. at ¶ 26. Therefore, the Red Zone Rates applied when Maxim Staffing personnel were treating these patients during the fourteen-day window following the patient testing positive for COVID-19. Id. at ¶ 28-29. Plaintiffs allege that Defendants violated the MSA, Covid Addendum, and the Agreement Amendment by billing and invoicing Plaintiffs for the Red Zone Rates for all personnel during the entirety of 2021. Id. at ¶ 30. Plaintiffs paid these inflated rates and allege that it was a mistake to remit payment based on the invoices submitted. Id. at ¶¶ 31-32. Plaintiffs therefore allege that they overpaid approximately $219,033.86 to Defendants based on the incorrect invoices. Id. at ¶ 33. Based on these allegations, Plaintiffs bring claims for breach of contract against Maxim Services (Count I), breach of contract against Maxim Staffing (Count II), unjust enrichment against

Maxim Services (Count III), unjust enrichment against Maxim Staffing (Count IV), fraud against Maxim Services and Maxim Staffing (Count V), and civil conspiracy against Maxim Services and Maxim Staffing (Count VI). On August 14, 2023 Defendants filed their Motion to Dismiss (ECF No. 14), along with their Brief in Support (ECF No. 14). Plaintiff filed a Brief in Opposition (ECF No. 15) on September 5, 2023. Defendant filed a Reply (ECF No. 16) on September 12, 2023. II. Legal Standard A motion to dismiss filed pursuant to Federal Rule of Civil Procedure 12(b)(6) tests the legal sufficiency of the complaint. Kost v. Kozakiewicz, 1 F.3d 176, 183 (3d Cir. 1993). In deciding a motion to dismiss, the court is not opining on whether the plaintiff will likely prevail

on the merits; rather, when considering a motion to dismiss, the court accepts as true all well-pled factual allegations in the complaint and views them in a light most favorable to the plaintiff. U.S. Express Lines Ltd. v. Higgins, 281 F.3d 383, 388 (3d Cir. 2002). While a complaint does not need detailed factual allegations to survive a Rule 12(b)(6) motion to dismiss, a complaint must provide more than labels and conclusions. Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007). A “formulaic recitation of the elements of a cause of action will not do.” Id. (citing Papasan v. Allain, 478 U.S. 265, 286 (1986)). “To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Twombly, 550 U.S. at 554). “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678 (citing Twombly, 550 U.S. at 556). The Supreme Court of the United States has explained:

The plausibility standard is not akin to a “probability requirement,” but it asks for more than a sheer possibility that a defendant has acted unlawfully. Where a complaint pleads facts that are “merely consistent with” a defendant’s liability, it “stops short of the line between possibility and plausibility of ‘entitlement to relief.’”

Id. (quoting Twombly, 550 U.S. at 556) (internal citations omitted). The United States Court of Appeals for the Third Circuit instructs that “a court reviewing the sufficiency of a complaint must take three steps.” Connelly v. Lane Constr. Corp., 809 F.3d 780, 787 (3d Cir. 2016). The court explained: First, it must “tak[e] note of the elements [the] plaintiff must plead to state a claim.” Iqbal, 556 U.S. at 675. Second, it should identify allegations that, “because they are no more than conclusions, are not entitled to the assumption of truth.” Id. at 679; see also Burtch v. Milberg Factors, Inc., 662 F.3d 212, 224 (3d Cir. 2011) (“Mere restatements of the elements of a claim are not entitled to the assumption of truth.” (citation and editorial marks omitted)). Finally, “[w]hen there are well- pleaded factual allegations, [the] court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief.” Iqbal, 556 U.S. at 679.

Connelly, 809 F.3d at 787. “Determining whether a complaint states a plausible claim for relief will . . . be a context-specific task that requires the reviewing court to draw on its judicial experience and common sense.” Iqbal, 556 U.S. at 679 (internal citations omitted).

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GRANE HEALTHCARE CO. v. MAXIM HEALTHCARE SERVICES, INC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grane-healthcare-co-v-maxim-healthcare-services-inc-pawd-2024.