Hill v. Pennsylvania Department of Health

711 A.2d 1068, 1998 Pa. Commw. LEXIS 324
Commonwealth Court of Pennsylvania·Decided May 6, 1998·Published

Opinion

LORD, Senior Judge.

Katrissa Hill petitions for review of a Department of Health (Department) adjudication denying her exceptions to a hearing officer’s proposed report in which it was found that Hill engaged in physical abuse of a nursing home resident. The Department’s adjudication directed that a notation of the incident be included in the Department’s Nurse Ade Registry.

On June 10,1995, Hill, a certified nurse at Rittenhouse Care Center, was accused of abusing an eighty-nine year old resident, Marion Gundlach. Hill was eventually terminated as a result. In November of 1995, the Department issued a rule to show cause why a notation of abuse should not appear on the Department maintained registry. Hill requested a hearing, which was held on January 19, 1996 before a Department hearing officer. At that hearing, testimony was given by the charge nurse on duty at the time, the wound care nurse, a nurse supervisor, the director of social services, the facility administrator, Hill, Hill’s mother, who also worked at the facility, and a co-worker.

Bridget Flynn, the wound care nurse, testified that she heard loud cries coming from Gundlach’s room approximately twenty feet from where she was standing at the nursing station. Flynn testified she entered the room and saw Hill and Gundlach, who was in her wheelchair holding her face with one *1070 hand and slapping Hill with the other. Flynn testified she heard Gundlach saying “She hit me, she hit me. Why do you keep girls like this here, she hit me.” Flynn testified that Gundlaeh’s glasses were folded on the nearby overbed table. Flynn testified that Gundlach had an abrasion on her cheek that was oozing blood. A photograph of Gundlach taken shortly after the incident was introduced into evidence. It showed bruises around Gundlach’s eye and the bridge of her nose as well as the abrasion on her cheek.

Hill testified that Gundlach had on that day pushed away food Hill attempted to give her, that Gundlach grabbed the back of her uniform and then tried to grab her face as she turned toward her and that she, Hill, pulled Gundlach’s hands down, away from her face. Hill testified it was Gundlach’s fingernail that caused the scratch; she also testified that Gundlach was wearing glasses, but they fell off her face onto the floor when Hill pulled her hands down. Hill testified that Gundlach’s skin is, at her age, extremely fragile.

On consideration of this and the additional evidence, including testimony from other facility personnel about immediately ensuing events and nursing notes taken at the time, the hearing officer issued a proposed report suggesting that a notation of abuse be placed next to Hill’s name in the Nurse Aide Registry. Exceptions were filed by Hill and briefs were submitted by both Hill and the Department. James W. Jordan, Jr., Deputy Secretary for Health Assessment, designated by the Department Secretary as agency head for the purpose of issuing an adjudication, made additional findings of fact, denied Hill’s exceptions to the proposed report and ordered a notation of abuse. Hill now petitions this Court for review of that adjudication.

Hill contends that the findings of fact contained in the adjudication are not supported by substantial evidence. She argues that the hearsay statement of Gundlach that “she hit me,” which was admitted over objection as an excited utterance, was inherently unreliable due to Gundlaeh’s mental incapacity. The Secretary’s designee therefore erred in basing his findings on such hearsay.

Hill correctly points out that the basis for admitting hearsay statements under the “excited utterance” exception is that such spontaneous statements, made close in time to an emotional event, are free from premeditation and design and are therefore inherently reliable. Carney v. Pennsylvania Railroad Company, 428 Pa. 489, 240 A.2d 71 (1968). Hill argues that the premise for admissibility is undermined when the declar-ant lacks mental capacity. In such a case, statements are inherently unreliable regardless of how spontaneous or close to an event they are made. Here, Hill argues, Gund-lach’s statements should not have been admitted as an excited utterance. Hill points to a December 5, 1994 doctor’s report of consultation on Gundlach, which was admitted into evidence and indicates a diagnosis of “dementia with delusions;”

Notwithstanding diminished mental capacity, it is generally presumed that a witness is competent, and the burden of proving incompetency to testify is on the party asserting incompetency of the witness. Commonwealth v. Ware, 459 Pa. 334, 329 A.2d 258 (1974). The competency of hearsay declarants is governed by the rules of testimonial capacity. Id. Apart from the doctor’s report, Hill offered no evidence that Gundlách was incapable of giving a correct account of the incident at the time. The hearing officer had before her the doctor’s report, which also indicated Gundlach was not “perturbed by any thinking disorder.” She also had the facility’s quarterly patient capacity assessments, and was able to make her own judgment of the Gundlach’s testimonial capacity and the weight to be accorded her statements. We have long held that Commonwealth agencies are not bound by technical rules of evidence in administrative proceedings such as this, and all relevant evidence of reasonably probative value may be received. Section 505 of the Administrative Agency Law, 2 Pa.C.S. § 505. A.Y. v. Department of Public Welfare, 537 Pa. 116, 641 A.2d 1148 (1994). One reason for this principle is that the risk that a fact-finder would be misled or unduly influenced by an unreliable statement made by a declarant is minimized in administrative hearings. We con- *1071 elude that it was not an abuse of discretion or error of law to have admitted this statement, since Hill did not show Gundlach was unable at the time to give an accurate account of the events that transpired. Since it was corroborated by other testimony, the hearsay statement may form the basis for findings of fact. Id. 1

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Hill v. Pennsylvania Department of Health, 711 A.2d 1068, 1998 Pa. Commw. LEXIS 324 (Pa. Ct. App. 1998).

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Related

Commonwealth v. Ware
329 A.2d 258 (Supreme Court of Pennsylvania, 1974)
Carney v. Pennsylvania Railroad
240 A.2d 71 (Supreme Court of Pennsylvania, 1968)
B.E. v. Department of Public Welfare
654 A.2d 290 (Commonwealth Court of Pennsylvania, 1995)