Sligo Creek Center v. HHS

CourtCourt of Appeals for the Fourth Circuit
DecidedJune 5, 2026
Docket25-1669
StatusPublished

This text of Sligo Creek Center v. HHS (Sligo Creek Center v. HHS) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sligo Creek Center v. HHS, (4th Cir. 2026).

Opinion

USCA4 Appeal: 25-1669 Doc: 54 Filed: 06/05/2026 Pg: 1 of 14

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 25-1669

SLIGO CREEK CENTER,

Petitioner,

v.

UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES; ROBERT F. KENNEDY, JR., Secretary of the United States Department of Health and Human Services,

Respondents.

------------------------------

AMERICAN HEALTH CARE ASSOCIATION; THE NATIONAL CENTER FOR ASSISTED LIVING,

Amici Supporting Petitioner.

On Petition for Review of an Order of the Department of Health & Human Services. (A- 21-12)

Argued: May 5, 2026 Decided: June 5, 2026

Before RUSHING and HEYTENS, Circuit Judges, and FLOYD, Senior Circuit Judge.

Petition denied by published opinion. Judge Heytens wrote the opinion, which Judge Rushing and Judge Floyd joined. USCA4 Appeal: 25-1669 Doc: 54 Filed: 06/05/2026 Pg: 2 of 14

ARGUED: Joseph L. Bianculli, HEALTH CARE LAWYERS, PLC, Deale, Maryland, for Petitioner. David L. Peters, UNITED STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Respondents. Mark Emerson Reagan, HOOPER, LUNDY & BOOKMAN, P.C., San Francisco, California, for Amici Curiae. ON BRIEF: Brett A. Shumate, Assistant Attorney General, Michael S. Raab, Daniel Aguilar, Civil Division, UNITED STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Respondents. David J. Vernon, Rachel L. Zacharias, Sheryl B. Xavier, HOOPER, LUNDY & BOOKMAN, P.C., Washington, D.C., for Amici Curiae.

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TOBY HEYTENS, Circuit Judge:

Nursing homes “must comply with numerous statutory and regulatory

requirements” to participate in—i.e., receive reimbursement from—Medicare. Shalala v.

Illinois Council on Long Term Care, Inc., 529 U.S. 1, 6 (2000). When participating

facilities fail to comply with those requirements, Congress has authorized the Secretary of

Health and Human Services (HHS) to impose various consequences, including civil

monetary penalties. See 42 U.S.C. § 1395i-3(h)(2)(B). Our primary question here: When

the Secretary commences administrative proceedings against a Medicare participant

seeking monetary penalties, does the Seventh Amendment guarantee that participant the

right to a jury trial? We hold the answer is no. And because we see no other basis to disturb

the challenged decision here, we deny the petition for review.

I.

Petitioner Sligo Creek Center ran a Medicare-participating nursing home in

Montgomery County, Maryland. In 2015, county health officials informed petitioner that

two facility employees and a former resident had been diagnosed with active tuberculosis

(TB). The county officials met with petitioner’s staff “to discuss [a] TB contact

investigation and [a] response to the situation.” JA 69. The officials claim they told

petitioner’s staff that the facility “was at high risk for TB transmission” and that—although

the county would provide guidance and oversight—“[p]etitioner’s staff w[ere] responsible

for testing its residents for TB and for follow up treatment.” Id.

Petitioner’s internal policies included a protocol for TB testing and treatment

consistent with standard recommended practices. The protocol stated that, once an active

3 USCA4 Appeal: 25-1669 Doc: 54 Filed: 06/05/2026 Pg: 4 of 14

case was confirmed, all residents should receive skin tests for TB and those who tested

positive should then get a chest x-ray. A positive skin test and positive x-ray indicate active

TB, while a positive skin test and negative chest x-ray indicate a latent TB infection.

Although latent TB is asymptomatic and noncontagious, untreated latent TB can convert

to active TB, which can be dangerous and even deadly. Petitioner’s protocol required it to

“proceed with evaluati[ng]” residents with positive skin tests and negative chest x-rays for

latent TB treatment. JA 176–77. That requirement was consistent with federal, state, and

county guidance recommending that nursing home residents with latent TB receive

treatment “unless” it is “contraindicated or refused.” JA 69 (first quote); JA 86 (second

quote).

Petitioner followed the first few steps of this protocol. It administered skin tests, and

more than two dozen residents tested positive. Petitioner then gave those residents chest

x-rays. All chest x-rays were negative, indicating latent TB infections.

Under the protocol, petitioner was next supposed to “proceed with evaluat[ing]”

those residents for latent TB treatment. JA 176; accord Petr. Reply Br. 12. But HHS later

concluded—and petitioner now admits—that petitioner neither ordered nor administered

latent TB treatment for residents with positive skin tests and negative x-rays. 1 Nor did

petitioner explain in any of those residents’ records why the facility was not administering

latent TB treatment. Indeed, petitioner “conceded” to HHS that it never even “noted” any

One such resident received latent TB treatment because an unaffiliated physician 1

independently evaluated that resident for a kidney transplant and prescribed the treatment.

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formal latent TB diagnosis “in any of the resident[s’] clinical records because no physician

from the county or the facility rendered such a diagnosis.” JA 97.

More than a year after the residents’ negative chest x-rays, a state health agency

received “a substantial allegation” about petitioner’s “noncompliance” with Medicare’s

participation requirements. JA 72 (quotation marks removed). After an investigation, the

state agency determined petitioner “failed to ensure timely follow up of the treatment and

management of multiple residents who were identified at risk for exposure to a serious

infectious disease” (that is, active TB) “and failed to record in [those] residents’ clinical

records the rationale for treatment/non treatment for” latent TB. Id. (alterations and

quotation marks removed). The state agency thus concluded petitioner violated 42 C.F.R.

§ 483.65 (2016), which required each Medicare-participating nursing home to:

establish and maintain an infection control program . . . under which it— (1) Investigates, controls, and prevents infections in the facility; (2) Decides what procedures, such as isolation, should be applied to an individual resident; and (3) Maintains a record of incidents and corrective actions related to infections.

§ 483.65(a) (2016). 2 The state agency also concluded petitioner’s noncompliance created

“immediate jeopardy,” JA 72, which federal regulations define as “a situation in which [a]

provider’s noncompliance with one or more requirements of participation has caused, or is

likely to cause, serious injury, harm, impairment, or death to a resident.” 42 C.F.R.

§ 488.301. The HHS component that administers Medicare “concurred with” the state

agency’s conclusions, determined when the “immediate jeopardy” began and ended, and

Although the regulation has since been revised, the parties agree the version quoted 2

above was in effect during all relevant times.

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“imposed a . . . per-day [civil monetary penalty]” on petitioner for that period. JA 73.

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Sligo Creek Center v. HHS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sligo-creek-center-v-hhs-ca4-2026.