Horrible Arbitration Decision

Several media outlets have discussed the recent decision of an arbitrator in Massachusetts to dismiss the wrongful death case against Brandon Woods Nursing Home.  Elizabeth W. Barrow was strangled to death in 2009 while a patient there.  Her family filed a wrongful death suit claiming the nursing home and staff didn’t do enough to protect Barrow.  In the hours leading up to his mother’s death, Barrow's unstable and violent roommate had several violent episodes. The staff here left her in the room with his mother and never disclosed there was a problem. 

For some unknown reason, the arbitrator decided there was no negligence on behalf of the nursing home.  The state's medical examiner's office declared the death to be a homicide by manual strangulation, following an autopsy. A nursing assistant found Barrow dead in her bed with a plastic bag over her head.

This case is a great example of why the nursing home industry pushes mandatory arbitration in their admission paperwork.  They do not want a jury of their peers deciding these issues when some biased arbitrator can throw the case out without any recourse or appeal.

Where is the justice?

Mandatory Arbitration

Public News Service published an article about the importance of understanding the signed agreements in the Nursing home admission paperwork because most agreements sign away your constitutional right to a jury trial.  Many of these clauses are hidden in the piles of paperwork or in tiny print, and never explained to the resident or family members.  The intimidating, exhausting, and emotional affects of being admitted to a facility leaves little time for people to research and chose the nursing home best suited for the needs of their loved ones; often times people are left making hasty decisions on the basis of the number of available beds.  The anxiety of this situation is only perpetuated by the number of documents thrown at people in order for admission, with little or no explanation as to what they are actually signing. The rushed nature of this process often forces people into sign documents such as the arbitration agreement in the fear that it will prevent their loved one from being admitted and getting the care they need.

Mandatory arbitration clauses are put in place to protect the facilities and their corporate owners from accountability for their neglect, and do not protect the humanity of the loved ones being admitted. The article concluded that people are seldom told that signing the arbitration agreement is not necessary and cannot prevent loved ones from being admitted. A Milwaukee Attorney, Jeff Pittman said that “you do not have to sign an arbitration agreement, and the nursing home can't refuse to admit your loved one if you don't sign such an agreement” and that by signing the arbitration agreement “you're giving up your rights”.

When admitting a loved one to a nursing home it is important to understand your constitutional rights and the documents that may sacrifice those rights. The care of your loved one is primary in this process and with statistics of upwards of 35, 000 nursing home residents nationwide suffering injury or death from nursing home negligence, it is important to make sure your making the best choice to protect your loved one.

 

Protecting the Right to a Jury

See a great video on trial lawyers here.

Merry Christmas!!

Arbitration Decisions in Florida

The Miami Herald had an article on Florida's Supreme Court recent decisions on mandatory arbitration in nursing home admissions paperwork.  The Court held that nursing home arbitration clauses that limit remedies allowed by state law are invalid. The opinions said lower courts erred by compelling arbitration in negligence cases against nursing homes.

In one case, Gayle Shotts sued OP Winter Haven Inc., as personal representative of the estate of Edward Henry Clark, her uncle, following his death in 2003.   See decision here.

In the other case, Angela Gessa accused Manor Care of Florida Inc., of negligence, violation of resident's rights and breach of legal duties during a stay at its Carrollwood facility in Hillsborough County.  See decision here.

The majority also ruled that a 2010 U.S. Supreme Court decision that an arbitrator, not a court, had to decide whether an arbitration agreement was unconscionable did not apply to nursing home cases.

 

The Fairness in Nursing Home Arbitration Act

The most vulnerable Americans and their families will no longer be forced to give up their legal rights and sign one-sided mandatory binding arbitration clauses under legislation recently introduced in the U.S. Senate.

The bipartisan Fairness in Nursing Home Arbitration Act of 2009, introduced by Sen. Mel Martinez (R-FL) and Sen. Herb Kohl (D-WI), will prevent nursing homes from deliberately hiding clauses within the fine print of contracts that force seniors to surrender their right to trial by jury and enter an unfair and one-sided mandatory binding arbitration process. The bill was introduced in the U.S. House last week by Rep. Linda Sanchez (D-CA).

“The Fairness in Nursing Home Arbitration Act will make sure negligent nursing home corporations can be held accountable by our most vulnerable citizens,” said American Association for Justice President Les Weisbrod. “This bill will prevent nursing home corporations from unfairly preying on seniors and stripping away their legal rights. Arbitration should only be voluntarily, not hidden away in the fine print of contracts during our seniors’ greatest time of need.”

The Fairness in Nursing Home Arbitration Act of 2009 will help people like Minnesota resident Dean Cole, who received unconscionable care from a negligent nursing corporation. Suffering from dementia, Dean needed help eating meals every day; but during his 22 day residency, Dean lost 20.6 pounds without his physician or wife ever being notified. After being admitted to the hospital, he was found to be severely dehydrated, with a water deficit near 10 liters. Dean died less than a month later. His family sought justice by bringing a suit against the nursing home for negligent care, but learned they would be forced into one-sided mandatory binding arbitration on the corporation’s own terms and denied the right to trial by jury. The case is still pending.

 

Arbitration = Unconscionable

The Mountain Press had an article about the Tennessee Court of Appeals affirming the right to a jury trial for residents and disallowing nursing homes to force residents to arbitrate complaints. 

The appellate court affirmed Judge Rex Ogle’s ruling that Pigeon Forge Care and Rehab couldn’t rely on what the judge called an “unconscionable” process, in which the son signed papers on his mother’s behalf while she was competent. 

Lois Pierce died May 7, 2008, after staying about 20 days at Pigeon Forge Care and Rehab.   After 20 days, she was removed from the facility and taken to an emergency room for treatment of “massive infected Stage IV pressure sores.   On May 7, 2008, she died when her organs failed as a result of the infections.

When her son, David Blackmon, filed a compliant in Sevier County Circuit Court against Pigeon Forge Care and Rehab, the facility filed a motion to compel arbitration based on forms Blackmon signed while his mother was at the nursing home.

Ogle overruled that motion, noting Pierce checked herself into the facility and was competent to sign the papers herself, that power of attorney she signed for Blackmon in 1991 had lapsed and didn’t apply in this case, and that officials there acted in a “shoddy” manner in obtaining signatures from Blackmon and keeping records. For one thing, Ogle noted, the center failed to provide Blackmon copies of the forms he signed.

“The execution of the agreement, the way it was handled, it was very shoddy. And I think that quite candidly is unconscionable, that it does shock the conscience of this court by how this entire agreement was handled. ... They should not be enforced.”

Some of the papers were signed by Pigeon Forge Care and Rehab officials days after the conference with Blackmon, calling into question where they had authority to execute the agreement at that time. Blackmon signed the forms by marking an “x” where signatures were required; he testified he was told he needed to sign the forms to have his mother placed on Medicare to pay for the stay and that he did not read them. 

 

West Virginia Arbitration Decision

The Daily Mail and Daily Journal had articles discussing a recent West Virginia decision by the Supreme Court to protect nursing home residents constitutional right to a jury trial.  This is clearly the national trend in the vast majority of jurisdictions.  Mandatory arbitration clauses in nursing home admissions paperwork is inherently unfair.  Critics of the process argue the arbiters are biased and beholden to the nursing homes that give them their business.

The Court persuasively argued that nursing homes shouldn't be able to insert fine print into contracts to duck getting taken to court if they are accused of harming residents.

"In essence, our Constitution recognizes that factual disputes should be decided by juries of lay citizens rather than paid, professional fact finders (arbitrators) who may be more interested in their fees than the disputes at hand," Justice Menis Ketchum wrote.

"The process of signing paperwork for medical care — specifically a contract for admission to a nursing home — is often fraught with urgency, confusion and stress," the court ruled. "People seek medical care in a nursing home for long-term treatment to heal; they rarely view the admission process as an interstate commercial transaction with far-reaching legal consequences."

The majority of nursing homes do not give patients any notice about the clauses. Also, would-be nursing home residents may have little choice but to sign the agreements. Facilities present the contract after the person is admitted.

Why doesn't the nursing home industry look for ways to prevent abuse and neglect instead of forcing residents to sign their rights away?

 

Arbitration Fairness Act

Sens. Al Franken (D-Minn.) and Richard Blumenthal (D-Conn.) and U.S. Rep. Hank Johnson (D-Ga.) recently introduced the “Arbitration Fairness Act of 2011,” legislation that would remedy a recent Supreme Court ruling and restore consumers’ rights to seek justice in the courts. The Arbitration Fairness Act, would ban forced arbitration clauses in nursing home admissions contracts.

 

The National Consumer Voice for Quality Long-Term Care released a statement in support.  Consumer Voice strongly supports the Arbitration Fairness Act and expresses our thanks to Senators Franken and Blumenthal and Representative Johnson for reintroducing this much-needed legislation to allow consumers to decide for themselves whether or not arbitration will provide a fair hearing and resolution of their complaint.

Consumers who are forced to sign predispute arbitration agreements in long-term care admissions contracts are at a critical disadvantage during a stressful and emotional event in their lives:
• Disadvantaged in the admissions process because they are under pressure to find a care facility as quickly as possible. Sixty percent of nursing home admissions are from a hospital.
• Disadvantaged in the arbitration process because the arbitrator relies on the provider for its business and because the process itself is costly and closed to public scrutiny.
• Disadvantaged because the facility knows that the agreement’s fairness cannot be challenged in an unbiased court of law with an open record of the proceedings.

Who are the people whose families are forced to sign arbitration agreements?
• William Kurth, 84, a World War II veteran from Wisconsin who was allowed to develop dehydration, malnutrition, and pressure sores so severe that his bones and organs were exposed—factors that led directly to his death.
• Vunies High, 92, the sister of the legendary boxer Joe Louis, who froze to death when she wandered outside her assisted living facility wearing only her pajamas.
• Ms. L.C. Gould, 85, a Florida nursing home resident who broke her hip in a fall when she was unattended in the bathroom. She subsequently died from complications of surgery for the broken hip, including the facility’s failure to assess and properly treat an infection.

Mandatory arbitration clauses protect providers of care for the elderly and disabled from accountability for neglecting them. By allowing the provider to pick the arbitration company with which it routinely does business and the rules of the arbitration, the system heavily favors the provider and denies justice to the injured.

Families should not be required to sign a contract containing a pre-dispute, binding arbitration clause as a condition of a loved one’s admission to a long-term care facility, nor be required to participate in an arbitration process that is heavily weighted in favor of the facility. The Consumer Voice is urging Congress to pass the Arbitration Fairness Act to end the practice that requires them to do so.

 

Arbitration Fairness Act

There’s been a lot of analysis of the disastrous impact of the Supreme Court’s 5 to 4 Concepcion v. AT&T decision which allows corporations to ban class actions with hidden mandatory arbitration clauses. The Court ruled that the Federal Arbitration Act barred states from protecting their own residents from these horrendous arbitration clauses. Andrew Cohen at The Atlantic put it this way:

"Suffice it to say that the Court's decision completely defies the very federalism principles which are so often articulated by the very conservative members who agreed Wednesday to strike down a state's effort to level the consumer playing field for millions of its residents. This is as big a pro-business, pro-corporate ruling as we've ever seen from the Roberts' Court -- and it will take explicit Congressional action to overturn it."

Congress doesn’t have a great track record on that score.  However, Senator Franken is taking the lead with Richard Blumenthal (D-Conn.) and Rep. Hank Johnson (D-Ga.) by introducing legislation that would restore consumers' rights to seek justice in the courts. Their bill, called the Arbitration Fairness Act, would eliminate forced arbitration clauses in employment, consumer, and civil rights cases, and would allow consumers and workers to choose arbitration after a dispute occurred.

 

Kentucky Arbitration Denied

The Kentucky Court of Appeals recently denied Kindred's attempt to take away the right to a jury trial for a resident who sued them for neglect.  The case is Kindred v. Brown.

Relevant facts:

Maurice Childress is an incapacitated adult suffering from a variety of serious medical conditions which require full-time skilled nursing care. Childress was a resident of Bashford East Health Care1 (“Bashford”), a nursing home, from February 16, 2008, to September 11, 2008.

Teresa Brown, Childress’s mother, admitted Childress to Bashford due to Childress being of unsound mind.  At the time of admission, Brown was not Childress’s legal guardian. During the
admission process, Brown signed an Alternative Dispute Resolution (“ADR”) Agreement in her own name. This agreement listed Childress as the resident of the facility and had a line for the signature of the resident or legal representative with instructions for the representative to list in what capacity they were signing; i.e, spouse, guardian, durable power of attorney, etc. As noted,

Brown signed her name and not Childress’s and did not list what, if any, legal capacity she had to act as the representative of Childress.

While a resident at Bashford, Childress allegedly sustained numerous injuries which prompted Brown, in her new capacity as Guardian, to file a Complaint in the Jefferson Circuit Court alleging negligence, medical negligence, corporate negligence, and violations of Long Term Resident’s Rights.  Brown was appointed as the legal guardian of Childress on March 3, 2009.

Following a hearing, the trial court denied the Appellants’ motion on the basis that the ADR agreement was signed by Brown prior to her appointment as Childress’s guardian; that she lacked the authority to execute the agreement on Childress’s behalf; and that she asserted his rights rather than her own in denying the validity of the ADR agreement. Thus, the court determined that Childress cannot be compelled to waive his right to a jury trial and thereby arbitrate his claims against the Appellants.

The Appeal:

On appeal, Appellants present five arguments, namely, (1) the law favors enforcement of ADR agreements; (2) Brown is estopped from denying her authority to execute the ADR agreement under Kentucky law; (3) Childress is estopped from avoiding the ADR agreement under the Federal Arbitration Act (“FAA”); (4) Childress is bound by the ADR agreement executed by his mother under the principle of apparent authority; (5) Brown ratified the execution of the ADR agreement by her post-guardianship conduct.

The Court went through each argument and explained why each failed.

1. Public policy

"While it is true that Kentucky law generally favors the enforcement of arbitration agreements, the existence of a valid arbitration agreement is a threshold matter which must first be resolved by the court. Moreover, the burden of establishing the existence of an arbitration agreement that conforms to statutory requirements rests with the party seeking to enforce it."

2.  Estoppel

"The trial court found that the ADR agreement was signed by Brown prior to her appointment as Childress’s guardian, and that as a result, she lacked the authority to execute the agreement on Childress’s behalf. Moreover, the court found that Brown asserted Childress’s rights rather than her own in denying the validity of the ADR agreement; and as such, Childress cannot be compelled to waive his right to a jury trial and arbitrate his claims against the Appellants.
“[E]stoppel is a question of fact to be determined by the circumstances of each case.”  Under the doctrine of equitable estoppel, certain conduct by a party is viewed as being so offensive that it precludes the party from later asserting a claim or defense that would otherwise be meritorious.  In order to prevail on a theory of estoppel, there must be proof not only of an intent to induce action or inaction on the party to be estopped, but also of reasonable reliance by the party claiming the estoppel."

"We disagree and find that the Appellants could not reasonably rely upon Brown’s signature alone without an explanation of her legal authority to bind Childress.  Given that Childress was mentally incapacitated at the time the ADR was signed and that Brown did not purport to be the legal representative5 of Childress, then the provision by its own language does not support the Appellants’ argument because at the time of signing Brown was not the legal guardian."

3.  FAA

"We likewise disagree with the third argument asserted by the Appellants that Childress is estopped from avoiding the ADR agreement under the FAA.  We do not believe that applying the FAA would render a different result."

4.  Apparent Authority

"Apparent authority is created when the principal holds out to others that the agent possesses certain authority that may or may not have been actually granted to the agent.  (“It is a matter of appearances on which third parties come to rely.”). Moreover, “[i]t is a rule, universally recognized, that the declarations of an agent are inadmissible to prove the fact of agency or that he was acting within the scope of his authority in a particular transaction.  There is no allegation that Childress did anything to imbue Brown with any authority whatsoever. Further, even if Childress had taken some action consistent with the establishment of apparent or actual authority, we must
remember that Childress was not of mental capacity to act on his own behalf.
Accordingly, he was incapable of denying such acts of his own volition. The failure of Childress to deny the actions of another, here Brown, when Childress is incapable of making such a denial can hardly be taken as acquiescence to or validation of those actions. 

5.  Ratification

We now turn to the Appellants’ last argument, namely, that Brown ratified the execution of the ADR agreement by her post-guardianship conduct. In support thereof, Appellants argue that Brown did not disavow the ADR agreement, and that prior to being appointed legal guardian of Childress, she had signed five additional ADR agreements when Childress was admitted to Kindred Hospital of Louisville. The Appellee disagrees and argues that there is no evidence of
ratification by her on behalf of Childress. In support thereof, Appellee explains that the ADR agreement could not be revoked after 30 days of its being executed and that the other ADR agreements are not relevant to the ADR in dispute as they were for admission to the hospital.

In Capurso, the law is clear that ratification or adoption of a prior agreement entered into by a purported agent, here Brown, for an alleged principal, here Childress, requires ratification or adoption by the principal. Again, as discussed supra, Childress was incapable of taking any action whatsoever and, thus, cannot be found to have adopted or ratified any agreement.

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