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PM Management-Trinity NC, LLC v. Kumets
2012 Tex. App. LEXIS 3197
| Tex. App. | 2012
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Background

  • Trinity Management-Trinity NC, LLC runs Trinity Care Center, a nursing facility where Yevgeniya Kumets resided 2007–2009.
  • Kumetses allege medical negligence, negligence per se, gross negligence, negligent hiring/supervision, breach of fiduciary duty, contract, DTPA, fraud/negligent misrepresentation; also retaliation claim under Health & Safety Code §242.1335.
  • Expert reports under TX Civil Practice & Remedies Code §74.351 addressed all claims except retaliation; court extended 30 days to cure deficiencies.
  • Trial court held amended expert report deficient as to health-care-liability claims and dismissed those claims; retained retaliation claim and dismissed Trisun/Threadgill separately.
  • Trinity appeals seeking dismissal of retaliation claim as health-care-liability claim; Kumetses cross-appeal seeking to keep billing-related claims as non-HCLC; court affirms trial court.
  • Concurring and dissenting opinions discuss whether retaliation and billing claims are HCLC and the effect of Yamada on severability of claims.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Is the retaliation claim a health-care-liability claim under TMLA? Kumetses argue retaliation is not HCLC. Trinity contends retaliation is HCLC. No; retaliation not HCLC; denied dismissal appeal.
Are the billing-related claims HCLC and subject to §74.351? Billing claims arise from care and billing for services; part of HCLC. Billing fraud intermingled with HCLC facts; must be dismissed. Yes; billing-based claims are HCLC and properly dismissed.

Key Cases Cited

  • Victoria Gardens v. Walrath, 257 S.W.3d 284 (Tex. App.-Dallas 2008) (timeliness of expert report; context for proximate causation of injury/death)
  • Yamada v. Friend, 335 S.W.3d 192 (Tex. 2010) (essence/gravamen guide; same facts cannot support HCLC and non-HCLC without compliance)
  • Diversicare Gen. Partner, Inc. v. Rubio, 185 S.W.3d 842 (Tex. 2005) (focus on gravamen; underlying facts determine HCLC vs non-HCLC)
  • Marks v. St. Luke's Episcopal Hosp., 319 S.W.3d 658 (Tex. 2010) (definition of health care liability claim; three components)
  • Cardwell v. McDonald, 356 S.W.3d 646 (Tex. App.-Austin 2011) (cause of action concept; factual basis controls HCLC analysis)
Read the full case

Case Details

Case Name: PM Management-Trinity NC, LLC v. Kumets
Court Name: Court of Appeals of Texas
Date Published: Apr 20, 2012
Citation: 2012 Tex. App. LEXIS 3197
Docket Number: No. 03-11-00313-CV
Court Abbreviation: Tex. App.