Victoria's Secret & Gallagher Basset Services v. Nicole Mauldin
0212172
| Va. Ct. App. | Jul 18, 2017Background
- On January 9, 2016 Nicole Mauldin fell from a ladder at work and claimed neck, shoulder, back, right hip, head, and right leg injuries, including lower-back pain and right-leg numbness/tingling.
- Mauldin repeatedly told employer during discovery and at the hearing she had no prior similar problems except a fully resolved 2010 fall.
- Eleven days after the deputy-commissioner hearing (and one day before the deputy’s opinion), employer received medical records dated December 15, 2015 showing preexisting constant lower-back pain, right-hip tenderness, reduced right-leg range of motion, and numbness/tingling down the right leg.
- Employer moved to reopen/reconsider and to dismiss based on Mauldin’s failure to disclose those records; the deputy denied relief and the full Commission refused to consider the records as after-discovered evidence, finding employer could have obtained them earlier with due diligence.
- The Court of Appeals concluded the December 15, 2015 records were obtained after the hearing, were material to causation/condition, were not reasonably knowable to employer given Mauldin’s denials, and that the Commission erred by refusing to reopen the record under Rule 3.3.
- The Court reversed and remanded for an evidentiary hearing to determine whether the records constitute after-discovered evidence warranting modification; other assigned errors were not reached and sanctions were denied.
Issues
| Issue | Mauldin's Argument | Employer's Argument | Held |
|---|---|---|---|
| Whether the Commission erred by refusing to consider the December 15, 2015 medical records as after-discovered evidence | Records were either known or cumulative; no basis to reopen | Records were obtained after hearing, could not have been found earlier given Mauldin’s denials, are material and could change outcome | Court reversed: Commission erred; must reopen record and hold hearing on after-discovered evidence |
| Whether claim should be dismissed for Mauldin’s concealment of prior medical history | No dismissal; concealment not shown to bar compensation | Concealment of relevant prior records justified dismissal or adverse action | Not reached on merits — remand for hearing may affect this issue |
| Whether Mauldin suffered a continuing causally related disability from the workplace injury | Disability linked to work fall | Preexisting condition could explain symptoms | Not decided — remanded for further factfinding on impact of the records |
| Whether Mauldin established a treating relationship and whether Commission improperly favored her physician over employer’s expert | Treating-physician relationship and opinion entitled to weight | Employer’s expert should control; treating relationship not established | Not decided — remanded; appellate court did not resolve these factual disputes |
Key Cases Cited
- Van Buren v. Augusta Cty., 66 Va. App. 441 (2016) (appellate review view favorably to prevailing party below)
- Town & Country Hosp., LP v. Davis, 64 Va. App. 658 (2015) (standards for appellate review of commission findings)
- Newport News Shipbuilding & Dry Dock Co. v. Wardell Orthopaedics, P.C., 67 Va. App. 404 (2017) (deference to commission factual findings; legal questions reviewed de novo)
- Anderson v. Anderson, 65 Va. App. 354 (2015) (standards for reviewing commission factfinding)
- Gwaltney of Smithfield, Ltd. v. Hagins, 32 Va. App. 386 (2000) (when sufficiency of evidence becomes a question of law)
- Hilton v. Martin, 275 Va. 176 (2008) (when no conflict in evidence legal review applies)
- Williams v. People’s Life Ins. Co., 19 Va. App. 530 (1995) (elements required to reopen for after-discovered evidence)
- Mize v. Rocky Mt. Ready Mix, Inc., 11 Va. App. 601 (1991) (compelled reopening where material post-hearing medical evidence could change outcome)
