BITUMINOUS CASUALTY CORPORATION, APPELLANT AND CROSS-APPELLEE, V. THEODORE C. DEYLE, APPELLEE AND CROSS-APPELLANT
No. 89-426
Supreme Court of Nebraska
February 23, 1990
451 N.W.2d 910
The judgment below is reversed, and the cause is remanded for further proceedings consistent with this opinion.
REVERSED AND REMANDED FOR FURTHER PROCEEDINGS.
Daniel L. Lindstrom and Jeffrey H. Jacobsen, of Jacobsen, Orr, Nelson, Wright, Harder & Lindstrom, P.C., for appellee.
HASTINGS, C.J., BOSLAUGH, WHITE, CAPORALE, SHANAHAN, GRANT, and FAHRNBRUCH, JJ.
PER CURIAM.
Bituminous Casualty Corporation (Bituminous) appeals from an order of the Nebraska Workers’ Compensation Court, which, on rehearing, directed Bituminous to pay $56,412.05 in nursing expenses for Theodore C. Deyle. Deyle cross-appeals and contends that the Workers’ Compensation Court erred in failing to award him an additional sum for waiting time, an attorney fee, and interest.
STANDARD OF REVIEW
“Findings of fact made by the Nebraska Workers’ Compensation Court after rehearing have the same force and effect as a jury verdict in a civil case. [Citations omitted.] In testing the sufficiency of evidence to support findings of fact made by the Nebraska Workers’ Compensation Court after rehearing, the evidence must be considered in the light most favorable to the successful party. [Citations omitted.] Factual determinations by the Workers’ Compensation Court will not be set aside on appeal unless such determinations are clearly erroneous. Regarding facts determined and findings made after rehearing in the Workers’ Compensation Court,
§ 48-185 precludes the Supreme Court‘s substitution of its view ofthe facts for that of the Worker‘s Compensation Court if the record contains evidence to substantiate the factual conclusions reached by the Workers’ Compensation Court. [Citations omitted.] As the trier of fact, the Nebraska Workers’ Compensation Court is the sole judge of the credibility of witnesses and the weight to be given testimony.”
Osborne v. Buck‘s Moving & Storage, 232 Neb. 752, 752-53, 441 N.W.2d 906, 906-07 (1989). See, Fees v. Rivett Lumber Co., 228 Neb. 617, 423 N.W.2d 483 (1988); Mendoza v. Omaha Meat Processors, 225 Neb. 771, 408 N.W.2d 280 (1987). See, also,
BITUMINOUS I
On August 4, 1984, Deyle, employed as president of the Deyle Construction Company, sustained a severe back and spinal injury. When a dispute arose over the compensability of Deyle‘s claim for workers’ compensation, Bituminous, the insurer for Deyle‘s employer, filed an action in the Workers’ Compensation Court to determine liability on Deyle‘s claim. On December 30, 1985, the Workers’ Compensation Court entered its “Award on Rehearing” and ordered Bituminous to pay disability benefits to Deyle and pay Deyle‘s medical expenses of $61,229.67. Bituminous appealed.
In Bituminous Casualty Corp. v. Deyle, 225 Neb. 82, 402 N.W.2d 859 (1987) (Bituminous I), issued on March 27, 1987, we concluded that Deyle was not entitled to disability benefits. Consequently, in Bituminous I we held that the Workers’ Compensation Court‘s “judgment is in error and must be reversed” concerning the award of disability benefits, but that “[t]he judgment of the three-judge panel of the Workers’ Compensation Court is affirmed except as modified” regarding the appellate disallowance of disability benefits. 225 Neb. at 91, 402 N.W.2d at 865-66. Thus, as the result of Bituminous I, the initial award of $61,229.67 for Deyle‘s medical expenses remained intact.
AFTER BITUMINOUS I
On September 3, 1987, Bituminous paid part of Deyle‘s medical expenses ordered to be paid under the initial award
Pretrial Order.
As the result of a pretrial conference before rehearing in the Workers’ Compensation Court, the pretrial order specified that among the issues were whether Deyle‘s nursing care and expenses were fair and reasonable; whether certain medical expenses were the result of his back injury; and whether Deyle was “entitled to receive additional sums for waiting time, attorney fees, and interest ....” As we expressed in Bump v. Firemens Ins. Co., 221 Neb. 678, 684, 380 N.W.2d 268, 273 (1986):
Pretrial conferences are conducted to simplify and narrow issues presented in a case. [Citation omitted.] Issues specified at a pretrial conference control the course of an action and, unless altered by the court, constitute the issues on which the case is tried. [Citation omitted.] Generally, issues delineated in an unaltered pretrial order supplant the issues raised in the pleadings. [Citation omitted.]
Before the rehearing, Bituminous paid the balance of the medical expenses in compliance with the initial award modified in Bituminous I.
Evidence of Medical Expenses.
Deyle is unmarried. After the compensable 1984 back injury, Deyle‘s right leg was amputated below the knee. Even prior to the amputation, Deyle had experienced difficulty in moving about, but at times he was somewhat ambulatory with a “walker.” With the exception of hospital confinement for approximately 1 month in 1987, for 12 days in early April 1988, and for 7 weeks from late April until June 21, 1988, all Deyle‘s care in question was received in his home in Kearney, Nebraska.
Deyle‘s physician, Dr. Robert C. Rosenlof, expressed a medical preference that any of his patients with a back injury
According to Dr. Rosenlof, Deyle was “not able to be up and around.” Consequently, Deyle‘s condition involved protracted bed rest during which he was unable to move himself within his bed. Extended bed rest required that someone check Deyle‘s body for “ulcers” and assist him in moving from the bed into the walker and, later, from the walker into the bed. As Dr. Rosenlof observed, even with a walker, Deyle‘s ambulation required “considerable assistance.” The instability in Deyle‘s back makes use of a prosthesis doubtful. Deyle requires assistance in setting up equipment for his bowel movement and catheterization, and in monitoring his blood pressure in view of his hypertension. As a result of limited locomotion, Deyle cannot prepare his meals or bathe himself. Dr. Rosenlof felt that someone would have to be with Deyle in case of an urgent need for some form of assistance during the night. For that reason, Dr. Rosenlof prescribed inhome nursing care around-the-clock for Deyle.
The personnel hired by Deyle to render inhome nursing care included a nurse‘s aide who stayed at Deyle‘s home and provided care from 5 p.m. until 8 a.m. for a monthly salary of $1,000. Deyle also hired a certified care staff member (CSM), who had more training than a nurse‘s aide, to take care of him from 8 a.m. to 5 p.m. on weekdays and paid the CSM $5 per hour. A licensed practical nurse, whom Deyle paid $3.50 per hour, came to Deyle‘s home and worked Saturdays and Sundays from 8 a.m. to 5 p.m. Deyle employed other personnel on an “as needed” basis when one of the regular nursing employees was unavailable.
Karma Dorn, a representative of the area agency on aging, which had assisted Deyle in finding nursing personnel, testified that Deyle was paying the “going rate” for his inhome nursing care. Dorn also testified that the rates for similar personnel obtainable through the private duty services pool at the Good
For the inhome nursing care, Deyle paid $56,412.05 as follows: For the last three quarters of 1986, $15,388.04; for 1987, $23,184.96; and for the first three quarters of 1988, $17,839.05. According to our interpolative computations, Deyle paid a daily rate of $55.96 for his nursing care in 1986, $63.52 in 1987, and $65.11 in 1988.
Deyle was confined to a hospital for 35 of 92 days during the third quarter of 1987. During his hospital confinement, Deyle continued paying a nurse‘s aide $3,000 for the quarter notwithstanding his absence from home. Also, during the second quarter of 1988, Deyle was hospitalized for 66 of the 91 days during the quarter, but continued to pay a nurse‘s aide $3,000 for the quarter despite his hospital confinement. Evidence failed to suggest that continued payment during Deyle‘s hospitalization was a necessary arrangement to assure the availability of nursing personnel on Deyle‘s dismissal from the hospital.
Bituminous introduced testimony from two representatives of Kearney area nursing homes which provide nursing care similar to that received at Deyle‘s home. Harry Carlsen of St. John‘s Nursing Home testified that had Deyle been at St. John‘s, he would have been charged a daily rate of approximately $45 in 1986 and $48 in 1987 and a rate of $51.40 in 1988. Linda Chandler of St. Luke‘s Good Samaritan Village testified that the daily rates for a patient of Deyle‘s needs were $43.50 in 1986, $50.50 in 1987, and $48.20 in 1988. No evidence indicated that nursing home facilities were available when Deyle received his inhome nursing care.
DECISION OF WORKERS’ COMPENSATION COURT
The Workers’ Compensation Court determined that Deyle did require inhome nursing care as a result of his August 1984 injury and that Bituminous must reimburse Deyle for such care. See
Further, the Workers’ Compensation Court concluded that
is limited to compensation payable under the provisions of the Nebraska Workers’ Compensation Act and does not apply to delinquent payment of a medical or hospital expense. Section 48-125 addresses “compensation” as the amount payable periodically in accordance with the methods of payments of wages of the employee at the time of the injury (emphasis supplied). The Court does not feel that the word “compensation” includes medical expenses, but is limited to payment of compensation for disability.
On that basis, the court refused to assess any sum for Bituminous’ delay in satisfying the initial award, which had been affirmed as modified in Bituminous I, and refused to award an attorney fee or assess interest under
ASSIGNMENTS OF ERROR
Bituminous appeals and assigns two errors, claiming that (1) Deyle‘s inhome nursing expenses are not recoverable medical expenses and (2) even if the rendered services are medical in nature, the expenses are not fair and reasonable charges for the services rendered.
Deyle cross-appeals and contends that he is entitled to sums for Bituminous’ delay in satisfying the initial award, an attorney fee, and interest for delayed payment of the initial award, all authorized by
INHOME NURSING CARE EXPENSES
Section 48-120 provides:
The employer shall be liable for all reasonable medical, surgical, and hospital services ... not to exceed the regular
charge made for such service in similar cases.... ....
The Nebraska Workers’ Compensation Court shall have the authority to determine the necessity, character, and sufficiency of any medical services furnished or to be furnished....
Generally, pursuant to
Bituminous “submits that Deyle is not entitled to compensation for services which include simply being present in the household, ordinary housekeeping tasks, cleaning, preparation of meals, washing and mending of clothes.” Brief for appellant at 12.
Bituminous bases its argument on Currier v. Roman L. Hruska U.S. Meat Animal Res. Ctr., 228 Neb. 38, 45, 421 N.W.2d 25, 30 (1988), in which we stated that “[o]rdinary, noncompensable housekeeping tasks include cleaning, preparation of meals, and washing and mending clothes. Compensable tasks include serving meals in bed, bathing and dressing, administering medication, and assisting with sanitary functions.”
The substance of Bituminous’ argument, as we interpret the argument, is that Bituminous is not liable for services received by Deyle which might have been rendered by nonnursing personnel.
Consistent with Currier, charges for services by the nursing personnel hired by Deyle are compensable under
Bituminous also argues that Deyle should not be reimbursed
Bituminous further argues that the charges for Deyle‘s nursing care are not fair and reasonable and, thus, are unrecoverable under
As Bituminous correctly points out, an employee has the burden to prove compensability of a claim against an employer under the Nebraska Workers’ Compensation Act. Fees v. Rivett Lumber Co., 228 Neb. 617, 423 N.W.2d 483 (1988); Mendoza v. Omaha Meat Processors, 225 Neb. 771, 408 N.W.2d 280 (1987).
However, we cannot justifiably ignore the longstanding rule established for nearly 70 years in Nebraska: “Where the evidence shows that certain hospital and nurse expenses have been incurred by the injured employee, a prima facie case is made out, and in the absence of any showing that the expenses so incurred were unreasonable, such proof will be held to be sufficient.” Gourley v. City of Grand Island, 168 Neb. 538, 546, 96 N.W.2d 309, 314 (1959). See, also, Schoenrock v. School Dist. of Nebraska City, 179 Neb. 621, 139 N.W.2d 547 (1966); Pavel v. Hughes Brothers, Inc., 167 Neb. 727, 94 N.W.2d 492 (1959); Crable v. Great Western Sugar Co., 166 Neb. 795, 90 N.W.2d 805 (1958); Gilmore v. State, 146 Neb. 647, 20 N.W.2d 918 (1945); Nosky v. Farmers Union Cooperative Ass‘n, 109 Neb. 489, 191 N.W. 846 (1922).
As we recently recognized in State v. Kipf, ante p. 227, 450 N.W.2d 397 (1990), prima facie proof is evidence sufficient to submit an issue to the fact finder and precludes a directed verdict in a jury trial, or dismissal for a failure of proof in a bench trial or case tried without a jury, on an issue in the
Deyle presented evidence that Dr. Rosenlof prescribed 24-hour-a-day care for Deyle and that inhome care was the preferred method of treatment for serious back and spinal injuries such as those sustained by Deyle as the result of his 1984 work-related injury. There was also evidence that Deyle was paying the “going rate” for his inhome care. Thus, Deyle has made a sufficient showing for the compensation court‘s conclusion that Deyle incurred the inhome nursing expenses as a result of his 1984 compensable injury. Evidence supports the finding that Deyle needs 24-hour assistance every day, even if the nursing personnel in attendance are not performing services which are medical in nature each moment of the entire 24 hours everyday. Deyle‘s evidence concerning nursing expenses is sufficient proof that the charges for the inhome care are fair and reasonable.
Bituminous also contends that some of Deyle‘s expenses for nursing care are unnecessary because Deyle was hospitalized during part of the period when he paid for inhome nursing care.
DEYLE‘S CROSS-APPEAL
Deyle contends that he is entitled to sums for waiting time, an attorney fee, and interest, all as provided by
Although rather inartfully expressed in his petition for the action on which this appeal is based, in accordance with the pretrial order Deyle sought a declaratory judgment in the Workers’ Compensation Court regarding the legal effect of the modified award in Bituminous I.
Declaratory Judgment in the Workers’ Compensation Court.
In considering whether the Workers’ Compensation Court has authority to enter a declaratory judgment, we first examine
Courts of record within their respective jurisdictions shall have power to declare rights, status, and other legal relations whether or not further relief is or could be claimed. No action or proceeding shall be open to objection on the ground that a declaratory judgment or decree is prayed for. The declaration may be either affirmative or negative in form and effect; and such declarations shall have the force and effect of a final judgment or decree.
Thus, if the Workers’ Compensation Court is a “court of record,” that court has statutory authority for a declaratory judgment.
The Workers’ Compensation Court is vested with judicial authority. See
The phrase “court of record,” used in
The old definition of a court of record given by Blackstone is “that where the acts and judicial proceedings are enrolled in parchment for a perpetual memorial and testimony, which rolls are called the record of the court and are of such high and supereminent authority that their truth is not to be called in question.” Chrisman v. Met. Life Ins. Co., 178 Tenn. 321, 325, 157 S.W.2d 831, 832-33 (1942). A “court of record” has also been defined as “being one the history of whose proceedings is perpetuated in writing. Also, it is required that some duly authorized person should record such proceedings, and when an act speaks of courts of record it speaks of courts whose proceedings are duly recorded by some authorized person or persons.” Tourtelot v. Booker, 160 S.W. 293, 297 (Tex. Civ. App. 1913).
Thus, a court which is required by law to keep a permanent and written memorialization of determinations made in proceedings brought to obtain a judicial resolution of a question is a “court of record.”
The clerk [of the Nebraska Workers’ Compensation Court] shall, under the direction of the presiding judge, keep a full and true record of the proceedings of the compensation court and record all pleadings and other papers filed with the compensation court, and no other
action shall be taken thereon until the same have been recorded.
Thus, we conclude that the Nebraska Workers’ Compensation Court is a “court of record” and, as such, has the authority to enter a declaratory judgment pursuant to the Uniform Declaratory Judgments Act,
Our inquiry, however, does not end here, for we must also determine whether Deyle‘s claim for additional sums for waiting time, attorney fees, and interest under
Section 25-21,150 provides:
Any person interested under a deed, will, written contract or other writings constituting a contract, or whose rights, status or other legal relations are affected by a statute, municipal ordinance, contract or franchise, may have determined any question of construction or validity arising under the instrument, statute, ordinance, contract, or franchise and obtain a declaration of rights, status or other legal relations thereunder.
Further,
“The remedy of declaratory judgment may be available to a litigant when a controversy exists as a result of a claim asserted against one who has an interest in contesting such claim, the controversy is between persons whose interests are adverse, the party seeking declaratory relief has a legally protectable interest or right in the subject matter of the controversy, and the issue involved is capable of present judicial determination.”
Mullendore v. Nuernberger, 230 Neb. 921, 925, 434 N.W.2d 511, 514-15 (1989) (quoting Mullendore v. School Dist. No. 1, 223 Neb. 28, 388 N.W.2d 93 (1986)).
Obviously, an award, order, or judgment of the Workers’ Compensation Court reflecting a determination whether there is liability under the Nebraska Workers’ Compensation Act is
In light of the foregoing law, both statutory and decisional, Deyle‘s claim for additional sums under
Since Deyle‘s second action in the Workers’ Compensation Court raised a question of law and does not involve a request that the court vacate or modify its award, the rule expressed in Smith v. Fremont Contract Carriers, 218 Neb. 652, 358 N.W.2d 211 (1984), namely, the Workers’ Compensation Court lacks authority to vacate or modify its judgment during the term at which the court renders the judgment, is inapplicable in the present appeal. Neither does our holding in Black v. Sioux City Foundry Co., 224 Neb. 824, 401 N.W.2d 679 (1987), that the compensation court lacks power to clarify its final judgment in the same action in which the judgment was entered, have any application.
Sums Under § 48-125 .
We now proceed to determine whether Deyle‘s cross-appeal has merit.
Section 48-125(1) in part provides:
Except as hereinafter provided, all amounts of compensation payable under the Nebraska Workers’ Compensation Act shall be payable periodically in accordance with the methods of payment of wages of the employee at the time of the injury or death; Provided, fifty percent shall be added for waiting time for all delinquent payments after thirty days’ notice has been given of disability. Whenever the employer refuses payment, or when the employer neglects to pay compensation for thirty days after injury, and proceedings are held before the Nebraska Workers’ Compensation Court, a reasonable attorney‘s fee shall be allowed the employee by the compensation court in all cases when the
employee receives an award.
The balance of
When an attorney‘s fee is allowed pursuant to this section, there shall further be assessed against the employer an amount of interest on the final award obtained, computed from the date compensation was payable, as provided in section 48-119, at a rate equal to the rate of interest allowed per annum under section 45-104.01, as such rate may from time to time be adjusted by the Legislature. Interest shall apply only to those weekly compensation benefits awarded which have accrued at the time payment is made by the employer.
Referring to
Characterizing the additional sums under
PER CURIAM.
The order of the trial court transferring this cause to the county court is REVERSED.
MILLS, WENTWORTH and THOMPSON, JJ., concur.
Although some may feel that the concurrence in Eichholz captures the essence of the moment, there is something to be said about the majority‘s opinion in Eichholz. However, we find nothing persuasive in Eichholz to assist us in resolving the question raised by Deyle‘s cross-appeal.
Deyle urges us to adopt a uniform and constant meaning for “compensation” in the Nebraska Workers’ Compensation Act. In Huffman v. Huffman, 232 Neb. 742, 749, 441 N.W.2d 899, 904 (1989), referring to Nebraska statutes for a proceeding to dissolve a marriage, we observed that “ ‘[t]o reside’ and its corresponding noun residence are chameleon-like expressions, which take their color of meaning from the context in which they are found.” Id. The same may be said of compensation inasmuch as the word is used frequently throughout the Nebraska Workers’ Compensation Act.
The meaning of “compensation” in
The Workers’ Compensation Court properly denied Deyle the additional sums authorized by
Postjudgment Interest.
As recently reaffirmed, the Workers’ Compensation Court is a tribunal of limited and special jurisdiction and has only such authority as has been conferred on it by statute. Thomas v. Omega Re-Bar, Inc., ante p. 449, 451 N.W.2d 396 (1990).
Indeed, the language of
In addition, such an implication is specifically negated by
Any order, award, or judgment by the Nebraska Workers’ Compensation Court, or any judge thereof,
certified to by the clerk of the compensation court or of the Supreme Court, certified to by the clerk thereof, for compensation pursuant to the Nebraska Workers’ Compensation Act may, as soon as the same become conclusive upon the parties at interest, be filed with the district court of any county or counties in the State of Nebraska upon the payment of a fee of two dollars to the clerk of the district court or courts where such order, award, or judgment is so filed, whereupon such order, award, or judgment shall have the same force and effect as a judgment of such district court or courts, and all proceedings in relation thereto shall thereafter be the same as though the order, award, or judgment had been rendered in a suit duly heard and determined by such district court or courts.
We conclude, therefore, that the Nebraska Workers’ Compensation Court has no authority to determine issues relating to postjudgment interest.
CONCLUSION
The judgment of the Workers’ Compensation Court is affirmed, as modified in this opinion. Because Bituminous has obtained a reduction in the award of the Workers’ Compensation Court, Deyle is not entitled to an attorney fee for services of his lawyer in this court. See
AFFIRMED AS MODIFIED.
WHITE, J., concurring in part, and in part dissenting.
I agree with the majority opinion, save that part which denies to the Workers’ Compensation Court the authority to determine whether its judgments accrue postjudgment interest, for the reasons set forth in the dissent of Fahrnbruch, J., in Thomas v. Omega Re-Bar, Inc., ante p. 449, 451 N.W.2d 396 (1990), in which I joined.
FAHRNBRUCH, J., joins in this concurrence and dissent.
