Cramer v. Auglaize AcresCramer v. Auglaize Acres
{¶ 1} In this discretionary appeal, we are asked whether governmental immunity, as set forth in R.C. Chapter 2744,
Case Procedure
{¶ 2} Frank Cramer was 71 years old and a resident of Auglaize Acres, a county home created by the Auglaize County Board of County Commissioners pursuant to
{¶ 3} Appellant Rex Cramer, Frank’s son, filed a complaint as administrator of his father’s estate against appellees Auglaize Acres, the county commissioners, and Auglaize Acres employees Linda Green, R.N., and Margaret Warder, L.P.N. Cramer’s first amended complaint alleged negligence or, in the alternative, falsification of medical records, intentional infliction of emotional distress, and violations of the Ohio Nursing Home Patients’ Bill of Rights (“Patients’ Bill of Rights”). The complaint also claimed that the county was liable for its employees’ actions under theories of respondeat superior and agency by estoppel. Appellees asserted a general denial and raised the defense of governmental immunity, as well as other affirmative defenses.
{¶ 4} Appellees filed a motion for summary judgment, asserting that Auglaize Acres and the Auglaize County Board of County Commissioners were protected by the political subdivision immunity set forth in
{¶ 5} Appellees’ motion was granted in part and denied in part. The trial court granted summary judgment to Green and Warder on the claim of negligence. It granted summary judgment to Auglaize Acres and the Auglaize County Board of County Commissioners (“the county appellees”) on the claim of intentional infliction of emotional distress and on the claims of negligence and violation of patient rights insofar as punitive damages were sought. It denied the summary judgment motion in all other aspects, finding that the allegation of wanton and reckless conduct precluded Green and Warder’s defense of immunity on the claim for intentional infliction of emotional distress, that
{¶ 6} Appellant and appellees appealed to the Third District Court of Appeals, with Cramer challenging the trial court’s application of governmental immunity as well as the constitutionality of R.C. Chapter 2744.
{¶ 8} On the other hand, the court of appeals held that the trial court erred in failing to grant summary judgment to the county appellees on the claims to the extent that they alleged intentional actions, in failing to consider a defense under
Patients’ Bill of Rights
{¶ 9} Enacted in 1978, Am.Sub.H.B. No. 600, 137 Ohio Laws, Part II, 3064 (“H.B. 600”), set forth a nonexhaustive list of rights for the safety, treatment, privacy, and civil rights of nursing home patients. Previous legislation had been viewed as ineffective in ensuring the humane treatment of nursing home patients. Note, H.B. 600: Ohio’s Bill of Rights for Nursing Home Patients (1980), 5 U.Dayton L.Rev. 507, 508-509. The goal of H.B. 600 was “ ‘not to give special treatment to residents of nursing homes [but] to restore those human rights which have been eroded by misunderstanding, administrative convenience, or neglect.’ ” (Emphasis sic.) Id. at 510-511, quoting Ohio Nursing Home Comm., 113th Gen. Assembly, Final Report (July 1979) 10.
{¶ 10} Currently,
{¶ 11} There are three alternative remedies when a nursing home resident’s rights under
{¶ 12} In this case, Cramer opted to file suit against the Auglaize County Board of County Commissioners, the nursing home, and the two nurses attending to his father when he fell out of the Hoyer lift. Appellees all contend that they are immune to the claims brought against them pursuant to
Governmental Immunity
{¶ 13} In 1985, the General Assembly enacted R.C. Chapter 2744, the Political Subdivision Tort Liability Act, in response to the judicial abolishment of common-
{¶ 14} “Determining whether a political subdivision is immune from tort liability pursuant to R.C. Chapter 2744 involves a three-tiered analysis. Greene Cty. Agricultural Soc. v. Liming (2000),
{¶ 15} “The second tier of the analysis requires a court to determine whether any of the five exceptions to immunity listed in
{¶ 16} “If any of the exceptions to immunity in
{¶ 17} For the individual employees of political subdivisions, the analysis of immunity differs. Instead of the three-tiered analysis described in Colbert,
{¶ 18} Both lower courts in this case agreed that the county appellees were engaged in a proprietary function and that the exception to immunity under
{¶ 19} Cramer also argued that the exception to political subdivision immunity under
Liability Expressly Imposed by
{¶ 20} If the General Assembly expressly imposes liability on a political subdivision in another section of the Revised Code, a political subdivision is liable for injury, death, or loss to person or property. In 2002,
{¶ 21} Cramer contends that
{¶ 22} Appellees also assert that there is no clear intention to impose liability on a county home because a county home does not qualify as a “home” under the Ohio Nursing Home Patients’ Bill of Rights. They rely on
{¶ 23} Cramer contends instead that the broader definition of “home” found in
{¶ 24} “ ‘Home’ means all of the following:
{¶ 25} “(1) A home as defined in
{¶ 26} “(2) Any facility or part of a facility not defined as a home under
{¶ 27} “(3) A county home or district home operated pursuant to Chapter 5155. of the Revised Code.” (Emphasis added.)
{¶28} By adding to the definition of “home” found in
{¶ 29} This court has previously held that immunity is negated under
{¶ 30} A similar sentiment is true in this case. Like children, the elderly are vulnerable to abuse and neglect by others.
{¶ 32} With respect to nurses Warder and Green, the court of appeals determined that the use of the term “person” in
Defense under
{¶ 33} Because the exceptions to political subdivision immunity under
{¶ 35} We do not agree that the decision to use the Hoyer lift is the only discretionary act involved, for the nurses’ treatment decisions concerning Frank are also discretionary. Furthermore, the proper method for using the Hoyer lift and the issue of whether the nurses properly followed the home’s policy concerning patient falls are also disputed. Because there are material issues of fact as to whether the nurses acted maliciously, in bad faith, wantonly, or recklessly, we cannot say as a matter of law that
Conclusion
{¶ 36} We hold that
{¶ 37} For the foregoing reasons, the judgment of the court of appeals is reversed to the extent that it refused to recognize a cause of action under the Ohio Nursing Home Patients’ Bill of Rights against Auglaize Acres and the Auglaize County Board of County Commissioners. The judgment is affirmed in all other respects. The case is remanded to the trial court for further proceedings.
Judgment affirmed in part and reversed in part, and cause remanded.
Notes
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. Citations to
. A Hoyer lift is a device used to help get patients in and out of bed. It involves placing a sling under a patient and attaching the sling to a metal frame with chains. The patient is then lifted, and the frame is maneuvered to the desired location.
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. {¶ a} The definition of “home” under
{V b} “(A) As used in
{¶ c} “(l)(a) ‘Home’ means an institution, residence, or facility that provides, for a period of more than twenty-four hours, whether for a consideration or not, accommodations to three or more unrelated individuals who are dependent upon the services of others, including a nursing home, residential care facility, home for the aging, and a veterans’ home operated under Chapter 5907. of the Revised Code.
{¶ d} “(b) ‘Home’ also means both of the following:
{¶ e} “(i) Any facility that a person, as defined in section 3702.51 of the Revised Code, proposes for certification as a skilled nursing facility or nursing facility under Title XVIII or XIX of the ‘Social Security Act,’ 49 Stat. 620 (1935), 42 U.S.C.A. 301, as amended, and for which a certificate of need, other than a certificate to recategorize hospital beds as described in section 3702.522 of the Revised Code or division (R)(7)(d) of the version of section 3702.51 of the Revised Code in effect immediately prior to April 20, 1995, has been granted to the person under sections 3702.51 to 3702.62 of the Revised Code after August 5,1989;
{¶ f} “(ii) A county home or district home that is or has been licensed as a residential care facility.
{¶ g} “(c) ‘Home’ does not mean any of the following:
{¶ h} “(i) Except as provided in division (A)(1)(b) of this section, a public hospital or hospital as defined in section 3701.01 or 5122.01 of the Revised Code;
{¶ i} “(ii) A residential facility for mentally ill persons as defined under section 5119.22 of the Revised Code;
{¶ j} “(Hi) A residential facility as defined in section 5123.19 of the Revised Code;
{Ik} “(iv) A community alternative home as defined in section 3724.01 of the Revised Code; {¶ 1} “(v) An adult care facility as defined in section 3722.01 of the Revised Code;
{¶ m} “(vi) An alcohol or drug addiction program as defined in section 3793.01 of the Revised Code;
{¶ n} “(vii) A facility licensed to provide methadone treatment under section 3793.11 of the Revised Code;
{¶ o} “(viii) A facility providing services under contract with the department of mental retardation and developmental disabilities under section 5123.18 of the Revised Code;
{¶ p} “(ix) A facility operated by a hospice care program licensed under section 3712.04 of the Revised Code that is used exclusively for care of hospice patients;
{¶ q} “(x) A facility, infirmary, or other entity that is operated by a religious order, provides care exclusively to members of religious orders who take vows of celibacy and live by virtue of their vows within the orders as if related, and does not participate in the medicare program established under Title XVIII of the ‘Social Security Act’ or the medical assistance program established under Chapter 5111. of the Revised Code and Title XIX of the ‘Social Security Act,’ if on January 1,1994, the facility, infirmary, or entity was providing care exclusively to members of the religious order;
{¶ r} “(xi) A county home or district home that has never been licensed as a residential eai’e facility.”
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. The current version of the statute provides for an award of punitive damages under
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{1lb} “Notwithstanding any other provision of the Revised Code or rules of a court to the contrary, in an action against a political subdivision to recover damages for injury, death, or loss to person or property caused by an act or omission in connection with a governmental or proprietary function:
{¶ c} “(A) Punitive or exemplary damages shall not be awarded.”