Lead Opinion
OPINION OF THE COURT
Plaintiff Eric A. Johnson brought a wrongful death action seeking damages for defendants’ negligence in failing to provide minimal security to protect his wife, Dr. Kathryn Hinnant, a pathologist at Bellevue Hospital Center (Bellevue). Dr. Hinnant was murdered and sexually assaulted in her office on Saturday, January 7, 1989 at approximately 4:00 p.m. by Steven Smith, a homeless intruder who had recently been a patient at the hospital.
This appeal seeks to overturn a judgment in favor of defendant New York City Health and Hospitals Corporation (HHC) following posttrial denial of plaintiffs motion to set aside the jury verdict as against the weight of the evidence. The jury found, by a vote of 10 to 2, that HHC’s security measures were reasonable.
The trial evidence showed that at the time in question, Bellevue, a 1,000-bed public hospital in New York City with approximately 4,000 employees, had a mandate “to provide the
The hospital center’s enormous physical plant encompassed approximately one million square feet in several separate buildings with numerous entryways. In the “new” building, where Dr. Hinnant was attacked, each of the 22 floors covered one acre. The new building and an adjacent building shared a huge basement area that contained laundry, storage and maintenance facilities as well as the morgue. There was also a tunnel that connected the basement to the basement of the homeless shelter.
The hospital’s security system at the time employed 65 to 70 security officers. They were deployed in both uniform and plainclothes, at fixed posts and in roving patrols, in three shifts around the clock throughout the hospital grounds. The officers meticulously recorded all security-related incidents in a security log, relevant portions of which were entered into evidence. The tunnel between the hospital and the homeless shelter was secured by an around-the-clock, manned security post at the top of a ramp leading into the shelter. Also, there were pull-down gates at either end of the tunnel which were lowered on weekends and at night; whenever the gate was up at the shelter end, a Bellevue security officer was stationed there. The tunnel gates could not be closed at all times because of the volume of legitimate traffic between the hospital and the shelter. As a practical matter, the concern with security had to be balanced against the need for access and movement of patients, visitors and hospital staff.
One noteworthy security problem was the employees’ habit of taping or jamming stairwell doors open to permit easy access between floors, since the elevators were slow. Employees persisted in this habit despite constant instructions to cease. Security personnel were placed on notice of the problem and were directed to constantly look out for it, rectify it if possible and if not, to note the need for repair in an incident report to maintenance and in their memo books.
Hospital policy as to intruders required employees to notify security of any sighting of unauthorized persons. Security
Prior to the attack on Dr. Hinnant, there had been one murder, of a homeless man, on the hospital grounds, and two rapes, one in 1984, the other in 1988. Generally, however, the most common crimes were pilferage, usually by hospital employees, or fights among patients. These were most often resolved by security officers without an arrest or summons.
At the time of the crime, Steven Smith was a homeless, unemployed 23 year old. When initially admitted to Bellevue on December 18, 1988, he had allegedly ingested rat poison and was suffering from suicidal ideation; an examination revealed only “inappropriate affect”. He stated that for the past three years he had abused drugs and alcohol and that his condition had recently worsened. His cocaine abuse, verified by urinalysis, had ruined his relationship with his mother because he had been stealing increasing amounts of money from her. Also, at the age of 14, he allegedly had been under psychiatric care at Kings County Hospital for hearing voices. A hospital social worker, noting this history, as well as a criminal history involving many robberies, recommended continued psychiatric care, medication and close observation.
On December 21, he was to be discharged and was given a referral to Bellevue’s walk-in psychiatric clinic, but he refused to leave and his departure was postponed a day. The next day, upon discharge, he immediately ingested more rat poison and was readmitted, at which time he apparently had a tantrum. On December 23, he was seen walking the ward in street clothes, and later “eloped”, or disappeared from his room, for several hours, having used pillows to make it appear that he was still in bed. The elopement was reported to hospital security. Upon his return, he claimed to have taken care of some business and had been sleeping in a lounge on the 15th floor. Subsequently, he had a verbal altercation with another patient, which hospital security wrote up, and was placed on a watch in connection with which all sharp objects were removed from his possession.
On the 24th, another psychiatrist noted in her report that Smith was “very oppositional”, had reluctantly admitted visiting a friend on the 15th floor, but denied using drugs in the hospital, and again threatened suicide in a manipulative way. The doctor concluded that Smith was antisocial with a personality disorder and cocaine abuse, but not acutely suicidal or dangerous to himself or to others. The recommendation was that he undergo urine toxicity testing and that he be placed under a watch to prevent another elopement or drug abuse.
On December 25, 1988, he was absent from his room most of the day, but was thought to be elsewhere on the floor. The next day, he appeared to be in a good mood and sociable. Later, he refused any professional consultation and became verbally abusive, but nevertheless was found ready for discharge and escorted off the premises, allegedly a fairly routine occurrence and not indicative of dangerousness.
On January 1, 1989, a patient reported that a person matching Smith’s description had been in her room at 4:00 a.m. that day, and hospital security investigated. The same day, a nurse observed a person of similar description roaming Ward 17N in the late afternoon; that evening another nurse saw Smith. Security responded quickly to both of the later sightings and, in the evening, caught Smith apparently stealing a clock and a hypodermic needle and arrested him on charges of burglary in the third degree and criminal possession of stolen property. He was calm and cooperative at that time.
Smith was released on his own recognizance on January 3 and later was observed at the hospital that day wearing patient’s clothing; the nurse did not question his presence. At 7:15 a.m. the next day, another nurse on the 21st floor contacted security when she found Smith locked in a therapy area. The security officer was unaware of Smith’s recent arrest at the hospital and took him to an emergency services walk-in clinic. Testimony by the then director of security for Bellevue, as well as by an attending psychiatrist at Bellevue, indicated that at this point there should have been some concern about
At 7:30 a.m. on January 4, Smith sought treatment for lower back pain in Bellevue’s emergency room. He was physically examined, no abnormalities were found, and the examining physician opined that he was “procrastinating”. Afterwards, Smith was allowed to remain in the lobby due to the cold weather.
Smith was next sighted at Bellevue at around 2:30 p.m. on January 7, 1989, the day of the murder. The wife of the manager of the newsstand in Bellevue’s main lobby observed an unshaven man wearing a long, dark coat and worn out shoes, whom she later realized was Smith, perusing pornographic magazines at the newsstand. She had her husband send him away.
Early the next morning, Dr. Hinnant’s body was discovered. The lower part of her body was unclothed, and, in addition to sexual violation, she had suffered strangulation and blunt trauma.
Smith’s subsequent videotaped statement to police alleged that on the day of the murder, he was living on the 22nd floor of the hospital. He woke up, went down to the 7th floor where he met a man named “John”, and the two agreed that they would steal to earn money to buy food. They went to the 2nd floor where Smith, wearing doctor’s clothing, picked up a piece of electric cord. Next, they allegedly proceeded to the 4th floor, looked into Dr. Hinnant’s office, tried unsuccessfully to pick some locks along the corridor, then returned to Dr. Hinnant’s office. Smith presented himself as a doctor and asked if he could speak with her. “John” then pushed past him, punched Dr. Hinnant in the face and Smith began choking her, first with his arm around her neck, then with the electric cord. He claimed he never intended to kill her. While he stole her jewelry and rifled her purse, “John” raped her. Thereafter, Smith took most of the stolen property to the Wards Island men’s shelter, hoping to get someone to sell it for him for food. His statements to shelter residents led to his arrest.
Following up Smith’s statement about living on the hospital’s 22nd floor, the location of the building’s ventilation and air-
The question on this appeal is whether or not the trial court erred in denying plaintiffs motion to set aside the jury verdict for defendants as against the weight of the evidence.
As was stated in Nordhauser v New York City Health & Hosps. Corp. (
The Trial Judge correctly deferred to the jury’s verdict here, which was based upon a fair interpretation of the evidence and was not palpably incorrect. Plaintiff, conversely, failed to sustain his burden of proving by a preponderance of the evidence that defendant Health and Hospitals Corporation did not provide a reasonable, minimal security system at Bellevue at the time in question, given the foreseeable harm (see, Miller v State of New York,
The record, taken as a whole, clearly demonstrates that based upon what HHC knew, it reasonably met its security obligations in general, as well as with individual regard to Steven Smith.
For example, the witnesses’ testimony and the hospital’s carefully maintained security log established that the 65 to 70
The evidence also established defendants’ reasonable, responsible security approach to Smith, the assailant, in terms of his probable, i.e., foreseeable, conduct. His extensive hospital records and the security log from the relevant time frame indicated only tendencies towards dubious threats of suicide, drug abuse, elopement from his assigned room, petty theft and trespass, but no credible evidence of violent tendencies toward others. By way of contrast, the security log reflected the presence of other more problematic patients and the more careful handling accorded them. Nor is it clear that a lapse of reasonable security contributed to Dr. Hinnant’s murder. The credibility of Smith’s statements as to his movements on the day of the murder must be strongly discounted given his admitted invention of his criminal cohort “John”, and his unsubstantiated, unlikely claims of access to various hospital areas, existent and nonexistent, not to mention his history of mental illness and drug abuse.
Certain of plaintiff’s allegations are not supported by the record considered in full. While witnesses for HHC stated that a description of Smith was not circulated to all hospital personnel after his arrest for the January 1, 1989 burglary, they also stated that such a procedure would be “unwieldy” and unwarranted, since he was a patient and would have to be permitted on premises for treatment despite the fact of his arrest. The witnesses conceded that such security measure might have been appropriate for the 16th and 17th floors. However, the jury was entitled to consider this question in light of all of the evidence it heard regarding the reasonableness of Bellevue’s security, and was not bound to reach a conclusion favorable to plaintiff.
The allegation that HHC failed to secure obvious hospital entryways flies in the face of voluminous record evidence to the contrary, as referenced above. This is particularly true with regard to the basement, where HHC deployed a 24-hour manned security post, two pull-down gates used at night and on weekends, and a second officer deployed at one of the gates when it was up.
Plaintiff, in sum, on his motion to set aside the verdict as against the weight of the evidence, as well as on this appeal, has ignored the evidence that did not comport with his point of view and would have us consider only that favorable to him (see, Maharam v Maharam,
Accordingly, the judgment of Supreme Court, New York County (Ira Gammerman, J.), entered December 2, 1996, which, upon a jury verdict for defendants, entered judgment and costs against the plaintiff, should be affirmed, without costs.
Notes
It is not clear that this hospital, which is run by a municipal entity, provides a high volume of burdensome public health services on behalf of the municipality, and whose security force consists of special patrolmen with powers similar to those of officers of the New York City Police Department, was functioning in a proprietary mode here as opposed to a governmental one. This is especially true, since it is being called into question for the way it chose to allocate resources for what, under these circumstances, amounts to general police protection (see, Clinger v New York City Tr. Auth.,
Dissenting Opinion
For the reasons below, I would reverse the verdict as against the weight of the evidence.
Despite believing that “the evidence was very strong in favor of the plaintiff” and stating that the plaintiff would have prevailed at a Bench trial, the Trial Judge denied the motion because of his general reluctance to disturb jury verdicts as a matter of principle.
While it is true that the size of the Bellevue Hospital complex (about 1,000 inpatients and 4,000 employees in 1989) and the nature of its clientele present special challenges for hospital security and communications among personnel, this is no reason to apply a more lenient standard. “[T]he general standard of care * * * placed upon hospitals within a community does not deviate according to their ‘nature or size’ ” (Vandenburgh v Columbia Mem. Hosp.,
On the contrary, these factors made it particularly important that New York City Health and Hospitals Corporation (NYCHHC) closely monitor the identity and location of persons legitimately present, provide functional locks at key access points and maintain adequate communications among security
A serious risk of dangerous intruders existed at the hospital. Many of Bellevue’s patients had substance-abuse problems, a history of violent antisocial behavior, or other mental disorders. The basement of the hospital also connected to a tunnel which led to a shelter where many persons with similar problems resided.
Steven Smith himself, when he was a patient at the hospital shortly before the murder, had threatened homicide in a doctor’s presence. He was also a drug addict with a history of delusions and hallucinations. In the days after his discharge, he gained unauthorized access to the hospital several times and once committed burglary there, even masquerading as a doctor at one point in order to avoid eviction.
The evidence presented at trial showed numerous flaws in the defendant’s security system, especially regarding its handling of Smith. Due to the high volume of traffic between the shelter and the hospital, the gate separating the tunnel from the basement was not locked during the day. Security personnel regularly patrolled the basement, as well as the other areas of the building, but a permanent security guard was posted only at the shelter end of the tunnel.
Once a person was in the basement, he had open access to the west stairwell, which ran up the entire building, and could enter the building without passing any security personnel. Moreover, the locks on the stairwell doors, which opened onto each floor of the hospital, were frequently rendered inoperable (usually jammed or taped) by hospital employees who were in a hurry. The security patrols were supposed to check the locks regularly and remove the obstructions, but were often unable to keep up with the problem because the employees kept jamming the locks.
In particular, Quinton Carrigy, the Assistant Director of Security, admitted that the stairway door to the fourth floor
Not surprisingly, intruders routinely took advantage of this easy access to the hospital. Robert Frazier, the Assistant Director of Administration, testified that the hospital periodically discovered homeless intruders in the basement and evicted them. Moreover, Carrigy testified that a woman had been raped in the basement in December 1988—less than a month before Dr. Hinnant’s murder.
According to the hospital security log, in the month preceding the crime, there were at least three reports of unauthorized persons living in the fourth floor locker room, and at least five reports of persons sleeping in other common areas and stairways around the hospital. Of special note is the fact that the Director of Security was notified that a trespasser seemed to be living on the 22nd floor, as evidenced by a mattress and food items, but no steps were taken to remedy this situation. After his arrest, Smith told the police that he had been living on the 22nd floor.
Though Smith’s affinity for disguises, deception and trespass, as well as his severely unbalanced mental state, quickly became evident to hospital personnel who had contact with him, the hospital repeatedly failed to ensure that the staff could keep track of Smith’s whereabouts. For instance, on January 3 and 4, the nurses and security staff who noticed Smith wandering the hospital were not aware that he was a trespasser because the hospital had not issued a bulletin regarding him. At trial, the Director of Security and the President of NYCHHC both conceded that considering Smith’s history and his recent arrest, the hospital should have made greater efforts to keep him out.
Smith was admitted to the emergency room on January 4, complaining of lower back pain. Though the staff determined that he was malingering, he was not ejected, but instead was allowed to remain in the lobby because of the weather. (Under the City’s “cold alert” policy, the hospital allowed homeless persons to remain in the lobby when the temperature was below freezing.) These cold temperatures persisted through the date of the murder, which is presumably why Smith was never ejected.
Indeed, the evidence clearly supports the conclusion that, even giving credence to defendant’s claim that it was too unwieldy to notify all personnel of Smith’s arrest, it was both feasible and necessary to alert the emergency room staff, given Smith’s penchant for falsifying emergency illnesses in order to resume trespassing and committing crimes at the hospital.
On the afternoon of January 7, Smith robbed, raped and strangled Dr. Hinnant as she was working in her office. He told the police, and later testified, that he had left the 22nd floor, where he was living, in search of items to steal. He and “John”, an alleged accomplice (believed by Smith’s psychiatrist to be a figment of his imagination), entered the fourth floor through the stairway door and accosted Dr. Hinnant in her office. However, at later points in his testimony, Smith denied making these statements.
In light of the above facts, the plaintiff contends that NYCHHC failed to maintain minimal security with respect to trespassers generally and Smith in particular.
NYCHHC argues that the trial court erred in rejecting NYCHHC’s contention that the plaintiff was required to prove the existence of a special duty. When a public entity is performing a governmental function, it cannot be held liable for negligence unless it is proved that the public entity assumed and breached a special duty of protection to the injured party (Bonner v City of New York,
However, when the public entity is performing a proprietary function, it has the same negligence liability as a private entity. “It is well settled that where the State engages in a proprietary function such as providing medical and psychiatric care, it is held to the same duty of care as private individuals and institutions engaged in the same activity” (Rattray v State of New York,
Where the public entity arguably performs a mixture of governmental and proprietary functions, “[i]t is the specific act or omission out of which the injury is claimed to have arisen and the capacity in which that act or failure to act occurred which governs liability, not whether the agency involved is engaged generally in proprietary activity or is in control of the location in which the injury occurred” (Weiner v Metropolitan Transp. Auth., 55 NY2d, supra, at 182). Thus, the special-duty rule will not apply when the basis of the claim is that the public entity breached its duty as a landlord to maintain the premises in a safe condition. In Rubino (114 AD2d, supra, at 247), the Court held that although operating public schools is generally a governmental function, a school was liable as landlord where it failed to protect a teacher against a known risk of falling debris in the schoolyard.
The State and the City have often been held liable in a proprietary capacity as landlords where various public entities failed to install or repair security devices or otherwise maintain safe premises. In Platovsky v City of New York (
Similarly, in Miller v State of New York (
In the instant case, the trial court properly denied the defendants’ request to instruct the jury on the special-duty
The plaintiff asks this Court to set aside the jury verdict on the grounds that the finding of no negligence was against the weight of the evidence. “[T]he Appellate Division has sweeping authority to review the trial evidence” and may order a new trial “when the jury’s determination is palpably incorrect and a substantial injustice would be done if the verdict were sustained” (Nordhauser v New York City Health & Hosps. Corp.,
This distinction between “weight” and “sufficiency” standards of review means that in the former case, the court need not determine that there are no triable issues before it can set aside the verdict (Nicastro v Park,
As the facts of Yalkut (162 AD2d, supra, at 185-188) show, certain security procedures are so inadequate that the only fair interpretation of the evidence is that the defendants were negligent. The plaintiff, a defense attorney, had arranged to meet with a prisoner who was a potential defense witness. He was beaten by this prisoner in the interview room. The Department of Correction, but not the lawyer, knew of the inmate’s violent tendencies. However, the interview room in the base
The jury verdict apportioning most of the negligence to the plaintiff was set aside as against the weight of the evidence, as the Court found that the design and security of the interview arrangements were clearly negligent whereas the plaintiff had no reason to know of the danger (supra, at 188).
Courts have frequently found negligence, based on a failure to provide minimal security, when the landlord or manager of a building that has a history of dangerous trespassers and broken security devices has made no serious effort to rectify these problems despite having notice of the risks. In Jacqueline S. v City of New York (
In Beatty v National Assn. for Advancement of Colored People (
The plaintiff in Skaria v State of New York (
When she came home from work one night, the plaintiff was accosted by an intruder in the elevator, who took her to the basement and raped her. Had the elevator been programmed properly, he would have had no secluded place for the assault (supra, at 713-714). The court found that the State was negligent: having set up security procedures indicating that it was aware of the danger of intruders in the basement, the State failed to ensure compliance with those procedures (supra).
The fact that a defendant “made no meaningful effort to comply with its own rules and policies” regarding security has been considered evidence of negligence (Wyatt v State of New York,
Defendant NYCHHC admittedly did not take adequate measures to enable its staff to identify unauthorized persons on the premises (see, Prager v City of New York Hous. Auth.,
Accordingly, I would set aside the verdict and order a new trial.
Milonas, J. P., and Wallach, J., concur with Williams, J.; Rosenberger and Mazzarelli, JJ., dissent in a separate opinion by Rosenberger, J.
Judgment, Supreme Court, New York County, entered December 2, 1996, affirmed, without costs.
Though the Court did not explicitly discuss the special-duty rule, it presumably did not apply because the negligence complained of involved the design of the rooms, rather than the number of guards allocated to this area.
