IN THE COURT OF APPEALS OF THE STATE OF MISSISSIPPI
NO. 2018-CA-00261-COA
ESTATE OF AMELIA BUTLER, BY AND APPELLANTS THROUGH THE ADMINISTRATOR, JONATHAN BUTLER; JAMES BUTLER, PERRY BUTLER, ANGELA JOHNSON, JENNIFER BUTLER, JEREMIAH BUTLER AND JAKESHA BUTLER, INDIVIDUALLY
v.
PHC-CLEVELAND INC. D/B/A BOLIVAR APPELLEE MEDICAL CENTER
DATE OF JUDGMENT: 12/05/2017 TRIAL JUDGE: HON. CHARLES E. WEBSTER COURT FROM WHICH APPEALED: BOLIVAR COUNTY CIRCUIT COURT ATTORNEY FOR APPELLANTS: AZKI SHAH ATTORNEYS FOR APPELLEE: KIMBERLY NELSON HOWLAND CHARLES EDWARD COWAN NATURE OF THE CASE: CIVIL - WRONGFUL DEATH DISPOSITION: AFFIRMED - 06/18/2019 MOTION FOR REHEARING FILED: MANDATE ISSUED:
BEFORE BARNES, C.J., TINDELL AND McCARTY, JJ.
McCARTY, J., FOR THE COURT:
¶1. Jonathan Butler initiated a lawsuit in the Bolivar County Circuit Court against PHC-
Cleveland Inc. d/b/a Bolivar Medical Center (“Bolivar”), alleging that his mother, Amelia
Butler, died as a result of Bolivar’s medical malpractice. Bolivar filed a motion for summary
judgment, asserting that Jonathan’s claims were barred by the statute of limitations. The
circuit court granted the motion and dismissed the case. Jonathan now appeals, alleging that
the circuit court erred in finding that the statute of limitations for his claims began to run on the day Amelia passed away.1
¶2. Because the two-year limitations period had run by the time Jonathan filed his
complaint, we affirm the dismissal of this claim via summary judgment. By holding that
Jonathan’s wrongful-death claim is barred by the statute of limitations, his other claims are
likewise barred. For that reason we will not address Jonathan’s claims for loss of consortium
and negligent infliction of emotional distress.
FACTS AND PROCEDURAL HISTORY
¶3. Amelia Butler was a seventy-year-old, long-term care patient first admitted to Bolivar
following a stroke. Amelia passed away on January 7, 2013, after being moved several times
between Bolivar and a specialty hospital in Greenwood, Mississippi. When she was first
admitted to Bolivar, Amelia was unable to bear weight and remained mostly bed bound.
Bolivar’s records indicate that Amelia had no skin breakdown upon her arrival. However,
over the next seven months, she developed multiple stage III and stage IV decubitus ulcers.2
Amelia’s death certificate was issued on January 22, 2013. The certificate listed the
following as her cause of death: (1) cardiopulmonary arrest; (2) severe sepsis; and (3)
multiple decubitus ulcers.
¶4. Amelia was posthumously transferred to Redmond Funeral Home. A funeral home
1 We recognize that the notice of appeal includes the phrase “et. al.,” [sic] and we use the word “Jonathan” in this opinion for brevity. 2 Stage III decubitus ulcers extend into the tissue beneath the skin, forming a small crater. Fat may show in the sore, but not muscle, tendon, or bone. At stage IV, the wound is very deep, reaching into muscle and bone and causing extensive damage. Damage to deeper tissues, tendons, and joints may occur.
2 employee called her son, Jonathan, and told him that he needed to come immediately. There
Jonathan was shown the various wounds on his mother’s body. He took photographs of her
injuries. Afterward, Jonathan collected Amelia’s records from her medical providers to “get
answers” for his mother.
¶5. Jonathan then proceeded to contact an attorney, who in turn enlisted a medical
expert’s help to determine Amelia’s cause of death. The medical expert provided a report
on June 1, 2015. The expert concluded Bolivar had breached the standard of care owed to
Amelia Butler. This breach was a contributing cause of Amelia’s death. A notice of intent
was provided to Bolivar on August 31, 2015, and the complaint was filed December 15,
2015.
¶6. Bolivar sought dismissal, arguing that Jonathan knew of Amelia’s injuries and had
been put on notice of any potential negligence before Amelia’s passing. At the hearing, the
court found that Amelia’s wounds were not latent injuries, and so the statute of limitations
began to run on the date of her death. Jonathan now appeals the dismissal of his claims.
STANDARD OF REVIEW
¶7. “A trial court’s grant of summary judgment is reviewed de novo.” Johnson v. Pace,
122 So. 3d 66, 68 (¶7) (Miss. 2013). “Furthermore, application of a statute of limitation is
a question of law to which a de novo standard also applies.” Sarris v. Smith, 782 So. 2d 721,
723 (¶6) (Miss. 2001).
DISCUSSION
¶8. Mississippi provides claimants two years to file a medical malpractice claim. Miss.
3 Code Ann. § 15-1-36(2) (Rev. 2012). The two years commence and begin running on the
“date of the alleged act, omission, or neglect.” Id. Our Legislature saw fit to incorporate a
built-in discovery rule within the statute to protect claimants with latent injuries. Neglen v.
Breazeale, 945 So. 2d 988, 990 (¶9) (Miss. 2006). The discovery rule tolls the statute of
limitations period until a claimant, using reasonable diligence, could have first known of the
injury itself, the cause of the injury, and the causative relationship between the injury and the
conduct of the medical practitioner. Long v. Mem’l Hosp. at Gulfport, 969 So. 2d 35, 43
(¶27) (Miss. 2007). This rule redirects the focus from when the injury occurred to when the
negligence causing the injury was discovered. Waldrup v. Eads, 180 So. 3d 820, 826 (¶33)
(Miss. Ct. App. 2015).
¶9. There is no precise formula to determine whether or not the discovery rule will toll
a statute of limitations. Huss v. Gayden, 991 So. 162, 166 (¶6) (Miss. 2008). Whether a
claimant has sufficient notice of a viable claim is to be determined on a case-by-case basis.
Sarris, 782 So. 2d at 725 (¶13). In cases where there is a strong dispute over the applicability
of the discovery rule, the issue should be determined by a jury. Miss. Valley Silica Co. Inc.
v. Barnett, 227 So. 3d 1102, 1119 (¶44) (Miss. Ct. App. 2016). Here, the circuit court held
Jonathan waited too long to file suit.
¶10. The parties do not dispute that Jonathan filed suit more than two years after Amelia’s
death. However, Jonathan argues that Amelia’s cause of death, and consequently any
negligence, could not reasonably be discovered without an expert. In his view, this context
means the statute of limitations period was tolled during the time it took to procure an expert
4 report. Yet the statute of limitations period does not automatically toll while awaiting an
expert opinion. Waldrup, 180 So. 3d at 827 (¶34). “The question of whether a statute of
limitations is tolled by the discovery rule turns on the factual determination of what the
plaintiff knew and when.” Raddin v. Manchester Educ. Found. Inc. 175 So. 3d 1243, 1249
(¶13) (Miss. 2015).
¶11. Bolivar argues that due to the visible nature of Amelia’s injuries Jonathan was put on
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IN THE COURT OF APPEALS OF THE STATE OF MISSISSIPPI
NO. 2018-CA-00261-COA
ESTATE OF AMELIA BUTLER, BY AND APPELLANTS THROUGH THE ADMINISTRATOR, JONATHAN BUTLER; JAMES BUTLER, PERRY BUTLER, ANGELA JOHNSON, JENNIFER BUTLER, JEREMIAH BUTLER AND JAKESHA BUTLER, INDIVIDUALLY
v.
PHC-CLEVELAND INC. D/B/A BOLIVAR APPELLEE MEDICAL CENTER
DATE OF JUDGMENT: 12/05/2017 TRIAL JUDGE: HON. CHARLES E. WEBSTER COURT FROM WHICH APPEALED: BOLIVAR COUNTY CIRCUIT COURT ATTORNEY FOR APPELLANTS: AZKI SHAH ATTORNEYS FOR APPELLEE: KIMBERLY NELSON HOWLAND CHARLES EDWARD COWAN NATURE OF THE CASE: CIVIL - WRONGFUL DEATH DISPOSITION: AFFIRMED - 06/18/2019 MOTION FOR REHEARING FILED: MANDATE ISSUED:
BEFORE BARNES, C.J., TINDELL AND McCARTY, JJ.
McCARTY, J., FOR THE COURT:
¶1. Jonathan Butler initiated a lawsuit in the Bolivar County Circuit Court against PHC-
Cleveland Inc. d/b/a Bolivar Medical Center (“Bolivar”), alleging that his mother, Amelia
Butler, died as a result of Bolivar’s medical malpractice. Bolivar filed a motion for summary
judgment, asserting that Jonathan’s claims were barred by the statute of limitations. The
circuit court granted the motion and dismissed the case. Jonathan now appeals, alleging that
the circuit court erred in finding that the statute of limitations for his claims began to run on the day Amelia passed away.1
¶2. Because the two-year limitations period had run by the time Jonathan filed his
complaint, we affirm the dismissal of this claim via summary judgment. By holding that
Jonathan’s wrongful-death claim is barred by the statute of limitations, his other claims are
likewise barred. For that reason we will not address Jonathan’s claims for loss of consortium
and negligent infliction of emotional distress.
FACTS AND PROCEDURAL HISTORY
¶3. Amelia Butler was a seventy-year-old, long-term care patient first admitted to Bolivar
following a stroke. Amelia passed away on January 7, 2013, after being moved several times
between Bolivar and a specialty hospital in Greenwood, Mississippi. When she was first
admitted to Bolivar, Amelia was unable to bear weight and remained mostly bed bound.
Bolivar’s records indicate that Amelia had no skin breakdown upon her arrival. However,
over the next seven months, she developed multiple stage III and stage IV decubitus ulcers.2
Amelia’s death certificate was issued on January 22, 2013. The certificate listed the
following as her cause of death: (1) cardiopulmonary arrest; (2) severe sepsis; and (3)
multiple decubitus ulcers.
¶4. Amelia was posthumously transferred to Redmond Funeral Home. A funeral home
1 We recognize that the notice of appeal includes the phrase “et. al.,” [sic] and we use the word “Jonathan” in this opinion for brevity. 2 Stage III decubitus ulcers extend into the tissue beneath the skin, forming a small crater. Fat may show in the sore, but not muscle, tendon, or bone. At stage IV, the wound is very deep, reaching into muscle and bone and causing extensive damage. Damage to deeper tissues, tendons, and joints may occur.
2 employee called her son, Jonathan, and told him that he needed to come immediately. There
Jonathan was shown the various wounds on his mother’s body. He took photographs of her
injuries. Afterward, Jonathan collected Amelia’s records from her medical providers to “get
answers” for his mother.
¶5. Jonathan then proceeded to contact an attorney, who in turn enlisted a medical
expert’s help to determine Amelia’s cause of death. The medical expert provided a report
on June 1, 2015. The expert concluded Bolivar had breached the standard of care owed to
Amelia Butler. This breach was a contributing cause of Amelia’s death. A notice of intent
was provided to Bolivar on August 31, 2015, and the complaint was filed December 15,
2015.
¶6. Bolivar sought dismissal, arguing that Jonathan knew of Amelia’s injuries and had
been put on notice of any potential negligence before Amelia’s passing. At the hearing, the
court found that Amelia’s wounds were not latent injuries, and so the statute of limitations
began to run on the date of her death. Jonathan now appeals the dismissal of his claims.
STANDARD OF REVIEW
¶7. “A trial court’s grant of summary judgment is reviewed de novo.” Johnson v. Pace,
122 So. 3d 66, 68 (¶7) (Miss. 2013). “Furthermore, application of a statute of limitation is
a question of law to which a de novo standard also applies.” Sarris v. Smith, 782 So. 2d 721,
723 (¶6) (Miss. 2001).
DISCUSSION
¶8. Mississippi provides claimants two years to file a medical malpractice claim. Miss.
3 Code Ann. § 15-1-36(2) (Rev. 2012). The two years commence and begin running on the
“date of the alleged act, omission, or neglect.” Id. Our Legislature saw fit to incorporate a
built-in discovery rule within the statute to protect claimants with latent injuries. Neglen v.
Breazeale, 945 So. 2d 988, 990 (¶9) (Miss. 2006). The discovery rule tolls the statute of
limitations period until a claimant, using reasonable diligence, could have first known of the
injury itself, the cause of the injury, and the causative relationship between the injury and the
conduct of the medical practitioner. Long v. Mem’l Hosp. at Gulfport, 969 So. 2d 35, 43
(¶27) (Miss. 2007). This rule redirects the focus from when the injury occurred to when the
negligence causing the injury was discovered. Waldrup v. Eads, 180 So. 3d 820, 826 (¶33)
(Miss. Ct. App. 2015).
¶9. There is no precise formula to determine whether or not the discovery rule will toll
a statute of limitations. Huss v. Gayden, 991 So. 162, 166 (¶6) (Miss. 2008). Whether a
claimant has sufficient notice of a viable claim is to be determined on a case-by-case basis.
Sarris, 782 So. 2d at 725 (¶13). In cases where there is a strong dispute over the applicability
of the discovery rule, the issue should be determined by a jury. Miss. Valley Silica Co. Inc.
v. Barnett, 227 So. 3d 1102, 1119 (¶44) (Miss. Ct. App. 2016). Here, the circuit court held
Jonathan waited too long to file suit.
¶10. The parties do not dispute that Jonathan filed suit more than two years after Amelia’s
death. However, Jonathan argues that Amelia’s cause of death, and consequently any
negligence, could not reasonably be discovered without an expert. In his view, this context
means the statute of limitations period was tolled during the time it took to procure an expert
4 report. Yet the statute of limitations period does not automatically toll while awaiting an
expert opinion. Waldrup, 180 So. 3d at 827 (¶34). “The question of whether a statute of
limitations is tolled by the discovery rule turns on the factual determination of what the
plaintiff knew and when.” Raddin v. Manchester Educ. Found. Inc. 175 So. 3d 1243, 1249
(¶13) (Miss. 2015).
¶11. Bolivar argues that due to the visible nature of Amelia’s injuries Jonathan was put on
notice of potential negligence before Amelia’s death, meaning that the statute of limitations
period had begun to run before Amelia’s death. Bolivar contends that the statute of
limitations period began on the day Amelia passed, or at the latest when the death certificate
was issued.
¶12. Jonathan’s wrongful-death action did not begin to accrue before Amelia’s passing,
when the statute of limitations on a wrongful-death claim, by its very nature, cannot begin
to run until death. Saul ex rel. Heirs of Cook v. S. Cent. Reg’l Med. Ctr. Inc., 25 So. 3d 1037,
1040 n.4 (Miss. 2010). Additionally, while not every death certificate will initiate the
running of the statute of limitations, here the death certificate combined with other factors
established sufficient notice of a claim. The death certificate listed the decubitus ulcers as
one of Amelia’s causes of death. Jonathan conceded that he was aware of Amelia’s wounds
and that Bolivar was treating the wounds she had acquired there. He repeatedly asked
whether the wounds that had developed and/or progressed at Bolivar were healing. His
knowledge of his mother’s wounds put him on notice that something was amiss. This
knowledge, combined with the death certificate, served as a unique example of notice
5 sufficient to trigger the statute of limitations period.
¶13. Further, Jonathan did not obtain an expert opinion for more than two-and-a-half years
after Amelia passed away. This does not follow the “reasonable diligence” requirement set
out by the discovery rule.
¶14. State law requires potential claimants to file “an accompanying certificate of
consultation with an expert or a certificate of counsel stating that a consultation has not been
obtained due to the running of the statute of limitations or an inability to secure consultation
with expert.” Gray v. Univ. of Miss. Sch. of Med., 996 So. 2d 75, 79 (¶13) (Miss. Ct. App.
2008); Miss. Code Ann. § 11-1-58 (Rev. 2014). In some cases an expert is necessary for a
potential plaintiff to become aware of a viable claim. In those cases the discovery rule will
toll the statute of limitations. See Sarris, 782 So. 2d at 725 (¶13). As a result, there is not
a bright line rule that a death certificate will begin running the statute of limitations in all
cases, and the death of a patient will not always automatically start the statute of limitations
period.
¶15. In this case the circuit court found that all claims were time-barred and granted
Bolivar’s motion for summary judgment. Given the notice provided by the death certificate
and other surrounding factors, we cannot say this was incorrect as a matter of law.
CONCLUSION
¶16. We affirm the circuit court’s holding that Jonathan’s claims are time-barred by the
statute of limitations.
¶17. AFFIRMED.
6 BARNES, C.J., CARLTON AND J. WILSON, P.JJ., GREENLEE, WESTBROOKS, TINDELL, McDONALD, LAWRENCE AND C. WILSON, JJ., CONCUR.