RENDERED: NOVEMBER 21, 2025; 10:00 A.M. NOT TO BE PUBLISHED
Commonwealth of Kentucky Court of Appeals NO. 2024-CA-1221-MR
ASPYN, LLC, D/B/A ECONO LODGE OF ERLANGER, KENTUCKY AND SANJAY PATEL APPELLANTS
APPEAL FROM KENTON CIRCUIT COURT v. HONORABLE PATRICIA M. SUMME, JUDGE ACTION NO. 22-CI-01491
MARGARET PEROULAS, AS ADMINISTRATOR AD LITEM FOR A LIMITED PURPOSE OF THE ESTATE OF ALEX CHRONIS APPELLEE
OPINION AFFIRMING
** ** ** ** **
BEFORE: EASTON, A. JONES, AND LAMBERT, JUDGES.
JONES, A., JUDGE: This appeal arises from a judgment entered by the Kenton
Circuit Court following a jury verdict in favor of Appellee, Margaret Peroulas, as
Administrator ad litem for a limited purpose of the Estate of Alex Chronis, in a premises-liability and wrongful-death action against Appellants, Aspyn, LLC d/b/a
Econo Lodge of Erlanger, Kentucky, and Sanjay Patel, its member-manager.
The case stems from an incident in which seventy-six-year-old Alex
Chronis sustained fatal third-degree burns after being scalded by excessively hot
water while showering in his room at the Econo Lodge. The jury found Appellants
negligent and awarded the Estate $1,271,486.60 in past medical expenses,
$250,000 for pain and suffering, $16,058.73 for funeral expenses, and $500,000 in
punitive damages, for a total award of $2,037,545.33. Following trial, Appellants
moved for a judgment notwithstanding the verdict (“JNOV”) and for a reduction of
damages. They argued that (1) the evidence was insufficient as a matter of law to
support a punitive-damages instruction or award; and (2) the medical-expense
award should be reduced to exclude amounts written off by healthcare providers.
The circuit court denied both motions.
On appeal, Appellants renew those arguments. For the reasons set
forth below, we affirm the judgment of the Kenton Circuit Court in all respects.
I. BACKGROUND
On November 18, 2021, Chronis checked into the Econo Lodge in
Erlanger, Kentucky, owned and operated by Aspyn, LLC and managed by Sanjay
Patel. Chronis, a traveling food vendor from Tennessee, was en route to a
Christmas festival in Ohio, where he had worked in prior years. He shared Room
-2- 112 with his nephew, Nick Chronis, and a coworker, James Stone. The adjoining
rooms in that wing of the hotel—Rooms 112 through 115—were serviced by a
single commercial water heater installed in 2019 by Joe Rademacher of Joe’s
Plumbing Repair, LLC. The installation was performed without a required permit
and was not subsequently inspected by local authorities.
Early the next morning, November 19, 2021, Chronis entered the
shower in his room. Moments later, his companions heard a thud and his screams.
They found him on the floor, covered in scalding water. Both of Chronis’s legs
were bright red with blisters forming. Although urged to seek medical care, he
instead continued to the festival that day. His nephew treated his burns with over-
the-counter ointment and bandages. Chronis later sought treatment at Miami
Valley Hospital in Ohio, but he left against medical advice before being readmitted
two days later. He remained hospitalized for nearly four months, undergoing
multiple skin grafts and enduring significant complications. On April 6, 2022, he
was transferred to a nursing facility in Knoxville, Tennessee, and later to Fort
Sanders Medical Center, where he died on June 19, 2022, from cardiac arrest
attributed to the sequelae of his burn injuries.
The Estate filed this action in Kenton Circuit Court on October 4,
2022, asserting claims of negligence, premises liability, and wrongful death. It
alleged that Appellants failed to maintain a reasonably safe premises and acted
-3- with wanton disregard for guest safety by failing to inspect, test, or regulate the
hotel’s hot-water system. Appellants denied liability and filed a third-party
complaint against Rademacher and Joe’s Plumbing Repair, alleging negligent
installation of the water heater.
At trial in June 2024, evidence established that the water heater
serving Chronis’s room produced water temperatures between 150 degrees
Fahrenheit and 155 degrees Fahrenheit—substantially higher than the 120 degrees
Fahrenheit safety standard recommended for commercial lodging. Witnesses
testified that the hotel had no written maintenance or testing procedures for water
temperature, that Patel relied on the same plumber for periodic service, and that he
was unaware of the heater’s settings. A former guest had complained about the
water in the bank of rooms at issue several months before the incident, but no
inspection of the heater or testing of those rooms followed. The jury heard
conflicting expert testimony regarding whether the hotel’s omissions constituted
ordinary or gross negligence.
The jury returned a verdict finding Appellants negligent in causing
Chronis’s injuries and death and further finding that their conduct constituted gross
negligence warranting punitive damages. The jury did not attribute any fault to the
third-party defendant, Joe’s Plumbing Repair, LLC, or its owner, Joe Rademacher,
concluding instead that responsibility rested solely with the hotel. It awarded the
-4- Estate $1,271,486.60 in medical expenses, $250,000 for pain and suffering,
$16,058.73 for funeral expenses, and $500,000 in punitive damages, for a total
award of $2,037,545.33. Appellants moved for a JNOV and to reduce the medical-
expense award to exclude $872,260.41 in amounts written off by medical
providers. The circuit court denied both motions.
This appeal followed.
II. ANALYSIS
Appellants raise two principal arguments on appeal. First, they
contend the circuit court erred by submitting punitive damages to the jury because,
in their view, the evidence did not support a finding of gross negligence. Second,
they argue the court erred by refusing to reduce the award of medical expenses to
reflect amounts written off by the medical providers. We address each argument in
turn.
A. Punitive Damages
Appellants erroneously assert that this Court must review the trial
court’s decision regarding punitive damages de novo. The de novo standard
applies where an appellant challenges the language of a particular instruction such
as whether the wording accurately states the law. PBI Bank, Inc. v. Signature
Point Condominiums LLC, 535 S.W.3d 700, 720 (Ky. App. 2016). Here, however,
Appellants do not challenge the form or substance of the instruction. Rather, they
-5- argue that the trial court erred by submitting the issue of punitive damages to the
jury at all. When the question is whether the evidence was sufficient to warrant an
instruction, we review for an abuse of discretion. Kentucky Guardianship
Administrators, LLC v. Baptist Healthcare System, Inc., 635 S.W.3d 14, 20 (Ky.
2021).
Our Supreme Court has explained:
A decision to give or to decline to give a particular jury instruction inherently requires complete familiarity with the factual and evidentiary subtleties of the case that are best understood by the judge overseeing the trial from the bench in the courtroom.
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RENDERED: NOVEMBER 21, 2025; 10:00 A.M. NOT TO BE PUBLISHED
Commonwealth of Kentucky Court of Appeals NO. 2024-CA-1221-MR
ASPYN, LLC, D/B/A ECONO LODGE OF ERLANGER, KENTUCKY AND SANJAY PATEL APPELLANTS
APPEAL FROM KENTON CIRCUIT COURT v. HONORABLE PATRICIA M. SUMME, JUDGE ACTION NO. 22-CI-01491
MARGARET PEROULAS, AS ADMINISTRATOR AD LITEM FOR A LIMITED PURPOSE OF THE ESTATE OF ALEX CHRONIS APPELLEE
OPINION AFFIRMING
** ** ** ** **
BEFORE: EASTON, A. JONES, AND LAMBERT, JUDGES.
JONES, A., JUDGE: This appeal arises from a judgment entered by the Kenton
Circuit Court following a jury verdict in favor of Appellee, Margaret Peroulas, as
Administrator ad litem for a limited purpose of the Estate of Alex Chronis, in a premises-liability and wrongful-death action against Appellants, Aspyn, LLC d/b/a
Econo Lodge of Erlanger, Kentucky, and Sanjay Patel, its member-manager.
The case stems from an incident in which seventy-six-year-old Alex
Chronis sustained fatal third-degree burns after being scalded by excessively hot
water while showering in his room at the Econo Lodge. The jury found Appellants
negligent and awarded the Estate $1,271,486.60 in past medical expenses,
$250,000 for pain and suffering, $16,058.73 for funeral expenses, and $500,000 in
punitive damages, for a total award of $2,037,545.33. Following trial, Appellants
moved for a judgment notwithstanding the verdict (“JNOV”) and for a reduction of
damages. They argued that (1) the evidence was insufficient as a matter of law to
support a punitive-damages instruction or award; and (2) the medical-expense
award should be reduced to exclude amounts written off by healthcare providers.
The circuit court denied both motions.
On appeal, Appellants renew those arguments. For the reasons set
forth below, we affirm the judgment of the Kenton Circuit Court in all respects.
I. BACKGROUND
On November 18, 2021, Chronis checked into the Econo Lodge in
Erlanger, Kentucky, owned and operated by Aspyn, LLC and managed by Sanjay
Patel. Chronis, a traveling food vendor from Tennessee, was en route to a
Christmas festival in Ohio, where he had worked in prior years. He shared Room
-2- 112 with his nephew, Nick Chronis, and a coworker, James Stone. The adjoining
rooms in that wing of the hotel—Rooms 112 through 115—were serviced by a
single commercial water heater installed in 2019 by Joe Rademacher of Joe’s
Plumbing Repair, LLC. The installation was performed without a required permit
and was not subsequently inspected by local authorities.
Early the next morning, November 19, 2021, Chronis entered the
shower in his room. Moments later, his companions heard a thud and his screams.
They found him on the floor, covered in scalding water. Both of Chronis’s legs
were bright red with blisters forming. Although urged to seek medical care, he
instead continued to the festival that day. His nephew treated his burns with over-
the-counter ointment and bandages. Chronis later sought treatment at Miami
Valley Hospital in Ohio, but he left against medical advice before being readmitted
two days later. He remained hospitalized for nearly four months, undergoing
multiple skin grafts and enduring significant complications. On April 6, 2022, he
was transferred to a nursing facility in Knoxville, Tennessee, and later to Fort
Sanders Medical Center, where he died on June 19, 2022, from cardiac arrest
attributed to the sequelae of his burn injuries.
The Estate filed this action in Kenton Circuit Court on October 4,
2022, asserting claims of negligence, premises liability, and wrongful death. It
alleged that Appellants failed to maintain a reasonably safe premises and acted
-3- with wanton disregard for guest safety by failing to inspect, test, or regulate the
hotel’s hot-water system. Appellants denied liability and filed a third-party
complaint against Rademacher and Joe’s Plumbing Repair, alleging negligent
installation of the water heater.
At trial in June 2024, evidence established that the water heater
serving Chronis’s room produced water temperatures between 150 degrees
Fahrenheit and 155 degrees Fahrenheit—substantially higher than the 120 degrees
Fahrenheit safety standard recommended for commercial lodging. Witnesses
testified that the hotel had no written maintenance or testing procedures for water
temperature, that Patel relied on the same plumber for periodic service, and that he
was unaware of the heater’s settings. A former guest had complained about the
water in the bank of rooms at issue several months before the incident, but no
inspection of the heater or testing of those rooms followed. The jury heard
conflicting expert testimony regarding whether the hotel’s omissions constituted
ordinary or gross negligence.
The jury returned a verdict finding Appellants negligent in causing
Chronis’s injuries and death and further finding that their conduct constituted gross
negligence warranting punitive damages. The jury did not attribute any fault to the
third-party defendant, Joe’s Plumbing Repair, LLC, or its owner, Joe Rademacher,
concluding instead that responsibility rested solely with the hotel. It awarded the
-4- Estate $1,271,486.60 in medical expenses, $250,000 for pain and suffering,
$16,058.73 for funeral expenses, and $500,000 in punitive damages, for a total
award of $2,037,545.33. Appellants moved for a JNOV and to reduce the medical-
expense award to exclude $872,260.41 in amounts written off by medical
providers. The circuit court denied both motions.
This appeal followed.
II. ANALYSIS
Appellants raise two principal arguments on appeal. First, they
contend the circuit court erred by submitting punitive damages to the jury because,
in their view, the evidence did not support a finding of gross negligence. Second,
they argue the court erred by refusing to reduce the award of medical expenses to
reflect amounts written off by the medical providers. We address each argument in
turn.
A. Punitive Damages
Appellants erroneously assert that this Court must review the trial
court’s decision regarding punitive damages de novo. The de novo standard
applies where an appellant challenges the language of a particular instruction such
as whether the wording accurately states the law. PBI Bank, Inc. v. Signature
Point Condominiums LLC, 535 S.W.3d 700, 720 (Ky. App. 2016). Here, however,
Appellants do not challenge the form or substance of the instruction. Rather, they
-5- argue that the trial court erred by submitting the issue of punitive damages to the
jury at all. When the question is whether the evidence was sufficient to warrant an
instruction, we review for an abuse of discretion. Kentucky Guardianship
Administrators, LLC v. Baptist Healthcare System, Inc., 635 S.W.3d 14, 20 (Ky.
2021).
Our Supreme Court has explained:
A decision to give or to decline to give a particular jury instruction inherently requires complete familiarity with the factual and evidentiary subtleties of the case that are best understood by the judge overseeing the trial from the bench in the courtroom. Because such decisions are necessarily based upon the evidence presented at the trial, the trial judge’s superior view of that evidence warrants a measure of deference from appellate courts that is reflected in the abuse of discretion standard.
Sargent v. Shaffer, 467 S.W.3d 198, 203 (Ky. 2015), overruled on other grounds
by University Medical Center, Inc. v. Shwab, 628 S.W.3d 112 (Ky. 2021). A trial
court abuses its discretion when its decision is arbitrary, unreasonable, unfair, or
unsupported by sound legal principles. Commonwealth v. English, 993 S.W.2d
941, 945 (Ky. 1999).
In Saint Joseph Healthcare, Inc. v. Thomas, 487 S.W.3d 864 (Ky.
2016), the Supreme Court of Kentucky delineated “two different avenues for the
recovery of punitive damages: one statutory and one under common law.” Id. at
-6- 870. First, “KRS[1] 411.184(2) provides for the recovery of punitive damages ‘only
upon proving, by clear and convincing evidence, that the defendant from whom
such damages are sought acted toward the plaintiff with oppression, fraud or
malice.’” Id. Second, “punitive damages may also be awarded under the common
law standard of ‘gross negligence.’ Gross negligence means a ‘wanton or reckless
disregard for the lives, safety, or property of others.’” Id. (quoting Williams v.
Wilson, 972 S.W.2d 260 (Ky. 1998); Gibson v. Fuel Transport, Inc., 410 S.W.3d
56, 59-60 (Ky. 2013)). As such, our Supreme Court stated: “punitive damages
may be awarded, when the evidence satisfies either the statutory standard of KRS
411.184(2), or the common law standard of gross negligence.” Id.
“The threshold for the award of punitive damages is misconduct
involving something more than merely [the] commission of the tort.” Fowler v.
Mantooth, 683 S.W.2d 250, 252 (Ky. 1984). “[O]rdinarily the question of
negligence, whether it be gross or ordinary, is one for a jury to determine.”
Darnell v. Hamilton, 358 S.W.2d 361, 362 (Ky. 1962).
In Louisville SW Hotel, LLC v. Lindsey, the Supreme Court affirmed
submission of punitive damages where a hotel exhibited systematic disregard of
guest safety, ignoring basic protocols and warnings about a known hazard at its
pool. 636 S.W.3d 508 (Ky. 2021). The Court stressed that punitive exposure may
1 Kentucky Revised Statutes.
-7- rest on what an owner failed to do when dangers were foreseeable and within the
premises owner’s control. Id. at 514. Likewise, “[m]ultiple acts of negligence,
each of which—if considered in isolation—might not support a finding of
wantonness, may support a finding of gross negligence when considered alongside
one another.” Id.
Viewed in a light most favorable to the Estate, the evidence presented
at trial showed that the Econo Lodge’s management wholly failed to implement
even rudimentary safeguards governing the hotel’s water-heating system. Sanjay
Patel admitted that he had never maintained any written maintenance checklists or
protocols, had never adopted any procedures for inspecting or monitoring the
hotel’s water heaters, and had never used a thermostat to test the temperature of
water in any guest room. He acknowledged that he had never read the
manufacturer’s manual for the water heater and had not followed any of the safety
warnings it contained. Patel further conceded that he knew it was his
responsibility to monitor the temperature of the hotel’s water supply, that water
above 120 degrees Fahrenheit presents a serious scald risk, and that 150 degrees
Fahrenheit constitutes an unsafe condition. Yet, despite that knowledge, he
ignored a desk-log entry made just a week before in which a guest staying in the
same bank of rooms served by the heater at issue reported issues with the water
-8- temperature. No inspection of the heater or testing of the water in other rooms
followed.
Appellant’s own expert witness, Mark Cammack, P.E.,2 elaborated on
the gravity of these omissions. He testified that industry standards require hotel
owners to have systems for routine maintenance and periodic inspection of water-
heating equipment and to read and comply with manufacturers’ safety warnings.
According to Cammack, temperatures exceeding 120 degrees Fahrenheit pose a
“severe burn risk,” and water at 150 degrees Fahrenheit can cause third-degree
burns in less than two seconds.
On this record, the trial court, having observed the witnesses and the
evidentiary subtleties, determined the evidence would allow a reasonable jury to
find wanton or reckless disregard by clear and convincing proof, and thus
submitted punitive damages. The court later denied JNOV on the same ground. In
light of the degree of deference we must show to the trial court, we cannot
conclude that the court clearly erred. Based on the evidence adduced at trial, the
jury could certainly draw a reasonable inference that Appellants’ conduct
demonstrated an indifference to the goings-on related to the hot water heater and
its maintenance. In turn, the jury could reasonably conclude that this indifference
created a condition that posed a serious risk to the life and safety of its guests. We
2 Professional Engineer.
-9- are accordingly unable to conclude that the Estate failed to meet its burden of proof
regarding punitive damages. Louisville SW Hotel, LLC, 636 S.W.3d at 515.
B. Medical-Expense Award
Appellants next contend that the circuit court erred by refusing to
reduce the jury’s award of medical expenses to exclude the amounts written off by
Mr. Chronis’s healthcare providers.3 Because this issue concerns a question of
law, our review is de novo. 3D Enters. Contracting Corp. v. Louisville & Jefferson
Cnty. Metro. Sewer Dist., 174 S.W.3d 440, 445 (Ky. 2005).
Kentucky adheres to the long-standing collateral-source rule, which
provides that a tortfeasor may not mitigate damages by showing that the injured
party has received compensation or benefits from an independent source. Baptist
Healthcare Sys., Inc. v. Miller, 177 S.W.3d 676, 682 (Ky. 2005). The doctrine
rests on three independent policy foundations: (1) to deter wrongdoers from
benefitting from their misconduct, (2) to ensure full compensation to the injured
3 We note that no formal proof was introduced regarding the nature of the medical provider write offs. The fact that an amount is “written off” internally does not necessarily mean it is not collectable.
The term “written off” is a common business accounting term meaning only that the debt is removed from the internal bookkeeping procedures eliminating it as an accounts receivable. However, until the applicable statute of limitations expires, there is no legal impediment to the creditor’s pursuit of the debt. In fact, “written off” accounts are frequently sold to collection agencies who receive a percentage of the amount collected and the balance returned to the creditor.
Dennis v. Fulkerson, 343 S.W.3d 633, 638 (Ky. App. 2011) (Thompson, J., concurring).
-10- party, and (3) to allocate any windfall to the less culpable plaintiff rather than to
the tortfeasor. Id. at 682-83.
This Court, following the Kentucky Supreme Court’s reasoning in
Miller, supra, applied the same principle in City of Nicholasville Police
Department v. Abraham, 565 S.W.3d 639 (Ky. App. 2018). There, we held that
amounts “written[]off and never subject to indemnification or paid by a third-party
source” constitute collateral benefits that may not be used to reduce a verdict. Id.
at 647. As explained in Abraham, as between the innocent injured party and the
culpable defendant, “any so-called windfall . . . should accrue to the less culpable
injured party rather than [relieve] the tortfeasor of full responsibility for his
wrongdoing.” Id. (quoting Miller, 177 S.W.3d at 682).
Appellants acknowledge these precedents but attempt to distinguish
them, arguing that the collateral-source rule should not apply where, as here, the
medical write-off resulted from the medical providers’ unilateral decisions to
reduce their bills for an uninsured patient rather than from payments by an insurer
or Medicare. They contend that while a “windfall” may be justified when the
plaintiff has paid insurance premiums, it is inequitable to allow such recovery
when no premiums were paid, and no third-party source is involved.
As noted, in Miller, our Supreme Court articulated three independent
rationales for the collateral-source rule, and only one—the insurance-premium
-11- rationale—depends on a showing that the plaintiff contributed financially to the
benefit. The remaining two rationales—deterring wrongdoing and ensuring full
compensation—apply equally to write-offs for uninsured individuals. Moreover,
this Court has applied the rule to Medicaid discounts, even though many recipients
of Medicaid benefits personally pay no or very small premiums. Abraham, 565
S.W.3d at 646.
We decline Appellants’ invitation to carve out a new exception for
hospital write-offs. The circuit court correctly concluded that under Miller and
Abraham, the collateral-source rule barred any post-trial reduction of the jury’s
medical-expense award. If the rule is to be narrowed in the manner Appellants
propose, that decision lies with the Kentucky Supreme Court, not this Court.
Therefore, we affirm the circuit court’s ruling on this issue.
III. CONCLUSION
For the foregoing reasons, the judgment of the Kenton Circuit Court is
affirmed in all respects.
ALL CONCUR.
BRIEFS FOR APPELLANTS: BRIEF FOR APPELLEE:
Melissa Thompson Richardson N. Jeffrey Blankenship Sarah E. Laytham Covington, Kentucky Lexington, Kentucky Christopher T. Cain, pro hac vice Knoxville, Tennessee
-12-