BLC Lexington SNF, LLC v. Bonnie Townsend

CourtCourt of Appeals for the Sixth Circuit
DecidedMarch 26, 2026
Docket25-5675
StatusPublished

This text of BLC Lexington SNF, LLC v. Bonnie Townsend (BLC Lexington SNF, LLC v. Bonnie Townsend) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
BLC Lexington SNF, LLC v. Bonnie Townsend, (6th Cir. 2026).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 26a0092p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ BLC LEXINGTON SNF, LLC; BROOKDALE SENIOR │ LIVING COMMUNITIES, INC.; BROOKDALE SENIOR │ LIVING INC.; AMERICAN RETIREMENT CORPORATION, │ Plaintiffs-Appellees, > No. 25-5675 │ │ v. │ │ BONNIE TOWNSEND, Executrix of the Estate of Linda │ Elam, │ Defendant-Appellant. │ ┘

Appeal from the United States District Court for the Eastern District of Kentucky at Lexington. No. 5:21-cv-00223—Karen K. Caldwell, District Judge.

Decided and Filed: March 26, 2026

Before: BATCHELDER, THAPAR, and MATHIS, Circuit Judges. _________________

COUNSEL

ON BRIEF: D. Todd Varellas, Sandra M. Varellas, VARELLAS & VARELLAS, Lexington, Kentucky, for Appellant. Kif H. Skidmore, Connor B. Egan, STOLL KEENON OGDEN PLLC, Lexington, Kentucky, for Appellees.

_________________

OPINION _________________

MATHIS, Circuit Judge. Linda Elam resided at a nursing home in Lexington, Kentucky, in the weeks leading up to her death. Shortly before she died, Elam was diagnosed with several serious illnesses. Bonnie Townsend, Elam’s sister and estate executor, sued BLC Lexington SNF, LLC, Brookdale Senior Living Communities, Inc., Brookdale Senior Living Inc., and No. 25-5675 BLC Lexington SNF, LLC, et al. v. Townsend Page 2

American Retirement Corporation (collectively, “BLC Lexington”) in Kentucky state court, bringing claims related to Elam’s care and death. BLC Lexington then filed a complaint in federal court, asking the district court to enjoin the state-court proceedings and compel Townsend to arbitrate her claims. The district court found the parties’ arbitration agreement enforceable and compelled arbitration for nearly all of Townsend’s claims. After a week-long arbitration, the arbitrator ruled in BLC Lexington’s favor on all claims. The district court confirmed the arbitration award. Because we agree with the district court’s decisions compelling arbitration and confirming the arbitration award, we affirm.

I.

From June to July 2020, Linda Elam resided at Brookdale Richmond Place SNF (“Brookdale”), a nursing home operated by BLC Lexington. Before her admission, Elam developed serious medical issues. She was diagnosed with uterine cancer and treated with a radioactive implant, which caused severe pelvic complications. Then in May 2020, she suffered a stroke. The stroke caused paralysis, confusion, difficulty swallowing, and incontinence. The following month, Elam was transferred to Brookdale for short-term rehabilitation and nursing care.

A few years before her stroke, Elam appointed her sister, Bonnie Townsend, as her attorney-in-fact to manage her “business of every kind,” including her health care. R. 1-3, PageID 32. Townsend handled Elam’s admission to Brookdale. That process required Townsend to execute an admission agreement. As part of Elam’s admission agreement, Townsend signed an optional arbitration agreement, which required the arbitration of “[a]ny and all claims or controversies arising out of” the arbitration agreement or Elam’s stay at Brookdale. R. 1-1, PageID 9.

Elam’s health deteriorated while at Brookdale. She developed respiratory failure and her cognition continued to decline. When she went into severe respiratory distress, Brookdale transported her to the hospital. Elam was then diagnosed with sepsis, pneumonia, dehydration, severe malnutrition, and multiple ulcers. She died a few days later in hospice care. Her death certificate lists multiple causes of death, including sepsis, pneumonia, and stroke. No. 25-5675 BLC Lexington SNF, LLC, et al. v. Townsend Page 3

In 2021, Townsend, in her capacity as executor of Elam’s estate, sued BLC Lexington and Betty Stocker, Brookdale’s former administrator, in Kentucky state court. She asserted claims for wrongful death, negligence, and violations of state-law statutory rights. BLC Lexington then sued Townsend in federal court, seeking to compel arbitration and enjoin Townsend from pursuing her claims in state court. The district court granted BLC Lexington’s request and compelled Townsend to arbitrate nearly every claim, except for the wrongful-death claims of nonsignatories to the arbitration agreement.

Retired judge Thomas E. McDonald III presided over the arbitration and held a week- long final hearing in April 2024. During the hearing, he heard arguments from both sides, listened to testimony from 14 witnesses, and admitted 98 exhibits into evidence. The arbitrator ultimately ruled in BLC Lexington’s favor on all claims because Townsend failed to meet her burden of proof.

Following this, Townsend moved for reconsideration of the district court’s order compelling arbitration. She argued, for the first time, that the power of attorney did not authorize her to enter into an arbitration agreement on Elam’s behalf. And she moved separately to vacate the arbitration award. BLC Lexington then moved to confirm the award. The district court denied Townsend’s motions, granted BLC Lexington’s motion, and confirmed the arbitration award.

This appeal followed. On appeal, Townsend argues that the district court erred in three ways: (1) by granting BLC Lexington’s motion to compel arbitration; (2) by denying Townsend’s motion to reconsider the order granting the motion to compel arbitration; and (3) by denying Townsend’s motion to vacate the arbitration award. We address each argument in turn.

II.

We start with Townsend’s challenge to the district court’s order compelling arbitration. Townsend argues that the district court erred in granting BLC Lexington’s motion to compel arbitration because: (1) she did not act as Elam’s attorney-in-fact when she signed the arbitration agreement, and (2) key terms of the arbitration agreement are indefinite, rendering it No. 25-5675 BLC Lexington SNF, LLC, et al. v. Townsend Page 4

unenforceable. We review the district court’s decision to compel arbitration de novo. McGee v. Armstrong, 941 F.3d 859, 865 (6th Cir. 2019).

The Federal Arbitration Act (“FAA”) governs arbitration agreements. Congress enacted the FAA “in response to widespread judicial hostility to arbitration agreements.” AT&T Mobility LLC v. Concepcion, 563 U.S. 333, 339 (2011). The “overarching purpose of the FAA . . . is to ensure the enforcement of arbitration agreements according to their terms so as to facilitate streamlined proceedings.” Id. at 344.

Under the FAA, arbitration agreements “shall be valid, irrevocable, and enforceable, save upon such grounds as exist at law or in equity for the revocation of any contract.” 9 U.S.C. § 2. The Supreme Court has described § 2 as reflecting a “liberal federal policy favoring arbitration.” Concepcion, 563 U.S. at 339 (quotation omitted). To that end, “any doubts concerning the scope of arbitrable issues should be resolved in favor of arbitration.” Moses H. Cone Mem’l Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 24–25 (1983).

To eliminate (or at least diminish) the expense and delay of extended court proceedings before arbitration, § 4 of the FAA outlines the abbreviated procedures for obtaining enforcement of arbitration agreements. Section 4 explains that if the “making of the agreement for arbitration . . . is not in issue,” then courts must direct “the parties to proceed to arbitration.” 9 U.S.C. § 4. But “[i]f the making of the arbitration agreement . . .

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BLC Lexington SNF, LLC v. Bonnie Townsend, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blc-lexington-snf-llc-v-bonnie-townsend-ca6-2026.