Boelte v. Southstone Behavioral Health

CourtDistrict Court, W.D. Virginia
DecidedFebruary 13, 2024
Docket4:22-cv-00127
StatusUnknown

This text of Boelte v. Southstone Behavioral Health (Boelte v. Southstone Behavioral Health) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Boelte v. Southstone Behavioral Health, (W.D. Va. 2024).

Opinion

CLERKS OFFICE U.S. DIST. CO AT DANVILLE, VA FILED IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF VIRGINIA FEB 13 2024 DANVILLE DIVISION LAURA A. AUSTIN, CLERK BY: s/H. MCDONALD ‘TERESA BOELTE, ) DEPUTY CLERK ) Plaintiff, ) Case No. 4:22-cv-00127 ) v. ) MEMORANDUM OPINION ) SOUTHSTONE BEHAVIORAL ) By: Hon. Thomas T. Cullen HEALTH, ) United States District Judge } Defendant. )

In May of 2019, Plaintiff Teresa Boelte (“Boelte”’) was injured in a workplace accident and, as a result, began receiving workers’ compensation benefits. Sometime later, her employer, Defendant Southstone Behavioral Health (“Southstone”), installed a new CEO, Stephanie Knowles, who—Boelte claims—terminated her because she was receiving those benefits. She contends the CEO’s decision to terminate her violated federal disability protections, the Virginia Human Rights Act (““VHRA”) and/or Virginia’s public policy against such discriminatory actions (a so-called Bowman claim), and Virginia law prohibiting retaliatory discharge. Southstone has moved for summary judgment on Boelte’s claims, but because there is a material factual dispute over the reason for the CHO’s decision to terminate her, Boelte’s discrimination and retaliatory discharge claims will proceed to trial. I. STATEMENT OF FACTS AND PROCEDURAL BACKGROUND Southstone is a residential behavioral health facility for adolescents. Boelte, who is a registered nurse, began working at Southstone in February 2018; approximately three months

later, she was promoted to Director of Nursing. (See generally Dep. Teresa Boelte 70:7–14, 72:12–21, Ex. 12, June 28, 2023 [ECF No. 22-1].) In her new role, Boelte was “to make sure there was staffing at all times at the facility,

to ensure that the residents were taken care of, compliance, [and] safety. [She] was in charge of infection control at the time as well.” (Id. 74:13–16.) The relevant job description also listed other responsibilities, including “[e]nsure nursing services are provided in compliance with the laws and regulations of federal, state, and local government agencies,” ensure that “[s]tandards are met for accrediting agencies,” and “[o]versee nursing services documentation to ensure it meets all standards.” (Id. Ex. 11.) From the time she was hired as Director of Nursing until

CEO Stephanie Knowles was hired, Boelte did not have any documented employment issues. She did, however, suffer a work-related injury to her lower back in May 2019, for which she qualified for Workers’ Compensation. (See, e.g., Pl.’s Br. in Opp. Ex. B [ECF No. 26-2].) In the summer of 2020, as part of its license to provide Medicare and Medicaid-related services, Southstone was subjected to an “audit” by the Virginia Department of Health. As a result of that audit, Southstone was cited for non-compliance with medication administration

and documentation requirements. (Dep. Stephanie Knowles 33:22–25; 34:1–24, Aug. 2, 2023 [ECF No. 22-2].) Although she was not CEO at the time of the audit, as Knowles recalls the citations, Southstone had failed to fulfill a prior “plan of correction” issued by the VDH, and its 2020 citations indicated ongoing deficiencies in those areas. (Id. 35:9–14.) In November 2020, Southstone hired Knowles as its new CEO. Shortly after she started, Knowles and Boelte had a conversation regarding Boelte’s duties and how she

“shouldn’t have had so many roles [at Southstone] because it was too much, so [Knowles] was going to try to take away” some of her responsibilities. (Boelte Dep. 99:6–9.) They also discussed the restraint procedures and attendant documentation issues at Southstone. Occasionally, for either staff or patient safety, patients need to be restrained. Consistent with

state law and licensing requirements, when a patient is restrained, certain procedures must be followed and certain forms must be completed. At the time Knowles came on board as CEO, Southstone was using restraint paperwork that the prior CEO had “put into effect.” (Id. 99:14–15.) But both Boelte and Knowles recognized that this paperwork was not compliant with applicable regulations. Knowles told Boelte that she “was making changes” to the paperwork, and Boelte reminded her of several of the requirements. (Id. 99:16–21.)

At some point after Knowles started as CEO, she, Boelte, and Mary Beth Wilkerson, a Human Resources (“HR”) representative for Southstone,1 met in private following the daily morning staff meeting. (See Dep. Mary Beth Wilkerson 18:22–19:5, Sept. 6, 2023 [ECF No. 22-3].) At this impromptu gathering, Knowles asked Wilkerson to provide her with a list of individuals who were on workers’ compensation and how long they had been receiving those benefits. (Id. 19:15–18.) Apparently, Knowles told Wilkerson that she “needed the list to know

who needed to be let go”: Q When you said that Miss Knowles said that she needed the list to know who needed to be let go, what do you mean by “who needed to be let go”?

A That’s all she said to me. I took it as to who needed to come off workers’ comp or who needed to settle their workers’ comp. Who needed to not be a liability.

1 The former HR Director, Danielle Potter, had recently left Southstone and her replacement had not yet been hired. (Boelte Dep. 125:11–15.) Q What do you mean by that? A I mean, you know, been on workers’ comp for so long. You can look at it in several different ways, but when she said in order to know who to let go, that first thing I thought about what who to let go from employment. Now, who had been on it for so long and who needed to be let go. Ud. 21:11—24.) According to Boelte, Knowles said “corporate” asked for the information and she needed it “to figure out who is going to be staying and who’s going to be going.” (Boelte Dep. 158:14-17.) Neither Boelte nor Wilkerson know if any such list was ever provided to Knowles. For her part, Knowles does not recall any such conversation and disputes having made any such statements. (Knowles Dep. 72:2-7.) In December 2020, Knowles completed Boelte’s Annual Performance Review. (See Boelte Dep. Ex. 12.) In that evaluation, Knowles rated Boelte as “meets” or “exceeds” expectations in every category. Her overall rating, 3.2 out of 5, aligned with a general “Meets Expectations.” (Ud. Ex. 12.) In the comments section of the evaluation, Knowles wrote: Teresa has extensive knowledge as a nurse and supports the practices of nursing in the program. She serves as a primary liaison with the psychiatrist. She has been in this role for several years and has worked to develop a nursing team that can meet the needs of the youth and families served by the program. She has served as a primary resource for the organization during the pandemic assuring appropriate supplies and screening/monitoring of staff and youth is in place. As she continues in this role, focus will need to be on assuring that nursing protocols are in place and followed per policy and procedure. This includes the assurance that recent corrective actions related to medication administration and documentation that have been implemented and are sustainable. Over the course of the past year the team at Southstone has faced numerous challenges as they relate to the provision of services to youth and families that are evidenced in the issues related to corrective action plans (elopement, client safety, physical plant and provision of services). Teresa will need to continue to focus on identifying and implementing corrective actions and sustainable systems to support the improvements that are needed within the program. (Id.) Knowles signed the evaluation on December 20, 2020. Ud. Ex. 12.) But Boelte did not review or sign the evaluation, and Knowles did not discuss it with her. Ud.

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Boelte v. Southstone Behavioral Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boelte-v-southstone-behavioral-health-vawd-2024.