Brenda Azanedo v. Alaris Health at Castle Hill

New Jersey Superior Court Appellate Division·Decided April 23, 2024·No. A-3129-21·Unpublished

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-3129-21

BRENDA AZANEDO, Plaintiff-Appellant,

v.

ALARIS HEALTH AT CASTLE HILL, JANET ROBINSON, and MARGOT DOMINGO,

Defendants-Respondents.

Argued November 1, 2023 – Decided April 23, 2024 Before Judges Firko, Susswein, and Vanek.

On appeal from the Superior Court of New Jersey, Law Division, Passaic County, Docket No. L-1705-19.

Mark A. Mulick argued the cause for appellant.

Stuart A. Weinberger (Weinberger & Weinberger, LLP) argued the cause for respondent.

The opinion of the court was delivered by FIRKO, J.A.D.

In this employment matter, plaintiff Brenda Azanedo appeals from a May 13, 2022 Law Division order dismissing her amended complaint against defendants Alaris Health at Castle Hill (Alaris), Janet Robinson, and Margot Domingo, on summary judgment. We affirm.

I.

Factual Background

We summarize the material facts from the summary judgment record, viewing them in the light most favorable to the non-moving plaintiff. See Richter v. Oakland Bd. of Educ., 246 N.J. 507, 515 (2021). Alaris is a nursing facility. In October 2018, plaintiff became employed at Alaris as a recreation al therapist. Her responsibilities included initial assessment of the residents, providing their recreational activities, and assisting them with "their general requirements of life." At the time, Erica Corey was the Director of Recreation.

When she was hired, plaintiff signed a document detailing her responsibilities and acknowledged receipt of an employee handbook. Pertinent to this appeal, the handbook specifies that receiving a gift from a resident, using a cell phone in areas where patients are located, and taking pictures and videos of residents constitute grounds for immediate termination. The employee handbook also describes the procedure for reporting claims of discrimination

A-3129-21

and harassment, and the process to investigate such claims. Alaris requires employees to report all allegations of abuse, neglect, or mistreatment of residents to management, and all such allegations will be investigated by Alaris. It was Alaris's policy to train all employees on anti-discrimination and harassment prior to their hire or on their first day of work. Plaintiff's personnel file indicates she received such training and signed the requisite form acknowledging the training.

Plaintiff observed residents—some suffering from dementia and Alzheimer's Disease—sitting in urine and feces for "hours at a time" without being taken to the bathroom and not having hot water bottles at their bed side. Plaintiff observed certified nursing assistants (CNAs) not properly feeding or cleaning residents; not cleaning up their vomit; and using vulgar language towards them. Plaintiff complained that mice were running around Alaris's premises.

In addition, plaintiff alleges CNAs falsified residents' shower records to indicate they had been showered when they had not been and failed to report when residents fell to their family members. She reported these incidents to Corey, Domingo, the senior administrator, and the head nurse "Colleen."1

1 Colleen's surname is not contained in the record.

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Plaintiff claimed these incidents constituted violations under the law, citing N.J.S.A. 30:13-1, N.J.S.A. 26:2H-1, and N.J.A.C. 8:34-1.18(7),2 Alaris's own

2 N.J.S.A. 30:13-1 provides: "The Legislature hereby finds and declares that the well-being of nursing home residents in the State of New Jersey requires a delineation of the responsibilities of nursing homes and a declaration of a bill of rights for such residents."

N.J.S.A. 26:2H-1 states the declaration of policy for hospital and related health care services:

It is hereby declared to be the public policy of the State that hospital and related health care services and behavioral health care services of the highest quality, of demonstrated need, efficiently provided and accessible at a reasonable cost are of vital concern to the public health. It is further declared that integrating physical and behavioral health care is the most effective way to improve the health of individuals and the population at large. In order to provide for the protection and promotion of the health of the inhabitants of the State, the Department of Health (DOH) shall have the central responsibility for the development and administration of the State's policy with respect to health planning, hospital and related health care services and health care facility cost containment programs, behavioral health treatment and prevention programs, and all public and private institutions, whether State, county, municipal, incorporated or not incorporated, serving principally as residential health care facilities, nursing or maternity homes, or as facilities for the prevention, diagnosis, care, or treatment of human disease, mental illness, substance use disorder, pain, injury, deformity, or

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policies, and the ethics of nursing home employee conduct. Plaintiff claims Alaris's administrators and supervisors took "no action or insufficient action" to correct the violations.

According to plaintiff, Colleen told her that she was "prohibited" from notifying the other Alaris supervisors or managers of any violations and should not file complaints with them. Following her report of the violations, plaintiff alleges Alaris's supervisors and co-employees retaliated against her. By way of example, plaintiff claims she would be left alone with up to ten residents with behavioral issues in the dayroom. On one occasion, plaintiff avers she attempted to conduct an activity with the residents, but CNAs and nurses discussed personal matters in her presence, often using loud, vulgar language. When plaintiff asked them to lower their voices, they would leave the room. Plaintiff was then "isolated" with the residents.

Plaintiff, who is "mixed race," also posits that often times when she came to work, Colleen would signal to the CNAs and nurses that plaintiff had arrived. The employees would leave the area, and sometimes shouted "the problem [is]

physical condition, shall be subject to the provisions of this act.

N.J.A.C. 8:34-1.18(7) is an incorrect cite and is non-existent.

A-3129-21

here." The CNAs and nurses would state no newly hired employee—such as plaintiff—could "get rid of them" because they were long-time employees. Plaintiff also alleges the CNAs and nurses would not give the residents water, they told her assigned residents that she is a problem maker, and ridiculed the activities she participated in, such as playing dominos.

In December 2018 after a resident suffered a fall, plaintiff submitted a written report of the incident to Corey. Plaintiff claims the resident's family should have been notified of the fall "pursuant to regulation" but was not. Plaintiff personally notified the resident's family about the fall, and an investigation ensued by the DOH. According to plaintiff, Alaris employees told her to "lie" to the DOH investigators and not cooperate with the investigation. Plaintiff apparently acquiesced, and when the State investigator found no deficiencies, plaintiff felt "uncomfortable" because she was "ordered . . . to give insufficient information" to the investigator. Domingo testified that while all falls are investigated, not all of them are investigated by the DOH.

On April 4, 2019, Robinson replaced Corey as Director of Recreation and became plaintiff's supervisor. At a meeting, Robinson told plaintiff she was a "complainer." In addition, Robinson told plaintiff to "fix" her "attitude," she is

A-3129-21

"negative," "hardheaded," "not a team player," and "I will never be able to tell you to do something and just have you say 'yes.'"

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