Camden Progressive Eldercare Services, Inc. v. Sheila Whitney, as Personal Representative of the Estate of Lillie Whitney

2022 Ark. App. 239, 646 S.W.3d 374
CourtCourt of Appeals of Arkansas
DecidedMay 18, 2022
StatusPublished
Cited by1 cases

This text of 2022 Ark. App. 239 (Camden Progressive Eldercare Services, Inc. v. Sheila Whitney, as Personal Representative of the Estate of Lillie Whitney) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Camden Progressive Eldercare Services, Inc. v. Sheila Whitney, as Personal Representative of the Estate of Lillie Whitney, 2022 Ark. App. 239, 646 S.W.3d 374 (Ark. Ct. App. 2022).

Opinion

Cite as 2022 Ark. App. 239 ARKANSAS COURT OF APPEALS DIVISION II No. CV-20-77

CAMDEN PROGESSIVE ELDERCARE SERVICES, INC., D/B/A OUACHITA Opinion Delivered May 18, 2022 NURSING AND REHABILITATION CENTER APPEAL FROM THE OUACHITA APPELLANT COUNTY CIRCUIT COURT [NO. 52CV-17-158] V. HONORABLE DAVID F. GUTHRIE, JUDGE SHEILA WHITNEY, AS PERSONAL REPRESENTATIVE OF THE ESTATE REVERSED AND REMANDED OF LILLIE WHITNEY, AND ON BEHALF OF THE WRONGFUL DEATH BENEFICIARIES OF LILLIE WHITNEY APPELLEE

KENNETH S. HIXSON, Judge

This is an appeal from an order denying summary judgment on charitable immunity

in a nursing-home-negligence case.1 The appellee, the estate of Lillie Whitney2 (Whitney),

filed a lawsuit against appellant, Camden Progressive Eldercare Services, Inc., d/b/a

1 As a general rule, the denial of a summary-judgment motion is neither reviewable nor appealable. Ark. Elder Outreach of Little Rock, Inc. v. Thompson, 2012 Ark. App. 681, 425 S.W.3d 779. The general rule does not apply, however, where the refusal to grant a summary- judgment motion has the effect of determining that the appellant is not entitled to its defense of immunity from suit because the right of immunity from suit is effectively lost if a case is permitted to go to trial. Id. Therefore, the order denying summary judgment is appealable. 2 Sheila Whitney, as personal representative of the estate of Lillie Whitney, and on behalf of the wrongful death beneficiaries of Lillie Whitney. Ouachita Nursing and Rehabilitation Center (Camden PES), alleging negligence, medical

malpractice, breach of admission agreement, breach of provider agreement, and violations

of the Arkansas Deceptive Trade Practices Act. Camden PES filed a motion for summary

judgment, arguing that it was entitled to charitable immunity. The trial court denied the

motion for summary judgment, finding that there were issues of material fact as to whether

Camden PES was entitled to charitable immunity. Camden PES appealed. We hold that

the trial court erred in finding that issues of material fact existed, and we reverse and remand

for the trial court to decide whether Camden PES is entitled to charitable immunity on the

undisputed facts.

Facts and Procedural History

Lillie Whitney was a resident of Camden PES from June 1, 2015, until August 16,

2016, and she passed away on August 18, 2016. After Lillie’s death, her daughter was

appointed as personal representative of Lillie’s estate and sued Camden PES and numerous

other entities for negligence and other causes of action related to Lillie’s care and treatment

while living at Camden PES.3

3 The others sued include Southern Administrative Services, LLC (the facility’s administrative services company); Care Plus Staffing , LLC (which provides staffing services and employs the nursing staff at the facility); ProCare Therapy Services, LLC (the facility’s physical- and occupational-therapy provider); Professional Nursing Solutions, LLC (which provides nurse-consultant services to the facility); Ponthie Holdings, LLC; JEJ Investments, LLC; John Ponthie; Ross Ponthie; Mark Thompson; and Angela Marlar, in her capacity as Administrator of Ouachita Nursing and Rehabilitation Center.

2 Camden PES is incorporated under the Arkansas Nonprofit Corporation Act and

operates a nursing home doing business as Ouachita Nursing and Rehabilitation Center.

Camden PES’s articles of incorporation state that the corporation “embraces the culture

change model of care and will foster the statewide development of person-centered care in

long-term care facilities to ensure elders attain or maintain their highest practicable level of

well-being.”

Camden PES filed a motion for summary judgment, claiming that it was immune

from suit based on the doctrine of charitable immunity. Camden PES attached exhibits in

support of its motion, which included its Medicaid cost reports and its articles of

incorporation. Camden PES also attached three affidavits in support of its motion. These

affidavits are summarized as follows.

Richard V. Urquhart is a certified public accountant who was engaged by Camden

PES as an expert witness. Urquhart stated in his affidavit that he has forty-seven years’

experience in public accounting and management positions with health-care companies, and

that throughout his career, he has routinely performed audits and cost-report analyses.

Urquhart analyzed Camden PES’s Medicaid cost reports from September 2015 to June 2018

as well as other financial documentation related to Camden PES’s operations in formulating

his expert opinions. Urquhart also reviewed financial information for other long-term-care

facilities operating in Arkansas to compare Camden PES’s operations to other comparable

facilities.

3 Urquhart stated that between September 2015 and June 2018, Camden PES

sustained an overall loss of 5.45 percent, whereas other comparable for-profit facilities gained

an average of 2.56 percent to 4.99 percent. Urquhart also stated that he had reviewed the

service agreements between Camden PES and Southern Administrative Services, ProCare

Therapy Services, and Care Plus Staffing and that these types of services are consistent with

services typically obtained by similar nursing-home entities. Urquhart gave the opinion that

Camden PES is paying reasonable, arms-length rates for these services. Finally, Urquhart

stated that between September 2015 and June 2018, Camden PES reported a total expense

for free care to residents—meaning amounts that it recognized would not be paid—of

$307,000.

Jeff Harrington has served as regional vice president for Southern Administrative

Services and has worked with the charitable-care committee for Camden PES since

September 2015. In his affidavit, Harrington stated:

Most Ouachita Nursing residents qualify for Medicare or Medicaid coverage, but Ouachita Nursing still provided free care to residents who did not qualify for Medicare or Medicaid. Ouachita Nursing provides health-care services to residents, up front, without any guarantee of future payment for services. In some instances, Ouachita Nursing did not receive payment for its services, and continued to provide services knowing that it would not be able to collect payment. In other words, Ouachita Nursing was willing to accept residents, and in fact did accept residents, who were unable to pay for services.

Harrington’s affidavit provided numerous specific examples of free health care provided to

Camden PES’s residents. Harrington also stated that to the best of his belief, during his

time working with Camden PES the facility had not filed a lawsuit against a resident to

4 collect a debt; had never turned a resident over to a collection agency; and had treated all

residents uniformly regardless of their ability to pay.

Camden PES also submitted the affidavit of Angela Marlar. Marlar is a former board

member and administrator for Camden PES. Marlar stated that the board members receive

no compensation. Marlar did, however, receive $84,988.80 in annual compensation for her

position as administrator.

Whitney opposed Camden PES’s motion for summary judgment, arguing that there

were factual questions as to Camden PES’s charitable status. In support of its opposition to

summary judgment, Whitney attached the affidavit of John C. Langham, a certified public

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2022 Ark. App. 239, 646 S.W.3d 374, Counsel Stack Legal Research, https://law.counselstack.com/opinion/camden-progressive-eldercare-services-inc-v-sheila-whitney-as-personal-arkctapp-2022.