Carlyle v. American Health Partners, INC.

CourtDistrict Court, W.D. Missouri
DecidedMarch 8, 2023
Docket4:21-cv-00920
StatusUnknown

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

Bluebook
Carlyle v. American Health Partners, INC., (W.D. Mo. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MISSOURI WESTERN DIVISION LYNDA G. CARLYLE, ) ) Plaintiff, ) ) v. ) Case No. 4:21-cv-00920-RK ) AMERICAN HEALTH PARTNERS, INC., ) TRUADVANTAGE, INC., TRUHEALTH, ) LLC, ) ) Defendants. ) ORDER This is an employment-discrimination/retaliation and wrongful discharge action brought under the Missouri Human Rights Act (“MHRA”) and Missouri’s Whistleblower’s Protection Act (“WPA”). Before the Court is Defendants’ motion for summary judgment. (Doc. 42.) The motion is fully briefed. (Docs. 43, 46, 49.) After careful consideration and for the reasons explained below, the motion is GRANTED in part and DENIED in part, as follows: (1) Summary judgment is granted in part and denied in part as to Plaintiff’s MHRA discrimination claims in Count I. Summary judgment is granted in favor of Defendants as to Plaintiffs’ MHRA age-discrimination claim and disability-discrimination claim based on pre- termination personnel actions, and is denied as to Plaintiff’s disability-discrimination claim based on her termination; (2) Summary judgment is granted in favor of Defendants as to Plaintiff’s MHRA retaliation claim in Count II; and (3) Summary judgment is denied as to Plaintiff’s WPA claim in Count III. I. Background1 Defendant TruHealth, LLC d/b/a TruAdvantage, Inc., is a wholly owned subsidiary of Defendant American Health Partners, Inc. (collectively, “Defendants”). TruHealth contracts with long-term care facilities in Missouri to provide nurse practitioner (“NP”) and other medical care

1 Except where otherwise noted, these facts are taken from the parties’ statements of uncontroverted material facts. The Court has omitted facts properly controverted, facts asserted that are immaterial to the resolution of the pending motion, facts asserted that are not properly supported by admissible evidence, legal conclusions, and argument presented as an assertion of fact. services to residents or patients of these facilities who have signed up for one of Defendants’ health plans. Plaintiff Lynda Carlyle was hired by TruHealth as an NP on December 2, 2019. Plaintiff’s immediate supervisor while employed as an NP with TruHealth was Clinical Program Manager Dawn Ketchum. Ms. Ketchum’s supervisor was Director Kami Carlson. One of the facilities at which Plaintiff was assigned to provide NP services for TruHealth was Highland Rehabilitation. (Doc. 46-2 at 11.) Plaintiff was working at Highland Rehabilitation, on July 13, 2020, when during a morning meeting the director of nursing for the facility said a CNA or charge nurse at the facility had recently reportedly walked in on a male resident and female resident in a sexually compromised position. Both residents involved were TruHealth patients. It was agreed at the morning meeting that the situation would be discussed further at a STRIDES meeting to occur the following day (a weekly mental health meeting involving Highland Rehabilitation’s medical primary care providers, among others); the discussion would also include whether the male resident involved should continue to reside at Highland Rehabilitation. The next day, July 14, 2020, Plaintiff filed a complaint with the Missouri Department of Health and Senior Services (“DHSS”) reporting the alleged abuse by the male resident against the female resident. At the STRIDES meeting that same day, the decision was made to discharge the male resident from the facility. The following day, July 15, 2020, Plaintiff called Ms. Ketchum and Chris Burkhart, the regional director of operations for the owner of Highland Rehabilitation, to discuss the situation. Plaintiff told Ms. Ketchum that she believed the male resident “should be reported to the State and that the facility wasn’t doing anything about it.” Plaintiff did not inform Ms. Ketchum that she had already reported the alleged abuse to DHSS. Ms. Ketchum told Plaintiff that she would call Ms. Carlson and Kelly Helms, Vice President of the company that owned Highland Rehabilitation, to determine whether the incident should be reported to DHSS. Ms. Ketchum and Ms. Carlson agreed that Plaintiff did not need to report the incident “since [Plaintiff] didn’t see anything,” “the female patient denied anything happening,” and “the facility had done their investigation.” (Doc. 46-1 at 29.) Ms. Ketchum then called Plaintiff and told her that she (Ms. Ketchum) and Ms. Carlson agreed there was nothing for Plaintiff to report; Plaintiff informed Ms. Ketchum that she had already made a report to DHSS the day before. Three weeks later, on August 4, 2020, Plaintiff was issued a Personnel Action Form (“PAF”) for insubordination regarding her July 14 DHSS report, in addition to a PAF regarding her professionalism after referring to two members of a facility’s management team as “butt buddies” in meetings. The next day, Plaintiff was issued a Performance Improvement Plan (“PIP”) outlining three areas of performance concerns, including: timely completing charting duties; insubordination (specifically referring to the PAF “from 8/4/20202”), and “professionalism while on calls/meetings.”2 Plaintiff was also issued a PAF for providing medical treatment or services to a Highland Rehabilitation resident who was not a TruHealth member. On August 9, 2020, Plaintiff submitted a grievance to Peter Boguski, a TruHealth Employee Relations Specialist, regarding personnel actions that had been taken against her the week before. Plaintiff asserted that the documents were inaccurate, false, or “backwards” facts.3 The next day, Mr. Boguski asked Plaintiff to forward her grievance to Ms. Carlson, which she did. Plaintiff sent another complaint to Mr. Boguski on August 13, 2020, and Ms. Carlson on August 14, 2020, taking issue with various personnel actions. Ms. Carlson ultimately determined that Plaintiff was not insubordinate for making the DHSS report. On August 18, 2020, while at Highland Rehabilitation, Ms. Ketchum went into an office shared by Plaintiff and the Case Manager, Heather Crouch. Plaintiff testified that in addition to herself and Ms. Crouch, the maintenance supervisor also had access to the office space, which was secured by a number keypad lock. When she went into the office, Ms. Ketchum found in plain view on Plaintiff’s desk a pill bottle of hydrocodone that had been prescribed to Plaintiff. The following day, Plaintiff was terminated. In the initial termination phone call, Ms. Carlson explained to Plaintiff: It was discovered yesterday that there were controlled substances prescribed to you left in your place of work inside the nursing home. This causes suspicion for you having been on duty while under the influence of opioids and calls into question your judgment as these opioids were negligently left in plain sight on a desk in a shared office where the physical access could not be controlled by you. These new findings qualify as gross misconduct and based on the understanding of the performance improvement plan as it was written and delivered to you on August

2 The PIP initially included two other areas of performance concern – specifically, giving medical orders for a Highland Rehabilitation resident who was not a TruHealth member and for generally being behind in her work – both of which were removed after Plaintiff disputed them. Additionally, Plaintiff had previously been issued an Employee Coaching Form two months before in June 2020 listing eight performance areas that needed improvement, including Plaintiff’s failure to complete her charting duties in a timely manner. 3 Plaintiff continues to dispute the “characterizations,” substance, or representations as to her underlying conduct asserted in these various personnel actions, including whether the personnel actions were warranted or not. 4th, we are choosing to terminate your employment with TruHealth effective immediately. The subsequent PAF notifying Plaintiff of her termination stated that Ms.

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Bluebook (online)
Carlyle v. American Health Partners, INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/carlyle-v-american-health-partners-inc-mowd-2023.