Carmichael v. Advanced Nursing & Rehabilitation Center of New Haven LLC

CourtDistrict Court, D. Connecticut
DecidedFebruary 24, 2021
Docket3:19-cv-00908
StatusUnknown

This text of Carmichael v. Advanced Nursing & Rehabilitation Center of New Haven LLC (Carmichael v. Advanced Nursing & Rehabilitation Center of New Haven LLC) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carmichael v. Advanced Nursing & Rehabilitation Center of New Haven LLC, (D. Conn. 2021).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

DEBORAH CARMICHAEL Civil No. 3:19cv908 (JBA) Plaintiff,

v. February 24, 2021

ADVANCED NURSING & REHABILITATION CENTER OF NEW HAVEN, LLC AND ADVANCED CENTER FOR NURSING & REHABILITATION, LLC

Defendants.

MEMORANDUM OF DECISION AND ORDER

I. Introduction Plaintiff Deborah Carmichael brings a claim of associational disability discrimination under the Americans with Disability Act, 42 U.S.C. § 12101, against Defendants Advanced Nursing and Rehabilitation Center of New Haven, LLC and Advanced Center for Nursing & Rehabilitation, LLC (jointly “Advanced”) for terminating her employment as a Licensed Practical Nurse (“LPN”) because of her association with her fourteen-year-old son, who had become severely disabled in an accident four months earlier. Advanced denies that her discharge violated the ADA and was instead performance-based. A three-day remote bench trial was held on September 8-10, 2020, hosted from the Federal Courthouse in New Haven, CT. The Court’s findings of fact and conclusions of law follow. II. Background a. Before Plaintiff’s Son’s Accident Advanced, a private skilled nursing facility in New Haven, CT located across from Yale New Haven Hospital, was subject to an improvement plan in 2016 to remedy deficiencies found in a survey by the Connecticut Department of Health and the Centers for Medicare Services that placed the institution in immediate jeopardy for termination of eligibility for Medicare reimbursements. New leadership took over in early 2017, with Marley West, the new Director of Nursing, working alongside Pat King, a consultant who later became Interim Administrator of the facility in March of 2017. In descending order of authority below King and West were Assistant Director of Nursing Michelle Morse and the nursing management team, comprised of Registered Nurses (“RN”s), Licensed Practical Nurses (“LPN”s), most of whom served as “charge nurses,” and certified nurse assistants (“CNA”s). At all times, there was one RN present at the facility who supervised the charge nurses who were assigned to each of the building’s six units where they administered medications and managed the CNAs. At the change of each shift, the outgoing charge nurse would “count the cart” with the incoming charge nurse, ensuring that all the medications were properly accounted for, before transferring the medication cart key to the incoming charge nurse. At the time of Plaintiff’s termination, Advanced was undergoing a complete system overhaul. West had been hired, in her own words, as a “turnaround” director to deal with the many deficits that had been documented by the Department of Health. (Trial Transcript at 234.) Just one week after West began her position in late February 2017, there was an electrical emergency in the building that required all residents to be transferred to alternative housing situations until the building could be repaired. West, along with King, oversaw the evacuation and subsequent reintroduction of patients throughout the month of March in 2017. West recalled that the unionized staff were initially resistant to her leadership, making the facility “challenging” to turnround. (Id. at 239.) West’s recurrent instructions to her nurses were to never leave a patient alone and where there is a problem: “if you see it, you own it because if you leave it, you're neglecting it and consequences will be handed out accordingly.” (Id. at 75-76.) Five months before West’s appointment as Director of Nursing, Plaintiff Deborah Carmichael began working as an LPN and charge nurse at Advanced in October of 2016. Prior to her job at Advanced, she had been a CNA for about three years, and Advanced was her second employment position after her graduation from nursing school. She was a single mother with no family in the area, relying primarily on her son’s godfather if childcare support was needed. At her six-month mark at Advanced, she earned “average” and “above average” marks on her performance evaluation which was completed in late March 2017. (Pl.’s Exhibit 2). West described Plaintiff as a “good nurse,” personable with her patients and reliable. (Tr. at 253.) Plaintiff never asked for time off, even after her son’s accident, and was never late nor missed a shift. b. Son’s Accident On April 29, 2017, Plaintiff’s fourteen-year old son was hit by a motorcycle while riding his bike and was immediately rushed to Yale New Haven Hospital to undergo emergency brain surgery. Plaintiff received the initial call from the Hospital while she was at work at Advanced. Plaintiff immediately informed her supervisor that her son had been hit by a car while biking and that she needed to go to the Hospital. Her supervisor contacted both Marley West, Director of Nursing, and the nursing home’s scheduler to find a replacement for the rest of Plaintiff’s shift. After twenty minutes or so, the supervisor informed Carmichael that West “didn't feel that [her son’s situation] was that serious at this time” and directed that Plaintiff was not to leave without a replacement because the supervisor was unable to dispense medications to Plaintiff’s patients. (Id. at 42.) Plaintiff remained at the nursing facility until she received another call from the Hospital informing her that surgery would begin imminently. At that point, Plaintiff handed the medical cart keys to her supervisor and ran across the street to be with her son. After the surgery, Plaintiff spoke with the scheduler, who, without request from Plaintiff, had already pulled her from the weekend shifts. Around this time, Carmichael received a phone call from West asking her “what [she] plan[ned] to do to keep [her] job.” (Id. at 45.) Plaintiff recalled being shocked and confused by the question since she was a single mother with no alternative income. Plaintiff testified she told West she did not plan to leave her position and that she did not foresee her son’s condition as being problematic for her job. (Id. at 45.) After Carmichael confirmed her intent to continue working at Advanced, West ended the call and Plaintiff returned to work her normal shifts while her son remained in the hospital in a medically-induced coma. c. License Renewal Shortly after the accident, Carmichael began receiving texts and calls from the Human Resources department at Advanced reminding her to renew her LPN license. Both West and King testified that Advanced did not, and still does not, have its own formal written or verbal policy about the timing of license renewal. The State of Connecticut requires LPNs to renew their licenses each year on their birthdays by paying a small fee online, but provides a ninety- day grace period before a license is officially deemed expired.1 Plaintiff testified that other nurses took advantage of the grace period for license renewal without any adverse consequences, specifically recalling that Jessica Kiddman, another LPN who worked at Advanced, was faced with a sick family member during the period in which she needed to renew her license and was “given extra time and other privileges to be able to handle her affairs.” (Id. at 48.) Plaintiff’s license renewal date was at the end of May, giving her until the end of August to renew before losing her nursing license. She spoke with both HR and West to request additional time to renew her license because her son was set to be released from the hospital around the time that the renewal was due. Though West admitted at trial that she was aware of Plaintiff’s request for more time and the grace period afforded by the state, (id. at 286-88), Advanced took Plaintiff off the schedule for two days in early July 2017 for failing to immediately renew her license, despite there being no internal policy warning of such consequence.

1 See CONN. GEN. STAT.

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Carmichael v. Advanced Nursing & Rehabilitation Center of New Haven LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carmichael-v-advanced-nursing-rehabilitation-center-of-new-haven-llc-ctd-2021.