Cramer v. Auglaize Acres

865 N.E.2d 9, 113 Ohio St. 3d 266
CourtOhio Supreme Court
DecidedMay 9, 2007
DocketNo. 2005-1629
StatusPublished
Cited by104 cases

This text of 865 N.E.2d 9 (Cramer v. Auglaize Acres) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cramer v. Auglaize Acres, 865 N.E.2d 9, 113 Ohio St. 3d 266 (Ohio 2007).

Opinion

Lanzinger, J.

{¶ 1} In this discretionary appeal, we are asked whether governmental immunity, as set forth in R.C. Chapter 2744,1 applies to an unlicensed county nursing home and its employees. We hold that R.C. 3721.17(I)(1)2 specifically abrogates governmental immunity and grants a cause of action to residents of unlicensed county nursing homes against a political subdivision for violations of R.C. 3721.10 through 3721.17, the Ohio Nursing Home Patients’ Bill of Rights.

Case Procedure

{¶ 2} Frank Cramer was 71 years old and a resident of Auglaize Acres, a county home created by the Auglaize County Board of County Commissioners pursuant to R.C. 307.01(A). On January 27, 2002, around 8:00 p.m., Frank fell [267]*267while two nurses employed by the home were helping him into bed using a Hoyer lift.3 Approximately five hours later, another nurse saw that Frank was in pain and that he had swelling in his left leg and foot and a deformity of the leg above the knee. He was taken to the hospital, where he was diagnosed with a fractured left femur. Following surgery to repair the break, Frank died on January 29, 2002.

{¶ 3} Appellant Rex Cramer, Frank’s son, filed a complaint as administrator of his father’s estate against appellees Auglaize Acres, the county commissioners, and Auglaize Acres employees Linda Green, R.N., and Margaret Warder, L.P.N. Cramer’s first amended complaint alleged negligence or, in the alternative, falsification of medical records, intentional infliction of emotional distress, and violations of the Ohio Nursing Home Patients’ Bill of Rights (“Patients’ Bill of Rights”). The complaint also claimed that the county was liable for its employees’ actions under theories of respondeat superior and agency by estoppel. Appellees asserted a general denial and raised the defense of governmental immunity, as well as other affirmative defenses.

{¶ 4} Appellees filed a motion for summary judgment, asserting that Auglaize Acres and the Auglaize County Board of County Commissioners were protected by the political subdivision immunity set forth in R.C. 2744.02(A)(1) and the defenses available in R.C. 2744.03(A)(3) and (5) and that Green and Warder were immune from liability, as employees of a political subdivision, under R.C. 2744.03(A)(6).

{¶ 5} Appellees’ motion was granted in part and denied in part. The trial court granted summary judgment to Green and Warder on the claim of negligence. It granted summary judgment to Auglaize Acres and the Auglaize County Board of County Commissioners (“the county appellees”) on the claim of intentional infliction of emotional distress and on the claims of negligence and violation of patient rights insofar as punitive damages were sought. It denied the summary judgment motion in all other aspects, finding that the allegation of wanton and reckless conduct precluded Green and Warder’s defense of immunity on the claim for intentional infliction of emotional distress, that R.C. 3721.17(I)(1) created a cause of action against the nurses for allegedly violating Frank’s rights, and that the county appellees were not immune for their employees’ negligence.

{¶ 6} Appellant and appellees appealed to the Third District Court of Appeals, with Cramer challenging the trial court’s application of governmental immunity as well as the constitutionality of R.C. Chapter 2744.

[268]*268{¶ 7} The Third District Court of Appeals affirmed in part and reversed in part. Cramer v. Auglaize Acres, Auglaize App. No. 2-04-39, 2005-Ohio-3609, 2005 WL 1662038. The court of appeals affirmed the granting of summary judgment to the county appellees on the claim for intentional infliction of emotional distress; it agreed that the operation of the county home was a proprietary function and that R.C. 2744.05(A) prohibited Cramer from collecting punitive damages against Auglaize Acres or the county commissioners; and it affirmed the holding that Green and Warder were not protected against allegations of intentional tort.

{¶ 8} On the other hand, the court of appeals held that the trial court erred in failing to grant summary judgment to the county appellees on the claims to the extent that they alleged intentional actions, in failing to consider a defense under R.C. 2744.05(A)(5) that Green and Warder’s decisions in providing medical care were discretionary, and in holding that R.C. 3721.17(I)(1) imposed liability on Green and Warder for violations of the Patients’ Bill of Rights. We accepted appellant Cramer’s request for a discretionary appeal and agreed to determine whether governmental immunity, as set forth in R.C. Chapter 2744, applies to an unlicensed county nursing home and its employees when they are sued for violations of the Patients’ Bill of Rights. It will not be necessary to reach the issue of whether R.C. Chapter 2744 is unconstitutional. See Smith v. Leis, 106 Ohio St.3d 309, 2005-Ohio-5125, 835 N.E.2d 5, ¶ 54 (“courts decide constitutional issues only when absolutely necessary”). We hold that R.C. 3721.17(I)(1) specifically grants a cause of action to residents of county nursing homes, including unlicensed homes, against a political subdivision for violations of R.C. 3721.10 through 3721.17, the Patients’ Bill of Rights.

Patients’ Bill of Rights

{¶ 9} Enacted in 1978, Am.Sub.H.B. No. 600, 137 Ohio Laws, Part II, 3064 (“H.B. 600”), set forth a nonexhaustive list of rights for the safety, treatment, privacy, and civil rights of nursing home patients. Previous legislation had been viewed as ineffective in ensuring the humane treatment of nursing home patients. Note, H.B. 600: Ohio’s Bill of Rights for Nursing Home Patients (1980), 5 U.Dayton L.Rev. 507, 508-509. The goal of H.B. 600 was “ ‘not to give special treatment to residents of nursing homes [but] to restore those human rights which have been eroded by misunderstanding, administrative convenience, or neglect.’ ” (Emphasis sic.) Id. at 510-511, quoting Ohio Nursing Home Comm., 113th Gen. Assembly, Final Report (July 1979) 10.

{¶ 10} Currently, R.C. 3721.13 enumerates 32 subsections that outline a nursing home resident’s rights, which include the right to a safe and clean living environment;4 to be free from physical, verbal, mental, and emotional abuse;5 to [269]*269adequate and appropriate medical treatment and nursing care;6 to confidential treatment of personal and medical records;7 to be free from certain physical or chemical restraints;8 to exercise all civil rights;9 to observe religious obligations and participate in religious activities;10 and to voice grievances without discrimination or reprisal. 11 The administrator of the home is required to prominently post a copy of the nursing home patients’ rights as listed in R.C. 3721.13.12

{¶ 11} There are three alternative remedies when a nursing home resident’s rights under R.C. 3721.10 to 3721.17 have been violated: (1) the resident may file a grievance with a grievance committee established pursuant to R.C. 3721.12(A)(2),13 (2) anyone who believes that a resident’s rights have been violated may file a report with the department of health,14

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Bluebook (online)
865 N.E.2d 9, 113 Ohio St. 3d 266, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cramer-v-auglaize-acres-ohio-2007.