Cynthia Diane Yelling v. St. Vincent's Health System

CourtCourt of Appeals for the Eleventh Circuit
DecidedOctober 5, 2023
Docket21-10017
StatusPublished

This text of Cynthia Diane Yelling v. St. Vincent's Health System (Cynthia Diane Yelling v. St. Vincent's Health System) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cynthia Diane Yelling v. St. Vincent's Health System, (11th Cir. 2023).

Opinion

USCA11 Case: 21-10017 Document: 46-1 Date Filed: 10/05/2023 Page: 1 of 33

[PUBLISH] In the United States Court of Appeals For the Eleventh Circuit

____________________

No. 21-10017 ____________________

CYNTHIA DIANE YELLING, Plaintiff-Appellant, versus ST. VINCENT’S HEALTH SYSTEM,

Defendant-Appellee. ____________________

Appeal from the United States District Court for the Northern District of Alabama D.C. Docket No. 2:17-cv-01607-SGC ____________________ USCA11 Case: 21-10017 Document: 46-1 Date Filed: 10/05/2023 Page: 2 of 33

2 Opinion of the Court 21-10017

Before BRANCH and BRASHER, Circuit Judges, and WINSOR,∗ District Judge. PER CURIAM: Cynthia Yelling worked as a hospital nurse for St. Vincent’s Health System. After St. Vincent’s fired her, Yelling sued, alleging race discrimination (including hostile work environment) and re- taliation under Title VII and 42 U.S.C. § 1981. The district court granted summary judgment for St. Vincent’s, 1 and Yelling ap- pealed. On appeal, Yelling contends she presented sufficient evi- dence to survive summary judgment as to all claims. She also con- tends that after Bostock v. Clayton County, 140 S. Ct. 1731 (2020), it is not appropriate to apply the McDonnell Douglas framework to a “mixed-motive” retaliation claim. After careful review, and with the benefit of oral argument, we conclude that (i) Yelling’s hostile work environment claim fails because there is no evidence of se- vere or pervasive harassment; (ii) Bostock did nothing to undermine application of McDonnell Douglas to retaliation claims because but- for causation still applies; (iii) Yelling’s retaliation claim cannot sur- vive—either under McDonnell Douglas or otherwise; and (iv)

∗ Honorable Allen Winsor, United States District Judge for the Northern Dis- trict of Florida, sitting by designation. 1 With the parties’ consent, a magistrate judge presided over the case and is- sued the order on appeal. See 28 U.S.C. § 636(c). USCA11 Case: 21-10017 Document: 46-1 Date Filed: 10/05/2023 Page: 3 of 33

21-10017 Opinion of the Court 3

Yelling’s disparate-treatment claim fails because there is no evi- dence that race played a role in her termination. We therefore af- firm. I.

We review a grant of summary judgment de novo, viewing the evidence in the light most favorable to the nonmoving party. Hornsby-Culpepper v. Ware, 906 F.3d 1302, 1311 (11th Cir. 2018) (cit- ing Battle v. Bd. of Regents for the State of Ga., 468 F.3d 755, 759 (11th Cir. 2006)). “Summary judgment is proper if the evidence shows ‘that there is no genuine dispute as to any material fact and the mo- vant is entitled to judgment as a matter of law.’” Id. (quoting Fed. R. Civ. P. 56(a)). Because we resolve all factual disputes in the nonmovant’s favor, the “‘facts,’ as accepted at the summary judgment stage of the proceedings, may not be the ‘actual’ facts of the case.” Priester v. City of Riviera Beach, 208 F.3d 919, 925 n.3 (11th Cir. 2000). What follows are the facts as accepted for summary judgment purposes. II.

In 2010, Yelling began work as a pool nurse in St. Vincent’s Birmingham hospital. Pool nurses were not permanently assigned to any hospital unit; instead, they worked throughout the hospital as needed. Yelling later secured a permanent registered nurse as- signment in St. Vincent’s Clinical Decision Unit (“CDU”). The CDU cared for patients who needed general observation, lab work, or other tests. USCA11 Case: 21-10017 Document: 46-1 Date Filed: 10/05/2023 Page: 4 of 33

4 Opinion of the Court 21-10017

Yelling initially worked weekday shifts in the CDU, but she switched to weekend shifts in 2013. Her supervisors—charge nurse Casi Dubose and the patient care supervisor—sometimes had her work extra shifts during the week. Yelling would also volunteer to serve as a relief charge nurse when the CDU needed one. Dubose usually selected white pool nurses for those assignments, but she did choose Yelling—who is black—a few times. During these first few years, things went smoothly. Dubose evaluated Yelling’s job performance and reported that Yelling gen- erally met expectations. But the employment relationship began to sour in 2015. In March of that year, President Obama visited Lawson State Community College—a predominantly black school Yelling had attended. While nurses were chatting one day at the nurse station, charge nurse Jimmy Wilhite remarked, “What is he doing coming here? Is he handing out food stamps?” After that, as Yelling explains, the CDU “got really kind of heated with . . . racially disparaging comments.” Yelling overheard white pool nurse Sandy Sheffield say, “Michelle Obama looks like a monkey” and that the “President is a piece of shit.” White staffer Tiffany Hardy made similar remarks. So too did white weekday nurse Linda Powell, who said President Obama was “stupid,” was the “worst president ever,” and “needs to go back to Africa.” Yelling also heard these three coworkers refer to black pa- tients as “boy” or “girl,” “crack heads,” “welfare queens,” or “ghetto fabulous.” And three other white coworkers—Tonya USCA11 Case: 21-10017 Document: 46-1 Date Filed: 10/05/2023 Page: 5 of 33

21-10017 Opinion of the Court 5

Larimore, Robin Calvert, and Jennifer Laroe—talked at the nurse station about their “redneck status,” owning guns, and being “con- federate flag flyers.” Yelling does not remember having any racial insult or slur directed at her personally. Still, Yelling reported the comments as offensive to the house supervisor on June 14, 2015. She also com- plained that Dubose maintained a “quota” of only staffing one black nurse per shift. St. Vincent’s did not investigate Yelling’s com- plaints or discipline any CDU staff for racist comments or staffing practices. The weekend after Yelling complained, three coworkers re- ported that she left the CDU without explanation, acted lethargic and unsteady upon returning, and then fell asleep at the nurse sta- tion. When Dubose learned of Yelling’s reported behavior that same day, she ordered the house supervisor to suspend Yelling pending a drug test. Yelling’s suspension lasted only through the next weekend. The drug test came back negative, and St. Vincent’s paid Yelling for the time she was suspended. Before Yelling returned from her suspension, Dubose reached out to other CDU employees. She told each one about ex- pected employee behavior, asked them to document any future is- sues with other staff, and emphasized the importance of wearing trackers. (St. Vincent’s required CDU nurses to wear devices that tracked their physical locations throughout each day.) CDU employees began reporting Yelling for not following doctors’ patient-care orders and not respecting patients’ personal USCA11 Case: 21-10017 Document: 46-1 Date Filed: 10/05/2023 Page: 6 of 33

6 Opinion of the Court 21-10017

boundaries. They specifically reported that Yelling disconnected a patient’s IV, made that patient uncomfortable by praying with her in an unwanted way, delayed another patient’s blood transfusion, and did not properly administer another’s antibiotic. Citing this conduct, St. Vincent’s placed Yelling in step one of its four-step dis- ciplinary program by giving her a “coaching agreement” in Octo- ber 2015. The coaching agreement outlined St. Vincent’s expecta- tions of Yelling, but it did not carry with it any suspension or loss of pay.

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