DeSanzo v. AHS Southcrest Hospital, LLC

CourtDistrict Court, N.D. Oklahoma
DecidedMarch 6, 2020
Docket4:18-cv-00352
StatusUnknown

This text of DeSanzo v. AHS Southcrest Hospital, LLC (DeSanzo v. AHS Southcrest Hospital, LLC) is published on Counsel Stack Legal Research, covering District Court, N.D. Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeSanzo v. AHS Southcrest Hospital, LLC, (N.D. Okla. 2020).

Opinion

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF OKLAHOMA

MAXINE Y. DESANZO ) ) Plaintiff, ) ) v. ) Case No. 18-CV-352-JED-JFJ ) AHS SOUTHCREST HOSPITAL, LLC, ) ) Defendant. )

OPINION AND ORDER Plaintiff Maxine DeSanzo alleges that Defendant AHS Southcrest Hospital, LLC, violated the Age Discrimination and Employment Act by suspending and then firing her because of her age. Southcrest moves for summary judgment on all claims. (Doc. 52). I. BACKGROUND Ms. DeSanzo was a nurse in Southcrest Hospital’s postpartum unit. The hospital hired her in 2009 and promoted her to the position of charge nurse in 2012. In 2014, DeSanzo moved to the night shift and began working the “weekend option,” an arrangement where nurses who agreed to work a certain number of weekends each year could earn a substantially higher hourly rate. For most of her time at Southcrest, Ms. DeSanzo had a clean disciplinary record, but that began to change in 2016 after her longtime supervisor, Krista Fouke, resigned and DeSanzo’s unit came under the supervision of India Jackson. Ms. Jackson answered directly to Jaime Heitgrass, who had been director of nursing operations since 2013. Shortly after Jackson took over direct supervision of Ms. DeSanzo’s unit, she became the subject of steadily escalating disciplinary interventions. On August 5, 2016, Jackson called DeSanzo into her office and reprimanded her for filling out patients’ charts after she had already clocked out rather than in real time during her rounds as required. (Doc. 52-1 at 47–48). Jackson later memorialized the reprimand in a formal Disciplinary Action Record dated September 1, 2016. DeSanzo signed off on the action, which stipulated that she would “chart in real time and not wait until end of shift to chart on patients.” (Doc. 52-1 at 47). On September 12, 2016, Jackson issued a written warning to Ms. DeSanzo after a patient, “L.Y.,” and her physician reported that the patient’s pain had been allowed to increase unchecked

during Ms. DeSanzo’s shift. (Doc. 52-2 at 53). The Disciplinary Action Record’s “explanation of offense” said she was being reprimanded because “Patient and physician reported that [Ms. DeSanzo] did not ask the patient [about] her pain rating during the night. The patient’s pain was not controlled when the day shift [nurse] arrived.” (Doc. 52-2 at 53). This time, Ms. DeSanzo refused to sign and appended a note arguing that she could not adequately defend herself because her supervisors would not tell her the name of the patient. A few weeks later, on October 2, 2016, a nurse reported another patient complaint to Heitgrass and Jackson. According to the nurse, patient “C.H.” complained that DeSanzo “was talking to her in a condescending manner” and requested that DeSanzo be reassigned. (Doc. 52-2

at 56). According to the nurse, it was “the 3rd or 4th patient that I have had in the last 12 months that has told me that she [does] not want [Ms. DeSanzo] back as their nurse.”1 Ms. Jackson called the patient to find out more information, but the patient never called back. (Doc. 52-2 at 57). Despite the lack of confirmation from the patient, Jackson emailed Heitgrass on October 3rd and recommended that DeSanzo be suspended, demoted from her charge nurse position, and removed

1 Ms. DeSanzo objects to the nurse’s email on hearsay grounds. The Court overrules with the caveat that it considers the email only as evidence offered to show that Ms. Jackson received the nurse’s report. The Court does not consider the email to be evidence of the nurse’s substantive claims (i.e., that Ms. DeSanzo was the subject of multiple prior complaints or that C.H. had actually complained to the nurse who sent the email). from the weekend option. (Doc. 52-2 at 38). Heitgrass and Rachel Steward, the human resources director, signed off on the disciplinary action on October 5th. (Doc. 52 at 55). On October 10, 2016, after DeSanzo completed her suspension, she submitted a letter to Steward requesting to be reinstated to charge nurse and to the weekend option. (Doc. 64-25). In her letter, Ms. DeSanzo alleged that Heitgrass and Jackson were singling her out because of her

age, citing several nurses whom DeSanzo believed had been treated less harshly for similar or more serious infractions.2 After receiving the complaint, Ms. Steward investigated Ms. DeSanzo’s allegations and concluded that Ms. DeSanzo’s supervisors had properly documented the infractions leading up to the suspension and demotion and that Ms. DeSanzo was not being singled out. (See Doc. 52-4 at 21–33, 40). Ms. Steward reported these findings to Ms. DeSanzo on December 12 in a letter. (Doc. 64-26). On March 20, 2017, a third patient complained to Jackson about Ms. DeSanzo’s demeanor. According to patient “V.P.,” Ms. DeSanzo was disrespectful and refused to address several of the

patient’s concerns, including a request to be removed from the patient-controlled analgesia machine. (Doc. 52-2 at 31–32, 59). After Ms. DeSanzo wrote a lengthy rebuttal addressing each of V.P.’s complaints, management took no formal disciplinary action. Instead, she was “[c]oached that the patient’s perception is reality.” (Doc. 52-2 at 60). On March 27, 2017, DeSanzo received a written warning, again for staying after her shift was complete to finish charting. (Doc. 52-1 at 49). After receiving the warning, Ms. DeSanzo wrote a handwritten “rebuttal” and asked that it be added to the file. (Doc. 52-1 at 50). In it, she

2 On November 16, 2016, DeSanzo made the same allegations in an intake questionnaire submitted to the Equal Employment Opportunity Commission. (Doc. 64-27). renewed her age-discrimination complaint and said that she felt the write up was retaliation for her having filed a complaint with the EEOC. Again, she said that younger nurses were not being disciplined for similar conduct. The final domino fell on May 8, 2017, when Patient “R.G.” and her husband complained to a nurse about several aspects of Ms. DeSanzo’s customer service and care, and the nurse passed

along the complaint to Jackson in an email. According to the email:  The husband had complained to DeSanzo that the bed squeaked, but DeSanzo said that the patient could not have a new bed because the hospital was not buying new beds until the following year because there was no money in the budget.  When Ms. DeSanzo could not get the IV machine to stop beeping due to air in the line, she said she would ask the patient’s doctor if the IV antibiotics were really necessary so that the IV could simply be removed.  After the patient’s robe became soiled with blood, DeSanzo said that she could give only one per patient and that the patient would have to take it home to wash. (See Doc. 52-2 at 62). Jackson followed up with the patient, and Heitgrass followed up with R.G.’s doctor. When asked for her side of the story, Ms. DeSanzo said that the patient never requested a new robe or bed and that the IV antibiotics were halted at the doctor’s order. (Doc. 52-2 at 61). Heitgrass nevertheless recommended termination because “this complaint came after several coaching sessions on customer service and also written warning and suspension for customer concerns.” (Doc. 52-2 at 61). Ms. DeSanzo was fired on May 19, 2017. II. LEGAL STANDARD Summary judgment is appropriate “if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed. R. Civ. P. 56(a). A material fact is one that “might affect the outcome of the suit under the governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986).

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