Elsie Alexander v. Pathfinder, Inc.

91 F.3d 59
Court of Appeals for the Eighth Circuit·Decided July 29, 1996·No. 95-3680·Published·Cited by 1 cases

Opinion

MORRIS SHEPPARD ARNOLD, Circuit Judge.

This case arises from a state administrative hearing that permitted the discharge of a mentally retarded man from a care facility. After losing in the hearing, his guardian filed a complaint in federal court, asserting violations of various federal and state laws. The *61 district court found that the entire complaint was subject to dismissal under the doctrines of claim and issue preclusion. We affirm in part, reverse in part, and remand.

I.

Pathfinder, a ten-bed intermediate care facility for the mentally retarded (ICF/MR), discharged Larry Alexander after he had resided there for a number of months. His mother and legal guardian, Elsie Alexander, objected to the discharge. An administrative hearing under the authority of the Arkansas Department of Human Services was held to determine the propriety of the discharge, after which the hearing officer issued an opinion justifying his conclusion that Mr. Alexander had been discharged for “medical reasons” (see Arkansas Office of Long-Term Care Regulation 353), and for “good cause” (see 42 C.F.R. § 483.440(b)(4)).

The hearing officer made extensive findings of fact in support of his decision, and we now summarize them. Mr. Alexander has a number of health problems that demand a high level of care, including Down’s syndrome with severe retardation, morbid obesity, severe asthma, and sleep apnea. With Ms. Alexander’s consent, Mr. Alexander was put on a “behavior modification plan” to control his weight. A few months after Mr. Alexander began to reside at Pathfinder, an incident occurred that suggested that Mr. Alexander might have been beaten. Ms. Alexander complained to Pathfinder but declined to pursue the matter with the police. At some point, Ms. Alexander told Pathfinder that its employees used abusive language and were rude to her. Pathfinder officials began taping Ms. Alexander’s telephone calls to Pathfinder with her consent in order to discover which of its employees might have been abusive. Ms. Alexander later withdrew her consent, yet Pathfinder continued to tape the calls.

The hearing officer outlined the level of care that Pathfinder had to provide for Mr. Alexander. A “team” of physicians (including an attending physician who functioned as. a “quarterback”) had to be available to treat Mr. Alexander for a variety of problems. Mr. Alexander had to take quite a number of different medications, and had to be monitored to ensure thát he did not cease breathing in his sleep. Without consulting a physician, Pathfinder administrators decided that, based on Mr. Alexander’s medical diagnoses and what they perceived to be his deteriorating condition, he should be discharged.

In his conclusions of law, the hearing officer decided that the level of care that Mr. Alexander required' was too onerous for Pathfinder reasonably to provide. Although Pathfinder violated a state law requirement that it consult a physician before authorizing discharge (it did so later), the hearing officer found that the violation was merely a form of harmless error in light of his own finding that Pathfinder was ill-equipped to care for Mr. Alexander properly. The hearing officer also concluded that Pathfinder did not discharge Mr. Alexander as retribution for Ms. Alexander’s complaints regarding abuse. He found that despite the disputes between Ms. Alexander and Pathfinder regarding behavior modification plans and the taping of telephone calls, each had Mr. Alexander’s interests at heart. There was, he said, no scheme or plan by Pathfinder to make life difficult for Ms. Alexander so that she would voluntarily remove Mr. Alexander from Pathfinder’s care.

Rather than appeal the administrative decision, the plaintiffs filed a complaint in federal district court against Pathfinder, two Pathfinder administrators, and Tom Dalton, Director of the Arkansas Department of Human Services. Mr. Alexander asserted violations of his federal constitutional rights under the first amendment, in addition to due process and equal protection claims. He also raised claims under the Americans with Disabilities Act (ADA), 42 U.S.C. § 12181 et seq., and section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794, as well as state-law tort claims for invasion of privacy, assault, battexy, intentional infliction of emotional distress, and negligence. The due process claims included an allegation that the state had failed to provide a competent hearing officer to preside over the original administrative proceeding and that it had made time demands on the officer that interfered with his ability to review the record and make a *62 sound decision. Ms. Alexander asserted violations of her first and fourteenth amendment rights, which appear to amount to a claim that Pathfinder retaliated against her by discharging Mr. Alexander because she exercised her right of free speech by criticizing Pathfinder.

The district court reviewed University of Tennessee v. Elliott, 478 U.S. 788, 106 S.Ct. 3220, 92 L.Ed.2d 635 (1986), and, after giving plaintiffs an opportunity to distinguish its holding, found that they were estopped from litigating their claims in federal court. The court analyzed the plaintiffs’ claims under applicable federal regulations, the ADA, and the Rehabilitation Act, finding that the hearing officer’s factfinding had necessarily resolved factual issues that formed a predicate for those claims in favor of the defendants. Alexander v. Pathfinder, Inc., 906 F.Supp. 502, 507-08 (E.D.Ark.1995).

II.

The Alexanders have challenged the district court’s preclusion analysis. We begin with Mr. Alexander’s claims.

Federal courts must give a state agency’s findings of fact the same preclusive effect that those findings would be entitled to in that state’s courts, provided that the agency was acting in a judicial capacity, the questions litigated were properly before the agency judge, and the parties had an adequate opportunity to litigate them. Elliott, 478 U.S. at 797-99, 106 S.Ct. at 3225-27; Plough v. West Des Moines Community School Dist., 70 F.3d 512, 515-16 (8th Cir.1995). There is little doubt that all three of these predicates are present here. The hearing officer considered a great deal of evidence in the course of the hearing and rendered a written decision including findings of fact and conclusions of law. The issue of the reasonableness of the discharge was properly before the hearing officer because a hearing on that issue is provided for under state law. See Ark.Code Ann. § 20-10-1005(a)(2). The parties had ample chance to put on then-proof over the course of a proceeding that lasted six days and generated 1,400 pages of transcript and voluminous exhibits.

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Elsie Alexander v. Pathfinder, Inc., 91 F.3d 59 (8th Cir. 1996).

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Elsie Alexander v. Pathfinder, Inc.
91 F.3d 59 (Eighth Circuit, 1996)