Estate of D. Martin v. Cal Dept Va

CourtCourt of Appeals for the Ninth Circuit
DecidedMarch 26, 2009
Docket06-16850
StatusPublished

This text of Estate of D. Martin v. Cal Dept Va (Estate of D. Martin v. Cal Dept Va) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of D. Martin v. Cal Dept Va, (9th Cir. 2009).

Opinion

FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

ESTATE OF DOROTHY MARTIN; and  MARY MARTIN, Plaintiff-Appellants, v. CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS, a California Public Corporation; BRUCE THIESEN, individually and as Secretary of the California Department of Veterans Affairs; No. 06-16850 GEORGE H. ANDRIES, JR., D.C. No. individually and as Deputy  CIV-02-02334-DFL- Secretary for Veterans Homes; GGH MARCELLA MCCORMACK, OPINION individually and as Administrator of Veterans Home of California, Yountville; JOHN HELTSLY, individually and as Administrator of Veterans Home of California, Barstow; and TOM ARNOLD, individually and as Administrator of Veterans Home of California, Chula Vista, Defendants-Appellees.  Appeal from the United States District Court for the Eastern District of California David F. Levi, District Judge, Presiding

Argued and Submitted June 13, 2008—San Francisco, California

3601 3602 ESTATE OF MARTIN v. CALIFORNIA DEPARTMENT Filed March 26, 2009

Before: J. Clifford Wallace, Harry Pregerson,* and Susan P. Graber, Circuit Judges.

Opinion by Judge Graber; Partial Concurrence and Partial Dissent by Judge Pregerson

*Judge Pregerson was drawn to replace Judge Schiavelli. He has read the briefs, reviewed the record, and listened to the recording of oral argu- ment held on June 13, 2008. ESTATE OF MARTIN v. CALIFORNIA DEPARTMENT 3605

COUNSEL

Chad Carlock, Law Offices of Chad Carlock, Davis, Califor- nia, for the plaintiffs-appellants.

John Ruocco, California Department of Veterans Affairs, Sac- ramento, California, for the defendants-appellees.

OPINION

GRABER, Circuit Judge:

Plaintiffs, the Estate of Dorothy Martin and Mary Martin, Dorothy’s daughter, claim that Defendants the California Department of Veterans Affairs (“Department”) and its offi- 3606 ESTATE OF MARTIN v. CALIFORNIA DEPARTMENT cers and administrators illegally denied Dorothy Martin admission to the Veterans’ Home of California (“Home”) because of a disability, specifically, Alzheimer’s disease and Alzheimer’s-related dementia. The district court granted judg- ment as a matter of law to Defendants on some of Plaintiffs’ claims, and a jury returned a verdict in favor of Defendants on the remainder. We hold that the rejection of Dorothy Mar- tin’s applications did not violate the Equal Protection Clause, the Rehabilitation Act, or the Americans with Disabilities Act and therefore affirm.1

FACTUAL AND PROCEDURAL HISTORY

Plaintiffs’ claims arise from Dorothy’s unsuccessful appli- cations to reside at the Home.2 These facilities provide a “home . . . for aged and disabled persons who served in the Armed Forces of the United States of America[,] who were discharged or released from active duty under honorable con- ditions,” and who are California residents at the time of appli- cation. Cal. Mil. & Vet. Code § 1012(a).

Admission also depends on additional factors. Department regulations direct the Home to admit eligible applicants, “pro- vided that care for their needs can be furnished within the available resources of the Veterans Home and subject to the levels of care for which direct admission is permitted.” Cal. Code Regs. tit. 12, § 501(a). The regulations further provide that the “ability of the Veterans Home to provide adequately and appropriately for the applicant’s medical and social needs and the applicant’s ability and willingness to adapt to the Vet- erans Home environment shall be determining factors.” Id. 1 Plaintiffs also challenge the district court’s jury instructions and certain of its evidentiary rulings. On those issues, we agree with the district court and affirm its rulings. 2 The Department operates the Home at three Campuses, one each in Barstow, Chula Vista, and Yountville. Applicants apply to each Campus separately. ESTATE OF MARTIN v. CALIFORNIA DEPARTMENT 3607 § 501(d) (emphasis added). The Home “shall refuse admis- sion to applicants with medical conditions or disabilities requiring specialized care, handling, or treatment . . . or other resources not available at the Veterans Home.” Id. § 501.1 (emphasis added). In addition, admission is provided only on a “first come, first served basis.” Id. § 502(a).

The Home is licensed by the State of California Depart- ment of Health Services to provide five levels of care: (1) independent living or domiciliary; (2) assisted living or resi- dential care; (3) intermediate care; (4) skilled nursing care; and (5) acute hospital care.3 Id. § 503. Residents move through the levels of care according to their medical needs.

The evidence at trial showed that Dorothy required Skilled Nursing Care,4 the second-highest level of care available to residents, at the time of her applications. During the period she sought admission, an applicant could not be admitted directly to Skilled Nursing Care unless the occupancy rate at that care level was below 75%. Id. § 503(f). In addition, at that time, the Barstow and Chula Vista Campuses did not pro- vide Skilled Nursing Care to new applicants,5 and the Yount- ville Campus was admitting residents to the domiciliary level of care only.

Dorothy was diagnosed with Alzheimer’s and Alzheimer’s- related dementia in 1998. Over an approximately 18-month 3 Acute hospital care is the highest level of care available and provides intensive care on a 24-hour basis. Cal. Code Regs. tit. 12, § 503(g). Veter- ans cannot enter a Home at this level of care, so it is not relevant to the issues on appeal. 4 Skilled Nursing Care provides residents with 24-hour in-patient care by licensed nursing staff who help with all activities of daily living. Id. § 503(f). 5 The Barstow Campus lacked the required certification to provide Skilled Nursing Care and was prohibited from admitting outside appli- cants at that level of care. The Chula Vista Campus did not open a Skilled Nursing Care facility until February 2002, after Dorothy died. 3608 ESTATE OF MARTIN v. CALIFORNIA DEPARTMENT period beginning in early 2000, Dorothy applied to, and was denied admission by, each Campus of the Home.

Mary Martin cared for her mother until her mother died in November 2001. During that time, Mary used her own money to pay for her mother’s care. Mary also suffered “anxiety, frustration, sleeplessness, and despair.”

Following Dorothy’s death, Plaintiffs brought this action, alleging that Defendants illegally denied Dorothy admission to the Home because of her disability and stating claims under numerous theories of recovery. Over the next three years, those claims were winnowed down to claims against the Department under the Rehabilitation Act, 29 U.S.C. § 794, and the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and claims against the Department’s officers in their individual capacities under 42 U.S.C. § 1983 for violations of the Equal Protection Clause and California tort law. Plaintiffs sought to recover compensatory, special, and punitive dam- ages.

The case was tried to a jury for a week. Before the jury returned its verdict, the parties filed cross-motions for judg- ment as a matter of law under Federal Rule of Civil Procedure 50(a).

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