Estate of Vasquez v. Tallmadge Health & Rehab Ctr.

Ohio Court of Appeals·Decided May 7, 2026·No. 115395·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

ESTATE OF JEAN L. VASQUEZ, : BY MICHELLE DODDS-NALLEY, ADMINISTRATOR OF THE ESTATE : OF JEAN L. VASQUEZ, DECEASED, :

Plaintiff-Appellee, :

No. 115395

v. :

TALLMADGE HEALTH AND : REHAB CENTER, ET AL.,

Defendants-Appellants. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: May 7, 2026

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-25-110132

Appearances:

Tittle & Perlmuter and Allen C. Tittle; Flowers & Grube and Louis E. Grube, for appellee.

Marshall Dennehey, P.C., and Leslie M. Jenny, for appellants.

EILEEN T. GALLAGHER, P.J.:

Appellants Tallmadge Health and Rehab Center, Tallmadge Healthcare Group, LLC, Saber Healthcare Holdings, LLC, Saber Healthcare Group, LLC, Saber

Governance, LLC, BNV Dynasty, LLC, SHH Holdings, LLC, WIW Dynasty, LLC, WWBV Holdings, LLC, Benjamin N. Volpe, William Weisburg, Valerie Youell, Gregory Nicoluzakis, Sara Burton, and Harikrishna Chouda Ponnam (“appellants”) appeal the judgment of the trial court denying their motion to stay and enforce an arbitration agreement under R.C. 2711.03. Appellants argue that the trial court erred in denying their motion because the arbitration agreement was binding, conscionable, and enforceable.

After a thorough review of the applicable law and facts, we find that the arbitration agreement is unenforceable because appellants failed to prove the validity of decedent Jean Vasquez’s (“Jean”) electronic signature. We overrule the sole assignment of error and affirm the judgment of the trial court.

I. Factual and Procedural History Jean was admitted to Tallmadge Health and Rehab Center (“Tallmadge”) in December 2023. Tallmadge is a long-term care facility that offers skilled nursing and rehabilitation services. At the time of her admission, Jean was noted to be a fall risk.

Upon being admitted to Tallmadge, Jean was presented with various admission documents. Appellants claim that Jean electronically signed all the documents presented to her, including an electronic signature acknowledgement and an arbitration agreement (“Agreement”). Following Jean’s admission, a meeting was held with Jean’s family. The arbitration agreement was not discussed during the meeting.

Jean suffered a fall during her stay at Tallmadge, resulting in a fractured femur, and she later died from her injury. Appellee Estate of Jean L. Vasquez, by Michelle Dodds-Nalley (“Dodds-Nalley”), Administrator of the Estate of Jean L. Vasquez, deceased (“Estate”), filed a complaint against appellants, alleging nursing-home neglect, medical malpractice, and wrongful death.

Appellants answered the complaint and filed a motion to stay and enforce an arbitration agreement. The motion argued that upon her admission to Tallmadge, Jean had “initialed, signed, and entered into” the Agreement that encompassed the claims brought by the Estate. The motion further asserted that the Agreement was conscionable, enforceable, and complied with R.C. 2711.23.

In their brief in opposition, the Estate argued that the Agreement was not enforceable because (1) appellants did not present sufficient evidence that Jean signed the Agreement, and (2) the Agreement was procedurally and substantively unconscionable. The Estate further argued that the Agreement did not apply to its wrongful-death claim and that the Agreement was signed by a different legal entity than the Tallmadge entity named in the complaint.

Appellants filed supplemental support for their motion, consisting of an electronic-signature acknowledgement and consent form, the admission agreement, and a document labeled “OneSpan Sign Electronic Evidence Summary” that appellants referred to as the “audit history for admission paperwork.”

The trial court held a hearing on the motion over the course of two dates. During the first part of the hearing, the Estate presented the testimony of Lisa

West, M.D. (“West”), Ann Shock (“Shock”), and Dodds-Nalley. West was a forensic psychiatrist who had reviewed Jean’s medical records. She opined that, with reasonable medical certainty, Jean did not have the capacity to enter into a contract at the time she signed the Agreement. Shock was Jean’s sister and testified that she had visited Jean every day during the time of November 2023 through December 2023. She stated that at the time of her admission to Tallmadge, Jean was suffering confusion and hallucinations, she was unable to have deep conversations, and that at no point during that time was Jean “totally normal mentally.”

Following the testimony of West and Shock, there was a disagreement between counsel as to whether a witness was required to authenticate the records presented by appellants. Based upon an email between counsel that was shown to the court, it appeared that the parties had agreed that there would be no need for a witness to authenticate Jean’s medical records. There was no agreement regarding the authentication of the other documents presented by appellants. The court questioned appellants’ counsel as to why he did not have a witness testify regarding Jean’s electronic signature and the claimed evidence thereof. The court recessed the hearing and stated that it would be reconvened at a later date to “allow [appellants] to bring whoever you think you need to bring so this court has all the information that it needs.” (Tr. 46.)

On the second day of the hearing, the Estate presented the testimony of Dodds-Nalley, who was Jean’s niece and goddaughter. Dodds-Nalley testified that she had assisted Jean with doctor appointments and transportation to family events, and she had attended family meetings regarding Jean, including a meeting on the day of Jean’s admission to Tallmadge. She provided testimony regarding Jean’s health at the time Jean had been admitted to Tallmadge, in particular Jean’s cognitive issues and difficulty with her hearing and vision.

Appellants did not present any witnesses but offered as exhibits the admission agreement, Jean’s durable power of attorney, and various medical records relating to Jean’s cognition. The “audit history for admission paperwork,” also referred to as the “audit trail,” that had been presented to the court as a supplemental exhibit to their motion was not offered as an exhibit at the hearing and was only ever mentioned by counsel.

Following the hearing, the trial court issued an opinion and order denying the motion to stay and enforce the arbitration agreement. The court found that appellants had failed to prove that Jean had signed the agreement, noting that “no witness testified regarding the circumstances of [Jean’s] alleged electronic signature.” And even if they had proven her signing, the court determined that the Estate had presented clear and convincing evidence that Jean was not competent at the time of her admission and the signing of the agreement. Because Jean’s capacity was diminished at the time of the signing, the court found that the Agreement was unconscionable.

Appellants then filed the instant appeal.

II. Law and Analysis

There is a strong public policy in Ohio favoring arbitration of disputes.

Sebold v. Latina Design Build Group, L.L.C., 2021-Ohio-124, ¶ 8 (8th Dist.). However, although arbitration is favored, a party cannot be compelled to arbitrate a disagreement if the party did not agree to submit to arbitration. Estate of Mary Battle-King v. Heartland of Twinsburg, 2021-Ohio-2267, ¶ 10 (8th Dist.), citing Council of Smaller Ents. v. McDonald & Co., 80 Ohio St.3d 661, 665 (1997). In an arbitration dispute, the appropriate standard of review is determined by the type of issues presented challenging the applicability of the arbitration provision. Brownlee v. Cleveland Clinic Found., 2012-Ohio-2212 ¶ 8, citing McCaskey v. Sanford-Brown College, 2012-Ohio-1543, ¶ 7 (8th Dist.).

Free access — add to your briefcase to read the full text and ask questions with AI

Estate of Vasquez v. Tallmadge Health & Rehab Ctr., (Ohio Ct. App. 2026).

Estate of Vasquez v. Tallmadge Health & Rehab Ctr. (Estate of Vasquez v. Tallmadge Health & Rehab Ctr.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

First Options of Chicago, Inc. v. Kaplan
514 U.S. 938 (Supreme Court, 1995)
Brownlee v. Cleveland Clinic Found.
2012 Ohio 2212 (Ohio Court of Appeals, 2012)
Caskey v. Sanford-Brown College
2012 Ohio 1543 (Ohio Court of Appeals, 2012)
Hedeen v. Autos Direct Online, Inc.
2014 Ohio 4200 (Ohio Court of Appeals, 2014)
Harmon v. Philip Morris, Inc.
697 N.E.2d 270 (Ohio Court of Appeals, 1997)
Corl v. Thomas King, Unpublished Decision (6-13-2006)
2006 Ohio 2956 (Ohio Court of Appeals, 2006)
Boedeker v. Rogers
736 N.E.2d 955 (Ohio Court of Appeals, 1999)
Bates & Springer, Inc. v. Stallworth
382 N.E.2d 1179 (Ohio Court of Appeals, 1978)
Benjamin v. Pipoly
800 N.E.2d 50 (Ohio Court of Appeals, 2003)
Maestle v. Best Buy Co., Unpublished Decision (8-11-2005)
2005 Ohio 4120 (Ohio Court of Appeals, 2005)
Seyfried v. O'Brien
2017 Ohio 286 (Ohio Court of Appeals, 2017)
Lamps Plus, Inc. v. Varela
587 U.S. 176 (Supreme Court, 2019)
Dozier v. Credit Acceptance Corp.
2019 Ohio 4354 (Ohio Court of Appeals, 2019)
N. Side Bank & Trust Co. v. Trinity Aviation, L.L.C.
2020 Ohio 1470 (Ohio Court of Appeals, 2020)
Hersh v. Cuyahoga Cty. Bd. of Revision
2020 Ohio 3596 (Ohio Court of Appeals, 2020)
Vogel v. Albi
2020 Ohio 5242 (Ohio Court of Appeals, 2020)