Gagon v. Woodlands Senior Living of Brewer, LLC

Superior Court of Maine·Decided September 23, 2016·No. PENbcd-cv-15-29·Unpublished

Opinion

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STATE OF MAINE BUSINESS AND CONSU1v!ER DOCKET PENOBSCOTT, ss. DOCKET NO. BCD - CV - 15 - 29

J

SANDRA GAGNON, )

)

Plaintiff, ) ORDER ON DEFENDANT'S ..... ____......... .. ­ ..... v; .... .:.. ·- -···· - -.. :....:_: ·.. ·:. :_.....:...... ... :.:.:.:..... _ ··· - :) ... .. '·MOTION-FOR-SUMMARY.:. .....· · ...... ·-·-- ·......

) JUDGMENT

WOODLANDS SENIOR LIVING ) OF BREWER, LLC, )

)

Defendant. )

I. Background

A. Improper Administration of Medication Plaintiff Gagnon was hired by Defendant Woodlands Senio1· Living of Brewer, LLC ("Woodlands'') as a Certified Residential Medication Aide

("CRMA") on November 26, 2012. Supp. SMF 91<[ 3 & 4. During her employrnent, ~

Gagnon received regulal' pay raises. Add. S:MF 9I 3. In January 2014, Gagnon's supervisor, Chelsea Hodgson, completed a performance evaluation for Gagnon noting that Gagnon's performance was good in all respects. Add. S.MF 9I 5. The parties agree that the residents seemed to like Gagnon. Add. SMF <JI 8. Her employment was terminated on May 5, 2014. Supp. SMF ':[ 34. During her employment, Gagnon's job responsibilities included administering medications to Woodlands' residents and documenting the care received. Supp. SlVIF 915. During her employment, Gagnon was trained in Woodlands' policies and procedures regarding administration of medications including Woodlands' policy requiring CRMAs to perform three checks prior to administering medications and Woodlands electronic medication adrninistrati.on records

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("EMAR"). Supp. SMF <[q[ 61 7 & 8. Gagnon also received training on the Department 0£ Health and Human Services' ("DHHS") Eight Rights of Safe Medication Administration. Supp. SMF <[ 9.

On April 1, 2013, Gagnon received a medication error counseling session

fm having multiple errol's in the month of February 2013. Supp. SMF '][ 10.

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Gagnon's errol'S were a result of Gagnon's failure to correctly document the administration 0£ med.ication.s. Supp. SMF qr 11. On April 10, 2014, Gagnon received a medication error warning signed by Woodlands' Executive Di.rector, Benjamin Smith, for administel'in.g the incorrect vitamins to a resident on numerous dates between Mal'ch 5 and April 9, 2014. Supp. Siv1F cir 13. The warning stated that any additional medication errors by Gagnon would result in her removal from medicc1 tion passing du ties and I or future disciplinary action up to and including termination. Supp. SMF <[ 16. Gcignon understood the steps she would need to take in order to avoid similar mistakes in the future. Supp. SMF '[ 15.

On April 29, 2014, Gagnon administered a blood pressure medication (Metroprolol Tartate) to a tesident in an amount that was fom: times the amount prescribed. Supp. SMF <J[ 19. Hodgson, discovered the error the next day on April 30, 2014. Supp. Siv1F <jf 20. The parties dispute whether Hodgson knew at the time that Gagnon was the staff member responsible. Supp. SMF <JI 20; Opp. SMF 'lf 20. That sarne day, Hodgson reported the incident to Smith. Supp. SMF cir 21.

Smitll left for vacation on April 30, 2014 and did not return unti.l May 51 2014. Supp. SMF 91. 22. There is dispute as to whether Hodgson knew that the medication mistake was made by Gagnon on April 30 or May 1, 2014. There is further dispute concerning whether Srnlth was in toucb with Hodgson during his

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vacation, on May 1, 2014 and whethel' Hodgson and Smith discussed a plan to remove Gagnon from medication passi.n.g duties. Supp. SMF <[123 - 27, Opp. SMF 9[<[ 23 - 27. The parties also dispute whether removing Gagnon from medication passing duties was a temporary determination made by Hodgson

and another supervisor, Nicole Matson, pending Smith's return, and whether -· - ----···--··.---------- ........ ·:.!":... :..... : •. ~- ·..:.._ ...---····:.: __•••: : ..:•. :.··-- •..:...:•. ::....:..:~.··:: ..... :.. ··::......._ :...:_·._, • .:..:.:. ·:. ··.:..... '.'.'":. :.:. :::.. ·­ .:._ .... ......._._,.,., ...

Gagnon's removal from medication passing was meant to be for a set period of time. Id.

Smith returned to work on May 5, 201 1:L Supp. SMF 'll: 28. Woodlands contends that Smith performed an investigation of the incident at that time. Supp. SMF 'IT 28. Gagnon contends that Smith was already aware of the incident and had agreed to the disciplinary action of removing Gagnon from medication pc1ssing duties £or two weeks. Opp. S!vIF <j[ 28. Through the investigation, Smith confirmed Gagnon's mistake in administration of medication1 found that the employee on the second shift made the same mistake on April 30, 2014, but that the employee who worked the first shift on April 30, 2014 did not make the same mistake. Supp. SM.F <[ 30. Woodlands contends that; after Smith's investigation, Smith reviewed Gagnon's persormel records and decided to terminate her employment based upon the warning .issued nineteen dciys prior and the medication incident on April 29, 2014. Supp. S:MF 'If 31. Gagnon alleges that the medication administration errors were offered merely as a pretext for the termination of Gagnon's employment. Opp. SMF 'I[ 31. The other employee who made the same medication administration mistake was issued a warning. Supp. SMF <[ 32. Woodfonds alleges that the differing treatment was based upon the fact that the other employee had not previously been issued a warning where Gagnon had been. Supp. SMF <JI 32. Gagnon contends that the differing treatment

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is evidence that Gagnon was fired for making reports of illegal and unsafe conditions rather than for the improper administration of medication. Opp. SMF CJ[ 32.

Smith prepared a notice terminating Gagnon's employment on May 5,

2015. Supp. S1v1F 9[ 33. Smith provided Gagnon with the notice when she ai-rived _ , - --·- h , 0 ·-+l•I ·-···-... ·- 0 0. 0 •• - 0000• 0 0 ••...._, - I---· · ·•.. . 0 ~ .. -• 0 0 . . . : .... : ••• !...::.~.:..:,','_,.. ':_ -- ·. ',,;:, ··:.. i. ·:~ :..:... :.:·':..-, ...,__:,,:M·0:0,000H: .:... ·.:.. 0.:...:. ·-· .... ­

for work that day. Supp. SMF 9I 34. The parties agree that Smith was the sole decision maker wi.th respecl to the termination of Gagnon's employment. Supp.

SMF 'IT 35.

B. Reports

Woodfands care policy 1·equires employees to document issues with resident care and deviations from the standard of care and to discuss these issues with other employees during that shift. Resp. to Add. S:MF <JI 34. Further, Woodlands requires employees to report issues with resident care and deviations from the standard of care to the employee's supervisor, the Adult Protective Services ("APS") 1 DHHS Licensing and the DHHS Ombudsman. Add. SMF 'l[ 22.

Gagnon asserts that she wih1essed situations where residents were neglected and not provided with the level of care to which they were entitled, thereby endangering their health and safety. Add. SMF 1'[ 36 -38.

Gagnon reported issues regarding residents orally and in notes written in the shift reports. Add. SMF CU 42. Hodgson told Gagnon to write her concerns in

shift reports so that everybody would be aware of them. Add. SMF <[ 44. I

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Gagnon' s reports ate as follows.

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A few montl1s prior to the termination of Gagnon's employment1 Gagnon

made an oral report to Hodgson concerning a resident with penis cancel' that she I

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fotmd soaked in urine or covered in feces. Add. SMF 9149. Gagnon asserts that it Ii

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Gagon v. Woodlands Senior Living of Brewer, LLC, (Me. Super. Ct. 2016).

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