Indiana State Board of Health Facility Administrators v. Werner

841 N.E.2d 1196, 2006 Ind. App. LEXIS 172, 2006 WL 306385
CourtIndiana Court of Appeals
DecidedFebruary 10, 2006
Docket49A02-0505-CV-375
StatusPublished
Cited by18 cases

This text of 841 N.E.2d 1196 (Indiana State Board of Health Facility Administrators v. Werner) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Indiana State Board of Health Facility Administrators v. Werner, 841 N.E.2d 1196, 2006 Ind. App. LEXIS 172, 2006 WL 306385 (Ind. Ct. App. 2006).

Opinion

OPINION

BARNES, Judge.

Case Summary

The Indiana State Board of Health Facility Administrators ("the Board") appeals the trial court's reversal of the Board's order suspending Angela Werner's health facility administrator license and requiring her to pay the costs of the proceedings. We affirm in part and reverse in part and remand.

Issues

The Board raises three issues, which we restate as:

I. whether the trial court had subject matter jurisdiction to review the Board's order;
II. whether the trial court properly concluded that Werner was entitled to relief; and
III. whether the trial court properly compelled the Board to adopt the sance-tions recommended by the Administrative Law Judge ("ALJ").

Facts

From 1996 to 2000, Werner was a health facility administrator at Westpark Rehabilitation Center in Evansville. On September 24, 1999, a complaint was filed with the Indiana State Department of Health ("ISDH") regarding a September 21, 1999 incident between two residents at West-park. Although two investigations found the complaint unsubstantiated, a third investigation led to the filing of a complaint against Werner by the Attorney General's Division of Consumer Protection ("the State").

*1199 The Board appointed an ALJ, who conducted hearings on January 27-31, 2003, and on June 9-12, 2008. On December 2, 2003, the ALJ issued her recommended findings of fact and conclusions of law, which provided in part:

FINDINGS OF FACT
13. At the hearing the State attempted to enter evidence regarding aspects of the Respondent's performance as an [health facility administrator] that are not included in the complaint.
14. The State is bound by what it alleged in the complaint; therefore only the allegations made in the complaint can be considered in deciding whether any action should be taken against Respondent's license in this matter.
15. While the State's complaint against Respondent references 9 residents the State presented substantial evidence on only two residents-JM and Helen Straukamp.
16. On September 21, 1999, Helen Straukamp, a female resident at West-park who had dementia was standing in the hallway.
17. JM, a male resident at Westpark, came up behind Straukamp and was cursing.
18. JM faced Straukamp and pushed her into a wall.
19. Straukamp fell back and hit her head on the wall. She then fell to the floor.
20. The injuries Straukamp suffered during this incident with JM led to her death a few weeks later.
21. This September 21, 1999 incident prompted the three complaints filed with the ISDH and the three resulting complaint surveys.
22. JM was a resident of Westpark from October 15, 1998 until December 13, 1999.
28. Prior to his admission at Westpark, JM had a history of physical violence including a murder conviction.
24. The history was not a part of JM's chart on file at the nurses' station and was unknown to Respondent until after the September 21, 1999 incident.
25. JM was admitted to Westpark with a diagnosis of organic brain syndrome.
26. Throughout his stay at Westpark, JM had numerous incidents of verbal aggression against staff and other residents. These incidents ranged from cursing and yelling to threats of physical violence. These verbal outbursts did not occur consistently. JM sometimes went for months without verbal incident. These threats were frightening to some staff, but not to others.
27. Between the time Respondent came to Westpark and September 21, 1999, JM was involved in three incidents of physical aggression.
1. On November 15, 1996, JM hit another resident and orally threatened a social services employee.
2. On November 29, 1996, JM threatened and knocked down another resident. This fall resulted in a hip fracture for the other resident.
3. On October 28, 1997, another resident slapped JM. JM attempted to choke that resident. The other resident pushed JM back and JM fell and broke his hip.
28. After the November 29, 1996 incident JM's medications were adjusted by psychiatrist Dr. Norum. JM did not experience another incident of physical aggression until October 28, 1997. JM did not initiate the October 28, 1997 incident.
*1200 29. There are some inconsistencies in the recommendations from psychiatric professionals regarding whether JM should be transferred to a different kind of facility; however, there does seem to be agreement that JM needed a more structured environment.
30. In January, 1997, JM was seen by a psychiatric consultant who stated in his report that JM was "stubborn, irritable and easily angered ... episodically combative and unpredictable" and recommended that JM be transferred to a more appropriate facility which is "more structured and can provide him with a behavior modification program to restructure his behavior".
31. In July, 1997, Dr. Norum, psychiatrist, stated, "JM is an accident looking for a place to happen." He suggested emergency detention in a locked unit.
32. In August, 1997, Dr. Norum stated that JM's mood was very stable with the medication depakote.
33. Dr. Norum saw JM in early October, 1997 and stated that he was stable and that his current medications should be continued.
34. After the October 28, 1997, incident Dr. Vance did extensive psychological testing on JM and determined that he did not need to be placed in a behavioral unit at that time. He did recommend that JM be controlled through behavior programming and by maintaining a highly structured day.
35. Behavioral units at long term care facilities are designed to provide a highly structured and secure environment for residents whose diagnoses and behavior warrant it.
36. Westpark does not have a behavioral unit.
37. From October 28, 1997 until September 21, 1999 JM had no more incidents of physical aggression. He did have numerous incidents of verbal aggression and threats.
38. After the September 21, 1999 incident JM was put on one-to-one monitoring until he was sent that same day to the psychiatric unit at Gibson County General Hospital (Gibson Central) for observation.
39. JM stayed at Gibson General until September 30, 1999 when he was sent back to Westpark.
40.

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Bluebook (online)
841 N.E.2d 1196, 2006 Ind. App. LEXIS 172, 2006 WL 306385, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indiana-state-board-of-health-facility-administrators-v-werner-indctapp-2006.