James River Insurance Company v. Inn-One Home, LLC

CourtDistrict Court, D. Vermont
DecidedJune 8, 2021
Docket2:18-cv-00100
StatusUnknown

This text of James River Insurance Company v. Inn-One Home, LLC (James River Insurance Company v. Inn-One Home, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
James River Insurance Company v. Inn-One Home, LLC, (D. Vt. 2021).

Opinion

US. OSTRic District 6 Pverennt UNITED STATES DISTRICT COURT PILED FOR THE 2021 JUN ~8 PH 12: 40 DISTRICT OF VERMONT CLERK JAMES RIVER INSURANCE COMPANY, _ ) bw ) DEPOT Plaintiff, ) ) V. ) ) INN-ONE HOME, LLC D/B/A OUR HOUSE) Case No. 18-cv-00100 RESIDENTIAL CARE HOMES, PAULA ) PATORTI, LISA PATORTI, and JUNE F. ) KELLY, as Executor of the Estate of Marilyn — ) F. Kelly, ) ) Defendants. )

OPINION AND ORDER GRANTING JAMES RIVER INSURANCE COMPANY’S MOTION FOR SUMMARY JUDGMENT (Doc. 54) Plaintiff James River Insurance Company (“James River”) brings this suit against Defendants Inn-One Home, LLC (“Inn-One’’), Paula Patorti, and Lisa Patorti, (collectively “Defendants”) seeking a declaratory judgment that it has no duty to defend or indemnify Defendants in an underlying state court civil suit (the “Underlying Suit”) based on the alleged neglect, assault, and mistreatment of the late Marilyn F. Kelly (“M. Kelly”) at a residential care facility operated by Inn-One. On June 22, 2020, the court granted James River’s motion for partial summary judgment, declaring that James River had no duty to defend or indemnify Defendants in the Underlying Suit pursuant to the commercial general liability (‘CGL”) coverage set forth in Policy Number 000766 13-0 (the “Policy”). On September 23, 2020, James River moved for summary judgment seeking a declaration that it also has no duty to defend or indemnify Defendants under the Policy’s professional liability coverage provisions. On November 12, 2020, Inn-One opposed the motion and on November 18, 2020, James

River replied. On May 18, 2021, Defendants submitted supplemental authority and a hearing was held, at which time the court took the pending motion under advisement. James River is represented by Gary M. Burt, Esq. Defendants Inn-One, Paula Patorti, and Lisa Patorti are represented by Joshua L. Simonds, Esq. Defendant June Kelly (J. Kelly”), as executor of the Estate of M. Kelly (the “Estate’”), is represented by Daniel L. Burchard, Esq. I. The Undisputed Facts. A. Events Giving Rise to the Claims in the Underlying Suit. In May 2015, M. Kelly was admitted to a residential care facility located at 69 Allen Street in Rutland, Vermont operated by Inn-One for residential care related to dementia. While at Inn-One’s facility, M. Kelly was allegedly medicated with the anti- psychotic drug haloperidol without the consent of her legal guardian. On August 3, 2015, she fell in her room at Inn-One’s facility. On September 4, 2015, she eloped from the facility, was missing overnight, and located the following day. M. Kelly’s elopement was reported to the Vermont Department of Disabilities, Aging, and Independent Living (“DAIL”) on September 10, 2015. J. Kelly, M. Kelly’s daughter, threatened to sue the pharmacy whose employee had held the door open for M. Kelly, allowing her to elope. On September 17, 2015, M. Kelly was taken to the emergency room after another fall at Inn-One’s facility. On November 26, 2015, she again was taken to the hospital after Inn-One staff noticed a bump and laceration on her forehead and bruising and blood in her hair. On December 15, 2015, M. Kelly went to the emergency room via ambulance after she fell in her room at Inn-One’s facility and was found with blood “streaming down her face.” (Doc. 54-1 at 5, { 26.) On December 31, 2015, Marissa Flagg, an Inn-One caregiver, verbally assaulted and intentionally pushed M. Kelly, causing her to fall and suffer injuries (the “Flagg Assault”). Ms. Flagg was later terminated by Inn-One and criminally prosecuted for

assaulting M. Kelly.! When asked at his deposition whether a patient being assaulted and taken to the hospital for treatment as a consequence “could be an incident that could give rise to a claim[,]” Inn-One’s insurance agent, Charles Rose, responded in the affirmative. (Doc. 54-12 at 14.) Throughout M. Kelly’s residence at Inn-One’s facility, J. Kelly, Defendant Paula Patorti, and other Inn-One staff held Care Plan Conferences at which J. Kelly expressed concerns regarding her mother’s meals, medications, and activity level. According to Defendant Paula Patorti, Inn-One’s staff was “always frustrated with [J. Kelly].” (Doc. 54-3 at 27.) At a care conference shortly after the Flagg Assault, J. Kelly told Defendant Paula Patorti that she had been “questioning staff about events, [Flagg’s] history etc.” and was “‘forming a union’ with other families regarding — menus, meal prep, [c]aregiver Marissa [Flagg] etc.” (Doc. 54-13 at 2.) J. Kelly testified at her deposition that, during this same conference, Defendant Paula Patorti told her that certain Inn-One staff had raised concerns about J. Kelly filing professional conduct complaints against them with respect to their care of M. Kelly. On January 15, 2016, M. Kelly was hospitalized. She died of bronchopneumonia on February 1, 2016. On March 1, 2016, J. Kelly requested copies of her mother’s records related to her stay at Inn-One’s facility. On December 11, 2017, the Estate and M. Kelly’s children? filed the Underlying Suit against Inn-One in Rutland Superior Court, asserting claims of negligence, breach of contract, wrongful death, negligent hiring, and violation of Vermont’s Consumer Protection Act arising out of Inn-One’s alleged negligent care and supervision and chemical restraint of M. Kelly and the Flagg Assault, which they contend contributed to M. Kelly’s death.

' Inn-One alleges that it “played an active role in reporting the [Flagg Assault] to authorities and ay. Marissa Flagg criminally prosecuted and placed on the Elderly Abuse Registry.” (Doc. 62 2M. Kelly’s children were later dismissed from the Underlying Suit in their individual capacities, leaving the Estate as the sole plaintiff.

B. The James River Insurance Policy. In February 2017, Inn-One submitted an application for insurance to James River (the “Application”) which included a section titled “Important Notice” that stated: [a]ll known claims and/or incidents that could reasonably result in a claim are specifically excluded from coverage. Report all such claims or incidents to your current insurer. Your failure to disclose any claim, or incident that could reasonably result in a claim, may result in the proposed insurance being void and/or subject to rescission. (Doc. 54-2 at 3.) Defendant Paula Patorti signed the application on behalf of Inn-One. On the signature page of the Application, a Warranty Statement provided that “[t]he undersigned authorized officer of the Applicant declares that the statements set forth herein are the result of said officer’s inquiry and, as such, are true, accurate and complete.” /d. at 6. Question 1.b. in the Claims Activity and Incident Reporting Procedures section of the Application asked for information regarding any incidents involving abuse, improper contact, or that generated a formal complaint or notice from any federal or state regulatory body. Question 1. b. specifically sought the following information: Incident Activity — Please outline the details below regarding any of the following incidents that have taken place at any of your facilities for which coverage is being requested, but where such incidents have not been reported to any insurer: Death of a client, patient or resident from other than natural causes; Injury to a client, patient or resident that required hospitalization; Incident involving abuse, molestation, sexual assault, rape or improper contact; Incident that generated a formal complaint or notice from any federal or state regulatory body; Injury resulting from an elopement or unauthorized absence of a client, patient or resident; Improper medication or improper dosage resulting in hospitalization; or Decubitus ulcer(s) first acquired under your care that have reached Stage IV.

Id. at 3.

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

Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Kaytor v. Electric Boat Corp.
609 F.3d 537 (Second Circuit, 2010)
McElwee v. County of Orange
700 F.3d 635 (Second Circuit, 2012)
Co-Operative Insurance Companies v. Woodward
2012 VT 22 (Supreme Court of Vermont, 2012)
Trinder v. Connecticut Attorneys Title Insurance
2011 VT 46 (Supreme Court of Vermont, 2011)
Towns v. Northern Security Insurance
2008 VT 98 (Supreme Court of Vermont, 2008)
In Re Chittenden Solid Waste Dist.
2007 VT 28 (Supreme Court of Vermont, 2007)
Garneau v. Curtis & Bedell, Inc.
610 A.2d 132 (Supreme Court of Vermont, 1992)
Anderson v. Cooperative Insurance Companies
2006 VT 1 (Supreme Court of Vermont, 2006)
Gallipo v. City of Rutland
789 A.2d 942 (Supreme Court of Vermont, 2001)
Capitol Speciality Insurance v. Sanford Wittels & Heisler, LLP
793 F. Supp. 2d 399 (District of Columbia, 2011)
American Special Risk Management Corp. v. Cahow
192 P.3d 614 (Supreme Court of Kansas, 2008)
Dunbar v. Farnum Wife
196 A. 237 (Supreme Court of Vermont, 1937)
Proctor v. LeClaire
846 F.3d 597 (Second Circuit, 2017)
Rainforest Chocolate, LLC v. Sentinel Insurance Company, Ltd.
2018 VT 140 (Supreme Court of Vermont, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
James River Insurance Company v. Inn-One Home, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-river-insurance-company-v-inn-one-home-llc-vtd-2021.