Jeff Cahn v. Copac, Inc.

198 So. 3d 347, 2015 Miss. App. LEXIS 644, 2015 WL 8097257
CourtCourt of Appeals of Mississippi
DecidedDecember 8, 2015
Docket2014-CA-00021-COA
StatusPublished
Cited by14 cases

This text of 198 So. 3d 347 (Jeff Cahn v. Copac, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jeff Cahn v. Copac, Inc., 198 So. 3d 347, 2015 Miss. App. LEXIS 644, 2015 WL 8097257 (Mich. Ct. App. 2015).

Opinion

GRIFFIS, P.J.,

for the Court:

¶ 1. This appeal arises from a medical-malpractice wrongful-death claim. The circuit court granted a summary judgment based on the “wrongful conduct” rule. The Appellants argue that the court erred in the application of the “wrongful conduct” rale and erred in the consideration of hearsay statements to decide the summary judgment. We find reversible error and remand for further proceedings.

*349 FACTS

¶ 2. Defendant COPAC, Inc., doing business as COPAC Addiction Services (“CO-PAC”), operates a residential drug and alcohol treatment facility in Flowobd, Mississippi. The facility is licensed and regulated by the State of Mississippi and listed by the Department of Health as a facility authorized to render such services. Defendant Lloyd Gordon, M.D., is the chief medical director and owner of COPAC. Defendants Bridget Rule, LPN, and Rebecca Osborne, LPN, are nurses at the COPAC facility and were the medical staff present at the tipies relevant to the claims presented.

¶ 3. On October 7, 2011, Ben Cahn was admitted to COPAC for treatment.- The primary purpose for.'his treatment and inpatient admission was drug and alcohol addiction with a “predisposition for the abuse of prescription medications.” Dr. Gordon was Ben’s treating physician and was responsible for his care at COPAC.

¶ 4. Ben’s stay at COPAC was relatively unremarkable until the weekend of December 14, 2011. On December 14, Nurse Rule noted that Ben was expressing great anxiety regarding his “family.” Also, she noted that he became defiant with the staff while taking his “lunch meds.” And in the presence of COPAC staff, Ben swallowed many more of his Neurontin medication than his prescription allowed.

¶ 5. After learning of this, Jeff and Laurie Cahn, Ben’s parents, traveled from their home in Minnesota to COPAC to visit Ben and speak with his caregivers. On Friday, December 16, 2011, the Cáhns took Ben to dinner and then returned Ben to COPAC. Ben refused to get out of their vehicle and insisted on leaving CO-PAC. The COPAC counselor on duty intervened, and Ben agreed to be transferred from his room to the infirmary, so that he could be monitored more closely. Ben was to remain at COPAC until Monday, when his parents would provide his counselor with a list of alternative treatment facilities for a possible transfer. On December 16, Ben apologized to the counselor and told her to relay a message to his parents that he would agree to remain at COPAC until January 4, 2012.

¶6. On Saturday, December 17, 2011, Ben was housed in the infirmary. Dr. Gordon began the day rushing into his office, which was located in .the same building and directly across the hall from the infirmary. He was there to get some cheese and .turn on his computer. He got the cheese quickly, turned on his computer, “thought” he locked his office door, and left.

¶ 7. Another patient, identified as “C.T.,” was also housed in the infirmary on December 17. As part of this appeal, the Cahns have contested the fact that CO-PAC offered C.T.’s testimony through Dr. Gordon and others, but COPAC has refused to produce C.T.’s records and the “statements” they took from C.T. after Ben’s incident. C.T. was transferred to the infirmary due to some behavioral problems. This same weekend, C.T. had stolen some beer from a convenience store off-site, and COPAC placed C.T. back into the infirmary.

¶ 8. After Ben’s death, COPAC’s director of operations Tom ' Kepner interviewed' C.T. Kepner testified that C.T. said that on the weekend evenings, December 16-17, he and Ben were “running up ánd down” the halls outside of the infirmary trying to, access the offices, and the CO-PAC nurses “had been trying to chase them back” into their room. C.T. said that they finally broke into Dr. Gordon’s office because they - “thought it would be the most likely' place for there to be some *350 thing.” 1

¶ 9. On the morning of Sunday, Decem- ■ ber 18, 2011, Nurse Rule attempted to awaken Ben. She reported that Ben was “very hard to arouse for medications.” She finally got .him to take his medications and “he went right back to sleep.” At noon, Ben was still asleep. Nurse Rule “attempted to arouse [him] again with difficulty.” She became alarmed and suspicious. She' called the “CAs” to assist her — to get Ben in his scrubs, search his clothing, and conduct a UDS (i.e., urine drug screening).

¶ 10. From noon until 3:00 p.m., Nurse Rule noted that Ben “complained that he could not urinate” for the UDS. Around 3:15 p.m., she reported that she observed another patient exit the restroom and hand Ben his urine specimen, who in turn presented it to Nurse Rule as his UDS. Nurse Rule confronted Ben and he denied using “substances.” Ben, however, continued to complain that he could not urinate. This continued for a several more hours until just prior to the 5:30 p.m. shift change, when Nurse Rule documented that she finally observed Ben give a mine specimen. She then reported that the “10 line drug panel” test performed on Ben’s urine “showed [positive BZOs,” which can indicate the presence of Valium, Librium, Xa-nax, and/or other tranquilizers.

¶ 11. Nurse Rule also documented that she had asked two CAs to seareh Ben’s “clothing,” But there was no documentation that anyone searched the infirmary room where Ben and C.T. were staying. 2 The notes indicate that only Ben’s clothing was searched. Even after Ben’s positive drug screen, COPAC did not search his room, COPAC also failed to document the next search, after Ben’s death, when it claimed to have found the Suboxone under Ben’s mattress.

¶ 12. COPAC tested two of Ben’s urine specimens. The first was collected at 4:31 p.m., but it was not tested by the lab until 6:40 p.m. It tested positive for buprenor-phine/ Suboxone. A second- specimen was collected at 5:31 p.m., and at 5:47 p.m.; it tested positive for buprenorphine/Subox-one.

¶ 13. Nurse Osborne took over the care of Ben around 5:30 p.m. There was no medical record or “Progress Note” that indicated that she or anyone else was caring for Ben, Nevertheless, the Cahns claim that, as early as 5:47 p.m.. and no later than at 6:40 p.m.,. COPAC was aware that Ben had ingested Suboxone. Ben did not have a prescription for Suboxone, and he was not authorized to have it or to ingest it.

¶ 14. Around 9:45 or 10:00 p.m., CO-PAC’s staff was told by C.T. that Ben was not breathing. They checked on Ben and noted that “[his face was] bluish, black, there was- no heartbeat and there were copious amounts of bloody looking secretions pouring from mouth and .nose. Bed noted to -be soaked from bodily fluids.” Ben could not be resuscitated and was pronounced dead at 10:45 p.m.

PROCEDURAL HISTORY

¶ 15. On September 19, 2012, Jeff and Laurie Cahn, along with David Cahn *351 (Ben’s brother), individually and on behalf of Ben’s wrongful-death beneficiaries, filed a complaint in the Circuit Court of Rankin County. The complaint was amended. The named defendants included COPAC, Inc., Dr. Lloyd Gordon, Bridget Rule, and Rebecca Osborne.

¶ 16. On September 20, 2013, Dr.

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Bluebook (online)
198 So. 3d 347, 2015 Miss. App. LEXIS 644, 2015 WL 8097257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jeff-cahn-v-copac-inc-missctapp-2015.