Jones, Lelia v. Amedysis Corporation

2016 TN WC 221
CourtTennessee Court of Workers' Compensation Claims
DecidedSeptember 27, 2016
Docket2015-02-0420
StatusPublished

This text of 2016 TN WC 221 (Jones, Lelia v. Amedysis Corporation) is published on Counsel Stack Legal Research, covering Tennessee Court of Workers' Compensation Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jones, Lelia v. Amedysis Corporation, 2016 TN WC 221 (Tenn. Super. Ct. 2016).

Opinion

TENNESSEE BUREAU OF WORKERS' COMPENSATION IN THE COURT OF WORKERS' COMPENSATION CLAIMS AT KINGSPORT

Lelia Jones, ) Docket No.: 2015-02-0420 Employee, ) v. ) ) Amedysis Corporation, ) State File Number: 87323-2015 Employer, ) And ) Judge Brian K. Addington ) The Hartford Insurance Company, ) Insurance Carrier. )

EXPEDITED HEARING ORDER FOR MEDICAL BENEFITS

This matter came before the undersigned Workers' Compensation Judge on September 20, 2016, on the Request for Expedited Hearing filed by the employee, Lelia Jones, under Tennessee Code Annotated section 50-6-239 (20 15).

The present focus of this case is whether Amedysis is responsible for payment of medical and temporary disability benefits to Ms. Jones. The central legal issue is whether an employer may be responsible for workers' compensation benefits when an injured worker timely reported an injury by accident, but allegedly informed her employer that she did not wish to pursue her claim. 1 For the reasons set forth below, the Court finds Ms. Jones has submitted sufficient evidence from which this Court could conclude she is likely to prevail at a hearing on the merits on the central legal issue and holds she is entitled to medical benefits.

History of Claim

Ms. Jones worked as a certified nursing assistant (CNA) for the Kingsport, 1 A complete listing of the technical record and exhibits admitted at the Expedited Hearing is attached to this Order as an Appendix.

1 Tennessee office of Amedysis, a hospice care provider. Her duties included performing activities of daily living for patients in their homes, including grooming and bathing.

On April 8, 2015, Ms. Jones cared for an Alzheimer's patient who required bathing assistance. She and a co-worker attempted to place the patient in the bathtub at his home, but the patient refused to release his grip on his wheelchair. Ms. Jones twisted and reached to help him let go of the chair while also supporting his weight. Ultimately, Ms. Jones placed the patient in the bathtub and finished bathing him. Afterward, however, she felt pain across the upper part of her back and down towards her hip.

During the hearing, that patient's wife, Frieda Overstreet, who was present when the accident occurred, confirmed Ms. Jones' account. She added that Ms. Jones was very professional and took excellent care of her husband.

Ms. Jones' friend, Rick Phillips, drove her to the homes of her patients that day, as her vehicle was being repaired. After the accident, Ms. Jones went out to Mr. Phillips' car, where Mr. Phillips was waiting, and called Cathy Morenings, the patient's nurse, to report her injury. She placed Ms. Morenings on speaker phone. Ms. Morenings instructed Ms. Jones to contact Tracy Bugher, Amedysis' Business Office Manager, for assistance in reporting her work injury. However, given the distance to Amedysis' office and that it was late in the day, Ms. Morenings told Ms. Jones to see Ms. Bugher the next day. From that point, the parties disagree about the facts surrounding Ms. Jones' report of the accident.

Facts Re: Report of Injury, Per Ms. Jones

Ms. Jones testified that she spoke to Ms. Bugher at the Amedysis office the following day, April 9, 2015, and reported her accident. According to Ms. Jones, Ms. Bugher could not find the appropriate report form, but assured her she would get one. Ms. Jones worked her regular schedule that day.

On Friday, April 10, 2015, Ms. Jones testified that she returned to the Amedysis office to obtain the injury report form. Again, Ms. Bugher was unable to locate the form, but assured Ms. Jones she would get it for her. Ms. Jones worked her regular shift that day.

When Ms. Jones returned to the office on Monday, April 13, 2015, she saw a blank injury report form on her desk. When she asked Ms. Bugher about the form, Ms. Bugher allegedly told her that all report forms must be completed within twenty-four hours of the accident, and because Ms. Jones had not done so, no workers' compensation benefits would be paid. According to Ms. Jones, Kris Bogart, the Clinical Manager at Amedysis, was also present at this meeting and re-affirmed what Ms. Bugher told her. Ms. Bogart is Ms. Jones' immediate supervisor.

2 Mr. Phillips also testified on Ms. Jones' behalf and confirmed her version of events. Mr. Phillips was not present in the Amedysis office for Ms. Jones' meetings with Ms. Bugher and Ms. Bogart. However, he continued to drive Ms. Jones on April 9, 10, and 13, and Ms. Jones discussed what occurred with him.

Facts Re: Report of Injury, Per Amedysis

During the hearing, Amedysis offered the testimony of four employees: Ms. Bugher; Ms. Bogart; Sabrina Carroll, a Business Office Specialist; and Renee Skelton, the Director of Operations.

Sabrina Carroll

Ms. Carroll testified that she worked at the front desk at the Amedysis office on April 10, 2015, and recalled that Ms. Jones met with Ms. Bugher about a work injury report form. She testified that Ms. Jones put the report form on Ms. Bugher's desk and became very upset, saying, "I don't have time for this; I have patients to see." Ms. Jones then stormed out of the office. Ms. Carroll added that Ms. Bugher attempted to give Ms. Jones the injury report fonn on more than one occasion, but Ms. Jones refused to accept it.

Tracy Bugher

Ms. Bugher testified that she is responsible for handling work injury reports for Amedysis. According to Ms. Bugher, Ms. Jones came to her office on April 10, 2015, and asked to complete paperwork to report her work injury.

Ms. Bugher asked Ms. Jones whether she reported the accident to her immediate supervisor, Ms. Bogart, or to the Director, Ms. Skelton. Ms. Jones responded that she had not, but had informed the nurse, Ms. Morenings. According to Ms. Bugher, she informed Ms. Jones that, in the future, she must report injuries to her supervisor and must complete the injury report form within twenty-four hours of notification. Ms. Bugher then began to process Ms. Jones' report form. She acknowledged that it was a busy day at the office and that she had to take some phone calls during the process. Ms. Bugher testified that Ms. Jones was in her office for approximately ten minutes before she left abruptly without providing any details as to her alleged injury, other than the injury date of April 8, 2015.

Ms. Bugher stated that she cannot file a work injury claim without completing the required documentation, and that she needed additional information from Ms. Jones. After Ms. Jones left, Ms. Bugher went to Ms. Bogart to ask her how to handle the situation. They decided to leave the injury report form on Ms. Jones' desk, along with instructions on how to complete it.

3 On Monday morning, April 13, 2015, Ms. Bugher and Ms. Bogart saw that the forms remained incomplete on Ms. Jones' desk. Ms. Bogart agreed to discuss the issue with Ms. Jones.

Ms. Bugher testified that she never refused to complete Ms. Jones' injury report fonn, nor did she tell Ms. Jones that she could not file a claim because it had been more than twenty-four hours since she reported the accident. According to Ms. Bugher, the only time she mentioned the twenty-four-hour-rule was when she reminded Ms. Jones about company policy in case she ever had another claim.

Kris Bogart

Ms. Bogart confirmed that she was Ms. Jones' supervisor at the time of the accident and that Ms. Jones did not report a work injury to her. She stated that she did not learn of the alleged injury until Ms. Bugher informed her of it on April 10, 2015.

Ms. Bogart testified that at no point did she or Ms. Bugher refuse to assist Ms. Jones with her injury report. Rather, Ms.

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2016 TN WC 221, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-lelia-v-amedysis-corporation-tennworkcompcl-2016.