Karen Bounds v. Baylor Regional Medical Center at Plano d/b/a Baylor Scott & White Medical Center Brain and Spine Center - Plano

District Court, E.D. Texas·Decided August 10, 2026·No. 4:24-cv-00995·Unknown

Opinion

United States District Court EASTERN DISTRICT OF TEXAS SHERMAN DIVISION

KAREN BOUNDS, § § Plaintiff, § v. § § BAYLOR REGIONAL MEDICAL § Civil Action No. 4:24-cv-995 CENTER AT PLANO d/b/a BAYLOR § Judge Mazzant SCOTT & WHITE MEDICAL § CENTER BRAIN AND SPINE § CENTER - PLANO, § § Defendant. § MEMORANDUM OPINION AND ORDER Pending before the Court is Defendant’s Motion to Alter or Amend the Judgment, Motion for Judgment as a Matter of Law, or Alternatively, Motion for New Trial (the “Motion”) (Dkt. #73). Having considered the Motion and the relevant pleadings, the Court finds that the Motion should be DENIED. BACKGROUND This is an age discrimination and retaliation lawsuit. On November 7, 2024, Plaintiff Karen Bounds (“Plaintiff”) initiated this action against Defendant Baylor Regional Medical Center at Plano d/b/a Baylor Scott & White Medical Center Brain and Spine Center – Plano (“Defendant”) for alleged violations of the Age Discrimination in Employment Act of 1967, 29 U.S.C. § 623, et seq. (“ADEA”), as amended, and the Texas Commission of Human Rights Act, TEX. LAB. CODE § 21.051, et seq. (“Texas Labor Code”) (Dkt. #1). On March 9, 2026, this action came before the Court for a three-day jury trial that concluded on March 11, 2026 (Dkt. #49; Dkt. #50; Dkt. #51). The facts, as presented to the jury, proceed as follows. Defendant employed Plaintiff as a nurse from February 2017 until her termination on December 21, 2023 (Dkt. #61-4; Dkt. #70 at p. 30). At the time she was hired, Plaintiff was 59 years old (Dkt. #70 at pp. 61–62). Plaintiff was assigned to primarily assist Dr. Robert Haynesworth, a

pain management physician, as his nurse (Dkt. #70 at p. 30). Plaintiff’s job duties included getting patient paperwork ready, rooming patients, checking vital signs, asking questions related to the patients’ medications, and performing other office-related tasks (Dkt. #70 at p. 30). On October 11, 2023, Plaintiff reported various workplace complaints to Defendant (Dkt. #61-1; Dkt. #70 at p. 42). Specifically, Plaintiff made the following allegations: (1) management had changed Plaintiff’s schedule, reducing her hours to less than 40 hours per

week; (2) leadership was treating Plaintiff unfairly; specifically, one of Plaintiff’s supervisors Christian Poole (“Poole”), was dismissive and short with Plaintiff, and Plaintiff was being excluded from department huddles; (3) work was being unevenly distributed throughout the clinic, which affected Plaintiff; (4) two of Plaintiff’s coworkers, Liz Lucio (“Lucio”) and Lee Ann Rodriguez (“Rodriguez”), discriminated against her on account of her age; and (5) Lucio and Rodriguez spoke to one another in Spanish in a shared office space, knowing Plaintiff could not understand them (Dkt. #61-1 at p. 1). Defendant’s Human Resources Department investigated the matter and

determined that most of Plaintiff’s allegations were unsubstantiated; however, Plaintiff’s allegation of age discrimination by Lucio and Rodriguez was partially substantiated because Rodriguez admitted to making comments about Plaintiff’s age and telling her to retire (Dkt. #61-1 at pp. 2–3). As a result, Defendant provided a resolution and recommendation to Plaintiff, to her leadership, and to Lucio and Rodriguez (Dkt. #61-1 at p. 4). Despite this report, Plaintiff continued with her nursing responsibilities for Dr. Haynesworth. While undertaking her assignments, she often dealt with a specific patient record known as a “Plan of Care,” which is a medical document that outlines a physician’s assessment of

a patient and instructs physical therapists to plan of care for their patient (Dkt. #16 at pp. 9–10; Dkt. #70 at p. 32; Dkt. #61-5). Defendant uses a Plan of Care form that includes a signature box of at the bottom of the last page, noting that the treating physician has “reviewed the Plan of Care established for skilled therapy services and certif[ies] that the services are required and that they will be provided while the patient is under [the physician’s] care” (Dkt. #61-5 at p. 2). This signature box has three lines—the left line is for the doctor’s signature, the middle line is for the

date, and the right line is for the doctor’s printed name and credentials (Dkt. #61-5 at p. 2). Dr. Haynesworth’s staff were allowed to print his name and credentials on the right line (Dkt. #70 at pp. 33, 35). On December 4, 2023, two months after Plaintiff made her age-discrimination report to Defendant, Defendant’s management team was made aware, by Rodriguez, that Plaintiff had “allegedly forged a doctor’s signature on a Plan of Care” document (Dkt. #61-4 (emphasis added); Dkt. #61-17 at p. 10; Dkt. #70 at p. 127). On the day of this incident, Plaintiff admits that one of her

coworkers brought her a stack of papers, consisting of what she was told were signed Plans of Care (Dkt. #70 at p. 33). Plaintiff testified that she flipped through the documents to see that they had all been signed but noticed that one of the lines in the Plan of Care at issue was blank (Dkt. #70 at p. 33). Plaintiff admits that she printed Dr. Haynesworth’s name on the left line of this Plan of Care, which was exclusively intended for his signature (Dkt. #70 at pp. 33–36; Dkt. #61-5). Plaintiff testified she made a mistake by printing his name on the incorrect line (Dkt. #70 at pp. 33–34). Plaintiff further testified that she did not try to sign his name or make her writing look like Dr. Haynesworth’s signature (Dkt. #70 at pp. 36–37). Instead, Plaintiff testified that she was in a hurry and printed his name on the wrong line (Dkt. #70 at p. 36).

Plaintiff’s supervisors met with Plaintiff, at which point she admitted to them that she had not realized Rodriguez had already printed Dr. Haynesworth’s name on the right line (Dkt. #70 at p. 39). The Plan of Care at issue was scanned into the patient’s chart by another individual, before being purportedly faxed to Defendant’s Outpatient Department by another individual (Dkt. #70 at p. 39; Dkt. #70 at pp. 138–40). Ultimately, the patient associated with the relevant Plan of Care received the correct care from their physical therapist. In other words, Plaintiff’s mistake did not

affect a single patient. On December 21, 2023, Plaintiff met with some of her supervisors, none of which represented Defendant’s Human Resources Department, and was terminated (Dkt. #70 at p. 54; Dkt. #61-4). At this meeting, Plaintiff was handed an Employee Counseling Form, which stated that she was being discharged for the “[f]alsification of a patient record” on December 4, 2023 (Dkt. #70 at p. 54; Dkt. #61-4 at p. 1). The Employee Counseling Form further stated that on the date of incident, Plaintiff “allegedly forged a doctor’s signature of a Plan of Care” (Dkt. #61-4 at

p. 1 (emphasis added)). Defendant’s Human Resources Business Partner, Cassandra Mills (“Mills”), reviewed the Employee Counseling Form given to Plaintiff (Dkt. #71 at pp. 28, 115). Mills testified that Plaintiff was fired because she violated Defendant’s policy when she falsified a patient record by mistakenly printing a physician’s name on the line intended for his signature (Dkt. #71 at p. 37). Mills further testified that Plaintiff’s conduct, printing Dr. Haynesworth’s name on the line intended for his signature, constituted forgery and that mistakes cannot be made when it comes to “patient safety” (Dkt. #71 at pp. 62–63). At trial, the jury also heard from the following witnesses who played a role in Plaintiff’s

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Karen Bounds v. Baylor Regional Medical Center at Plano d/b/a Baylor Scott & White Medical Center Brain and Spine Center - Plano, (E.D. Tex. 2026).

Karen Bounds v. Baylor Regional Medical Center at Plano d/b/a Baylor Scott & White Medical Center Brain and Spine Center - Plano (Karen Bounds v. Baylor Regional Medical Center at Plano d/b/a Baylor Scott & White Medical Center Brain and Spine Center - Plano) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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