Kindred Nursing Centers East v. NLRB

CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 15, 2013
Docket12-1174
StatusPublished

This text of Kindred Nursing Centers East v. NLRB (Kindred Nursing Centers East v. NLRB) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kindred Nursing Centers East v. NLRB, (6th Cir. 2013).

Opinion

RECOMMENDED FOR FULL-TEXT PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 13a0231p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT _________________

X - KINDRED NURSING CENTERS EAST, LLC, dba - Kindred Transitional Care and Rehabilitation -Mobile, fka Specialty Healthcare and - - Nos. 12-1027/1174 Rehabilitation Center of Mobile, , > - Petitioner/Cross-Respondent,

- - v. - - Respondent/Cross-Petitioner, - NATIONAL LABOR RELATIONS BOARD,

- - - UNITED STEEL, PAPER AND FORESTRY, RUBBER MANUFACTURING, ENERGY, ALLIED - - - INDUSTRIAL AND SERVICE WORKERS

Intervenor. - INTERNATIONAL UNION, N On Petition for Review and Cross Application for Enforcement of a Decision and Order of the National Labor Relations Board. No. 15-CA-68248. Argued: January 23, 2013 Decided and Filed: August 15, 2013 Before: MARTIN and ROGERS, Circuit Judges; TARNOW, District Judge*

_________________

COUNSEL ARGUED: Matthew J. Ginsburg, AFL-CIO LEGAL DEPARTMENT, Washington, D.C., for Intervenor. Charles P. Roberts III, CONSTANGY, BROOKS & SMITH, Winston-Salem, North Carolina, for Petitioner/Cross-Respondent. Robert J. Englehart, NATIONAL LABOR RELATIONS BOARD, Washington, D.C., for Respondent/Cross- Petitioner. ON BRIEF: Matthew J. Ginsburg, AMERICAN FEDERATION OF LABOR AND CONGRESS OF INDUSTRIAL ORGANIZATIONS LEGAL

* The Honorable Arthur J. Tarnow, Senior District Judge for the Eastern District of Michigan, sitting by designation.

1 Nos. 12-1027/1174 Kindred Nursing v. N.L.R.B. Page 2

DEPARTMENT, Washington, D.C., for Intervenor. Charles P. Roberts III, CONSTANGY, BROOKS & SMITH, Winston-Salem, North Carolina, Clifford H. Nelson, Jr., CONSTANGY, BROOKS & SMITH, Atlanta, Georgia, Edward Goddard, KINDRED HEALTHCARE, Wrentham, Massachusetts, for Petitioner/Cross- Respondent. Robert J. Englehart, Amy H. Ginn, Linda Dreeben, NATIONAL LABOR RELATIONS BOARD, Washington, D.C., for Respondent/Cross-Petitioner. Thomas V. Walsh, JACKSON LEWIS LLP, White Plains, New York, Ronald E. Meisburg, James F. Segroves, Lawrence Z. Lorber, PROSKAUER ROSE LLP, Washington, D.C., Mark Theodore, PROSKAUER ROSE LLP, Los Angeles, California, Jonathan C. Fritts, MORGAN, LEWIS & BOCKIUS LLP, Washington, D.C., Michael J. Hunter, HUNTER, CARNAHAN, SHOUB, BYARD & HARSHMAN, Columbus, Ohio, Ryan Griffin, SERVICE EMPLOYEES INTERNATIONAL UNION, Washington, D.C., Jennifer L. Branch, GERHARDSTEIN & BRANCH CO. LPA, Cincinnati, Ohio, Stefan Marculewicz, LITTLER MENDELSON, P.C., Washington, D.C., David A. Kadela, Tracy Stott Pyles, LITTLER MENDELSON, P.C., Columbus, Ohio, Bernard P. Jeweler, OGLETREE, DEAKINS, NASH, SMOAK & STEWART, P.C., Washington, D.C., G. Roger King, JONES DAY, Columbus, Ohio, R. Scott Medsker, JONES DAY, Washington, D.C., for Amici Curiae. _________________

OPINION _________________

BOYCE F. MARTIN, JR., Circuit Judge. Under federal labor law, workers in the private sector who wish to be represented by a union must petition the National Labor Relations Board to hold an election to determine if a majority of the workers wants union representation. Federal labor law gives the Board wide discretion to delineate the “bargaining unit,” the term for the group of workers that will vote on union representation. Kindred Nursing Centers East, LLC, a nursing home operator, has petitioned for review of the Board’s order that a bargaining unit of Certified Nursing Assistants “constitute[d] an appropriate unit.” Specialty Healthcare and Rehab. Ctr. of Mobile, 357 N.L.R.B. No. 83, 2011 WL 3916077 at *2 (2011). The Board has petitioned for enforcement of the order. The central issue in this case is whether the Board acted within its discretion in deciding Specialty Healthcare. We conclude that it did, and we therefore DENY Kindred’s petition for review and GRANT the Board’s cross-petition for enforcement. Nos. 12-1027/1174 Kindred Nursing v. N.L.R.B. Page 3

We derive the facts in this case from the Board’s opinion in Specialty Healthcare, 357 N.L.R.B. No. 83, 2011 WL 3916077 (2011), which we will call Specialty Healthcare II to distinguish it from the Board’s previous case, Specialty Healthcare, 356 N.L.R.B. No. 56, 2010 WL 5195445 (2010), which we will call Specialty Healthcare I.

Kindred operates a nursing home and rehabilitation center in Mobile, Alabama. Specialty Healthcare, 357 N.L.R.B. No. 83, 2011 WL 3916077, at *2 (2011). There is no history of collective bargaining at this nursing home. Id. The facility, which the parties agree is a non-acute healthcare facility, consists of four floors and has beds for about 170 residents. Id.

Kindred places its employees in one of eight separate departments: nursing, nutrition services, resident activity, maintenance, administration, medical records, central supply, and social services. Id. at *3. The facility’s executive director is the highest-ranking management official on site. The nursing director and business office manager report to the executive director. Id. The individual heads of all but one department report to the nursing director, as do the staffing coordinator, the medical records clerk, and the data entry clerk. Id.

The nursing department consists of fifty-three Certified Nursing Assistants (CNAs) not including the Licensed Practical Nurses (LPNs) and Registered Nurses (RNs). Id. The LPNs directly supervise the CNAs on each nursing wing. Id. The RNs supervise the LPNs and report to the nursing director. Id. The CNAs work one of three eight-hour shifts and work directly with up to seventeen residents each. Id. Kindred typically assigns three to five CNAs to work on each nursing floor and usually assigns each CNA to work in a particular area of a nursing floor. Id.

As for job duties, CNAs help residents with daily functions, such as grooming, oral hygiene, bathing and dressing, and incontinence care. Id. CNAs get food trays for residents who have their meals on a nursing floor and help these residents eat. Id. CNAs turn and lift residents in their beds, move residents to their wheelchairs, assist with walking short distances, and help them get around the facility. Id. CNAs also Nos. 12-1027/1174 Kindred Nursing v. N.L.R.B. Page 4

accompany residents to appointments outside the nursing home. Id. CNAs take residents’ vital signs and monitor their daily food and fluid intake and output. Id. CNAs complete an “Activities for Daily Living” flow sheet on which they record the residents’ vital signs and daily functions and activities, such as bathing, dressing, and walking. Id. CNAs also note on their medical charts the services and therapies that residents receive, and note residents’ progress or lack thereof. Id. CNAs are the only employees other than the RNs and LPNs who are certified or licensed to provide certain aspects of residents’ care, such as feeding and positioning. Id.

Kindred has designated several CNAs as “restorative CNAs” who help residents in therapeutic programs to maintain functions such as walking and eating or to increase their range of motion. Id. The restorative CNAs also help residents with their meals in the dining room and transport them back to their rooms after therapeutic activities or meals. Id.

When a new resident comes to the nursing home, an interdisciplinary team of employees from the nursing, nutrition-services, resident-activity, and social-services departments assesses the new resident’s medical, dietary, and social needs. Id. The CNAs attend these meetings and contribute to formulating the new resident’s care plan. Id. CNAs may also attend additional meetings of the interdisciplinary team if a resident’s care plan needs to be changed. Id. CNAs also attend in-service training sessions. Id.

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Bluebook (online)
Kindred Nursing Centers East v. NLRB, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kindred-nursing-centers-east-v-nlrb-ca6-2013.