Kirn v. East Jefferson Hosp.

691 So. 2d 127, 1997 WL 77865
CourtLouisiana Court of Appeal
DecidedFebruary 14, 1997
Docket96 CA 0838
StatusPublished
Cited by12 cases

This text of 691 So. 2d 127 (Kirn v. East Jefferson Hosp.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kirn v. East Jefferson Hosp., 691 So. 2d 127, 1997 WL 77865 (La. Ct. App. 1997).

Opinion

691 So.2d 127 (1997)

Charleen S. KIRN
v.
EAST JEFFERSON HOSPITAL.

No. 96 CA 0838.

Court of Appeal of Louisiana, First Circuit.

February 14, 1997.

*128 Elizabeth Smyth Sirgo, Metairie, for Plaintiff/Appellant, Charleen S. Kirn.

Lawrence B. Frieman, Metairie, for Defendant/Appellee, East Jefferson Hospital.

*129 Before CARTER, LeBLANC and PARRO, JJ.

CARTER, Judge.

This is an appeal from a decision of a workers' compensation hearing officer, denying plaintiff supplemental earnings benefits, penalties, and attorney's fees and denying defendant's claim for a credit for overpayment of disability benefits in the amount of $215.46 per week for the years 1994 and 1995.

FACTS

On October 21, 1992, plaintiff, Charleen S. Kirn, was working as a licensed practical nurse for defendant, East Jefferson General Hospital (East Jefferson), when she injured her back while lifting a patient. She was treated conservatively until August 12, 1993. On that date, Dr. Lucien S. Miranne, Jr., a neurosurgeon, performed a lumbar laminectomy with foraminotomy at the L5-S1 level on the left. By September 2, 1994, Dr. Miranne felt plaintiff had reached maximum medical improvement and recommended a functional capacity evaluation be performed. A functional capacity evaluation was made on December 16, 1994, finding that plaintiff could not return to her previous job as a nurse, but could tolerate a more sedentary position with minimal light lifting.

Defendant paid plaintiff temporary total disability benefits at the rate of $215.46 per week from the date of the accident through the date of decision, January 13, 1996. The compensation rate was based on an average weekly wage figure of $323.20.

On February 20, 1995, plaintiff filed with the Office of Workers' Compensation a Disputed Claim for Compensation (Form 1008). Plaintiff claimed that she had sustained injuries which resulted in excess of seven days of lost time and that she had a continuing disability. She further claimed that benefits stopped even though the doctor had not discharged her or authorized her return to work. Defendant contended that plaintiff was not disabled and not entitled to workers' compensation benefits, asserting all rights to reduction of benefits, offset for overpaid benefits, and credit for medical expenses.

On December 4 and December 11, 1995, the matter was tried before a workers' compensation hearing officer. On January 13, 1996, the hearing officer rendered a decision, finding in favor of defendant and denying plaintiff's claims. In written reasons for his decision, the hearing officer found that plaintiff's proper weekly compensation rate was $279.47, or $64.01 per week more than she was being paid. The hearing officer held that, because defendant had corrected the deficiency and started to pay the correct amount, it was not arbitrary and capricious and that plaintiff was not entitled to penalties, interest, and attorney's fees. The hearing officer found plaintiff was capable of light or sedentary work, which would afford her ninety percent (90%) or more of her pre-injury wages, and thus she was not entitled to any additional benefits. Finally, the hearing officer found that testimony offered by defendant in support of its defense (that plaintiff derived income post-accident as a result of her ownership interest in a business called Monet's Garden) had no bearing on the issues in the case.

Plaintiff appealed from the adverse decision, assigning the following specifications of error:

(1) The hearing officer was clearly wrong and manifestly erroneous in failing to award plaintiff back compensation in light of the undisputed testimony that the defendant paid the wrong compensation rate to plaintiff from the time of the accident until the time of trial;

(2) The hearing officer was clearly wrong and manifestly erroneous in failing to award plaintiff penalties and attorney's fees based upon defendant's failure to provide a reasonable basis for its failure to pay plaintiff the appropriate compensation rate from the time of the accident until the time of trial;

(3) The plaintiff carried her burden of proof that she was entitled to back compensation at a rate of $64.01 per week from the time of accident until the time of trial, and therefore plaintiff should be awarded all costs, including attorney's fees and appeal costs; and

*130 (4) The hearing officer was clearly wrong and manifestly erroneous in denying plaintiff's claim for supplemental earnings benefits based upon the overwhelming evidence that plaintiff could not earn at least ninety percent (90%) of her pre-accident wages.

Defendant answered the appeal, arguing that the trial court erred in denying its request for a credit for disability benefits in the amount of $215.46 per week for the years 1994 and 1995.

FAILURE TO AWARD BACK COMPENSATION

A court of appeal may not overturn a decision of a hearing officer absent an error of law or a factual finding which is manifestly erroneous or clearly wrong. Before an appellate court may reverse a factfinder's determinations, it must find from the record that a reasonable factual basis does not exist for the findings and that the record establishes that the findings are clearly wrong. Fontenot v. Trans Gulf, Inc., 95-0342, p. 8 (La.App. 1st Cir. 11/9/95); 664 So.2d 1238, 1245. The appellate court must determine not whether the trier of fact was right or wrong, but whether the factfinder's conclusion was a reasonable one, after reviewing the record in its entirety. Stobart v. State, Department of Transportation and Development, 617 So.2d 880, 882 (La.1993); Washington v. Lyon's Specialty Company, 96-0263, p. 6 (La.App. 1st Cir. 11/8/96); 683 So.2d 367, 372.

In the instant case, the hearing officer found that the defendant admitted that at first it had miscalculated the plaintiff's weekly workers' compensation benefits, based on an inaccurate average weekly wage figure. However, the hearing officer found "when they discovered this they paid the amount that was due and started to pay the correct amount."

Plaintiff was paid a base rate of $10.10 per hour, an evening rate of $12.10 per hour, and a weekend rate of $13.10 per hour. Plaintiff introduced wage information from defendant indicating that, for the pay period ending October 3, 1992, plaintiff was paid $854.40 for sixty-four (64) hours at the various rates of pay. For the pay period ending October 17, 1992, she worked sixty-four (64) hours at the various rates of pay, and her wages totaled $822.40. Her average weekly wages, therefore, were $419.20.

A representative of defendant hospital's third-party administrator for workers' compensation claims testified that plaintiff was paid a compensation rate of $215.46, based on an average weekly wage of $323.20, since the date of the accident. For the period of time from approximately November 1, 1994, through March 31, 1995, no benefits were paid, but defendant brought the payments up to date, paying a monthly rate of $926.44. At the time of trial, defendant was still paying plaintiff the same rate paid for her temporary total disability, or $215.46.

We have reviewed the record in its entirety and can find no basis for the hearing officer's determination that defendant began paying plaintiff the correct compensation rate at any time. In its post-trial memorandum, defendant acknowledged that the average weekly wage was calculated by multiplying plaintiff's hourly rate of $10.10 by the number of hours she averaged per week to attain the figure of $323.20.

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Cite This Page — Counsel Stack

Bluebook (online)
691 So. 2d 127, 1997 WL 77865, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kirn-v-east-jefferson-hosp-lactapp-1997.