Krznaric v. Summa Rehab Hosp., L.L.C.

2024 Ohio 4776, 253 N.E.3d 838
CourtOhio Court of Appeals
DecidedOctober 2, 2024
Docket30318
StatusPublished

This text of 2024 Ohio 4776 (Krznaric v. Summa Rehab Hosp., L.L.C.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Krznaric v. Summa Rehab Hosp., L.L.C., 2024 Ohio 4776, 253 N.E.3d 838 (Ohio Ct. App. 2024).

Opinion

[Cite as Krznaric v. Summa Rehab Hosp., L.L.C., 2024-Ohio-4776.]

STATE OF OHIO ) IN THE COURT OF APPEALS )ss: NINTH JUDICIAL DISTRICT COUNTY OF SUMMIT )

STEPHEN J. KRZNARIC, as the Personal C.A. No. 30318 Representative of the Estate of Frances M. Krznarich, (deceased)

Appellant APPEAL FROM JUDGMENT ENTERED IN THE v. COURT OF COMMON PLEAS COUNTY OF SUMMIT, OHIO SUMMA REHAB HOSPITAL, LLC et al. CASE No. CV-2019-09-3536

Appellees

DECISION AND JOURNAL ENTRY

Dated: October 2, 2024

PER CURIAM.

{¶1} Plaintiff-Appellant Stephen J. Krznaric, as the Personal Representative of the Estate

of Frances M. Krznarich, appeals the judgment of the Summit County Court of Common Pleas.

This Court reverses and remands the matter for proceedings consistent with this decision.

I.

{¶2} Mr. Krznaric is the son of Ms. Krznarich. In September 2018, Ms. Krznarich was

admitted to Defendant-Appellee Summa Rehab Hospital, LLC, a short-term, acute rehabilitation

hospital. At the time of Ms. Krznarich’s admission to Summa Rehab Hospital, LLC she was under

the care of Defendant-Appellee Dane Donich, M.D. for acute, chronic subdural hematoma. She

was to follow up with Dr. Donich at a separate appointment. Dr. Donich’s practice is Defendant-

Appellee Donich Neurosurgery and Spine, LLC. 2

{¶3} The staff at Summa Rehab Hospital, LLC observed that Ms. Krznarich was

sometimes confused and experienced both hallucinations and agitation. This was aggravated by

the fact that she could not speak English fluently. She was designated as a fall risk as she had

previously fallen. Due to her extreme fall risk, she was ordered to have 24/7 supervision, which

consisted of a bed alarm, video monitoring, and an in person full-time sitter at her bedside to

monitor her. Summa Rehab Hospital, LLC employee Tammy Kimmel, a licensed practical nurse,

was assigned as Ms. Krznarich’s primary sitter.

{¶4} Summa Rehab Hospital, LLC’s records reflected that Ms. Krznarich was scheduled

for a follow-up outpatient appointment with Dr. Donich on September 17, 2018. Kristen Grund,

a registered nurse and case manager at Summa Rehab Hospital, LLC, was responsible for assessing

and arranging the appropriate transport needs. Ms. Grund, through a secretary, arranged transport

by ambulette through American Medical Response (“AMR”), which could accommodate Ms.

Krznarich in her wheelchair.

{¶5} Ms. Kimmel was responsible for Ms. Krznarich’s transfer to the AMR driver. In

her deposition, Ms. Kimmel testified that she “went over the stuff: [Ms. Krznarich] was confused.

She had the Foley. She was a high fall risk.” Ms. Kimmel also handed the driver “the transport

form[,]” but was not the person that filled it out. Ms. Grund completed the form. The form that

was given to the driver is also described as the ambulette form in the transcript.

{¶6} When asked about more hypothetical situations involving patients similar to Ms.

Krznarich, Ms. Kimmel stated that she would tell the transport driver that “she’s confused; that

she will get up; that * * * she had a Foley bag. That’s it.” Ms. Kimmel was then asked if she would

make sure to tell the transport driver that the driver had to stay with Ms. Krznarich, Ms. Kimmel

responded, that “[t]hat was on the form.” When Ms. Kimmel was asked again if she would tell a 3

transport driver of a patient who was at a high fall risk to stay with the patient, Ms. Kimmel

indicated that she did not say those exact words. Instead, she “told him about the Foley [bag]; that

she gets up, that she’s a high fall risk. That’s, that’s pretty much it.” Ms. Kimmel was then asked

if she would verbally tell the transport driver that the driver had to stay with the patient. Ms.

Kimmel responded, “Yes. I mean, go over the …” However, the remainder of her answer was cut

off by the next question. Nevertheless, Ms. Kimmel indicated it was her understanding that the

driver would stay with Ms. Krznarich and return to Summa Rehab Hospital, LLC.

{¶7} Within this Court’s record is a three-page document which is authenticated by an

attorney from Summa Rehab Hospital, LLC as being a true and accurate copy of AMR records

produced by Mr. Krznaric. There is no indication within the affidavit that that document is the

same one utilized in Ms. Kimmel’s deposition, which was not marked as an exhibit. In fact, there

were no exhibits accompanying Ms. Kimmel’s deposition. One of the three pages related to the

transport in the record is the AMR Ohio Jobs and Family Services Ambulette Certification of

Medical Necessity Form. That form was signed by Ms. Grund and contained the handwritten

notation “wait and return[.]” That notation is off to the side and is not labeled as a note or

instruction to the transport driver. Ms. Grund testified at her deposition that, she did not make the

handwritten notes, a secretary did. Ms. Kimmel did not use the phrase “wait and return” at all

during her deposition.

{¶8} Upon arrival at Dr. Donich’s office, the AMR transport driver handed the

paperwork to Tia Cruise, the front desk receptionist, and then left the office. Ms. Cruise called

Summa Rehab Hospital, LLC to inquire if a family member or nurse was coming to the

appointment and explained that patients are not typically brought to appointments without

accompaniment. She did not recall Summa Rehab Hospital, LLC’s response. 4

{¶9} After being advised that Ms. Krznarich was unattended, in a wheelchair with an

alarm, on a Foley catheter, and appearing confused, Jessica Herraiz, a nurse practitioner at Dr.

Donich’s office, also contacted Summa Rehab Hospital, LLC. Amber Lally, a registered nurse

and as-needed supervisor at Summa Rehab Hospital, LLC took the call from Ms. Herraiz. Ms.

Herraiz advised Ms. Lally that Ms. Krznarich’s appointment had been previously cancelled. Ms.

Herraiz also asked why no one was with Ms. Krznarich and indicated that she was confused. Ms.

Herraiz informed Ms. Lally that Dr. Donich would see Ms. Krznaric but, in the future, someone

needed to accompany her.

{¶10} According to Dr. Donich’s deposition testimony, he became aware at some point

during the appointment that Ms. Krznarich was unaccompanied. Dr. Donich stated that the failure

of the AMR driver to remain with the patient was unusual and that medical transport drivers

routinely stay during the entirety of the office visit, including while in the exam room. He advised

that neurology visits do not typically have modesty concerns because they involve only the head

and neck areas. Dr. Donich indicated that someone should have been present with her for the

duration of her time at the office and that his practice did not have the staffing to provide that care.

{¶11} Following the exam, Ms. Krznarich was placed in the lobby to wait for the AMR

driver. Ms. Cruise witnessed Ms. Krznarich attempt to stand from her wheelchair. Ms. Cruise

went to the lobby to help Ms. Krznarich sit back down, then returned to her desk. Ms. Cruise

witnessed Ms. Krznarich stand again, catch her right foot on her left foot, and fall to the ground.

Ms. Cruise went to Ms. Krznarich’s aid and remained with her until EMS arrived.

{¶12} Ms. Krznarich was transported to Akron City Hospital. Mr. Krznaric was not

notified that Ms. Krznarich had an appointment, and, when he stopped to see her, he was notified

that she had fallen at the appointment and was enroute to the hospital. 5

{¶13} Ms.

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Bluebook (online)
2024 Ohio 4776, 253 N.E.3d 838, Counsel Stack Legal Research, https://law.counselstack.com/opinion/krznaric-v-summa-rehab-hosp-llc-ohioctapp-2024.