Lucy Johnson v. St. Francis Nursing & Rehabilitation Center

CourtLouisiana Court of Appeal
DecidedDecember 23, 2014
DocketWCA-0014-0599
StatusUnknown

This text of Lucy Johnson v. St. Francis Nursing & Rehabilitation Center (Lucy Johnson v. St. Francis Nursing & Rehabilitation Center) 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
Lucy Johnson v. St. Francis Nursing & Rehabilitation Center, (La. Ct. App. 2014).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

14-599

LUCY JOHNSON

VERSUS

ST. FRANCES NURSING & REHABILITATION CENTER

**********

APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 3 PARISH OF CALCASIEU, NO. 09-03832 SAM L. LOWERY, WORKERS’ COMPENSATION JUDGE

PHYLLIS M. KEATY JUDGE

Court composed of Shannon J. Gremillion, Phyllis M. Keaty, and John E. Conery, Judges.

AFFIRMED IN PART AND REVERSED IN PART.

H. Douglas Hunter Misti Landry Bryant Guglielmo, Lopez, Tuttle, Hunter & Jarrell, L.L.P. Post Office Drawer 1329 Opelousas, Louisiana 70571-1329 (337) 948-8201 Counsel for Defendant/Appellant: St. Frances Nursing & Rehabilitation Center Michael B. Holmes Hebert, Holmes & Bertrand Post Office Box 790 Kinder, Louisiana 70648-0790 (337) 738-2568 Counsel for Plaintiff/Appellee: Lucy Johnson KEATY, Judge.

In this workers’ compensation case, St. Frances Nursing & Rehabilitation

Center appeals a judgment in favor of its former employee, Lucy Johnson, ordering

Supplemental Earnings Benefits (SEBs), statutory penalties, and attorney fees, and

holding that Johnson did not violate the provisions of La.R.S. 23:1208(A). For the

following reasons, we affirm in part and reverse in part.

FACTS AND PROCEDURAL HISTORY

On July 5, 2006, in the course and scope of her employment as a nurse

employed by St. Frances, Johnson was injured by a patient who hit her in the back

of her head and neck. As a result of her injuries, Johnson sought treatment from

Dr. Clark Gunderson, an orthopedic surgeon, who performed a three-level cervical

disc fusion. He subsequently released her to return to work with restrictions in

November 2007. Following her initial release, Johnson maintained a part-time

schedule working light duty at St. Frances from November 2007 through February

2008. Johnson testified that she experienced pain while working part time

although it was controlled by pain medication prescribed by Dr. Gunderson.

In February 2008, after Dr. Gunderson released her to work full duty,

Johnson began working with restrictions on a full-time schedule until June 2008.

Johnson testified that during her transition from part-time, light-duty work to full-

time, full-duty work, her pain increased and “became very excruciating.” She

returned to Dr. Gunderson and advised that her increased pain was uncontrolled by

medication. As a result, Dr. Gunderson reduced her release to light duty in May

2008. Based upon Johnson’s continued subjective complaints of pain,

Dr. Gunderson changed his opinion to no-work status from June 5, 2008, through

November 2008. Dr. Gunderson subsequently released her to return to light-duty work with restrictions in November 2008, in her position with St. Frances.

Johnson returned to work that same month and worked only two days as she was

unable to perform the duties within the restrictions. Dr. Gunderson again placed

her on a no-work status. During a regularly-scheduled appointment with

Dr. Gunderson approximately eight months later on July 27, 2009, Dr. Gunderson

maintained Johnson’s no-work status. Dr. Gunderson also opined that Johnson

was not a surgical candidate and referred her to Dr. Stephen Katz, a pain

management physician.

On July 28, 2009, Johnson presented to Dr. Katz. Dr. Gunderson testified

that he was aware that Dr. Katz had taken over Johnson’s care as of July 28, 2009.

Dr. Gunderson testified that he deferred to Dr. Katz regarding Johnson’s

restrictions and/or ability to return to work as of the date of his referral. Johnson

testified that during her initial visit with Dr. Katz, she was never asked to

demonstrate any physical abilities related to work duties nor did he discuss with

her any ability to return to work. Johnson testified that she was not asked to walk

across the room, bend, stoop, reach up, or reach down. According to excerpts from

the employer’s adjuster’s file, dated August 14, 2009, Dr. Katz advised that he

would offer “only to monitor medications [with] no discussion of return to work

abilities.”

Buster Fontenot, a vocational rehabilitation consultant assigned to Johnson

in 2008, developed a modified licensed practical nurse (LPN) job analysis in order

to enable Johnson to return to work. Fontenot met with Dr. Katz on September 11,

2009, wherein Dr. Katz agreed that Johnson could return to work in a modified

LPN position. Despite the foregoing, Johnson testified that Dr. Katz never told her

that he believed that she was able to return to work. Approximately two months

2 later on November 9, 2009, Dr. Katz withdrew his opinion rendered on

September 11, 2009, when Johnson advised him that Dr. Gunderson placed her on

a non-return to work status. Dr. Katz’s medical record on that date states that in

order to avoid confusion, he would defer to Dr. Gunderson for determination of

Johnson’s return to work status.

Johnson returned to Dr. Gunderson on April 20, 2010, with complaints of

pain and trouble swallowing. Dr. Gunderson removed her fusion hardware on

May 9, 2011, in order to alleviate the pain she experienced when swallowing.

Johnson subsequently underwent a functional capacity examination (FCE) on

May 1, 2013, which was rendered by physical therapist David Regan. Johnson

testified that she was aware that Regan believed that she intentionally

misrepresented her physical capabilities during her examination. According to the

FCE, Regan opined that “the INVALID results identified in this assessment and

Functional Assessment Overview represent the levels Ms. Johnson chose to

demonstrate as her physical capabilities. The numbers do not represent her true

safe capabilities as Ms. Johnson intentionally manipulated the results of the

assessment.” According to Regan’s deposition testimony, he did not attempt to

determine whether the alleged misrepresentations during Johnson’s FCE were

willfully made. Regan testified that he deferred that issue to Dr. Gunderson for

investigation.

Johnson received medical and indemnity benefits from the onset of her

disability through the beginning of September 2009. St. Frances terminated

indemnity benefits from September 11, 2009, through May 7, 2011. Indemnity

benefits were reinstated and paid from May 9, 2011, through the date of trial which

3 began on October 23, 2013. Johnson’s indemnity benefits were based upon an

average weekly wage (AWW) of $413.13.

Following termination of benefits on September 11, 2009, Johnson filed the

instant claim for reinstatement of benefits, penalties, attorney fees, and a

psychological evaluation and/or care by a mental health professional. St. Frances

countered with the assertion that Johnson committed fraud, thereby forfeiting her

right to benefits pursuant to La.R.S. 23:1208(A), by misrepresenting her condition

to her treating physicians and by misrepresenting her physical capabilities during

the FCE.

After a trial on the merits, the workers’ compensation judge (WCJ) held that

Johnson did not commit fraud for purposes of La.R.S. 23:1208(A) forfeiture and

awarded her $35,723.53 in SEBs from September 11, 2009, through May 9, 2011,

utilizing an AWW of $413.33 per week. The WCJ awarded Johnson $4,000.00 in

statutory penalties, ordered St. Frances to authorize a mental health evaluation, and

awarded attorney fees.

St.

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Lucy Johnson v. St. Francis Nursing & Rehabilitation Center, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lucy-johnson-v-st-francis-nursing-rehabilitation-center-lactapp-2014.