[Cite as Marshall v. Mercy Health-Anderson Hosp., L.L.C., 2025-Ohio-1268.]
IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO
LINDA MARSHALL, Administrator for : APPEAL NO. C-240520 the Estate of John Marshall, TRIAL NO. A-2103081 : Plaintiff-Appellant, : vs. OPINION : MERCY HEALTH-ANDERSON HOSPITAL, L.L.C., :
and :
BON SECOURS MERCY HEALTH, :
Defendants-Appellees, :
TRI-STATE UROLOGIC SERVICES, : PSC INC., : THE UROLOGY GROUP, : AARON BEY, M.D., : and : BRIAN MINNILLO, M.D., : Defendants.
Civil Appeal From: Hamilton County Court of Common Pleas
Judgment Appealed From Is: Reversed and Cause Remanded
Date of Judgment Entry on Appeal: April 11, 2025 Elk & Elk Co., Ltd., Curtis M. Fifner and Phillip A. Kuri, for Plaintiff-Appellant Linda Marshall,
Rendigs, Fry, Kiely & Dennis, L.L.P., C. Jessica Pratt and Michael P. Foley, for Defendants-Appellees Mercy Health-Anderson Hospital, L.L.C., and Bon Secours Mercy Health.
2 OHIO FIRST DISTRICT COURT OF APPEALS
NESTOR, Judge.
{¶1} This dispute arises from the death of plaintiff-appellant Linda
Marshall’s husband, who passed away at defendants-appellees’ hospital, Mercy
Health-Anderson Hospital. After her husband’s death, plaintiff-appellant filed suit
against various individuals and the hospital, but she did not name the nurse on her
husband’s care team. After the statute of limitations expired, defendants-appellees
moved for summary judgment, arguing that under the Ohio Supreme Court’s holding
in Clawson v. Hts. Chiropractic Physicians, L.L.C., 2022-Ohio-4154, a plaintiff could
not maintain a vicarious liability action against a hospital when the individual nurse
was not sued.
{¶2} The trial court concluded that the employee nurse had to be named, and
it dismissed Marshall’s vicarious liability claims against the hospital.1 She now appeals
to this court, asserting that the trial court erred as a matter of law when it held that
Clawson applied to this case. After reviewing the relevant caselaw, we conclude that
the traditional rule of respondeat superior applies, and that the hospital may be held
liable for the alleged negligence of its employee nurse, even when that nurse is not
named in the complaint. Accordingly, we reverse the trial court’s judgment.
I. Factual and Procedural History
{¶3} In April 2020, John Marshall underwent surgery at defendants-
appellees’ Mercy Health-Anderson Hospital and Bon Secours Mercy Health
(collectively “Mercy”), hospital. After his surgery, a patient care assistant and a nurse
(hereinafter “K.M.”) were assigned to Mr. Marshall’s care team. K.M. was mainly
1 The trial court’s order prompting this appeal was technically labeled as an “Entry Granting a
Motion for Judgment on the Pleadings” and not one for a motion for summary judgment. However, the parties seemingly agree that was likely a typographical error, and that for purposes of appeal, it should be treated as an order granting defendants-appellees’ motion for summary judgment. OHIO FIRST DISTRICT COURT OF APPEALS
responsible for administering Mr. Marshall’s medications and periodically checking
his vital signs and overall well-being. K.M. went to Mr. Marshall’s room several times
after surgery to check his vitals, administer medication, and perform other care. At
around 11:50 p.m. (approximately an hour and a half after K.M. was last in his room),
the patient care assistant went to Mr. Marshall’s room to check his vital signs but could
not read his blood pressure, so K.M. came to the room. When she arrived, Mr.
Marshall was unresponsive. K.M. called a code, but Mr. Marshall had no pulse, and
despite the administration of CPR, he passed away.
{¶4} Linda Marshall (“Marshall”), Mr. Marshall’s widow and the
administrator of his estate, sent “180 day” letters to all defendants on April 7, 2021,
and she ultimately filed suit against the two doctors who performed the surgery,
Mercy, the two urology groups that the doctors were associated with, and unspecified
John Does, all under varying theories of liability. In Count I of the complaint filed on
September 1, 2021, Marshall alleges that Mercy is vicariously liable for the negligence
of its nurse employee. The vicarious liability claim against Mercy is the focus of this
appeal.
{¶5} After the parties exchanged discovery and took depositions, Mercy
moved for summary judgment, arguing that it could not be liable for the alleged
wrongful acts of K.M. because Marshall did not bring any claims against her
individually. Mercy filed the motion on March 15, 2024, far beyond the one-year
statute of limitations on any potential claims against K.M.
{¶6} Mercy centered its argument on the Ohio Supreme Court’s holdings in
Natl. Union Fire Ins. Co. v. Wuerth, 2009-Ohio-3601, and Clawson, 2022-Ohio-4154,
which limit a plaintiff’s ability to sue entities under an agency theory for the
malpractice of their lawyers and doctors, respectively. It argued that those holdings
4 OHIO FIRST DISTRICT COURT OF APPEALS
and the subsequent caselaw support its position that Marshall could not hold Mercy
vicariously liable because she did not file a claim against K.M. individually, and any
such claim was time barred. Ultimately, the trial court agreed with Mercy and granted
the motion. That judgment is the sole basis for this appeal.
II. Analysis
{¶7} In her sole assignment of error, Marshall asserts that the trial court
erred in granting Mercy’s motion for summary judgment, because the Ohio Supreme
Court has not expanded Clawson to cover nonphysician hospital employees.
{¶8} We review a trial court’s grant of summary judgment under a de novo
standard of review. Riverside Drive Ents., LLC. v. Geotechnology, Inc., 2023-Ohio-
583, ¶ 19 (1st Dist.), citing Helton v. Fifth Third Bank, 2022-Ohio-1023, ¶ 12 (1st Dist.),
citing Grafton v. Ohio Edison Co., 77 Ohio St.3d 102, 105 (1996). “‘Summary judgment
is appropriately granted when there exists no genuine issue of material fact, the party
moving for summary judgment is entitled to judgment as a matter of law, and the
evidence, when viewed in favor of the nonmoving party, permits only one reasonable
conclusion that is adverse to that party.’” Id., quoting Helton at ¶ 12. Once the moving
party shows that no genuine issue of material fact exists regarding the essential
elements of the claim, the burden shifts to the nonmoving party “‘to “set forth specific
facts showing that there is a genuine issue for trial.”’” Id. at ¶ 20, quoting Heiert v.
Crossroads Community Church, Inc., 2021-Ohio-1649, ¶ 38 (1st Dist.), and Dresher
v. Burt, 75 Ohio St.3d 280, 293 (1996), quoting Civ.R. 56(E).
{¶9} In Clawson, the Ohio Supreme Court applied its previous holding in
Wuerth (pertaining to the vicarious liability of law firms for the legal malpractice of
attorneys) to vicarious liability actions against a hospital for the medical malpractice
of its physicians. See Clawson, 2022-Ohio-4154, at ¶ 29 (“Wuerth precludes a
5 OHIO FIRST DISTRICT COURT OF APPEALS
vicarious-liability claim for medical malpractice against a physician’s employer when
a direct claim against the physician is time-barred.”). The Court noted the principle
that “vicarious liability ‘flows through the agent by virtue of the agency relationship to
the principal.’” Id. at ¶ 16, quoting Comer v.
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[Cite as Marshall v. Mercy Health-Anderson Hosp., L.L.C., 2025-Ohio-1268.]
IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO
LINDA MARSHALL, Administrator for : APPEAL NO. C-240520 the Estate of John Marshall, TRIAL NO. A-2103081 : Plaintiff-Appellant, : vs. OPINION : MERCY HEALTH-ANDERSON HOSPITAL, L.L.C., :
and :
BON SECOURS MERCY HEALTH, :
Defendants-Appellees, :
TRI-STATE UROLOGIC SERVICES, : PSC INC., : THE UROLOGY GROUP, : AARON BEY, M.D., : and : BRIAN MINNILLO, M.D., : Defendants.
Civil Appeal From: Hamilton County Court of Common Pleas
Judgment Appealed From Is: Reversed and Cause Remanded
Date of Judgment Entry on Appeal: April 11, 2025 Elk & Elk Co., Ltd., Curtis M. Fifner and Phillip A. Kuri, for Plaintiff-Appellant Linda Marshall,
Rendigs, Fry, Kiely & Dennis, L.L.P., C. Jessica Pratt and Michael P. Foley, for Defendants-Appellees Mercy Health-Anderson Hospital, L.L.C., and Bon Secours Mercy Health.
2 OHIO FIRST DISTRICT COURT OF APPEALS
NESTOR, Judge.
{¶1} This dispute arises from the death of plaintiff-appellant Linda
Marshall’s husband, who passed away at defendants-appellees’ hospital, Mercy
Health-Anderson Hospital. After her husband’s death, plaintiff-appellant filed suit
against various individuals and the hospital, but she did not name the nurse on her
husband’s care team. After the statute of limitations expired, defendants-appellees
moved for summary judgment, arguing that under the Ohio Supreme Court’s holding
in Clawson v. Hts. Chiropractic Physicians, L.L.C., 2022-Ohio-4154, a plaintiff could
not maintain a vicarious liability action against a hospital when the individual nurse
was not sued.
{¶2} The trial court concluded that the employee nurse had to be named, and
it dismissed Marshall’s vicarious liability claims against the hospital.1 She now appeals
to this court, asserting that the trial court erred as a matter of law when it held that
Clawson applied to this case. After reviewing the relevant caselaw, we conclude that
the traditional rule of respondeat superior applies, and that the hospital may be held
liable for the alleged negligence of its employee nurse, even when that nurse is not
named in the complaint. Accordingly, we reverse the trial court’s judgment.
I. Factual and Procedural History
{¶3} In April 2020, John Marshall underwent surgery at defendants-
appellees’ Mercy Health-Anderson Hospital and Bon Secours Mercy Health
(collectively “Mercy”), hospital. After his surgery, a patient care assistant and a nurse
(hereinafter “K.M.”) were assigned to Mr. Marshall’s care team. K.M. was mainly
1 The trial court’s order prompting this appeal was technically labeled as an “Entry Granting a
Motion for Judgment on the Pleadings” and not one for a motion for summary judgment. However, the parties seemingly agree that was likely a typographical error, and that for purposes of appeal, it should be treated as an order granting defendants-appellees’ motion for summary judgment. OHIO FIRST DISTRICT COURT OF APPEALS
responsible for administering Mr. Marshall’s medications and periodically checking
his vital signs and overall well-being. K.M. went to Mr. Marshall’s room several times
after surgery to check his vitals, administer medication, and perform other care. At
around 11:50 p.m. (approximately an hour and a half after K.M. was last in his room),
the patient care assistant went to Mr. Marshall’s room to check his vital signs but could
not read his blood pressure, so K.M. came to the room. When she arrived, Mr.
Marshall was unresponsive. K.M. called a code, but Mr. Marshall had no pulse, and
despite the administration of CPR, he passed away.
{¶4} Linda Marshall (“Marshall”), Mr. Marshall’s widow and the
administrator of his estate, sent “180 day” letters to all defendants on April 7, 2021,
and she ultimately filed suit against the two doctors who performed the surgery,
Mercy, the two urology groups that the doctors were associated with, and unspecified
John Does, all under varying theories of liability. In Count I of the complaint filed on
September 1, 2021, Marshall alleges that Mercy is vicariously liable for the negligence
of its nurse employee. The vicarious liability claim against Mercy is the focus of this
appeal.
{¶5} After the parties exchanged discovery and took depositions, Mercy
moved for summary judgment, arguing that it could not be liable for the alleged
wrongful acts of K.M. because Marshall did not bring any claims against her
individually. Mercy filed the motion on March 15, 2024, far beyond the one-year
statute of limitations on any potential claims against K.M.
{¶6} Mercy centered its argument on the Ohio Supreme Court’s holdings in
Natl. Union Fire Ins. Co. v. Wuerth, 2009-Ohio-3601, and Clawson, 2022-Ohio-4154,
which limit a plaintiff’s ability to sue entities under an agency theory for the
malpractice of their lawyers and doctors, respectively. It argued that those holdings
4 OHIO FIRST DISTRICT COURT OF APPEALS
and the subsequent caselaw support its position that Marshall could not hold Mercy
vicariously liable because she did not file a claim against K.M. individually, and any
such claim was time barred. Ultimately, the trial court agreed with Mercy and granted
the motion. That judgment is the sole basis for this appeal.
II. Analysis
{¶7} In her sole assignment of error, Marshall asserts that the trial court
erred in granting Mercy’s motion for summary judgment, because the Ohio Supreme
Court has not expanded Clawson to cover nonphysician hospital employees.
{¶8} We review a trial court’s grant of summary judgment under a de novo
standard of review. Riverside Drive Ents., LLC. v. Geotechnology, Inc., 2023-Ohio-
583, ¶ 19 (1st Dist.), citing Helton v. Fifth Third Bank, 2022-Ohio-1023, ¶ 12 (1st Dist.),
citing Grafton v. Ohio Edison Co., 77 Ohio St.3d 102, 105 (1996). “‘Summary judgment
is appropriately granted when there exists no genuine issue of material fact, the party
moving for summary judgment is entitled to judgment as a matter of law, and the
evidence, when viewed in favor of the nonmoving party, permits only one reasonable
conclusion that is adverse to that party.’” Id., quoting Helton at ¶ 12. Once the moving
party shows that no genuine issue of material fact exists regarding the essential
elements of the claim, the burden shifts to the nonmoving party “‘to “set forth specific
facts showing that there is a genuine issue for trial.”’” Id. at ¶ 20, quoting Heiert v.
Crossroads Community Church, Inc., 2021-Ohio-1649, ¶ 38 (1st Dist.), and Dresher
v. Burt, 75 Ohio St.3d 280, 293 (1996), quoting Civ.R. 56(E).
{¶9} In Clawson, the Ohio Supreme Court applied its previous holding in
Wuerth (pertaining to the vicarious liability of law firms for the legal malpractice of
attorneys) to vicarious liability actions against a hospital for the medical malpractice
of its physicians. See Clawson, 2022-Ohio-4154, at ¶ 29 (“Wuerth precludes a
5 OHIO FIRST DISTRICT COURT OF APPEALS
vicarious-liability claim for medical malpractice against a physician’s employer when
a direct claim against the physician is time-barred.”). The Court noted the principle
that “vicarious liability ‘flows through the agent by virtue of the agency relationship to
the principal.’” Id. at ¶ 16, quoting Comer v. Risko, 2005-Ohio-4559, ¶ 20. It further
acknowledged that its decision in Wuerth was partially informed by its precedent that
hospitals are unable to practice medicine and thus are incapable of committing
malpractice or being held directly liable for such. Id. at ¶ 19, quoting Wuerth, 2009-
Ohio-3601, at ¶ 14, citing Browning v. Burt, 66 Ohio St.3d 544, 556 (1993). The Court
went on to explain that when agents cannot be held directly liable for malpractice, that
extinguishes any claims as to the principal’s secondary liability for such. Id. at ¶ 32-
33, quoting Wuerth at paragraph two of the syllabus. Therefore, the nature of the
claims asserted against the entity control a plaintiff’s ability to assert such claims.
{¶10} Unlike the doctors and lawyers in Clawson and Wuerth, the case before
us focuses on the relationship between nurses and hospitals. Marshall’s claim is
against Mercy for the acts of K.M., a nonphysician employee of the hospital. The Ohio
Supreme Court has recognized that while nurses are “‘skilled and well trained, [they
are] not in the same category as a physician who is required to exercise his
independent judgment . . . .’” Lombard v. Good Samaritan Med. Ctr., 69 Ohio St.2d
471, 473 (1982), quoting Richardson v. Doe, 176 Ohio St. 370, 372-373 (1964). In other
words, nurses do not exercise similar discretion that physicians do in their work, nor
are they free of control from their employer-entity, making them categorically
different than physicians. Mercy urges us to recognize that nurses have increasing
independence and discretion treating patients, and as such, they cannot be viewed as
a typical nonphysician hospital employee that strictly abides by the hospital’s
protocols and procedures. However, Mercy provides no authority in support of its
6 OHIO FIRST DISTRICT COURT OF APPEALS
assertions on this point.
{¶11} Ohio caselaw clearly delineates vicarious liability claims centered
around the medical malpractice of physicians and those regarding the negligence of
nurses and other nonphysician employees. Physicians can commit malpractice
because they engage in the practice of medicine, but the negligence of nurses “falls
under the definition of a ‘medical claim.’” Stanley v. Community Hosp., 2011-Ohio-
1290, ¶ 22 (2d Dist.), citing Lombard at 473. As noted previously, the Clawson Court
clearly held that “Wuerth precludes a vicarious-liability claim for medical malpractice
against a physician’s employer when a direct claim against the physician is time-
barred." (Emphasis added.) Clawson, 2022-Ohio-4154, at ¶ 29. Without pointing us
to anywhere specifically in Clawson expanding that concept, Mercy asserts that the
holding in Clawson covers vicarious liability actions regarding the acts of all
nonphysician employees.
{¶12} When faced with an almost identical scenario, the Eighth District noted
that “[t]he Clawson Court was not required to address the distinctions between a
malpractice claim . . . and a medical claim brought against a hospital for the alleged
negligence of one of its nurse employees[,] [and therefore], Clawson did not expressly,
or indirectly undermine the holdings of post-Wuerth decisions, which expressly found
that Wuerth is inapplicable as to claims against hospitals and their nonphysician
employees.” Orac v. Montefiore Found., 2024-Ohio-4904, ¶ 40 (8th Dist.). Again,
the Clawson Court narrowly held that Wuerth applied to claims against entities for
the acts of physicians, but it never indicated that the holding applied beyond
malpractice claims, and other Ohio courts have consistently applied that holding only
to claims against physicians and the like. See Sullivan v. Mercy Health, 2025-Ohio-
137, ¶ 38 (12th Dist.) (“The Supreme Court’s holdings in Wuerth and Clawson are . . .
7 OHIO FIRST DISTRICT COURT OF APPEALS
self-evidently relevant to this case because Mercy, a hospital, cannot be found directly
liable for malpractice.” (Emphasis added.)); Price v. Aspen Dental, 2024-Ohio-5251,
¶ 18 (3d Dist.) (“Price’s complaint against Aspen Dental is based solely on the
allegation that two individual dentists were negligent in providing care to Price, but
neither individual dentist was sued for malpractice. On those facts, Price’s claim
against Aspen Dental fails as a matter of law.”); Ackman v. Mercy Health West Hosp.,
LLC, 2023-Ohio-2075, ¶ 22 (1st Dist.), citing Clawson at ¶ 29 (“In other words,
vicarious-liability claims against a physician’s employer are precluded when direct-
liability claims against the physician are barred.”). Mercy seeks an expansion to the
rule in Clawson which has not been adopted by Ohio courts. Thus, Mercy’s arguments
on this point are unavailing.
{¶13} Under the general rule of respondeat superior, plaintiffs are free to sue
an employee, their employer, or both. See Meehan v. AMN Healthcare, Inc., 2012-
Ohio-557, ¶ 11 (1st Dist.), citing Cope v. Miami Valley Hosp., 2011-Ohio-4869, ¶ 18
(2d Dist.) (“Medical claims alleging the negligence of a hospital employee, such as a
nurse, are governed by the doctrine of respondeat superior . . . [in which] a plaintiff
may elect to sue the employer or both the employer and the employee.”). Marshall
chose to sue Mercy as K.M.’s employer and chose not to sue K.M. individually, which
she is permitted to do under the traditional doctrine of respondeat superior. Wuerth
and Clawson are both exceptions to the general rule of respondeat superior. We
decline to adopt Mercy’s invitation to allow the exception to insulate hospitals from
the general rule. A plaintiff filing a medical claim against a nurse or their employer
hospital can choose to file against either or both.
{¶14} Because the trial court solely granted summary judgment in favor of
Mercy based upon an erroneous application of Clawson to nonphysician employees,
8 OHIO FIRST DISTRICT COURT OF APPEALS
we sustain the single assignment of error.
III.
{¶15} Based on the foregoing analysis, we reverse the judgment of the trial
court and remand the cause for further proceedings.
Judgment reversed and cause remanded.
KINSLEY, P.J., and BOCK, J., concur.
Please note:
The court has recorded its entry on the date of the release of this opinion.