Mary Lou Ortiz, Joanne Ortiz and Jesus Ortiz v. St. Teresa Nursing and Rehabilitation Center, LLC

579 S.W.3d 696
Court of Appeals of Texas·Decided May 31, 2019·No. 08-17-00042-CV·Published·Cited by 16 cases

Opinion

COURT OF APPEALS EIGHTH DISTRICT OF TEXAS EL PASO, TEXAS

§ MARY LOU ORTIZ, JOANNE ORTIZ, No. 08-17-00042-CV AND JESUS ORTIZ, § Appeal from Appellants, § 384th District Court v. § of El Paso County, Texas ST. TERESA NURSING AND § REHABILITATION CENTER, LLC, (TC # 2015DCV0662) § Appellee. §

OPINION

A nursing home filed suit to collect an unpaid bill from a former resident. The resident

counterclaimed, asserting that the nursing home’s substandard care resulted in her falling several

times with resultant injury. The nursing home responded that the counterclaim was a “healthcare

liability claim” which procedurally required the resident to file a timely expert report. The trial

court agreed and based on the resident’s failure to file an expert report, dismissed the counterclaim.

The trial court also awarded attorney’s fees against the resident’s attorneys as a sanction for filing

groundless pleadings. We affirm those rulings.

BACKGROUND

On December 13, 2013, Mary Lou Ortiz was admitted to St. Teresa Nursing and

Rehabilitation Center (St. Teresa). Prior to admission, she had signed an admission agreement that required her to pay any charges that were not reimbursed through any government assistance

program available to her. Joanne Ortiz, Mary Lou’s daughter, guaranteed the payment of those

same charges. During the six-months that she resided at St. Teresa, Mary Lou incurred $7,450.00

in unreimbursed nursing care and supply charges. When she did not pay for those charges,

St. Teresa sued both Mary Lou and Joanne Ortiz under breach of contract and quantum meruit

theories.

Mary Lou, along with Joanne and Jesus Ortiz (identified as next of kin) answered and filed

a counterclaim on April 20, 2015. The counterclaim alleged that St. Teresa allowed Mary Lou to

“fall multiple times, because she was unattended and unsupervised” by the staff, resulting in

“severe physical injuries and emotional, mental anguish to herself and her family.” The

counterclaim alleged St. Teresa breached the duty of care that a nursing home or long-term care

facility would have owed under the same or similar circumstances. Specific acts of negligence

included the failure to maintain a proper staff to resident ratio, failure to train the staff, and

neglecting Mary Lou’s care while it knew of “her medical need[s.]” Almost a year later, the

Ortizes filed an amended counterclaim that added John and Jane Doe doctors, nurses, technicians,

CNAs, and paramedic employees. The amended petition also fleshed out the factual allegations

and the claims being asserted. The pleading asserts that Mary Lou, aged 72 on the date of her

admission, had a medical history of Parkinson’s, cognitive decline, and osteoporosis. On

admission she also had stage three pressure sores. St. Teresa was to provide her appropriate

physical and occupational therapy, as well as wound care, and monitor her for Parkinson’s related

behavioral issues. The amended petition details three separate falls while she was at the facility.

The counterclaim alleges that St. Teresa owed several duties, including the duty to evaluate Mary

Lou’s risk for falling and implement a plan to prevent falls. The counterclaim further alleges that

in contravention of the treatment plan, St. Teresa staff left Mary Lou unattended for “extended

2 periods of time while she was under their care.” The counterclaim also asserted a negligence per

se count premised on the violation of several administrative requirements applicable to nursing

homes that accept Medicare or Medicaid eligible patients.

On June 15, 2016, St. Teresa filed a motion to dismiss the counterclaim, alleging in part

that it was a health care provider, that the counterclaim raised a health care liability claim, and that

the Ortizes had never filed an expert report as required by TEX.CIV.PRAC.&REM.CODE ANN. §

74.351(a)(requirement that an “expert report” must be served by the plaintiff within 120 days of

when each defendant health care provider files an answer). The same day, St. Teresa filed a motion

for summary judgment. That motion claimed that St. Teresa fully performed its obligations under

the contract and that Mary Lou Ortiz failed to pay $7,450 in charges, which Joanne Ortiz

guaranteed. The motion also challenged the negligence and negligence per se counterclaim

asserting there was no evidence of a legal duty owed, or breach of any such duty that proximately

caused injury. The gist of that argument is that only an expert witness could create a fact issue on

those elements and no expert report was ever filed in this case.

St. Teresa’s efforts to set its motion for summary judgment during the Fall of 2016 were

met with several motions for continuance, all granted by the trial court. One basis for the

continuances was an on-going discovery dispute. The Ortizes claimed they served discovery on

St. Teresa that was not timely answered. St. Teresa contended it never received the discovery

requests that were served via email. When it did respond to the discovery, St. Teresa answered

only the questions germane to the breach of contract claim and it refused to answer those questions

directed at the counterclaim. St. Teresa urged that absent a predicate expert report, it had no

obligation to respond to discovery germane to a health care liability claim.

The discovery issue was formally raised in a motion to compel. The trial court heard that

motion on December 14, 2016 and concluded that the counterclaim was in fact a “health care

3 liability claim” as defined by Section 74.001(a)(13). Because the Ortizes had failed to serve a

medical authorization as required by Section 74.052(a), or an expert report as required by Section

74.351(a), it denied the motion to compel discovery.

Soon after, St. Teresa filed a second motion to dismiss the counterclaim and a first amended

motion for summary judgment. The motion to dismiss also included a claim for sanctions against

the Ortizes’ attorneys based on several pleadings they had filed.1 After hearing those motions, the

trial court disposed of the case in two orders. The first order granted St. Teresa’s motion for

summary judgment on its breach of contract and quantum meruit claims, awarding St Teresa

$7,450 in actual damages and $7,500 in attorney’s fees against the Ortizes. The second order

dismissed the counterclaim because it alleged a health care liability claim and the Ortizes had

failed to file an expert report. This order does not tax any attorney’s fees against the Ortizes.

Rather, it taxes $10,000 in attorney’s fees as sanctions against the Ortizes’ attorneys under

TEX.R.CIV.P. 13 and TEX.CIV.PRAC.&REM.CODE ANN. § 10.001.2 The order specifically recites

that the Ortizes’ motion to compel discovery responses, a June 28, 2016 motion for continuance

of St. Teresa’s motion for summary judgment, and a November 2, 2016 objection to the same

motion were “groundless, brought in bad faith, and/or presented to the Court negligently or for an

improper purpose.” The Ortizes noticed an appeal only from this second order.

ISSUES ON APPEAL

The Ortizes bring three issues on appeal. In their first issue, they claim that trial court erred

in granting summary judgment against their counterclaim, citing genuine issues of material fact

and claimed deficiencies in St. Teresa’s motion for summary judgment. Their second issue

1 The Ortizes were represented by Eduardo Lerma, Sr.

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Mary Lou Ortiz, Joanne Ortiz and Jesus Ortiz v. St. Teresa Nursing and Rehabilitation Center, LLC, 579 S.W.3d 696 (Tex. Ct. App. 2019).

579 S.W.3d 696 (Mary Lou Ortiz, Joanne Ortiz and Jesus Ortiz v. St. Teresa Nursing and Rehabilitation Center, LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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