N.N. v. Institute for Rehabilitation & Research

234 S.W.3d 1, 2006 Tex. App. LEXIS 10476, 2006 WL 3513809
CourtCourt of Appeals of Texas
DecidedDecember 7, 2006
Docket01-02-01101-CV
StatusPublished
Cited by19 cases

This text of 234 S.W.3d 1 (N.N. v. Institute for Rehabilitation & Research) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
N.N. v. Institute for Rehabilitation & Research, 234 S.W.3d 1, 2006 Tex. App. LEXIS 10476, 2006 WL 3513809 (Tex. Ct. App. 2006).

Opinions

OPINION ON REHEARING

ELSA ALCALA, Justice.

Appellant, N.N., as next Mend of A.B., her daughter, has filed a motion for rehearing and for en banc reconsideration of our opinion issued on July 21, 2005. Ap-pellee, the Institute for Rehabilitation and Research (TIRR), has responded to both motions. On February 22, 2006, we granted N.N.’s motion for rehearing. We now withdraw our opinion and judgment of July 21, 2005, and issue the following opinion and accompanying judgment in their stead.

N.N. sued TIRR, a health-care provider, pursuant to former article 4590i of the Medical Liability and Improvement Act (hereinafter “former article 4590Í”),1 for damages arising from the sexual assault of A.B. while hospitalized at TIRR. In response to a general negligence question and standard predicated damage questions, the jury found TIRR negligent and awarded A.B. $300,000 for mental anguish that she sustained in the past and $625,000 for mental anguish that, in reasonable probability, she would sustain in the future. On TIRR’s motion, the trial court set aside the $625,000 award for future damages and rendered judgment notwithstanding the verdict (JNOV). In addition, the trial court signed an order suggesting a remittitur on the jury’s award of $300,000 for past mental anguish, whereupon the parties settled, and the trial court signed a take-nothing judgment on all claims. In her sole issue on appeal, N.N. challenges the JNOV rendered on the issue of damages for future mental anguish. In response, TIRR defends the JNOV as correct, on the grounds that no evidence supports a finding of compensable damages for future mental anguish. In addition, but only if we sustain N.N.’s single issue, TIRR asserts two cross-points. In its first cross-point, TIRR contends that the evidence is factually insufficient to show either that A.B. would, in all reasonable probability, experience mental anguish in the future or that she would sustain damages of $625,000 for that anguish. In its second cross-point, TIRR asserts that the evidence is factually insufficient to show that TIRR’s negligence proximately caused the occurrence, and that the great weight and preponderance of the evidence establishes that TIRR met the standard of care and was not negligent in treating and observing “Mr. B.,” who assaulted A.B. TIRR further contends, within these cross-points, that the trial court, and not this Court, should address TIRR’s factual sufficiency complaints and thus challenges the constitutionality of settled Texas precedent, as stated in Jackson v. Ewton, 411 [6]*6S.W.2d 715, 718-19 (Tex.1967), and rule 324(c) of the Texas Rules of Civil Procedure and rule 38.2(b)(1) of the Texas Rules of Appellate Procedure. See Tex.R. Civ. P. 324(c); Tex.R.App. P. 38.2(b)(1).

We conclude that the trial court erred by rendering JNOV in TIRR’s favor because the evidence is legally sufficient to show that A.B. would, in all reasonable probability, experience compensable mental anguish in the future to support the $625,000 award. We further conclude that factually sufficient evidence supports the jury’s award of $625,000 for A.B.’s future mental anguish and the jury’s finding that TIRR’s negligence proximately caused the occurrence. We also reject TIRR’s contention that the great weight and preponderance of the evidence shows that TIRR did not deviate from the standard of care in treating and observing Mr. B. and therefore was not negligent. Lastly, we reject TIRR’s constitutional challenges. Accordingly, we reverse the JNOV and render judgment reinstating the jury’s award of $625,000 for A.B.’s future mental anguish.

Facts and Procedural History

When she was 18 years old, A.B. sustained a serious brain injury in a June 6, 1997, automobile accident that also resulted in her sister’s death. A.B. was in a coma after the accident and was still in a coma when surgery was performed to remove the right frontal and right temporal lobes of her brain. On July 2, 1997, she was transferred to TIRR, where she emerged from her coma and began receiving rehabilitation therapy for her brain injury. She was transferred briefly to another facility, but returned to TIRR on August 22,1997.

On August 21, 1997, the day before A.B. returned to TIRR, a male, brain-damaged patient in his early 30’s was admitted to the same third-floor unit as A.B. Because of the known propensity of brain-injured patients to wander and become disoriented, access to this floor was restricted. The patient, Mr. B., occupied the room across the corridor from A.B.’s room. Both rooms were the closest possible to the nurse’s station for that area.

On the evening of August 30, 1997, A.B. was in her room and in bed. Her bed was a “modular box bed,” which consisted of a mattress on the floor surrounded by a three and one-half foot wall, or railing. She was given a suppository medication to facilitate a bowel movement, and her diaper was left open with a protective pad placed beneath her pelvis, according to standard nursing practice that facilitated cleaning the patient. When A.B. was observed having a bowel movement at about 9:00 p.m., a nurse closed the door to A.B.’s room to permit her privacy, also according to standard nursing practice. Shortly after 9:00 p.m., and about when A.B. was due to be checked and cleaned, a nurse saw Mr. B. walking away from A.B.’s room. Nurses immediately went to A.B., and a nurse followed Mr. B. to his room.

When the nurses entered A.B.’s room, they found her lying in her bed, as she held a telephone to her ear and appeared to be involved in a conversation. Her diaper was open, as before, but feces had become smeared on her perianal area and the pad beneath her. In addition, her bed was open at one end, and footprints of feces appeared on the interior walls at the foot of her bed. When asked if anyone had touched her, A.B. indicated that a sexual assault had taken place by gesturing with her hands. A.B. also told one of the nurses that a man had come into her room and “had sex” with her. A.B. did not appear upset, was not crying, and responded that she was “okay” when asked. The medical staff at TIRR did not observe any [7]*7evidence of trauma to A.B.’s genital area, but noticed redness around her vagina and observed that A.B.’s face was flushed. A.B. was transferred to Hermann Hospital for examination for suspected sexual assault, and police and AJB.’s parents were notified.

The nurse who followed Mr. B. to his room after the assault found him in his bathroom. He was clothed and attempting to clean feces from his feet. The nurse confirmed that no feces or secretions of any kind were apparent on Mr. B.’s genitals.

The physician who examined A.B. at Hermann Hospital at about 1:30 a.m. the following morning noted that A.B. had no recollection of any events of the previous few hours and exhibited no acute distress or pain. Two additional members of the examining team noted that A.B. could not recall the events of the evening, but a police officer indicated that she reported a sexual assault. The physician’s pelvic exam of A.B. found no lacerations in her vaginal wall, no vaginal bleeding, and that all was “within normal limits.” Rape-kit swabs taken from A.B.’s perianal area at the same time confirmed the presence of semen, but no DNA testing was performed.

At the time of the assault, A.B. was physically and neurologically impaired. Although she could move her limbs slightly, she had poor balance, with no strength in her limbs, and therefore needed assistance to stand, sit, and eat. Diagnostic testing of A.B.

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N.N. v. Institute for Rehabilitation & Research
234 S.W.3d 1 (Court of Appeals of Texas, 2006)

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Bluebook (online)
234 S.W.3d 1, 2006 Tex. App. LEXIS 10476, 2006 WL 3513809, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nn-v-institute-for-rehabilitation-research-texapp-2006.