Novotny v. St. Paul United Methodist Church

338 N.W.2d 266, 65 A.L.R. 4th 133, 1983 Minn. LEXIS 1301
CourtSupreme Court of Minnesota
DecidedSeptember 23, 1983
DocketC6-83-230
StatusPublished
Cited by2 cases

This text of 338 N.W.2d 266 (Novotny v. St. Paul United Methodist Church) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Novotny v. St. Paul United Methodist Church, 338 N.W.2d 266, 65 A.L.R. 4th 133, 1983 Minn. LEXIS 1301 (Mich. 1983).

Opinion

KELLEY, Justice.

Review on certiorari of a decision of the Workers’ Compensation Court of Appeals awarding Edward Novotny compensation for permanent and total disability and for certain permanent partial disabilities and awarding his wife, Fern Novotny, the reasonable value of nursing services, determined to be $280 a week subject to annual adjustment by a percentage equal to the percentage applicable to compensation payable to employee for total disability under Minn.Stat. § 176.645 (1982). Relators, St. Paul United Methodist Church and its compensation insurer, contend that both awards were excessive. We affirm in part, reverse in part, and remand for further proceed-, ings.

1. The claim that the award for nursing services is excessive essentially raises a factual issue. Minn.Stat. § 176.135, subd. 1 (1982) requires an employer to pay for “the reasonable value of nursing services by a member of the employee’s family in cases of permanent total disability.” In Alexander v. Kenneth R. LaLonde Enterprises, 288 N.W.2d 18, 21 (Minn.1980) we recognized that a determination of what are “nursing services” and what is the “reasonable value” of such services is a question of fact to be determined by the informed practical judgment of the Court of Appeals.

In Alexander we upheld a finding that the reasonable value of nursing services rendered by the employee’s wife was $3.75 an hour for an 8-hour day, a finding based on her testimony about the tasks she performed and on evidence that $3.75 an hour was the beginning wage, exclusive of substantial “fringe benefits,” of a licensed practical nurse in local area hospitals. We discussed the similarities and dissimilarities between the services performed by Mrs. Alexander and those performed by a licensed practical nurse and concluded that the Court of Appeals’ use of that wage was reasonable.

In this case also, detailed evidence was presented concerning the tasks employee’s wife performs. On July 28, 1979, employee sustained a fractured vertebra when he fell from a ladder while trimming trees for the church. This serious back injury resulted in complete paralysis of both of employee’s legs and loss of control of his bladder and bowel. He continues to have considerable physical pain and discomfort in his chest, back and stomach. Mrs. Novotny sets out his clothing for him every morning, helps him get into a shower once a week and otherwise helps him with daily sponge baths, aids him with dressing, and exercises his legs every night. She helps, or stands *268 by ready to help, when employee transfers himself from his bed to his wheelchair and from his wheelchair to other chairs. He wears a catheter which must be changed every 5 hours during the day and this usually requires her assistance. She also empties a waste bag worn on his leg for him and assists him with bowel evacuation, requiring manual extraction, every other day and sometimes oftener. Because of accidents she must change his bed and clothing and has extra laundry 3 or 4 times a week. Employee is fearful of driving because he often has spasms in his chest and stomach, so his wife transports him to medical appointments and elsewhere, setting up and removing a portable ramp in the garage each time. Based on their testimony concerning these services and a time record which she had kept, the compensation judge made a finding, affirmed by the Court of Appeals and unchallenged by relators, that Mrs. Novotny spends an average of 6 hours a day caring for employee.

Considerable evidence was presented on what the cost of Mrs. Novotny’s services would be if they were furnished by professionals. Kathy Wilde, a registered nurse and former director of a health care agency providing homemakers and home health aides to invalids, testified for employee that if his wife were not present to care for him through a 10 to 12-hour period each day, a live-in home health aide, for which the agency charges $76 a day, would be the most economical way to furnish employee necessary care. 1 Ms. Wilde also felt that a homemaker, for which the agency charges $7 an hour, would be necessary to assist with laundry and house cleaning 8 hours a week. The agency pays live-in home health aides $40 to $50 a day and homemakers $5 to $5.50 an hour.

Debra Tessier, also a registered nurse, who testified for relators on this issue, felt that a live-in home health aide was not necessary as long as Mrs. Novotny was in the apartment. Assuming that Mrs. Novot-ny did only what she had been doing before the injury, Ms. Tessier said that a home health aide would be necessary for a maximum of 3 hours a day, part in the morning and part in the evening, and a homemaker would be appropriate for 3 hours once a week. She had been informed by two agencies that charges for home health aides ranged from $2.25 to $15 an hour and for homemakers from $2.25 to $11.20 an hour, depending on the patient’s income. Another agency had quoted a $6 to $7 charge an hour for home health aide care. Ms. Tessier did not know whether these rates were what the worker actually received or included a charge made by the vendor of the services.

Finally, Paulette Lappi, another registered nurse and the director of a nursing service providing home care, testified that her agency charges $8 an hour for a home health aide, the aide receiving $5.50 to $6 an hour, with a 2-hour minimum charge, and that her agency charges $6.70 an hour for a homemaker, the homemaker receiving $4.50 to $5 an hour. Ms. Lappi said that nursing home charges for skilled nursing care would be $54 a day and for intermittent nursing care, available to patients who can dress and transfer themselves, would be $47 per day.

The finding that the reasonable value of Mrs. Novotny’s nursing services was $280 a week is obviously within the range of charges to which these witnesses testified and thus has substantial evidentiary support. Relators’ attempt to avoid affirmance of the finding by the claim that the Court of Appeals improperly used “replacement cost” is without merit since the work to be performed by a home health aide would be exactly what employee’s wife is doing. Recourse to information concerning what others would charge for such services was thus appropriate and necessary to give the fact finder an informed practical judgment on the issue of their reasonable value. See Alexander, 288 N.W.2d 18.

*269 . 2. The more troublesome issue raised by relators is whether the Court of Appeals erred in adopting the compensation judge’s finding concerning employee’s weekly wage. After finding that on the date of his injury employee was working part time as a custodian for the church for an average of 10 hours a week at a wage of $68.70 per month ($15.85 per week) and was also working part time as a janitor for Associated Bureaus, Inc., 30 to 35 hours a week at a wage of $525 per month ($121.15 per week), the compensation judge determined that—

for the calculation of permanent total disability and permanent partial disability the Employee’s weekly wage shall be deemed to be (40/10 X $15.85) + $121.75 or $184.55 per week.

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Bluebook (online)
338 N.W.2d 266, 65 A.L.R. 4th 133, 1983 Minn. LEXIS 1301, Counsel Stack Legal Research, https://law.counselstack.com/opinion/novotny-v-st-paul-united-methodist-church-minn-1983.