Pain Relief Centers P.A. v. NLRB

CourtCourt of Appeals for the Fourth Circuit
DecidedAugust 22, 2023
Docket22-1582
StatusUnpublished

This text of Pain Relief Centers P.A. v. NLRB (Pain Relief Centers P.A. v. NLRB) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pain Relief Centers P.A. v. NLRB, (4th Cir. 2023).

Opinion

USCA4 Appeal: 22-1582 Doc: 35 Filed: 08/22/2023 Pg: 1 of 29

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 22-1366

NATIONAL LABOR RELATIONS BOARD,

Petitioner,

v.

PAIN RELIEF CENTERS P.A.,

Respondent.

No. 22-1582

On Application for Enforcement of an Order of the National Labor Relations Board and Cross-Petition for Review. (10-CA-260563)

Submitted: April 25, 2023 Decided: August 22, 2023 USCA4 Appeal: 22-1582 Doc: 35 Filed: 08/22/2023 Pg: 2 of 29

Before WILKINSON, HARRIS, and RICHARDSON, Circuit Judges.

Application for enforcement granted and cross-petition for review denied by unpublished opinion. Judge Harris wrote the majority opinion, in which Judge Wilkinson joined. Judge Wilkinson wrote a concurring opinion. Judge Richardson wrote an opinion dissenting in part and concurring in part.

ON BRIEF: Kira Dellinger Vol, Supervisory Attorney, Jennifer A. Abruzzo, General Counsel, Peter Sung Ohr, Deputy General Counsel, Ruth E. Burdick, Deputy Associate General Counsel, David Habenstreit, Assistant General Counsel, Eric Weitz, NATIONAL LABOR RELATIONS BOARD, Washington, D.C., for Petitioner/Cross-Respondent. Matthew Kyle Rogers, LAW OFFICES OF MATTHEW K. ROGERS, PLLC, Hickory, North Carolina, for Respondent/Cross-Petitioner.

Unpublished opinions are not binding precedent in this circuit.

2 USCA4 Appeal: 22-1582 Doc: 35 Filed: 08/22/2023 Pg: 3 of 29

PAMELA HARRIS, Circuit Judge:

Five employees of a pain-management clinic were fired after they complained about

their treatment by the practice manager and ultimately walked off the job. An

administrative law judge found that the employer had engaged in two unfair labor practices

prohibited by the National Labor Relations Act: coercively questioning the employees

about their complaints, and then firing them for participating in the walkout. The National

Labor Relations Board affirmed and ordered relief. The Board has now filed an application

for enforcement of its order, and the employer has filed a cross-petition for review.

Substantially for the reasons given by the administrative law judge and the Board, we grant

the Board’s application and deny the employer’s petition.

I.

A.

Section 7 of the National Labor Relations Act (“Act”) codifies the right of

employees “to self-organization, to form, join, or assist labor organizations, to bargain

collectively through representatives of their own choosing, and to engage in other

concerted activities for the purpose of collective bargaining or other mutual aid or

protection[.]” 29 U.S.C. § 157. To protect these rights, Section 8 of the Act proscribes

“unfair labor practice[s],” which it defines in relevant part as “interfer[ing] with,

restrain[ing], or coerc[ing] employees in the exercise of” their Section 7 rights. 29 U.S.C.

§ 158(a)(1). The Act also “empower[s]” the National Labor Relations Board (“Board” or

“NLRB”) “to prevent any person from engaging in any unfair labor practice” and, upon

3 USCA4 Appeal: 22-1582 Doc: 35 Filed: 08/22/2023 Pg: 4 of 29

finding a violation of the Act, “to take such affirmative action . . . as will effectuate the

policies of” the Act, including ordering remedies like reinstatement and backpay.

29 U.S.C. § 160(a), (c).

B.

Pain Relief Centers, P.A. (“PRC”), respondent to the application for enforcement

and cross-petitioner for review, operates two medical clinics providing pain-management

and addiction-treatment services in North Carolina. 1 At the relevant time, PRC was owned

and operated by Hans Hansen, who was the sole medical doctor at the clinics. Sharese

Cromer, variously termed the “practice manager” or “office manager,” performed a wide

range of administrative and supervisory functions.

The events giving rise to this case took place at PRC’s Conover, North Carolina,

location. Krisandra Edwards, a nurse practitioner, was one of the medical providers at the

Conover clinic. The clinic also employed medical assistants to support its medical

providers, and Miranda Cox, Erin Stiltner, Yesenia Ramirez-Zavala, and Amber Whitlock

worked at the clinic in that capacity.

For months in the spring of 2020, there was “growing frustration with Cromer’s

treatment of the staff in managing the Conover office.” Administrative Law Judge (“ALJ”)

1 Most of the facts recounted here are undisputed. Where there is a dispute, we note the disagreement and describe the version of events credited by the administrative law judge.

4 USCA4 Appeal: 22-1582 Doc: 35 Filed: 08/22/2023 Pg: 5 of 29

Decision at 7. 2 The medical assistants found Cromer “belittling, disrespectful, and

bullying,” id. at 8 (cleaned up), and felt their jobs were threatened by her. The medical

assistants shared their concerns with nurse practitioner Edwards, and the employees

discussed their complaints as a group.

Matters came to a head in May of 2020, with two key incidents that became the

basis of the instant NLRB complaint. The first – the ground for the NLRB’s coercive-

questioning charge – occurred on May 13, 2020, when Edwards confronted Cromer about

her treatment of the medical assistants, explaining that the assistants felt uncomfortable

coming to Cromer themselves. The parties agree that the confrontation became unpleasant,

and while they dispute the particulars, the ALJ credited testimony that it was Cromer who

became furious and yelled at Edwards to “get the fuck out of [her] office.” Id. at 9–10

& n.14.

Moments later, Cromer approached the medical assistants to ask whether it was true

that they found her “unapproachable,” as had been reported. Cromer wanted to know

“who . . . [felt] like they [couldn’t] come and talk to [her]” and asked for a show of hands;

none of the medical assistants responded because, they told Edwards, they were scared to

say anything. Id. at 10. That afternoon, Cromer held a staff meeting, the details of which

are not disputed: Cromer began by stating that “she had been disrespected, that she had

been talked about, and that she was putting an end to it.” Id. (internal quotation marks

2 The ALJ’s decision is available in the administrative record at A.R. 1408–33. Our citations to this decision refer to its internal pagination.

5 USCA4 Appeal: 22-1582 Doc: 35 Filed: 08/22/2023 Pg: 6 of 29

omitted). After announcing two new restrictive workplace policies, she finished by

insisting that any remaining issues be raised with her “then and there,” as the staff “had a

lot to say behind her back and she was done with the pett[iness] and drama.” Id. at 11.

The second critical incident – the basis for the NRLB’s unlawful-firing charge –

took place the next day, May 14, 2020. That morning, Cromer and Edwards had another

dispute, this time related to some documents Cromer had left on Edwards’s desk. The

parties agree on “the basics of the situation” – an angry confrontation in Cromer’s office –

and the ALJ credited testimony that, again, it was Cromer who escalated and, again, yelled

at Edwards to “get out of her fucking office.” Id. at 12 & n.23 (internal quotation marks

omitted). After some continued back-and-forth outside Cromer’s office, Cromer told

Edwards she was suspended and to “go home for the day.” Id. at 12.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Eastex, Inc. v. National Labor Relations Board
437 U.S. 556 (Supreme Court, 1978)
Harris v. Forklift Systems, Inc.
510 U.S. 17 (Supreme Court, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
Pain Relief Centers P.A. v. NLRB, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pain-relief-centers-pa-v-nlrb-ca4-2023.