Puccetti v. Franciscan Communities, Inc.

2025 IL App (1st) 241681-U
Appellate Court of Illinois·Decided June 27, 2025·No. 1-24-1681·Unpublished

Opinion

2025 IL App (1st) 241681-U

SIXTH DIVISION

June 27, 2025

No. 1-24-1681

NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the limited circumstances allowed under Rule 23(e)(1).

IN THE

APPELLATE COURT OF ILLINOIS FIRST DISTRICT

GREGORY PUCCETTI, as independent executor ) of the estate of KATHLEEN PUCCETTI, deceased, )

)

Appeal from the

Plaintiff-Appellant, )

Circuit Court of

)

Cook County

v. )

)

No. 2020 L 13594

FRANCISCAN COMMUNITIES, INC., an Indiana ) Not-For-Profit Corporation, and FRANCISCAN )

The Honorable

SISTERS OF CHICAGO SERVICE )

Michael F. Otto,

CORPORATION, an Illinois Not-For-Profit )

Judge Presiding.

Corporation, )

)

Defendants-Appellees. )

PRESIDING JUSTICE TAILOR delivered the judgment of the court.

Justices Hyman and C.A. Walker concurred in the judgment.

ORDER

¶1 Held: We affirm the grant of summary judgment to defendants.

¶2 I. BACKGROUND

¶3 St. Joseph Village of Chicago (St. Joseph) is a long-term care facility owned and operated by defendants Franciscan Communities, Inc. and Franciscan Sisters of Chicago Service Corporation (together, Franciscan). On December 21, 2018, Kathleen Puccetti was admitted to St.

Joseph after she suffered a heart attack and stroke. Her intake paperwork indicated that she suffered from “unspecified osteoarthritis” and “reduced strength of upper extremities.” While at St. Joseph, Kathleen required assistance with daily living activities, including walking, toileting, bathing, and transferring from her bed to a wheelchair.

¶4 On January 6, 2019, while Kathleen was still at St. Joseph, she called her daughter and told her that a nurse pulled and twisted her arm. She did not tell her daughter who the person was, however, just that it was someone “in charge of getting her up and moving her.” The next morning, Kathleen complained of pain and said she was unable to lift her right arm. She was transported to the emergency room and an x-ray study of her arm was performed, which revealed “body demineralization without evidence of actual fracture or dislocation” and a “mildly” or “[m]inimally displaced radial head fracture” of her right arm.

¶5 After learning about Kathleen’s fracture, Olive Mendoza, Franciscan’s Director of Nursing, conducted an investigation, which included interviewing various staff members. In her report, Mendoza noted that Kathleen had “no occurrence of fall or other incident[s] during her stay” at St. Joseph and “never verbalize[d] to anyone in the community that her hand/arm [wa]s being pulled by staff.” Mendoza concluded that Kathleen’s “minimal displaced radial head fracture could have [been] caused by stress to the right hand due to the frequent use for bed mobility, transfer and ambulation with walker while in therapy” and that “[g]iven [Kathleen’s] clinical condition and weakened bone with diagnosis of OA [osteoarthritis] and osteopenia (CT scan result from the hospital) the repeated use of the right hand/arm and all body weight going to that hand might have caused the resident’s bone to break.”

¶6 Kathleen did not return to St. Joseph after her emergency room visit. She died just over four months later, on May 12, 2019, from “cardiorespiratory failure and aspiration pneumonia/congestive heart failure.”

¶7 Kathleen’s son, plaintiff Gregory Puccetti (Puccetti), served as independent executor of her estate. On December 21, 2020, he filed a complaint against Franciscan, alleging that Franciscan’s negligence caused Kathleen to suffer an arm fracture as well as a sacral pressure injury. However, he abandoned any claim related to the sacral pressure injury on appeal, so we do not discuss it here. He also brought a res ipsa loquitur claim against Franciscan, claiming that Kathleen’s injuries would not have occurred if ordinary care had been exercised by Franciscan. He later amended his complaint to add a wrongful death claim.

¶8 On June 1, 2023, Franciscan filed a motion for summary judgment, arguing that Puccetti “failed to offer any evidence indicating [Franciscan’s] acts, or failure to act, were the proximate cause of [Kathleen’s] injuries or death.” Franciscan argued that although Puccetti alleged it was negligent in allowing Kathleen to sustain an arm fracture, “[t]his fracture was unwitnessed, and it would have occurred when she had yet-to-be diagnosed low bone density.” Although Kathleen made references to a “nurse” hurting her arm, she never named this person or provided any other identifying details. Therefore, Franciscan argued that summary judgment on the negligence counts was appropriate, as “no facts in evidence show this alleged person was under the control of [Franciscan] to tie up the causal connection.” Franciscan also argued that because Kathleen died more than four months after her discharge from Franciscan and her causes of death were listed as “cardiorespiratory failure and aspiration pneumonia/congestive heart failure,” it could not be held liable as Puccetti “failed to present any specific facts” to support a finding that the staff at Franciscan “caused or contributed to” Kathleen’s death. Finally, Franciscan argued that Puccetti

could not establish res ipsa loquitur, because he “fail[ed] to establish the accident is of the type that does not ordinarily happen” when ordinary care is exercised. Franciscan noted that Kathleen’s “right arm x-ray revealed bony demineralization” and argued that “fractures in the presence of osteopenia (low bone density) do regularly occur, despite ordinary care [being] exercised.”

¶9 In its response, Puccetti argued that genuine issues of material fact existed regarding the cause of Kathleen’s arm fracture. He pointed to Kathleen’s medical records, which indicated that Kathleen was transferred by only one staff member on numerous occasions, and argued, based on his Rule 213 general disclosures, that anticipated testimony from his nursing expert, Charlotte Sheppard, would create a genuine issue of material fact as to whether Franciscan’s nursing staff’s failure to perform proper transfers caused Kathleen’s arm fracture. He also argued, based on the anticipated testimony of Dr. Hollingsworth, an orthopedic surgeon, that “even if Kathleen had osteopenia and/or osteoarthritis, the condition(s) would not have caused Kathleen’s injury unless she experienced a fall or some other traumatic event or force.”

¶ 10 In its reply, Franciscan argued that Puccetti failed to offer any evidence of negligence and instead relied solely on speculation to support his theory that Franciscan caused Kathleen’s right arm fracture. Franciscan also argued that the proposed testimony of Puccetti’s controlled experts, nurse Sheppard and Dr. Hollingsworth, could not be considered as “neither [expert] ha[d] sworn to their disclosed opinions under penalties of perjury,” and that “[a]ny attempt to create triable questions of fact arising out of the unverified, disclosed opinions of controlled expert witnesses who have not yet testified at deposition or submitted an affidavit is improper at the summary judgment stage.”

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