IN THE COURT OF APPEALS OF IOWA
No. 18-1473 Filed November 6, 2019
RICHARD J. HOLMAN and BECKY S. HOLMAN, individually, as father and mother and next friend of C.L.H., a minor, Plaintiffs-Appellants,
vs.
DAC, INC., Defendant-Appellee. ________________________________________________________________
Appeal from the Iowa District Court for Dubuque County, Michael J.
Shubatt, Judge.
The plaintiffs appeal the order granting summary judgment on their
negligence claims in favor of the defendant. AFFIRMED.
Samuel A. Wooden, Todd K. Klapatauskas, and Natalia H. Blaskovich of
Reynolds & Kenline, L.L.P., Dubuque, for appellants.
Thomas M. Boes, Jason C. Palmer, and Robert J. Thole of Bradshaw,
Fowler, Proctor & Fairgrave, P.C., Des Moines, for appellee.
Heard by Doyle, P.J., and Tabor and Schumacher, JJ. 2
DOYLE, Presiding Judge.
Did a group home providing caretaking services to an individual with
intellectual disabilities owe a duty to protect third parties from the harmful acts of
that resident? The district court determined it did not and granted summary
judgment for the group home operator on negligence claims brought by the parents
of a child who was injured by one of the home’s residents.
The district court determined the group home operator, DAC, Inc. (DAC),
did not owe a duty to third parties because it did not have a custodial relationship
with its resident, Robert Robbins. In the alternative, and assuming the relationship
was custodial, the court determined DAC did not owe a duty to third parties
because Robbins’s residence at DAC’s Flora Home was for rehabilitative purposes
only and not to protect the public at large. We agree with the district court and
affirm its ruling.
I. Background Facts and Proceedings.
DAC operates Flora Home, a group home in Dubuque that provides home
and community based services (HCBS) under Medicaid’s intellectual disability
waiver program. Flora Home provides services to its residents based on
individualized need as identified in each resident’s individual care plan. See Iowa
Admin. Code r. 441-78.41(1). These services must “be appropriate to the severity
of the member’s problems and to the member’s specific needs or disabilities.” See
id. r. 441-78.27(4)(a)(6).
Robert Robbins is a person with an intellectual disability who moved into
Flora Home on February 16, 2015. Robbins’s behavioral history shows he
engages in verbal aggression and has a history of physical aggression. Incidents 3
of sexual abuse are mentioned in his social history; one in which a caretaker
sexually abused Robbins when he was a child and another in which Robbins
sexually abused a child.
Robbins’s individual care plan included several restrictions. It prohibited his
access to medications, dangerous objects, and money. The plan also limited
Robbins’s alone time to eight hours in the community and four hours in the home.
The plan also limited Robbins to showering up to one-half hour per day.
In the weeks after he moved into Flora Home, staff reported Robbins for
inappropriate conduct many times. One week after moving in, Robbins tried to
lure a staff member into a dark bathroom where he was showering, stating, “I have
sexual tendencies with you.” A few days later while alone in a room with a staff
member, Robbins turned off the light, shut the door, and demanded that she “pull
down [her] pants right now” before forcibly trying to remove her pants.
On March 4, Sarah Bourland, the DAC coordinator of Flora Home, wrote
the following in an email to Neil Candee, Robbins’s case manager at the Iowa
Department of Human Services (DHS):
I have gotten an incident report regarding [Robbins] closing the door after staff entered a room and [Robbins] asked them to take their pants [off] stating that he has sexual tendencies toward them. [Robbins] has been spoken to regarding this type of behavior and we will be looking at different activities in the community to help him with positive outlets.
On March 14, Robbins remarked about asking female staff into empty
rooms or the garage. When a staff member told Robbins that this behavior “is not
encouraged or tolerated,” Robbins asked her, “If I were to attack you, would you
call the police?” The staff member told Robbins that she would call the police 4
without hesitation if she felt threatened, to which Robbins laughed and said,
“Yea[h] I won’t mess with you!” Cathy Kelly, Robbins’s direct care team leader,
told Robbins the next day that “he cannot verbally threaten or physically threaten
or assault staff in any form” and that this behavior “will not be tolerated.” She
forbade Robbins calling female staff downstairs and urged him to call a hotline
when he felt “these urges” rather than act on them.
Bourland emailed Candee again on March 16, stating that Robbins “has
been sexually harassing all of our female staff on a consistent basis.” Bourland
informed Candee that Robbins “has been lurking in the basement in the back
storage room with the lights off trying to pull female staff in with him.” Because of
these behaviors, Bourland stated she “would be in favor of not giving him any alone
time in the home as we do have a female consumer that may be left alone with
him.” Despite advocating for this restriction within the confines of Flora Home,
Bourland expressed that she “would like to see [Robbins] have community time”
to attend groups at the wellness center or participate in other activities, believing
that “keeping [Robbins] busy will help with some of the behaviors and the isolating
in his bedroom.” She concluded the email by stating that “hopefully with the
weather getting nicer there will be more choices for activities so that [Robbins] can
enjoy his community and occupy his free time that he is using to harass staff.”
On March 19, Bourland, Candee, and Kelly met to discuss “recent and
continuous concerns” about Robbins. In response to his harassment of the staff,
they decided to move Robbins to a different bedroom for the staff’s safety. They
also discussed incidents in which the staff could not locate Robbins in the home
and discovered that he had left without informing a staff member. They decided 5
to limit Robbins’s unsupervised time in the community to two hours per day. The
next day, DAC changed Robbins’s plan to prohibit unsupervised time in the home
and reduce his unsupervised time in the community to two hours.
On March 25, with a staff member’s approval, Robbins left Flora Home for
community time. He returned two hours later. A short time later, Robbins left again
without staff knowledge or permission. While missing from the home, Robbins
approached C.L.H. as she walked home from school and told her he wanted to
show her something and led her to a shed at the back of a property. He then
grabbed C.L.H. by the front of her coat and warned her, “Don’t tell anyone what
I’m about to do.” Robbins intended to have sexual intercourse with C.L.H., but she
broke free and ran away. Robbins returned to Flora Home at 3:10 p.m. After
receiving a report of the incident, police arrested Robbins.
Richard and Becky Holman, C.L.H.’s parents, petitioned against DAC. The
Holmans alleged DAC was negligent in admitting, retaining, and supervising
Robbins at Flora Home. They also all pled a fourth count of “general negligence,”
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IN THE COURT OF APPEALS OF IOWA
No. 18-1473 Filed November 6, 2019
RICHARD J. HOLMAN and BECKY S. HOLMAN, individually, as father and mother and next friend of C.L.H., a minor, Plaintiffs-Appellants,
vs.
DAC, INC., Defendant-Appellee. ________________________________________________________________
Appeal from the Iowa District Court for Dubuque County, Michael J.
Shubatt, Judge.
The plaintiffs appeal the order granting summary judgment on their
negligence claims in favor of the defendant. AFFIRMED.
Samuel A. Wooden, Todd K. Klapatauskas, and Natalia H. Blaskovich of
Reynolds & Kenline, L.L.P., Dubuque, for appellants.
Thomas M. Boes, Jason C. Palmer, and Robert J. Thole of Bradshaw,
Fowler, Proctor & Fairgrave, P.C., Des Moines, for appellee.
Heard by Doyle, P.J., and Tabor and Schumacher, JJ. 2
DOYLE, Presiding Judge.
Did a group home providing caretaking services to an individual with
intellectual disabilities owe a duty to protect third parties from the harmful acts of
that resident? The district court determined it did not and granted summary
judgment for the group home operator on negligence claims brought by the parents
of a child who was injured by one of the home’s residents.
The district court determined the group home operator, DAC, Inc. (DAC),
did not owe a duty to third parties because it did not have a custodial relationship
with its resident, Robert Robbins. In the alternative, and assuming the relationship
was custodial, the court determined DAC did not owe a duty to third parties
because Robbins’s residence at DAC’s Flora Home was for rehabilitative purposes
only and not to protect the public at large. We agree with the district court and
affirm its ruling.
I. Background Facts and Proceedings.
DAC operates Flora Home, a group home in Dubuque that provides home
and community based services (HCBS) under Medicaid’s intellectual disability
waiver program. Flora Home provides services to its residents based on
individualized need as identified in each resident’s individual care plan. See Iowa
Admin. Code r. 441-78.41(1). These services must “be appropriate to the severity
of the member’s problems and to the member’s specific needs or disabilities.” See
id. r. 441-78.27(4)(a)(6).
Robert Robbins is a person with an intellectual disability who moved into
Flora Home on February 16, 2015. Robbins’s behavioral history shows he
engages in verbal aggression and has a history of physical aggression. Incidents 3
of sexual abuse are mentioned in his social history; one in which a caretaker
sexually abused Robbins when he was a child and another in which Robbins
sexually abused a child.
Robbins’s individual care plan included several restrictions. It prohibited his
access to medications, dangerous objects, and money. The plan also limited
Robbins’s alone time to eight hours in the community and four hours in the home.
The plan also limited Robbins to showering up to one-half hour per day.
In the weeks after he moved into Flora Home, staff reported Robbins for
inappropriate conduct many times. One week after moving in, Robbins tried to
lure a staff member into a dark bathroom where he was showering, stating, “I have
sexual tendencies with you.” A few days later while alone in a room with a staff
member, Robbins turned off the light, shut the door, and demanded that she “pull
down [her] pants right now” before forcibly trying to remove her pants.
On March 4, Sarah Bourland, the DAC coordinator of Flora Home, wrote
the following in an email to Neil Candee, Robbins’s case manager at the Iowa
Department of Human Services (DHS):
I have gotten an incident report regarding [Robbins] closing the door after staff entered a room and [Robbins] asked them to take their pants [off] stating that he has sexual tendencies toward them. [Robbins] has been spoken to regarding this type of behavior and we will be looking at different activities in the community to help him with positive outlets.
On March 14, Robbins remarked about asking female staff into empty
rooms or the garage. When a staff member told Robbins that this behavior “is not
encouraged or tolerated,” Robbins asked her, “If I were to attack you, would you
call the police?” The staff member told Robbins that she would call the police 4
without hesitation if she felt threatened, to which Robbins laughed and said,
“Yea[h] I won’t mess with you!” Cathy Kelly, Robbins’s direct care team leader,
told Robbins the next day that “he cannot verbally threaten or physically threaten
or assault staff in any form” and that this behavior “will not be tolerated.” She
forbade Robbins calling female staff downstairs and urged him to call a hotline
when he felt “these urges” rather than act on them.
Bourland emailed Candee again on March 16, stating that Robbins “has
been sexually harassing all of our female staff on a consistent basis.” Bourland
informed Candee that Robbins “has been lurking in the basement in the back
storage room with the lights off trying to pull female staff in with him.” Because of
these behaviors, Bourland stated she “would be in favor of not giving him any alone
time in the home as we do have a female consumer that may be left alone with
him.” Despite advocating for this restriction within the confines of Flora Home,
Bourland expressed that she “would like to see [Robbins] have community time”
to attend groups at the wellness center or participate in other activities, believing
that “keeping [Robbins] busy will help with some of the behaviors and the isolating
in his bedroom.” She concluded the email by stating that “hopefully with the
weather getting nicer there will be more choices for activities so that [Robbins] can
enjoy his community and occupy his free time that he is using to harass staff.”
On March 19, Bourland, Candee, and Kelly met to discuss “recent and
continuous concerns” about Robbins. In response to his harassment of the staff,
they decided to move Robbins to a different bedroom for the staff’s safety. They
also discussed incidents in which the staff could not locate Robbins in the home
and discovered that he had left without informing a staff member. They decided 5
to limit Robbins’s unsupervised time in the community to two hours per day. The
next day, DAC changed Robbins’s plan to prohibit unsupervised time in the home
and reduce his unsupervised time in the community to two hours.
On March 25, with a staff member’s approval, Robbins left Flora Home for
community time. He returned two hours later. A short time later, Robbins left again
without staff knowledge or permission. While missing from the home, Robbins
approached C.L.H. as she walked home from school and told her he wanted to
show her something and led her to a shed at the back of a property. He then
grabbed C.L.H. by the front of her coat and warned her, “Don’t tell anyone what
I’m about to do.” Robbins intended to have sexual intercourse with C.L.H., but she
broke free and ran away. Robbins returned to Flora Home at 3:10 p.m. After
receiving a report of the incident, police arrested Robbins.
Richard and Becky Holman, C.L.H.’s parents, petitioned against DAC. The
Holmans alleged DAC was negligent in admitting, retaining, and supervising
Robbins at Flora Home. They also all pled a fourth count of “general negligence,”
alleging DAC was negligent by: (1) allowing Robbins to leave Flora Home;
(2) failing to monitor his activities, conduct, and whereabouts; (3) failing to take
measures and safeguards to prevent Robbins from harming others; and (4) failing
to warn others of any risks Robbins posed.
DAC moved for summary judgment on all four counts, arguing it did not owe
C.L.H. a legal duty to protect her from Robbins. The district court agreed and
granted summary judgment for DAC. The Holmans appeal. 6
II. Scope and Standard of Review.
We review a ruling granting summary judgment for the corrections of errors
at law. See Iowa R. App. P. 6.907. In so doing, we view the evidence and every
legitimate inference it will bear in the light most favorable to the nonmoving party.
See Banwart v. 50th St. Sports, L.L.C., 910 N.W.2d 540, 545 (Iowa 2018).
Summary judgment is proper only if the record contains no genuine issue
of material fact and the moving party is entitled to judgment as a matter of law.
See Iowa R. of Civ. P. 1.981(3). DAC, as the moving party, has the burden of
showing the nonexistence of a genuine issue of material fact. See Banwart, 910
N.W.2d at 545. A fact is material if it might affect the outcome of the case. See
id. “A genuine issue of fact exists if reasonable minds can differ on how an issue
should be resolved.” Id. Even if the facts are undisputed, summary judgment is
improper if reasonable minds could draw different inferences from them to reach
different conclusions. See id.
III. Discussion.
To succeed on a negligence claim, a party must show these elements:
(1) existence of a duty, (2) a failure to exercise that duty, (3) factual cause, (4)
physical harm, and (5) harm within the scope of liability (also known as proximate
cause). See Hill v. Damm, 804 N.W.2d 95, 99 (Iowa Ct. App. 2011). Whether a
duty exists is a legal question for the court to determine. See id. The remaining
elements are fact questions for the jury to decide. See id.
The sole issue raised on summary judgment concerns the existence of a
duty: did DAC owe a duty to protect C.L.H. from Robbins? The Holmans challenge 7
the district court’s determination that DAC did not owe a legal duty to protect C.L.H.
from Robbins.1
Historically, courts have looked at three factors in determining whether a
duty to exercise reasonable care exists: “(1) the relationship between the parties,
(2) reasonable foreseeability of harm to the person who is injured, and (3) public
policy considerations.” Thompson v. Kaczinski, 774 N.W.2d 829, 834 (Iowa 2009)
(citation omitted). But in Thompson, our supreme court adopted the revised rule
set forth in the Restatement (Third) of Torts, which removed the role of
foreseeability of risk in assessing the existence of a duty. Id. Under this new rule,
“[a]n actor ordinarily has a duty to exercise reasonable care when the actor’s
conduct creates a risk of physical harm.” Restatement (Third) of Torts: Liab. for
Physical and Emotional Harm § 7 (Am. Law. Inst. 2010).
The duty to exercise reasonable care does not extend to physical and
emotional harm caused by third parties. See Restatement (Third) of Torts: Liab.
for Physical and Emotional Harm § 37 (Am. Law. Inst. 2012) (“An actor whose
conduct has not created a risk of physical or emotional harm to another has no
duty of care to the other.”). But an exception exists when one is “in a special
relationship with another.” Id. § 41(a). In such cases, one “owes a duty of
1 DAC notes the Holmans failed to include a statement in their brief addressing how they preserved error for appellate review, with references to the where in the record the issue was raised and decided, as required by Iowa Rule of Appellate Procedure 6.903(2)(g)(1). Failure to comply with the Iowa Rules of Appellate Procedure may lead to summary disposition of an appeal. See Hanson v. Harveys Casino Hotel, 652 N.W.2d 841, 842 (Iowa 2002). But it is clear the issue was raised and decided by the district court, and the scope of review is well settled. Because the omission does not hinder our review or consideration of the issue raised in this appeal, we will decide it on the merits. See State v. Stoen, 596 N.W.2d 504, 507 (Iowa 1999). 8
reasonable care to third parties with regard to risks posed by the other that arise
within the scope of the relationship.” Id. § 41(a). The types of special relationships
that create this duty include a parent’s relationship to a dependent child, a
custodian’s relationship with those in its custody, an employer’s relationship with
employees when the harm results from the employment, and a mental-health
professional’s relationship with patients. Id. § 41(b).
Because no Iowa cases have addressed what makes a particular
relationship custodial, the district court examined Bartunek v. State, 666 N.W.2d
435 (Neb. 2003) (cited in Estate of Gottschalk v. Pomeroy Development, Inc., 893
N.W.2d 579, 593 (Iowa 2017) (Waterman, J., concurring specially)). There, a
woman sued the State after a felon on probation assaulted her in her home,
alleging the State was negligent in its supervision of the probationer. Bartunek,
666 N.W.2d at 437. The Nebraska Supreme Court held that no special relationship
existed between a probation officer and probationer that would create a legal duty
to control the probationer’s behavior and prevent harm to others, even though the
probationer was under intensive supervision probation (ISP). Id. at 442-43.
With the exception of the in-house curfew imposed in this case, [the probationer] was permitted to go about his day-to-day affairs without supervision, constrained only by the requirement that he seek permission in advance to leave home and explain for what reasons he would be out. While the ISP monitoring equipment provided notice if [the probationer] missed his curfew, it did not permit the State to generally monitor his movements or to locate him in the event that curfew was missed. [The probationer] was required to be at home unless permitted to leave, and [his probation officer] was informed if he was not, but once out of his home, [the probationer] was able to conduct his affairs unmonitored by the State. 9
Id. at 443. “Absent the legal responsibility of custodial or round-the-clock visual
supervision, there is no logical basis for imposing an ongoing duty on a probation
officer to prevent illegal conduct by a probationer.” Id. at 442.
Following the reasoning set forth in Bartunek, the district court determined
the relationship between Robbins and DAC was not custodial. Although DAC
placed restrictions on Robbins during his stay at Flora Home, his participation in
the program was voluntary. Robbins was not committed or under court order to
remain there. DAC did not have round-the-clock visual supervision of Robbins.
DAC could not hold Robbins against his will or force him to follow its rules any
more than the probation officer in Bartunek could force a probationer to observe
curfew.
Even assuming a custodial relationship existed between DAC and Robbins,
the district court found no special relationship could exist based on the purpose of
the relationship. “Custodial relationships imposing a duty of care are limited to
those relationships that exist, in significant part, for the protection of others from
risks posed by the person in custody.” Restatement (Third) of Torts: Liab. for
Physical and Emotional Harm § 41 cmt. f (Am. Law. Inst. 2012). As the district
court observed, “Nowhere in the regulations does it state that HCBS programs are
required to maintain control or supervision of their consumers so as to protect the
community from a risk of harm.” Rather, HCBS providers afford “personal and
home skills training services, individual advocacy services, community skills
training services, personal environment support services, transportation, and
treatment services.” Iowa Admin. Code r. 441-78.41(1)(a). The district court found
the relationship between DAC and Robbins was for rehabilitative purposes and 10
insufficient to create a duty. See id. (“A custodial relationship that exists solely for
rehabilitative purposes is insufficient to create a duty to protect others. Thus, an
inpatient clinic treating an individual with a compulsive-gambling addiction does
not have a special relationship with the patient that imposes a duty of reasonable
care to third parties.”).
The Holmans dispute that the relationship between DAC and Robbins was
for rehabilitative purposes. They argue that DAC was responsible for Robbins’s
“health and safety” and provided “protective oversight and supervision.” Although
HCBS providers deliver services related to health, safety, and protection, DAC
provided such services for Robbins’s benefit rather than the health, safety, or
protection of the community.
We agree with the district court. The Holmans failed to show DAC had a
duty to protect third parties from Robbins based on the relationship between them.
The district court also noted that our supreme court has articulated public
policy reasons against holding psychiatrists liable based on decisions to release
patients from involuntary commitment. See Leonard v. State, 491 N.W.2d 508,
512 (Iowa 1992) (finding that the disservice to the public caused by holding
psychiatrists liable would far outweigh the risks posed by negligent release).
Such a decision necessarily requires the psychiatrist to forecast the patient’s likely behavior toward others upon release. We are convinced that if that prognosis were subject to second-guessing by any member of the public who might later be injured by the patient, it could severely chill the physician’s capacity for decision making and ultimately threaten the integrity of our civil commitment system.
Id. The supreme court noted that the statutory framework mental health
professionals operate in—requiring they “treat even seriously mentally impaired 11
persons in the least restrictive environment medically possible”—further weighs
against finding psychiatrists liable. Id. The rationale applies equally to decisions
by HCBS providers. See Iowa Admin. Code r. 441-78.41(16) (requiring all services
under the intellectual disability waiver “be delivered in the least restrictive
environment possible”).
Because DAC had no legal duty to protect third parties from harm by
Robbins, we affirm the order granting its motion for summary judgment.
AFFIRMED.