State Ex Rel. Pulliam v. Reine

108 S.W.3d 148, 2003 Mo. App. LEXIS 933, 2003 WL 21468437
CourtMissouri Court of Appeals
DecidedJune 24, 2003
DocketWD 61133
StatusPublished
Cited by8 cases

This text of 108 S.W.3d 148 (State Ex Rel. Pulliam v. Reine) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Pulliam v. Reine, 108 S.W.3d 148, 2003 Mo. App. LEXIS 933, 2003 WL 21468437 (Mo. Ct. App. 2003).

Opinion

VICTOR C. HOWARD, Judge.

The Missouri Board of Nursing Home Administrators (“the Board”) appeals the judgment of the circuit court awarding attorney’s fees and expenses in the amount of $23,579.79 to nursing home administrator Andrea Pulliam, pursuant to section 536.087. 1 The award was based on the court’s determination that the Board failed to prove it was substantially justified in seeking to discipline Pulliam’s license after the Division of Aging (“the Division”) issued its decision that Pulliam had not purposely, knowingly, or recklessly abused or neglected a nursing home resident.

Facts and Procedural Background

Helen Morrison, an elderly resident at the George H. Nettleton Home, a nursing care facility in Kansas City, Missouri, developed a severe infection in her arm after suffering a wrist injury. The infection was so serious that tendons were visible in her wrist and her arm had to be amputated between her elbow and shoulder. As a result, a complaint was filed with the Division of Aging against the nursing home. In response to that complaint, the Division initiated an investigation into the nursing home. As a result of that investigation, three separate and distinct proceedings followed to determine whether the nursing home or its employees were at fault for Morrison’s injury.

The Division of Aging initiated two proceedings. The first was to determine whether the nursing home’s license should be revoked. The second proceeding was filed against Andrea Pulliam, the nursing home administrator, to determine whether she had abused or neglected Morrison. The third proceeding was initiated by the Board of Nursing Home Administrators. The purpose of the third proceeding was to determine whether Pulliam’s license should be disciplined pursuant to section 344.050.2(5) RSMo 1994. The instant appeal stems from the Board’s action. However, an understanding of the two earlier proceedings, and how they are related to the Board’s action, is necessary in order to address the issues presented on appeal.

In 1997, Andrea Pulliam began working as the licensed nursing home administrator of the George H. Nettleton Home, a fifty-bed nursing care facility. Morrison was injured in December of 1997. On January 4,1998, Morrison’s arm was amputated. A complaint was filed with the Division, and an investigation followed.

As part of its investigation, the Division visited the nursing home for inspections and issued two notices of noncompliance against the facility. On February 2, 1998, the Division issued its first notice of noncompliance against the nursing home, alleging that the nursing home staff had neglected Morrison. The Division issued a second notice on February 11, 1998. In addition to the allegations concerning Morrison’s care, the second notice alleged several violations concerning staff’s failure to follow certain policies in hiring an employee. Specifically, the Division claimed that Pulliam failed to conduct a criminal background check on a new employee within the time period prescribed by section 660.317.3 2 and also failed to check whether *151 the employee was listed on the Employment Disqualification List (“EDL”), a list of individuals who are not eligible to work in nursing homes. 3 The Division further alleged that the employee was abusive to some patients at the nursing home, and other employees were aware of the abuse but did not immediately investigate or report the behavior. The employee was, however, eventually terminated.

The initial focus of the Division’s investigation was to determine whether cause existed to revoke the nursing home’s license. However, once the Division completed its inspections, it issued notices to two entities that are responsible for regulating the conduct of nursing home administrators. The first notice was issued to a program within the Division that is responsible for maintaining the EDL. The EDL is a list maintained by the Division pursuant to sections 198.070 and 660.315 RSMo 1994 of employees who have been finally determined to have recklessly, knowingly, or purposely abused or neglected a resident while employed at a nursing home. A second notice was issued to the Board of Nursing Home Administrators, the agency responsible for regulating Pulliam’s license. The notice to the Board was required by section 198.088.4 RSMo 1994, 4 which provides that the Division must notify the appropriate licensing board when it determines that a nursing home has violated certain provisions.

After the Division issued its notices to the EDL and the Board, those entities initiated separate proceedings against Pul-liam, and the Division continued its proceeding against the nursing home. Therefore, the Division’s investigation had resulted in three separate proceedings— one against the nursing home and two against Pulliam.

The Division’s proceeding against the nursing home was resolved first. On April 1, 1998, the Division notified the nursing home that it intended to revoke its license. The letter informed the nursing home that it could appeal the revocation or enter into a consent agreement for a probationary license. On April 28, 1998, a consent agreement was executed and the nursing home was issued a probationary license.

The EDL and Board proceedings continued simultaneously after the nursing home signed the consent agreement. First, the Division notified Pulliam on June 5, 1998, that it intended to place her name on the EDL for a period of at least eight years and that she had a right to challenge the allegations against her by requesting a state hearing within thirty days. Pulliam timely appealed.

While Pulliam’s appeal was pending, the Board reviewed the Division’s actions concerning the nursing home and the proposal to place Pulliam on the EDL, and voted on August 14,1998, to refer the matter to the *152 Attorney General’s Office for possible action against Pulliam’s license. On September 29, 1998, the Board filed a complaint with the Administrative Hearing Commission (AHC). On January 13, 1999, the Board filed its amended petition. In its amended complaint, the Board alleged cause to discipline Pulliam’s nursing home administrator’s license based on three counts: (1) the care provided by her staff to Morrison, (2) her failure to request a criminal background check on an employee pursuant to section 660.317.3(1), failure to promptly contact the Department of Social Services to check the EDL on the employee pursuant to section 660.317.3(2), and her staffs failure to report incidents of the employee’s abuse and neglect of residents pursuant to section 198.070.1; and (3) her assignment of charge nurse duties to a facility resident who was a licensed practical nurse but which facility records showed had suffered short-term memory loss in violation of section 198.088.6(j). The Board’s allegations in count two were not part of the EDL proceeding, while the Board’s allegations in counts one and three were considered in the EDL proceeding.

After the Board filed its complaint, a two-day hearing was held on August 25 and 26, 1999, concerning the Division’s allegations that Pulliam should be placed on the EDL.

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Bluebook (online)
108 S.W.3d 148, 2003 Mo. App. LEXIS 933, 2003 WL 21468437, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-pulliam-v-reine-moctapp-2003.