State Of Washington, V. Luis Ruben Ibarra

CourtCourt of Appeals of Washington
DecidedMarch 25, 2024
Docket84771-6
StatusUnpublished

This text of State Of Washington, V. Luis Ruben Ibarra (State Of Washington, V. Luis Ruben Ibarra) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Of Washington, V. Luis Ruben Ibarra, (Wash. Ct. App. 2024).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

STATE OF WASHINGTON, No. 84771-6-I

Appellant, DIVISION ONE

v. UNPUBLISHED OPINION LUIS RUBEN IBARRA,

Respondent .

SMITH, C.J. — Luis Ibarra, a registered nurse, was charged with and

convicted of rape in the second degree after he assaulted a patient while she

was nearly immobile and recovering from spinal surgery. He was sentenced to

102 months to life. On appeal, Ibarra asserts that the trial court erred in denying

his motion for mistrial based on irrelevant and prejudicial testimony by his ex-wife

and in determining that he opened the door to evidence that he had been

previously counseled or warned about sexual contact with patients. He also

alleges cumulative error and asks for the court to remand to strike a victim

penalty assessment, DNA1 collection fees, and community custody conditions.

In a statement of additional grounds, Ibarra argues that the trial court

erred in improperly refusing to dismiss a juror and by placing improper time

restraints on the trial. Ibarra asserts ineffective assistance of counsel and a lack

of sufficient evidence to support his conviction. Finding the majority of his

1 Deoxyribonucleic acid. No. 84771-6-I/2

arguments unpersuasive we affirm the conviction, however, we remand for the

court to strike the victim penalty assessment, DNA collection fee, and community

custody conditions.

FACTS

Background

In October 2020, Luis Ibarra was a registered nurse working in the

neuroscience-epilepsy unit of Swedish Hospital (Swedish) in Seattle,

Washington. The unit mostly houses patients receiving pre- or postoperative

care. I.W. was one such patient, recovering from spinal surgery. The surgery

was intensive, resulting in titanium screws in her spine and 17 staples in her back

to keep the incisions closed. I.W. needed assistance for even slight adjustments

in position. She was also in a significant amount of pain. Ibarra was I.W.’s night

nurse for the second night of her hospital stay.

Over the course of the night, I.W.’s pain remained intense, despite having

received as much pain medication as was allowed. She informed Ibarra that the

medication was not working and Ibarra offered ice packs. I.W. declined. In the

early hours of the morning, she asked about additional medication but Ibarra

offered alternative methods instead. He began with aromatherapy, pinning

cotton balls soaked in orange oil to I.W.’s hospital gown, which smelled nice but

did not alleviate any pain. Ibarra then offered reflexology, which is a form of

massage that targets pressure points in the hands and feet. Ibarra was aware

that, per Swedish’s rules, he was prohibited from performing reflexology on a

patient without a third-party present. He nevertheless offered the massage and

2 No. 84771-6-I/3

I.W. agreed. Ibarra massaged each hand which again failed to reduce I.W.’s

pain. Ibarra next offered a foot massage and I.W. agreed. Ibarra began by

putting lotion on I.W.’s left foot, before moving his hands all the way up her leg.

When Ibarra reached the top of I.W.’s left thigh, his hand bumped her groin. He

then moved to I.W.’s right foot, worked his way up her right leg, and when Ibarra

reached the top of I.W.’s right thigh, moved his hand between her legs, inserted

his fingers into her vagina, and began to rub her clitoris. He was not wearing

gloves. Eventually, Ibarra asked I.W. if she had an orgasm and she replied that

she had. I.W. later testified that she lied so he would stop touching her. Ibarra

then left the room.

I.W. left the hospital a few days later and immediately began taking care of

her husband, three dogs, and a friend, despite remaining in acute pain. In early

November, as she started to more fully recover, I.W. started having “flashbacks”

of the experience. She took notes on these memories and, about three weeks

after the incident, called both the police and Swedish’s hospital security.

Swedish fired Ibarra in November 2020.

Arrest and Pre-Trial Motions

In December 2020, the Seattle Police Department interviewed I.W. and

opened a case, assigning Detective Matt Atkinson as an investigator. Detective

Atkinson reached out to Ibarra, who went to the police station to be interviewed.

In contrast to I.W.’s account, Ibarra stated that he had not touched I.W.’s

genitals. He recounted that he had performed reflexology only on I.W.’s hands

and feet, never moving up her legs. Ibarra then described that, while he was

3 No. 84771-6-I/4

touching her, I.W. masturbated herself to orgasm. He acknowledged that he did

not discourage the behavior, framing it as pain relief. Detective Atkinson

repeatedly asked Ibarra if he was telling the truth, noting the differences between

his description and I.W.’s account. Ibarra confirmed that he was telling the truth.

At the close of the interview, Detective Atkinson placed Ibarra under arrest for

rape in the second degree and indecent liberties.2

Before trial, the State moved to admit another patient’s similar experience

with Ibarra under ER 404(b) as evidence of a common scheme or plan. This first

incident took place in 2005 at a different hospital and involved a patient alleging

that Ibarra inappropriately touched her genitals while checking a catheter

placement. Ibarra admitted to unprofessional behavior and his nursing license

was suspended but the patient did not press charges.

The court initially ruled that the 2005 incident was admissible for the rape

charge because related sanctions tended to rebut Ibarra’s consent defense. The

court ruled that it was admissible for the indecent liberties charge as well to show

common scheme or plan and evidence of knowledge. The State later moved to

dismiss the indecent liberties charge3 and the court reevaluated whether to admit

the 2005 incident. On this second pass, the court ruled that the evidence was

2 The indecent liberties charge arose out of a 2019 incident that had not been investigated until after the 2020 allegation. This incident involved a patient alleging that Ibarra had pinched her nipple during a massage while she was recovering from surgery at Swedish. 3 The State moved to dismiss the indecent liberties charge because the

patient from the 2019 incident was medically unavailable for the foreseeable future and the State could not proceed without their testimony.

4 No. 84771-6-I/5

not admissible to show a common scheme or plan but that the defense might

open the door to related evidence by presenting their own evidence of consent.

Trial

The case proceeded to trial in October 2022. While testifying in his own

defense, Ibarra gave a vastly different account of the incident than he did while

talking to the police. Ibarra stated that he offered reflexology as a “last resort,”

despite knowing that it violated hospital rules. He asserted that when he reached

I.W.’s groin, she told him to “go for it,” which he understood as a command to

touch her genitals. He then recounted touching I.W. as she had described, but

denied any penetration. He testified that after I.W. orgasmed, she thanked him

and promised it would stay “just between [them].” He also admitted that he had

lied to the police, stating that he did so to avoid being fired.

Because Ibarra testified that he was aware he was not allowed to perform

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