Thurman v. ST. ANDREWS MANAGEMENT SERVICES, INC.

268 S.W.3d 434, 2008 Mo. App. LEXIS 1336, 2008 WL 4402456
CourtMissouri Court of Appeals
DecidedSeptember 30, 2008
DocketED 90781
StatusPublished
Cited by6 cases

This text of 268 S.W.3d 434 (Thurman v. ST. ANDREWS MANAGEMENT SERVICES, INC.) 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
Thurman v. ST. ANDREWS MANAGEMENT SERVICES, INC., 268 S.W.3d 434, 2008 Mo. App. LEXIS 1336, 2008 WL 4402456 (Mo. Ct. App. 2008).

Opinion

KURT S. ODENWALD, Presiding Judge.

Introduction

St. Andrews Management Services, Inc. (St.Andrews) and New Florence Nursing Home, Inc. (New Florence) (collectively referred to as Appellants) appeal from the trial court’s order granting survivors 1 (collectively referred to as Plaintiffs) of Zenia Bishop (Decedent) a new trial on the grounds of instructional error for failing to allow the jury to apportion fault among Appellants and a dismissed party in Plaintiffs’ wrongful death action. We affirm in part and reverse in part.

Background

On May 1, 2000, Decedent was a resident of New Florence Nursing and Care Center (Nursing Home), a long-term shilled nursing facility, when she sustained a closed head injury and a wrist fracture in a fall. Plaintiffs allege that after Nursing Home failed to send Decedent to an emergency center for evaluation, Decedent’s daughter, Rosetta A. Thurman (Plaintiff Thurman), transported her mother to the emergency center at Audrain Medical Center in Mexico, Missouri. Decedent’s wrist injury was treated in the emergency department by Dr. David Posner (Dr. Pos-ner). Plaintiffs allege Dr. Posner failed to diagnose or properly treat Decedent’s head trauma. Decedent returned to Nursing Home where Plaintiffs allege she continued to decline over the next several days. Plaintiffs contend that though Dr. Santosh Shenoy (Dr. Shenoy) was the medical director of Nursing Home and Decedent’s attending physician there, he did not personally visit or observe Decedent until May 4, 2000, several days after the fall. When Dr. Shenoy ordered Decedent be sent to the Audrain Medical Center emergency center, that request was not implemented by Nursing Home, and Plaintiff Thurman again transported her mother to Audrain Medical Center. Decedent was admitted to Audrain Medical Center where she was diagnosed with bilateral subdural hematomas with a questionable infarct. Plaintiffs allege Decedent’s death *438 on May 5, 2000, was a result of her fall on May 1, 2000.

Plaintiffs filed an action for the wrongful death of Decedent on April 30, 2002. Named as defendants were: New Florence, owner of Nursing Home; St. Andrews, operator and manager of Nursing Home; Audrain Healthcare, Inc. (Audrain Medical Center); Dr. Shenoy, director of medical services for Nursing Home and Decedent’s attending physician while at Nursing Home; and Dr. Posner, the attending emergency physician at Audrain Medical Center who provided care to Decedent (collectively referred to as Defendants).

Approximately 16 months prior to the trial, in April 2006, the court approved a settlement agreement between Plaintiffs and Audrain Medical Center and judgment was entered whereby Audrain Medical Center was released and dismissed from the suit in exchange for payment of $35,000.

On the morning of the first day of trial, August 13, 2007, Plaintiffs reached a settlement agreement with Dr. Posner for $145,000. Dr. Posner was then released and dismissed as a party defendant with prejudice. At the same time, Plaintiffs also released Dr. Shenoy, who was similarly dismissed with prejudice. After the settlement and dismissals, the remaining defendants, New Florence and St. Andrews, requested leave to amend their answers to plead a set-off as to the settlements reached by Plaintiffs with both Dr. Posner and Audrain Medical Center. The trial court granted the requested leave and Appellants filed separate amended answers the next day pleading Section 537.060 2 set-off as an affirmative defense and seeking a reduction of any judgment against them for the $35,000 paid to Plaintiffs by Audrain Medical Center and the $145,000 paid on behalf of Dr. Posner.

The trial then proceeded with Appellants, New Florence and St. Andrews, as the remaining defendants. While Plaintiffs did not present evidence regarding the dismissed Dr. Posner’s alleged negligence, Appellants presented substantial evidence on Dr. Posner’s alleged negligence and substandard care.

Following the close of all evidence, the court held an off-the-record jury instruction conference. Due to the lack of a complete record, it is unclear exactly what transpired during this conference. Plaintiffs assert the parties and the trial judge attempted to draft apportionment instructions to fit the facts and circumstances of the case, because none were found in the Missouri Approved Instructions (MAI) or not-in-MAI. Plaintiffs allege the trial judge acknowledged the application of Section 538.230 apportionment and agreed with the applicability, need, and necessity of fault apportionment instructions after *439 Appellants presented evidence of Dr. Pos-ner’s alleged negligence. Prior to trial, Plaintiffs’ counsel had prepared instructions to offer to the court which included no apportionment language. After Appellants introduced evidence of Dr. Posner’s negligence at trial, Plaintiffs’ counsel, in handwriting, revised their instructions to address the issue of apportionment between Appellants and Dr. Posner, a previously settled party. At the end of the off-the-record instruction conference, the trial court denied the apportionment instructions offered by Plaintiffs and gave the jury the non-apportionment instructions Plaintiffs’ counsel had prepared prior to the beginning of trial. The instructions given by the trial court to the jury were drafted by Plaintiffs’ counsel before the trial court granted Appellant’s request to file amended answers, and at a time when the pleadings raised no affirmative defense of set-off. Plaintiffs allege they requested more time to draft appropriate apportionment instructions during the instruction conference, but no request for leave to revise or correct the instructions is found on the record. Once back on the record, the following exchange took place:

THE COURT: On the record, then. I have been tendered by plaintiffs and have either given or intend to give instructions number one through twelve inclusive. Any objection, [Appellants’ counsel]?
[Appellants’ counsel then objected to instructions three, four, seven, eight, nine, ten, eleven, twelve, and the verdict form.]
THE COURT: All right. Those objections are also overruled.
[Plaintiffs’ counsel]: Judge, the record I wanted to make is that we’re submitting these instructions in lieu of instructions that would have found apportionment between the parties.
THE COURT: Do you want to mark any of those apportionment instructions that you had?
[Plaintiffs’ counsel]: Second thought, Judge, I’m going to withdraw.
THE COURT: Okay.
[Plaintiffs’ counsel]: Judge, on second thought I guess I renew my objection.
THE COURT: Well, we don’t need to mark them exhibits. I’ll just mark them as A, B, C, D.
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THE COURT: All right. I have been tendered and have refused instructions numbered A, B, C, D, E, and what I’ll call Verdict F by plaintiff. Those basically posit apportionment of fault which would require the jury to apportion fault to include Dr.

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Bluebook (online)
268 S.W.3d 434, 2008 Mo. App. LEXIS 1336, 2008 WL 4402456, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thurman-v-st-andrews-management-services-inc-moctapp-2008.