Tinajero v. Balfour Beatty Infrastructure, Inc.

758 S.E.2d 169, 233 N.C. App. 748, 2014 WL 1797568, 2014 N.C. App. LEXIS 418
CourtCourt of Appeals of North Carolina
DecidedMay 6, 2014
DocketCOA13-9
StatusPublished
Cited by15 cases

This text of 758 S.E.2d 169 (Tinajero v. Balfour Beatty Infrastructure, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tinajero v. Balfour Beatty Infrastructure, Inc., 758 S.E.2d 169, 233 N.C. App. 748, 2014 WL 1797568, 2014 N.C. App. LEXIS 418 (N.C. Ct. App. 2014).

Opinions

GEER, Judge.

Plaintiff Santos Tinajero and defendants Balfour Beatty Infrastructure, Inc. and Zurich American Insurance Company each appeal from opinions and awards entered by the North Carolina Industrial Commission arising out of Mr. Tinajero’s admittedly compen-sable injury by accident that resulted in Mr. Tinajero’s being a quadriplegic. The primary issue on appeal is whether the Commission properly required defendants to pay the rental cost of reasonable handicapped accessible housing for Mr. Tinajero.

Applying Derebery v. Pitt Cnty. Fire Marshall, 318 N.C. 192, 347 S.E.2d 814 (1986), and Espinosa v. Tradesource, Inc., 231 N.C. App. 174, 752 S.E.2d 153 (2013) disc. review denied,_N.C._, 763 S.E.2d 391 (2014), we hold that the Commission did not abuse its discretion in making this award given that (1) Mr. Tinajero had no dwelling of his own that could be renovated to provide handicapped accessible housing, (2) defendants had continuously paid the full cost of housing for Mr. Tinajero since his injury by accident so long as he resided in a skilled nursing home or long-term care facility, and (3) the Commission found that living in such facilities was not in Mr. Tinajero’s medical best interest. The Commission was free to conclude that defendants should not be allowed to condition their payment of Mr. Tinajero’s housing costs on his agreeing to live in a facility that the Commission had found, based on competent evidence, was harmful to him physically and mentally and not in his medical best interests.

Facts

On 11 August 2008, Mr. Tinajero, an undocumented worker from Mexico, was employed by Balfour Beatty Infrastructure, Inc. While Mr. Tinajero was working on a barge, a crane cable broke and knocked him into the water. Immediately following the accident, Mr. Tinajero was [751]*751transported to Pitt County Memorial Hospital where he was treated surgically for his injuries. Mr. Tinajero, who was 26 years old at the time of the hearing before the deputy commissioner, had suffered a C4-5 fracture dislocation, leaving him an ASIA A-B quadriplegic.

On 15 August 2008, Mr. Tinajero was transferred to Shepherd Center in Atlanta, Georgia for continuing treatment and rehabilitation. The Shepherd Center provides rehabilitative services for patients with significant neurologic injuries and illnesses, predominately spinal cord and brain injuries. Mr. Tinajero’s condition required attendant care 24 hours per day, seven days per week.

Mr. Tinajero remained at the Shepherd Center until 5 December 2008. Mr. Tinajero’s nurse case manager was unable to locate an appropriate apartment, but recommended against Mr. Tinajero’s being placed in a nursing home upon his discharge from Shepherd Center because, in her experience, such a setting reinforces a “sick” mentality and leads to depression. A subsequent nurse case manager ultimately found one assisted living facility willing to accept someone his age, Briarcliff Haven. Mr. Tinajero was then placed in the sub acute rehabilitation unit at Briarcliff Haven beginning on 5 December 2008.

On 27 February 2009, Mr. Tinajero filed an “Emergency Motion for Medical Treatment” with the Commission. In the motion, Mr. Tinajero asserted that his placement at Briarcliff Haven was not a suitable living environment and that any delay in relocating him would unjustifiably jeopardize his health. Mr. Tinajero requested that the Commission order defendants to pay for his placement in a suitable apartment with 24-hour attendant care.

In response to Mr. Tinajero’s motion, the Commission issued an order on 20 March 2009 in which it referred the case to the regular docket for an expedited evidentiary hearing. Before the scheduled hearing date, the parties submitted a “Pre-Trial Agreement guided by Rule 16 of the North Carolina Rules of Civil Procedure.” In the pre-trial agreement, the parties set forth a number of issues to be determined at the subsequent hearing. Included among these issues, Mr. Tinajero requested a determination whether defendants were obligated to provide adaptive housing, as well as what type of housing and attendant care were required. On 10 April 2010, Mr. Tinajero, on his own, located an apartment across the street from Shepherd Center and moved into that apartment.

In the hearing before the deputy commissioner, Mr. Tinajero submitted a life care plan created by Michael Fryar. After reviewing Mr. Fryar’s credentials, experience, and life care plan, the deputy commissioner [752]*752determined that the report prepared by Mr. Fryar was not an objective and unbiased assessment of Mr. Tinajero’s needs.

The deputy commissioner concluded that Mr. Tinajero was entitled to lifetime workers’ compensation benefits. However, the deputy commissioner also determined that “ [defendants [were] not obligated to purchase, construct or lease adaptive housing for [Mr. Tinajero] . . . .” According to the deputy commissioner, defendants were already providing Mr. Tinajero with suitable housing at Briarcliff Haven, and the medical evidence presented at the hearing failed to establish that it was necessary for Mr. Tinajero to leave the Briarcliff Haven facility.

Mr. Tinajero appealed to the Full Commission. On 13 September 2010, the Commission entered an opinion and award affirming in part, reversing in part, and modifying in part the deputy commissioner’s opinion and award. With respect to Mr. Tnajero’s housing, the Full Commission determined that Mr. Tinajero’s placement at Briarcliff Haven was not appropriate in that it endangered his physical and psychological health.1 The Full Commission found that the evidence supported Mr. Tinajero’s concerns about infections due to inadequate medical care, including medical orders not being followed regarding the timeliness of required intermittent catheterizations. Because of Briarcliff Haven’s inability to assure that they could properly follow Mr. Tnajero’s medical orders and timely perform the catheterizations, defendants had to contract with outside nurses to provide necessary nursing care.

The Full Commission further found that the greater weight of the lay and medical evidence established that living in Briarcliff Haven was having a negative impact on Mr. Tinajero’s mental health. Based on the medical evidence, the Full Commission found that “it was in plaintiff’s medical best interest for defendants to provide housing suitable for the maximum possible level of independence, which means someplace other than a skilled nursing home or long-term care facility.”

The Full Commission found that at the time of his injury by accident, Mr. Tnajero did not own a dwelling, but rather shared a rented apartment with two other people in New Bern, North Carolina. Mr. Tnajero, therefore, owned no property that could be made handicapped accessible for [753]*753use by him in his post-injury condition. The Full Commission noted, however, that a 27 May 2010 progress report by his muse case manager indicated he was living in an apartment. The Full Commission observed that defendants contended “that they provided suitable accommodations for plaintiff at Briarcliff Haven and that they are not obligated to pay for the lease of plaintiff’s handicapped accessible apartment,” but pointed out “that for many years defendants have in effect paid for the entire cost of plaintiff’s housing at both Shepherd Center and Briarcliff Haven.” (Emphasis added.)

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Cite This Page — Counsel Stack

Bluebook (online)
758 S.E.2d 169, 233 N.C. App. 748, 2014 WL 1797568, 2014 N.C. App. LEXIS 418, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tinajero-v-balfour-beatty-infrastructure-inc-ncctapp-2014.