Trujillo v. Luna Cmty. Coll.

CourtNew Mexico Court of Appeals
DecidedAugust 27, 2019
StatusUnpublished

This text of Trujillo v. Luna Cmty. Coll. (Trujillo v. Luna Cmty. Coll.) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Trujillo v. Luna Cmty. Coll., (N.M. Ct. App. 2019).

Opinion

This decision of the New Mexico Court of Appeals was not selected for publication in the New Mexico Appellate Reports. Refer to Rule 12-405 NMRA for restrictions on the citation of unpublished decisions. Electronic decisions may contain computer- generated errors or other deviations from the official version filed by the Court of Appeals.

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

No. A-1-CA-36356

EUGENE W. TRUJILLO,

Worker-Appellant,

v.

LUNA COMMUNITY COLLEGE and NEW MEXICO PUBLIC SCHOOL INSURANCE AUTHORITY,

Employer/Insurer-Appellees.

APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION Terry S. Kramer, Workers’ Compensation Judge

Gerald A. Hanrahan Albuquerque, NM

for Appellant

Hoffman Kelley Lopez LLP Jeffrey L. Federspiel Albuquerque, NM

for Appellees

MEMORANDUM OPINION

ATTREP, Judge.

{1} Worker Eugene Trujillo appeals from a workers’ compensation order, adopting certain impairment ratings and setting partial permanent disability benefits. Determining the Workers’ Compensation Judge’s (WCJ) findings of fact and conclusions of law inadequate for effective appellate review, we reverse and remand to the Workers’ Compensation Administration for entry of amended or additional findings and conclusions and for entry of an amended compensation order. BACKGROUND

{2} Worker suffered an on-the-job injury to his cervical spine in October 2011 while employed by Luna Community College (Employer). Employer is insured by New Mexico Public School Insurance Authority (Insurer). In July 2014, Worker’s treating physician, Dr. Miguel Pupiales, evaluated Worker for purposes of assigning an impairment rating and, based on Worker’s current pathology, concluded that Worker’s cervical spine injury warranted an impairment rating of 12 percent. In October 2016 Dr. Pupiales re- evaluated Worker’s cervical spine injury due to a worsening of Worker’s condition and concluded that Worker’s cervical spine injury warranted an impairment rating of 29 percent. On the day of trial, Employer/Insurer made a request for an independent medical examination (IME). The WCJ granted the request and thereby continued the trial. Dr. Juliana Garcia was appointed to conduct the IME, which was completed in January 2017. Dr. Garcia assigned Worker’s cervical spine injury an impairment rating of 7 percent. After trial, the WCJ entered a compensation order, stating, without explanation, “[t]his court accepts the 7 [percent] permanent physical impairment for cervical injury as assessed by [Dr. Garcia].” The WCJ, using the “combined values method” from the American Medical Association’s Guides to the Evaluation of Permanent Impairment, Sixth Edition (AMA Guides), further found that “Worker has a 30 [percent] whole person impairment,” including a 5 percent impairment rating for Worker’s dysphagia, 7 percent for Worker’s cervical spine, and 20 percent for Worker’s psychological injuries.

DISCUSSION

{3} Worker argues: (1) the WCJ’s finding of 7 percent impairment for the cervical spine injury is not supported by substantial evidence, (2) the WCJ erred in utilizing the “combined values method,” as prescribed by the AMA Guides, to determine Worker’s overall impairment rating, and (3) the WCJ abused his discretion in granting Employer/Insurer’s request for an IME on the day of trial.

I. Appellate Jurisdiction

{4} Before we examine Worker’s arguments, we address whether we have jurisdiction over Worker’s appeal. Employer/Insurer argues that this Court lacks jurisdiction to hear this appeal because there is a pending claim of bad faith still before the WCJ, making the compensation order non-final for purposes of appellate review. In response, Worker asserts that all claims of bad faith were resolved by the compensation order, and to the extent that any survived, Worker has abandoned them in order to proceed with this appeal. Given that Worker has affirmatively abandoned all potentially outstanding claims, the compensation order is a final, appealable order. See Zuni Indian Tribe v. McKinley Cty. Bd. of Cty. Comm’rs, 2013-NMCA-041, ¶ 16, 300 P.3d 133 (stating that an order or judgment is considered final when all issues of law and fact have been determined and the case disposed of by the lower court to the fullest extent possible). Accordingly, this Court has jurisdiction to hear Worker’s appeal. II. Impairment Rating for Worker’s Cervical Spine

{5} Worker’s primary argument is that the WCJ erred in selecting the 7 percent impairment rating offered by Dr. Garcia because it was not supported by substantial evidence. Worker points to numerous perceived inconsistencies and admissions in Dr. Garcia’s deposition testimony, which he alleges support a finding of impairment greater than 7 percent when properly evaluated against the criteria outlined in the AMA Guides. Employer/Insurer counters by arguing that the WCJ had “discretion to pick the impairment and [was not] stuck picking the impairment that is highest” and also by citing portions of Dr. Garcia’s deposition testimony purporting to support her finding of a 7 percent impairment rating.

{6} We, however, are unable to conduct an effective review of the WCJ’s compensation order because the WCJ’s findings of fact and conclusions of law are insufficient. The WCJ’s compensation order in this case fails to provide any explanation regarding his selection of the 7 percent impairment rating. In his order the WCJ found:

8. Worker has a permanent impairment as a result of the cervical injury.

9. There is evidence in the record to support a numerical impairment for the cervical injury of 7 [percent,] 12 [percent] or 29 [percent].

10. This court accepts the 7 [percent] permanent physical impairment for the cervical injury as assessed by [Dr. Garcia].

“The problem, as we see it, lies in how we are to meaningfully review the WCJ’s determinations where we do not have the benefit of a fully developed case with reasoning and explanatory findings necessary to decide whether error occurred.” Sanchez v. Zanio’s Foods, Inc., 2005-NMCA-134, ¶ 53, 138 N.M. 555, 123 P.3d 788. We are unable to engage in any meaningful review of the WCJ’s selection of an impairment rating because there is no explanation, citation to the record, or citation to authority informing this Court of the basis for the WCJ’s decision. See id. ¶ 70 (explaining that “clarity and expressed reasoning is essential to our effective and meaningful review” in our review of the compensation order).

{7} Were we able to review Worker’s claims of error on the record before us, we would apply a whole record standard of review to determine if the WCJ’s findings are supported by substantial evidence. See id. ¶ 9. Based on our limited review of the evidence, and without the benefit of adequate findings and conclusions, it is not clear that substantial evidence supports the WCJ’s selection of a 7 percent impairment rating. Dr. Garcia’s testimony seems to offer limited support for her ultimate conclusion that Worker’s cervical spine warrants only a 7 percent rating, especially when contrasted with the evidence offered by Dr. Pupiales to support a 29 percent impairment rating. A ruling on this issue, however, would be impracticable given the lack of factual findings and analysis in the WCJ’s order, and we decline to undertake this fact finding on our own. See Toynbee v. Mimbres Mem’l Nursing Home, 1992-NMCA-057, ¶ 16, 114 N.M. 23, 833 P.2d 1204 (“[W]here the findings are insufficient to permit the reviewing court to properly decide the issues raised on appeal, justice may require that the cause be remanded for adoption of additional findings and conclusions so as to clarify a determinative issue.”); Scott v.

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Related

Zuni Indian Tribe v. McKinley County Board of County Commissioners
2013 NMCA 41 (New Mexico Court of Appeals, 2013)
Scott v. Jordan
661 P.2d 59 (New Mexico Court of Appeals, 1983)
Toynbee v. Mimbres Memorial Nursing Home
833 P.2d 1204 (New Mexico Court of Appeals, 1992)
Corona v. Corona
2014 NMCA 071 (New Mexico Court of Appeals, 2014)
Curry v. Great Nw. Ins. Co.
2014 NMCA 31 (New Mexico Court of Appeals, 2013)
Sanchez v. Zanio's Foods, Inc.
2005 NMCA 134 (New Mexico Court of Appeals, 2005)

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Trujillo v. Luna Cmty. Coll., Counsel Stack Legal Research, https://law.counselstack.com/opinion/trujillo-v-luna-cmty-coll-nmctapp-2019.