Villasenor v. P.T.C.H. CA4/2

California Court of Appeal·Decided August 11, 2022·No. E076598·Unpublished

Opinion

Filed 8/11/22 Villasenor v. P.T.C.H. CA4/2 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT DIVISION TWO

RICHARD VILLASENOR, Plaintiff and Appellant, E076598 v. (Super.Ct.No. RIC1715739) P.T.C.H., Inc., OPINION Defendant and Respondent.

APPEAL from the Superior Court of Riverside County. Carol A. Greene, Judge.

Affirmed.

McElfish Law Firm, Raymond D. McElfish and Tara Heckard-Bryant for Plaintiff and Appellant.

La Follette, Johnson, DeHaas, Fesler & Ames, Scott A. Blakeley, Jason Scupine and David J. Ozeran for Defendant and Respondent.

Plaintiff Richard Villasenor appeals from the summary judgment entered in favor of defendant P.T.C.H., Inc. doing business as Palm Terrace Care Center (Palm Terrace). Villasenor also appeals from the trial court’s denial of his postjudgment motions for reconsideration and a new trial and to vacate the judgment. We affirm.

BACKGROUND

Palm Terrace is a long-term care facility. Villasenor’s father died in March 2017, allegedly as the result of Palm Terrace’s negligent care. In 2017, Villasenor filed a lawsuit against Palm Terrace based on the alleged wrongful death of his father. Villasenor’s father had been discharged from the facility in August 2016. Villasenor alleged that Palm Terrace failed to prevent his father from developing pressure sores and did not properly treat the pressure sores that developed, causing his father’s eventual death.

In July 2020, Palm Terrace moved for summary judgment on the ground that there was no disputed issue of fact as to whether Palm Terrace’s care caused Villasenor’s father’s death. Palm Terrace also filed an additional motion for summary judgment on a different ground, arguing that there was not a disputed issue of fact as to whether Palm Terrace breached the standard of care. That motion is not included in the record on appeal and is not the subject of this appeal. Palm Terrace supported the motion on the issue of causation with the declaration of Andrew S. Wachtel, M.D., a medical doctor board certified in internal medicine, pulmonary diseases, and critical care. Wachtel identified the medical records he had reviewed, including those from the decedent’s stay

at Palm Terrace from July 15, 2016, through August 26, 2016, and after discharge from Palm Terrace.

According to Wachtel, the decedent’s medical records revealed that upon admission to Palm Terrace, the decedent “had a Stage II left coccyx pressure ulcer,” which was treated during his stay at Palm Terrace and “completely resolved.” When Palm Terrace discharged the decedent, a nurse at Palm Terrace evaluated the decedent’s skin and noted that decubitus ulcers were not present. Wachtel opined that upon discharge, the decedent’s “skin condition was in better condition than it was on admission.” Several months after the decedent’s discharge from Palm Terrace, on October 31, 2016, the decedent was diagnosed with a “Stage IV ulcer” on his buttocks, which Wachtel opined was not caused by the care provided at Palm Terrace. Wachtel further opined “to a reasonable degree of medical probability” that the ulcer did not cause the decedent’s death. Wachtel opined “to a reasonable degree of medical probability” that the decedent’s death instead was caused by “pneumonia with accompanying sepsis which ultimately resulted in cardiorespiratory arrest.” The decedent’s death certificate documents that his death resulted from cardiorespiratory arrest and rectal cancer.

A hearing on the motion was held on October 27, 2020. Villasenor had not filed opposition to the motion, so the trial court granted it. The next day, Villasenor filed an ex parte application to set aside the order, which the court granted. The court set a hearing on the summary judgment motion for November 19, 2020, and ordered the deadlines for

filing opposition and reply papers to be reset to run from the new hearing date.1 At the hearing, the court noted that throughout the litigation, plaintiff’s counsel had repeatedly requested extensions, failed to attach exhibits to a declaration submitted in opposition to an earlier motion for summary judgment, and failed to correct defects after being notified of them by the court. The court warned plaintiff’s counsel that the newly set summary judgment hearing would not be continued again to allow counsel to correct any defects in the opposition.

Nine days before the scheduled hearing, on November 10, 2020, Villasenor filed his opposition to the motion, along with declarations from Villasenor and his attorney and other evidence. The opposition contained two substantive argument sections. The first section was entitled, “[Palm Terrace] fails to prove the nonexistence of a tria[ble] issue of material fact as to [Villasenor’s] claims regarding [Palm Terrace’s] neglect, and [the] decedent’s injury and ultimate death.” (Boldface and capitalization omitted.) In that section, Villasenor argued that Palm Terrace had a heightened standard of care because it was aware upon the decedent’s admission that he was at high risk of developing pressure ulcers and because he required assistance “with toileting functions and ambulation.” Villasenor argued that the allegations in his complaint and the declaration of his expert, Dr. Marvin Pietruszka, (which he had never filed) created a triable issue of material fact

1 At the hearing, the trial court mistakenly stated that the due dates would be reset for November 29, 2020, and not the new hearing date of November 19, 2020.

as to whether Palm Terrace breached the standard of care.2 That section of Villasenor’s opposition did not make any arguments concerning the issue of causation.

Villasenor next argued that Palm Terrace’s expert declaration was deficient.

Villasenor claimed that Palm Terrace had filed an expert declaration from Dr. Karl E. Steinberg, which Villasenor argued contained no evidentiary value. (Palm Terrace did not file a declaration from Steinberg to support this motion.) Villasenor argued that Steinberg’s declaration was insufficient to carry Palm Terrace’s burden of demonstrating that Palm Terrace had met the applicable standard of care.

Two days after filing the opposition, Villasenor filed the declaration of Pietruszka, a medical doctor specializing in anatomic and clinical pathology, occupational medicine, and toxicology. Pietruszka identified the medical records he had reviewed, including those from Palm Terrace. Villasenor informed Pietruszka that Palm Terrace had released his father with a bedsore that Villasenor noticed postdischarge, which Palm Terrace did not document in the decedent’s medical records. Pietruszka opined: “Palm Terrace was responsible for the care of [the decedent] when the sore developed. Their failure to adhere to the standard of care and take necessary precautionary measures caused the sores and allowed them to worsen. [Palm Terrace’s] failure to chart or treat [the decedent’s] sores, and discharge him with pressure ulcers was a substantial factor in causing his decline and death.”

2 In the introduction section of the opposition, Villasenor stated: Palm Terrace “seeks summary judgment based upon their purported adherence to the ‘standard of care.’ [Palm Terrace] has not made the requisite showing to obtain an order granting its motion for summary judgment.”

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