LEISA C. VANHOOK v. BRITTHAVEN OF SOMERSET, INC.
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RENDERED: JULY 27, 2007; 10:00 A.M.
NOT TO BE PUBLISHED
Commonwealth of Kentucky
Court of Appeals
NO. 2006-CA-001163-MR
LEISA C. VANHOOK
v.
APPELLANT
APPEAL FROM PULASKI CIRCUIT COURT
HONORABLE JEFFREY T. BURDETTE, JUDGE
ACTION NO. 03-CI-01011
BRITTHAVEN OF SOMERSET, INC.
APPELLEE
OPINION
REVERSING AND REMANDING
** ** ** ** **
BEFORE: THOMPSON AND VANMETER, JUDGES; PAISLEY,1 SENIOR JUDGE.
PAISLEY, SENIOR JUDGE: Leisa C. Vanhook appeals from an order of the Pulaski
Circuit Court which granted summary judgment to Britthaven of Somerset, Inc.
Vanhook, a registered nurse, had claimed she was wrongfully discharged from her
employment at Britthaven, a nursing home, for filing a complaint with her supervisor that
a patient’s health had been jeopardized by inadequate care. Because we believe that a
genuine issue of material fact exists, we reverse and remand.
1
Senior Judge Lewis G. Paisley sitting as Special Judge by assignment of the Chief Justice
pursuant to Section 110(5)(b) of the Kentucky Constitution and KRS 21.580.
Kentucky Revised Statutes (KRS) 216B.165 imposes an affirmative duty
upon employees of health care facilities to report when they know or reasonably believe
that a patient’s health or safety is in jeopardy. It states in pertinent part:
(1) Any agent or employee of a health care facility or service
licensed under this chapter who knows or has reasonable
cause to believe that the quality of care of a patient, patient
safety, or the health care facility’s or service’s safety is in
jeopardy shall make an oral or written report of the problem
to the health care facility or service, and may make it to any
appropriate private, public, state, or federal agency.
(2) Any individual in an administrative or supervisory
capacity at the health care facility or service who receives a
report under subsection (1) of this section shall investigate the
problem, take appropriate action, and provide a response to
the individual reporting the problem within seven (7) working
days.
The statute also contains a provision specifically prohibiting retaliation against an
employee for making such a report:
(3) No health care facility or service licensed under this
chapter shall by policy, contract, procedure, or other formal
or informal means subject to reprisal, or directly or indirectly
use, or threaten to use, any authority or influence, in any
manner whatsoever, which tends to discourage, restrain,
suppress, dissuade, deter, prevent, interfere with, coerce, or
discriminate against any agent or employee who in good faith
reports, discloses, divulges, or otherwise brings to the
attention of the health care facility or service the
circumstances or facts to form the basis of a report under
subsections (1) or (2) of this section. No health care facility or
service shall require any agent or employee to give notice
prior to making a report, disclosure, or divulgence under
subsections (1) or (2) of this section.
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Leisa Vanhook was employed as a registered nurse at Britthaven of
Somerset Inc. from January 2001 through June 26, 2003, when she was discharged. We
review the events immediately preceding Vanhook's termination in the light most
favorable to the party opposing the summary judgment. Steelvest v. Scansteel Service
Center, Inc., 807 S.W.2d 476, 480 (Ky. 1991). The following account is based on
Vanhook's deposition testimony: On June 23, 2003, at the end of her shift at around 6:15
a.m., Vanhook observed a patient exhibiting symptoms of a urinary tract infection. She
documented the condition on the patient’s 24-hour report and his medical record, and also
verbally reported it to the oncoming charge nurse. She explained that because the
situation was not an emergency, a physician was not contacted immediately because it
was still very early in the morning. However, a physician should have been contacted
later in the day. Vanhook was next on duty on the evening of June 25, 2003, when she
observed that the patient's condition had drastically worsened and he was running a fever.
She discovered that a physician had not been contacted. Vanhook immediately called a
physician and administered treatment to the patient. On the morning of June 26, 2003,
before she went off her shift at 7:00 a.m., Vanhook placed in the office mailbox of her
supervisor, Director of Nursing Lela Putnam, a complaint alleging that the facility had
failed to contact a physician in a timely fashion to treat the patient.
When she arrived back at work that evening at 6:30 p.m., she was called
into Putnam’s office, where she was informed that she was being terminated from her
employment. Putnam informed her that she was a good nurse, but explained that there
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had been “too many complaints.” Vanhook asked if she were referring to complaints
“made about me or by me.” Putnam replied, “a complaint is a complaint.” No copy of
Vanhook’s complaint has been produced. Vanhook claims that she had placed a copy of
the complaint in a file in her desk at work, but was not allowed to retrieve it after her
termination. Putnam denied ever receiving the complaint. After her termination,
Vanhook also filed a complaint in connection with the incident with the Inspector
General of the Department for Health and Human Services. This report confirms that the
incident with the patient suffering the infection had occurred, and that although
symptoms of his infection were observed on June 23 at 6:15 a.m., a physician was not
contacted to prescribe treatment until June 25, 2003, at 9:30 p.m.
On September 29, 2003, Vanhook filed suit against Britthaven in Pulaski
Circuit Court, alleging that she had been terminated in retaliation for filing the complaint
with her supervisor. The trial court granted summary judgment to Britthaven on the
grounds that there was no credible evidence that Vanhook had filed the complaint,
whereas there was significant and substantial evidence in the record that her termination
was for good cause based on her work history. During the course of her employment
with Britthaven, Vanhook was the subject of numerous complaints from her co-workers
and from residents. These complaints mainly concerned her personnel skills and the
allegedly abrasive manner in which she criticized or communicated with other staff
members. On December 12, 2002, Vanhook received a disciplinary warning notice that
listed the following problems: that some labs were late, that Vanhook had disclosed and
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discussed her pay with other staff members, and that she had been discourteous and rude
to other staff members. On June 2, 2003, she received another disciplinary warning
notice that she had excessive unexcused absences.
In reviewing a grant of summary judgment, our inquiry focuses on whether
the trial court correctly found that there was no genuine issue as to any material fact and
that the moving party was entitled to judgment as a matter of law. Kentucky Rules of
Civil Procedure (CR) 56.03. “[T]he proper function of summary judgment is to terminate
litigation when, as a matter of law, it appears that it would be impossible for the
respondent to produce evidence at the trial warranting a judgment in his favor.”
Steelvest, 807 S.W.2d at 480. Even though the trial court may believe the party opposing
summary judgment may not succeed at trial, it should not render summary judgment if
there is any genuine issue of material fact. Williams v. City of Hillview, 831 S.W.2d 181,
183 (Ky. 1992).
To establish a prima facie case of retaliation, Kentucky law requires a
plaintiff to show that (1) he engaged in a protected activity; (2) the defendant knew that
the plaintiff had done so; (3) adverse employment action was taken; and (4) that there
was a causal connection between the protected activity and the adverse employment
action. See Brooks v. Lexington-Fayette Urban County Housing Authority, 132 S.W.3d
790, 803 (Ky. 2004).
The crux of this case is the fact that the only evidence that Vanhook
submitted a complaint to Putnam is Vanhook’s own deposition testimony. Britthaven
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maintains that an employee should not be permitted to create an “issue of fact” merely by
alleging that a complaint was filed and that the complaint was the reason for her
termination, when all the evidence indicates that the termination was for welldocumented performance issues and there was no corroborating evidence that a
complaint was filed.
But Vanhook’s testimony, however self-serving it may be, was nonetheless
evidence that could be presented to a jury. “It is the function of the jury to determine
questions of credibility and issue of fact where the evidence is conflicting.” Embry v.
Turner, 185 S.W.3d 209, 213 (Ky.App. 2006).
On a motion for summary judgment, the circuit court must
examine evidence not to determine any question of fact but to
discover if there is a real issue. Summary judgment must not
be used to end the rights of litigants to a trial if they have a
triable issue.
Williams, 831 S.W.2d at 183.
Moreover, we disagree that there is no corroborating evidence. The report
from the Inspector General substantiates with great specificity and detail the incident of
alleged patient neglect which occurred immediately before Vanhook’s termination.2
Although it may be purely coincidental that this episode occurred immediately prior to
Vanhook’s termination, the very close proximity between the well-documented incident
2
The appellee contends that the Inspector General’s report implicates Vanhook in the neglect of
the patient. We see no indication of this in the report, beyond a plan of correction which requires
a nurse who observes a change in a patient’s condition to record it in the acute episode charting
guide.
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of patient neglect and Vanhook’s termination make the timing of her discharge
sufficiently suspect to defeat a motion for summary judgment at this point.
Additionally, the disciplinary warning notices issued to Vanhook, one of
which is dated December 12, 2002, and the other which recounts unexcused absences
observed on June 2, 2002, are both marked “final warning,” yet there is nothing to
indicate why Vanhook was terminated more than three weeks after the second report.
Finally, since KRS 216B.165(1) expressly permits employees to make oral
reports of problems concerning quality of care, the only evidence that such a complaint
was made may necessarily consist only of testimony.
For the foregoing reasons, the order granting summary judgment to the
appellee is reversed, and this case is remanded to the Pulaski Circuit Court for further
proceedings in accordance with this opinion.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE:
Larry F. Sword
Elizabeth K. Broyles
Somerset, Kentucky
Leslie Patterson Vose
Dinah T. Bevington
Lexington, Kentucky
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