Forest Hill Nursing Center, Inc. v. Mary Louise McFarlan
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IN THE COURT OF APPEALS OF THE STATE OF MISSISSIPPI
NO. 2007-CA-00327-COA
FOREST HILL NURSING CENTER, INC., LONG
TERM CARE MANAGEMENT, LLC, HUGH
FRANKLIN, SCOTT A. LINDSEY AND RHONDA
BOUNDS
APPELLANTS
v.
MARY LOUISE MCFARLAN AND PATRICIA
MATHEWS
DATE OF JUDGMENT:
TRIAL JUDGE:
COURT FROM WHICH APPEALED:
ATTORNEYS FOR APPELLANTS:
ATTORNEYS FOR APPELLEES:
NATURE OF THE CASE:
TRIAL COURT DISPOSITION:
DISPOSITION:
MOTION FOR REHEARING FILED:
MANDATE ISSUED:
APPELLEES
1/31/2007
HON. BOBBY BURT DELAUGHTER
HINDS COUNTY CIRCUIT COURT
STEVEN MARK WANN
PAUL HOBART KIMBLE
HEATHER MARIE ABY
SUSAN NICHOLS ESTES
DOUGLAS BRYANT CHAFFIN
KENNETH L. CONNOR
CIVIL - PERSONAL INJURY
MOTION TO COMPEL ARBITRATION
DENIED
REVERSED AND REMANDED: 4/1/2008
BEFORE MYERS, P.J., IRVING, GRIFFIS AND ISHEE, JJ.
GRIFFIS, J., FOR THE COURT:
¶1.
Mary Louise McFarlan filed suit against Forest Hill Nursing Center (“Forest Hill”) based
on alleged personal injuries that she sustained while a resident at Forest Hill. In response to her
complaint, defendants filed a motion to compel arbitration which was denied by the circuit court.
Forest Hill now appeals arguing that the court should have compelled arbitration according to the
agreement between the parties. We find the denial of the motion to compel arbitration to be in error.
We reverse and remand for further proceedings consistent with this opinion.
FACTS
¶2.
Mary Louise McFarlan was admitted to Forest Hill in Jackson on July 28, 2003. McFarlan’s
granddaughter, Patricia Mathews, signed the admission paperwork as McFarlan’s “responsible
party.” The admission agreement, signed by Mathews, included section E entitled “ARBITRATION
- PLEASE READ CAREFULLY.”
Mathews also initialed this specific section regarding
arbitration. McFarlan did not sign any part of the agreement.
¶3.
McFarlan filed suit on August 25, 2004, alleging that Forest Hill was responsible for
personal injuries she sustained while a resident at Forest Hill. Forest Hill filed a motion to dismiss
or, in the alternative, a motion to compel arbitration. The circuit court refused to compel arbitration
finding that Mathews’s authority was limited to the areas of health care and business affairs which
do not include the ability to bind McFarlan to an arbitration agreement.
STANDARD OF REVIEW
¶4.
We apply a de novo standard of review to the denial of a motion to compel arbitration
because the motion presents a question of law as to whether the circuit court has jurisdiction to hear
the underlying matter. Vicksburg Partners, L.P. v. Stephens, 911 So. 2d 507, 513 (¶9) (Miss. 2005).
The Federal Arbitration Act (“FAA”) governs contracts “evidencing a transaction involving
commerce” which include nursing home admission agreements. Id. at 514-15 (¶¶13, 16-18)
(quoting 9 U.S.C. § 2 (2000)). Therefore, we must apply the policy of the FAA to “rigorously
enforce agreements to arbitrate.” East Ford, Inc. v. Taylor, 826 So. 2d 709, 713 (¶11) (Miss. 2002)
(quoting Shearson/Am. Express, Inc. v. McMahon, 482 U.S. 220, 226 (U.S. 1987)).
2
¶5.
“In determining the validity of a motion to compel arbitration under the Federal Arbitration
Act, courts generally conduct a two-pronged inquiry. The first prong has two considerations: (1)
whether there is a valid arbitration agreement and (2) whether the parties’ dispute is within the scope
of the arbitration agreement.” Id. at 713 (¶9). The second prong of the inquiry is “whether legal
constraints external to the parties’ agreement foreclosed arbitration of those claims.” Id. at 713
(¶10) (quoting Mitsubishi Motors Corp. v. Soler Chrysler-Plymouth, Inc., 473 U.S. 614, 626 (1985)).
Further, “only generally applicable contract defenses, such as fraud, duress, or unconscionability,
can be used to invalidate arbitration provisions or agreements” governed by the FAA. Stephens, 911
So. 2d at 514 (¶11).
ANALYSIS
1.
¶6.
Whether a valid arbitration agreement exists between the parties.
Forest Hill argues that the arbitration clause contained in the admission agreement is valid
because: (1) Mathews had the authority to bind McFarlan to the agreement as her health-care
surrogate under Mississippi Code Annotated section 41-41-211 (Rev. 2005), (2) Mathews had the
authority to bind McFarlan to the agreement under the principles of agency, (3) McFarlan was a
third-party beneficiary to the agreement between Mathews and Forest Hill, and (4) the agreement
is not unconscionable.
a.
¶7.
Uniform Health-Care Decisions Act
First, Forest Hill contends that Mathews’s signature on the admission agreement bound
McFarlan to the arbitration clause because Mathews was acting as McFarlan’s health-care surrogate
under the Uniform Health-Care Decisions Act. Miss. Code Ann. §§ 41-41-201 through 229 (Rev.
2005). The Act provides that “[a] surrogate may make a health-care decision for a patient who is
an adult or emancipated minor if the patient has been determined by the primary physician to lack
capacity and no agent or guardian has been appointed or the agent or guardian is not reasonably
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available.” Miss. Code Ann. § 41-41-211(1) (Rev. 2005) (emphasis added). The circuit court found
that waiving a person’s right to a jury trial by signing an arbitration agreement is not included in the
purview of health-care decisions which the statute authorizes a surrogate to make. However, it is
unnecessary for us to reach that issue here because the statute is inapplicable to this case.
¶8.
“The Uniform Healthcare Decisions Act does not apply to those persons who are competent.”
Grenada Living Ctr., LLC v. Coleman, 961 So. 2d 33, 38 (¶18) (Miss. 2007). It is clear from the
language of the statute that a surrogate may make health-care decisions for a patient only after the
patient is found to be incapacitated by a physician. See Miss. Code Ann. § 41-41-211(1). There is
no evidence in the record that McFarlan was incapacitated at the time that the admission agreement
was signed. Forest Hill argues that the assessment form completed when McFarlan was admitted
shows that she was moderately impaired, had problems with her memory, had periods of altered
perception and was unable to maintain basic hygiene without assistance. However, this intake form
does not meet the statutory requirement that a physician determine that she was incapacitated at the
time of her admission. Because there is insufficient proof that she was incapacitated within the
meaning of section 41-41-211(1), Mathews did not have the authority to act as her health-care
surrogate.
¶9.
Our finding is consistent with the supreme court’s decision in Covenant Health Rehab of
Picayune, L.P. v. Brown, 949 So. 2d 732 (Miss. 2007). In Brown, the court held that a surrogate had
the authority to bind Brown to agreements concerning matters of health-care, but only after Brown’s
“admitting physician at the hospital found that she did not have the mental capacity to manage her
affairs.” Id. at 737 (¶10). Brown’s physician determined that she was incapacitated; thus, she was
legally capable of having her health-care decisions made by a surrogate. Id.
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¶10.
Because there is no evidence that a physician found McFarlan to be incapacitated, we hold
that Mathews did not have the authority to bind McFarlan to the admission agreement as her healthcare surrogate. Accordingly, this issue has no merit.
¶11.
We note that the dissent relies on the recent supreme court decision in Mississippi Care
Center of Greenville, LLC v. Hinyub, 2005-CA-01239-SCT (¶¶16-17) (Miss. Jan. 3, 2008) for the
proposition that the execution of an arbitration agreement is considered a health-care decision,
within the authority of a health-care surrogate, only when that arbitration provision is required for
admission to the nursing home. However, the supreme court’s ruling in Hinyub is not at odds with
our decision in this case. In fact, in Hinyub, the court similarly found that there was no evidence of
the patient’s incapacity as required by the health-care surrogate statute. Id. at (¶15). The supreme
court held exactly as we do here – the party who entered into the admissions agreement with the
nursing home did not have the authority to bind the patient to the arbitration agreement as a healthcare surrogate under the Uniform Health-Care Decisions Act.1 Id. at (¶¶ 15, 17).
b.
¶12.
Agency Principles
Forest Hill next argues that Mathews had the authority to enter into the arbitration agreement
on McFarlan’s behalf under the principles of agency law. First, it argues that Mathews’s signing
the contract as McFarlan’s responsible party created an express agency or, alternatively, an implied
agency relationship. Second, Forest Hill argues that Mathews possessed the apparent authority to
bind McFarlan to the agreement.
¶13.
“The burden of proving an agency relationship rests squarely upon the party asserting it.”
Highlands Ins. Co. v. McLaughlin, 387 So. 2d 118, 120 (Miss. 1980). It is clear that Forest Hill has
1
The difference between the outcome of Hinyub and the outcome of the present case is due
to the fact that, in Hinyub, the parties did not argue, and the supreme court did not address, the issue
of whether the patient was a third party beneficiary to the admissions agreement. That issue is
discussed in part c of this section, infra.
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not shown that Mathews had an express agency relationship with McFarlan. “An express agent is
one who is ‘in fact authorized by the principal to act on their behalf.’” McFarland v. Entergy Miss.,
Inc., 919 So. 2d 894, 902 (¶25) (Miss. 2005) (quoting Cooley v. Brawner, 881 So.2d 300, 302 (¶10)
(Miss. 2004)). There is no evidence in the record that any type of agreement existed between
McFarlan and Mathews that would give Mathews the authorization to act on McFarlan’s behalf.
¶14.
Similarly, there is no evidence to show that an implied agency relationship existed. Implied
agency requires that the principal give the agent actual authorization to perform acts which
reasonably lead third parties to believe that an agency relationship exists. Capital Associates, Inc.
v. Sally Southland, Inc., 529 So. 2d 640, 644 (Miss. 1988). The existence of an implied agency is
proved by “facts and circumstances of the particular case, including words and conduct of the
parties.” 3 Am. Jur. 2d Agency § 16 (2004). The focus is on “whether the agent reasonably
believes, because of the principal’s conduct, that the principal desired the agent so to act.” Id. at §
72. Forest Hill offers no evidence of any words or conduct on the part of McFarlan to imply that
Mathews was her agent or had any authority to act on her behalf by signing the admissions
agreement. Its argument is solely based on the actions of Mathews alone which are insufficient to
show an implied agency relationship.
¶15.
Finally, there is insufficient evidence to prove that Mathews had apparent authority to bind
McFarlan to the arbitration agreement. Forest Hill specifically argues that Mathews had apparent
authority because “by signing the admission agreement as McFarlan’s Responsible Party, Mathews
held herself out generally and specifically to have the authority to bind McFarlan and to engaged
the services of Forest Hill.” However, “[a]pparent authority of an agent only binds the principal
when the plaintiff can show ‘acts or conduct of principal indicating agent’s authority, reasonable
reliance upon those acts by third person, and detrimental change in position by third person as result
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of that reliance.’” McFarland, 919 So. 2d at 902 (¶26) (quoting Eaton v. Porter, 645 So.2d 1323,
1325 (Miss. 1994) (emphasis added)).
¶16.
Here, Forest Hill argues only that Mathews held herself out as an agent of McFarlan. There
is no proof of any action taken by McFarlan, as principal, to show that an agency relationship
existed when Mathews signed the agreement. Therefore, no evidence of apparent authority is shown
here because the acts or conduct indicating the authority of the agent must be made by the principal.
See Eaton, 645 So. 2d at 1325. Mathews is the only person who signed the admission agreement.
In fact, McFarlan was not present at the time of the signing. Because there is no evidence of any
actions on the part of McFarlan, Mathews did not have apparent authority to bind McFarlan to the
agreement.
¶17.
There is no indication in the record that Mathews had the authority under the principles of
agency to bind McFarlan to the admissions agreement. Thus, this issue has no merit.
c.
¶18.
Third-party Beneficiary
Forest Hill further argues that McFarlan received the benefits and services flowing from the
admission agreement but now seeks to avoid the burdens of the contract thereby disregarding equity
and contravening the purposes underlying the FAA. See Miss. Fleet Card, L.L.C. v. Bilstat, Inc.,
175 F. Supp. 2d 894, 903 (S.D. Miss. 2001). In response, McFarlan contends that no contract exists
between Mathews and Forest Hill; thus, the third-party beneficiary theory is inapplicable. However,
McFarlan offers no legal or factual basis for this proposition. The admission agreement was signed
by both Mathews and a representative of Forest Hill. Based on the record, we have no reason to
conclude that anything other than a valid contract exists between Mathews and Forest Hill. Thus,
we will consider whether McFarlan is a third-party beneficiary of that agreement.
¶19.
While it is generally true that a party may not be forced to arbitrate a claim unless the party
has agreed to do so, the supreme court has recognized the exception that “arbitration agreements can
7
be enforced against non-signatories if such non-signatory is a third-party beneficiary.” Adams v.
Greenpoint Credit, LLC, 943 So. 2d 703, 708 (¶¶14-15) (Miss. 2006) (citing Smith Barney, Inc. v.
Henry, 775 So. 2d 722, 727 (¶¶18-20) (Miss. 2001)). Consequently, if McFarlan is a third-party
beneficiary, she is bound by the arbitration agreement contained in the admission agreement.
¶20.
The supreme court ruled on the issue of third-party beneficiaries in Adams v. Greenpoint
Credit, LLC, 943 So. 2d 703 (Miss. 2006). There, the court considered whether Beth Brown was
a third-party beneficiary to a contract between BankAmerica Housing Services and Brown’s father,
Eddie Adams. The contract was later assigned to Greenpoint who Brown sued based on a
unauthorized draft on her account. Greenpoint moved to compel arbitration; however, the court held
that Brown was not a third-party beneficiary and she could not be forced to arbitrate her claim. Id.
at 708 (¶15).
¶21.
In so holding, the court set forth factors to consider to determine whether someone is a third-
party beneficiary.
[T]he contracts between the original parties must have been entered for his benefit,
or at least such benefit must be the direct result of the performance within the
contemplation of the parties as shown by its terms. There must have been a legal
obligation or duty on the part of the promisee to such third person beneficiary. The
obligation must have been a legal duty which connects the beneficiary with the
contract. In other words, the right of the third party beneficiary to maintain an action
on the contract must spring from the terms of the contract itself. 17A C.J.S.
Contracts 519(4) (1963).
Id. at 708-09 (¶15) (quoting Burns v. Wash. Sav., 251 Miss. 789, 796, 171 So. 2d 322, 325 (1965)).
We must look to see if it was the clear intent of the parties to create a third-party beneficiary. Id.
¶22.
Looking at these factors, the court determined that Brown was not a third-party beneficiary.
Nothing in the language of the contract indicated that she was intended as a beneficiary, she did not
sign the contract, she received no benefits from the contract, and her right to bring suit did not spring
from the terms of the contract itself. She was “effectively a stranger to the contract.” Id.
8
¶23.
The outcome is clearly different when we apply these factors to the agreement between
Forest Hill and Mathews. Although McFarlan did not sign the admission agreement, many other
factors indicate that she is a third-party beneficiary to the agreement. She is named at the top of the
agreement as the resident to be admitted to Forest Hill. The plain language of the contract refers
numerous time to benefits and responsibilities of both the resident and the responsible party. The
benefits of residing at Forest Hill flow directly to McFarlan as a result of the agreement. By the
terms of the contract, Forest Hill incurred a legal duty to care for McFarlan and provide services
directly to her including “room, board, linens and bedding, nursing care, and certain personal
services.”
¶24.
McFarlan’s care was not incidental to the contract, but instead was the essential purpose of
the agreement. We find that she is an intended third-party beneficiary of the agreement between
Forest Hill and Mathews; thus, she is bound by the terms of the contract, including the agreement
to arbitrate any legal disputes related to the contract.
¶25.
We note that McFarlan also argues that the supreme court’s decision in Grenada Living Ctr.,
LLC v. Coleman, 961 So. 2d 33 (Miss. 2007), prohibits us from holding that she is bound by the
arbitration agreement. However, that case is distinguishable from the present matter. In Coleman,
the court specifically held that the case “does not stand for the proposition that non-signatories to
a contract containing an arbitration clause can never be bound by arbitration.” 961 So. 2d at 38
(¶17). There, the trial court specifically made a finding that no one had the authority to speak for
Coleman except himself. That finding was not made here; therefore, we will continue to follow
binding precedent that non-signatories may be bound by an arbitration agreement if they are
determined to be a third-party beneficiary. See id. at 38 (¶¶16-17) (citing Henry, 775 So. 2d at 727
(¶20); Terminix Int’l, Inc. v. Rice, 904 So. 2d 1051, 1058 (¶29) (Miss. 2004)).
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2.
¶26.
Whether the parties’ dispute is within the scope of the arbitration agreement.
McFarlan argues that her complaint does not assert a claim arising under the admission
agreement. However, after reviewing the record, we do not find this argument convincing. The
arbitration clause in the admission agreement states that the parties agree that “any legal dispute,
controversy, demand or claim . . . that arises out of or relates to the Admission Agreement or any
service or health care provided by the Facility to the Resident, shall be resolved exclusively by
binding arbitration pursuant to the Federal Arbitration Act . . . .” Each of McFarlan’s claims arise
out of circumstances related to her care while a resident at Forest Hill.
¶27.
McFarlan further argues that her claims do not fall under the arbitration agreement by its own
terms. The arbitration clause incorporates the rules and procedures of the American Health Lawyers
Association which state that cases with pre-dispute arbitration agreements cannot be arbitrated.
However, this issue was never brought before the circuit court and we refuse to review issues raised
for the first time on appeal. Tate v. State, 912 So. 2d 919, 928 (¶27) (Miss. 2005); Cleveland v.
Mann, 942 So. 2d 108, 116 (¶24) (Miss. 2006).
¶28.
We find that the dispute between the parties certainly arises out of the relationship between
resident and facility created by the admission agreement and consequently falls within the scope of
the arbitration clause.
3.
¶29.
Unconscionability
Having found that McFarlan is bound by the arbitration agreement, we now turn to the
second prong of East Ford to see if any general contract defenses exist to invalidate the agreement
itself. East Ford, 826 So. 2d at 713 (¶9). McFarlan argues that she should be allowed to conduct
discovery related to the enforceability of the arbitration clause in order to determine whether the
clause is unconscionable. However, as Forest Hill correctly argues, neither the supreme court nor
this Court has determined that such discovery is necessary before an analysis of unconscionability
10
may be conducted. See Brown, 949 So. 2d at 736-41 (¶¶9-25); Mann, 942 So. 2d at 113-17 (¶¶1433); Stephens, 911 So. 2d at 516-25 (¶¶20-48); East Ford, 826 So. 2d at 713-17 (¶¶11-22); Cmty.
Care Ctr. v. Mason, 966 So. 2d 220, 229-31 (¶¶23-33) (Miss. Ct. App. 2007). Likewise, we find
that no further discovery on this issue is needed and now turn to whether the arbitration clause is
unconscionable.
¶30.
Unconscionability is defined as “an absence of meaningful choice on the part of one of the
parties, together with contract terms which are unreasonably favorable to the other party.” East
Ford, 826 So. 2d at 715 (¶17) (citations omitted). There are two types of unconscionability –
procedural and substantive.
a.
¶31.
Procedural Unconscionability
Procedural unconscionability exists when there is “a lack of knowledge, lack of
voluntariness, inconspicuous print, the use of complex legalistic language, disparity in sophistication
or bargaining power of the parties and/or a lack of opportunity to study the contract and inquire
about the contract terms.” Id. at 714 (¶13) (quoting Pridgen v. Green Tree Fin. Servicing Corp., 88
F. Supp. 2d 655, 657 (S.D. Miss. 2000)). We must look beyond the actual terms of the agreement
and focus on the circumstances surrounding the overall formation of the contract. Stephens, 911 So.
2d at 517 (¶¶23-24).
¶32.
In Stephens, the supreme court reviewed the circumstances surrounding the signing of a
nursing home admission agreement which contained an arbitration clause. The court held that a
contract of adhesion is not unconscionable per se. It is essential that the evidence show a “lack of
knowledge or voluntariness by the weaker party.” Id. at 520 (¶32). In concluding that the contract
was not procedurally unconscionable, the court noted the following facts:
there were no circumstances of exigency; the arbitration agreement appeared on the
last page of a six-page agreement and was easily identifiable as it followed a clearly
marked heading printed in all caps and bold-faced type clearly indicating that section
11
“F” was about “Arbitration;” the provision itself was printed in bold-faced type of
equal size or greater than the print contained in the rest of the document; and,
appearing between the arbitration clause and the signature lines was an all caps
bold-faced consent paragraph drawing special attention to the parties’ voluntary
consent to the arbitration provision contained in the admissions agreement.
Id. at (¶33). Under those facts, the court held that there was no evidence of a lack of knowledge or
voluntariness on the part of the weaker party. Instead, the parties were “competent individuals
signing a well-marked, highly visible agreement which indicated very clearly that dispute resolution
would be accomplished by way of arbitration.” Id.
¶33.
The facts in this case closely resemble those in Stephens. The arbitration clause is found in
section “E” on page five of an eight-page document. The section heading is in bold-faced type and
reads “ARBITRATION - PLEASE READ CAREFULLY.” This was the only section in the
agreement that Mathews was required to initial. The wording of the document is not presented in
complex legalistic language. A paragraph written in bold-faced letters draws attention to the fact
that the parties are giving up their constitutional right to have a claim decided before a judge and
jury. The agreement also states that the party has a right to seek legal counsel, the signing of the
agreement is not a precondition to admission, and the contract may be rescinded within thirty days.
¶34.
There is no evidence in the record to show that any exigent circumstances surrounded
Mathews’ signing of the admission agreement. Because of the foregoing reasons, we find that the
agreement is not procedurally unconscionable.
b.
¶35.
Substantive Unconscionability
Substantive unconscionability exists when the arbitration agreement is found to be
oppressive. East Ford, 826 So. 2d at 714 (¶14). “When reviewing a contract for substantive
unconscionability, we look within the four corners of an agreement in order to discover any abuses
relating to the specific terms which violate the expectations of, or cause gross disparity between,
12
contracting parties.” Stephens, 911 So. 2d at 521 (¶35). The language of the contract must greatly
alter the legal rights of the parties or severely limit the damages available. Id. at (¶38).
¶36.
We find that the arbitration clause in McFarlan’s admission agreement neither significantly
alters her legal rights or severely limits the damages available to her. Instead, it “merely provides
for a mutually agreed-upon forum for the parties to litigate their claims and is benign in its effect
on the parties’ ability to pursue potential actions.” Id. at 522 (¶39). It contains none of the language
previously held unconscionable by Mississippi courts. There is no required grievance resolution
process, no limit on the amount of damages, no waiver of punitive damages, and no requirement to
compensate Forest Hill’s staff for their involvement in a dispute. See id. at 522-24 (¶¶39-43);
Brown, 949 So. 2d at 737-741 (¶¶14-25). Accordingly, we find that the arbitration agreement is not
substantively unconscionable.
¶37.
The East Ford test to determine whether an arbitration agreement is valid has been satisfied
in this case. A valid contract exists between McFarlan and Forest Hill through her status as a thirdparty beneficiary, the dispute between the parties falls within the scope of the arbitration agreement,
and no general contract defenses exist to invalidate the agreement. Therefore, we reverse and
remand with directions for the trial court to order arbitration in accordance with this opinion.
¶38. THE JUDGMENT OF THE HINDS COUNTY CIRCUIT COURT IS REVERSED
AND REMANDED. ALL COSTS OF THIS APPEAL ARE ASSESSED TO THE
APPELLEES.
KING, C.J., IRVING, CHANDLER, BARNES, ISHEE, ROBERTS AND CARLTON,
JJ., CONCUR. LEE, P.J., CONCURS IN PART AND DISSENTS IN PART WITH
SEPARATE WRITTEN OPINION JOINED BY MYERS, P.J.
LEE, P.J., CONCURRING IN PART, DISSENTING IN PART:
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¶39.
I must respectfully dissent. I cannot agree that McFarlan was bound to arbitration under the
theory that she was a third-party beneficiary to the nursing home contract when no evidence was
presented that she was incompetent, incapacitated, or otherwise unable to sign the contract herself.
¶40.
McFarlan cannot be bound as a third-party beneficiary to arbitration because there was never
a binding arbitration agreement. Mathews, McFarlan’s granddaughter who signed the agreement,
did not have power of attorney and was not her conservator. McFarlan was never deemed
incompetent, and no evidence was presented that McFarlan ever saw the contract that is now being
enforced against her and her wrongful death beneficiaries.
¶41.
Since McFarlan was not shown to be incompetent or incapacitated and Mathews did not have
power of attorney, Mathews only had the authority to make health-care related decisions for
McFarlan under Mississippi Code Annotated section 41-41-211(2) (Rev. 2005). Mississippi Code
Annotated section 41-41-203(h) (Rev. 2005) defines a health-care decision as:
a decision made by an individual or the individual’s agent, guardian, or surrogate,
regarding the individual’s health care, including: (i) selection and discharge of
health-care providers and institutions; (ii) [a]pproval or disapproval of diagnostic
tests, surgical procedures, programs of medication, and orders not to resuscitate; and
(iii) [d]irections to provide, withhold or withdraw artificial nutrition and hydration
and all other forms of health care.
¶42.
The decision to arbitrate is neither explicitly authorized nor implied within section
41-41-203(h). However, in the recent case of Mississippi Care Center of Greenville, LLC v. Hinyub,
2005-CA-01239-SCT (¶¶16-17) (Miss. Jan. 3, 2008)2, the supreme court found that the execution
of an arbitration provision, when it is an essential part of the admissions agreement, is considered
a health-care decision. Id. (citing Covenant Health Rehab of Picayune, L.P. v. Brown, 949 So. 2d
732 (Miss. 2007); Vicksburg Partners, L.P. v. Stephens, 911 So. 2d 507 (Miss. 2005)). In Hinyub,
2
We note that the Mississippi Supreme Court denied the motion for rehearing filed in this
case on March 6, 2008.
14
the execution of the arbitration provision was found to be a health-care decision because agreeing
to its terms was a prerequisite to being admitted to the nursing home. Id.
¶43.
In the case at hand, Mathews was not required to sign an arbitration provision to admit
McFarlan to Forest Hill Nursing Home. The arbitration portion of the contract states, in part:
The Resident and/or Responsible Party understand that (1) he/she has the right to
seek legal counsel concerning this agreement, (2) the execution of this Arbitration
is not a precondition to the furnishing of services to the Resident by the Facility, and
(3) this Arbitration Agreement may be rescinded by written notice to the Facility
from the Resident within 30 days of signature.
(Emphasis added). Since the execution of the arbitration agreement was not a prerequisite to the
furnishing of services, the arbitration provision was not a health-care decision. Since Mathews only
had the authority to make health-care decisions, she did not have the legal authority to bind
McFarlan or McFarlan’s beneficiaries to an arbitration agreement that was not part of the health-care
decision of admitting McFarlan to a nursing home. Because Mathews lacked authority to enter into
the arbitration provision in the admissions agreement, I would agree with the reasoning of the
supreme court in Hinyub, 2005-CA-01239-SCT (¶18), and find that the arbitration agreement is
invalid. The supreme court did not discuss the issue of whether Hinyub was a third-party
beneficiary to the contract. Therefore, I would find that a discussion of whether or not McFarlan
was a third-party beneficiary to the contract need not be reached.
¶44.
Without some evidence that McFarlan was incompetent to sign the contract or that her
granddaughter had authority to make legal decisions for her, Mathews did not have authority to
waive McFarlan’s constitutional right to a jury trial. I would affirm the decision of the trial court
finding there was not a binding arbitration agreement.
MYERS, P.J., JOINS THIS SEPARATE OPINION.
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