KEATY, Judge.
Kohl's Department Stores, Inc. (Kohl's), appeals a judgment rendered by the workers' compensation judge (WCJ) in favor of its former employee, Terry Rideaux (Rideaux). Rideaux answers the appeal. For the following reasons, we amend the judgment, affirm as amended, and award Rideaux $3,500.00 in attorney fees for work done on this appeal.
Rideaux filed a 1008 Disputed Claim for Compensation (1008) against Kohl's on June 14, 2010, regarding an injury she suffered to her right arm on September 7, 2009. She alleged that she was working in the warehouse moving boxes and hanging clothes when her right arm "popped." According to the 1008, Kohl's denied her claim and had not paid her any wage benefits nor authorized any medical treatment for her injuries. Rideaux sought indemnity and medical benefits, treatment by her choice of physician, penalties, and attorney fees.
Kohl's answered Rideaux's claim, denying that she had suffered a compensable accident and claiming that she had misrepresented her prior medical history. It later filed a motion for summary judgment seeking to have Rideaux's claim dismissed based on its contention that she did not suffer an "accident" at work, within the meaning of the La.R.S. 23:1021(1), and, thus, it owed her no workers' compensation benefits. After a hearing, the WCJ denied the motion, finding that a genuine issue of material fact remained.
The matter was tried on February 23, 2011, and taken under advisement. Oral reasons for judgment were rendered on April 25, 2011. Written judgment was rendered in the substance of the oral reasons on May 3, 2011, as follows: 1) Rideaux suffered a compensable work accident on or about September 2, 2009; 2)
Kohl's now appeals, asserting that the WCJ committed manifest error: 1) in finding that Rideaux met her burden of proving an "accident" as defined by the Louisiana Workers' Compensation Act (LWCA); 2) in finding that Rideaux met her burden of proving by a preponderance of the evidence that she sustained an accident while in the course and scope of her employment with Kohl's; 3) by awarding Rideaux disability benefits without any evidence to support any disability to justify such award; 4) by finding that Kohl's failed to reasonably controvert the alleged work accident and awarding Rideaux attorney fees and penalties; and 5) in awarding Rideaux $14,500.00 in attorney fees without her having submitted any evidence to support such an award. Rideaux answers the appeal to request an award of additional attorney fees for the work done on this appeal.
We recently discussed the standard of review to be employed in workers' compensation cases, noting:
Green v. Nat'l Oilwell Varco, 10-1041, pp. 3-4 (La.App. 3 Cir. 4/27/11), 63 So.3d 354, 357-58 (quoting Foster v. Rabalais Masonry, Inc., 01-1394, pp. 2-3 (La.App. 3 Cir. 3/6/02), 811 So.2d 1160, 1162, writ denied, 02-1164 (La.6/14/02), 818 So.2d 784).
Rideaux testified that she was fifty-five years old at the time of trial. After recently
Rideaux testified that she worked non-stop in the warehouse for approximately five hours, during which time she continuously felt stress and tightening in her right shoulder but, nonetheless, continued working. After completing her work in the warehouse, she did not feel well, so she sat on the floor until she was told to relocate to the jewelry department. Upon returning home, she was attempting to lift her shirt off over her head to take a shower when her right shoulder "popped." Rideaux had a previously scheduled appointment the next day with her gynecologist, Dr. Gisele McKinney of the Southwest Louisiana Center for Health Services (SWLA clinic), for an unrelated matter. During the visit, Rideaux complained to Dr. McKinney of her right shoulder pain and told her about having worked in the warehouse the day before. Dr. McKinney requested another physician with whom she worked, Dr. Lesly Varghese, a board certified family practitioner, to examine Rideaux. According to Rideaux, Dr. Varghese recommended that she undergo an MRI "due to the knot" on her right shoulder.
On September 25, 2009, Rideaux reported her injury to her supervisor, Betty Scott, who directed her to speak to Robert Davis, the store's manager. She then spoke with Mr. Davis who gave her some workers' compensation documents to complete. She completed the paperwork in Mr. Davis' office and returned to work. Because the pain in her right shoulder continued to get worse with activity, she stopped working at Kohl's on October 27, 2009, when she could no longer perform her job. She has not worked since that time.
Rideaux continued to seek treatment at the SWLA clinic. An MRI of her right shoulder performed on October 29, 2009, at LSU University Medical Center (UMC) in Lafayette, revealed that she had minimal tendonitis of the supraspinatus muscle tendon and degenerative changes in her acromioclavicular joint.
Following a June 15, 2010 visit, Dr. McKinney charted that Rideaux's right shoulder pain was increasing in severity and causing neck pain and weakness and paresthesia in her right forearm. According to Dr. McKinney's notes, Rideaux was taking anti-inflammatory medication to
As to her current condition, Rideaux testified that her whole life has changed and that her right shoulder is "still not right." She does not sleep well, and when she is able to sleep, she is awakened by pain. There is still a "knot" in her right shoulder, and she has diminished strength in her right hand. She can no longer raise her right hand over her head, and she must now take showers instead of baths.
According to Rideaux, Kohl's never paid her any wage benefits, never authorized any medical treatment, never offered her a job with modified duties, and never offered her vocational rehabilitation since her 2009 work accident.
Betty Scott, an assistant store manager and Rideaux's immediate supervisor when she worked for Kohl's, confirmed that Rideaux reported the accident to her on September 25, 2009, telling her that she hurt her arm at home and heard her arm pop before taking a shower. She immediately sent Rideaux to speak with Mr. Davis to fill out an accident report.
Ms. Scott testified that after Rideaux's accident, Kohl's offered her a position as a full-time jewelry supervisor. Rideaux accepted the position but resigned after a week. With regard to Rideaux returning to Kohl's to work as a part-time sales associate, Ms. Scott acknowledged that Rideaux would have to repeatedly bend and stretch her arm to stock the jewelry cases but stated that Rideaux could have gotten another associate to help her if she was not capable of performing her duties because Kohl's "whole structure is based on teamwork."
A worker bringing a compensation action against his employer bears the burden of proving, as a threshold requirement, that he suffered "personal injury by accident arising out of and in the course of his employment." La.R.S. 23:1031(A); Bruno v. Harbert Int'l Inc., 593 So.2d 357 (La.1992). The word "accident" as used in La.R.S. 23:1031 is defined as "an unexpected or unforeseen actual, identifiable, precipitous event happening suddenly or violently, with or without human fault, and directly producing at the time objective findings of an injury which is more than
Bruno, 593 So.2d at 361 (citations omitted). The determination of whether an injury occurred in the course and scope of one's employment "is a mixed question of law and fact." Winkler v. Wadleigh Offshore, Inc., 01-1833, p. 3 (La.App. 4 Cir. 4/24/02), 817 So.2d 313, 316, writ denied, 02-1429 (La.9/13/02), 824 So.2d 1174.
In its first two assignments of error, Kohl's insists that Rideaux did not meet her burden of proving that she sustained an accident at work. It claims that she failed to point to any specific event at work from which she experienced immediate and identifiable symptoms of injury. To the contrary, it points to Rideaux's testimony that she first felt pain when taking off her shirt at home after returning home from work on September 7, 2009. In its brief to this court, Kohl's asserts that Rideaux lacks credibility, claiming that she gave "at least
Rideaux counters that she has consistently maintained that her right shoulder stiffened and felt strained while she worked hanging garments on a six-foot tall rack for five hours in the Kohl's warehouse on September 7, 2009. She further maintains Dr. McKinney's notes of September 8, 2009, corroborate her claim that she suffered an injury at work on the preceding day. Finally, Rideaux submits that any discrepancies between her testimony and the Kohl's accident report form were noted at trial and found to be insignificant by the WCJ.
In rejecting Kohl's argument that Rideaux failed to prove that she suffered a compensable workplace accident, the WCJ stated:
Rideaux knew that she had injured her arm during the course of her shift on September 7, 2009, when she spent five hours unloading boxes and hanging clothes on an overhead rack in Kohl's warehouse. She reported her injuries to her physician the following morning, and that physician noted objective signs of a right shoulder injury and directed her to seek further medical attention. Since that time, Rideaux has had increased pain in right shoulder, which has radiated to her neck and right forearm, and for which she has consistently sought treatment. We agree with the WCJ's conclusion that the discrepancies noted in the accident report are minor given the big picture. After review of the entire record before us, we cannot say that the WCJ manifestly erred in finding that Rideaux sustained an injury-producing accident while working at Kohl's. The WCJ obviously found Rideaux to be a credible witness, and we will not second guess that credibility determination. Kohl's first and second assignments of error lack merit.
Louisiana Revised Statutes 23:1221(1)(c) provides that if an employee is not employed or self-employed, compensation for TTD benefits shall be awarded only if:
In Odom v. Kinder Nursing Home, 06-1442, p. 5 (La.App. 3 Cir. 4/25/07), 956 So.2d 128, 132, we directed that:
Rideaux counters that she submitted into evidence a letter dated May 21, 2010, declaring her temporarily disabled from working due to her September 2009 shoulder injury. Since that time, she has consistently sought treatment for her injury, and her condition has not improved. Rideaux also points out that Kohl's failed to produce any medical evidence to refute the opinions of her doctors. Finally, Rideaux argues that Kohl's never offered her a modified position and that it should not be able to defeat her claim for indemnity benefits with its vague assertion that a coworker would always be available to assist her if she ever had a problem completing any of the duties required of her.
On May 21, 2010, Dr. Green noted that Rideaux was temporarily disabled from working due to her September 2009 shoulder injury. As late as November 11, 2010, Dr. Cascio reported that Rideaux's right shoulder pain had persisted since her injury and that it woke her up at night. Rideaux testified that her whole life has changed since her injury and that she is still plagued by pain in her right shoulder and weakness in her right hand. Kohl's claims that it offered Rideaux a modified position but presented no evidence that her duties would have been altered in any way from how they were before her accident, instead contending that a coworker would be available to assist her whenever necessary. On the other hand, Kohl's never paid for Rideaux to see a physician, never got a second medical opinion, never sent her to vocational rehabilitation, and never paid her any indemnity benefits. Given the totality of the evidence and testimony, we cannot say that the WCJ erred in making the legal determination that Rideaux proved her entitlement to TTD benefits.
Louisiana Revised Statutes 23:1201 is the relevant statute in determining whether an employer should be assessed penalties and attorney fees for failure to timely pay indemnity or medical benefits. The statute provides that no penalties or attorney fees shall be assessed "if the claim is reasonably controverted or if such nonpayment results from conditions over which the employer ... had no control." La.R.S. 23:1201(F)(2).
Odom, 956 So.2d at 141-42 (citations omitted). "The purpose of imposition of penalties and attorney fees is to discourage indifference and undesirable conduct by employers and insurers." Burns v. Interstate Brands Corp., 09-705, p. 7 (La. App. 3 Cir. 2/3/10), 30 So.3d 271, 277.
In seeking to have this court reverse the WCJ's award of penalties and attorney fees, Kohl's contends that it did reasonably controvert Rideaux's claim. It argues that Rideaux did not suffer a compensable accident, that she presented grossly inconsistent accounts of the accident, and that she failed to present any medical evidence of a causal connection between a work accident and her right shoulder condition or of any past, present,
In awarding Rideaux penalties and attorney fees, the WCJ commented:
All of the arguments that Kohl's offers in support of its contention that it had reason to deny Rideaux's claim of injury and disability have been rejected in our discussion of Kohl's first three assignments of error. After reviewing the testimony and evidence in this matter, we find no manifest error in the WCJ's finding that Kohl's did not "reasonably controvert" Rideaux's claim. Accordingly, the WCJ did not err in awarding penalties and attorney fees to Rideaux.
In Broussard v. Louisiana Radio Communications, 10-840, p. 13 (La.App. 3 Cir. 2/2/11), 54 So.3d 1274, 1283 (citation omitted), we stated:
"[A] trial court need not hear evidence pertaining to the time spent by counsel on a matter in order to decide the amount of attorney's fees to award, as the amount of work performed will be obvious from the record." Capdeville v. Winn-Dixie Store No. 1473, 05-870, pp. 8-9 (La.App. 3 Cir. 3/1/06), 923 So.2d 900, 905.
Kohl's contends that even if we affirm the WCJ's award of attorney fees, there is no evidence in the record to support an award of $14,500.00, an amount in excess of the total award to Rideaux. It submits that in the absence of testimony or a written itemization from Rideaux's attorney as to the time spent in this matter, the amount awarded is excessive and unreasonable. Rideaux contends that the record does support the amount of attorney fees awarded, given the amount of experience and skill necessary to combat the aggressive stance taken by Kohl's. Rideaux also submits that because it took as much effort to bring her case to trial as it would have had she been a full-time Kohl's employee, this court should not penalize her or her attorney for pursuing this case in spite of the fact that she was a part-time employee.
When the WCJ announced the $14,500.00 attorney fee award at its oral pronouncement of judgment, counsel for Kohl's stated that he had not received a fee statement from Rideaux's counsel. Although the WCJ did not have its file, it stated that it generally used a fee statement to arrive at the amount of attorney fees to be awarded.
The record on appeal does not contain a fee statement from Rideaux's counsel or
In Nash v. Aecom Technology Corp., 07-990, p. 8 (La.App. 3 Cir. 2/6/08), 976 So.2d 263, 268, this court held that "[a] workers' compensation claimant is entitled to an increase in attorney fees to reflect additional time incurred in defending an employer/insurer's unsuccessful appeal."
Rideaux answered Kohl's appeal seeking additional attorney fees for the work incurred in handling this appeal. We award Rideaux an additional attorney fee of $3,500.00 for the work done on appeal.
The judgment rendered by the workers' compensation judge in favor of Terry Rideaux and against Kohl's Department Stores, Inc. is amended to reflect an attorney fee award of $7,500.00 rather than $14,500.00. The judgment is affirmed in all other respects. Rideaux is awarded additional attorney fees of $3,500.00 for work performed on this appeal. All costs of this appeal are assessed against Kohl's Department Stores, Inc.