PARIENTE, J.

A nursing home patient, Harry Lee Stewart, signed an agreement providing for arbitration of disputes arising out of treatment and care at the nursing home. Stewart subsequently died, allegedly as a result of the nursing home's negligence. Through the personal representative, Debra Laizure, his survivors brought a cause of action in circuit court for deprivation of rights under the applicable nursing home statute and, alternatively, a wrongful death action. The issue in this case presented through the Fifth District's opinion in Laizure v. Avante at Leesburg, Inc., 44 So.3d 1254 (Fla. 5th DCA 2010), is whether an arbitration agreement signed by the decedent requires his estate and heirs to arbitrate their wrongful death claims. In its decision, the Fifth District Court of Appeal concluded that the estate and heirs were bound by the arbitration agreement signed by the patient, but certified the following question to be of great public importance:

Id. at 1259. We have jurisdiction. See art. V, § 3(b)(4), Fla. Const.

This case requires us to examine the nature of wrongful death actions under Florida law and is not about the quality of care provided by nursing homes or other related policy issues. The question presented is whether an arbitration provision in an otherwise valid contract binds the signing party's estate and heirs in a subsequent wrongful death case. For the reasons more fully explained below, we hold that it does.1 Our decision flows from the nature of wrongful death actions in Florida, which we conclude is derivative for purposes of the issue presented in this case. Because the signing party's estate and heirs are bound by defenses that could be raised in a personal injury suit brought by the decedent, as well as by releases signed by the decedent, it would be anomalous to conclude that they are not also bound by a choice of forum agreement signed by the decedent in a wrongful death action arising out of the treatment and care of the decedent. Accordingly, we answer the certified question in the affirmative and approve the Fifth District's decision.

FACTS AND BACKGROUND

Harry Lee Stewart died several days after he was admitted to Avante at Leesburg (AVL) in May 2006 for rehabilitation after surgery. Debra Laizure, as personal representative of Stewart's estate, filed a complaint in circuit court seeking damages in excess of $15,000 against AVL, Avante Ancillary Services, Inc., and Avante Group, Inc. (together "Avante"). Laizure asserted against each of the defendants a claim for deprivation or infringement of Stewart's statutory nursing home residents' rights pursuant to the Florida Nursing Home Residents' Rights Act (NHRRA), embodied in chapter 400, Florida Statutes (2008). Laizure pled in the alternative a claim against each of the defendants for wrongful death based on negligence.

The defendants filed a motion to compel arbitration predicated on an arbitration agreement that Stewart signed on May 15, the day after his admission to AVL. The arbitration agreement was presented to Stewart as part of a packet of admissions paperwork and was entitled "ADDENDUM TO ADMISSION AGREEMENT." It provided in relevant part as follows:

Laizure opposed arbitration, contending that the arbitration agreement was procedurally and substantively unconscionable and that the wrongful death claims were not arbitrable. The trial court found that the arbitration agreement was valid, that the claims brought by Laizure were arbitrable issues, and that the beneficiaries of the estate were intended third-party beneficiaries of the agreement.

On appeal, the Fifth District affirmed the trial court's order. The Fifth District focused primarily on Laizure's argument that the arbitration agreement did not, and could not, encompass a wrongful death claim because the claim did not belong to Stewart, but rather was an independent claim belonging to the estate and the statutory heirs. Laizure, 44 So.3d at 1257. The Fifth District observed that no Florida decision appears to have directly addressed the issue of whether a nursing home arbitration agreement executed by a patient is binding on his estate and heirs in a wrongful death action. Id.

The Fifth District began its discussion by reviewing this Court's decision in Seifert v. U.S. Home Corp., 750 So.2d 633, 635 (Fla.1999), in which the Court held that a wrongful death claim was not arbitrable where the arbitration agreement contained in a homebuyer's purchase and sale contract did not require the arbitration of personal injury tort claims. Laizure, 44 So.3d at 1257-58. The Fifth District recognized, however, that this Court "did not hold that wrongful death claims are not arbitrable. Rather, it concluded that an arbitration provision in a homebuyer's contract, which did not refer to tort claims for personal injuries, did not require arbitration of such disputes." Id. at 1258.

Turning to this case, the Fifth District contrasted the arbitration agreement at issue here with the agreement in Seifert, stating that the arbitration agreement signed by Stewart was "broad, encompassing `any claim based on ... common law or statutory negligence, gross negligence, malpractice or a claim based on any departure from accepted standards of medical or nursing care.'" Id. Because the wrongful death claim was based on alleged negligence, the Fifth District concluded that it fell "squarely within the language of the arbitration agreement." Id.

The Fifth District next addressed Laizure's argument that the very nature of a wrongful death cause of action places it outside the terms of the arbitration agreement. Id. The Fifth District disagreed, reasoning:

Id. The Fifth District noted that the conclusion that a wrongful death claim is within the scope of an arbitration agreement was at least "inferentially supported by" a case in which the Fourth District enforced a nursing home arbitration agreement in a wrongful death action. Id. at 1258 (citing Consol. Res. Healthcare Fund I, Ltd. v. Fenelus, 853 So.2d 500 (Fla. 4th DCA 2003)). The Fifth District observed that other jurisdictions have reached the same result. Id. at 1259 (citing In re Labatt Food Serv., L.P., 279 S.W.3d 640 (Tex. 2009); Trinity Mission Health & Rehab. of Clinton v. Estate of Scott ex rel. Johnson, 19 So.3d 735 (Miss.Ct.App.2008); Briarcliff Nursing Home, Inc. v. Turcotte, 894 So.2d 661 (Ala.2004); Herbert v. Superior Court, 169 Cal.App.3d 718, 215 Cal.Rptr. 477 (1985); Ballard v. Sw. Detroit Hosp., 119 Mich.App. 814, 327 N.W.2d 370 (1982)).

After analyzing this issue, the Fifth District certified to this Court the question of whether a nursing home arbitration agreement signed by a nursing home resident, or his or her representative, binds the resident's estate and statutory heirs to arbitration in a subsequent wrongful death action arising from an alleged tort within the scope of an otherwise valid arbitration agreement. Id.

ANALYSIS

In Florida, "there are three elements for courts to consider in ruling on a motion to compel arbitration of a given dispute: (1) whether a valid written agreement to arbitrate exists; (2) whether an arbitrable issue exists; and (3) whether the right to arbitration was waived." Seifert, 750 So.2d at 636. The certified question in this case — whether the arbitration agreement requires arbitration of the wrongful death claims brought by Laizure on behalf of Stewart's estate and heirs — relates to the first two elements. See id. The question presented is a pure question of law, and this Court's review is de novo. See Sanders v. State, 35 So.3d 864, 868 (Fla.2010) ("Pure questions of law are subject to de novo review.").

We begin our analysis by addressing Laizure's argument that the wrongful death claims are not within the scope of the arbitration agreement. Then, we analyze the issue of whether a nursing home arbitration agreement signed by a nursing home resident, or his or her representative, can bind the resident's estate and statutory heirs to arbitration. To analyze this issue, we first review Florida's Wrongful Death Act. Next we discuss the Florida Nursing Home Residents' Rights Act (NHRRA). Finally, we analyze the nature of wrongful death claims in Florida and answer the certified question in the affirmative.

I. The Scope of the Arbitration Agreement

There is no question that the wrongful death claims under chapter 400 of the Florida Statutes fall within the language of the arbitration agreement in this case. In Seifert v. U.S. Home Corp., 750 So.2d 633, 640-42 (Fla.1999), this Court held that an arbitration provision in a sales agreement for a home did not require arbitration of a wrongful death claim based on negligence where the contract did not mention any of the parties' rights in the event of personal injuries or death but rather referred only to the sale and purchase of the home and the tort action did not bear a significant relationship to the contract. Here, unlike the contract and claim in Seifert, there is a "significant relationship," id., between the contract and the allegations in the complaint. Further, unlike Seifert, the terms of the arbitration agreement in this case specifically "contemplated the existence and arbitration of future tort claims for personal injuries based on a party's common law negligence." Id. The agreement expressly encompasses claims arising out of or relating to Stewart's stay at the facility, including negligence and malpractice, and is expressly binding upon and includes claims brought by Stewart's "heirs." As reflected in the terms of the arbitration agreement, it is clear that the contracting parties intended to include wrongful death claims such as those brought in this case.

Laizure nevertheless contends that the wrongful death claims are not arbitrable because a wrongful death claim is an independent cause of action belonging to the survivors under Florida's Wrongful Death Act. We now turn to an examination of the Act.

II. Florida's Wrongful Death Act

"A court's purpose in construing a statute is to give effect to legislative intent, which is the polestar that guides the court in statutory construction." Gomez v. Vill. of Pinecrest, 41 So.3d 180, 185 (Fla. 2010). The Legislature has expressly provided in the wrongful death statute that it is "the public policy of the state to shift the losses resulting when wrongful death occurs from the survivors of the decedent to the wrongdoer." § 768.17, Fla. Stat. (2008). Sections 768.16-26, Florida Statutes, known as the "Florida Wrongful Death Act," are remedial and are to be liberally construed. § 768.17, Fla. Stat.

The Act provides for a cause of action that may be brought by a decedent's personal representative when the decedent's death is caused by the wrongful act, negligence, default, or breach of contract or warranty of any person:

§ 768.19, Fla. Stat. (2008) (emphasis added). The next section further provides:

§ 768.20, Fla. Stat. (2008). The Act also provides for damages that may be recovered by the survivors, see § 768.21, Fla. Stat. (2008), and requires that "[t]he amounts awarded to each survivor and to the estate shall be stated separately in the verdict." § 768.22, Fla. Stat. (2008).

Because this case also involves the Florida Nursing Home Residents' Rights Act, we briefly discuss that statutory scheme next.

III. Florida Nursing Home Residents' Rights Act

The purpose of the NHRRA is to provide for the "development, establishment, and enforcement of basic standards for: (1) the health, care, and treatment of persons in nursing homes and related health care facilities; and (2) the maintenance and operation of such institutions that will ensure safe, adequate, and appropriate care, treatment, and health of persons in such facilities." § 400.011, Fla. Stat. (2008). The NHRRA sets forth the statutory rights of nursing home residents. § 400.022, Fla. Stat. (2008). The NHRRA includes a provision for civil enforcement that provides for a cause of action for negligence or a violation of the rights set forth in section 400.022. § 400.023, Fla. Stat. (2008). The action may be brought by the resident or his or her guardian, by a person or organization acting on behalf of a resident, or by the personal representative of the estate of a deceased resident regardless of the cause of death. Id. The NHRRA provides that the action may be brought in any court of competent jurisdiction and that the claimant may recover actual and punitive damages. Id.

If the action alleges that negligence or a violation of the resident's rights caused the resident's death, the claimant is "required to elect either survival damages pursuant to s. 46.021 or wrongful death damages pursuant to s. 768.21." Id.2 Section 46.021 provides that "[n]o cause of action dies with the person. All causes of action survive and may be commenced, prosecuted, and defended in the name of the person prescribed by law." § 46.021, Fla. Stat. (2008). Section 768.21 is part of Florida's Wrongful Death Act and provides for the damages that may be claimed by the decedent's estate and statutory heirs. § 768.21, Fla. Stat. (2008).

The ability of a claimant to elect between a survival action and a wrongful death action emanates from the NHRRA. When the NHRRA does not apply, the personal injury cause of action abates upon the death of the injured party under the Wrongful Death Act, and the wrongful death cause of action becomes the only avenue for recovery. See § 768.20, Fla. Stat. (2008) ("When a personal injury to the decedent results in death, no action for the personal injury shall survive....").

IV. Answering the Certified Question

Although Florida's Wrongful Death Act has "long [been] characterized ... as creating a new and distinct right of action from the right of action the decedent had prior to death," Toombs v. Alamo Rent-A-Car, Inc., 833 So.2d 109, 111 (Fla.2002), courts have also characterized wrongful death actions as derivative because they are dependent on a wrong committed against the decedent. This Court has explained that "[w]hile the Wrongful Death Act creates independent claims for the survivors, these claims are also derivative in the sense that they are dependent upon a wrong committed upon another person. No Florida decision has allowed a survivor to recover under the wrongful death statute where the decedent could not have recovered." Valiant Ins. Co. v. Webster, 567 So.2d 408, 411 (Fla.1990), receded from on other grounds by Gov't Employees Ins. Co. v. Douglas, 654 So.2d 118, 119-20 (Fla. 1995).

The right of the survivors to recover is predicated in the Act on the decedent's right to recover. In other words, recovery is precluded if the decedent could not have maintained an action and recovered damages if death had not ensued. Section 768.19, Florida Statutes (2008), provides for a cause of action "[w]hen the death of a person is caused by the wrongful act, negligence, default, or breach of contract or warranty of any person, ... and the event would have entitled the person injured to maintain an action and recover damages if death had not ensued." (Emphasis added.) In Variety Children's Hospital v. Perkins, 445 So.2d 1010, 1011-12 (Fla.1983), this Court held that a wrongful death action was barred where the decedent, during his lifetime, had filed a personal injury action and had fully recovered, because "[a]t the moment of his death [the injured party] had no right of action against the tortfeasor because his cause of action had already been litigated, proved and satisfied.... Since there was no right of action existing at the time of death, under the statute no wrongful death cause of action survived the decedent."

More recently, in Toombs, this Court barred recovery for a wrongful death claim predicated upon the dangerous instrumentality doctrine where the decedent had no right of action because she was a co-bailee of the vehicle. 833 So.2d at 118. This Court held that "no right of action originated in the decedent to which a wrongful death cause of action could attach" and concluded as follows:

Id. at 118. Similarly, Florida cases have held that a general release executed by the decedent in resolution of a personal injury action bars any subsequent wrongful death action. See Warren v. Cohen, 363 So.2d 129, 131 (Fla. 3d DCA 1978) (holding that "the subsequently filed wrongful death action is barred by the release signed by the decedent prior to her death"); see also Ryter v. Brennan, 291 So.2d 55, 57 (Fla. 1st DCA 1974) (settlement and general release by decedent barred wife's subsequent wrongful death claims).

The above cases illustrate that in wrongful death actions in Florida, the defendant's liability flows from actions toward the decedent, and the ability of the estate and heirs to recover is predicated on the decedent's entitlement to maintain an action and recover damages if death had not ensued. As the Fifth District observed in this case:

Laizure, 44 So.3d at 1258 (emphasis added).

We acknowledge that courts in other states are split when considering the question of whether the estate and heirs are bound by an arbitration agreement signed by the decedent, even in states with provisions similar to Florida that predicate a wrongful death claim on the ability of the decedent to have brought suit and recover damages had he or she lived.3 We also acknowledge that the measure of damages for a wrongful death cause of action under Florida law is different than for a personal injury claim that could have been brought by the decedent.

Principled arguments exist on both sides of this issue. However, we ultimately conclude that the nature of a wrongful death cause of action in Florida is derivative in the context of determining whether a decedent's estate and heirs are bound by the decedent's agreement to arbitrate. The estate and heirs stand in the shoes of the decedent for purposes of whether the defendant is liable and are bound by the decedent's actions and contracts with respect to defenses and releases. See § 768.19, Fla. Stat. (2008) (requiring for a wrongful death cause of action that "the event would have entitled the person injured to maintain an action and recover damages if death had not ensued"); see also Toombs, 833 So.2d at 118; Variety Children's Hosp., 445 So.2d at 1012. For example, if a decedent signs a release of liability in resolution of a personal injury action, the estate and heirs would be precluded from bringing a wrongful death cause of action based on the same conduct. We see no reason that a different result is compelled for the decedent's choice of forum, and it would be anomalous to give greater rights to the estate and heirs than to the decedent. Finally, we note that holding otherwise in the nursing home context would give the personal representative of an estate the strategic choice under the NHRRA, section 400.023, to elect to pursue a wrongful death claim, rather than a survivor action on behalf of the decedent, simply to avoid arbitration that was agreed to by the decedent.

In sum, the wrongful death claims in this case are clearly within the scope of the arbitration agreement. With respect to whether they are arbitrable, we conclude that the estate and statutory heirs are bound by the arbitration agreement to the same extent that Stewart would have been bound. Therefore, they are required to arbitrate their wrongful death claims under the arbitration agreement signed by Stewart.

CONCLUSION

For the foregoing reasons, we answer the certified question in the affirmative and hold that the execution of a nursing home arbitration agreement by a party with the capacity to contract binds the decedent's estate and statutory heirs in a subsequent wrongful death action arising from an alleged tort within the scope of an otherwise valid arbitration agreement. Accordingly, we approve the Fifth District's decision.

It is so ordered.

POLSTON, C.J., and LEWIS, QUINCE, CANADY, LABARGA, and PERRY, JJ., concur.