GREG N. STIVERS, District Judge.
This matter is before the Court on: (1) Defendant's Motion for Partial Summary Judgment on Plaintiff's Statutory & Negligence Per Se Claims (DN 30); (2) Defendant's Motion for Partial Summary Judgment on Plaintiff's Wrongful Death Beneficiaries' Grief Claims (DN 31); (3) Defendant's Motion for Partial Summary Judgment on Plaintiff's Claim for Punitive Damages (DN 32); (4) Defendant's Motion to Exclude Medical Causation Testimony by Nurse Nancy Dion and Certain Arguments by Counsel (DN 33); and (5) Defendant's Motion for Summary Judgment and Motion for Partial Summary Judgment on Plaintiff's Claims for Past Medical Expenses (DN 34). For the reasons set forth below, Defendant's Motion for Summary Judgment (DN 34) is
On August 6, 2014, Tommie Haugabook ("Haugabook"), now deceased, was admitted to Regency Center—a nursing home facility owned and operated by Defendant Regency Nursing, LLC ("Defendant"). (Compl. ¶ 7, DN 1-2). At that time of her admission Haugabook suffered from a variety of medical issues, including acute respiratory failure, diabetes mellitus, and breast cancer. (Def.'s Expert Witness Disclosure Ex. E, at 2, DN 26-5 [hereinafter Lehman Report]; Garrett Dep. 7:23-25, Jan. 18, 2017, DN 38-4; Richardson Dep. 42:25-43:1, Jan. 18, 2017, DN 38-3). As a result of these illnesses Haugabook was bed-ridden and non-verbal, wore a tracheal tube, and required total assistance from the nurses at Defendant's facility. (Garrett Dep. 7:23-25; Danielle Richardson Dep. 28:11-14, Jan. 18, 2017, DN 38-2).
Throughout the course of Haugabook's stay at Regency Center, her daughter, Plaintiff Nicole Colston ("Colston"), visited her regularly. (Colston Dep. 33:19-34:6, Nov. 10, 2016, DN 39-5). During those visits Colston perceived that Regency Center nurses were providing Haugabook with substandard care. Specifically, Colston observed that her mother's tracheal tube was often dirty and clogged, causing it to overflow onto Haugabook's chest. (Colston Dep. 39:9-22). In addition, Colston could regularly smell Haugabook's urine and feces as a result of the nursing staff's failure to change Haugabook's diaper. (Colston Dep. 43:1-19). Colston allegedly reported each instance of substandard care to the nurses' station near Haugabook's room, and, in response, the nurses always told her that they were "short staffed" and would "get to it when [they] could. . . ." (Colston Dep. 40:1-9).
After many months of care at Regency Center and hospitalizations,
Colston, as executrix of Haugabook's estate, filed suit against Defendant raising three causes of action. (Compl. ¶¶ 8-40). The Complaint first alleges that the nurses at Regency Center acted negligently when they: (1) failed to perform a variety of tasks—such as ensuring that Haugabook received adequate skin and "incontinent care"—and (2) violated Kentucky statutes designed to protect elderly and incompetent individuals from abuse.
The parties proceeded with discovery and disclosed their expert witnesses. Defendant submitted two expert reports—one from Vincent W. Delagarza, MD ("Delagarza"), the other from Janine Lehman, RN ("Lehman"). (See Delagarza Report; Lehman Report). Lehman's report explained that the nurses at Regency Center complied "with the applicable standard of care" in caring for Haugabook, and Delagarza opined that none of the nurses' alleged misconduct caused Haugabook's skin breakdown, infections, dehydration, or death. (Lehman Report 1-3; Delagarza Report 5-6; Delagarza Dep. 26:3-21, Aug. 16, 2017, DN 33-3). Plaintiff identified Nancy Dion, RN ("Dion") as an expert witness, but never submitted any documents detailing Dion's expert opinion. (See Pl.'s Expert Disclosure ¶ 1, DN 22). In fact, the only portion of Dion's deposition submitted to this Court was a one-page excerpt in which Dion testified that she is not qualified to give an opinion on whether the nurses' alleged negligence caused Haugabook's injuries. (Dion Dep. 106:4-12, Aug. 4, 2017, DN 32-4 [hereinafter Dion Dep.]).
Once discovery closed, Defendant filed five motions, all of which are pending but only one of which is dispositive of Plaintiff's case, Defendant's Motion for Summary Judgment and Motion for Partial Summary Judgment on Plaintiff's Claims for Past Medical Expenses (DN 34) ("Defendant's Motion for Summary Judgment"). In that motion, Defendant argues that it is entitled to summary judgment on each of Plaintiff's claims because Plaintiff submitted no evidence supporting her claim that the nurses' alleged misconduct caused Haugabook's injuries.
Plaintiff has responded to each pending motion. Importantly, however, Plaintiff does not attach or cite to evidence in any of her responses supporting her contention that Defendant's alleged misconduct caused Haugabook's injuries. (See, e.g., Pl.'s Resp. Def.'s Mot. Summ. J. Pl.'s Claims Past Medical Expenses, DN 35 [hereinafter Pl.'s Resp. Def.'s Mot. Summ. J.]). Defendant has filed reply briefs corresponding to each of its motions, largely reiterating the arguments it raised in its merits briefs. (See, e.g., Def.'s Reply Supp. Mot. Summ. J., DN 47). The parties have fully briefed the pending motions and each is ripe for adjudication. As noted, however, Defendant's Motion for Summary Judgment (DN 34) is dispositive of the case and, as such, the Court will only address that motion.
Summary judgment is appropriate when "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). "[A] party moving for summary judgment may satisfy its burden [of showing] that there are no genuine issues of material fact simply `by pointing out to the court that the [nonmoving party], having had sufficient opportunity for discovery, has no evidence to support an essential element of his or her case.'" Minadeo v. ICI Paints, 398 F.3d 751, 761 (6th Cir. 2005) (quoting Street v. J.C. Bradford & Co., 886 F.2d 1472, 1479 (6th Cir. 1989)). Similarly, the movant may meet its burden by offering evidence negating an essential element of the nonmoving party's claim. Dixon v. United States, 178 F.3d 1294, 1999 WL 196498, at *3 (6th Cir. 1999).
After the movant either shows "that there is an absence of evidence to support the nonmoving party's case," or affirmatively negates an essential element of the non-moving party's claims, the non-moving party must identify admissible evidence that creates a dispute of fact for trial. See Celotex Corp. v. Catrett, 477 U.S. 317, 325 (1986); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986). While the Court must view the evidence in a light most favorable to the non-moving party, the non-moving party "must do more than simply show that there is some metaphysical doubt as to the material facts." Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986). "The mere existence of a scintilla of evidence in support of the plaintiff's position [is] insufficient; there must be evidence on which the jury could reasonably find for the plaintiff." Anderson, 477 U.S. at 252.
Defendant moves for summary judgment on Plaintiff's negligence, statutory, and wrongful death claims, arguing that she has not presented evidence showing that Defendant's alleged misconduct caused Haugabook's injuries. (Def.'s Mem. Supp. Summ. J. 1-6). In support, Defendant points out that its expert, Delagarza, has reported that its nurses did not cause any of Plaintiff's injuries, and that Plaintiff's expert, Dion, has testified that she is not qualified to testify regarding causation. (Def.'s Mem. Supp. Summ. J. 1-6). Thus, Defendant contends its unrebutted expert opinion negates an essential element of each of Plaintiff's claims, thereby entitling it to summary judgment. (Def.'s Mem. Supp. Summ. J. 1-6).
At the outset, the Court observes that each of Plaintiff's causes of action requires her to show that Defendant caused decedent to suffer an injury. Indeed, "[i]t is beyond dispute that causation is a necessary element of proof in any negligence case," and causation is never presumed "from the mere evidence of mental pain and suffering" of the injured party.
Delagarza's expert opinion affirmatively negates Colston's allegation that Defendant caused Haugabook's alleged injuries. (Delagarza Report 5-6; Delagarza Dep. 26:3-21). To be sure, Colston claims that Haugabook suffered the following injuries: (1) skin breakdown around her chest, (2) infections (presumably in her urinary tract), (3) dehydration, and (4) death. (Compl. ¶ 13(c)-(g)). The fatal flaw here is that Colston points to no evidence to support a finding that any of these injuries was caused by Defendant's substandard care. Absent such proof, Plaintiff's negligence claims fails as a matter of law. See Andrew v. Begley, 203 S.W.3d 165, 171 (Ky. App. 2006) ("[When] [t]here are no facts or circumstances from which negligence and causation can be inferred," "[a plaintiff] [is] required to present expert testimony on the issue of medical malpractice." (internal citation omitted)). Even in the absence of some evidence to meet Plaintiff's burden of establishing causation, Defendant has affirmatively proven the absence of causation. Delagarza opines that: (1) the nurses' alleged failure to clean Haugabook's tracheal tube did not cause the skin breakdown on her chest, (2) Haugabook did not suffer from any infections, as her supposed urinary tract infection was actually "colonization" caused by Haugabook's old age, (3) Haugabook "was not dehydrated," and (4) "[t]he care rendered by the staff at [Regency Center] did not cause" Haugabook's death. (Delagarza Report 5-6; Delagarza Dep. 26:3-21).
Plaintiff can only avoid summary judgment by identifying evidence that rebuts Delagarza's opinion, and she has failed to do so. Contrary to the requirements of Kentucky law, Plaintiff has not presented expert reports or testimony explaining that Defendant's conduct caused Plaintiff's injuries. See Baylis v. Lourdes Hosp., Inc., 805 S.W.2d 122, 124 (Ky. 1991) (observing that "proof of causation requires" expert testimony "in most medical negligence cases. . . ."). In fact, the only expert witness identified by Colston never opined that Defendant's conduct caused Haugabook's alleged injuries; to the contrary, Nurse Dion candidly admitted that she is not qualified to provide an opinion regarding causation. (Dion Dep. 106:4-12).
Under these circumstances, Defendant is entitled to summary judgment on each of Plaintiff's claims. See Dixon, 1999 WL 196498, at *3 (affirming grant of summary judgment for the defendant when the plaintiff failed to rebut the defendant's evidence negating an element of the plaintiff's claim). Plaintiff's case is therefore dismissed, and the rest of Defendant's pending motions are moot.
For the foregoing reasons,
1. Defendant's Motion for Summary Judgment (DN 34) is
2. All other of Defendant's remaining pending motions (DN 30, 31, 32, 33) are