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Virginia Neves v. Lewis County Nursing Home District

Decision date: May 24, 20069 pages

Summary

The Commission affirmed the administrative law judge's award of workers' compensation benefits to Virginia L. Neves for a low back injury sustained on April 19, 2002, while employed at Lewis County Nursing Home District. The employee was awarded 20% permanent partial disability of the body as a whole, along with unpaid medical expenses and temporary and permanent disability benefits.

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Caption

FINAL AWARD ALLOWING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 02-045936

Employee: Virginia L. Neves

Employer: Lewis County Nursing Home District

Insurer: Missouri Nursing Home Insurance Trust

Date of Accident: April 19, 2002

Place and County of Accident: Lewis County, Missouri

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by section 287.480 RSMo. Having reviewed the evidence and considered the whole record, the Commission finds that the award of the administrative law judge is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated December 28, 2005. The award and decision of Administrative Law Judge Robert J. Dierkes, issued December 28, 2005, is attached and incorporated by this reference.

Employee's brief contained an objection to employer/insurer's brief. That objection is overruled.

The Commission further approves and affirms the administrative law judge's allowance of attorney's fee herein as being fair and reasonable.

Any past due compensation shall bear interest as provided by law.

Given at Jefferson City, State of Missouri, this $\underline{24^{\text {th }}}$ day of May 2006.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

Secretary

AWARD

Dependents:N/ABefore the DIVISION OF WORKERS' COMPENSATION
Employer:Lewis County Nursing Home DistrictDepartment of Labor and Industrial
Additional Party:N/ARelations of Missouri
Jefferson City, Missouri
Insurer:Missouri Nursing Home Insurance Trust
Hearing Date:October 26, 2005Checked by: RJD/tmh

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? Yes.
  2. Was the injury or occupational disease compensable under Chapter 287? Yes.
  3. Was there an accident or incident of occupational disease under the Law? Yes.
  4. Date of accident or onset of occupational disease: April 19, 2002.
  5. State location where accident occurred or occupational disease was contracted: Lewis County, Missouri.
  6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes.
  7. Did employer receive proper notice? Not applicable.
  8. Did accident or occupational disease arise out of and in the course of the employment? Yes.
  9. Was claim for compensation filed within time required by Law? Yes.
  10. Was employer insured by above insurer? Yes.
  11. Describe work employee was doing and how accident occurred or occupational disease contracted:

Claimant sustained injury to her low back as the result of continually lifting and turning nursing home patients. 12. Did accident or occupational disease cause death? No. Date of death? N/A. 13. Part(s) of body injured by accident or occupational disease: Low back. 14. Nature and extent of any permanent disability: 20 % permanent partial disability of the body as a whole. 15. Compensation paid to-date for temporary disability: None. 16. Value necessary medical aid paid to date by employer/insurer? $\ 2,614.45. 17. Value necessary medical aid not furnished by employer/insurer? $\ 59,462.99. 18. Employee's average weekly wages: $\ 260.46. 19. Weekly compensation rate: $\$ 173.64 / \ 173.64. 20. Method wages computation: Stipulation.

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Unpaid medical expenses: $\ 59,462.99 $191 / 7 weeks of temporary total disability benefits: \quad \ 3,323.97 80 weeks of permanent partial disability benefits from Employer: $\quad \ 13,891.20

  1. Future requirements awarded: None.

Said payments to begin immediately and to be payable and be subject to modification and review as provided by law.

The compensation awarded to the claimant shall be subject to a lien in the amount of 25 % of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: Terrell Dempsey

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Virginia L. Neves

Injury No: 02-045936

Before the

DIVISION OF WORKERS'

COMPENSATION

Department of Labor and Industrial Relations of Missouri

Jefferson City, Missouri

Dependents: N/A

Employer: Lewis County Nursing Home District

Additional Party: N/A

Insurer: Missouri Nursing Home Insurance Trust

Checked by: RJD/tmh

ISSUES DECIDED

The evidentiary hearing in this case was held before the undersigned administrative law judge on October 26, 2005, in Hannibal. The parties requested leave to file post-hearing briefs, which leave was granted. The case was submitted on November 10, 2005. The hearing was held to determine the following issues:

  1. Whether Claimant, Virginia Neves, sustained an accident or occupational disease arising out of and in the course of her employment with Employer, Lewis County Nursing Home District, on or about April 19, 2002;
  2. If sustained, whether the accident or occupational disease was the medical and legal cause of the injuries and conditions alleged by Claimant;
  3. Whether the notice requirement of Section 287.420, RSMo, serves to bar the Claim for Compensation herein;
  1. Whether Claimant is entitled to temporary total disability ("TTD") benefits, and, if so, for what period(s) of time;
  2. Whether Employer and Insurer shall be ordered to pay Employee's medical bills; and
  3. The nature and extent of Claimant's permanent partial disability, if any.

STIPULATIONS

The parties stipulated:

  1. That the Missouri Division of Workers' Compensation has jurisdiction over this case;
  2. That venue is proper in Lewis County and adjoining counties; Marion County is an adjoining county to Lewis County;
  3. That the Claim for Compensation was filed within the time allowed by the Statute of Limitations, Section 287.430, RSMo;
  4. That both Employer and Employee were covered under the Missouri Workers' Compensation Law at all relevant times;
  5. That the rates of compensation are $\$ 173.64 / \ 173.64, based on an average weekly wage of $\ 260.46;
  6. That Lewis County Nursing Home District was self-insured for Missouri Workers' Compensation purposes at all relevant times through Missouri Nursing Home Insurance Trust; and
  7. That Employer paid medical benefits of $\ 2,614.45.

EVIDENCE

The evidence consisted of the testimony of Claimant, Virginia Neves; the testimony of Douglas Neves, Claimant's husband; a medical report and deposition testimony of Dr. Jerome Levy; a medical report of Dr. Russell Cantrell; medical records; and medical bills.

FINDINGS OF FACT

I find that Claimant, Virginia Neves, was born May 28, 1963, is married with four children, and has a tenth-grade education. I find that Claimant worked for Employer for three or four years prior to the alleged work-related injury. Employer is a nursing home. Claimant worked in the laundry for the first year of her employment, and then worked as a certified nursing assistant ("CNA") thereafter. Claimant would usually work the 10:00 P.M. to 6:00 A.M. shift, and usually worked less than 40 hours each week. Claimant was responsible for approximately 36 of the nursing home residents during her shift. A significant portion of Claimant's duties consisted of "turning" residents in their beds, for comfort and to prevent bed sores. Approximately 30 of the patients would need to be turned; usually a patient was turned every two hours. A sheet was used to turn the patients; some of the patients could assist Claimant in this task, others could not. Another part of Claimant's duties consisted of getting residents out of bed in the morning, dressing them, brushing their teeth, and otherwise attending to their hygiene. Claimant testified that she would, thus, assist approximately six residents each morning.

Claimant testified that a significant portion of her duties consisted of lifting the residents. Claimant testified that, at least once or twice a night, a resident would lose his or her balance and "they would fall on me".

There was no evidence adduced that indicated that Claimant suffered from any back or neck problems prior to her employment at Lewis County Nursing Home.

The claim for compensation filed in this case (Injury No. 02-045936) on May 10, 2002, alleges that Claimant injured "neck, spine, and back", and a description of how the injury occurred alleges "Claimant was injured while lifting patients repetitively", "on or about April 19, 2002".

Claimant testified that in February 2002, an incident occurred when Claimant was working in a resident's room with her back to the door, and a nurse came to the door to talk to Claimant. Claimant testified that as she turned her head to listen, she felt immediate pain in her neck. On April 4, 2002, Claimant filed with Employer a REPORT BY INJURED EMPLOYEE concerning this incident. On May 13, 2002, Employer filed a first report of injury with the Division of Workers' Compensation, and Injury No. 02-044039 was assigned.

According to the REPORT BY INJURED EMPLOYEE filed by Claimant, Claimant was seen by Dr. Dysktra for her neck as well as for her back in March 2002, although there are no such medical records in evidence. The first medical records in evidence are a CERTIFICATE OF PHYSICAL EXAMINATION from a nurse practitioner at Quincy Medical Group, stating that Claimant should not work until seen by Dr. Gilchrist, and a WORK ABILITY REPORT from Dr. Gilchrist at Quincy Medical Group dated April 16, 2002, stating that Claimant could return to work with no lifting over 25 pounds, and scheduling Claimant for physical therapy beginning April 17, 2002. Claimant testified that Employer did provide her with light duty from this time forward until her last day of work on September 12, 2002.

The first history noted in the medical records is on the physical therapist's INITIAL EVALUATION dated April 23, 2002. This noted an onset date of "February 2002" and states: "Patient recalls no specific injury. She noticed pain in her back beginning in February. Patient states that her work is also a difficulty (sic) type job and this could have been gradually building up reportedly from her work."

A lumbar MRI was done on April 19, 2002, which showed a posterior disc bulge at L4-5 and at L5-S1, with significant dessication in the L5-S1 disc, without compromise of the nerve roots.

On May 6, 2002, Claimant was seen by Dr. Linda Johnson. The history recorded by Dr. Johnson is as follows:

She has a 4 -year history of working as a CNA. Through the last two of those, she has had increasing amounts of back pain. It has been especially severe for two or three months with pain in the right buttocks going into the back of the thigh, which was stabbing. She tried to go back to work about $21 / 2$ weeks ago, but the lifting and weight seemed to worsen the pain and it has become a cramping pain rather than a stabbing pain that more often travels into the lateral thigh and sometimes down into the leg. ... She does not remember a specific injury, although there is some neck pain and she remembers that in February she was working and turned her head to answer a question and felt the neck pop. Since then, pain problems have been somewhat worse, especially in the neck.

On May 15, 2002, Claimant was seen by a pain clinic specialist, Dr. M. Azad Tayyab, who performed an epidural steroid injection. The history given to Dr. Tayyab was similar to that given to Dr. Johnson, with the addition of the following: " She is married, with four children, who currently keep her very active, busy, and may be the cause of her pain."

On May 16, 2002, Employer-Insurer sent Claimant to see Dr. Christopher Bieniek, an orthopedic surgeon. Dr. Bieniek's PROGRESS REPORT of that date was admitted into evidence over the objection of Employer-Insurer. Employer-Insurer argues that Dr. Bieniek's PROGRESS REPORT is not a record of medical treatment, but is rather an evaluation fo

Full decision text continues in the plain-text archive copy.

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