Skip to content
Ott Law Firm

Rhonda Long v. Monroe Manor Nursing Home

Decision date: October 31, 20088 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award finding the employee's left shoulder injury compensable under Missouri workers' compensation law. The injury occurred on July 6, 2007, when the employee tripped and fell while going to get a lift at the nursing home; this is a temporary or partial award with final compensation to be determined later.

Archive Notice

This archive contains published Missouri Labor and Industrial Relations Commission workers' compensation decisions reproduced for research convenience. Official source links remain authoritative where provided. Joseph Ott, Attorney 67889, Ott Law Firm - Constant Victory - Personal Injury and Litigation maintains these public legal archives to support Missouri case research and to help prospective clients connect that research to the firm's courtroom practice.

Related Legal Help

Practical guidance for this decision

Third-Party Injury Check

This workers' comp decision may point to a separate injury claim.

  • A driver, contractor, property owner, or equipment company may share fault.
  • The injury involved a vehicle, unsafe premises, defective equipment, or a non-employer vendor.
  • A serious injury or death may need both benefits review and civil-claim analysis.

Caption

TEMPORARY OR PARTIAL AWARD (Affirming Award and Decision of Administrative Law Judge)Injury No.: 07-087624
Employee:Rhonda J. Long
Employer:Monroe Manor Nursing Home
Insurer:Missouri Nursing Home Insurance Trust
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund (Open)
Date of Accident:July 6, 2007
Place and County of Accident:Paris, Monroe County, Missouri

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission for review as provided by section 287.480 RSMo, which provides for review concerning the issue of liability only. Having reviewed the evidence and considered the whole record concerning the issue of liability, the Commission finds that the award of the administrative law judge in this regard 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 and adopts the award and decision of the administrative law judge dated May 23, 2008.

This award is only temporary or partial, is subject to further order and the proceedings are hereby continued and kept open until a final award can be made. All parties should be aware of the provisions of section 287.510 RSMo.

The award and decision of Administrative Law Judge Ronald F. Harris, issued May 23, 2008, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this 31st day of October 2008.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

TEMPORARY OR PARTIAL AWARD

Employee: Rhonda J. Long

Injury No. 07-087624

Before the DIVISION OF WORKERS' COMPENSATION

Department of Labor and Industrial Relations of Missouri

Jefferson City, Missouri

Dependents: $\quad \mathrm{N} / \mathrm{A}$

Employer: Monroe Manor Nursing Home

Additional Party: Second Injury Fund (left open)

Insurer: Missouri Nursing Home Insurance Trust

Hearing Date: April 28, 2008

Checked by: $\mathrm{RFH} / \mathrm{tmh}$

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? See award.
  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: July 6, 2007.
  5. State location where accident occurred or occupational disease contracted: Paris, Monroe 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? Yes.
  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 happened or occupational disease contracted: Going to get a lift when tripped and fell.
  12. Did accident or occupational disease cause death? No. Date of death? N/A.
  13. Parts of body injured by accident or occupational disease: Left shoulder.
  1. Compensation paid to-date for temporary disability: None.
  2. Value necessary medical aid paid to date by employer/insurer? $\ 728.91.
  3. Value necessary medical aid not furnished by employer/insurer: To be determined later.

Employee: Rhonda J. Long Injury No. 07-087624

  1. Employee's average weekly wages: $\ 393.75.
  2. Weekly compensation rate: $\$ 262.50 / \ 262.50.
  3. Method wages computation: By agreement.

COMPENSATION PAYABLE

Amount of compensation payable: To be determined later.

Each of said payments to begin immediately and be subject to modification and review as provided by law. This award is only temporary or partial, is subject to further order, and the proceedings are hereby continued and the case kept open until a final award can be made.

IF THIS AWARD IS NOT COMPLIED WITH, THE AMOUNT AWARDED HEREIN MAY BE DOUBLED IN THE FINAL AWARD, IF SUCH FINAL AWARD IS IN ACCORDANCE WITH THIS TEMPORARY AWARD.

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Rhonda J. Long

Injury No: 07-087624

Before the

DIVISION OF WORKERS'

COMPENSATION

Department of Labor and Industrial Relations of Missouri

Jefferson City, Missouri

Dependents: N/A

Employer: Monroe Manor Nursing Home

Additional Party: Second Injury Fund (left open)

PRELIMINARIES

The parties appeared before the undersigned Administrative Law Judge for a temporary hearing on April 28, 2008. The Division had jurisdiction to hear this case pursuant to $\S 287.110$ RSMo. Attorney Casey Welch represented Rhonda Long ("Claimant"). Attorney Patrick Reidy represented Monroe Manor Nursing Home ("Employer") and Missouri Nursing Home Insurance Trust ("Insurer"). The Second Injury Fund did not appear and is left open as the issues presented were limited to those raised in a temporary award and did not directly involve the Second Injury Fund. Both parties submitted post hearing memoranda.

STIPULATIONS

  1. The Employee and the Employer were operating under the provisions of the Workers' Compensation Law on or about July 6, 2007;
  2. The Employer's liability was insured through Missouri Nursing Home Insurance Trust;
  3. The Employee's average weekly wage was $\ 393.75;
  4. The rate of compensation for temporary total disability is $\ 262.50;

- The Employer has paid no TTD benefits to date; and

  1. The Employer has provided medical aid in the amount of $\ 728.91.

ISSUES

The parties requested the Division to determine:

  1. Whether Employee sustained a compensable injury by way of an accident arising out of and in the course of her employment on July 6, 2007.
  2. Whether Employee is entitled to temporary total disability benefits.

The following exhibits were admitted into evidence without objection:

CLAIMANT'S EXHIBITS

Exhibit A: Report of Injured Employee

Exhibit B: Deposition of Rhonda Long

The Employer offered no exhibits.

Any exhibits containing markings, highlighting, etc., were submitted in that manner. The undersigned has made no markings of any kind on any of the evidence. Any objections not specifically addressed in this award are overruled.

FINDINGS OF FACT

Claimant testified that on July 6, 2007, she was employed for the employer as a certified nurse's aid working the 2:00 p.m. to 10:30 p.m. shift. Her duties consisted of such things as assisting residents in getting into and out of bed; getting them ready for and taking them to the evening meal; taking them to the restroom and assisting them with bathing.

On July 6, 2007, Claimant and a co-worker were responsible for assisting some 20 to 22 residents. Claimant testified that the busiest time of the shift was getting people ready for the evening meal, as they were to have everyone in the dining room at 5:00 p.m., so their dinner trays could be delivered. In order to try to get everyone in the dining room by 5:00, the CNA's would begin taking residents to the dining room around 4:00 p.m.

At approximately 4:45 p.m. on July 6, Claimant had just finished taking a resident to the dining room and was in the process of going to get another when she came upon one of her resident's sitting in a wheel chair at the nurses' station. That resident told the Claimant she needed to go to the restroom. Claimant informed the resident she would have to go get a lift to assist getting the person out of the wheelchair and to the restroom. Claimant testified it would take 15 to 20 minutes to get the lift and get the resident to the restroom before she could then resume taking people to the dining room for the evening meal. She was walking down the hall at a rapid pace, faster than her normal pace, to get the lift when she tripped over her shoe and fell forward on her face and left shoulder. She did not know if her shoe stuck or caught on the floor, just that she tripped over her shoe. The incident was reported and Claimant was taken by ambulance to the emergency room at the Audrain Medical Center, where x-rays were taken suggesting a possible rotator cuff tear.

Employer then sent Claimant to see Dr. Mary Jo Crawford, who also suspected a rotator cuff tear, placed claimant in a sling, and sent her for an MRI. Dr. Crawford then referred claimant to Dr. Quinn at Columbia Orthopaedic Group. Upon arriving at Dr. Quinn's office on July 16, claimant was informed the employer was denying treatment and if she wanted to see Dr. Quinn, she would have to pay for it herself. Claimant agreed to pay for the visit. After reviewing the MRI, Dr. Quinn diagnosed a large rotator cuff tear and recommended surgery and physical therapy. Claimant testified that she did not get either the surgery or the therapy, as she did not have health insurance and could not afford to pay for it herself.

Dr. Quinn informed Claimant she could perform light duty work and Claimant so advised the employer. Claimant testified the employer declined to offer her light duty work. Claimant returned to Dr. Quinn on July31, at which time the doctor told her she needed to have surgery and there was no need for her to return unless it was to have the surgery performed.

Claimant testified she then called the employer to ask them to reconsider light duty, which the employer again declined to offer. Employer terminated Claimant's employment approximately a week later. Claimant did not work following the incident on July 6, 2007, until October 11, 2007, at which time she went to work caring for a lady in the lady's home.

I find the Claimant to be a credible witness.

RULINGS OF LAW

Did Claimant sustain a compensable injury by way of an accident arising out of and in the course of her employment on July 6, 2007?

The injury occurred July 6, 2007; consequently, the Workers' Compensation Law as amended in 2005 governs the instant case.

As of the date of this accident § 286.120.1 RSMo, as amended in 2005, provided, in pertinent part, as follows:

Every employer subject to the provisions of this chapter shall be liable, irrespective of negligence, to furnish compensation under the provisions of this chapter for personal injury or death of the employee by accident arising out of and in the course of the employee's employment . . .

The definitions of both accident and injury were significantly changed in the 2005 legislation. The definitions are set forth in § 287.020.2 RSMo and § 287.020.3 RSMo, and are, in pertinent part, as follows:

  1. The word "accident" as used in this chapter shall mean an unexpected traumatic event or unusual strain identifiable by time and place of occurrence and producing at the time objective symptoms of an injury caused by a specific event during a single work shift. An injury is not compensable because work was a triggering or precipitating factor.
  2. (1) In this chapter the term "injury" is hereby defined to be an injury which has arisen out of and in the course of employment. An injury by accident is compensable only if the accident was the prevailing factor in causing both the resulting medical condition and disability. "The prevailing factor" is defined to be the primary factor, in relation to any other factor, causing both the resulting medical condition and disability.

(2) An injury shall be deemed to arise out of and in the course of the employment only if:

(a) It is reasonably apparent, upon consideration of all the circumstances, that the accident is the prevailing factor in causing the injury; and

(b) It does not come from a hazard or risk unrelated to the employment to which workers would have been equally exposed outside of and unrelated to the employment in normal nonemployment life...(emphasis added).

Construction of the phrase "arising out of and in the course of employment" historically has been broken in half, resulting in a two-prong test, with the "arising out of" portion construed to refer to causal origin, and the "course of employment" portion to the time, place, and circumstances of the accident in relation to the employment.

Proof of a compensable i

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

Related Decisions

Obermann v. BRM LLC(2022)

September 13, 2022#17-088357

reversed

The Commission reversed the ALJ's award of permanent total disability (PTD) benefits from the Second Injury Fund, finding that while the employee sustained a 22.5% permanent partial disability of the right shoulder from the November 3, 2017 work injury, the PTD resulted from a combination of the primary injury and multiple preexisting disabilities including prior knee and ankle injuries. The Court denied SIF liability for PTD benefits because the employee's PTD was not solely attributable to the primary injury combined with preexisting disabilities exclusive of a compensable 1995 left knee injury.

shoulder11,910 words
affirmed

The LIRC affirmed the administrative law judge's award in a medical fee dispute where Timberlake Surgery Center sought additional reimbursement for authorized left shoulder rotator cuff surgery performed on employee James Noel. The court found the HCP's charges fair and reasonable, and entitled to payment, while denying pre-judgment interest and attorney's fees.

shoulder8,438 words
reversed

The Commission reversed the administrative law judge's award finding that an employee suffered a work-related right shoulder injury on April 27, 2018, when she struck her shoulder on a metal dye plate. The Commission determined that the employee was not entitled to workers' compensation benefits or additional medical care for the alleged injury.

shoulder6,891 words
affirmed

The Missouri LIRC affirmed the administrative law judge's denial of workers' compensation benefits for Keavin Edwards' January 30, 2017 left shoulder injury, finding that the incident aggravated a preexisting condition rather than creating a new compensable injury. The Commission found Edwards' testimony not credible regarding the absence of shoulder problems between his 2008 surgery and the 2017 incident, and adopted medical opinions attributing his 35% permanent partial disability to preexisting degeneration and degenerative arthritis rather than the work incident.

shoulder4,189 words

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award denying workers' compensation benefits to employee Dwayne Southerland for his September 6, 2011 shoulder injury. One commissioner dissented, arguing the Second Injury Fund should be liable for permanent total disability resulting from the combination of the primary injury and pre-existing conditions.

shoulder4,677 words