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Mary Miller v. Argosy Casino Riverside

Decision date: April 2, 201016 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award of workers' compensation benefits to Mary E. Miller for a right shoulder injury sustained on October 17, 2006, when she tripped and fell while walking in a hallway at Argosy Casino Riverside. The employee was awarded $27,952.70 in total compensation for temporary and permanent partial disability, plus medical expenses of $23,492.38 already paid by the insurer.

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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.

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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

FINAL AWARD ALLOWING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 06-100104

Employee: Mary E. Miller

Employer: Argosy Casino Riverside

Insurer: Zurich American Insurance Co.

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 Law. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated October 8, 2009. The award and decision of Administrative Law Judge Robert B. Miner, issued October 8, 2009, is attached and incorporated by this reference.

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 $\qquad 2^{\text {nd }} \qquad$ day of April 2010.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

AWARD

Employee: Mary E. Miller

Injury No.: 06-100104

Employer: Argosy Casino Riverside

Insurer: Zurich American Insurance Co.

Hearing Date: August 28, 2009

Checked by: RBM

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: October 17, 2006.
  5. State location where accident occurred or occupational disease was contracted: Riverside, Platte 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 occurred or occupational disease contracted: Employee was walking down a hall when she tripped and fell, causing injury to her right shoulder.
  12. Did accident or occupational disease cause death? No.
  1. Part(s) of body injured by accident or occupational disease: Right shoulder.
  2. Nature and extent of any permanent disability: 19.5 % of the right upper extremity at the level of the shoulder ( 232 week level).
  3. Compensation paid to-date for temporary disability: $\ 3,683.21.
  4. Value necessary medical aid paid to date by employer/insurer? $\ 23,492.38.
  5. Value necessary medical aid not furnished by employer/insurer? None.
  6. Employee's average weekly wages: $\ 690.57.
  7. Weekly compensation rate: $\ 460.38 for temporary total disability and $\ 376.55 for permanent partial disability.
  8. Method wages computation: By agreement of the parties.

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Unpaid medical expenses: None.

$235 / 7 weeks of temporary total disability at the rate of \ 460.38 per week from Employer: $\ 10,917.58.

45.24 weeks of permanent partial disability (. 195 times 232) at the rate of $\ 376.55 per week from Employer: $\ 17,035.12.

No weeks of disfigurement from Employer.

TOTAL FROM EMPLOYER: $\ 27,952.70.

  1. Second Injury Fund liability: Not applicable. The Second Injury Fund is not a party to this case.
  2. 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: Mark E. Kolich.

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Mary E. Miller

Injury No.: 06-100104

Employer: Argosy Casino Riverside

Insurer: Zurich American Insurance Co.

Hearing Date: August 28, 2009

Checked by: RBM

PRELIMINARIES

A final hearing was held in this case on Employee's claim against Employer on August 28, 2009 in Gladstone, Missouri. Employee, Mary E. Miller appeared in person and by her attorney, Mark E. Kolich. Employer, Argosy Casino Riverside and Insurer, Zurich American Insurance Co. appeared by their attorney, Thomas J. Walsh. Kim Linneen was also present at the hearing as a representative of Employer. The Second Injury Fund is not a party to this case. Mark E. Kolich requested an attorney's fee of 25 % from all amounts awarded.

STIPULATIONS

At the time of the hearing, the parties stipulated to the following:

  1. On or about October 17, 2006, Mary E. Miller ("Claimant") was an employee of Argosy Casino Riverside ("Employer") and was working under the provisions of the Missouri Workers' Compensation Law.
  2. On or about October 17, 2006, Employer was an employer operating under the provisions of the Missouri Workers' Compensation Law and was insured by Zurich American Insurance Co. ("Insurer").
  3. Employer had notice of Claimant's alleged injury.
  4. Claimant's Claim for Compensation was filed within the time allowed by law.
  5. The average weekly wage was $\ 690.57 and the rate of compensation for temporary total disability is $\ 460.38 per week and the rate of compensation for permanent partial disability is $\ 376.55 per week.

Issued by DIVISION OF WORKERS' COMPENSATION

Re: Injury No.: 06-100104

Employee: Mary E. Miller

  1. Employer/Insurer has paid $\ 3,683.21 in temporary total disability after May 15, 2007 at the rate of $\ 460.38 per week.
  2. Employer/Insurer has paid $\ 23,492.38 in medical aid.
  3. In the event it is determined that Claimant sustained a compensable accident arising out of her employment for Employer, Claimant shall be entitled to an award of permanent partial disability benefits from Employer of 19.5 % of the right shoulder at the 232 week level at the permanent partial disability rate of $\ 376.55 per week.
  4. In the event it is determined that Claimant sustained a compensable accident arising out of her employment for Employer, Claimant shall be entitled to an award of temporary total disability benefits from Employer for the period from and including October 18, 2006 through and including April 1, 2007, at the temporary total disability rate of $\ 460.38 per week.
  5. Claimant requested no award for disfigurement, past medical expenses, or future medical aid.

ISSUES

The parties agreed that there were disputes on the following issues:

  1. Whether on or about October 17, 2006, Claimant sustained an injury by accident arising out of and in the course of her employment for Employer.
  2. Employer's liability for permanent partial disability benefits.
  3. Employer's liability for past temporary total disability benefits for the period from and including October 18, 2006 through and including April 1, 2007.

Claimant testified in person. In addition, Claimant offered the following exhibits that were admitted in evidence without objection: Exhibit A-Medical report of Dr. John Pazell dated June 25, 2008, and Exhibit B-Medical report of Dr. Craig Satterlee dated December 4, 2007.

Employer offered the following exhibits that were admitted in evidence without objection: Exhibit 1-copy of video in VHS format, and Exhibit 2 -copy of video in DVD format.

Findings of Fact

Mary Miller testified that she is 74 years old and has worked for Employer for more than ten years. She is a dealer at the casino. She was injured on October 17, 2006 while working for Employer when she fell forward and landed on a concrete floor. Her face hit the floor and she hurt her right shoulder.

Claimant testified that she fell in a hall leading from the casino floor to the break room at Employer. The surface of the floor where she fell is concrete. All employees use that hallway. People eat and drink in the break room. Employees take food and drink outside the break room and down the hallway where she was walking when she fell.

Claimant testified that on October 17, 2006, her left foot stuck on something on the concrete floor at Employer's workplace, and she pitched forward and fell. She testified she did not trip on her own feet and did not clip one toe behind the other. She was positive her foot stuck to the floor before she fell.

A co-worker came to her after she fell, and she was then taken to a room. Her lip was bleeding and her right arm was hurting. She did not want to go to the hospital at that time. She testified that she told the EMTs that her foot stuck on the floor.

After she was treated in a room at Employer, she went to her car and left Employer's premises. Claimant went home after the accident and did not go back to work that day after she fell. She could not drive with her right arm. She did not go back to look at the floor after the accident.

Claimant saw Dr. Romito two days after she fell. Dr. Satterlee surgically repaired her right shoulder on May 15, 2007. She has been fully released from treatment. She was off work after her surgery and was paid temporary total disability benefits after her surgery. All of her medical bills have been paid.

Claimant testified on cross-examination that she did not see any spills on the floor before she fell. She saw no placards in the area and saw no debris on the floor.

Claimant viewed Exhibit 1, a video of her at the time of the fall, during the hearing. She identified herself on the video. She testified that the video showed other employees walking through the area where she fell. She said she did not look down to see what had caused her to fall, nor did the two persons who assisted her.

Claimant said that she was wearing oxford-type shoes with rubber soles when she fell. She said she had walked up and down that hall many times. The floor is concrete

and is smooth like vinyl. She said she had never fallen in that area before. She was not watching where she walked at the time she fell.

I find that Claimant was a credible witness.

Exhibit A, the independent medical evaluation report of Dr. John Pazell dated June 25, 2008, recites the following history of present illness: "On October 17, 2006, Ms. Miller was injured while at work. She was walking in a hallway going to the break room when her left shoe stuck to something on the floor and caused her to fall. She injured her face and right shoulder. She states she was taken to the emergency medical personnel office and they were more concerned with her bloody lip than her shoulder. They treated her with first aid." The report further notes that Claimant sought medical attention with John Romito, M.D. on October 20, 2006, "And the history was reiterated which is identical to the history that she related to me."

Dr. Pazell's report also contains a "review of records". Page 7 of his report contains an entry dated October 20, 2006 regarding examination by Joanne Turano, PhX. Dr. Pazell's report states the following regarding the October 20, 2006 entry: "On 10/17/06 she was walking when she caught her foot in the carpet. Fell landing onto an outstretched right upper extremity. Struck her face and had swelling lip. Seen by medic people at the casino. Did not evaluate her shoulder but she was unable to lift her right at all. Recommend MRI."

Dr. Pazell rated Claimant's permanent partial disability at 30 % at the level of the shoulder at the 232 week level. He apportioned 90 % of her disability to the injury of October 17, 2006.

Dr. C. Craig Satterlee's December 4, 2007 rating report, Exhibit B, notes that Claimant had reached maximum medical improvement. The report states that Claimant's permanent partial disability was 16 % of the right shoulder, and that 4 % was pre-existing her injury.

T

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

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