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Neva Vance v. Health Systems, Inc. d/b/a Hillcrest Healthcare Nursing Home

Decision date: March 8, 201217 pages

Summary

The Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits to Neva Vance for a low back injury sustained while moving a patient on November 4, 2004, despite finding the injury was compensable under Missouri law. Although the injury arose out of and in the course of employment and met all procedural requirements, no permanent disability was found to warrant compensation.

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Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 04-114796

Employee: Neva Vance

Employer: Health Systems, Inc.

d/b/a Hillcrest Healthcare Nursing Home (Settled)

Insurer: Missouri Nursing Home Insurance (Settled)

Additional Party: Treasurer of Missouri as Custodian of Second Injury Fund

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 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 § 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated July 11, 2011, and awards no compensation in the above-captioned case.

The award and decision of Chief Administrative Law Judge Lawrence C. Kasten, issued July 11, 2011, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this $\qquad 8^{\text {th }} \qquad$ day of March 2012.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

James Avery, Member

Curtis E. Chick, Jr., Member

Attest:

FINAL AWARD

Employee: | Neva Vance |

Dependents:
N/A

Employer: Health Systems, Inc. d/b/a Hillcrest Healthcare Nursing Home (settled)

Additional Party: Second Injury Fund

Insurer: Missouri Nursing Home Insurance (settled)

Appearances: James Haupt, attorney for employee.

Eileen Krispin, Assistant Attorney General for the Second Injury Fund.

Hearing Date: April 6, 2011 Checked by: LCK/rf

SUMMARY OF FINDINGS

  1. Are any benefits awarded herein? No.
  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? November 4, 2004.
  5. State location where accident occurred or occupational disease contracted: Jefferson 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.
Employee:Neva VanceInjury No. 04-114796
11.Describe work employee was doing and how accident happened or occupational disease contracted: The employee injured her low back moving a patient.
12.Did accident or occupational disease cause death? No.
13.Parts of body injured by accident or occupational disease: Low back and body as a whole.
14.Nature and extent of any permanent disability: See Rulings of Law.
15.Compensation paid to date for temporary total disability: $4,954.66
16.Value necessary medical aid paid to date by employer-insurer: $25,205.25
17.Value necessary medical aid not furnished by employer-insurer: N/A
18.Employee's average weekly wage: $323.13
19.Weekly compensation rate: $215.42
20.Method wages computation: By agreement.
21.Amount of compensation payable: None.
22.Second Injury Fund liability: None.
23.Future requirements awarded: None.
Said payments shall be payable as provided in the findings of fact and rulings of law, and shall 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:N/A.

FINDINGS OF FACT AND RULINGS OF LAW

On April 6, 2011, the employee, Neva Vance, appeared in person and with her attorney, James Haupt, for a hearing for a final award. The Second Injury Fund was represented at the hearing by Assistant Attorney General Eileen Krispin. At the hearing, the parties agreed on certain undisputed facts and identified the issue that was in dispute. These undisputed facts and issue, together with the findings of fact and rulings of law, are set forth below as follows:

UNDISPUTED FACTS

  1. Health Systems, Inc. d/b/a Hillcrest Healthcare Nursing Home was operating under and subject to the provisions of the Missouri Workers' Compensation Act, and its' liability was fully insured by Missouri Nursing Home Insurance.
  2. On November 4, 2004 Neva Vance was an employee of Health Systems, Inc. d/b/a Hillcrest Healthcare Nursing Home and was working under the Workers' Compensation Act.
  3. On November 4, 2004 the employee sustained an accident arising out of and in the course of her employment.
  4. The employer had notice of the employee's accident.
  5. The employee's claim was filed within the time allowed by law.
  6. The average weekly wage was $\ 323.13. The rate of compensation for permanent total disability and permanent partial disability is $\ 215.42 per week.
  7. The employee's injury was medically causally related to the accident.
  8. The employer-insurer paid $\ 25,205.25 in medical aid.
  9. The employer-insurer paid $\ 4,954.66 in temporary total disability for 23 weeks from January 3, 2006 through June 13, 2006. The parties stipulated that the employee was at maximum medical improvement on June 13, 2006.

ISSUES

  1. Liability of the Second Injury Fund for either permanent total disability or permanent partial disability.

Employee Exhibits

A. Stipulation for Compromise Settlement in Injury Number 04-114796 and medical records.

B. Medical records of Contrea, Inc. and Dr. Graves.

C. Deposition of Dr. Volarich including his CV and medical report.

D. Deposition of James England, Jr. including his CV and report.

Second Injury Fund Exhibits

I. Deposition of Neva Vance taken in October of 2007.

Judicial notice of the contents of the Division's files for the employee was taken.

WITNESS: Neva Vance, the employee.

BRIEFS: The Second Injury Fund filed its brief on May 20, 2011. The employee filed her brief on May 23, 2011.

FINDINGS OF FACT:

The employee was born in 1955 and lives in Barnhart. She is not employed and was last employed on January 3, 2005. After her November 4, 2004 accident, the employee attempted to return to work but was unable to do so. She is 5 " 6 " tall and weighs 175 pounds. On November 4, 2004, she weighed about 150 pounds, and has put on the weight due to low physical activity.

The employee testified that she had motor vehicle accidents in 1981 and 1986 where she was rear ended. She injured her neck in both accidents. She has had physical problems in her neck and right shoulder and knee. She also had migraines from the accidents. She missed time from work due to the neck, shoulder and migraines. It made her jobs more difficult.

The employee testified at the deposition that she turned down overtime due to the pain. She received assistance from coworkers due to the neck and shoulders. Prior to 2004 she did not have any difficulties performing her job duties because of her right shoulder and neck and worked through the pain. The employee testified at the hearing, she was at a loss why she would have said those things.

The employee testified that in 1986 she was on a porch which collapsed, she fell about 15 feet and injured her ankles and left foot. She fractured a bone in her left foot and tore ligaments in both ankles. Her left foot was put in a cast and her right foot was wrapped. She continued to have ongoing problems with both ankles including swelling. Her left ankle still sprains easily. Her right foot still has bone chips which caused problems.

In her deposition, the employee testified that she had no problems walking or sitting but did have problems standing due her feet. She did not feel that she needed to lie down during the day due to the pain. The employee testified at the hearing that she did not remember saying that at the deposition. In her deposition, the employee testified that her ankles caused her problems in performing the duties of her job; she received help with her job, turned down overtime, and missed time from work.

The employee testified that prior to her November 4, 2004 accident, she had neck, ankle, and shoulder problems which caused her to miss work and restricted her activities including lying down during the day. The employee testified in her deposition that prior to November of 2004, she had physical problems doing her job with her neck, shoulder, right knee and feet. When asked if she worked through or missed work, she testified she just worked in pain.

The employee testified that she had suffered from depression all of her life. She had nightmares, mood swings, and depression. As a child she cried herself to sleep. In school, she

had trouble with math and spelling, and was in special classes. She had poor grades in school and had a learning disability which was later diagnosed as attention deficit disorder. Her father was illiterate which was quite upsetting. She quit school in the $8^{\text {th }}$ grade, and got married at age 15. She eventually got her GED and received training as a certified nurse's assistant in 2003 from the nursing home she worked for. She continued to have problems with her depression and learning disability.

The employee testified after she married in 1970, she did not work until 1995 when she worked as a cashier at Wal-Mart. She worked there for about two years but had trouble due to her mental and physical problems including attention deficit disorder. She had anxiety being around a lot of people and had trouble weighing products. She then worked at Children's World as a day care assistant. She helped with feeding, changing, lifting and sitting with children. She had neck and knee problems from lifting. It was mentally stressful due to being responsible for 15 children. She worked there about two years and left to work at a Baptist Church as a preschool attendant that did not require any lifting. She taught children but there was a lot of stress. She worked there for a year or two until she lost her job due to being fired for falling asleep at the job. She was sleeping due to too much pressure both mentally and physically.

She then worked at Partner's Financial Company as an office worker. She answered phones and copied checks but was unable to enter records into the computer. She was reprimanded 3 or 4 times because she could not answer the phone and do something else at the same time. She could not get the right pattern in copying checks. There were a lot of pressures, and after 9 months, she was terminated. She then worked at Jefferson County Job Service and her job was to hand out medication. She had trouble giving right doses, gave out the wrong dose sometimes, and sometimes did not give the dose at all. The employee had physical problems which made it hard to clean out cabinets and work with patients. She was terminated from her job and started working at Hillcrest Nursing.

The employee testified that she received treatment for her psychological difficulties. In the late 1990's, she was diagnosed with post traumatic stress disorder and bi-polar disorder. Due to the PTSD, the employee thought she was going crazy and her body shook. She could not drive, could not concentrate or form a sentence. She was having consistent problems in the late 1990s and early 2000s. She had panic attacks, which involved sweating, dizziness, tunnel vision, nausea, and trouble concentrating. She missed time from work due to PTSD which also affected her job performance. She had to get assistance from co workers. Due to her bi-polar disorder, the employee had terrible mood swings,

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

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