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Adriana Barahona v. Hilton Hotel/Hilton Worldwide, Inc.

Decision date: July 12, 2017Injury #11-03170957 pages

Summary

The Commission affirmed the administrative law judge's award finding the employee permanently and totally disabled as a result of an April 2011 slip and fall injury at the employer's cafeteria. The Commission clarified that while some disability components relate to preexisting conditions, the April 2011 injury alone is sufficient to render the employee permanently and totally disabled.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge with Supplemental Opinion)
Injury No.: 11-031709
Employee:Adriana Barahona
Employer:Hilton Hotel/Hilton Worldwide, Inc.
Insurer:Ace American Insurance Company
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
This 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, read the parties’ briefs, heard the parties’ arguments, and considered the whole record, we find that the award of the administrative law judge allowing compensation is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Law. Pursuant to § 286.090 RSMo, we affirm the award and decision of the administrative law judge with this supplemental opinion.
Discussion Permanent total disability On April 24, 2011, employee was cleaning a table in employer’s cafeteria when she slipped and fell on a wet floor, injuring her back and left knee, and striking the back of her head. The parties asked the administrative law judge to resolve the issue of the nature and extent of disability resulting from this event. The administrative law judge determined that employee is permanently and totally disabled as a result of the April 2011 work injury considered alone. Employer appeals.
After careful consideration, we agree with the administrative law judge’s determination that employee is permanently and totally disabled as a product of the April 2011 work injury considered alone. We do, however, discern a need to provide some additional findings and clarifying comments. Accordingly, we issue this supplemental opinion.
On pages 49 and 50 of her award, the administrative law judge provides a list of impairments or disabling conditions she deemed to have resulted from the last injury. We commend the administrative law judge for applying the appropriate statutory analysis, which requires that we first isolate, to the extent possible, the residual effects from the last work injury in order to determine whether the employer, or the Second Injury Fund, is liable for employee’s permanent total disability. See Landman v. Ice Cream Specialties, Inc., 107 S.W.3d 240, 248 (Mo. 2003). We do note, however, that the list on pages 49 and 50 appears to include some conditions which are arguably related, at least in part, to employee’s preexisting disabling conditions. For example, employee’s current and ongoing need for assistance with activities of daily living; her need for daily narcotic medications in connection with multiple pain-generating conditions; and her limitations with regard to prolonged sitting and standing would all appear to involve at least some component of disability referable to employee’s

preexisting injuries and disabling conditions. Likewise, employee's bilateral ankle problems clearly involve disability referable to her prior work injuries of June and July 2010 affecting the right ankle. Accordingly, we must disclaim, from the numbered list spanning pages 49 and 50, the above-mentioned items, as we are convinced each involve some component of disability or impairment not referable solely to the effects of the last work injury.

Having said that, we are convinced that the effects of the April 2011 injury, considered alone, remain sufficient to render employee permanently and totally disabled. Employer asks us to credit the opinion from its vocational expert, James England, who believes that, even based on the more limiting restrictions imposed by employee's evaluating expert, Dr. David Volarich, employee may be able to go back to work in the areas of ticket sales, security work, assembly, and some cashiering. Mr. England ultimately conceded, however, that if one agrees with Dr. Volarich that employee is unlikely to be able to sustain a regular workday, employee may be unemployable due to a combination of her injuries. In other words, Mr. England appears to concede that if Dr. Volarich's opinions are believed, employee may be unemployable owing to a combination of her work injury and preexisting disability.

Notably, Mr. England believed that the restrictions from Dr. Volarich were referable to a combination of employee's various work injuries and preexisting problems. See Transcript, page 600. This is incorrect. At his deposition, Dr. Volarich made clear that all of the restrictions he assigned within his report were referable to the April 2011 primary injury. See Transcript, pages 353 and 374. Thus, it would appear that any unemployability conceded by Mr. England must be deemed referable to the primary injury considered alone, rather than a combination of employee's injuries and disabling conditions.

We note also that Mr. England failed to address the critical question whether employee possesses, given the effects of her last work injury combined with her limited education and work history, the ability to successfully compete for jobs in the open labor market:

The test for permanent total disability is whether the worker is able to compete in the open labor market. The critical question is whether, in the ordinary course of business, any employer reasonably would be expected to hire the injured worker, given his present physical condition.

Molder v. Mo. State Treasurer, 342 S.W.3d 406, 411 (Mo. App. 2011).

Aside from acknowledging that employee will need a great deal of remediation in order to obtain her GED in the United States, Mr. England failed to discuss this issue, or to persuasively identify any likelihood that a prospective employer would choose employee over virtually any other applicant, where her work history is primarily limited to mediumduty jobs in the kitchen and restaurant industry, and where she possesses only an eighth-grade education from her native Honduras.

Ultimately, like the administrative law judge, we find most persuasive the vocational analysis of Phillip Eldred, who opined that employee is permanently and totally disabled based on the effects of the April 2011 primary injury, considered alone. We so find.

Conclusion

We affirm and adopt the award of the administrative law judge as supplemented herein.

The award and decision of Administrative Law Judge Karen Fisher, issued September 13, 2016, is attached and incorporated herein to the extent not inconsistent with this supplemental decision.

We approve and affirm 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 $12^{\text {th }}$ day of July 2017.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

VACANT

Member

Curtis E. Chick, Jr., Member

Attest:

AWARD

Employee:Adrianna BarahonaInjury No.10-043312, 10-110361, 10-111518, 11-031709
Dependents:N/ABefore the
Employer:Hilton Hotel/Hilton Worldwide, Inc.DIVISION OF WORKERS' <br> COMPENSATION <br> Department of Labor and Industrial <br> Sec ondelajusy Manduri <br> Jefferson City, Missouri
Additional Party:
Insurer:Ace American Insurance Company c/c Specialty Risk Services
Hearing Date:May 5, 2016Checked by:

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? YES
  2. Were the injuries compensable under Chapter 287? YES
  3. Were there accidents under the Law? YES
  4. Dates of injury: June 3, 2010, June 10, 2010, July 1, 2010, and April 24, 2011.
  5. Locations where accidents occurred: Branson, Taney County, Missouri
  6. Was above employee in employ of above employer at time of alleged accidents? YES
  7. Did employer receive proper notice? YES
  8. Did accidents arise out of and in the course of the employment? YES
  9. Were claims 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 accidents occurred: On June 3, 2010, employee sustained an injury when she was pulling a cart. On June 10, 2010, employee sustained an injury when she slipped on water. On July 1, 2010, employee sustained an injury when she slipped on water. On April 24, 2011, employee sustained an injury when she slipped on water.
  12. Did accident cause death? NO
Issued by DIVISION OF WORKERS’ COMPENSATION
Employee:Adriana Barahona
10-Jun-043312, 10-110361, 10-111518, 11-031709
13. Parts of body injured by accidents: June 3, 2010: right ankle; June 10, 2010: back and
body as a whole; July 1, 2010: right ankle; and April 24, 2011: head, back, left leg, right
leg, left ankle, left knee, and body as a whole.
14. Nature and extent of any permanent disability: June 3, 2010 – 10 percent right ankle
permanent partial disability against the employer/insurer; June 10, 2010 – 5 percent body
as a whole permanent partial disability against the employer/insurer; July 1, 2010 – 15
percent right ankle permanent partial disability against the employer/insurer; and April
24, 2011 - permanent total disability against the employer/insurer.
15. Compensation paid to-date for temporary disability: None for the June 3, 2010, June 10,
2010, July 1, 2010 injury, and the April 24, 2011, injury.
16. Value of necessary medical aid paid to date by employer/insurer? Unknown
17. Value necessary medical aid not furnished by employer/insurer? $1,666.28 for April 24,
2011, accident.
18. Employee’s average weekly wage: 605.45 for the June 3, 2010, injury; 605.45 for the
June 10, 2010, injury; 605.45 for the July 1, 2010, injury; and 573.81 for the April 24,
2011, injury.
19. Employee’s weekly compensation rate: 403.63 for the June 3, 2010, injury; 403.63 for
the June 10, 2010, injury; 403.63 for the July 1, 2010, injury; and 382.54 for the April
24, 2011, injury.
20. Method wages computation: BY AGREEMENT
COMPENSATION PAYABLE
21. Amount of compensation payable:
Unpaid medical expenses: $1,666,28.
For permanent partial disability:
June 3, 2010:
June 10, 2010:
July 1, 2010:
10% x 150 x $403.63 = $6,054.45
5% x 400 x $403.63 = $8,072.60
15% x 150 x $403.63 = $9,081.68
TOTAL:
$23,208.73

Costs pursuant to section 287.560, Mo.Rev.Stat. (1994): No

Medical aid in the future: Yes

Permanent total disability benefits: Yes

Beginning October 13, 2011, and continuing for the remainder of claimant's lifetime, the employer/insurer shall pay to claimant the weekly sum of $\ 382.54, for permanent total disability benefits.

Disfigurement: No

  1. Second Injury Fund liability: No

Weeks of permanent partial disability: None

Uninsured medical/death benefits: No

Permanent total disability benefits from Second Injury Fund: No

TOTAL: NONE

  1. Future requirements awarded: Yes, for injuries arising from April 24, 2011.

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

The compensation awarded to 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 claimant:

Jennifer L. Newman

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Adrianna Barahona Injury No. 10-043312, 10-110361, 10-111518, 11031709

Dependents: N/A

Employer: Hilton Hotel/Hilton Worldwide, Inc.

Additional Party:

Insurer: Ace American Insurance Company c/c Specialty Risk Services

Hearing Date: May 5, 2016

Before the DIVISION OF WORKERS' COMPENSATION

Department of Labor and Industrial

Sec and Injury Fundari

Jefferson C

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