emphasizing the Legislature’s choice to use “the proximate cause” as opposed to “a proximate cause”
How later courts described this case
- emphasizing the Legislature’s choice to use “the proximate cause” as opposed to “a proximate cause”
Written by the judges who cited it.
The opinion
If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
revision until final publication in the Michigan Appeals Reports.
STATE OF MICHIGAN
COURT OF APPEALS
MELISSA WILLIAMS, Individually and as Personal UNPUBLISHED
Representative of the ESTATE OF MARDELLE R. February 03, 2025
WILLIAMS, and DIANA PENA, 1:31 PM
Plaintiffs-Appellees,
v No. 367099
Grand Traverse Circuit Court
FIDUCIARY SERVICES NORTH INC, BRENDA LC No. 2023-036489-NO
MILLER, LINDA KEHR, DEPARTMENT OF
HEALTH AND HUMAN SERVICES, also known
as ADULT PROTECTIVE SERVICES, CENTRA
WELLNESS NETWORK, and HOPE NETWORK
BEHAVIORAL HEALTH SERVICES, doing
business as BAYHAVEN INTEGRATED CARE,
Defendants,
and
RON STIER,
Defendant-Appellant.
Before: N. P. HOOD, P.J., and REDFORD and MALDONADO, JJ.
PER CURIAM.
In this appeal concerning governmental immunity as applied to an Adult Protective
Services (APS) employee, defendant, Ron Stier, appeals by right the trial court’s order denying in
part his summary disposition motion under MCR 2.116(C)(7) (immunity granted by law) and
-1-
(C)(8) (failure to state a claim upon which relief can be granted).1 Plaintiffs, Melissa Williams
(Melissa)2 and Diana Pena, are relatives of Mardelle Williams (Mardelle), whom they
characterized as a developmentally disabled adult who died while receiving inpatient medical care
and supervision. After Mardelle’s death, plaintiffs sued Stier and others, alleging that Mardelle
died because of their cumulative acts and omissions. On appeal, Stier argues that the trial court
erred by denying his summary disposition motion in relation to plaintiffs’ negligence-based tort
claims because it misapplied the proximate-causation standard under the governmental tort
liability act (GTLA), MCL 691.1401 et seq. Stier further argues that the trial court erred by
denying his summary disposition motion in relation to plaintiffs’ intentional tort claim because, as
a matter of law, he acted on Mardelle’s behalf in good faith. We affirm in part, vacate in part, and
remand for further proceedings.
I. BACKGROUND
This case arises out of a series of events that occurred in the years preceding Mardelle’s
death in May 2022. Plaintiffs filed a lengthy verified complaint in January 2023, followed by an
amended verified complaint in February 2023, in which they named as defendants Brenda Miller
(Mardelle’s former court-appointed guardian), Fiduciary Services North, Inc. (Miller’s
guardianship company), Linda Kehr (Mardelle’s former court-appointed attorney), Stier
(Mardelle’s former APS caseworker), APS, Centra Wellness Network (Mardelle’s former
community mental health placement service), and Hope Network Behavioral Health Services (the
owner of Mardelle’s former adult foster care home, Bayhaven Integrated Care). Plaintiffs alleged
numerous acts and omissions on the part of defendants that purportedly caused Mardelle’s health
to decline and led to her eventual death.
In their amended verified complaint, plaintiffs explained that Mardelle’s longtime medical
conditions left her susceptible to falls. Mardelle sustained injuries in two falls that occurred in
May 2020, which led to her hospitalization until September 2020. While Mardelle was
hospitalized, the Benzie County Probate Court appointed Miller as her plenary guardian and Kehr
as her attorney for purposes of guardianship and placement proceedings. At some point, Stier
became Mardelle’s APS caseworker. Upon her discharge from the hospital, Mardelle’s physician
allegedly recommended that she receive one-on-one care. Although she purportedly had
knowledge of the recommendation, Miller—in consultation with Centra Wellness Network—
placed Mardelle in the Bayhaven Integrated Care adult foster care home, a facility that did not
provide one-on-one care. While there, Mardelle allegedly fell on multiple occasions, sustained
fall-related injuries, developed a gum infection, was given excess medication, and was neglected
by her caretakers.
In March 2021, Miller transferred Mardelle from Bayhaven Integrated Care to
NeuroBehavioral Hospital in Crown Point, Indiana. While there, Mardelle was allegedly
1
The trial court granted Stier’s summary disposition motion in part on other bases, which are not
at issue on appeal.
2
Melissa filed suit both individually and in her capacity as personal representative of the Estate of
Mardelle R. Williams.
-2-
malnourished, given excess medication, sustained at least one urinary tract infection, and was
hospitalized for pneumonia as well as episodes of hypernatremia (an abnormally high blood-
sodium level) and hyponatremia (an abnormally low blood-sodium level).
In February 2022, Miller transferred Mardelle from NeuroBehavioral Hospital to
Courtyard Manor, an assisted living facility in Farmington Hills, Michigan. In May 2022,
Mardelle died. A medical examiner attributed her death to sepsis caused by pneumonia. The
medical examiner also noted that Mardelle was emaciated and suffered from pressure ulcers at the
time of her death.
Plaintiffs asserted multiple causes of action against Stier, including negligence, gross
negligence, and intentional infliction of emotional distress. They alleged, broadly, that Stier failed
to prevent Mardelle’s deficient representation, placements, medical treatment, and supervision
despite having knowledge of the same. According to plaintiffs, Melissa and her personal attorney
informed Stier and other defendants of such conditions through various correspondence and
probate court filings, some of which included Mardelle’s medical records, which purportedly
evidenced her steadily-declining health and additional treatment needs. In March 2023, Stier
moved for summary disposition under MCR 2.116(C)(7) and (C)(8). He argued that he was
immune from liability for plaintiffs’ claims because he was a governmental employee acting within
the scope of his authority as an APS caseworker, and his conduct did not amount to gross
negligence that proximately caused plaintiffs’ alleged injuries. He further argued that plaintiffs
failed to state claims upon which relief could be granted because plaintiffs’ factual allegations,
even if accepted as true, did not establish that Stier acted negligently or engaged in extreme or
outrageous conduct.
In July 2023, the trial court denied Stier’s summary disposition motion. It held that Stier
was not entitled to summary disposition on the basis of governmental immunity in relation to
plaintiffs’ negligence-based tort claims because there remained genuine issues of material fact as
to whether Stier was grossly negligent and proximately caused plaintiffs’ alleged injuries. In doing
so, it articulated the proximate-causation standard as follows:
To establish proximate cause, the plaintiff must demonstrate that it was foreseeable
that the governmental employee’s conduct could result in harm to the plaintiff. The
gross negligence of a governmental employee is a proximate cause of plaintiff’s
harm, as required for the gross-negligence exception to governmental immunity
under the GTLA to apply, if the harm caused to the plaintiff was the general kind
of harm the governmental employee negligently risked. [Emphasis added.]
Yet it also stated in a footnote that “[a] governmental employee’s gross negligence is the proximate
cause of an injury if it is the one most immediate, efficient, and direct cause preceding the injury.”
(Emphasis added). The trial court further held that Stier was not entitled to summary disposition
on the basis of governmental immunity in relation to plaintiffs’ claim for intentional infliction of
emotional distress because there remained a genuine issue of material fact as to whether Stier acted
in good faith. It therefore concluded that summary disposition was not warranted under MCR
2.116(C)(7). Furthermore, the trial court held that plaintiffs sufficiently pleaded claims for
negligence, gross negligence, and intentional infliction of emotional distress such that summary
disposition was not warranted under MCR 2.116(C)(8). This appeal followed.
-3-
II. STANDARDS OF REVIEW
We review de novo a trial court’s decision to grant or deny a motion for summary
disposition. El-Khalil v Oakwood Healthcare Inc, 504 Mich 152, 159; 934 NW2d 665 (2019).
We likewise review de novo the applicability of governmental immunity to a particular set of
circumstances. Champine v Dep’t of Transportation, 509 Mich 447, 452; 983 NW2d 741 (2022).
Under MCR 2.116(C)(7), the moving party is entitled to summary disposition if the plaintiff’s
claims are barred because of immunity granted by law. Odom v Wayne Co, 482 Mich 459, 466;
760 NW2d 217 (2008). “The moving party may support its motion for summary disposition under
MCR 2.116(C)(7) with affidavits, depositions, admissions, or other documentary evidence, the
substance of which would be admissible at trial.” Odom, 482 Mich at 466 (quotation marks and
citation omitted). We accept the contents of the complaint as true “unless contradicted by the
evidence provided.” Id. (quotation marks and citation omitted).
“A motion under MCR 2.116(C)(8) tests the legal sufficiency of a claim based on the
factual allegations in the complaint.” El-Khalil, 504 Mich at 159 (emphasis omitted). “When
considering such a motion, a trial court must accept all factual allegations as true, deciding the
motion on the pleadings alone.” Id. at 160. See also MCR 2.116(G)(5). “A motion under MCR
2.116(C)(8) may only be granted when a claim is so clearly unenforceable that no factual
development could possibly justify recovery.” El-Khalil, 504 Mich at 160.
III. NEGLIGENCE AND GROSS NEGLIGENCE
On appeal, Stier argues that the trial court erred by denying his motion for summary
disposition of plaintiffs’ negligence-based tort claims because it misapplied the operative
proximate-causation standard under the GTLA. We agree.
“The GTLA, MCL 691.1401 et seq., affords broad immunity from tort liability to
governmental agencies and their employees whenever they are engaged in the exercise or
discharge of a governmental function.” Beals v Michigan, 497 Mich 363, 370; 871 NW2d 5
(2015). Under the GTLA, governmental employees are immune from liability for negligence-
based torts, provided that the following conditions are met: (1) “the individual was acting or
reasonably believed that he was acting within the scope of his authority,” (2) “the governmental
agency was engaged in the exercise or discharge of a governmental function,” and (3) “the
individual’s conduct amounted to gross negligence that was the proximate cause of the injury or
damage.” Odom, 482 Mich at 479-480. See also MCL 691.1407(2).
Here, the parties agree that Stier was acting within the scope of his authority as an APS
caseworker, and APS was engaged in the discharge of a governmental function. At issue is the
third prong of the governmental-immunity analysis: whether Stier engaged in grossly-negligent
conduct that proximately caused plaintiffs’ alleged injuries.
The GTLA defines gross negligence as “conduct so reckless as to demonstrate a substantial
lack of concern for whether an injury results.” MCL 691.1407(8)(a). And “proximate cause
considers whether the harm caused to the plaintiff was the general kind of harm the defendant
negligently risked.” Nathan v David Leader Mgt, Inc, 342 Mich App 507, 522-523; 995 NW2d
567 (2022) (quotation marks and citation omitted). The proximate-causation inquiry “requires a
-4-
determination of whether it was foreseeable that the defendant’s conduct could result in harm to
the victim.” Ray v Swager, 501 Mich 52, 65; 903 NW2d 366 (2017). It “does not entail the
weighing of factual causes but instead assesses the legal responsibility of the actors involved.” Id.
at 71-72. “Although there generally may be more than one proximate cause to an injury, a
governmental employee’s conduct cannot be the proximate cause under the GTLA unless it was
the one most immediate, efficient, and direct cause of the plaintiff’s injuries.” Dougherty v Detroit,
340 Mich App 339, 353-354; 986 NW2d 467 (2021). See also Robinson v Detroit, 462 Mich 439,
461-462; 613 NW2d 307 (2000) (emphasizing the Legislature’s choice to use “the proximate
cause” as opposed to “a proximate cause”). In other words, the proximate-causation inquiry under
the GTLA requires “considering [the] defendant’s actions alongside any other potential proximate
causes to determine whether [the] defendant’s actions were, or could have been, the one most
immediate, efficient, and direct cause of the injuries.” Ray, 501 Mich at 76 (quotation marks and
citation omitted). A governmental employee’s conduct may be a “contributing factor” to a
plaintiff’s injuries without being the proximate cause under the GTLA. See Dougherty, 340 Mich
App at 358-359.
In its written opinion and order, the trial court considered whether Stier proximately caused
plaintiffs’ alleged injuries in light of the following standard:
To establish proximate cause, the plaintiff must demonstrate that it was foreseeable
that the governmental employee’s conduct could result in harm to the plaintiff. The
gross negligence of a governmental employee is a proximate cause of plaintiff’s
harm, as required for the gross-negligence exception to governmental immunity
under the GTLA to apply, if the harm caused to the plaintiff was the general kind
of harm the governmental employee negligently risked.
Although the trial court articulated the operative proximate-causation standard in a subsequent
footnote, it applied the incomplete proximate-causation articulated in the body of its written
opinion and order when it concluded that there remained genuine issues of material fact as to
whether Stier proximately caused plaintiffs’ alleged injures. In reaching its conclusion, the trial
court explained that, “despite knowledge of [Mardelle’s] injuries, inadequate and/or improper
treatment and continued physical and mental deterioration, Stier did not seek alternative placement
and refused to withdraw the Petition for Appointment of Brenda Miller and/or refused to consider
or offer an alternate guardian for [Mardelle].” By identifying other culpable actors (such as Miller
and Mardelle’s caretakers) and omitting others (such as Kehr, Bayhaven Integrated Care, and
Centra Wellness Network) without weighing the foreseeability of the consequences of Stier’s
alleged acts and omissions in comparison, the trial court erroneously considered whether Stier was
a proximate cause rather than the proximate cause, as required under the GTLA. In other words,
the trial court erroneously failed to consider whether Stier was the “the one most immediate,
efficient, and direct cause” of plaintiffs’ alleged injuries. See Dougherty, 340 Mich App at 353-
354 (emphasis added). For this reason, we vacate the portion of the trial court’s order denying
Stier’s summary disposition motion on the basis of governmental immunity in relation to plaintiffs’
negligence-based tort claims.
IV. INTENTIONAL INFLICTION OF EMOTIONAL DISTRESS
-5-
On appeal, Stier argues that the trial court erred by denying his motion for summary
disposition of plaintiffs’ intentional-infliction-of-emotional-distress claim on the basis of
governmental immunity because, as a matter of law, he acted on Mardelle’s behalf in good faith.
We disagree.
Intentional infliction of emotional distress, as reflected in its name, is an intentional tort.
Graham v Ford, 237 Mich App 670, 674; 604 NW2d 713 (1999). At common law, governmental
employees were immune from liability for intentional torts, provided that certain conditions were
satisfied. Odom, 482 Mich at 472-473. See also Ross v Consumers Power Co, 420 Mich 567; 363
NW2d 641 (1984). The GTLA retained the common-law test for governmental immunity from
liability for intentional torts. Odom, 482 Mich at 472-473. See also MCL 691.1407(3). In Odom,
482 Mich at 479-480, our Supreme Court outlined the three-part test for determining whether a
lower-ranking governmental employee is entitled to such governmental immunity. It explained
that, in order to obtain governmental immunity, a lower-ranking governmental employee bears the
burden of establishing that (1) “[t]he acts were undertaken during the course of employment and
the employee was acting, or reasonably believed that he was acting, within the scope of his
authority,” (2) “the acts were undertaken in good faith, or were not undertaken with malice,” and
(3) “the acts were discretionary, as opposed to ministerial.” Id. at 480.
Here, the parties agree that Stier was a governmental employee acting within the course of
his employment in order to carry out a discretionary act. At issue is the second prong of the
governmental-immunity analysis: whether Stier’s actions were undertaken in good faith or without
malice. The good-faith prong of the governmental-immunity analysis is subjective in nature. Id.
at 481-482. It cannot be satisfied “if the conduct alleged shows an intent to harm or, if not that,
such indifference to whether harm will result as to be the equivalent of a willingness that it does.”
Id. at 475 (quotation marks and citation omitted).
To begin, Stier argues that under the Social Welfare Act, MCL 400.1 et seq., he is presumed
to have acted in good faith in relation to his conduct as an APS worker. To support this premise,
Stier relies on MCL 400.11c(1), which provides, in part, that:
A person acting in good faith who makes a report or who assists in the
implementation of sections 11 to 11f is immune from civil liability that might
otherwise be incurred by making the report or by assisting in the making of the
report. A person making a report or assisting in the implementation of sections 11
to 11f is presumed to have acted in good faith. [MCL 400.11c(1) (footnotes
omitted).]
We need not determine whether Stier is entitled to the presumption that he acted in good faith in
relation to his conduct as an APS worker. Even if Stier was presumed to have acted in good faith,
plaintiffs’ allegations, if proven, would be sufficient to overcome the presumption. In their
amended verified complaint, plaintiffs alleged that Stier knew of evidence that Mardelle was
improperly supervised, improperly medicated, repeatedly injured, and regularly malnourished but
refused to seek alternative placements or guardians on her behalf. Such allegations, when accepted
as true, are sufficient to establish that Stier acted with malice—that is, either an intent to harm or
such indifference to whether harm would result as to be the equivalent of a willingness that it does.
See Odom, 482 Mich at 466, 475. The trial court therefore did not err by denying Stier’s motion
-6-
for summary disposition of plaintiffs’ intentional-infliction-of-emotional-distress claim on the
basis of governmental immunity.
V. CONCLUSION
We affirm in part, vacate in part, and remand for further proceedings. On remand, the trial
court must apply the operative proximate-causation standard under the GTLA, as set forth in Part
III of this opinion. Specifically, the trial court should address whether under the GTLA “[the]
defendant’s actions alongside any other potential proximate causes to determine whether [the]
defendant’s actions were, or could have been, the one most immediate, efficient, and direct cause
of the injuries.” Ray, 501 Mich at 76 (quotation marks and citation omitted). We do not retain
jurisdiction.
/s/ Noah P. Hood
/s/ James Robert Redford
-7-