Upshaw, Andra v. Joerns Healthcare, Inc.

FILED

ovember 18, 2015

DO COURT OF

WORKERS' C O~IPE:-;SA no:-;

CLAOIS

Time: 9:18 ;L'f

IN THE COURT OF WORKERS' COMPENSATION CLAIMS

AT CHATTANOOGA

Andra Upshaw ) Docket No.: 2015-01-0191

Employee, )

v. ) State File Number: 44244-2015

Joerns Healthcare, Inc. )

Employer, ) Judge Audrey A. Headrick

And )

Liberty Mutual )

Insurance Carrier. )

EXPEDITED HEARING ORDER GRANTING

TEMPORARY PARTIAL DISABIILTY BENEFITS

This matter came before the undersigned Workers' Compensation Judge on the

Request for Expedited Hearing filed by the Employee, Andra Upshaw, on October 16,

20 15. The central legal issue is whether Mr. Upshaw is entitled to temporary partial

disability benefits from June 2, 2015, forward. The employer, Joerns Healthcare, Inc.,

disputes Mr. Upshaw is entitled to temporary partial disability benefits due to his

termination on June 1, 2015. For the reasons set forth below, the Court finds Mr.

Upshaw is entitled, in part, to the requested benefits. 1

History of Claim

Mr. Upshaw is a fifty-seven-year-old resident of Hamilton County, Tennessee.

(T.R. 1.) Mr. Upshaw worked at Joerns as a field service technician. (Ex. 1.) He

sustained a compensable back injury on June 1, 2015, while lifting and moving a large

bariatric bed at Kindred Healthcare (Kindred), a client of Joerns, in Knoxville,

Tennessee. !d. Later that day, Joerns terminated Mr. Upshaw. !d.

Mr. Upshaw testified Trey Butler, senior human resources generalist with Joerns

in Charlotte, North Carolina, called him on the evening of June 1, 2015. He stated Mr.

Butler told him he received a call from someone at Kindred, who advised him Mr.

1

A complete listing of the technical record and exhibits admitted at the Expedited Hearing is attached to this Order

as an appendix.

1

Upshaw should not be on Kindred's property. Approximately two years ago, Mr.

Upshaw worked at Kindred as a medical technician. On cross-examination, Mr. Upshaw

testified he believes Kindred, his former employer, terminated him because of a

disagreement he had with a co-worker about an air compressor. Mr. Upshaw testified

Mr. Butler terminated him from Joems on June 1; 2015, because Kindred prohibited him

from going onto its property. 2 He testified he was unaware of Kindred's prohibition prior

to his termination by Joems. (Ex. 1.) Additionally, Mr. Upshaw testified he previously

performed work at Kindred three times prior to June 1, 2015. He also testified he went to

Kindred prior to June 1, 2015, because a friend's mother passed away.

Regarding Mr. Upshaw's termination, Joems filed affidavits in response to the

Request for Expedited Hearing. Since Joems timely filed the affidavits of Trey Butler

and Jose M. Cueva Villanueva pursuant to Rule 7.02(A) of the Court of Workers'

Compensation Claims Practices and Procedures (20 15), the Court admitted the affidavits

into evidence. 3 (Ex. 5 and Ex. 6.) However, neither Mr. Butler nor Mr. Villanueva

testified in person or by telephone. Instead, Joems' counsel read both affidavits into

evidence.

In the Affidavit of Trey Butler, senior human resources generalist for Joems, Mr.

Butler stated a different basis for Mr. Upshaw's termination. In his affidavit, Mr. Butler

stated, "on or about May 19, 2015, Mr. Upshaw threatened a co-worker with grave bodily

harm." (Ex. 5.) He also stated a co-worker allegedly witnessed and reported this verbal

altercation. !d. Mr. Butler stated Mr. Upshaw's behavior violated company policy,

which resulted in Mr. Upshaw's termination for cause. !d. He stated Joems maintains a

"Stay at Work Program," which is a light-duty program for injured workers. !d. Mr.

Butler asserted Mr. Upshaw's restrictions assigned to him on June 29, 2015, would have

been accommodated "but for his termination for cause."

In the Affidavit of co-worker, Jose M. Cueva Villanueva, he described a verbal

altercation he allegedly witnessed on May 19, 2015, between Mr. Upshaw and another

co-worker, John Cooper, regarding seating in a truck. (Ex. 6.) Mr. Villanueva testified

he observed an argument between Mr. Upshaw and Mr. Cooper. !d. He stated Mr.

Upshaw used profanity and made racial remarks to Mr. Cooper. !d. Specifically, Mr.

2

At the Expedited Hearing, Joems objected to additional testimony by Mr. Upshaw on re-direct regarding the other

alleged basis for his termination at Joems because it was beyond the scope of cross-examination. The record reflects

cross-examination did not address that issue, and this Court sustains the objection and excludes any testimony on

that issue by Mr. Upshaw subsequent to Joems' objection.

3

The Court did not consider attachments to the affidavits unless it admitted the attachments into evidence during the

Expedited Hearing. Additionally, defense counsel objected to an "offer of proof' made by counsel for Mr. Upshaw.

Although the Court overruled defense counsel's objection during the Expedited Hearing, the Court finds that the

statements made by Mr. Upshaw's counsel did not comply with Rule 103 of the Tennessee Rules of Evidence and,

as such, will construe the statements as argument rather than proof.

2

Villanueva testified, "Mr. Upshaw indicated that he would use a pistol on Mr. Cooper

and indicated that he wanted to stab Mr. Cooper." !d. Further, Mr. Villanueva specified

he "reported this information to [his] superiors at Joems on May 20, 2015." !d.

After Joems read the affidavits of Mr. Butler and Mr. Villanueva into evidence,

Mr. Upshaw testified without objection as a rebuttal witness. 4 He stated he is not familiar

with the names Jose M. Cueva Villanueva or John Cooper. Mr. Upshaw testified he

never had an altercation with a co-worker at Joems on May 19, 2015, or at any time. He

reiterated that Mr. Butler told him the reason for his termination was that he could no

longer deliver to Kindred, which is Joems' biggest client.

On June 15, 2015, Mr. Upshaw selected Physicians Care from a panel. (Ex. 2.)

On June 18, 2015, a medical provider at Physicians Care diagnosed Mr. Upshaw with

lumbago, prescribed medication, and placed significant restrictions on him through July

2, 2015. !d. The medical provider assigned the following restrictions: no kneeling; no

squatting; no bending; no twisting; no climbing ladders; no above-shoulder lifting over

five pounds; no lifting over five pounds from waist to shoulder; no lifting over five

pounds below the waist; and, no pulling or pushing over five pounds. !d.

On June 29, 2015, Mr. Upshaw reported no improvement to the medical provider

at Physicians. !d. His diagnosis of lumbago remained the same. The medical provider

also diagnosed Mr. Upshaw with a lumbosacral joint/ligament sprain and referred him to

physical therapy. !d. The medical provider changed Mr. Upshaw's restriction to: no

above-shoulder lifting over twenty pounds; no lifting over twenty pounds from waist to

shoulder; no lifting over twenty pounds below the waist; and, no pulling or pushing over

forty pounds. !d. The record reflects Mr. Upshaw's restrictions remained in effect

through July 6, 2015. !d. The medical records entered into evidence do not contain an

office note for July 6, 2015.

On August 12, 2015, Mr. Upshaw returned to Physicians Care. 5 (Ex. 9.) Dr.

Bruce Thompson diagnosed him with a lumbar sprain. He assigned Mr. Upshaw with the

following restrictions: no climbing ladders; no prolonged sitting, standing, bending, or

twisting; no above-shoulder lifting over twenty pounds; no waist to shoulder lifting above

twenty pounds; no lifting over twenty pounds below the waist; and, no pulling or pushing

4

Joerns made no objection to Mr. Upshaw testifYing as a rebuttal witness. However, it made an "asked and

answered" objection when Mr. Upshaw was asked about the alleged May 19, 2015 altercation, which was overruled.

5

At the Expedited Hearing, Joems objected to the admission of Page 3 of the Physicians Care medical note from

August 12, 2015, because it was not timely filed with the Court ten business days prior to the Expedited Hearing

pursuant to Rule 7.01 ofthe Court of Workers' Compensation Claims Practices and Procedures (2015). However, it

was undisputed that Mr. Upshaw obtained the August 12, 2015, Physicians Care record directly from Joems after he

filed the Request for Expedited Hearing. Additionally, Rule 0800-02-21-.16(6)(a) (2015) of the Tennessee

Compilation Rules and Regulations permits the Court to admit late-filed medical records for good cause shown.

Under these circumstances, Joerns experienced no prejudiced by the late filing. This Court overrules the objection

and admits Page 3 of the August 12,2015, Physicians Care record as Exhibit 9.

3

over twenty pounds. ld. Dr. Thompson continued Mr. Upshaw's restrictions "until seen

by back specialist." ld.

Mr. Upshaw testified he obtained employment with Barton Security on September

14, 2015, as "walking security." Although he applied for a security shuttle driver

position, Barton Security hired him as walking security. Mr. Upshaw testified he worked

fifty-two hours over two weeks training on a computer. He made $7.50 per hour. After

getting his certification, Mr. Upshaw stated during the third week, he worked four days

performing the walking security position. He stated he worked twelve hours on Monday

and Wednesday and eight hours on Tuesday and Thursday and made $9.50 per hour. Mr.

Upshaw testified the walking security position was not within his restrictions and

required him to walk the entire time he worked, which bothered his back and led to

quitting his job on Friday, October 9, 2015. On cross-examination, Mr. Upshaw testified

he has applied at various medical facilities, but has not received an offer in response to

his applications.

Mr. Upshaw asked the Court to order temporary partial disability benefits from the

date Joems terminated him on June 1, 2015, forward. 6 Joems asked the Court to deny

Mr. Upshaw's request for temporary partial disability benefits due to his alleged

termination for cause. Mr. Upshaw's agreed upon average weekly wage was $854.24,

which equates to a weekly compensation rate of$569.52.

Mr. Upshaw filed a Petition for Benefit Determination seeking temporary

disability benefits. (T.R. 1.) The parties did not resolve the disputed issues through

mediation, and the Mediating Specialist filed a Dispute Certification Notice on August

31, 2015. (T.R. 2.) Mr. Upshaw filed a Request for Expedited Hearing on September 28,

2015. (T.R. 3.) This Court heard the matter on October 16, 2016.

Findings of Fact and Conclusions of Law

The Workers' Compensation Law shall not be remedially or liberally construed in

favor of either party but shall be construed fairly, impartially and in accordance with

basic principles of statutory construction favoring neither the employee nor

employer. Tenn. Code Ann. § 50-6-116 (2014). The employee in a workers'

compensation claim has the burden of proof on all essential elements of a claim. Tindall

v. Waring Park Ass 'n, 725 S.W.2d 935, 937 (Tenn. 1987); 7 Scott v. Integrity Staffing

6

Counsel for Mr. Upshaw also moved for an award of attorney fees. However, the Court advised counsel it would

not entertain a verbal motion for attorney fees.

7

The Tennessee Workers' Compensation Appeals Board allows reliance on precedent from the Tennessee Supreme

Court "unless it is evident that the Supreme Court's decision or rationale relied on a remedial interpretation of pre-

July I, 2014 statutes, that it relied on specific statutory language no longer contained in the Workers' Compensation

Law, and/or that it relied on an analysis that has since been addressed by the general assembly through statutory

amendments." McCord v. Advantage Human Resourcing, No. 2014-06-0063, 2015 TN Wrk. Comp. App. Bd.

LEXIS 6, at *13 n.4 (Tenn. Workers' Comp. App. Bd. Mar. 27, 2015).

4

Solutions, No. 2015-01-0055, 2015 TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Tenn.

Workers' Comp. App. Bd. Aug. 18, 2015). An employee need not prove every element

of his or her claim by a preponderance of the evidence in order to obtain relief at an

expedited hearing. McCord v. Advantage Human Resourcing, No. 2014-06-0063, 2015

TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers' Comp. App. Bd. Mar. 27,

20 15). At an expedited hearing, an employee has the burden to come forward with

sufficient evidence from which the trial court can determine that the employee is likely to

prevail at a hearing on the merits. !d.

An injured employee may not be entitled to temporary partial disability

benefits if he or she is terminated from employment for cause and the employer

reasonably would have been able to provide modified duty within the restrictions

assigned. To be excused from this obligation, the employer is required to

demonstrate that the termination of the injured employee's employment involved a

breach of the reasonable expectations of an employer and appears reasonably

appropriate. In such cases, the employer is deemed to have made reasonable efforts

to accommodate the employee's work restrictions and the Employee's work injury is

not the reason why he is not returned to his former job. See generally Carter v. First

Source Furniture Group, 92 S.W.3d 367, 371-372 (Tenn. 2002) (holding that, "an

employer should be permitted to enforce workplace rules without being penalized in

a workers' compensation case." !d. at 368.)

In order to decide the issue, the Court must determine: "(1) that the actions

allegedly precipitating the employee's dismissal qualified as misconduct under

established or ordinary workplace rules and/or expectations; and (2) that those actions

were, as a factual matter, the true motivation for the dismissal." Ingram v. Heads Up

Cutting Ctr., No. M2012-00464-WC-R3-WC, 2013 Tenn. LEXIS 338, at *20 (Tenn.

Workers' Comp. Panel Apr. 10, 2013); see also Durham v. Cracker Barrel Old

Country Store, Inc., No. E2008-00708-WC-R3-WC, 2009 LEXIS 3, at *9 (Tenn.

Workers' Comp. Panel Jan. 5, 2009).

The Court in the present case finds that Mr. Upshaw's termination on June 1,

2015, does not fall under the umbrella of "misconduct under established or ordinary

workplace rules and/or expectations." Ingram, supra, at *20. The Court carefully

considered Joems' position that Mr. Upshaw's termination precludes him from

receiving temporary partial disability benefits. However, the Court finds unpersuasive

Joems' argument that it terminated Mr. Upshaw on June 1, 2015, due to an alleged

verbal altercation occurring on May 19, 2015, and reported by a co-worker the next

day. The Court heard live testimony from Mr. Upshaw, who appeared calm, confident,

and self-assured. However, the affidavits of Mr. Butler and Mr. Villanueva were not

subject to cross-examination because they did not provide in-person testimony.

5

It is implausible to the Court that an employer would delay terminating an

employee if he purportedly used profanity, made racial remarks, and threatened

physical bodily harm against a co-worker. Likewise, it is also implausible to the Court

that Joems' true motivation for terminating Mr. Upshaw on the very day he sustained a

work-related injury was due to an alleged verbal altercation that happened a week and

a half prior. Mr. Upshaw's credible testimony is that he never had an altercation with

anyone while employed at Joems. Therefore, the Court finds that Joems' true

motivation for terminating Mr. Upshaw was not due to misconduct regarding an

alleged verbal altercation.

The Court next turns to Mr. Upshaw's testimony regarding the reason given to

him by Joems regarding his termination on June 1, 2015. Mr. Butler allegedly

received a phone call from someone advising him of a prohibition against Mr. Upshaw

being on Kindred's property. Mr. Upshaw also testified he did not know of any

prohibition against him being on Kindred's property. The Court accepts Mr. Upshaw's

testimony that the reason given to him by Joems regarding his termination related to an

alleged prohibition of him being on Kindred's property. However, this unsubstantiated

basis for termination is not "misconduct under established or ordinary workplace rules

and/or expectations." Id. Mr. Upshaw's unrefuted testimony is that he had been on the

premises of Kindred's property a total of four times prior to June 1, 2015, and he was

unaware of any such prohibition. Therefore, the Court again finds that Joems' true

motivation for terminating Mr. Upshaw was not due to misconduct regarding an

unsubstantiated claim that he could not be on Kindred's premises.

Although Joems terminated Mr. Upshaw on June 1, 2015, his work restrictions

did not begin until June 18, 2015. He is not entitled to temporary partial disability

during the time he had no restrictions from June 2, 2015, through June 17, 2015.

However, Mr. Upshaw is entitled to a total of $7,159.68 in temporary partial disability

benefits from June 18, 2015, through September 13, 2015. Mr. Upshaw testified he

worked for Barton Security on September 14, 2015, as "walking security" until he quit

on October 9, 2015. For the first two weeks working at Barton Security, Mr. Upshaw

testified he worked a total of fifty-two hours making $7.50 per hour. For the third

week, Mr. Upshaw testified he worked twelve hours for two days and eight hours for

two days (a total of forty hours) making $9.50 per hour. Based upon Mr. Upshaw's

average weekly wage of $854.24, he is entitled to a total of $625.68 in temporary

partial disability benefits for the period of September 14, 2015, through October 9,

2015. 8

8

Mr. Upshaw did not work while on restricted duty from June 18, 2015, through September 13, 2015, which is

twelve weeks and four days. When multiplying his weekly compensation rate of $569.52 by twelve weeks and four

days, it equates to $7,159.68 in temporary partial disability benefits. From September 14, 2015, through October 2,

2015, Mr. Upshaw's gross pay for working fifty-two hours at $7.50 per hour was $390.00. When deducting $390.00

from his average weekly wage of $854.24, the total is $464.24. Sixty-six and two-thirds of $464.24 equates to

$309.50 in temporary partial disability benefits. From October 3, 2015, through October 9, 2015, Mr. Upshaw's

gross pay was $380.00 for working forty hours at $9.50 per hour. When deducting $380.00 from his average weekly

6

Mr. Upshaw also testified he quit working for Barton Security because the job

was outside of his restrictions and bothered his back. Dr. Bruce Thompson at

Physicians Care placed numerous restrictions on Mr. Upshaw. However, none of the

restrictions specifically prohibited prolonged walking. Although he assigned the

restriction of "no prolonged ... standing" to Mr. Upshaw, there is no indication Dr.

Thompson intended to include a limitation on walking within that restriction. Since

Mr. Upshaw voluntarily quit his job at Barton Security that fell within the restrictions

placed upon him, he is not presently entitled to temporary partial disability benefits

from October 10, 2015, forward. Therefore, the Court finds that Mr. Upshaw is

presently only entitled to temporary partial disability benefits from June 18, 2015,

through October 9, 2015, in the total amount of$7,785.36.

IT IS, THEREFORE, ORDERED as follows:

1. The amount of temporary disability benefit 1s $569.52 per week based on

Employee's average weekly wage of$854.24.

2. Payment of past due benefits in the amount of $7,785.36 shall be made for the

period from June 18, 2015, to October 9, 2015.

3. This matter is set for a Scheduling Hearing on December 15, 2015, at 10:30 a.m.,

EDT.

4. Unless interlocutory appeal of the Expedited Hearing Order is filed,

compliance with this Order must occur no later than seven business days

from the date of entry of this Order as required by Tennessee Code

Annotated section 50-6-239(d)(3) (2014). The Insurer or Self-Insured

Employer must submit confirmation of compliance with this Order to the

Bureau by email to WCCompliance.Program@tn.gov no later than the

seventh business day after entry of this Order. Failure to submit the

necessary confirmation within the period of compliance may result in a

penalty assessment for non-compliance.

5. For questions regarding compliance, please contact the Workers' Compensation

Compliance Unit via email WCCompliance.Program@tn.gov or by calling (615)

253-1471 or (615) 532-1309.

wage of$854.24, the total is $474.24. Sixty-six and two-thirds of$474.24 equates to $316.18 in temporary partial

disability benefits.

7

ENTERED this the 18th day of November, 2015.

Judge Audr~ Headrick

Court of Workers' Compensation Claims

Initial (Scheduling) Hearing:

A Scheduling Hearing has been set with Judge Audrey A. Headrick, Court of

Workers' Compensation Claims. You must call 423-634-0164 or toll free at 855-

383-0001 to participate in the Initial Hearing.

Please Note: You must call in on the scheduled date/time to

participate. Failure to call in may result in a determination of the issues without

your further participation. All conferences are set using Eastern Time (ET).

Right to Appeal:

Tennessee Law allows any party who disagrees with this Expedited Hearing Order

to appeal the decision to the Workers' Compensation Appeals Board. To file a Notice of

Appeal, you must:

1. Complete the enclosed form entitled: "Expedited Hearing Notice of Appeal."

2. File the completed form with the Court Clerk within seven business days of the

date the Workers' Compensation Judge entered the Expedited Hearing Order.

3. Serve a copy of the Expedited Hearing Notice of Appeal upon the opposing party.

4. The appealing party is responsible for payment of a filing fee in the amount of

$75.00. Within ten calendar days after the filing of a notice of appeal, payment

must be received by check, money order, or credit card payment. Payments can be

made in person at any Bureau office or by United States mail, hand-delivery, or

other delivery service. In the alternative, the appealing party may file an Affidavit

of Indigency, on a form prescribed by the Bureau, seeking a waiver of the filing

fee. The Affidavit of Indigency may be filed contemporaneously with the Notice

of Appeal or must be filed within ten calendar days thereafter. The Appeals Board

will consider the Affidavit of Indigency and issue an Order granting or denying

the request for a waiver of the filing fee as soon thereafter as is

practicable. Failure to timely pay the filing fee or file the Affidavit of

8

lndigency in accordance with this section shall result in dismissal of the

appeal.

5. The parties, having the responsibility of ensuring a complete record on appeal,

may request, from the Court Clerk, the audio recording of the hearing for the

purpose of having a transcript prepared by a licensed court reporter and filing it

with the Court Clerk within ten calendar days of the filing of the Expedited

Hearing Notice of Appeal. Alternatively, the parties may file a joint statement of

the evidence within ten calendar days of the filing of the Expedited Hearing

Notice of Appeal. The statement of the evidence must convey a complete and

accurate account of what transpired in the Court of Workers' Compensation

Claims and must be approved by the workers' compensation judge before the

record is submitted to the Clerk of the Appeals Board.

6. If the appellant elects to file a position statement in support of the interlocutory

appeal, the appellant shall file such position statement with the Court Clerk within

three business days of the expiration of the time to file a transcript or statement of

the evidence, specifying the issues presented for review and including any

argument in support thereof. A party opposing the appeal shall file a response, if

any, with the Court Clerk within three business days of the filing of the appellant's

position statement. All position statements pertaining to an appeal of an

interlocutory order should include: (1) a statement summarizing the facts of the

case from .the evidence admitted during the expedited hearing; (2) a statement

summarizing the disposition of the case as a result of the expedited hearing; (3) a

statement of the issue(s) presented for review; and (4) an argument, citing

appropriate statutes, case law, or other authority.

9

APPENDIX

Exhibits:

1. Affidavit ofMr. Upshaw

2. Medical Records of Physicians Care

3. Wage Statement

4. Panel ofPhysicians

5. Affidavit of Trey Butler

6. Affidavit of Jose M. Cueva Villanueva

7. Page 3 ofPhysicians Care medical note dated June 18, 2015

Marked for Identification Purposes Only:

1. Alliance Physical Therapy records

2. Joems' Recover Care Job Description

3. Page 3 of Physicians Care medical note dated August 12, 2015

Technical record: 9

1. Petition for Benefit Determination, July 17, 2015

2. Dispute Certification Notice, August 31, 2015

3. Request for Expedited Hearing, September 28, 2015

4. Notice of Scheduled Hearing, October 5, 2015

9

The Court did not consider attachments to Technical Record filings unless admitted into evidence during the

Expedited Hearing. The Court considered factual statements in these filings or any attachments to them as

allegations unless established by the evidence.

10

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Expedited Hearing Order

Granting Temporary Partial Disability Benefits was sent to the following recipients by

the following methods of service on this the 18th day ofNovember, 2015.

Name Certified First Via Fax Via Email/Mail Address

Mail Class Fax Number Email

Mail

Carmen Ware, Esq. X cyware@thewarelawfirm.com

Owen Lipscomb, Esq. X owen.lipscomb@libertymutual.com

Robyn Owens, Esq. X robyn.owens@libertymutual.com

P~-r~1·-,-C-~

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Court of V orkers' Compensation Claims

WC.CourtClerk@tn.gov

11