Cv Louisville Opco I, LLC D/B/A or A/K/A Sycamore Heights Health and Rehabilitation v. Sheila Douglas as Adminstratrix of the Estate of Larry Douglas ( 2022 )


Menu:
  •              RENDERED: AUGUST 5, 2022; 10:00 A.M.
    NOT TO BE PUBLISHED
    Commonwealth of Kentucky
    Court of Appeals
    NO. 2021-CA-0051-MR
    CV LOUISVILLE OPCO I, LLC D/B/A
    OR A/K/A SYCAMORE HEIGHTS
    HEALTH AND REHABILITATION;
    THE PORTOPICCOLO GROUP, LLC;
    THOMAS RAWLINS IN HIS
    CAPACITY AS ADMINISTRATOR
    OF SYCAMORE HEIGHTS HEALTH
    AND REHABILITATION; AND
    ULTRACARE MANAGEMENT
    GROUP, LLC                                          APPELLANTS
    APPEAL FROM JEFFERSON CIRCUIT COURT
    v.        HONORABLE SUSAN SCHULTZ GIBSON, JUDGE
    ACTION NO. 20-CI-004497
    SHEILA DOUGLAS AS
    ADMINISTRATRIX OF THE ESTATE
    OF LARRY DOUGLAS                                      APPELLEE
    OPINION
    AFFIRMING IN PART, REVERSING IN PART,
    AND REMANDING
    ** ** ** ** **
    BEFORE: ACREE, CETRULO, AND TAYLOR, JUDGES.
    TAYLOR, JUDGE: CV Louisville Opco I, LLC d/b/a or a/k/a Sycamore Heights
    Health and Rehabilitation; the Portopiccolo Group, LLC; Thomas Rawlins in his
    capacity as Administrator of Sycamore Heights Health and Rehabilitation; and
    Ultracare Management Group, LLC (collectively referred to as Sycamore) bring
    this appeal from an Order entered December 14, 2020, by the Jefferson Circuit
    Court denying their motion to compel arbitration of negligence and wrongful death
    claims brought by Sheila Douglas as the Administratrix of the Estate of Larry
    Douglas (herein referred to as the resident or decedent) on behalf of beneficiaries
    of the decedent against Sycamore (a nursing home). As will be discussed, Douglas
    entered into an arbitration agreement in her role as attorney-in-fact under a power
    of attorney (POA) as part of a larger Admissions Agreement to ensure the
    resident’s care at Sycamore. For the reasons stated herein, we affirm in part,
    reverse in part, and remand for proceedings consistent with this Opinion.
    BACKGROUND
    In 2019, Larry Douglas appointed his sister, Sheila Douglas, as his
    lawful attorney-in-fact pursuant to an executed power of attorney, which is not in
    dispute in this appeal. In February of 2019, Sheila executed the Admissions
    Agreement on Larry’s behalf for his admission to Sycamore’s facility. Larry was
    treated at the facility between February 1, 2019, and May 29, 2019. Larry died on
    June 4, 2019. Thereafter, Douglas filed an action in Jefferson Circuit Court on
    -2-
    August 3, 2020, as administratrix of the Estate, asserting negligence and wrongful
    death claims against Sycamore. The circuit court denied Sycamore’s motion to
    compel arbitration by order entered December 14, 2020. This appeal followed.
    STANDARD OF REVIEW
    The standard of review for this Court of an order below denying a
    motion to compel arbitration can be summarized as follows:
    Ordinarily, such orders are interlocutory and are not
    immediately appealable. However, an order denying a
    motion to compel arbitration is immediately appealable.
    [Kentucky Revised Statutes] KRS 417.220(1). See
    also Conseco Finance Servicing Corp. v. Wilder, 
    47 S.W.3d 335
    , 340 (Ky. App. 2001). The enforcement and
    effect of an arbitration agreement is governed by the
    Kentucky Uniform Arbitration Act (KUAA), KRS
    417.045 et seq., and the Federal Arbitration Act, (FAA) 9
    U.S.C.4 §§ 1 et seq. “Both Acts evince a legislative
    policy favoring arbitration agreements, or at least
    shielding them from disfavor.” Ping v. Beverly
    Enterprises, Inc., 
    376 S.W.3d 581
    , 588 (Ky. 2012).
    But under both Acts, a party seeking to compel
    arbitration has the initial burden of establishing the
    existence of a valid agreement to arbitrate. 
    Id. at 589
    .
    That question is controlled by state law rules of contract
    formation. 
    Id. at 590
    . The FAA does not preempt state
    law contract principles, including matters concerning the
    authority of an agent to enter into a contract and which
    parties may be bound by that contract. Arthur Andersen
    LLP v. Carlisle, 
    556 U.S. 624
    , 630-31, 
    129 S. Ct. 1896
    ,
    1902, 
    173 L. Ed. 2d 832
     (2009). Since this matter is
    entirely an issue of law, our standard of review is de
    novo. Conseco, 
    47 S.W.3d at 340
    .
    Genesis Healthcare, LLC v. Stevens, 
    544 S.W.3d 645
    , 648-49 (Ky. App. 2017).
    -3-
    The circuit court, in denying Sycamore’s motion to compel
    arbitration, found that Douglas signed the Admissions Agreement, which contained
    the arbitration agreement, only in her representative capacity. The court also found
    that the arbitration agreement was unconscionable. Although the circuit court did
    not cite any authority in support of its decision, we agree that Douglas signed only
    in her representative capacity as attorney-in-fact and affirm in that regard.
    However, as concerns the conscionability of the arbitration agreement, for the
    reasons stated, we conclude the arbitration agreement was not unconscionable.
    Further facts will be developed as necessary.
    ANALYSIS
    The Admissions Agreement presented to Douglas upon the decedent’s
    admission to Sycamore is an eleven-page document, excluding the signature pages.
    It is divided into ten sections and various subsections within. Several sections
    and/or subsections within the Admissions Agreement contain lines for a signature
    or initials of either the Resident or the Resident’s Sponsor. Douglas signed or
    initialed each item as “Sponsor.” Section 4 of the Admissions Agreement defines
    “Sponsor,” in relevant part, as:
    [A] person legally responsible for the Resident or must
    be in the process of obtaining such status, including a
    guardian, a person holding a durable power of attorney
    and/or a conservator. The Facility must receive written
    documentation from the person who will act as the
    Sponsor showing the legal right to act on behalf of the
    -4-
    Resident and the date on which the person was appointed
    by a court and/or the Resident.
    The arbitration agreement is found in Section 10(G), of the
    Admissions Agreement, entitled “Disputes,” and does not have an accompanying
    line for signatures or initials as found in other sections and/or subsections. Section
    10 contains the final substantive provisions of the Admissions Agreement.
    Following Section 10 is a separate signature page for the Admissions Agreement.
    Appearing at the top of the signature page is the following:
    THE UNDERSIGNED ACKNOWLEDGE THAT
    EACH OF THEM HAVE READ AND UNDERSTOOD
    THIS AGREEMENT, INCLUDING THE
    ARBITRATION PROVISION IN SECTION 10.G. AND
    HAS RECEIVED A COPY OF THIS AGREEMENT,
    AND THAT EACH OF THEM VOLUNTARILY
    CONSENTS TO AND ACCEPTS ALL OF ITS
    TERMS[.]
    Douglas signed her name on the line below that says “(Resident
    (individual or by legal representative)[)].” However, below that is a section for the
    Sponsor to sign. It has a similar statement preceding the signature line that appears
    in all caps and boldface type and reads:
    SPONSOR MUST COMPLETE AND SIGN BELOW
    AS ACKNOWLEDGMENT OF HIS/HER HAVING
    READ AND FULLY UNDERSTOOD, AND
    AGREED TO THE PERSONAL UNDERTAKINGS
    OF THE SPONSOR, AS PROVIDED FOR IN THE
    AGREEMENT[.]
    -5-
    Douglas printed her name, provided her signature, and on the
    “Relation” line wrote “Sister/POA.” Notably, there is no dispute over Douglas’s
    role as attorney-in-fact, and whether, as such, she had the authority to sign the
    Admissions Agreement which included the arbitration agreement. However,
    “Sister” does not in any way comport with the nursing home’s definition of a
    Sponsor in Section 4 of the Admissions Agreement. Douglas’s role as “Sister”
    would not provide the necessary authority to sponsor the decedent for
    admission. Only her role as attorney-in-fact under the POA does that.
    Accordingly, this language in the agreement is not sufficient to bind Douglas
    individually to the arbitration provisions including her personal wrongful death
    claim. We can find no definitive statement that Douglas was signing in her
    individual capacity.
    The arbitration agreement in Section 10(G) reads as follows:
    Disputes. (i) To the fullest extent allowed by law,
    Resident and/or the Resident’s legally authorized
    representative who signs this Agreement, on behalf of the
    Resident, the Resident’s heirs, assigns, and all others
    acting or purporting to act for the Resident or the
    Resident’s estate, and Facility agree that all civil claims
    arising in any way out of this Agreement or the
    nursing care that Facility, its employees, or agents
    provide to Resident, other than claims by the Facility to
    collect unpaid bills for services rendered, or to
    involuntarily discharge the Resident, shall be resolved
    exclusively through mandatory mediation, and, if
    such mediation does not resolve the dispute, through
    binding arbitration using the commercial mediation
    -6-
    and arbitration rules and procedures of
    JAMS/Endispute. JAMS shall hold such mediation and,
    if needed, such arbitration in its office located closest to
    the Facility. If any mediator, arbitrator, or court of
    competent jurisdiction finds any portion of this Section
    unenforceable for any reason, then they shall delete those
    unenforceable provisions and enforce the remaining
    provisions. Except as stated in this paragraph,
    JAMS/Endispute’s commercial mediation and arbitration
    rules shall apply to any mediation or arbitration[;] (ii)
    Resident and Facility also agree that, to the greatest
    extent allowed by law, both Resident and Facility
    shall seek only actual damages in any such mediation
    or arbitration, and that neither of them will pursue
    any claim for punitive damages, treble damages or
    any other type of damages the purpose of which are to
    punish one party in an amount greater than the actual
    damages allegedly caused by the other party; (iii) If
    circumstances justifying a temporary restraining order or
    a preliminary injunction exist, then either party may seek
    such a temporary restraining order and/or such a
    preliminary injunction from any court with jurisdiction
    over the dispute. After the court rules on such motion for
    temporary restraining order or preliminary injunction,
    however, the parties will then engage in the mediation
    and, if necessary, arbitration, detailed in paragraphs A
    and B of this Section above; [and] (iv) Resident,
    Resident’s authorized representative, and Facility all
    agree that they have read this section, that they
    understand all of its provisions, and that they agree to all
    of the provisions detailed in this Section[.]
    Despite the language purporting to bind the decedent’s “heirs, assigns,
    and others acting or purporting to act for the Resident or the Resident’s estate,” it
    is well-settled law in Kentucky that a decedent cannot bind wrongful death
    claimants to an arbitration agreement. “[T]he decedent whose death becomes the
    -7-
    basis of a wrongful death claim had no authority during his lifetime, directly or
    through the actions of his attorney-in-fact, to prospectively bind the beneficiaries
    of the wrongful death claim to an arbitration agreement.” Extendicare Homes, Inc.
    v. Whisman, 
    478 S.W.3d 306
    , 313 (Ky. 2015), judgment rev’d in part, vacated in
    part sub nom. Kindred Nursing Centers Ltd. P’ship v. Clark, 
    137 S. Ct. 1421
    ,
    (2017) (emphasis added).1 Similarly, had Douglas signed the Admissions
    Agreement in her individual capacity, which did not occur, other than herself, she
    could not have bound the Estate or any other wrongful death beneficiaries to
    arbitrate any claims under the agreement. See LP Louisville East, LLC v. Patton,
    
    621 S.W.3d 386
    , 399 (Ky. 2020). In short, Douglas, as attorney-in-fact, only
    possessed the authority to bind the decedent to the arbitration agreement. See id. at
    394. Although she indicated in the agreement that her relation was “Sister/POA,”
    the relationship of “Sister” would not create any personal liability for Douglas
    under the Admissions Agreement, including Section 4 regarding sponsors. We
    therefore affirm the circuit court in that regard.
    The circuit court also found that the arbitration agreement is
    unconscionable, concluding that it “is a mutual agreement in name only” because
    1
    As this Court has noted in Preferred Care Partners Management Group, L.P. v. Alexander, 
    530 S.W.3d 919
    , 924 (Ky. App. 2017), KRS 411.130, Kentucky’s wrongful death statute, including
    its predecessor statute preceded the enactment of the Federal Arbitration Act and is not
    antiarbitration legislation.
    -8-
    only the decedent gave up the right to proceed in a court of law for any disputes.
    The circuit court pointed to the fact that the part of the agreement binding the
    decedent to arbitration appears in boldface type while the language that reserves
    Sycamore’s right to bring its actions in court does not. The court found that this
    “borders on fraud and certainly appears to be in bad faith.” We disagree.
    A fundamental rule of contract law holds that,
    absent fraud in the inducement, a written agreement duly
    executed by the party to be held, who had an opportunity
    to read it, will be enforced according to its terms. The
    doctrine of unconscionability has developed as a narrow
    exception to this fundamental rule. The doctrine is used
    by the courts to police the excesses of certain parties who
    abuse their right to contract freely. It is directed against
    one-sided, oppressive and unfairly surprising contracts,
    and not against the consequences per se of uneven
    bargaining power or even a simple old-fashioned bad
    bargain.
    An unconscionable contract has been characterized
    as “one which no man in his senses, not under delusion,
    would make, on the one hand, and which no fair and
    honest man would accept, on the other.”
    Unconscionability determinations being inherently fact-
    sensitive, courts must address such claims on a case-by-
    case basis.
    Conseco Fin. Serv. Corp. v. Wilder, 
    47 S.W.3d 335
    , 334-42 (Ky. App. 2001)
    (footnotes omitted).
    This Court, in Conseco, also defined the different types of
    unconscionability applicable to a contract dispute:
    -9-
    Procedural, or unfair surprise, unconscionability pertains
    to the process by which an agreement is reached and the
    form of an agreement, including the use therein of fine
    print and convoluted or unclear language . . . . [It]
    involves, for example, material, risk-shifting contractual
    terms which are not typically expected by the party who
    is being asked to assent to them and often appear [ ] in
    the boilerplate of a printed form. The notion of
    procedural unconscionability thus includes many of the
    concerns raised by contracts of adhesion. Substantive
    unconscionability refers to contractual terms that are
    unreasonably or grossly favorable to one side and to
    which the disfavored party does not assent.
    
    Id.
     at 343 n.22 (internal quotation marks and citations omitted).
    In the case sub judice, Douglas does not claim she was misled by
    Sycamore. Nor does she claim that she did not read or did not have an opportunity
    to read the arbitration agreement. The provision itself is not hidden or obscured in
    fine print. Indeed, it is the only subsection within the entirety of the Admissions
    Agreement containing portions that are in both boldface type and underlined. It is
    the only section of the Admissions Agreement that mentions arbitration. We are
    unpersuaded by Douglas’s argument using Flesch-Kincaid scores to convince this
    Court that the language in the arbitration agreement is incomprehensible to a
    person of ordinary experience and education. Douglas points to no examples in
    Kentucky law where Flesch-Kincaid scores have been used in contract
    interpretation. The language in the Arbitration Agreement is such that its general
    import is understandable to a person of ordinary experience and education.
    -10-
    Although the arbitration agreement does provide that Sycamore may
    use the courts for “unpaid bills for services rendered, or to involuntarily discharge
    the Resident,” we are not persuaded that this renders the agreement
    unconscionable. These potential claims of Sycamore are such that they could be
    decided expeditiously in the courts. “The potential for uneven remedies does not
    render the arbitration clause unconscionable.” Hathaway v. Eckerle, 
    336 S.W.3d 83
    , 89 (Ky. 2011). Accordingly, we reverse and remand the circuit court’s finding
    that the arbitration agreement was unconscionable for lack of mutuality.
    In summation, we conclude that the arbitration agreement is
    enforceable against the Estate except as concerns any wrongful death claims. And,
    Douglas is not personally liable under the Admissions Agreement. Accordingly,
    we affirm in part, reverse in part, and remand for proceedings consistent with this
    Opinion.
    ALL CONCUR.
    BRIEFS FOR APPELLANTS:                    BRIEF FOR APPELLEE:
    James P. Grohmann                         Matthew D. Swindle
    A. Pete Pullen                            Robert W. Francis
    Louisville, Kentucky                      Little Rock, Arkansas
    -11-