Jeannie Owens v. Missouri State Board of Nursing , 2015 Mo. App. LEXIS 1185 ( 2015 )

In the
Missouri Court of Appeals
Western District

JEANNIE OWENS, 
 WD78486
Respondent,  OPINION FILED:
v. 
 November 17, 2015
MISSOURI STATE BOARD OF 
NURSING, 

Appellant. 

Appeal from the Circuit Court of Cole County, Missouri
The Honorable Patricia S. Joyce, Judge
Before Division Two:
Mark D. Pfeiffer, P.J., Lisa White Hardwick, and James Edward Welsh, JJ.
When the Missouri State Board of Nursing revoked Jeannie Owens's nursing license
pursuant to section 335.066.16(1)(a), RSMo Cum. Supp. 2013, because Owens had pled guilty to
driving while intoxicated, Owens filed a petition for judicial review of the Board's decision with
the Circuit Court of Cole County. The circuit court reversed the Board's revocation order
concluding that driving while intoxicated was not a crime of "moral turpitude" or a crime related
to Owens's ability to practice as a nurse. The Board thereafter filed this appeal with this court.
In an appeal from a judgment of a circuit court addressing the decision of an administrative
agency, this court reviews the decision of the administrative agency and not the judgment of the
circuit court. Bird v. Mo. Bd. of Architects, 259 S.W.3d 516, 520 n.7 (Mo. banc 2008). Pursuant
to Rule 84.05(e), when the circuit court reverses the decision of an administrative agency, the
party aggrieved by the agency's decision files the appellant's brief. Therefore, although the
Board filed this appeal as the party aggrieved by the circuit court's decision, Owens filed the
appellant's brief, and the Board filed the respondent's brief.
In this appeal, Owens contends that the Board erred in revoking her nursing license
because (1) her guilty plea to driving while intoxicated is not a crime of moral turpitude or a
crime reasonably related to her ability to practice as a nurse, (2) the Board has no lawful basis to
impose discipline on her license for failing to report the guilty plea to the Board, and (3) the
revocation of her license constitutes a punitive sanction on her license and is not necessary to
protect the public. We affirm the circuit court's judgment reversing the Board's order to revoke
Owens's nursing license.
Owens holds a license from the Missouri State Board of Nursing as a registered nurse.
On January 4, 2011, Owens pled guilty in the Circuit Court of Cole County to the class B
misdemeanor of driving while intoxicated—drug intoxication under section 577.010, RSMo.1
The court sentenced Owens to 60 days in jail but suspended execution of the sentence and placed
Owens on probation for two years.
On October 8, 2013, the Board's legal counsel filed a complaint entitled "Request for
Disciplinary Hearing," asking the Board to hold a hearing pursuant to section 335.066.16(1) to
determine whether cause existed to discipline Owens's nursing license. The Board's complaint
alleged that Owens's license should be disciplined under section 335.066.2(2), because of the
driving while intoxicated offense. The Board alleged that Owens's DWI was an offense
1
The guilty plea judgment was not included in the record on appeal, but the parties agree that Owens pled
guilty, on January 4, 2011, to the class B misdemeanor of driving while intoxicated—drug intoxication.
2
involving moral turpitude and an offense reasonably related to the qualifications, functions, or
duties of a nurse. The complaint also alleged that Owens "failed to report her plea of guilty on
her 2011 and 2013 applications to renew her registered professional nursing license."
On December 5, 2013, the Board held a hearing regarding the allegations in the
complaint. Owens appeared at the hearing pro se. Owens did not make any objections to the
Board's evidence, which included court records related to her DWI, including the probable cause
statement and copies of the license renewal applications she submitted to the Board in 2011 and
2013.
The probable cause statement filed in the DWI case stated that, on May 14, 2009, the
reporting officer responded to the scene of an accident at 8200 No More Victims Road in
Jefferson City, Missouri. Upon arrival at the scene, the officer found Owens's vehicle parked "on
top of" another vehicle. The officer observed that Owens's clothing was on inside out and
backwards and also noted that Owens appeared confused and unable to understand what the
officer was asking her. According to the probable cause statement, Owens told the officer that
she did not remember if she had taken any medication that day. The officer, however, located a
bottle of prescription medication in plain view on the passenger side of the vehicle. The bottle
contained a carisoprodol (a generic version of Soma), a muscle relaxer, which was prescribed to
Owens. The probable cause statement noted that the prescription had been filled the day prior to
the accident for 90 pills, but the bottle contained only 37 pills at the time it was found by the
officer.
Owens did not give any testimony on her own behalf, but she was examined by the
Board's attorney. Owens testified that, on May 14, 2009, she was employed as a nurse at the
Jefferson City Correctional Center. That morning, before driving to work, Owens admitted that
3
she took two carisoprodol tablets and an antibiotic. Owens said that she was taking carisoprodol
for back pain and that she had previously taken two tablets at one time with no ill effects. She
admitted that she was only supposed to take one pill every six hours but said that she took two
pills because her back was "hurting really bad." She testified that,when she pulled her vehicle
into her employer's parking lot, she started to feel dizzy. She said that, when she attempted to
park, she backed into another car. Owens acknowledged that she had filled the prescription for
90 pills of carisoprodol just a day before the accident, but she said that some of the pills were at
her home because she did not want to carry that many pills with her. She also said that, the day
she had the prescription filled, she took one to two pills every hour.
When questioned by the Board's attorney about why she did not disclose her guilty plea
on her renewal applications, Owens stated: "Honestly, I was scared . . . . [b]ecause of the Board
of Nursing. I've never been in trouble before with the Board of Nursing and I was scared."
Upon further questioning, Owens admitted that she previously had a license as a licensed
practical nurse that was revoked by the Board because she stole $50.00 from a co-worker.
On January 9, 2014, the Board issued its Findings of Fact, Conclusions of Law and
Disciplinary Order concluding it had grounds to revoke Owens's nursing license pursuant to
section 335.066.16(1)(a). The Board found that Owens's testimony was "not credible and not
persuasive" and found that Owens's DWI was an offense involving moral turpitude and an
offense reasonably related to the qualifications, functions, or duties of a registered nurse. The
Board concluded:
The plea of guilty to driving while intoxicated-drug intoxication is cause
for the Board to take disciplinary action against [Owens's] nursing license. A
critical aspect of being a nurse is to be unimpaired and sober at all times. A nurse
is, because of her position and training, in a crucial position to know what the
effects of powerful medications such as Soma can be on the human body. A nurse
4
in an impaired condition is a danger to herself and her patients. The Board finds
over-medicating oneself to be a very troubling and worrisome activity for a nurse
to be involved in. [Owens] admitted at the hearing that she was supposed to take
the Soma only once every six hours, but she admitted she took two of them at the
same time right before she drove to work at the prison where she was a nurse.
The Board finds [Owens's] actions very troubling.
The Board also stated in its findings of fact that Owens failed to report her guilty plea on her
license renewal applications for 2011 and 2013. The Board, however, did not find that Owens's
failure to disclose her guilty plea was an independent basis for discipline. The Board merely
noted that it did not find Owens's explanation to be "mitigating or an excuse in that nurses are
expected to follow the rules set for them and be advocates for their patients." The Board further
stated, "A nurse must be accountable and stand up for her actions at all times, and be willing to
accept the consequences of her actions." The Board concluded that the appropriate level of
discipline for Owens was revocation of her nursing license "in order to safeguard the health of
the public."
On January 17, 2014, Owens filed a petition for judicial review of the Board's decision in
the Circuit Court of Cole County. On March 6, 2015, the circuit court issued its Findings of
Fact, Conclusion of Law and Judgment reversing the Board's decision to revoke Owens's nursing
license. This appeal followed.
In an appeal from the circuit court's review of an administrative agency's decision, this
court reviews the agency's decision, not the decision of the circuit court. Albanna v. State Bd. of
Registration for Healing Arts, 293 S.W.3d 423, 428 (Mo. banc 2009). "Article V, section 18 of
the Missouri Constitution articulates the standard of judicial review of administrative actions."
Id. On appeal, we must determine "whether the agency actions 'are authorized by law, and in
cases in which a hearing is required by law, whether the same are supported by competent and
5
substantial evidence upon the whole record.'" Id. (quoting Mo. Const. art. V, § 18). We,
therefore, must determine whether the decision is supported by sufficient competent and
substantial evidence, after considering the whole record. Id. We will affirm the agency's decision
unless it:
(1) Is in violation of constitutional provisions;
(2) Is in excess of the statutory authority or jurisdiction of the agency;
(3) Is unsupported by competent and substantial evidence upon the whole
record;
(4) Is, for any other reason, unauthorized by law;
(5) Is made upon unlawful procedure or without a fair trial;
(6) Is arbitrary, capricious or unreasonable;
(7) Involves an abuse of discretion.
§ 536.140.2, RSMo Cum. Supp. 2013. We will not substitute our judgment for that of the
administrative agency on factual matters, but we review any questions of law concerning an
agency's decision de novo. Moheet v. State Bd. of Registration for Healing Arts, 154 S.W.3d
393, 398 (Mo.App.2004).
A determination of whether a cause exists to discipline a nursing license under section
335.066.2 is generally made by the Administrative Hearing Commission. §335.066.3. In those
circumstances, the Board holds a hearing only to determine what level of discipline, if any, to
impose on the licensee. §335.066.4. However, in August 2013, the Missouri General Assembly
added a provision to section 335.066 allowing the Board to make its own determinations
regarding cause for discipline in certain circumstances. § 335.066.16. One such circumstance is
where the Board possesses certified court records for an offense involving the qualifications,
6
functions, or duties of a nurse or for an offense involving moral turpitude. §335.066.16(1)(a).
Section 335.066.16 provides in pertinent part:
(1) The board may initiate a hearing before the board for discipline of any
licensee's license or certificate upon receipt of one of the following:
(a) Certified court records of a finding of guilt or plea of guilty or nolo
contendere in a criminal prosecution under the laws of any state or of the United
States for any offense involving the qualifications, functions, or duties of any
profession licensed or regulated under this chapter, for any offense involving
fraud, dishonesty, or an act of violence, or for any offense involving moral
turpitude, whether or not sentence is imposed[.]
...
(3) Upon a finding that cause exists to discipline a licensee's license, the
board may impose any discipline otherwise available.
The Board determined that Owens's DWI was an offense involving moral turpitude and
involving the qualifications, functions, and duties of a nurse. Therefore, the Board utilized the
procedural mechanism of section 335.066.16 to hold a hearing and determine that there was
cause to discipline Owens's nursing license. However, the statutory basis for the discipline that
the Board imposed on Owens's nursing license was section 335.066.2(2). Section 335.066.2(2)
provides:
2. The board may cause a complaint to be filed with the administrative
hearing commission as provided by chapter 621 against any holder of any
certificate of registration or authority, permit or license required by sections
335.011 to 335.096 or any person who has failed to renew or has surrendered his
or her certificate of registration or authority, permit or license for any one or any
combination of the following causes:
....
(2) The person has been finally adjudicated and found guilty, or entered a
plea of guilty or nolo contendere, in a criminal prosecution pursuant to the laws of
any state or of the United States, for any offense reasonably related to the
qualifications, functions or duties of any profession licensed or regulated pursuant
to sections 335.011 to 335.096, for any offense an essential element of which is
7
fraud, dishonesty or an act of violence, or for any offense involving moral
turpitude, whether or not sentence is imposed[.]
In her first point on appeal, Owens assert that the Board's revocation of her nursing
license was contrary to law, unauthorized by law, unsupported by competent and substantial
evidence upon the whole record, and in violation of her right to due process under the law. In
particular, she asserts that her guilty plea to driving while intoxicated for drug intoxication is not
a crime of moral turpitude or a crime reasonably related to her ability to practice as a nurseas
required by section 335.066.16(1)(a). We agree.
"Moral turpitude" is defined as "'an act of baseness, vileness, or depravity in the private
and social duties which a man owes to his fellowman or to society in general, contrary to the
accepted and customary rule of right and duty between man and man; everything "done contrary
to justice, honesty, modesty, and good morals."'" In re Frick, 694 S.W.2d 473, 479 (Mo. banc
1985) (quoting In re Wallace, 19 S.W.2d 625 (Mo. banc 1929)). "With regard to the matter of
'moral turpitude,' it has been said that there are three classifications of crimes." Brehe v. Mo.
Dept. of Elementary & Secondary Educ., 213 S.W.3d 720, 725 (Mo. App. 2007) (citing
AM.JUR.2D Criminal Law § 22 (1998)). According to the Brehe court, those classifications are:
(1) crimes that necessarily involve moral turpitude, such as frauds; (2) crimes "so
obviously petty that conviction carries no suggestion of moral turpitude," such as
illegal parking; and (3) crimes that "may be saturated with moral turpitude," yet
do not involve it necessarily, such as willful failure to pay income tax or refusal to
answer questions before a congressional committee.
Id. (quoting Twentieth Century-Fox Film Corp. v. Lardner, 216 F.2d 844, 852 (9th Cir.1954)).
Under the first category, commission of the crime itself establishes that it necessary involved
moral turpitude. Id. If the offense, however, falls in the third category, an inquiry must be made
8
into the circumstances surrounding the offense to show moral turpitude. Id. The Board,
therefore, could discipline a nurse's license for either a category one or category three offense.
Regardless of whether we look at the offense of driving while intoxicated under category
one or category three, we find nothing the crime of driving while intoxicated in this case that
suggests that Owens committed an act of "baseness, vileness, or depravity." The Board argues
that driving while intoxicated is irresponsible, and we agree. But, it most certainly does not rise
to the level of baseness, vileness, or depravity under these circumstances.
Although no Missouri court has addressed whether driving while intoxicated is an offense
involving moral turpitude, several other states have considered this issue. These states have
primarily dealt with the issue in regard to statutes or rules which authorize a witness to be
impeached by introducing evidence showing that the witness was convicted of a crime involving
moral turpitude. In Diamond v. State, 268 So. 2d 850, 853 (1972), the Alabama Court of
Criminal Appeals held that driving while intoxicated is not "the kind of offense which signifies
an inherent quality of baseness, vileness, and depravity, denoting moral turpitude." In State v.
Bushey, 457 A.2d 279, 281 (1983), the Vermont Supreme Court declared that "drunken driving
convictions are not convictions of crimes involving moral turpitude, [and] their admissibility for
impeachment purposes is clearly prohibited." In Fee v. State, 497 S.W.2d 748, 750 (1973),the
Tennessee Court of Criminal Appeals held that the trial court erred in allowing the State to cross-
examine a defendant about his convictions for driving while intoxicated because the convictions
did not involve moral turpitude.
Some states, however, look at the circumstances surrounding the crime in determining
whether the offense of driving while intoxicated involved moral turpitude for impeachment
purposes. In those states, the courts look at whether the offense was the first offense for the
9
driver or whether it was charged as a felony or misdemeanor. In People v. Forster, 29 Cal. App.
4th 1746, 1756 (1994), the California Court of Appeals held that felony driving under the
influence with three or more driving under the influence convictions within seven years is a
crime involving moral turpitude. The court concluded that the crime at issue was "a recidivist
type crime involving an extremely dangerous activity" and that a repeat offender was
"presumptively aware of the life-threatening nature of the activity and the grave risks involved."
Id. at 1757. The court further explained:
Continuing such activity despite the knowledge of such risks is indicative of a
“conscious indifference or 'I don't care attitude' concerning the ultimate
consequences” of the activity from which one can certainly infer a “'depravity in
the private and social duties which a man owes to his fellowmen, or to society in
general, contrary to the accepted and customary rule of right and duty between
man and man.'”
Id. (citations omitted). In State v. Hall, 411 S.E.2d 441, 442 (1991), the South Carolina Court of
Appeals held that driving while under the influence, at least with regard to a first offense, is not a
crime of moral turpitude. The Hall court reasoned:
In our view, first offense driving under the influence, although not to be
condoned, cannot be necessarily characterized as “an act of baseness, vileness or
depravity in the private and social duties which man owes to his fellow man or to
society in general, contrary to the customary and accepted rule of right and duty
between man and man.”
Id. (citation omitted). In Lopez v. State, 990 S.W.2d 770, 778 (1999), the Texas Court of Appeals
held that a misdemeanor driving while intoxicated conviction is not an offense involving moral
turpitude.
Moreover, in a case involving the discipline of an attorney's license, the Indiana Supreme
Court lookedatthe circumstances surrounding the crime in determining whether the offense of
driving while intoxicated involved moral turpitude. In the case of In the Matter of Oliver, 493
10
N.E.2d 1237, 1240-41 (1986), the Indiana Supreme Court decided that an attorney's DWI
conviction was not an offense involving moral turpitude because the attorney was not a "multiple
offender or someone with a chronic alcohol problem," was charged with a misdemeanor, and did
not cause any personal injury or property damage.
We find persuasive these cases holding that driving while intoxicated is not a crime
involving moral turpitude, especially when dealing with a first offense and a conviction as a
misdemeanor. In this case, it appears from the record that this is Owens's first DWI, and it was a
misdemeanor conviction. We find nothing within the crime of driving while intoxicated in this
case that suggests that Owens committed an act of "baseness, vileness, or depravity." The Board,
therefore, was without authority to revoke Owens's nursing license under section 335.066.16,
given that Owens's guilty pleato driving while intoxicated was not a crime involving moral
turpitude.
The Board also revoked Owens's nursing license because it found that her offense of
while intoxicated involved "the qualifications, functions, or duties" of a nurse.
§ 335.066(16)(1)(a). The offense of driving while intoxicated does not "involve" the
qualifications, functions, or duties of a nurse. Webster's Third New International Dictionary
defines "involve" as "to relate closely: CONNECT, LINK[.]" Webster's Third New International
Dictionary 1191 (1993). The Board argues that, because Owens abused prescription medications
and because she took these medications on her way to work, it establishes that her actions were
related to her functions and duties of a nurse. A nurse's actions before or after the offense is
committed, however, are not the focus of section 335.066.16(1)(a). Section 335.066.16(1)(a) is
concerned whether the offense itself involved the qualifications, functions, or duties of a nurse.
Owens pled guilty to the class B misdemeanor of driving while intoxicated by operating a motor
11
vehicle while under the influence of carisoprodol. Nothing within the offense of driving while
intoxicated relates to or is connected or linked to the qualifications, functions, or duties of a
nurse. The Board, therefore, was without authority to revoke Owens's nursing license under
section 335.066.16, given that Owens's guilty plea to driving while intoxicated was not a crime
involving the qualifications, functions, or duties of a nurse.
In finding that Owens's guilty plea to driving while intoxicated is not an offense
involving moral turpitude or an offense involving the qualifications, functions, or duties of a
nurse, we do not mean to suggest that the circumstances relating to a driving while intoxicated
offense can never be grounds to revoke a nurse's license. Indeed, other provisions of section
355.066.2 may be implicated by Owens’s conduct and provide a basis for the Board to file a
complaint with the administrative hearing commission seeking a determination that cause exists
to discipline her nursing license. We merely hold that the Board cannot bypass the
administrative hearing commission in this case and use section 335.066.16 to declare that
Owens's class B misdemeanor of driving while intoxicated is an offense involving moral
turpitude or an offense involving the qualifications, functions, or duties of a nurse.
In her second point on appeal, Owens asserts that the Board erred in revoking her nursing
license because the Board has no lawful basis under section 335.066.16 to impose discipline on
her nursing license for failing to report her guilty plea for driving while intoxicated to the Board.
In its Finding of Fact, the Board did make findings that Owens failed to report her guilty plea on
her 2011 and 2013 applications to renew her nursing license. Moreover, in its Conclusions of
Law, the Board further noted that Owens said that she did not report the guilty plea on her 2011
and 2013 renewal applications because "she was scared." The Board stated that it did not find
her being scared to be "mitigating or an excuse in that nurses are expected to follow the rules set
12
out for them and be advocates for their patients." The Board concluded, "A nurse must be
accountable and stand up for her actions at all times, and be willing to accept the consequences
of her actions." The Board did not find that cause existed to discipline Owens's nursing license
because of her failure to report her DWI offense to the Board. Indeed, in its brief on appeal, the
Board acknowledged that it "did not determine that there was cause to discipline Owens's license
because of her failure to report her DWI offense to the Board." The Board found cause to
discipline Owens's nursing license pursuant to §§ 335.66.16(1)and 335.066.2(2) because the
offense of driving while intoxicated involved the qualifications, functions, and duties of a nurse
and was an offense involving moral turpitude. Owens's contention is, therefore, without merit.
Conclusion
The Board erred in revoking Owens's nursing license because her guilty plea to driving
while intoxicated is not a crime of moral turpitude or a crime reasonably related to her ability to
practice as a nurse.2 We, therefore, affirm the circuit court's judgment reversing the Board's
order to revoke Owens's nursing license.
/s/ JAMES EDWARD WELSH
James Edward Welsh, Judge
All concur.
2
Because we conclude that the Board erred in revoking Owens's nursing license, we need not address
Owens's third point on appeal concerning whether or not the Board's revocation of her license constituted a punitive
sanction on her license and was necessary to protect the public.
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