Temple, J., Aplt. v. Providence Care Center ( 2020 )


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  •                                   [J-87-2019]
    IN THE SUPREME COURT OF PENNSYLVANIA
    WESTERN DISTRICT
    SAYLOR, C.J., BAER, TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, JJ.
    JAMES TEMPLE, ADMINISTRATOR FOR                 :   No. 21 WAP 2019
    THE ESTATE OF ELMA B. TEMPLE,                   :
    DECEASED,                                       :   Appeal from the Order of the Superior
    :   Court entered July 10, 2018, at No. 87
    Appellant                  :   WDA 2017, affirming in part and
    :   reversing in part the Order of the
    :   Court of Common Pleas of Beaver
    v.                                :   County entered December 14, 2016,
    :   at No. 11726-2012 and remanding.
    :
    PROVIDENCE CARE CENTER, LLC                     :   ARGUED: October 15, 2019
    D/B/A PROVIDENCE CARE CENTER,                   :
    :
    Appellee                   :
    OPINION
    JUSTICE WECHT                                        DECIDED: JULY 21, 2020
    In this case, a panel of the Superior Court concluded that, even though Providence
    Care Center had waived its opportunity to ask for a mistrial, the trial court nonetheless
    possessed and invoked its inherent authority to grant a new trial sua sponte for the same
    reasons that Providence Care Center raised in its post-trial motions. In so ruling, the
    Superior Court affirmed the trial court’s grant of a new trial.
    There are instances in which a party detects, but fails to preserve, an error that
    could result in a mistrial. In today’s decision, we again recognize that a trial court
    possesses the very limited and restrained authority to halt proceedings and compel them
    to begin anew based upon that unpreserved error. But in such a circumstance, a trial
    court may only use its sua sponte authority to grant a new trial where “exceedingly clear
    error” results in “manifest injustice,” of a constitutional or structural nature. Ewing v. Tees,
    
    1 Binn. 450
    , 455-56 (Pa. 1808) (opinion of Tilghman, C.J.) However, that is not what
    occurred here, and the Superior Court’s conclusion that it did must be reversed. Because
    Providence Care Center did not preserve its request for a mistrial and because the trial
    court did not grant, and could not have granted, a new trial sua sponte based upon the
    unpreserved request for a mistrial, we reverse the Superior Court’s order and remand for
    further proceedings.
    I. Background
    In 2008, Elma Betty Temple (“Elma”), who suffered from Alzheimer’s disease,
    became a resident of Providence Care Center, a nursing home located in Beaver Falls,
    Pennsylvania. Providence Care Center, LLC (“Providence”) owned and operated the
    facility, while Grane Healthcare Company (“Grane”) provided management services. On
    November 28, 2011, Elma, who was 81 years old at the time, fell while walking on a ramp.
    She suffered a fracture in her right humerus, a fracture in her right pelvis, and a laceration
    to her right elbow. Providence apparently was not supervising Elma at the time; the only
    witness to the incident, a hospice chaplain, was not a designated caregiver.
    On September 26, 2012, James Temple (“Temple”), Elma’s son, filed a complaint
    on Elma’s behalf1 against Providence and Grane, alleging negligence and corporate
    negligence, and sought punitive damages. Temple alleged that Providence should have
    known that Elma required supervision, because of two previous falls in 2011. Temple
    further claimed that the facility was understaffed, and that Providence failed to provide
    needed safety measures.
    1     During the course of the litigation, Elma passed away.             Temple is now the
    administrator of Elma’s Estate.
    [J-87-2019] - 2
    In May 2016, the court of common pleas presided over an eight-day jury trial.
    During the trial, three issues arose that are pertinent for resolving the instant dispute: (1)
    the admission of evidence regarding alleged understaffing of the facility, (2) testimony
    pertaining to Providence’s alleged “star rating,”2 and (3) the propriety of Temple’s closing
    argument, as detailed below. At the close of Temple’s case, the trial court granted a
    motion for nonsuit as to Grane and dismissed Grane from the case. The trial court denied
    a motion for nonsuit as to Providence and denied a motion for a directed verdict on
    punitive damages.
    In the bifurcated trial, the jury first considered whether Providence was negligent,
    the amount of compensatory damages to award, and whether Providence was reckless.
    The jury found that Providence was both negligent and reckless, and awarded $2,000,000
    in compensatory damages. The second phase of the trial was focused upon punitive
    damages.     After deliberations in this phase, the jury awarded $250,000 in punitive
    damages.
    Following a flurry of post-trial motions from both Temple and Providence, the trial
    court granted motions for judgment non obstante veredicto (“JNOV”) on punitive damages
    and a new trial on negligence and compensatory damages. The trial court, in part,
    granted the aforementioned motions because of the staffing, star rating, and closing
    argument issues, though, as detailed below, the trial court granted these motions despite
    the fact that Providence had not preserved its right to request a mistrial.
    A. The Staffing Issue
    During trial, Katherine McCombs, a former Providence employee, “testified that the
    facility was short-staffed at times and [that] she received grievances to this effect.” Trial
    Court Opinion and Order on Defendant’s Post-Trial Motions, 12/13/2016, at 10 (“Trial Ct.
    2      See infra note 3.
    [J-87-2019] - 3
    Post-Trial Motions Op.”). Temple did not present any expert testimony to the effect that
    Providence’s staffing fell below industry standards or that the staffing levels caused or
    contributed to Elma’s injuries.
    After McCombs’ testimony, Providence argued that the jury should not consider
    the staffing levels in determining whether Providence was negligent because “there [wa]s
    simply nothing on the face of [the] record that would allow a jury to conclude anything
    other than she was unsupervised at the time of the fall. That d[id] not lead to a conclusion
    . . . that the facility was in any way understaffed.” Notes of Testimony (“N.T.”), 5/19/2016,
    at 215. During discussion of this motion, the following exchanges between the trial court
    and Providence’s attorney occurred:
    THE COURT:                          So what, so what are you asking, that
    they not be permitted to argue
    understaffing or that understaffing led to
    her, led to her injury?
    [PROVIDENCE’S ATTORNEY]: Well, I think that their argument, Your
    Honor, is that one of the bases of our
    alleged negligence is, is understaffing
    this facility and/or punitive damages, and
    so yes, I am arguing that they have not
    adduced evidence --
    *      *      *
    THE COURT:                          I think they can make an argument that
    there wasn’t adequate staff to meet her
    needs.
    *      *      *
    THE COURT:                          I know there’s been an objection about
    that, but certainly, you can put on your
    testimony about how much staff was
    there and argue that there was more than
    adequate staff. . . . Do you guys need a
    minute?
    [J-87-2019] - 4
    [PROVIDENCE’S ATTORNEY]: I think that’s all we have, Your Honor.
    THE COURT:                          Okay. And so our testimony tomorrow
    will be your experts?
    [PROVIDENCE’S ATTORNEY]: We, we will have some testimony from
    our restorative nurse, our director of
    nursing --
    THE COURT:                          Okay.
    [PROVIDENCE’S ATTORNEY]: -- and two experts.
    *      *        *
    THE COURT:                          All right. . . .
    [PROVIDENCE’S ATTORNEY]: Very good.
    [PROVIDENCE’S ATTORNEY]: Thank you, Your Honor.
    THE COURT:                          Anything else?
    [PROVIDENCE’S ATTORNEY]: So long as our position, we, we raised
    previously before we formally rest about
    Your Honor’s ruling regarding admitting
    the entire record, as long as that’s clear.
    Id. at 218-22.
    At no point during this colloquy did Providence move for a mistrial because
    of McCombs’ testimony. Rather, as quoted above, Providence’s attorneys proceeded to
    another issue.
    B. The Star Rating Issue
    During trial, Temple sought to introduce evidence about Providence’s “star rating,”
    a metric by which the Centers for Medicare & Medicaid Services (“CMS”) assess nursing
    homes.3 The trial court expressly forbade Temple from asking about or discussing the
    3      CMS “created the Five-Star Quality Rating System to help consumers, their
    families, and caregivers compare nursing homes more easily and to help identify areas
    about which you may want to ask questions.” Centers for Medicare & Medicaid Services,
    [J-87-2019] - 5
    star rating system with any witness in front of the jury without first calling an expert from
    CMS to explain the system. The trial court “repeatedly said ‘No’ or ‘Nope’ 12 times with
    respect to this issue.” Trial Ct. Post-Trial Motions Op. at 25-26; see also N.T., 5/17/2016,
    at 101-02.
    However, after Beth Lengle, Grane’s Vice President for Nursing Services,
    mentioned the star rating system during her testimony, Temple’s attorney asked, “Do you
    have a good understanding of the star rating?” N.T., 5/18/2016, at 197. Providence’s
    attorney objected, and the parties and the trial court engaged in the following
    conversation, in the presence of the jury:
    [PROVIDENCE’S ATTORNEY]: Your Honor, I think we’ve got a
    disconnect on two different things, the
    Department of Health numbers --
    [TEMPLE’S ATTORNEY]:               Your Honor, if he has a speaking
    objection, then --
    [PROVIDENCE’S ATTORNEY]: No, you’re, you’re mixing the two, and I
    think she’s articulating that, and you’re
    trying to confuse the two.
    [TEMPLE’S ATTORNEY]:               Well, he can, he has his opportunity to
    ask his own questions, Your Honor.
    THE COURT:                         All right. I, I’m going to sustain the
    objection as to the form of the question,
    and I will allow you to re-ask the question
    or, or maybe we just need some more
    foundation on what this 671[4] is.
    Five-Star Quality Rating System, Certification & Compliance (Dec. 4, 2019, 9:44 P.M.),
    https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcom
    plianc/fsqrs. A CMS-run website “features a quality rating system that gives each nursing
    home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered to
    have much above average quality and nursing homes with 1 star are considered to have
    quality much below average.”
    Id. 4 “671”
    is a reference to a form from CMS, the CMS-671 Long Term Care Facility
    Application for Medicare and Medicaid, which includes information pertaining to staffing
    [J-87-2019] - 6
    [PROVIDENCE’S ATTORNEY]: That’s, I think that’s my objection, Your
    Honor.
    [TEMPLE’S ATTORNEY]:               Do you have an understanding that
    based on the six, the five-star reports that
    there will be a rating for staffing from one
    star, two star, three star, four star, five
    star; right?
    [LENGLE]:                          Yes, but that is not the same thing as the
    daily staffing numbers.
    [TEMPLE’S ATTORNEY]:               The, do you recall what the staffing, the
    star-rating was for Providence Care
    Center back in --
    [PROVIDENCE’S ATTORNEY]: Objection, Your Honor.                 We’ve talked
    about this.
    THE COURT:                         Sustained.
    [LENGLE]:                          Do I answer?
    THE COURT:                         No.
    [LENGLE]:                          I’m sorry. Okay. Sorry.
    Id. at 199-200.
    At the time of the testimony, Providence’s attorney did not make any other
    objection, nor did Providence move for a mistrial. After the objection, Temple’s attorney
    immediately resumed questioning Lengle.
    C. The Closing Argument Issue
    As noted above, the trial court bifurcated the trial. First, the jury was charged with
    considering the issues of negligence, compensatory damages, and recklessness. Then,
    if the jury found that Providence was reckless, the jury would consider whether and what
    amount of punitive damages the circumstances warranted. In preparation for the first
    numbers. See Centers for Medicare & Medicaid Services, CMS 671, CMS Forms List
    (Sept. 1, 2018), https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-
    Items/CMS006581.
    [J-87-2019] - 7
    phase of deliberations, the trial court instructed the parties not to reference punishment
    or the wealth of either defendant. The trial court did not “want the jury to be confused or
    misled in the compensatory phase that they may include some money in there for
    punishment.” N.T., 5/23/2016, at 25; see generally
    id. at 15-28.
    Additionally, the trial
    court had instructed Temple not to refer to any manipulation of staffing numbers. See
    N.T., 5/17/2016, at 95-96.
    During closing arguments, and contrary to the trial court’s clear commands,
    Temple’s attorney made multiple references that “directly contravened [the trial court’s]
    instructions and were highly prejudicial to” Providence. Trial Ct. Post-Trial Motions Op.,
    at 30.     Temple’s attorney suggested that the staffing numbers were manipulated,
    mentioned “exceptional profits,” urged “hold[ing Grane] accountable,” and asked the jury
    to stop “history [from] repeating itself.” N.T., 5/23/2016, at 109-24; see also Trial Ct. Post-
    Trial Motions Op. at 33-34.
    After the closing arguments, Providence’s attorney objected to “several points”
    made by Temple’s attorney, including requests to hold Providence accountable,
    references to Grane, and comments regarding exceptional profits. N.T., 5/23/2016, at
    125-26. The trial court noted these objections and engaged in the following discussion
    with the attorneys out of earshot of the jury:
    THE COURT:                        Okay. So I guess the question becomes
    how do we rectify that? Other than just
    give them the charge and note that that,
    especially when I get to the part about
    compensatory damages that it’s solely to
    compensate them. It is not to send a
    message, but holding them accountable
    I think is fair. If there’s negligence, then
    there should be accountability for that, so
    I think that’s fair, but I do agree with
    holding, sending a message and that sort
    of thing may have crossed the line
    slightly, so I will try to correct that when I
    [J-87-2019] - 8
    give my instructions on damages, and
    your objection is also noted. I don’t know
    how else I can address it.
    [TEMPLE’S ATTORNEY]:               I mean there were no contemporaneous
    objections made I mean in the course of
    --
    THE COURT:                         Well, we do that on purpose. I don’t know
    how many cases you’ve tried in
    Pennsylvania, but I’ve never had
    somebody object during, during closing.
    *      *       *
    THE COURT:                         But your objection’s noted.
    [PROVIDENCE’S ATTORNEY]: Well, I mean --
    THE COURT:                         Is there anything else you want me to
    say?
    [PROVIDENCE’S ATTORNEY]: Well, I think a cautionary instruction as to
    his indications that, that they are to send
    message is inappropriate.
    THE COURT:                         I agree.
    [PROVIDENCE’S ATTORNEY]: Thank you, Your Honor.
    Id. at 126-28.
    Yet again, Providence never moved for a mistrial due to Temple’s disregard
    of the trial court’s instructions, instead implicitly agreeing that a cautionary instruction
    would be sufficient. In charging the jury, the trial court gave such an instruction. See
    id. at 141.
    D. Providence’s Oral Motion for a New Trial on Negligence
    Providence did ask for a new trial on the negligence and compensatory damages
    verdicts, albeit never during the exchanges on the three issues noted above. After the
    jury decided to award Temple $2,000,000 in compensatory damages, and a day after
    Temple’s closing argument, Providence “move[d] to strike the jury award . . . because it
    [J-87-2019] - 9
    does clearly . . . include punitive damages and represents confusion both in the charging
    or, or the verdict slip . . . . Alternatively [Providence would] move for a mistrial on the
    same grounds.” N.T., 5/24/2016, at 4-5.5 The trial court denied this motion, but noted
    that Providence could raise the issue again in a post-trial motion. After denial of the
    motion, Providence’s attorney argued that Temple’s closing argument was “clearly
    improper, and . . . a curative instruction on those points has not obviously remedied the
    situation, and I think that that is grounds for mistrial.”
    Id. at 11.
    Providence conceded
    that:
    [PROVIDENCE’S ATTORNEY]: Again I don’t know that that can rectify
    what --
    THE COURT:                        What happened yesterday. I understand.
    I understand.
    [PROVIDENCE’S ATTORNEY]: -- happened yesterday and throughout
    the trial.
    THE COURT:                        I understand.
    Id. at 12.
    E. The Trial Court Opinions
    After the jury announced its verdicts and awards, both Temple and Providence
    filed post-trial motions, which the trial court disposed of in two separate opinions. In an
    opinion dated December 13, 2016, the trial court responded to Providence’s post-trial
    motions. First, the trial court granted Providence’s motion for JNOV with regard to
    punitive damages, finding that Temple had presented no evidence that could show that
    5     After we heard oral argument in this case, Providence filed a post-submission
    communication with the Court highlighting this portion of the notes of testimony, wherein
    Providence asked for a mistrial after the initial verdict. See Appellee’s Post-Submission
    Communication Pursuant to Pennsylvania Rule of Appellate Procedure 2501(a).
    [J-87-2019] - 10
    Providence’s “conduct amounted to anything more than negligence.” Trial Ct. Post-Trial
    Motions Op. at 4.
    Second, in a lengthy analysis, the trial court granted Providence’s motion for a new
    trial with regard to negligence and compensatory damages. The trial court provided five
    reasons for granting a new trial: (1) the compensatory damages award was “so contrary
    to the evidence as to shock one’s sense of justice,”
    id. at 10;
    (2) Temple did not support
    its understaffing claims with expert testimony, and the trial court “ha[d] no way to
    determine whether the jury found Providence to be negligent based on a lack of staffing
    or based on another allegation of negligence,”
    id. at 14;
    (3) the trial court improperly
    instructed the jury on staffing and the possibility of Providence’s reckless conduct,
    id. at 15;6
    (4) the trial court improperly submitted the issue of punitive damages to the jury,
    id. at 17;7
    and (5) the trial court admitted “improper prejudicial evidence,”
    id. at 17-18.
    With regard to the fifth reason, the trial court highlighted the erroneous admission
    of evidence regarding six different issues, including the staffing, star rating, and closing
    argument controversies noted above.          Notably, the trial court did not make any
    determination as to whether Providence waived entitlement to a new trial based upon the
    star rating issue. And in response to Temple’s claim that Providence had waived the
    6      The trial court additionally found that it had improperly instructed the jury on
    corporate liability, but the court decided that this error was harmless. See Trial Ct. Post-
    Trial Motions Op. at 15-16.
    7      The trial court’s language with regard to this reason for granting a new trial was
    especially confusing. The trial court wrote that “[a] new trial is necessary because the
    question of punitive damages was improperly submitted to the jury.” Trial Ct. Post-Trial
    Motions Op. at 17. The court then wrote that, “[f]or the reasons we believe a judgment
    n.o.v. is warranted on the issue of punitive damages, we also believe a new trial is
    warranted.”
    Id. The best
    interpretation of this portion of the opinion is that the trial court
    was granting a new trial on negligence and compensatory damages because the court
    submitted the punitive damages question to the jury, as the trial court had earlier in the
    opinion granted JNOV on the punitive damages question.
    [J-87-2019] - 11
    ability to ask for a new trial due to the prejudicial closing argument, the court wrote that
    Providence “timely objected . . . at trial. . . . Thus, [the remedy of asking for a new trial
    was] not waived by” Providence.
    Id. at 36.
    The trial court concluded that “the cumulative
    effect of the errors in this trial . . . produced something other than a just and fair result.
    For that reason, a new trial [wa]s warranted.”
    Id. at 37.8
    After Temple filed a timely appeal to the Superior Court, the trial court issued an
    opinion in accordance with Pa.R.A.P. 1925(a). As to the decision to grant a new trial on
    negligence and compensatory damages, the trial court wrote that “[t]he Court adequately
    addressed all issues in [the Trial Ct. Post-Trial Motions Op.], which will serve as its
    1925(a) opinion on these issues.” Trial Court 1925(a) Opinion, 3/8/2017, at 2 (“Trial Ct.
    Rule 1925(a) Op.”). However, the trial court also stated that the December 13, 2016 post-
    trial motions opinion “did not give an overarching reason for its decision. . . . [T]he Court
    note[d] that the main reason for ordering a new trial was not the substantial verdict, but
    the fact that the Court did not believe the trial was fair.”
    Id. In contrast
    to the post-trial
    motions opinion, the trial court explained that “if this were a case of purely compensatory
    damages, [the trial court] likely would not have awarded a new trial. The main problem
    in this case was [Temple’s] counsel’s failure to follow the rules, and his co-mingling of
    arguments regarding compensatory and punitive damages, despite the court’s
    admonition against this.”
    Id. (emphasis in
    original). The court then described the same
    issues regarding the star rating and Temple’s closing argument. Based upon these two
    issues, the trial court came “simply [to] believe the trial was not fair,” and “when a trial
    judge believes that the trial was not fair, that judge is obliged to correct it.”
    Id. at 3.
    Separate from this finding of unfairness, the trial court wrote that it “d[id] not believe the
    8      The trial court additionally denied Providence’s request for remittitur, as it found
    the proper remedy to be a new trial. See Trial Ct. Post-Trial Motions Op. at 37.
    [J-87-2019] - 12
    claim of inadequate staffing was properly supported by expert testimony.”
    Id. at 4.
    Seemingly referring to all three issues—star rating, closing arguments, and staffing—the
    trial court felt “compelled to order a new trial on both liability and damages.”
    Id. The trial
    court did not mention any of the other reasons9 for granting new trial that it described in
    its December 13, 2016 post-trial motions opinion.10
    F. The Superior Court Opinion
    In an unpublished memorandum, the Superior Court affirmed in part and reversed
    in part. The panel affirmed the trial court’s decision to grant a new trial. The panel first
    noted that, “[b]ecause the trial court focuses on [the star rating and closing argument]
    incidents to demonstrate why it believed that the trial was unfair, [the panel] examine[d]
    each in turn to ascertain if they warrant a new trial.” Temple v. Providence Care Ctr.,
    LLC, 87 WDA 2017, 
    2018 WL 3358598
    , at *4 (Pa. Super. July 10, 2018).
    First, on the star rating issue, the panel agreed with Temple that Providence had
    not preserved its claim. See
    id. at *6
    (noting “Providence’s late objection and failure to
    request a mistrial”). However, the panel explained that these failures “cannot waive the
    trial court’s power to sua sponte order a new trial.” Id.; see also
    id. (“[W]e disagree
    with
    [Temple] that Providence waived [the star rating issue] claim by not objecting immediately
    and asking for a mistrial.”). In an extended footnote, the panel further explained that,
    “notwithstanding Providence’s post-trial motions asking for a new trial, it is evident that
    the trial court felt compelled to grant a new trial independent of Providence’s motions
    9      The trial court apparently narrowed its focus to the star rating, closing arguments,
    and staffing issues on its own accord. In his Pa.R.A.P. 1925(b) statement, Temple wrote
    only that “[t]he trial court erred when it granted the post-trial motion of Providence . . . and
    ordered a new trial as to both liability and damages on the claim of negligence.” Plaintiff’s
    Statement of Errors Complained of on Appeal, 1/27/2017, at 2.
    10     Additionally, in its Rule 1925(a) Opinion, the trial court: (1) defended its decision
    to grant nonsuit for Grane; (2) defended its rulings on other evidentiary issues; and (3)
    agreed that delay damages would be proper upon remand.
    [J-87-2019] - 13
    requesting such relief.”
    Id. at *6
    n.7. For proof that the trial court had used its sua sponte
    authority, the panel cited the trial court’s language that, “‘when a trial judge believes that
    the trial was not fair, that judge is obliged to correct it.’”
    Id. (quoting Trial
    Ct. Rule 1925(a)
    Op. at 3) (emphasis in Superior Court memorandum). Additionally, the panel found that
    this sua sponte power applied in both criminal and civil trials. See
    id. Finally, the
    panel
    distinguished our waiver jurisprudence announced in Tagnani v. Lew, 
    426 A.2d 595
    (Pa.
    1981), writing that Tagnani “involved only one error, and not the multiple errors the trial
    court points to in the case sub judice,” and that this Court’s decisions confirming the sua
    sponte power “post-date” Tagnani. Temple, 
    2018 WL 3358598
    , at *6 n.7.
    Next, the panel agreed with Temple that “Providence did not request a mistrial
    immediately following [Temple’s] closing argument.”
    Id. at *7.
    However, the panel once
    again found “that this omission d[id] not preclude the trial court from granting a new trial
    sua sponte.”
    Id. The Superior
    Court only mentioned the staffing issue in a footnote,11 but
    concluded that “the trial court had a basis to believe that the trial was unfair, given the
    cumulative effect of [Temple’s] improper conduct, along with other errors that prejudiced
    Providence.”
    Id. at *8.
    The Superior Court did not analyze those “other issues” in terms
    of whether the trial court was using its sua sponte authority or whether preservation and
    waiver rules applied. In its final disposition, the Superior Court remanded the case for a
    new trial.12
    11    The panel wrote that McCombs’ testimony “was insufficient to establish . . .
    understaffing,” but the panel did not analyze the staffing claim in terms of waiver of a
    motion for a mistrial by Providence or the trial court’s ability to grant a new trial sua sponte.
    Temple, 
    2018 WL 3358598
    , at *8 n.8.
    12     Not pertinent to this appeal, the panel made two additional rulings. First, the panel
    sustained the trial court’s decision to grant JNOV on punitive damages. Second, the
    panel reversed the trial court’s decision to grant the motion for a nonsuit as to Grane and
    ordered that Grane be included in a new trial. See Temple, 
    2018 WL 3358598
    , at *18.
    [J-87-2019] - 14
    We granted Temple’s petition for allowance of appeal in order to decide the
    following question:
    Did the Superior Court disregard decades of controlling Supreme Court
    precedent by affirming the grant of a new trial based upon errors that were
    not preserved properly at the time of trial?
    Temple v. Providence Care Ctr., LLC, 
    205 A.3d 312
    (Pa. 2019) (per curiam).
    II. Waiver and Preservation
    We first must evaluate whether Providence preserved its motion for mistrial by
    “mak[ing] a timely, specific objection at trial and rais[ing] the issue on post-trial motions.”
    Reilly by Reilly v. Se. Pa. Transp. Auth., 
    489 A.2d 1291
    , 1300 (Pa. 1985) (emphasis in
    original). Because no party claims that Providence failed to ask for a mistrial in its post-
    trial motions, we focus our analysis upon whether Providence requested such a remedy
    during the trial itself.
    “The applicability of waiver principles presents a question of law, over which our
    standard of review is de novo.” Stapas v. Giant Eagle, Inc., 
    198 A.3d 1033
    , 1037 (Pa.
    2018). Additionally, for “[t]he application of the waiver doctrine[,] . . . our scope of review
    is plenary.” Straub v. Cherne Indus., 
    880 A.2d 561
    , 566 n.7 (Pa. 2005).
    Beginning in Dilliplaine v. Lehigh Valley Trust Co., 
    322 A.2d 114
    (Pa. 1974), we
    recognized that the now-discarded “basic and fundamental error doctrine” had “never
    developed into a principled test, but . . . remained essentially a vehicle for reversal when
    the predilections of a majority of an appellate court [we]re offended.”
    Id. at 116.
    We
    replaced that doctrine with a strict waiver principle, requiring that “a specific exception
    must be taken” for an appellate court to review an alleged error at trial.
    Id. at 117.
    We
    pointed to a number of reasons for requiring that a specific objection be made, including
    giving trial courts the first crack at correcting the error, the inefficiency in having appellate
    courts review errors where there was no trial court ruling, and the need to focus appellate
    [J-87-2019] - 15
    courts upon issues actually preserved. See
    id. at 116-17.
    Another key consideration was
    the higher level of training and education for lawyers in the modern era. We wrote:
    “Perhaps at an earlier stage of our jurisprudential development this practice could be
    justified.   Today, however, there is no excuse for and appellate courts should not
    encourage less than alert professional representation at trial.”
    Id. at 116.
    Previously, an
    “unprepared trial lawyer [could] look[] to the appellate court to compensate for his trial
    omissions.”
    Id. at 117.
      In the modern era, in line with the inherent nature of our
    adversarial system, we recognized that the parties themselves should be held responsible
    for their own mistakes (or purposeful strategies).13
    While Dilliplaine instituted strict waiver as a matter of common law, we later
    amended our Rules of Civil Procedure to codify this principle. See Pa.R.C.P. 227.1(b).
    With an exception not relevant to the case sub judice, Rule 227.1(b) forbids a trial court
    from granting post-trial relief unless:
    (1) if then available, [the grounds] were raised in pre-trial proceedings or by
    motion, objection, point for charge, request for findings of fact or
    conclusions of law, offer of proof or other appropriate method at trial; and
    (2) are specified in the [post-trial] motion. The motion shall state how the
    grounds were asserted in pre-trial proceedings or at trial. Grounds not
    specified are deemed waived unless leave is granted upon cause shown to
    specify additional grounds.
    Id.; see also
    id. cmt. (“Subdivision
    (b)(1) incorporates into the rule the principle of
    Dilliplaine . . . that basic and fundamental error is not a ground for a new trial in the
    absence of a timely objection at trial.”). The Rule specifically notes that “[i]f no objection
    is made, error which could have been corrected . . . during trial by timely objection may
    13     In a concurring opinion, Justice Manderino noted that, when a lawyer fails to
    recognize an error and a party is prejudiced, that party could bring claims either for
    ineffective assistance of counsel, in the criminal context, or malpractice, in the civil
    context. See 
    Dilliplaine, 322 A.2d at 117
    –18 (Manderino, J., concurring). These
    remedies obviously continue to exist today.
    [J-87-2019] - 16
    not constitute a ground for post-trial relief.”
    Id. note; see
    also Pa.R.A.P. 302(a) (“Issues
    not raised in the lower court are waived and cannot be raised for the first time on appeal.”).
    Since Dilliplaine and codification of strict preservation and waiver principles in Rule
    227.1(b), we have expanded upon the meaning of the strict waiver principle. For example,
    in Tagnani, the plaintiff made an objection to a prejudicial question. The trial court
    “promptly sustained” the objection, “and the question was not answered. No further relief
    was sought . . . during 
    trial.” 426 A.2d at 595
    . However, after the jury returned a verdict
    for the defendant, the plaintiff submitted a post-trial motion asking for a new trial because
    of the prejudicial question. The trial court granted the request. Upon appeal to this Court,
    we considered “the power of a court to grant a new trial for alleged harm neither
    designated as such nor for which remedy was sought during trial.”
    Id. Applying our
    rule
    in Dilliplaine, we concluded that “failure to pursue further relief after the [trial] court
    sustained the objection justified the [trial] court in concluding that no further action with
    reference to that complaint was necessary” at the time the objection was made.
    Id. at 597
    . 
    Thus, the party had waived its right to a new trial because it did not specifically ask
    for such a remedy at the time of the prejudicial question. We were careful to note
    specifically that there is “no legitimate . . . distinction . . . between the situation where the
    claim is not timely raised and where the remedy sought was not timely pursued.”
    Id. at 597
    (emphasis added).
    We further elucidated the strict waiver principle in McMillen v. 84 Lumber, Inc., 
    649 A.2d 932
    (Pa. 1994). In that case, McMillen filed a pre-trial motion in limine asking that
    84 Lumber “be precluded from introducing any evidence to the effect that the warning
    labels . . . comported with industry standards, [84 Lumber’s] own rules, or governmental
    regulations.”
    Id. at 933.
    The trial court granted the motion and later “reaffirmed [the] pre-
    trial order barring such testimony.”
    Id. During the
    trial, the trial court “repeated and
    [J-87-2019] - 17
    clarified [the] order specifying that [84 Lumber’s] counsel was not permitted, either directly
    or indirectly,” to make any arguments or ask any questions about the warning labels.
    Id. However, “[i]n
    direct defiance of the trial court’s explicit instructions . . . and after a warning
    from the bench to cease and desist,” 84 Lumber’s attorney asked such a question.
    Id. McMillen, however,
    “did not ask for a mistrial.”
    Id. And yet,
    “[i]n post-trial motions,
    [McMillen] asked for a new trial based on [84 Lumber’s] blatant violations of the trial
    judge’s ruling.”
    Id. at 934.
    The trial court, applying the waiver principle from Tagnani,
    found that McMillen had waived the right to ask for a new trial. The Superior Court
    reversed, opining that waiver was excused based upon a narrow exception we recognized
    in Reilly. See 
    Reilly, 489 A.2d at 1301
    (“The failure to preserve an issue on appeal will
    be excused only when a strong public interest outweighs the need to protect the judicial
    system from improperly preserved issues.”).
    Upon appeal, we, in turn, reversed the Superior Court. We agreed that the
    question asked by 84 Lumber was highly prejudicial and that McMillen was “surely
    entitled” to a mistrial. 
    McMillen, 649 A.2d at 933
    . Nonetheless, we found that McMillen
    had waived the right to ask for a mistrial. McMillen’s “counsel apparently gambled that
    they could still win before the jury already empaneled as opposed to incurring the
    expenditure of time and money that would necessarily occur if a mistrial were granted
    and a new trial ordered. They lost.”
    Id. And with
    regard to the narrow exception in Reilly,
    we constricted it even further. “Aside from capital cases . . . where a human life is at
    stake, no fact situations have been presented to us, and none readily comes to mind,
    where this narrow public interest exception would justify departure from the waiver rule.”
    Id. at 934.
    14 Rather, the error and prejudice caused by 84 Lumber made it a “fairly routine
    14   Since McMillen, we have applied the strict waiver principle to capital cases as well.
    See Commonwealth v. Freeman, 
    827 A.2d 385
    , 393-403 (Pa. 2003).
    [J-87-2019] - 18
    civil case.”
    Id. While “[t]he
    [waiver] rule may be harsh at times, . . . litigation must
    eventually come to an end.”
    Id. Turning to
    the case sub judice, Providence claims that it asked for a mistrial on the
    closing argument issue. See Brief of Appellee at 5-7. We note that, in discussing the
    understaffing,
    id. at 8-9,
    and star rating,
    id. at 11-12,
    issues, Providence does not point to
    any specific instance where it timely asked for a new trial. A straightforward application
    of Rule 227.1(b) and our precedent mandates concluding that Providence waived its
    ability to ask for a mistrial because it did not “make timely and specific objections during
    trial.” Harman ex rel. Harman v. Borah, 
    756 A.2d 1116
    , 1124 (Pa. 2000).
    First, as to staffing, the trial court inquired whether Providence was “asking, that
    [Temple] not be permitted to argue understaffing.” N.T. 5/19/2016, at 218. Providence
    responded that Temple had “not adduced evidence” to show understaffing.
    Id. at 219.
    Subsequently, when the trial court offered that Providence could “put on your testimony
    about how much staff was there,”
    id. at 220,
    Providence responded by noting that it would
    provide two experts, see
    id. at 220-21.
    When the trial court asked Providence, “Anything
    else?,” Providence did not ask for a mistrial but instead moved on to another topic. See
    id. at 221-22.
    Just as in Tagnani, after “[n]o further relief was sought . . . during trial” by
    Providence, 
    Tagnani, 426 A.2d at 595
    , Providence waived its right to ask for a mistrial on
    the staffing issue. See also Jones v. Ott, 
    191 A.3d 782
    , 792 (Pa. 2018) (“When a trial
    judge directly asks for any objections, counsel must directly state them, explicitly or by
    reference to prior recorded objections, on pain of waiver.”).
    Second, after Temple’s attorney asked a witness about the nursing home’s star
    rating, Providence interposed an objection, which the trial court sustained. See N.T.,
    5/18/2016, at 199-200. Providence, “fail[ing] to pursue further relief after the [trial] court
    sustained the objection,” allowed “the [trial] court [to] conclude[] that no further action with
    [J-87-2019] - 19
    reference to that complaint was necessary,” 
    Tagnani, 426 A.2d at 597
    , waiving
    Providence’s right to ask for a mistrial on this topic.
    Third, Temple clearly violated the trial court’s instructions with regard to closing
    arguments. See Trial Ct. Post-Trial Motions Op. at 33-34. When the trial court specifically
    asked Providence’s attorneys how Providence wanted to ameliorate the error, Providence
    requested “a cautionary instruction,” to which the trial court agreed. N.T., 5/23/2016, at
    128. Providence, at the time of the objection, did not request a mistrial, as Providence
    implicitly concedes. See Brief of Appellee at 15 n.1 (noting that Providence’s “objections
    were timely and appropriate” but failing to cite any request for a mistrial at the time of the
    objections). Even if Providence was “surely entitled” to a mistrial, like the plaintiff in
    
    McMillen, 649 A.2d at 933
    , Providence waived its ability to ask for a new trial “where the
    remedy sought was not timely pursued,” 
    Tagnani, 426 A.2d at 597
    .
    Finally, Providence claims that a colloquy with the trial court on May 24, 2016
    shows that Providence made a timely motion for a new trial during the trial itself, at least
    with regard to Temple’s improper closing argument. See Brief of Appellee at 5-7; see
    also Appellee’s Post-Submission Communication Pursuant to Pennsylvania Rule of
    Appellate Procedure 2501(a). At that point, following the jury’s compensatory damage
    award, Providence moved for a mistrial based upon a claim that the jury awarded both
    compensatory and punitive damages during the first phase of deliberations. After that
    motion was denied, Providence again brought up Temple’s prejudicial closing argument.
    But this time, Providence made a new point, that the “curative instruction on those points
    has not obviously remedied the situation.” N.T., 5/24/2016, at 11. Providence stated that
    it did not know what could “rectify” the prejudicial closing argument.
    Id. at 12.
    A motion
    for mistrial immediately following Temple’s closing argument, even if denied at the time
    by the trial court, could have rectified the error. Arguing for a mistrial a day after the
    [J-87-2019] - 20
    alleged error, in the context of a motion for a mistrial based upon other grounds, is not a
    “timely, specific objection,” 
    Reilly, 489 A.2d at 1296
    , that allows for preservation.
    In each instance outlined above, Providence’s attorneys made a strategic choice
    to continue the trial, rather than ask for a mistrial. In remarkably similar fashion to the
    attorneys in McMillen, Providence’s “counsel apparently gambled that they could still win
    before the jury already empaneled as opposed to incurring the expenditure of time and
    money that would necessarily occur if a mistrial were granted and a new trial ordered.
    They lost.” 
    McMillen, 649 A.2d at 933
    . Having lost, Providence may have been “inspired
    after trial and an adverse verdict by the thought that an appellate court may seize upon a
    previously unclaimed error and afford relief on a ground not called to the trial court’s
    attention.” 
    Dilliplaine, 322 A.2d at 116
    . Such an ex post inspiration will not allow a trial
    court to bypass our waiver jurisprudence. Thus, Providence did not preserve a request
    for a mistrial at any point during the trial itself, as the Superior Court rightly acknowledged.
    See Temple, 
    2018 WL 3358598
    , at *6 (noting “Providence’s late objection and failure to
    request a mistrial” on the star rating issue);
    id. at *7
    (writing that “Providence did not
    request a mistrial immediately following [Temple’s] closing argument”).15
    III. Sua Sponte Authority to Grant a New Trial
    Even though the Superior Court reached the same conclusion that Providence did
    not preserve its request for a mistrial, that court nonetheless opined that “it is evident that
    the trial court felt compelled to grant a new trial independent of Providence’s motions
    requesting such relief” by using its sua sponte authority to order a new trial. Providence,
    15     To the extent that the Superior Court distinguished Tagnani because Tagnani
    “involved only one error, and not the multiple errors the trial court points to in the case
    sub judice,” Temple, 
    2018 WL 3358598
    , at *6 n.7, that distinction was error and has no
    basis in our jurisprudence. The “heavy consequence of waiver,” 
    Jones, 191 A.3d at 787
    (quotation marks and citation omitted), applies whether trial counsel strategically (or
    inadvertently) failed to request a mistrial after a single prejudicial error or instead after
    multiple prejudicial errors.
    [J-87-2019] - 21
    
    2018 WL 3358598
    , at *6 n.7; see also
    id. at *7
    (declaring “that this omission d[id] not
    preclude the trial court from granting a new trial sua sponte”). Thus, we must determine
    whether the trial court did grant, or even could have granted, a new trial on the strength
    of its sua sponte authority.
    Whether the trial court actually used its sua sponte authority in the first place is a
    question of law, as to which our standard of review is de novo. However, if the trial court
    did grant a new trial sua sponte, then “it is well-established law” that an appellate court
    applies an abuse of discretion standard, as “[t]rial courts have broad discretion” in
    deciding whether to grant a new trial. 
    Harman, 756 A.2d at 1121-22
    . In addition to legal
    error, an abuse of discretion occurs “where the judgment exercised is manifestly
    unreasonable, or the result of partiality, prejudice, bias or ill-will.” Commonwealth v.
    Norton, 
    201 A.3d 112
    , 120 (Pa. 2019) (quotation marks omitted).
    Our scope of review with regard to a trial court’s decision to grant a new trial is
    more nuanced. “Where the trial court articulates a single mistake (or a finite set of
    mistakes), the appellate court’s review is limited in scope to the stated reason.” Morrison
    v. Commonwealth, Dep’t of Pub. Welfare, Office of Mental Health, 
    646 A.2d 565
    , 571 (Pa.
    1994). Conversely, “where the trial court leaves open the possibility that there were
    reasons to grant or deny a new trial other than those it expressly offered, or the trial court
    justifies its decision on the ‘interests of justice,’ an appellate court must apply a broad
    scope of review and affirm if it can glean any valid reason from the record.” 
    Harman, 756 A.2d at 1123-24
    (citing 
    Morrison, 646 A.2d at 570
    ).
    The Superior Court, interpreting the trial court’s Rule 1925(a) Opinion to mean that
    the star rating and closing argument issues, possibly with assistance from the staffing
    controversy, were dispositive, only “examine[d] each [of those issues] to ascertain if they
    warrant a new trial.” Temple, 
    2018 WL 3358598
    , at *4. The Superior Court did not
    [J-87-2019] - 22
    provide any analysis outside of these three issues, and only mentioned the existence of
    the other disputes from the December 13, 2016 post-trial motions opinion in a single
    sentence. See
    id. at *8
    (“[W]e determine that the trial court had a basis to believe that
    the trial was unfair, given the cumulative effect of [Temple’s] improper conduct, along with
    other errors that prejudiced Providence.”). Thus, the Superior Court implicitly found that
    “[a] relatively narrow scope of review applie[d]” when it “only examine[d] the stated
    reasons” from the Rule 1925(a) Opinion. Coker v. S.M. Flickinger Co., Inc., 
    625 A.2d 1181
    , 1185 (Pa. 1993).
    Accordingly, we “restrict our review to only those issues properly raised before,
    and addressed by,” the court below. Foster v. Mut. Fire, Marine and Inland Ins. Co., 
    614 A.2d 1086
    , 1093 n.3 (Pa. 1992). Thus, we review only whether the Superior Court erred
    in determining that the trial court used, or could have used, its sua sponte authority to
    grant a new trial because of the staffing, star rating, and closing argument issues.
    We have long recognized that trial courts “are not prevented . . . from granting of
    themselves a new trial, if from a view of the evidence they see reason for it.” 
    Ewing, 1 Binn. at 457
    (opinion of Brackenridge, J.) (emphasis in original); see also Getz v. Balliet,
    
    246 A.2d 108
    , 110 (Pa. 1968) (“It has long been established that if sufficient cause exists,
    a court may grant a new trial sua sponte. This power may be exercised even in the
    absence of a motion for a new trial by any party involved.”) (citations omitted).
    More recently, in Commonwealth v. Powell, 
    590 A.2d 1240
    (Pa. 1991), we
    explained that a trial court may use this sua sponte authority only when the “interest of
    justice” requires it.
    Id. at 1242.
    After the trial court determined that the court itself had
    made multiple errors during a bench trial, that same court “determined that a new trial
    was warranted ‘in the interest of justice.’”
    Id. at 1241.
    Upon appeal, we found that “[t]he
    rationale ‘in the interest of justice,’ employed to rectify errors which would otherwise result
    [J-87-2019] - 23
    in unfairness, is deeply rooted in both federal jurisprudence and the common law of
    Pennsylvania.”
    Id. at 1242.
    “Where it will result in the attainment of justice, a trial court
    may grant a new trial without the initiation of the defendant.”
    Id. at 1243.
    We similarly
    have affirmed that this power exists within trial courts for civil trials. See Armbruster v.
    Horowitz, 
    813 A.2d 698
    , 704 n.6 (Pa. 2002) (“[A] trial judge has the power to grant a new
    trial sua sponte if he determines that the interests of justice so require.”); cf. Catalano v.
    Bujak, 
    642 A.2d 448
    , 450 (Pa. 1994) (assuming that such a power exists by opining that
    “[t]he real question . . . is not whether the court had the power to award a new trial sua
    sponte, but whether the grant of a new trial on both liability and damages violated the law
    applicable to such requests”).16
    Make no mistake, the “interest of justice” standard remains a very high threshold,
    the invocation of which should occur only in rare circumstances. In Powell, for example,
    the trial court invoked its authority only after the court itself, “albeit unintentionally, coerced
    the [defendant] to waive his fundamental right to a jury trial and forced him to proceed
    with counsel who was admittedly ill prepared to present an effective or competent
    defense.” 
    Powell, 590 A.2d at 1243
    . We found that these serious (and prejudicial) errors,
    which involved the defendant’s constitutional rights to representation and a jury trial,
    supported the trial court’s use of its discretion in granting a new trial sua sponte. See
    id. at 1244;
    cf. Clewell v. Plummer, 
    131 A.2d 375
    , 378 (Pa. 1957) (“[I]t is [the trial court’s]
    duty[] to grant a new trial when it believes the verdict . . . resulted in a miscarriage of
    justice.”).
    16     Our trial courts retain this power even as trial courts in other jurisdictions, either
    through judicial rulings, see, e.g., State v. Dicapua, 
    680 S.E.2d 292
    , 294 (S.C. 2009), or
    rules of procedure, see, e.g., People v. McEwan, 
    543 N.W.2d 367
    , 369 (Mich. 1995), have
    been stripped of this authority.
    [J-87-2019] - 24
    As the Concurring and Dissenting Opinion aptly notes, the “interest of justice”
    standard has deep roots in our common law jurisprudence. See Conc. and Diss. Op. at
    3-6. For errors recognized independently by the trial court, without any party calling
    attention to those errors, the “interest of justice” standard remains the threshold by which
    a trial court must determine whether it can grant a new trial sua sponte. In Powell, for
    example, the trial court recognized its own errors and granted a new trial sua sponte
    without the defendant moving for a new trial based upon the errors noted above. See
    
    Powell, 590 A.2d at 1242
    n.4. Today’s decision does not disturb or abrogate our ruling in
    Powell, nor does today’s decision eliminate the “interest of justice” standard.
    But in an age in which our system relies upon “alert professional representation at
    trial,” 
    Dilliplaine, 322 A.2d at 116
    , when a party recognizes an error, but fails to preserve
    that error, the bar for a trial court to grant a new trial sua sponte must be even higher than
    the already substantial hurdle of the “interest of justice.” In such a situation, a trial court
    may exercise its sua sponte authority only in truly exceptional circumstances. A trial court
    should make such a ruling only where “exceedingly clear error” results in “manifest
    injustice.” 
    Ewing, 1 Binn. at 455-56
    (opinion of Tilghman, C.J.). That “exceedingly clear
    error” should be of a constitutional or structural nature, and “manifest injustice” must be
    of such a magnitude as to amount to a severe deprivation of a party’s liberty interest.
    Although these requirements are more difficult to prove than the “interest of justice”
    standard, we reject the notion that today’s decision will result in the “virtual elimination of
    the sua sponte power.” Conc. and Diss. Op. at 7. If a trial court determines that the
    above-noted conditions are met, then that court can still declare a new trial sua sponte
    based upon that recognized, but unpreserved, error. Additionally, while we do not restrict
    invocation of this authority to either criminal or civil cases, the point is well taken that such
    [J-87-2019] - 25
    prejudice would seem more likely to occur in the criminal context (though, even in such
    situations, would be exceedingly rare).17
    Applying these principles to the instant case, we first find that the trial court did not
    invoke its sua sponte authority, despite the assertions of the Superior Court and the
    Concurring and Dissenting Opinion to the contrary. Neither in the December 13, 2016
    Post-Trial Motions Opinion nor in the Rule 1925(a) Opinion did the trial court explicitly
    invoke that authority. Nor did the trial court ever justify its decision to grant a new trial in
    the “interest of justice,” a phrase, as outlined above, that our Commonwealth’s courts
    have consistently used when discussing this sua sponte authority. Just as importantly,
    the trial court ordered a new trial only in the context of responding to Providence’s post-
    trial motions.   The trial court subsequently issued its Rule 1925(a) Opinion only in
    response to Temple’s appeal of the trial court’s adjudication of Providence’s post-trial
    motions. The trial court did not independently raise any of the prejudicial errors from trial,
    either during trial or in publishing a separate opinion after trial.
    17      Although our Commonwealth’s courts have applied this doctrine to capital cases
    in the past, see Commonwealth v. McKenna, 
    383 A.2d 174
    (Pa. 1978), our jurisprudence
    does not demand circumscription to any particular type of case, capital or otherwise. To
    restrict this sua sponte authority only to a specific category of cases would be to
    unnecessarily constrain our trial courts in future cases, the circumstances of which we
    cannot predict. Trial courts, not appellate courts, are intimately familiar with the
    circumstances of each trial. “It is the trial judge’s review of the conditions and activity
    surrounding the trial which leaves him or her in the best position to make determinations
    regarding the fairness of the process and its outcome,” including the type of error and its
    corresponding prejudice to a party. 
    Powell, 590 A.2d at 1243
    . Thus, we agree with the
    Concurring and Dissenting Opinion that we should grant “great deference” to our trial
    courts. Conc. and Diss. Op. at 6. However, we deny that the standard that we announce
    today, which is restricted to situations in which a party recognizes, but fails to preserve,
    an error, “is in tension” with that deference.
    Id. Trial courts,
    which manage and observe
    the proceedings before them, still retain the ability to declare a new trial sua sponte based
    upon a recognized, but unpreserved, error. They simply can do so only based upon a
    finding of “exceedingly clear error” that results in “manifest injustice.” 
    Ewing, 1 Binn. at 455-56
    (opinion of Tilghman, C.J.).
    [J-87-2019] - 26
    The trial court wrote that “when a judge believes that the trial was not fair, that
    judge is obliged to correct it,” Trial Ct. Rule 1925(a) Op. at 3, which the Superior Court
    opined was proof of invocation of the sua sponte authority, see Temple, 
    2018 WL 3358598
    , at *6 n.7. However, again, the trial court used this language in the context of
    an opinion stemming from the trial court’s response to Providence’s post-trial motions.
    Thus, there is no indication that the trial court intended to grant a new trial sua sponte.18
    Second, the trial court itself recognized that the prejudice to Providence did not
    arise to the extraordinarily high threshold noted above. The trial court wrote that the
    “effect of the errors in this trial . . . produced something other than a just and fair result.”
    Trial Ct. Post-Trial Motions Op. at 37. Later, the trial court concluded that it came “simply
    [to] believe the trial was not fair.” Trial Ct. Rule 1925(a) Op. at 3. “[S]omething other than
    a just and fair result” and “not fair” are not analogous to the “manifest injustice,” 
    Ewing, 1 Binn. at 455
    (opinion of Tilghman, C.J.), involving a constitutional or structural error, that
    is required for ordering a new trial on a recognized, but unpreserved, issue.
    Third, even if the trial court did believe that the prejudice arose to the level required
    to grant a new trial sua sponte upon a recognized, but unpreserved, issue, as the Superior
    Court opined, see Temple, 
    2018 WL 3358598
    , at *6 n.7, such a grant of a new trial was
    an abuse of discretion. Temple’s failure to follow the trial court’s instructions on the
    18      When a trial court does grant a new trial on a recognized, but unpreserved, issue,
    confusion could arise as to whether the trial court either: (1) erred by granting a new trial
    based upon a party’s unpreserved post-trial motion; or (2) used its sua sponte authority
    to grant a new trial on the recognized, but unpreserved issue. In order to give the parties
    and appellate courts notice, the trial court should state plainly and clearly if there was a
    sua sponte invocation. There is no talismanic phrase or precise set of words a trial court
    must use, cf. Conc. and Diss. Op. at 9 (“Critically, we rarely, if ever, require ‘magic words’
    to be used in legal discourse.”), but such a plain statement by the trial court will conserve
    judicial resources at the appellate level. Upon appeal, the appellate court will then be
    able to focus its analysis upon whether the trial court abused its discretion in granting a
    new trial sua sponte, rather than scrutinizing issues of preservation and waiver.
    [J-87-2019] - 27
    staffing, star rating, and closing arguments issues undoubtedly prejudiced Providence,
    but Providence does not claim that Temple’s inability to abide by the trial court’s
    instructions deprived Providence of any fundamental right that would have been
    constitutional or structural error. And a review of the record indicates that Providence did
    not experience a severe deprivation of liberty.
    It is rarely the case that a trial is perfect, but it even is rarer that a trial court can
    invoke its sua sponte authority on a recognized, but unpreserved issue. Because each
    trial is unique, we need not (and could not) draw the exact line that must be crossed to
    result in an error so egregious that a trial court can invoke its sua sponte authority on an
    unpreserved issue. But this is not a close case. If the Superior Court was correct in its
    reading of the trial court opinion, a finding that sufficient conditions existed for a sua
    sponte grant of a new trial on Providence’s unpreserved errors would have been
    “manifestly unreasonable,” and, thus, an abuse of discretion. 
    Norton, 201 A.3d at 120
    (quotation marks omitted).
    The trial court did not invoke, and could not have invoked, its sua sponte authority
    to declare a new trial. The Superior Court erred in ruling otherwise.19 Rather, the trial
    court granted a new trial based upon Providence’s unpreserved motions for a mistrial,
    which was legal error, as recognized by the Superior Court.
    19     The Superior Court seemingly has lowered the threshold for which a trial court may
    grant a new trial sua sponte on a recognized, but unpreserved, issue. See Scott v. Lower
    Bucks Hosp., 
    2016 WL 5210668
    , at *3 (Pa. Super. July 21, 2016) (applying a “sufficient
    cause” standard to a trial court’s ability to grant a new trial sua sponte on a waived issue
    and opining that “[b]ecause the trial court has the inherent authority to order a new trial,
    a party's actions cannot waive the trial court's exercise of that power”); Commonwealth v.
    Dorm, 
    971 A.2d 1284
    , 1288-89 (Pa. Super. 2009) (utilizing the “interest of justice”
    standard to determine whether the trial court could grant a new trial sua sponte on a
    recognized, but unpreserved, issue). We reiterate that a trial court may order a new trial
    sua sponte based upon a recognized, but unpreserved, issue only in the very rarest of
    circumstances, namely under the conditions outlined above.
    [J-87-2019] - 28
    The trial court, responding to Providence’s arguments that included “everything but
    the kitchen sink,” Trial Ct. Post-Trial Motions Op. at 8, gave a multitude of reasons in its
    December 13, 2016 Post-Trial Motions Opinion and Rule 1925(a) Opinion for granting a
    new trial. The Superior Court focused only upon the three issues outlined in this opinion
    because the trial court itself directed the focus to those three issues in the Rule 1925(a)
    Opinion. The Superior Court, though, failed to take into account the trial court’s statement
    that the trial court “adequately addressed all issues” in the December 13, 2016 Post-Trial
    Motions Opinion, “which . . . serve[d] as its 1925(a) opinion on these issues.” Trial Ct.
    Rule 1925(a) Op. at 2. While the Superior Court noted that its affirmance was based
    upon “the cumulative effect of [Temple’s] improper conduct, along with other errors that
    prejudiced Providence,” Temple, 
    2018 WL 3358598
    , at *8, it did not analyze any of the
    other reasons for the trial court’s grant of a new trial.
    The “salutary purpose” of a Rule 1925(a) opinion is “to provide a sufficient
    foundation for ensuing appellate review.” Commonwealth v. Hairston, 
    84 A.3d 657
    , 679
    (Pa. 2014) (Saylor, J., concurring); see also Commonwealth v. Pate, 
    617 A.2d 754
    , 758-
    59 (Pa. Super. 1992) (“The purpose of the [Rule 1925(a) opinion] is two-fold. First, it gives
    the appellate court a reasoned basis for the trial court’s disposition of the challenged
    orders. Second, it requires the judge to thoroughly consider his decision regarding the
    post-trial motions, in order to correct any problems that occurred at the trial level.”). A
    trial court can use a Rule 1925(a) opinion expressly to amend or even supersede its
    rationale from an earlier opinion. See Trial Ct. Rule 1925(a) Op. at 2 (“Although we stated
    in our [Post-Trial Motions] opinion that the verdict shocked the conscience of the Court, if
    this were a case of purely compensatory damages, we likely would not have awarded a
    new trial.”) (emphasis in original). A Rule 1925(a) opinion, however, does not erase from
    existence the trial court’s prior pronouncements on a topic when the Rule 1925(a) opinion
    [J-87-2019] - 29
    does not give such direction. The continued relevance of an earlier opinion is especially
    salient when the trial court specifically has incorporated that prior opinion into the Rule
    1925(a) opinion, as the trial court did here.
    We agree with Temple that the trial court’s other reasons for granting a new trial
    “are not properly before the Court.” Appellant’s Reply Brief at 12. Accordingly, on
    remand, the Superior Court shall consider the other bases for the trial court’s grant of a
    new trial.20 In doing so, the Superior Court must again consider any possible waiver by
    either party, including in failing to preserve an issue at trial or in failing to note an adverse
    party’s lack of preservation upon appeal. Therefore, we reverse the Superior Court and
    remand for further proceedings consistent with this opinion.
    Chief Justice Saylor and Justices Donohue, Dougherty and Mundy join the opinion.
    Justice Todd files a concurring and dissenting opinion in which Justice Baer joins.
    20     Cf. 
    Tagnani, 426 A.2d at 597
    (“Having concluded the court was in error in granting
    the motion for a new trial for the reason assigned, their order must be reversed. Since
    other reasons were offered in support of the motion for a new trial and not passed upon
    by the court en banc, the matter is remanded for the purpose of the disposition of these
    remaining questions.”).
    [J-87-2019] - 30