Scruggs, Carla v. Amazon.com Services, LLC , 2022 TN WC App. 26 ( 2022 )


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  •                                                                                     FILED
    Jun 27, 2022
    11:19 AM(CT)
    TENNESSEE
    WORKERS' COMPENSATION
    APPEALS BOARD
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Carla Scruggs                                 )   Docket Nos.     2021-08-0875
    )                   2021-08-0876
    v.                                            )
    )   State File Nos. 39617-2021
    Amazon.com Services, LLC, et al.              )                   800483-2021
    )
    )
    Appeal from the Court of Workers’             )
    Compensation Claims                           )
    Deana C. Seymour, Judge                       )
    Affirmed and Remanded
    The employee alleged she injured her left knee at work but did not report the incident to
    her employer at that time. Instead, she finished her shift and self-treated her knee at home.
    The employee continued working her regular shifts and requested no medical treatment
    from the employer until approximately three weeks later, when she slipped and allegedly
    injured her left knee again. The employee then reported both incidents to the employer.
    After initially providing a panel of physicians and authorizing treatment, the employer
    declined to provide ongoing benefits for either injury because the employee failed to
    provide timely notice of the first accident. The employee filed a petition for benefits and
    later filed two hearing requests, one for each claim. After the cases were consolidated, the
    employer filed a motion for summary judgment. Following a hearing, the trial court issued
    an order denying the employer’s motion for summary judgment and a separate order for
    continued medical treatment with the authorized physician for any left knee condition
    found to arise primarily out of her employment. The employer has appealed. Having
    carefully reviewed the record, we affirm the trial court’s denial of the employer’s motion
    for summary judgment and affirm the trial court’s order for medical treatment. Further,
    we deem the employer’s appeal frivolous, and we remand the case for a determination of
    reasonable attorneys’ fees and costs arising from the frivolous appeal.
    Judge Pele I. Godkin delivered the opinion of the Appeals Board in which Presiding Judge
    Timothy W. Conner and Judge Meredith B. Weaver joined.
    W. Troy Hart and Colleen M. Morris, Knoxville, Tennessee, for the employer-appellant,
    Amazon.com Services, LLC
    Jonathan L. May, Memphis, Tennessee, for the employee-appellee, Carla Scruggs
    1
    Factual and Procedural Background
    On April 9, 2021, Carla Scruggs (“Employee”) allegedly injured her left knee when
    she lifted a tote while working for Amazon.com Services, LLC (“Employer”). Employee
    did not immediately report the injury to Employer or seek medical treatment. Rather, she
    finished her shift and went home where she took over-the-counter medications and used
    ice and heat to manage her pain. Employee continued to work her scheduled shifts until
    April 30, when she slipped in liquid at work and allegedly injured the same knee.
    Employee reported the April 9 and April 30 incidents to Employer on April 30 and was
    initially seen at AmCare, Employer’s on-site medical clinic, where she was given
    ibuprofen, ice, and a wrap for her knee. Employer later provided a panel of physicians
    from which Employee selected Dr. Frederick Wolf as her authorized physician.
    Dr. Wolf first evaluated Employee on May 5 and noted she was having difficulty
    with her left knee. Medical records reflect Employee reported symptoms that “began as a
    result of an injury at work on 04/9/2021.” Employee described “pulling totes on the line
    [and], as she pivoted she felt a pop in her left knee and has had difficulty since that time.”
    Dr. Wolf ordered an MRI, obtained x-rays, which revealed no fracture, and placed
    Employee on light-duty restrictions. On May 17, Employer submitted a Notice of Denial
    for the April 9, 2021 injury. Employee returned to Dr. Wolf on May 18, with continued
    pain in her left knee, and Dr. Wolf continued her current prescription medication regimen
    and light-duty restrictions. Thereafter, an MRI of Employee’s left knee was performed
    that revealed a lateral meniscus tear, and Dr. Wolf recommended surgery. On June 8, Dr.
    Wolf noted that Employee’s claim “was denied a number of weeks ago but we were never
    informed of this.”
    Employee filed a petition for benefit determination and, following an unsuccessful
    mediation, two requests for expedited hearing, one for each date of injury. In response,
    Employer filed a Motion to Dismiss, which the trial court noted should be treated as a
    motion for summary judgment and which the trial court denied. The court’s order allowed
    Employer an opportunity to file a motion for summary judgment. The court also
    consolidated Employee’s two claims and set the matter for a hearing. The parties agreed
    to address both Employee’s requests for benefits and the motion for summary judgment
    Employer anticipated filing at the same hearing. On February 4, 2022, Employer filed a
    motion for summary judgment. After a March 16, 2022 hearing, the trial court issued an
    order denying Employer’s motion for summary judgment on April 6 and an order awarding
    medical benefits to Employee on April 7. Employer has appealed both orders.
    Standard of Review
    The standard we apply in reviewing a trial court’s decision presumes that the court’s
    factual findings are correct unless the preponderance of the evidence is otherwise. See
    
    Tenn. Code Ann. § 50-6-239
    (c)(7) (2021). When the trial judge has had the opportunity
    2
    to observe a witness’s demeanor and to hear in-court testimony, we give considerable
    deference to factual findings made by the trial court. Madden v. Holland Grp. of Tenn.,
    Inc., 
    277 S.W.3d 896
    , 898 (Tenn. 2009). However, “[n]o similar deference need be
    afforded the trial court’s findings based upon documentary evidence.” Goodman v.
    Schwarz Paper Co., No. W2016-02594-SC-R3-WC, 
    2018 Tenn. LEXIS 8
    , at *6 (Tenn.
    Workers’ Comp. Panel Jan. 18, 2018). Similarly, the interpretation and application of
    statutes and regulations are questions of law that are reviewed de novo with no presumption
    of correctness afforded the trial court’s conclusions. See Mansell v. Bridgestone Firestone
    N. Am. Tire, LLC, 
    417 S.W.3d 393
    , 399 (Tenn. 2013). We are also mindful of our
    obligation to construe the workers’ compensation statutes “fairly, impartially, and in
    accordance with basic principles of statutory construction” and in a way that does not favor
    either the employee or the employer. 
    Tenn. Code Ann. § 50-6-116
     (2021).
    Analysis
    In its notice of appeal and in the statement of the issues in its brief on appeal,
    Employer identifies four issues for review. However, Employer addresses only two of the
    issues in the argument section of its brief, which we have restated as follows: (1) whether
    the trial court erred in finding that Employee is likely to prevail at a hearing on the merits
    regarding timeliness of notice and/or reasonable excuse for failure to give timely notice;
    (2) whether the trial court erred in determining Employer was not prejudiced by the late
    notice of Employee’s April 9, 2021 injury. Employer addresses the third issue, i.e.,
    whether the trial court erred in ordering medical benefits, in the conclusion of its brief,
    asserting it is unnecessary to analyze the issue in more detail given its position on the first
    two issues. 1
    Notice
    Tennessee Code Annotated section 50-6-201(a) provides that “[e]very injured
    employee . . . shall, immediately upon the occurrence of an injury, or as soon thereafter as
    is reasonable and practicable, give or cause to be given to the employer who has no actual
    notice, written notice of the injury.” The statute additionally provides that “[n]o
    compensation shall be payable . . . unless the written notice is given to the employer within
    fifteen (15) days after the occurrence of the accident, unless reasonable excuse for failure
    to give the notice is made to the satisfaction of the tribunal to which the claim for
    compensation may be presented.” 
    Tenn. Code Ann. § 50-6-201
    (a) (2021). The notice
    requirement “exists so that the employer will have the opportunity to make a timely
    1
    Employer failed to address the fourth issue identified in the notice of appeal and its brief, which concerned
    the trial court’s denial of its motion for summary judgment. Accordingly, we treat the issue as having been
    waived by Employer. See Moore & Seiferth v. Ingles Markets, Inc., No. 2015-02-0193, 2015 TN Wrk.
    Comp. App. Bd. LEXIS 54, at *4 (Tenn. Workers’ Comp. App. Bd. Nov. 4, 2015). In addition, Employer
    did not address the April 30 injury in its notice of appeal or its brief on appeal; thus, any issues regarding
    the order for benefits pertaining to the April 30 date of injury are also waived.
    3
    investigation of the facts while still readily accessible, and to enable the employer to
    provide timely and proper treatment for the injured employee.” Jones v. Sterling Last
    Corp., 
    962 S.W.2d 469
    , 471 (Tenn. 1998). However, as we have previously observed, the
    2013 Workers’ Compensation Reform Act (“Reform Act”) amended the notice
    requirement as follows:
    No defect or inaccuracy in the notice shall be a bar to compensation, unless
    the employer can show, to the satisfaction of the workers’ compensation
    judge before which the matter is pending, that the employer was prejudiced
    by the failure to give the proper notice, and then only to the extent of the
    prejudice.
    
    Tenn. Code Ann. § 50-6-201
    (a)(3). In a recent case addressing this issue, we explained
    that, to prevail on a notice defense, the employer must demonstrate the existence of “actual
    prejudice” caused by the employee’s giving of late notice. Hannah v. Senior Citizens
    Home Assistance Service, Inc., No. 2020-03-1093, 2022 TN Wrk. Comp. App. Bd. LEXIS
    15, at *16-17 (Tenn. Workers’ Comp. App. Bd. Mar. 28, 2022).
    Here, Employer contends Employee “injured her left knee and, without reasonable
    excuse, failed to provide[] Employer with any notice of the event.” Further, Employer
    asserts Employee’s admission that she continued to self-treat and “doctor on her knee”
    after the April 9 incident is, in essence, evidence of the severity of her injury and indicative
    of a “sudden onset of pain identifiable by a specific event.” 2
    Employee concedes she did not provide notice of her alleged April 9 injury until
    April 30; however, Employee contends she had a reasonable excuse for her failure to
    provide timely notice. Specifically, Employee testified that she did not immediately
    provide notice of the April 9 work incident because she “attribute[d] it just like I did to any
    other day, you know, I go home with aches and pains every day. So it’s just like days I’ve
    reached onto the line and grabbed a tote and it’s heavy and it – I have a – I hurt my neck,
    so I mean, it’s like I’m going home and I’m going to take care of it. That’s what I always
    do.” Employee also noted she was able to finish her April 9 shift and was able to continue
    working her scheduled shifts until the April 30 work incident.
    With regard to the April 30 incident, Employee testified that she felt her knee pop
    and had to go to the break room because she needed to sit down. When asked how she
    ended up at Employer’s onsite medical facility that day, Employee responded:
    2
    In support of its contention that the trial court erred in finding Employee’s excuse reasonable, Employer
    relied on three factors outlined in Gluck Bros., Inc. v. Pollard, 
    426 S.W.2d 763
     (Tenn. 1968). However, as
    Employee emphasized in her brief on appeal, these factors were utilized in cases decided prior to the passage
    of the Reform Act. The proper analysis to determine the reasonableness of an employee’s excuse for late
    notice of an injury is dictated by the current version of Tennessee Code Annotated section 50-6-201, which
    requires a different analysis than pre-reform law.
    4
    I went and sat for a minute, but like, when it happened, I knew something
    wasn’t right. I just did not feel – it wasn’t normal, so I went and sat and I –
    as I was sitting, I could feel the swelling, [my knee] started to throb and it
    was, like, okay. I need to do something. I have to go and get some help
    because this isn’t something I can help, so I went to Am[C]are.
    Employee testified that the pain she felt following the April 30 work incident was different
    than her previous symptoms. After considering the facts and testimony of Employee, the
    trial court concluded Employee had a reasonable excuse for her failure to provide timely
    notice of the first accident. Our review of the record supports the trial court’s
    determination.
    Prejudice Resulting From Late Notice
    Employer next contends that “Employee’s failure to provide notice, in and of itself,
    is a clear prejudice to Employer.” However, Employer cites nothing to support this
    statement. In fact, if Employer’s argument were taken to its logical conclusion, every
    incident of late notice would, per se, constitute prejudice, and the provisions of Tennessee
    Code Annotated section 50-6-201(a)(3) would be rendered superfluous. The legislature
    has expressed its intent that a trial court consider the reasons for late notice, consider
    whether the late notice resulted in prejudice to the employer under the circumstances of
    that particular case, and fashion an appropriate remedy if one is needed. In contrast to the
    clear meaning of subsection 201(a)(3), Employer’s argument would make such an analysis
    unnecessary.
    In the present case, Employee reported the April 9 incident six days after the fifteen-
    day time period specified in subsection 201(a)(1) lapsed. In addition, as the trial court
    noted, “[Employer] presented no evidence of any actual prejudice to its ability to defend
    this claim” and “while [Employer] generally claimed late notice prejudiced its ability to
    investigate claims, it failed to provide specifics.” We agree. Thus, we conclude the
    evidence does not preponderate against the trial court’s determination that Employer failed
    to demonstrate actual prejudice as required by section 50-6-201(a)(3).
    Order for Medical Benefits
    At an expedited hearing, “an employee need not prove every element of his or her
    claim by a preponderance of the evidence to be entitled to temporary disability or medical
    benefits, but must instead present evidence sufficient for the trial court to conclude that the
    employee would likely prevail at a hearing on the merits.” McCord v. Advantage Human
    Resourcing, No. 2014-06-0063, 2015 TN Work. Comp. App. Bd. LEXIS 6, at *9 (Tenn.
    Workers’ Comp. App. Bd. Mar. 27, 2015). We have described an employee’s burden of
    proof in an expedited hearing as a “lesser evidentiary standard” than the burden imposed
    5
    at trial. Buchanan v. Carlex Glass Co., No. 2015-01-0012, 2015 TN Wrk. Comp. App. Bd.
    LEXIS 39, at *6 (Tenn. Workers’ Comp. App. Bd. Sept. 29, 2015).
    Employer asserts the trial court erred by “awarding . . . workers’ compensation
    benefits to an Employee who knowingly, willfully, and intentionally refused to provide
    notice of a work injury[] that required medical attention[] for 22 consecutive days [and]
    that kept [Employee] in constant pain,” contending it “rewards the bad actions of
    [Employee].” 3 The only medical proof introduced at the expedited hearing was Dr. Wolf’s
    records. Although Dr. Wolf did not provide an explicit causation opinion, the court noted
    that he was Employee’s authorized physician, and it determined that his medical records
    “do suggest that [Employee’s] need for medical treatment arose from an incident at work.”
    We note that, because Dr. Wolf was selected from Employer’s panel, any treatment
    he recommended is “presumed to be medically necessary for treatment of the injured
    employee.” 
    Tenn. Code Ann. § 50-6-204
    (a)(3)(H). Thus, the burden was on Employer to
    establish that treatment recommended by Dr. Wolf was not medically necessary for
    treatment of the injured worker. Here, the court emphasized there was no dispute that the
    April 9 incident occurred at work, and the only defense Employer put forth regarding the
    April 9 injury was a lack of notice. Consequently, the court determined Employee was
    likely to prevail at a hearing on the merits with regard to her claim for continued medical
    treatment with Dr. Wolf. The court tailored its order to encompass continued medical
    treatment with Dr. Wolf “for any condition found to arise primarily out of [Employee’s]
    employment” but did not order the requested meniscal surgery since “issues over the
    precise cause of the meniscal tear still loom.” Under the circumstances presented in this
    case, we discern no error in the trial court’s determination.
    Frivolous Appeal
    Finally, Employee contends Employer’s appeal is frivolous and requests costs and
    attorneys’ fees arising from the frivolous appeal. Specifically, Employee asserts, in part,
    that “there was no legitimate factual or legal issue that would suggest a reasonable chance
    of success for [Employer] on appeal.” Employee asserts Employer “took no meaningful
    steps in the discovery phase of this cause beyond issuance of standard written
    discovery . . ., took no fact witness depositions, nor did it take the deposition of
    [Employee]. [Employer] took no expert medical depositions . . . [and] did not even ask the
    Authorized Treating Physician to complete one of its customary causation questionnaires
    before showing up on appeal to make empty arguments about what such medical opinions
    3
    Employer has provided no proof that Employee “knowingly, willfully, and intentionally refused” to
    provide notice of an injury. Rather, the proof adduced at the expedited hearing was that Employee believed
    the April 9 incident resulted in nothing more than the usual aches and pains she experiences as a part of her
    daily work life and that it was only after the April 30 incident that she believed she had suffered a work-
    related injury necessitating medical treatment. As stated above, Employer did not address the alleged April
    30 injury or the denial of that injury in its brief.
    6
    might mean for the case.” Employee further points to the fact that Employer failed to put
    on any proof outside the cross-examination of Employee, and “did not even touch upon
    summary judgment in its appeal, other than to include it on the Notice of Appeal and list it
    in the ‘Statement of Issues’ in its brief.” 4
    As we have noted previously, a frivolous appeal is one that is devoid of merit or
    brought solely for delay. Yarbrough v. Protective Servs. Co., Inc., No. 2015-08-0574, 2016
    TN Wrk. Comp. App. Bd. LEXIS 3, at *11 (Tenn. Workers’ Comp. App. Bd. Jan. 25,
    2016); see also Burnette v. WestRock, No. 2016-01-0670, 2017 TN Wrk. Comp. App. Bd.
    LEXIS 66, at *15 (Tenn. Workers’ Comp. App. Bd. Oct. 31, 2017) (“Stated another way,
    a frivolous appeal is one that . . . had no reasonable chance of succeeding.” (internal
    citation and quotation marks omitted)). Litigants “should not be required to endure the
    hassle and expense of baseless litigation. Nor should appellate courts be required to waste
    time and resources on appeals that have no realistic chance of success.” Yarbrough, 2016
    TN Wrk. Comp. App. Bd. LEXIS 3, at *10-11 (internal citations omitted). We agree that
    Employer presented no credible argument on appeal and that it had no realistic chance of
    success on appeal. Thus, we conclude Employer’s appeal is devoid of merit and is
    frivolous, and Employee is entitled to recover reasonable attorneys’ fees and costs
    associated with the frivolous appeal, the amount of which shall be determined by the trial
    court on remand.
    Conclusion
    For the foregoing reasons, we affirm the trial court’s order denying Employer’s
    motion for summary judgment and the court’s expedited hearing order requiring Employer
    to provide additional medical care. Further, we deem Employer’s appeal frivolous and
    remand the case to the trial court for a determination of attorneys’ fees and costs to be
    awarded to Employee.
    4
    As noted in footnote 1 above, Employer identified the trial court’s denial of its motion for summary
    judgment as an issue in its notice of appeal and in its statement of the issues on appeal, but it failed to offer
    any substantive argument addressing this issue in its brief. Moreover, as noted above, Employer did not
    address its denial of the April 30 incident in its brief or offer any substantive argument as to how the
    compensability of the April 30 incident is linked to its denial of the April 9 incident. It offered no medical
    evidence to suggest that the two incidents were related or that the second incident represented an
    exacerbation or re-injury.
    7
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Carla Scruggs                                         )      Docket Nos. 2021-08-0875
    )                  2021-08-0876
    v.                                                    )
    )      State File Nos. 39617-2021
    Amazon.com Services, LLC, et al.                      )                      800483-2021
    )
    )
    Appeal from the Court of Workers’                     )
    Compensation Claims                                   )
    Deana C. Seymour, Judge                               )
    CERTIFICATE OF SERVICE
    I hereby certify that a true and correct copy of the Appeals Board’s decision in the referenced
    case was sent to the following recipients by the following methods of service on this the 27th day
    of June, 2022.
    Name                              Certified   First Class   Via   Via     Sent to:
    Mail        Mail          Fax   Email
    Jonathan L. May                                                     X     jmay@forthepeople.com
    W. Troy Hart                                                        X     wth@mijs.com
    cmmorris@mijs.com
    cjstatham@mijs.com
    Deana C. Seymour, Judge                                             X     Via Electronic Mail
    Kenneth M. Switzer, Chief Judge                                     X     Via Electronic Mail
    Penny Shrum, Clerk, Court of                                        X     penny.patterson-shrum@tn.gov
    Workers’ Compensation Claims
    Olivia Yearwood
    Clerk, Workers’ Compensation Appeals Board
    220 French Landing Dr., Ste. 1-B
    Nashville, TN 37243
    Telephone: 615-253-1606
    Electronic Mail: WCAppeals.Clerk@tn.gov
    

Document Info

Docket Number: 2021-08-0875 and 2021-08-0876

Citation Numbers: 2022 TN WC App. 26

Judges: Pele I. Godkin, Timothy W. Conner, Meredith B Weaver

Filed Date: 6/27/2022

Precedential Status: Precedential

Modified Date: 6/27/2022