Wanda Williams, etc. v. CMO Management, LLC , 239 W. Va. 530 ( 2016 )


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  •          IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
    January 2016 Term           FILED
    __________
    May 19, 2016
    released at 3:00 p.m.
    No. 15-0553             RORY L. PERRY, II CLERK
    SUPREME COURT OF APPEALS
    __________                 OF WEST VIRGINIA
    WANDA WILLIAMS, individually and on behalf of the Estate
    and Wrongful Death Beneficiaries of ROBERT THOMPSON,
    Plaintiff Below, Petitioner
    v.
    CMO MANAGEMENT, LLC, (as to Nicholas County
    Nursing & Rehabilitation),
    Defendant Below, Respondent
    ______________________________________________________
    Appeal from the Circuit Court of Nicholas County
    Honorable Gary L. Johnson
    Civil Action No. 13-C-92
    AFFIRMED, IN PART; REVERSED, IN PART; AND REMANDED
    ________________________________________________________
    Submitted: April 27, 2016
    Filed: May 19, 2016
    James B. McHugh, Esq.                       Jeffrey M. Wakefield., Esq.
    Michael J. Fuller, Jr., Esq.                Mark A. Robinson, Esq.
    D. Bryant Chaffin, Esq.                     Ryan A. Brown, Esq.
    Amy J. Quezon, Esq.                         Flaherty Sensabaugh Bonasso PLLC
    A. Lance Reins, Esq.                        Charleston, West Virginia
    McHugh Fuller Law Group, PLLC               Counsel for Respondent
    Hattiesburg. Mississippi
    Counsel for Petitioner
    JUSTICE LOUGHRY delivered the Opinion of the Court.
    JUSTICE DAVIS, deeming herself disqualified, did not participate in the decision in this
    case.
    JUDGE ALSOP sitting by special assignment.
    SYLLABUS
    1. “Although the ruling of a trial court in granting or denying a motion for a
    new trial is entitled to great respect and weight, the trial court’s ruling will be reversed on
    appeal when it is clear that the trial court has acted under some misapprehension of the law
    or the evidence.” Syl. Pt. 4, Sanders v. Georgia-Pac. Corp., 
    159 W.Va. 621
    , 
    225 S.E.2d 218
     (1976).
    2. An individual with a medical power of attorney does not have the power
    to make binding legal decisions for the subject incapacitated person.
    3. “The statute of limitations for a personal injury claim brought under the
    authority of W.Va. Code § 55-7-8a(c) (1959) (Repl. Vol. 2008) is tolled during the period
    of a mental disability as defined by W.Va. Code § 55-2-15 (1923) (Repl. Vol. 2008).         In
    the event the injured person dies before the mental disability ends, the statute of limitations
    begins to run on the date of the injured person’s death.” Syl. Pt. 5, Mack-Evans v. Hilltop
    Healthcare Center, Inc., 
    226 W.Va. 257
    , 
    700 S.E.2d 317
     (2010).
    -i­
    4. The authority of a personal representative to bring a personal injury action
    on behalf of a deceased individual pursuant to West Virginia Code § 55-7-8a(c) (2008)
    includes the authority to bring a medical malpractice action under the Medical Professional
    Liability Act, West Virginia Code §§ 55-7B-1 to -12 (2008 & Supp. 2015), for injuries
    sustained prior to death that did not result in death. Because West Virginia Code § 55-7­
    8a(c) incorporates the general disability savings statute, West Virginia Code § 55-2-15
    (2008), the tolling provisions of the general disability savings statute apply to a medical
    malpractice cause of action brought by a personal representative under authority of West
    Virginia Code § 55-7-8a.
    -ii­
    LOUGHRY, Justice:
    The petitioner and plaintiff below, Wanda Williams, individually and on
    behalf of the estate and wrongful death beneficiaries of Robert Thompson, appeals from the
    May 11, 2015, order of the Circuit Court of Nicholas County denying her motion for a new
    trial following a plaintiff’s verdict in a case involving allegations of negligent medical care
    and wrongful death instituted against the respondent, CMO Management, LLC (“CMO”).
    As grounds for her appeal, the petitioner asserts the trial court erred by applying the two-year
    limitations period in a manner that prevented her from introducing pertinent evidence of Mr.
    Thompson’s injuries, which he allegedly sustained while residing at Nicholas County
    Nursing & Rehabilitation (“nursing facility”).1 The trial court further erred, according to the
    petitioner, in failing to apply the discovery rule and the tolling provisions of the general
    disability savings statute (“savings statute”)2 and in making several evidentiary rulings.
    Upon our careful review of the law against the record in this case, we conclude that the trial
    court committed error in its application of the statute of limitations for evidentiary purposes
    to the petitioner’s personal injury claim. Based on the petitioner’s concession during oral
    argument that a remand limited to the personal injury claim is proper given the assignments
    of error, we find it unnecessary to review the denial of a new trial as to the wrongful death
    1
    The subject nursing facility is managed by CMO.
    2
    See W.Va. Code § 55-2-15 (2008) (providing for extended claim filing periods for
    minors or individuals suffering from mental infirmities).
    1
    claim. Accordingly, we affirm the decision not to grant a new trial as to the wrongful death
    claim; reverse the decision not to grant a new trial as to the personal injury claim; and
    remand this matter for a new trial solely on the personal injury claim.
    I. Factual and Procedural Background
    Mr. Thompson, who suffered from Alzheimer’s disease, resided at the nursing
    facility from June 14, 2001, to June 27, 2011. Following his death on July 2, 2011, the
    petitioner filed suit against CMO on June 19, 2013, alleging, inter alia, that Mr. Thompson’s
    injuries and death resulted from the abuse and neglect he suffered while a resident at the
    nursing facility.3 The petitioner also sought damages in connection with systemic problems
    at the nursing facility concerning staffing, budgeting and allocation of resources, and
    inappropriate policies and procedures. She sought to recover for Mr. Thompson’s injuries
    from 2009 until his death.4 The parties stipulated below that Mr. Thompson was mentally
    incompetent during all times relevant to the petitioner’s cause of action.
    3
    Included among the various causes of action alleged in the complaint were corporate
    negligence, negligence, gross negligence, willful, wanton, reckless, malicious and/or
    intentional conduct, violations of the West Virginia Nursing Home Act (W.Va. Code § 16­
    5C-15), medical malpractice for both lethal and non-lethal injuries, fraud, breach of
    fiduciary duty, premises liability, and violations of the West Virginia Consumer Credit and
    Protection Act (W.Va. Code §§ 46A-6-101 to -110).
    4
    At trial, the petitioner introduced evidence of injuries that included falls, subdural
    hematoma, hip fracture, malnutrition, personal dignity violations, and extreme pain.
    2
    On September 12, 2014, CMO filed a “Motion for Summary Judgment for
    Failure to Meet the Applicable Statute of Limitations Regarding Claims Accrued Prior to
    April 19, 2011.” Arguing that the Medical Professional Liability Act (“MPLA”)5 applied
    to all of the petitioner’s claims, CMO asserted that the two-year limitations period for MPLA
    claims6 barred any claims that accrued prior to April 19, 2011.7 Responding to the summary
    judgment motion, the petitioner argued that not all of her claims fell under the MPLA based
    on this Court’s decision in Manor Care, Inc. v. Douglas, 
    234 W.Va. 57
    , 
    763 S.E.2d 73
    (2014), which turned on the MPLA definitions of “health care” and “health care provider.”8
    She argued that while some of her claims fell squarely within the MPLA, other claims,
    which did not involve medical care or treatment, fell outside the MPLA. In further support
    of her position, the petitioner raised the applicability of the discovery rule and the tolling
    provisions of the general disability savings statute.9
    5
    See W.Va. Code §§ 55-7B-1 to -12 (2008 & Supp. 2015).
    6
    See W.Va. Code § 55-7B-4.
    7
    To arrive at this date, CMO started with the date the complaint was filed (June 19,
    2013), subtracted two years (the limitations period for bringing an MPLA action), and then
    subtracted another sixty days due to the time allotted under the MPLA for filing a notice of
    claim and responding to same. See W.Va. Code § 55-7B-6(h).
    8
    When the Manor Care decision was issued, and during all time periods relevant to
    this case, the definition of “health care” did not extend to staffing-related issues. In 2015,
    the Legislature amended West Virginia Code § 55-7B-2(e) to include matters related to
    staffing within the definition of “health care” under the MPLA. Those amendments have
    no impact on the outcome of this case.
    9
    See supra note 2.
    3
    In ruling on the summary judgment motion based on the MPLA limitations
    period, the trial court relied upon a recent memorandum decision issued by this Court in
    Martin v. Charleston Area Medical Center, Inc., No. 12-0710, 
    2013 WL 2157698
     (W.Va.
    May 17, 2013). We determined in Martin that adults who allege a medical professional
    liability action under the MPLA have a two-year statute of limitations, except in cases where
    discovery is an issue. Id. at *2. The trial court found the reasoning of Martin instructive on
    the issue of whether the savings statute should toll the petitioner’s claim. Citing the rule of
    statutory construction that a specific statute controls in comparison to a general statute, the
    trial court ruled that the MPLA’s “more specific two-year statute of limitations” should
    apply in lieu of the generalized provisions of the savings statute.10 In applying the two-year
    limitations period, the trial court decided that any claims arising from the care and treatment
    provided by the nursing facility prior to April 19, 2011, were time barred. Because Mr.
    Thompson died on July 2, 2011, the effect of this ruling was to limit the petitioner to
    introducing evidence of injuries that occurred during a two-and-a-half-month period (April
    19, 2011, to July 2, 2011).
    At the conclusion of trial, which began on October 21, 2014, the jury returned
    a verdict in favor of the petitioner. The jury responded to special interrogatories and found
    10
    This Court observed in Martin that “[f]or most general causes of action, those under
    a disability have up to twenty years to file suit pursuant to West Virginia Code § 55-2-15.”
    
    2013 WL 2157698
     at *2.
    4
    that CMO deviated from the standard of care in its treatment of Mr. Thompson. After
    assessing the negligence of CMO, the jury decided that 75% of the negligence was medical
    in nature and 25% was non-medical, as it pertained to inadequate staff and/or training. In
    awarding compensatory damages,11 the jury determined that $10,000 was attributable to
    damages suffered by Mr. Thompson and $90,000 was suffered by the estate for his wrongful
    death.
    In seeking a new trial,12 the petitioner faulted the trial court for its refusal to
    apply the tolling provision found in the savings statute. Rather than relying on Martin as the
    basis for refusing to apply the savings statute, she posited that the trial court should have
    applied the holding in Mack-Evans v. Hilltop Healthcare Center, Inc., 
    226 W.Va. 257
    , 
    700 S.E.2d 317
     (2010), to this case.13 She further argued that the trial court erred in failing to
    apply the discovery rule to toll the statute of limitations until Mr. Thompson’s date of death
    11
    The trial court granted CMO’s motion to direct a verdict as to punitive damages
    after finding that the petitioner “failed to produce any evidence upon which a reasonable
    jury could base an award of punitive damages;” the petitioner has not appealed the issue of
    punitive damages.
    12
    See W.Va. R. Civ. P. 59.
    13
    In Hilltop Healthcare, this Court found the tolling provision of the savings statute
    applicable to a lawsuit instituted under West Virginia Code § 55-7-8a by the decedent’s
    personal representative following the death of an incompetent individual. Because the
    parties stipulated that Mr. Thompson was mentally incapacitated due to having Alzheimer’s,
    the petitioner maintains the tolling provisions of West Virginia Code § 55-7-8a should apply
    to her cause of action under authority of Hilltop Healthcare.
    5
    due to his incompetency and the absence of a legal representative charged to act on his
    behalf. The petitioner also challenged the trial court’s decision to limit the introduction of
    specific demonstrative evidence and to admit other irrelevant testimonial evidence. Upon
    its consideration of these arguments, the trial court denied the petitioner’s motion for a new
    trial by its order of May 11, 2015. It is from this denial that the petitioner now appeals.
    II. Standard of Review
    As we explained in Williams v. Charleston Area Medical Center, Inc., 
    215 W.Va. 15
    , 
    592 S.E.2d 794
     (2003):
    ‘As a general proposition, we review a circuit court’s rulings on
    a motion for a new trial under an abuse of discretion standard.
    . . . Thus, in reviewing challenges to findings and rulings made
    by a circuit court, we apply a two-pronged deferential standard
    of review. We review the rulings of the circuit court concerning
    a new trial and its conclusion as to the existence of reversible
    error under an abuse of discretion standard, and we review the
    circuit court’s underlying factual findings under a clearly
    erroneous standard. Questions of law are subject to a de novo
    review.’
    Id. at 18, 
    592 S.E.2d at 797
     (quoting Tennant v. Marion Health Care Found., Inc., 
    194 W.Va. 97
    , 104, 
    459 S.E.2d 374
    , 381 (1995) and internal citation omitted). The deference
    we accord a trial court in regard to a new trial ruling is not without limits:
    Although the ruling of a trial court in granting or denying
    a motion for a new trial is entitled to great respect and weight,
    the trial court’s ruling will be reversed on appeal when it is
    clear that the trial court has acted under some misapprehension
    of the law or the evidence.
    6
    Syl. Pt. 4, Sanders v. Georgia-Pac. Corp., 
    159 W.Va. 621
    , 
    225 S.E.2d 218
     (1976). With
    these standards in mind, we proceed to determine whether the trial court erred in denying
    the petitioner’s motion for a new trial.
    III. Discussion
    The statute of limitations issue at the center of this appeal concerns the time
    period for which the trial court permitted evidence to be introduced related to personal
    injuries the petitioner alleges Mr. Thompson sustained while living at the nursing facility.14
    The crux of the petitioner’s position is that, because Mr. Thompson’s incapacity statutorily
    prevented the running of the two-year limitations period until the point of his death, she
    should have been permitted to introduce evidence for the two-year period preceding his
    death as opposed to the two-year period that anteceded the lawsuit’s filing. She contends
    the trial court erred in deciding the savings statute did not toll the running of the applicable
    two-year limitations period until the date when Mr. Thompson died. In relying on Martin
    and refusing to apply the holding in Hilltop Healthcare,15 the petitioner contends the trial
    court failed to appreciate critical distinctions between Martin and this case. Conversely,
    CMO maintains that the Martin decision is both apposite and controlling.
    14
    There is no dispute that the applicable limitations period under the MPLA is two
    years and there is no issue regarding the petitioner’s timely filing of her complaint.
    15
    See supra note 13.
    7
    To address the issues in this appeal, we find it necessary to revisit this Court’s
    decision in Martin. The only issue in that case was whether a lawsuit filed in 2012 could
    be maintained for medical injuries sustained by an incapacitated individual in 2007. Mr.
    Martin, who was legally and mentally incapacitated as the result of a work-related incident,
    developed numerous ulcers while hospitalized after the May 2007 accident. His wife was
    appointed as his guardian and conservator on February 26, 2008. When the circuit court
    granted the defendant hospital’s motion to dismiss the complaint based on the passing of the
    MPLA two-year statute of limitations before the suit was filed, Mrs. Martin appealed. As
    the basis for her appeal, she raised the issue of whether the savings statute should operate
    to toll the statute of limitations based on Mr. Martin’s mental incapacity.
    Because Mrs. Martin was her husband’s legal representative and because she
    was contemporaneously aware of his ulcers during his hospital stay, there was no issue as
    to the application of the discovery rule to the case.
    16 Martin, 2013
     WL 2157698 at *2, n.3;
    see Legg v. Rashid, 
    222 W.Va. 169
    , 174, 
    663 S.E.2d 623
    , 628 (2008) (stating that “‘[U]nder
    the “discovery rule,” the statute of limitations is tolled until a claimant knows or by
    reasonable diligence should know of his claim.’”) (quoting Syl. Pt. 2, in part, Gaither v. City
    16
    The MPLA expressly incorporates the discovery rule as it provides that a cause of
    action “must be commenced within two years of the date of such injury, or within two years
    of the date when such person discovers, or with the exercise of reasonable diligence, should
    have discovered such injury, whichever last occurs. . . .” W.Va. Code § 55-7B-4(a).
    8
    Hosp., Inc., 
    199 W.Va. 706
    , 
    487 S.E.2d 901
     (1997)). This Court was asked to decide
    whether the two-year MPLA statute ran in 2009, two years after the ulcers first formed, or
    whether a longer limitations period of up to twenty years should apply under the savings
    statute.17 In considering whether the savings statute should toll the claim for Mr. Martin’s
    injuries beyond the two-year statute of limitations provided by the MPLA, we determined
    that “adults alleging a medical professional liability action under [the] MPLA have a two-
    year statute of limitations, except in cases where discovery is an issue.” Martin, 
    2013 WL 2157698
     at *2 (emphasis supplied). Because the discovery of the subject injuries was not
    an issue in Martin and because Mr. Martin had an appointed legal representative, this Court
    determined that the two-year limitations period ran from the date the cause of action accrued
    in 2007. 
    Id.
     Since the complaint was not filed within two years of the alleged injuries, we
    affirmed the circuit court’s dismissal of the complaint for failing to meet the applicable
    statute of limitations.
    Although the trial court and CMO both take the view that the instant case falls
    squarely within the holding of Martin, this case includes several issues that were not present
    in Martin. In contrast to Martin, the case before us presents a question of when Mr.
    17
    Under the savings statute, the applicable statute of limitations is tolled until the
    injured individual either gains the age of majority or regains his/her mental competency. In
    no event, however, can such an action be brought more than twenty years after the accrual
    of the right to sue. See W.Va. Code § 55-2-15.
    9
    Thompson’s injuries could have been legally discovered which is linked to yet another
    distinction–the absence of a legal representative appointed prior to Mr. Thompson’s death.
    While Mr. Martin was still living when his medical malpractice suit was instituted on his
    behalf, Mr. Thompson’s cause of action was only asserted after his death. The trial court
    overlooked these significant differences, limiting its analysis to our brief recognition in
    Martin of the rule of statutory construction which “‘requires that a specific statute be given
    precedence over a general statute relating to the same subject matter where the two cannot
    be reconciled.’” Id. (quoting Zimmerer v. Romano, 
    223 W.Va. 769
    , 784, 
    679 S.E.2d 601
    ,
    616 (2009)). Though the legal analysis we employed in Martin was admittedly scant, the
    trial court mistakenly concluded that the limitations period issue presented in this case–one
    that clearly does not require a quantitative determination of two versus twenty years for
    purposes of instituting an MPLA lawsuit–was resolved by the ruling we issued in Martin.
    Unlike the situation existing in Martin, the viability of pursuing a medical
    malpractice action was never in question here. The parties agreed that a two-year limitations
    period was controlling and that it had been met; the only issue was an identification of which
    two-year time period applied for purposes of introducing evidence of Mr. Thompson’s
    alleged injuries. In contrast to Martin where there was no need to apply the discovery rule,
    this case involved an issue of when Mr. Thompson’s injuries could reasonably have been
    10
    discovered.18 While Mr. Martin’s legal guardian was immediately aware of his ulcers, in the
    case before us, the lack of an appointed legal representative created an issue as to when Mr.
    Thompson’s alleged injuries were subject to discovery. Given the material differences
    between Martin and the case sub judice, we do not find it determinative of the issues in this
    case.
    Turning to the issue of when Mr. Thompson’s injuries could have been
    discovered, CMO contends the medical power of attorney that the petitioner had with regard
    to Mr. Thompson is sufficient to charge her with knowledge of his injuries for purposes of
    a statute of limitations analysis. We disagree. As this Court discussed in State ex rel. AMFM,
    LLC v. King, 
    230 W.Va. 471
    , 
    740 S.E.2d 66
     (2013), persons who hold a medical power of
    attorney or serve as a health care surrogate “have, as their sole function, the authority to make
    health care decisions on behalf of an incapacitated person.” 
    Id.
     at 481 n.9, 740 S.E.2d at 76
    n.9. An individual with a medical power of attorney does not have the power to make
    binding legal decisions for the subject incapacitated person. See Tex. Cityview Care Ctr., LP
    v. Fryer, 
    227 S.W.3d 345
    , 352 (Tex. Ct. App. 2007) (“[N]othing in the medical power of
    attorney indicates that it was intended to confer authority . . . to make legal, as opposed to
    health care, decisions. . . .”); accord Johnson v. Kindred Healthcare, Inc., 
    2 N.E.3d 849
    , 857
    (Mass. 2014) (“Our conclusion that a health care agent does not have the authority to bind
    18
    See supra note 16.
    11
    the principal to an arbitration agreement comports with the view of a majority of courts in
    other jurisdictions that have considered similar issues.”); Koricic v. Beverly Enters.–Neb.,
    Inc., 
    773 N.W.2d 145
    , 151 (Neb. 2009) (finding that son’s authority to sign health care
    documents on mother’s behalf did not authorize him to sign arbitration agreement on her
    behalf); Primmer v. Healthcare Indus. Corp., 
    43 N.E.3d 788
    , 793 (2015) (Ohio App. 2015)
    (holding that daughter’s medical power of attorney did not authorize her to sign arbitration
    agreement on father’s behalf, reasoning that “the terms of this health care power of attorney
    do not encompass decisions to waive trial by jury or the court in favor of arbitration”); see
    also Blankfeld v. Richmond Health Care, Inc., 
    902 So.2d 296
    , 301 (Fla. App. 2005) (“There
    is nothing in the statute to indicate legislative intent that such a [health care] proxy can enter
    into contracts which agree to things not strictly related to health care decisions.”); cf. Owens
    v. Nat’l Health Corp. 
    263 S.W.3d 876
    , 883-85 (Tenn. 2007) (applying statutory definitions
    to hold that health care power of attorney authorized attorney-in-fact to enter into arbitration
    agreement as part of contract admitting nursing home resident). As a result, the fact that the
    petitioner may have had concerns about the care Mr. Thompson was receiving in 2009 did
    not impose upon her a duty to institute a suit on his behalf based on that alleged knowledge.
    Until she was appointed as his legal representative following his death, the petitioner had no
    power to stand in Mr. Thompson’s legal shoes. Because a medical power of attorney is not
    the equivalent of a general power of attorney, she cannot be charged with knowledge of his
    injuries for purposes of the statute of limitations.
    12
    Given that Mr. Thompson was incompetent and had no legal representative
    who could have initiated an MPLA action on his behalf, the petitioner argues the statute of
    limitations could not have begun to run until his death. In support of her position, she cites
    this Court’s decision in Hilltop Healthcare, a case in which we considered whether the
    savings statute applied to personal injury claims brought by a personal representative, under
    authority of West Virginia Code § 55-7-8a(c),19 upon the death of a person with a mental
    disability. In examining the language of West Virginia Code § 55-7-8a(c), we recognized
    that the savings statute is directly involved in deciding whether a personal representative may
    bring suit following death.20 As a result, we determined that “the statute [W.Va. Code § 55­
    7-8a(c)] is impacted by the mental disability tolling provisions under W.Va. Code § 55-2-15.”
    226 W.Va. at 259, 
    700 S.E.2d at 319
    . Based on this recognition, we held in syllabus point
    five of Hilltop Healthcare:
    The statute of limitations for a personal injury claim
    brought under the authority of W.Va. Code § 55-7-8a(c) (1959)
    (Repl. Vol. 2008) is tolled during the period of a mental
    disability as defined by W.Va. Code § 55-2-15 (1923) (Repl.
    19
    A personal representative is authorized to bring a cause of action that survives a
    person’s death“[i]f the injured party dies before having begun any such action and it is not
    at the time of his death barred by the applicable statute of limitations.” W.Va. Code § 55-7­
    8a(c). A personal injury is among those causes that survive death under the statute. See
    W.Va. Code § 55-7-8a(a).
    20
    The determination of whether a personal representative can bring an action upon
    death is statutorily dependent on the limitation periods set forth in “articles two [§§ 55-2-1
    et seq.] and two-A [§§ 55-2A-1 et seq.] of this chapter.” W.Va. Code § 55-7-8a(c).
    13
    Vol. 2008). In the event the injured person dies before the
    mental disability ends, the statute of limitations begins to run on
    the date of the injured person’s death.
    226 W.Va. at 259, 
    700 S.E.2d at 319
    .
    Logic impels the conclusion that an incompetent individual’s death is a natural
    moratorium for the tolling of the statute of limitations that was invoked due to a disability.
    See Roberson v. Teel, 
    513 P.2d 977
    , 988 (Ariz. App. 1973) (stating that “where a statute of
    limitation is tolled because of incompetency, the tolling of the statute ends upon the death of
    the incompetent”). In Martin, there was no need to consider how the death of an incompetent
    person terminates the statutory tolling of the applicable statute of limitations because Mr.
    Martin was still living when the lawsuit was initiated. See W.Va. Code § 55-2-15. To the
    extent that our ruling in Martin may have permitted an inference that the tolling provisions
    of West Virginia Code § 55-2-15 do not come into play in regard to a medical malpractice
    claim posthumously initiated on behalf of an incompetent person, we expressly disavow that
    conclusion. As we previously recognized in Hilltop Healthcare, a published opinion,21 the
    statutory authority for a personal representative to bring an action following the death of an
    individual is examined with specific reference to the tolling provisions provided under the
    21
    See State v. McKinley, 
    234 W.Va. 143
    , 153, 
    764 S.E.2d 303
    , 313 (2014) (stating
    that signed opinions “should be the primary sources relied upon in the development of the
    common law”).
    14
    savings statute. 226 W.Va. at 266, 
    700 S.E.2d at 326
    . To suggest that the tolling provisions
    are not applicable to an MPLA claim brought by a personal representative following death
    is simply not tenable.
    CMO suggests the Legislature’s failure to include a provision within the MPLA
    that specifically addresses the tolling of the limitations period for incompetent persons when
    it specifically addressed a tolling period for minors22 is evidence that the tolling provisions
    of the savings statute do not apply. We disagree. The fact that the Legislature chose to
    address how the two-year MPLA limitations period impacts a certain class of minors does not
    establish an intent to nullify the effect of the savings statute on medical injuries suffered by
    incompetent persons. By failing to carve out any treatment different than that already
    existing with regard to the limitations periods applicable to causes of action brought on
    behalf of incompetent persons, it arguably does the opposite. All MPLA actions brought by
    a personal representative following an incompetent individual’s death necessarily are
    instituted under authority of West Virginia Code § 55-7-8a(c). And, as addressed above, a
    22
    The MPLA provides that a “cause of action for injury to a minor, brought by or on
    behalf of a minor who was under the age of ten years at the time of such injury, shall be
    commenced within two years of the date of such injury, or prior to the minor’s twelfth
    birthday, whichever provides the longer period.” W.Va. Code § 55-7B-4(b).
    15
    personal representative’s authority to bring suit following the death of an incompetent
    individual is expressly linked to the tolling provisions provided under the savings statute.23
    See Hilltop Healthcare, 226 W.Va. at 266, 
    700 S.E.2d at 326
    .
    As the foregoing analysis makes clear, there is simply no basis for finding that
    the tolling provisions of the savings statute do not apply to MPLA actions that are instituted
    by a personal representative following the death of an incompetent individual.24 The
    authority of a personal representative to bring a personal injury action on behalf of a deceased
    individual pursuant to West Virginia Code § 55-7-8a(c) includes the authority to bring a
    medical malpractice action under the MPLA for injuries sustained prior to death that did not
    result in death. Because West Virginia Code § 55-7-8a(c) incorporates the general disability
    savings statute, the tolling provisions of the general disability savings statute apply to a
    medical malpractice cause of action brought by a personal representative under authority of
    West Virginia Code § 55-7-8a.25 Given that the applicable tolling provisions terminate upon
    23
    See supra note 20.
    24
    We observe, however, that as in cases like Martin, where the incompetent person
    has a duly appointed legal representative who is aware of an alleged act of medical
    malpractice, it would be prudent to promptly initiate the claim rather than waiting until after
    the incompetent person’s death. Otherwise, it is likely that issues based on staleness and
    faded memories may negatively impact such claims.
    25
    Because Mrs. Martin filed her MPLA cause of action during her husband’s lifetime,
    the provisions of West Virginia Code § 55-7-8a were not relied upon to institute suit. As
    a result, the tolling provisions of West Virginia Code § 55-2-15 were not automatically
    invoked by operation of the statute. See W.Va. Code § 55-7-8a(c).
    16
    the death of an incompetent individual, the two-year statute of limitations begins to run on
    the date of the injured person’s death. See Hilltop Healthcare, 226 W.Va. at 259, 
    700 S.E.2d at 319
    , syl. pt. 5.
    In this case, the cause of action was timely filed within two years of Mr.
    Thompson’s death. However, the trial court constrictively applied the limitations period to
    prevent the petitioner from introducing evidence related to a two-year period of time when
    Mr. Thompson was actually alive and susceptible to injury. By its ruling, the trial court
    effectively shortened the legislative grant of a two-year period in which to seek recovery for
    injuries that were sustained. Obviously, no personal injuries were sustainable beyond the
    point of death. As a result, the trial court erred in limiting the petitioner to introducing
    evidence for the two-year-period directly preceding the filing of her suit. Accordingly, this
    matter is reversed and remanded solely on the issue of the personal injury claim and the trial
    court is directed to permit the introduction of admissible evidence for the two-year period that
    preceded Mr. Thompson’s death.
    Given our determination of reversible error, we do not address the petitioner’s
    allegations of error with regard to the demonstrative survey evidence,26 observing only that
    26
    The survey evidence was comprised of state inspections performed at the nursing
    facility.
    17
    it will now presumably fall within the time period for which evidence may be introduced that
    is relevant to the petitioner’s MPLA claim.27 Based on the remand of this matter, we find no
    need to address the alleged error as to testimonial evidence provided by Dr. DeLaGarza.28
    IV. Conclusion
    Based on the foregoing, the order of the Circuit Court of Nicholas County
    denying a new trial to the petitioner is affirmed as to the wrongful death claim; reversed as
    to the personal injury claim; and this matter is remanded for a new trial solely on the personal
    injury claim.
    Affirmed, in part; reversed,
    in part; and remanded.
    27
    We make no ruling as to the admissibility of the survey evidence.
    28
    The petitioner argued that the expert witness was wrongly permitted to testify about
    the falls of other patients and to testify, without proper foundation, about a restraint device
    called a Posey Vest.
    18