Justia Health Law Opinion Summaries

Aletha Porcaro was admitted to The Heights of Summerlin, a skilled nursing facility, for rehabilitation after surgery. Upon her discharge, she contracted COVID-19 and died eight days later. Her daughter, Rachelle Crupi, filed a lawsuit against The Heights and its parent companies, alleging that they failed to implement effective COVID-19 safety protocols. The claims included negligence, wrongful death, and other related causes of action.The Heights removed the case to federal court, which remanded it back to state court. In state court, The Heights moved to dismiss the case, arguing that the federal Public Readiness and Emergency Preparedness Act (PREP Act) and Nevada’s Emergency Directive 011 granted them immunity from Crupi’s claims. The district court dismissed the professional negligence claim but allowed the other claims to proceed.The Heights then petitioned the Supreme Court of Nevada for a writ of mandamus, seeking to dismiss the remaining claims based on the same immunity arguments. The Supreme Court of Nevada reviewed the petition and concluded that the PREP Act does not apply to a lack of action or failure to implement COVID-19 policies. The court also determined that Directive 011 does not grant immunity to health care facilities, as it applies to individual medical professionals, not facilities.The Supreme Court of Nevada denied the petition for a writ of mandamus, holding that neither the PREP Act nor Directive 011 provided immunity to The Heights for the claims brought by Crupi. The court affirmed the district court’s decision to allow the remaining claims to proceed. View "The Heights of Summerlin, LLC v. District Court" on Justia Law

In 2021, Hal de Becker contracted COVID-19 and was treated with ivermectin by his personal physician. Hal was later admitted to Desert Springs Hospital Medical Center, where his ivermectin treatment was stopped without consent, and he was administered remdesivir. Hal's condition deteriorated, and he died shortly after being discharged. Hal's family sued the attending doctors and the hospital, alleging negligence, professional negligence, and wrongful death, claiming the doctors and hospital failed to obtain informed consent and made treatment decisions based on media narratives.The Eighth Judicial District Court dismissed the claims against the doctors and the hospital. The court found that the claims against the doctors were barred by the Public Readiness and Emergency Preparedness Act (PREP Act) and that the expert affidavit provided by the plaintiffs did not meet the requirements of NRS 41A.071. The court also dismissed the claims against the hospital, finding them similarly barred by the PREP Act and that the claims were for professional negligence rather than ordinary negligence.The Supreme Court of Nevada reviewed the case and affirmed the lower court's decision. The court held that the plaintiffs' claims were for professional negligence and required an expert affidavit under NRS 41A.071. The court found the expert affidavit insufficient as to the doctors because it did not specify acts of negligence separately for each doctor. However, the affidavit was sufficient as to the hospital. Despite this, the court concluded that the PREP Act barred the claim against the hospital because it related to the administration of remdesivir, a covered countermeasure. Therefore, the dismissal of the complaint was affirmed. View "De Becker v. UHS of Delaware, Inc." on Justia Law

In a medical malpractice case before the Supreme Court of the State of Nevada, the plaintiff, Kimberly D. Taylor, sued Dr. Keith Brill and Women’s Health Associates of Southern Nevada-Martin PLLC for professional negligence. Taylor alleged that Dr. Brill breached the standard of care by perforating her uterus and bowel during a surgical procedure and failed to inform her of these complications. The jury ruled in favor of Dr. Brill and denied all of Taylor’s claims.The Supreme Court of Nevada held that in a professional negligence action, evidence of informed consent and assumption of the risk are irrelevant and inadmissible when the plaintiff does not challenge consent. The court stated that even if a plaintiff gave informed consent, it would not vitiate the medical provider’s duty to provide treatment according to the ordinary standard of care. Furthermore, evidence of a procedure’s risks must still fall within Nevada's professional negligence statute, and a case-by-case analysis is required to determine whether the evidence should be excluded due to its potential to confuse the jury.The court also held that expert or physician testimony is not required to demonstrate the reasonableness of the billing amount of special damages. The court found that the district court had abused its discretion by prohibiting non-expert evidence demonstrating the reasonableness of the charges for medical treatment received by Taylor.Finally, the court ruled that evidence of insurance write-downs is not admissible under NRS 42.021(1), as it only contemplates evidence of actual benefits paid to the plaintiff by collateral sources.Based on these errors, the Supreme Court of Nevada reversed the judgment and remanded the case for further proceedings, including a new trial. View "Taylor v. Brill" on Justia Law

This case revolves around a lawsuit filed by Tiffiny Grace, legal guardian of E.G., against Sunrise Hospital and Nurse Cord Olsen for professional negligence. E.G. was born prematurely at Sunrise Hospital and suffered permanent developmental damage following a cardiac arrest in the Neonatal Intensive Care Unit. The hospital's Patient Safety Committee investigated the incident, which Grace sought to examine during discovery. However, Sunrise Hospital objected, asserting that the information was privileged under the Patient Safety and Quality Improvement Act of 2005 (PSQIA) and Nevada law. The district court compelled the testimony, ruling that Sunrise Hospital had waived any privilege by allowing testimony on certain privileged topics.The Supreme Court of the State of Nevada, however, disagreed with the lower court's interpretation. It ruled that the PSQIA provides an absolute privilege for patient safety work products that is not subject to waiver. The court explained that this privilege aims to encourage healthcare providers to identify and learn from errors without fear of legal repercussions. The court concluded that the district court erred by interpreting the PSQIA to allow for waiver of privilege and by failing to determine whether the testimony sought constituted identifiable or non-identifiable patient safety work product. Therefore, the court granted a writ of prohibition, vacated the district court's order, and directed the lower court to reconsider Grace's motion to compel in light of its interpretation of the PSQIA. View "Sunrise Hospital v. Eighth Judicial District Court" on Justia Law

In the case at hand, the Court of Appeals of the State of Nevada reversed and remanded a district court order that had dismissed a professional negligence action for being time-barred. The case was brought by Gina Engelson, as the special administrator of the estate of Lenore Meyer, against Dignity Health (doing business as St. Rose Dominican Hospital-Siena Campus) and Grape Holdings LLC (doing business as Sage Creek Post-Acute). Lenore Meyer had developed a severe bedsore while being treated at these facilities. Meyer's family alleged that the care provided by the facilities fell below the standard of care in multiple ways, including failing to timely and adequately treat the bedsore. Meyer eventually died, and exactly one year after her death, Engelson filed a professional negligence complaint against the facilities. The district court dismissed the complaint as time-barred, finding that the complaint was filed more than a year after the estate and its special administrator knew or should have known about the relevant legal injury.Upon review, the Court of Appeals found that the district court erred in dismissing the complaint as time-barred. The Court of Appeals clarified that an affidavit of merit, which is required to support a professional negligence-based wrongful death claim, need not opine as to the element of causation. The Court of Appeals concluded that the evidence did not irrefutably demonstrate that the estate or its special administrator discovered or should have discovered the legal injury more than a year before the filing of the complaint. Therefore, the Court of Appeals reversed the district court's order and remanded for further proceedings. View "Engelson v. Dignity Health" on Justia Law

The Supreme Court denied Petitioner's petition for a writ of certiorari or mandamus in this matter arising from district court orders holding Petitioner, the Nevada Division of Public and Behavioral Health, in contempt for vacating competency court orders, holding that Petitioner failed to meet its burden of demonstrating the need for extraordinary relief.The competency orders were issued in relation to eleven criminal defendants in Nevada who were all deemed incompetent to assist in their own defense and ordered to psychiatric treatment (collectively, Defendants). Defendants moved to dismiss their cases or, alternatively, for Petitioner to show cause as to why it should not be held in contempt after significant delays in accepting Defendants for treatment. The district court found Petitioner in contempt for failing to comply with the court orders and issued sanctions. Petitioner then filed the instant petition. The Supreme Court denied relief, holding that the district court had jurisdiction to hold Petitioner in contempt and did not manifestly or capriciously abuse its discretion in doing so. View "State, Dep't of Health v. District Court" on Justia Law

The Supreme Court affirmed the judgment of the district court denying the proposed schedule of June, an adult protected person, in this appeal challenging the court's rulings concerning June's ability to manage familial relationships, holding that there was insufficient evidentiary support for June's schedule.Also at issue in this case was the process for removing June's guardian and appointing a successor guardian and June's standing to challenge certain issues on appeal. The Supreme Court held (1) June had standing to challenge on appeal both the removal or her guardian and the appointment of the successor guardian; (2) the district court has authority to remove a guardian and appoint a successor guardian with the filing of a formal, written petition for removal, and a protected person is entitled to prior notice of and opportunity to be heard on such actions; (3) the district court did not improperly remove June's guardian and appoint a successor guardian, and June was afforded adequate due process; and (4) although the district court erred by improperly shifting the burden to June to file a communication and visitation petition under Nev. Rev. Stat. 159.332-.338, the court properly denied June's proposed schedule. View "In re Guardianship of Jones" on Justia Law

The Supreme Court affirmed the judgment of the district court dismissing the complaint in this case for failure to state a claim, holding that an employee discharged after testing positive at work based on recreational marijuana use does not have a common-law tortious discharge claim.Plaintiff was terminated from his employment based on a positive test result for marijuana. Plaintiff brought this complaint arguing that he did not use marijuana in the twenty-four hours before that shift and that his use complied with Nevada's recreational marijuana laws. The district court dismissed the complaint. At issue before the Supreme Court was whether adult recreational marijuana use qualifies for protection under Nev. Rev. Stat. 613.333. The Supreme Court answered the question in the negative, holding that because federal law criminalizes the possession of marijuana in Nevada, marijuana use is not lawful in the state and does not support a private right of action under Nev. Rev. Stat. 613.333. View "Ceballos v. NP Palace, LLC" on Justia Law

The Supreme Court affirmed the order of the district court denying a guardianship petition, holding that the petition did not demonstrate that the proposed protected person was incapacitated.Appellant filed a petition for appointment of temporary guardian and to establish a general permanent guardianship over his mother, Respondent, and her estate. The district court denied the petition without prejudice, finding that, under Nev. Rev. Stat. 159.044(2)(i), a guardianship over an adult proposed protected person cannot be granted without a physician's certificate. The Supreme Court affirmed but on different grounds, holding (1) a certificate from a physician or a qualified individual demonstrating need for a guardianship is required for the district court to consider a petition for adult guardianship, but the certificate need not be based on an in-person examination of the proposed protected person; (2) whether the petition and certificate warrant the need for a guardianship or further proceedings is within the district court's discretion; and (3) the district court did not err in dismissing the guardianship petition because the petition did not demonstrate that Appellant's mother was incapacitated. View "In re Guardianship of Rubin" on Justia Law

The Supreme Court dismissed for lack of jurisdiction an order of the district court extending a temporary guardianship and denying a motion to dismiss, holding that the order was not independently appealable.Respondent filed a petition for the appointment of a temporary and permanent guardian of the person and estate of his mother, Appellant. Thereafter, the district court entered an order appointing a temporary guardian. Eventually, the district court set a hearing date to determine permanent guardianship. Defendant appealed the court's earlier order extending the temporary guardianship and denying a motion to dismiss the action for lack of jurisdiction. Appellant appealed. The Supreme Court dismissed the appeal, holding that the temporary guardianship order was not appealable. View "In re Guardianship of Wittler" on Justia Law