Gevona Rixner v. Our Lady of the Lake Hospital, Inc. d/b/a Our Lady of the Lake Regional Medical Center and XYZ Insurance Company
Gevona Rixner v. Our Lady of the Lake Hospital, Inc. d/b/a Our Lady of the Lake Regional Medical Center and XYZ Insurance Company, No. 2019CA0818 (La. Ct. App. 1st Cir. May 11, 2020).
Authorities cited
Identified automatically; this list may not be exhaustive.
- Salvador v. Main St. Family Pharmacy, L.L.C. 251 So. 3d 1107
- Juge v. Springfield Wellness, L.L.C. 274 So. 3d 1
- Juge v. Springfield Wellness, L.L.C. 273 So. 3d 309
- Toussaint v. Baton Rouge Gen. Med. Ctr. 251 So. 3d 1151
- Alford v. CB Constr. & Dev., LLC 253 So. 3d 1301
- Terrance v. Baton Rouge General Medical Center 39 So. 3d 842
- Thomas v. Ardenwood Properties 46 So. 3d 1271
- Smith v. Northshore Regional Medical Center, Inc. 170 So. 3d 173
- Stogner v. Ochsner Clinic Found. 254 So. 3d 1254
- Holden v. STATE UNIV. MED. CENTER 690 So. 2d 958
- McGill v. COCHRAN SYSCO FOODS, a DIV. OF SYSCO CORP. 693 So. 2d 730
- Dorthlon v. ST. FRANCIS MED. CENTER 677 So. 2d 654
- Parfait v. Hospital Service District No. 1 638 So. 2d 1140
- Kavlich v. Kramer 315 So. 2d 282
- LeBlanc v. Alton Ochsner Medical Found. 563 So. 2d 312
- Pfiffner v. Touro Infirmary 529 So. 2d 102
- Neyrey v. Touro Infirmary 639 So. 2d 1214
- Blount v. East Jefferson General Hosp. 887 So. 2d 535
- Bell v. Carencro Nursing Home, Inc. 202 So. 3d 499
- Queen v. Woman's Hosp. Found. 265 So. 3d 1
Opinion text
STATE OF LOUISIANA
COURT OF APPEAL
FIRST CIRCUIT
NO. 2019 CA 0818
GEVONA RIXNER
VERSUS
OUR LADY OF THE LAKE HOSPITAL, INC. D/ B/ A
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
AND XYZ INSURANCE COMPANY
Judgment Rendered.
MAY 1 12020
Appealed from the
19th Judicial District Court
In and for the Parish of East Baton Rouge
State of Louisiana
Case No. C646279
The Honorable William A. Morvant, Judge Presiding
Timothy Richardson Counsel for Plaintiff/Appellant
Madisonville, Louisiana Gevona Rixner
Douglas K. Williams Counsel for Defendant/Appellee
Chris D. Billings Our Lady of the Lake Hospital, Inc.
Baton Rouge, Louisiana
BEFORE: McDONALD, THERIOT, AND CHUTZ, JJ.
C
d
THERIOT, J.
In this hospital slip -and -fall case, the plaintiff appeals a summary judgment
that dismissed her claims against the defendant with prejudice. For the reasons set
forth herein, we affirm.
FACTS AND PROCEDURAL HISTORY
On March 10, 2015,' plaintiff, Gevona Rixner, was at Our Lady of the Lake
Regional Medical Center (" OLOL") in Baton Rouge with her husband, who was
hospitalized at OLOL. On the morning in question, Mrs. Rixner left her husband' s
room on the third floor, took an elevator to the first floor, and walked to the nearby
first -floor cafeteria to get herself breakfast. After spending less than twenty minutes
in the cafeteria, Mrs. Rixner left the cafeteria, carrying her food and drink, and began
to walk back to the elevator by the same route she had taken on her way to the
cafeteria. However, before reaching the elevator on the first floor, Mrs. Rixner
slipped and fell on an unknown substance on the floor, allegedly injuring her back,
knees, and wrists.
Mrs. Rixner filed suit for the injuries she allegedly sustained in the fall,
claiming negligence by OLOL. OLOL filed a motion for summary judgment and
supporting documents, and Mrs. Rixner opposed the motion. In support of its
motion, OLOL filed excerpts from Mrs. Rixner' s deposition, as well as the affidavits
of Steve Oquin, who worked at OLOL as an employee of its housekeeping services
contractor, and OLOL' s environmental safety manager, Rick Boyer. In opposition
to OLOL' s motion, Mrs. Rixner filed additional excerpts from her own deposition,
Mr. Oquin' s and Mr. Boyer' s depositions, medical records related to the accident,
and excerpts from OLOL' s housekeeping services agreement. OLOL attempted to
file additional summary judgment evidence along with its reply brief, but the trial
Although the petition states that the accident occurred on March 15, 2015, this was an error.
N
court correctly pointed out that under La. C. C. P. art. 966( B)( 3), no additional
documents may be filed with a reply memorandum, and the trial court declined to
consider the additional evidence offered by OLOL.
In the excerpts from her deposition testimony before the court on summary
judgment, Mrs. Rixner testified that she never saw any foreign substance on the floor
prior to slipping and falling, even though she had walked down the same hallway
where the accident occurred on her way to the cafeteria no more than twenty minutes
earlier. She described the hallway where she fell as a high -traffic area. Although
she did not see anything on the floor prior to falling, she explained that once she was
on the ground, she noticed that the floor seemed to be wet. She had no idea where
the substance came from, and she denied seeing any leaks, drips, or spills in the area.
Steve Oquin was an employee of Crothall Healthcare, Inc., the company
contracted by OLOL to provide housekeeping services on the OLOL premises. In
Mr. Oquin' s position as Resident Regional Manager at OLOL, he was responsible
for managing the housekeeping staff at the hospital. Mr. Oquin explained that in
accordance with Crothall' s contract with OLOL, the floors in the area where Mrs.
Rixner fell were swept, scrubbed using a machine, and squeegeed dry once daily by
Crothall personnel.' In addition to this daily cleaning, Crothall personnel were
available 24/ 7 to mop up any spills on request, and Crothall' s supervisory employees
performed periodic inspections in designated intervals' to observe the housekeeping
staff' s competency in cleaning their designated areas. Although Crothall kept
records of the periodic inspections performed by its supervisors, the records did not
include the specific time or exact location of an inspection, so Mr. Oquin was unable
to determine when the hallway where the accident occurred was last inspected by a
This daily floor cleaning was done by the night shift, between the hours of 10: 00 p.m. and 5: 00 a.m. Although Mrs.
Rixner was not certain of the time of her slip and fall, she estimated that she went down to the cafeteria around 9: 00
or 10: 00 in the morning.
3 Mr. Oquin testified that the supervisors made a minimum of three rounds per eight-hour shift to inspect the
housekeeping staff' s work.
3
supervisor. However, Mr. Oquin attested that, to his knowledge, there were no
reports of spills or water on the floor in the area where Mrs. Rixner fell on the day
in question prior to the incident.
Rick Boyer, OLOL' s environmental safety manager, testified that all OLOL
employees are trained upon hire, as well as annually, to continuously monitor the
floors and report or clean up any spills or other hazardous conditions discovered.
Upon discovering any type of hazard ( such as a foreign substance on the floor), the
employees are taught to clean it up immediately if possible, and if they are not able
to do so, they are instructed to contact housekeeping and to remain in the area to
guide people around the hazard until housekeeping arrives and cleans up the hazard.
Mr. Boyer explained that Crothall' s housekeeping employees were always on- site at
the hospital and were deployed throughout the facility. Although Mr. Boyer
believed that Crothall' s policy required its employees to perform periodic floor
inspections at OLOL, he had no personal knowledge of Crothall' s compliance with
its policy. He did not know whether the housekeeping services agreement required
Crothall to maintain a log of its periodic inspections, or whether Crothall maintained
such a log, but in either case, he had never seen an inspection log. Mr. Boyer testified
that he completed training through OSHA and the Joint Commission on safety in
healthcare settings and safety walking working surfaces, and he performed periodic
inspections of the facility himself to check for safety issues. In his position as
environmental safety manager, Mr. Boyer had access to the hospital' s internal
reports and other records showing maintenance and repair work orders generated in
response to any problems or complaints related to the OLOL facilities. He testified
that there were no work orders generated in the days leading up to the date of Mrs.
Rixner' s fall that would suggest that there would have been water on the floor in the
area where Mrs. Rixner fell due to a leak or some other maintenance -related issue.
In addition, there were no other reported falls or complaints of slipping prior to Mrs.
al
Rixner' s fall in the area at issue, which he described as " high traffic" and " a main
walkway for visitors coming from the elevators or going to the elevators in the
cafeteria or [walking] on the first floor to go to other departments within the hospital
a] nd for team members that may be coming, walking to the cafeteria to get some
food or something of that nature."
The portion of the Crothall housekeeping services agreement filed in
opposition to summary judgment by Mrs. Rixner sets forth the minimum frequencies
at which specified areas of the facility are to be cleaned. The agreement requires the
following housekeeping duties to be performed daily, at a minimum, in non -patient
areas: sweep hard floors, spot vacuum carpeted areas, spot mop floors to remove
spots and spills, and damp mop floors with germicidal solution. In addition to this
minimum frequency, the agreement provides that the "[ f]loors will be maintained in
a clean state, free of build up, dirt, or black marking." The agreement also calls for
Policing Cleaning" in addition to daily cleaning, including " Check sweep floors"
and " Spot mop floors," two times per day for the first and second shift and one time
per day for the third shift.
Following a hearing on the motion for summary judgment, the trial court
granted OLOL' s motion, noting that the procedures employed by OLOL to detect
and eliminate risks of a fall on its premises were " more than reasonable" under the
circumstances, and dismissed Mrs. Rixner' s suit with prejudice. Mrs. Rixner
appealed.
DISCUSSION
After an opportunity for adequate discovery, a motion for summary judgment
shall be granted if the motion, memorandum, and supporting documents show that
there is no genuine issue as to material fact and that the mover is entitled to judgment
as a matter of law. La. C. C. P. art. 966( A)(3). The summary judgment procedure is
5
favored and shall be construed to secure the just, speedy, and inexpensive
determination of every action. La. C. C. P. art. 966( A)(2).
The burden of proof on a motion for summary judgment rests with the mover.
Nevertheless, if the mover will not bear the burden of proof at trial on the issue
before the court on the motion for summary judgment, the mover's burden does not
require him to negate all essential elements of the adverse party's claim, action, or
defense, but rather to point to the absence of factual support for one or more elements
essential to the adverse party's claim, action, or defense. The burden is on the
adverse party to produce factual support sufficient to establish the existence of a
genuine issue of material fact or that the mover is not entitled to judgment as a matter
of law. La. C. C. P. art. 966( D)( 1). Once a motion for summary judgment has been
made and supported, the adverse party may not rest on the mere allegations or denials
in their pleadings, but their responses must set forth specific facts showing that there
is a genuine issue for trial. If the adverse party does not so respond, summary
judgment, if appropriate, shall be rendered against them. See La. C. C. P. art. 967( B).
In determining whether summary judgment is appropriate, appellate courts
review evidence de novo under the same criteria governing the trial court's
determination of whether summary judgment is appropriate. Salvador v. Main St.
Family Pharmacy, L.L.C., 2017- 1757, p. 4 ( La.App. 1 Cir. 6/ 4/ 18), 251 So. 3d 1107,
1112. Thus, appellate courts ask the same questions: whether there is any genuine
issue of material fact and whether the mover is entitled to judgment as a matter of
law. Because it is the applicable substantive law that determines materiality,
whether a particular fact in dispute is material can be seen only in light of the
substantive law applicable to the case. Juge v. Springfield Wellness, L.L. C., 2018-
0736, p. 4 ( La.App. 1 Cir. 2/ 28/ 19), 274 So. 3d 1, 5, writ denied, 2019- 0513 ( La.
5/ 28/ 19), 273 So. 3d 309.
31
The legislature has not specifically addressed the burden of proof applicable
in a slip -and -fall claim against a hospital. Consequently, jurisprudence addressing
the burden placed on a hospital is not affected by the statute governing merchant
liability for slip -and -fall claims found at La. R.S. 9: 2800.6. Toussaint v. Baton
Rouge General Medical Center, 2018- 0029, p. 3 ( La.App. 1 Cir. 6/ 4/ 18), 251 So. 3d
1151, 1154, writ denied, 2018- 1107 ( La. 10/ 15/ 18), 253 So. 3d 1301, citing Terrance
v. Baton Rouge General Medical Center, 2010- 0011, pp. 3- 4 ( La.App. 1 Cir.
6/ 11/ 10), 39 So. 3d 842, 844, writ denied, 2010- 1624 ( La. 10/ 8/ 10), 46 So. 3d 1271.
Accordingly, because the hospital is not a " merchant," we must examine the
hospital' s duty in light of the facts of this case under a negligence theory of liability.
Id.
Under the applicable negligence standard, a hospital owes a duty to its visitors
to exercise reasonable care for their safety, commensurate with the particular
circumstances involved; but the duty owed by a hospital is less than that owed by a
merchant .4 Smith v. Northshore Regional Medical Center, Inc., 2014- 0628, pp. 3- 4
La.App. 1 Cir. 1/ 26/ 15), 170 So. 3d 173, 176; Terrance, 2010- 0011 at p. 4, 39 So.3d
at 844. The trial court must consider the relationship between the risk of a fall and
the reasonableness of the measures taken by the hospital to eliminate the risk.
Terrance, 2010- 0011 at p. 5, 39 So. 3d at 844. This duty calls for the hospital to take
reasonable measures to monitor its premises for occasional third party spills.
Stogner v. Ochsner Clinic Foundation, 2018- 96 ( La.App. 5 Cir. 9/ 19/ 18), 254 So. 3d
1254, 1258, writ denied, 2018- 1723 ( La. 1/ 8/ 19), 259 So. 3d 1023. The
determination of whether the hospital failed to take reasonable measures to eliminate
the risk of a fall is a question of fact. Toussaint, 2018- 0029 at p. 3, 251 So. 3d at
4 The reason that the duty owed by a hospital is less than the duty owed by a merchant is that the economic
circumstances that prompted the heightening of the duty owed by merchants, i.e., merchandising distractions and
customer volume, are not present in non -merchant settings such as hospitals. Holden v. Louisiana State University
Medical Center in Shreveport, 29,268, p. 9 ( La.App. 2 Cir. 2/ 28/ 97), 690 So.2d 958, 963, writ denied, 97- 0797 ( La.
5/ l/ 97), 693 So. 2d 730.
7
1154. Thus, as the mover on the motion for summary judgment, OLOL had the
burden of proving that there was no genuine issue of material fact regarding its lack
of negligence. See LSA- C. C. P. art. 966( D)( 1); Collins v. Franciscan Missionaries
of Our Lady Health System, Inc., 2019- 0577, p. 5- 6 ( La.App. 1 Cir. 2/ 21/ 20),
So. 3d
Upon review of the summary judgment evidence before the trial court, we
find that OLOL properly pointed out an absence of factual support for an essential
element of Mrs. Rixner' s claim, i.e., that OLOL failed to take reasonable measures
to eliminate the risk of a fall under the circumstances. Once this showing was made,
the burden shifted to Mrs. Rixner to produce evidence to establish the existence of a
genuine issue of material fact or that OLOL is not entitled to judgment as a matter
of law. See La. C. C. P. art. 966( D)( 1). Mrs. Rixner offered no evidence to show that
OLOL failed to take reasonable measures to eliminate the risk of a fall. OLOL is
not the insurer of the safety of its visitors; without evidence that OLOL failed to act
reasonably under the circumstances, there can be no liability to Mrs. Rixner. See
Dorthlon v. St. Francis Medical Center, Inc., 28, 426 ( La. App. 2 Cir. 6/ 26/ 96), 677
So. 2d 654, 659. After a careful de novo review, we find the trial court was correct
in its finding that there is no genuine issue of material fact as to whether OLOL
failed to take reasonable measures to eliminate the risk of a fall under the
circumstances. Thus, summary judgment in favor of OLOL, dismissing the claims
against it, is appropriate under the facts of this case.
CONCLUSION
For the reasons set forth herein, the judgment of the trial court granting
summary judgment in favor of Our Lady of the Lake Hospital, Inc., d/b/ a Our Lady
of the Lake Regional Medical Center and dismissing Gevona Rixner' s claims with
prejudice is affirmed. Costs of this appeal are assessed to plaintiff, Gevona Rixner.
AFFIRMED.
t
1
GEVONA RIXNER STATE OF LOUISIANA
VERSUS COURT OF APPEAL
OUR LADY OF THE LAKE FIRST CIRCUIT
HOSPITAL, INC. D/ B/ A
OUR LADY OF THE LAKE 2019 CA 0818
REGIONAL MEDICAL CENTER
AND XYZ INSURANCE COMPANY JUN 16 2020
McDONALD, J. AGREES AND ASSIGNS ADDITIONAL REASONS:
I agree with the result reached by the majority, but I take this opportunity to
address my concern over some jurisprudence that has flipped the burden of proof in
these cases on its head. The highest point of elevation in Louisiana is 535 feet ( Mt.
Driskell). I seems that we have ventured upon a far greater slippery slope than this
altitude would allow. Some courts have determined that once a plaintiff proves that
he/ she fell due to a foreign substance on the premises of a hospital, this creates a
presumption that the hospital was negligent and the burden shifts to the hospital to
prove that they were not negligent. I find no reason for this approach to slip -and -
fall cases. Hospitals are unique in that they provide several types of services -patient
care and procedures, meal services including cafeterias, and retail sales service areas.
It seems perplexing that a different rule would apply depending on what area of the
hospital the accident occurred. I find this burden shifting idea illogical and disagree
with cases that have found such. In attempting to address this issue, I find the brief
filed on behalf of the defendant hospital in this case by Douglas K. Williams and
Chris D. Billings to be erudite and exceptionally clarifying. I adopt this well written
argument that states:
The issue of who bears the burden of proof in a slip -and -fall
claim against a hospital has not been confirmed by the Louisiana
Supreme Court or the legislature. As a result, some courts have
abandoned the traditional negligence analysis and have instead opted
for a burden -shifting approach ( which requires that the hospital present
evidence to rebut a presumption of negligence that is created once
plaintiff establishes that he/ she fell due to a foreign substance or
condition on the premises). Connelly v. Veterans Administration Hosp.,
23 F. Supp. 3d 648, 655- 657 ( E. D. La. 2014). This burden -shifting
approach, however, is belied by the historical progression of the law,
which clearly shows that plaintiff must retain the burden of establishing
the elements of her claim in any slip and fall case, including those
against hospitals. Parfait v. Hospital Service Dist. No. 1, 95- 1504 ( La.
App. 1 Cir. 6/ 24/ 94), 638 So. 2d 1140, 1142; Holden v. La. State Univ.
Med. Center in Shreveport, 29, 268 ( La. App. 2 Cir. 2/ 28/ 97), 690 So. 2d
958, 961.
Prior to the enactment of La. R. S. 9: 2800. 6 ( the " Merchant
Liability Statute"), the law dealing with slip -and -fall cases was entirely
jurisprudential. Eventually, in Kavlich v. Kramer, 315 So. 2d 282 ( La.
1975), the Louisiana Supreme Court adopted a burden -shifting
approach specifically for slip -and -fall claims against merchants. Under
that approach, a plaintiff only needed to prove that he or she fell due to
a foreign substance on the premises, which created a presumption of
negligence on the part of the merchant, then the burden shifted to the
defendant merchant to exculpate itself from that presumption of
negligence. Id. at 285. Again, that approach was developed in the
unique context of merchants ( specifically a self-service grocery store),
which required customers to look for and find objects on their own,
some of those objects being placed on shelves of various heights and
sizes. Id. at 284. The court found that such a setup enticed customers to
focus their eyes on the items displayed on the shelves instead of
focusing on where they were walking. Id. As a result of those unique
facts, the court adopted the burden -shifting approach to relieve the
plaintiff of having to prove actual or constructive knowledge of the
hazard on the part of the defendant merchant.
In 1988, the legislature enacted La. R.S. 9: 2800.6, codifying the
burden -shifting approach espoused by the Supreme Court in Kavlich. 16
However, in 1990, the legislature amended the statute and placed the
burden of proof back on the plaintiff (effectively overruling the line of
cases created by the unique facts of Kavlich)." In essence, the
legislature took action to extinguish the judge -created law that placed a
heavy burden and duty on merchant defendants in slip -and -fall cases,
presumably because it did not agree with the scheme that had been
adopted from the courts.' 8
Although the Louisiana Supreme Court has never shifted the
burden of proof in a slip -and -fall claim against a hospital, some lower
courts have revived the old burden -shifting approach from Kavlich and
have applied it in cases involving hospitals, thereby requiring the
plaintiff to prove only that he/ she slipped on a foreign substance on the
16
MERCHANTS— LIABILITY FOR INJURIES DUE TO HAZARDOUS
CONDITIONS ON PREMISES; BURDEN OF PROOF; EVIDENCE; DEFINITIONS,
1988 La. Sess. Law Serv. 714 ( West).
17
MERCHANTS— LIABILITY FOR NEGLIGENCE CLAIMS— BURDEN OF
PROOF; DEFINITIONS, 1990 La. Sess. Law Serv. 1025 ( West).
La. R. S. 9: 2800. 6 was amended again in 1996, but the burden of proof remained ( and
remains today) with the plaintiff.
premises before shifting the burden to the defendant hospital to
exculpate itself from the presumption of negligence by showing it
exercised reasonable care to discover and correct the hazardous
condition. 19 However, the use of that approach in cases against
hospitals is inconsistent with the purpose of the merchant liability
statute, and it places an extremely high standard on hospitals, akin to
strict liability, which was never contemplated by either the Supreme
Court or the legislature.
The First and Second Circuits have addressed the progression of
the law in this area and expressly rejected the use of this burden -shifting
approach in slip -and -fall claims against hospitals. In Parfait, supra, this
Court was faced with a case in which the plaintiff stepped on a piece of
glass with her bare foot while visiting a patient at the defendant
hospital. 638 So. 2d at 1141. The plaintiffs action was dismissed by the
trial court on a finding of no liability, and the plaintiff appealed, arguing
that the defendant was required to present evidence to exculpate itself
from liability. This Court rejected the plaintiffs argument, however,
noting:
Historically, the elevated standard of care applied to
merchants by Kavlich v. Kramer has not been applied to
the hospital setting. The standard applied to hospitals has
always been similar to that which is now applicable to
merchants under La. R.S. 9: 2800.6. Consequently, when
there is a condition on the premises which causes an
unreasonable risk of harm and is reasonably foreseeable,
it must still be shown that the hospital created the
condition, had actual or constructive notice of the
condition, and failed to exercise reasonable care.
Id. at .1142 ( citation omitted; emphasis added).
And in Holden, supra, the Second Circuit gave a very thorough
review of the history of merchant liability cases, and concluded that
19 Prior to the enactment and revision of the Merchant Liability Statute, some appellate
courts, relying upon Kavlich and its progeny, applied the burden -shifting approach to slip -
and -fall cases against hospitals. See, LeBlanc v Alton Ochsner Medical Foundation, 563
So. 2d 312 ( La. App 5 Cir. 5/ 16/ 90), Pfiffner v Touro Infirmary, 529 So. 2d 102 ( La. App.
4 Cir. 7/ 12/ 1988).
Since then, Neyrey v Touro Infirmary, 94- 0078 ( La. App. 4 Cir. 1994),
639 So. 2d 1214 which cites to LeBlanc), has been the most commonly cited authority for
applying the burden -shifting approach to hospitals. The Fourth Circuit in Neyrey felt that
prior case- law applying the burden -shifting approach to hospitals was not affected by
enactment of the Merchant Liability Statute; however, this statement by the Neyrey court
was merely dicta. In fact, the court specifically that it did not need to consider whether
a hospital' s burden of proof should be lessened to the burden placed on a merchant
following enactment of the Merchant Liability Statute, because the plaintiff proved that the
defendant hospital had actual notice of the hazardous substance on the floor and proved it
failed to exercise reasonable care by not cleaning it up promptly. Id. at 1217. In other
words, the court did not decide which burden of proof to apply, because the plaintiff met
the traditional burden of proof for slip- and—fall cases, which requires the plaintiff to prove
every element of his claim. Therefore, reliance on Neyrey for the principle that the burden -
shifting approach should be applied to cases against hospitals is misplaced.
there should be no shifting ofthe burden ofproof in slip -and -fall actions
against hospitals. 690 So. 2d at 963- 64. The court stated:
While a slip and fall case in a non -merchant setting is also
reviewed under the analysis for negligence discussed
above, we have not found that the Louisiana Supreme
Court applied the ever- increasing post-Kavlich burdens
upon non—merchant defendants such as LSUMC between
1975 and 1990. The economic circumstances which
prompted Kavlich, including the merchandising
distractions and customer volume, are not present in a
patient's wing of a hospital. Thus, despite dicta in certain
appellate decisions where the evidence of the defendant' s
procedures for inspection of their premises was fully
presented at trial and analyzed on appeal, a non—merchant
such as LSUMC is not required to exculpate itself from a
presumption of negligence raised simply y the plaintiff' s
showing of a fall from a foreign substance whose sourceis
unknown.
In every case discussed above, regardless upon whom the
technical burden of proof was being placed at the time,
there was some evidence before the courts regarding the
inspection procedures for the defendant' s premises. In the
absence of proof that the hazardous spill was caused by the
defendants own actions, the duty to keep the premises in a
safe condition must be shown to have been breached by
some proof of an inadequate inspection procedure. From
our review of the slip and fall cases, the burden of
producing such evidence is now clearly back on the
plaintiff in the storekeeper/merchant context, and it was
never removed from the plaintiffs burden in the non -
merchant setting such as this case.
Id. (citations omitted; emphasis added).
It is clear that the duties once imposed on merchants should not
be applicable in a slip -and -fall case against a hospital. Again, at no
point has either the Louisiana legislature or the Louisiana Supreme
Court ever applied the burden -shifting approach to hospitals or any
other non -merchants.
Moreover, courts unanimously recognize that a
hospital' s duty is less than the duty owed by merchants to their
patrons.20 Yet, many of those same courts ( including this Court)
continue to place the burden of proof on the hospital to exculpate itself
from liability in slip -and -fall cases without any discussion or
20 Terrance v Baton Rouge General Medical Center, 2010- 0011 ( La. App. 1 Cir. 6/ 11/ 10),
39 So. 3d 842, 844, citing Blount v East Jefferson General Hosp., 04- 407 ( La. App. 5 Cir.
10/ 12/ 04), 887 So. 2d 535, 537.
explanation as to why the antiquated rule from Kavlich is applicable.21
Surely, the legislature did not intend to eliminate the burden -
shifting approach for claims against merchants, which owe a higher
duty of care than non -merchants, while at the same time allowing the
burden -shifting approach to be applied in claims against non -
merchants. In fact, the legislature' s silence as to non -merchants in the
Merchant Liability Statute is presumably only due to a lack of
necessity. In other words, because the Louisiana Supreme Court has
never applied the burden -shifting approach to non -merchants, there was
no need for the legislature to " overrule" that approach as applied to non -
merchants. Accordingly, as explained in Holden, supra, there is no
reason to treat hospitals differently than any other party who is
defending against a slip -and -fall action.
As Judge Morvant cautioned during the hearing on OLOL' s
summary judgment in this case, the effect of applying the burden -
shifting scheme to hospital defendants in slip -and -fall cases is to
essentially impose the old rule of strict liability." In effect, it would
require the defendant hospital to prove it acted reasonably to avoid
liability, whereas every other slip -and -fall action ( whether under La.
C. C. art. 2315, La. C. C. art. 2317. 1, La. R.S. 9: 2800, or La. R. S.
9: 2800. 6) requires that the plaintiff prove every element of their claim.
There is simply no justification or legal basis for making hospitals
strictly liable for events that occur on their premises, and for requiring
them to exculpate themselves from liability.
For these reasons, I believe it is the plaintiff' s burden to prove the negligence
of the defendant as in any tort suit and no burden -shifting should occur just because
the defendant is a hospital.
21 See, Neyrey, 639 So. 2d 1214; Bell v Carencro Nursing Home, Inc., 2016- 0190 (La. App.
3 Cir 9/ 28/ 16), 202 So. 3d 499; Terrance v Baton Rouge General Medical Center, 2010-
0011 ( La. App. 1 Cir. 6/ 11/ 10), 39 So. 3d 842, Smith v Northshore RegI Med. Or. Inc.,
2014- 0628 ( La. App 1 Cir. 1/ 26/ 15); 170 So. 3d 173, Toussaint v Baton Rouge Gen. Med.
Ctr., 2018- 0029 ( La. App 1 Cir. 6/ 4/ 18); 251 So. 3d 1151, Queen v. Woman' s Hosp.
Found., 2018- 0222 ( La. App. l Cir. 10/ 31/ 18); 265 So. 3d 1.
22 R. 138; See also, Connelly, 23 F. Supp. 3d at 659.