Texas Department of Mental Health & Mental Retardation v. Lee
Texas Department of Mental Health & Mental Retardation v. Lee
Opinion of the Court
OPINION
Appellee Robin Lee was sexually assaulted by an HIV-positive patient while she was under the care of Wichita Falls State Hospital. She filed suit against appellants under the Texas Tort Claims Act alleging that her injuries were caused by a condition or use of tangible personal property
We hold that Lee has not alleged a cause of action under the Tort Claims Act because the unlocked hospital doors did not proximately cause Lee’s injury, but merely furnished the condition that made the assault and resulting injury possible. We further hold that the legislature has not waived the State’s immunity from suit for violations of the patient’s bill of rights. We will, therefore, reverse and render judgment dismissing Lee’s'suit against appellants.
Background Facts
On April 22, 1994, Lee was sexually assaulted by an HIV-positive patient while she was under the care of Wichita Falls State Hospital (the hospital) for a mental disorder that caused her to be hypersexual and promiscuous. She subsequently filed suit against appellants Texas Department of Mental Health and Mental Retardation (MHMR), the State of Texas, the hospital, and Don Gilbert, Commissioner of MHMR (collectively, appellants). In her suit, Lee alleged a cause of action under section 101.021(2) of the Texas Tort Claims Act based on the hospital’s failure to lock the door to her room and to provide locking devices on the doors between the men’s and women’s wings of the hospital, which she contends constituted both a misuse of tangible property and a defective condition that proximately caused her injuries. Lee also alleged a cause of action under section 321.002 of the Texas Health and Safety Code for violations of the “patient’s bill of rights”; specifically, “freedom from mistreatment, abuse, neglect, and exploitation.”
Appellants filed a plea to the jurisdiction, asserting that Lee had failed to allege facts that would support a claim under section 101.021(2) of the Tort Claims Act and that sovereign immunity deprived the trial court of subject matter jurisdiction over her suit for violations of the patient’s bill of rights. The trial court denied the plea stating only that the plea “lack[s] merit.”
Standard of Review
We review a trial court’s ruling on a plea to jurisdiction de novo.
Sovereign Immunity
Sovereign immunity, unless waived, protects the State of Texas, its agencies, and its officials from lawsuits for damages, absent legislative consent to sue the State.
By contrast, immunity from liability protects the State from judgments even if the legislature has expressly given consent to the suit.
The legislature may consent to suit and liability by statute or by legislative resolution.
In determining whether immunity from suit has been waived under the Tort Claims Act, we are also instructed that, while waiver of immunity under the Act is to be liberally construed, this liberal construction must be balanced with the legislative intent of waiving immunity only to a limited degree.
[I]t is important to recognize that the Legislature intended the waiver in the Act to be limited, not unlimited....
... [T]he waiver of immunity in the Tort Claims Act is not, and was not intended to be, complete. Arguments for applications of the Act that would essentially result in its waiver becoming absolute must therefore be rejected as contrary to the Act’s fundamental purpose.21
With these rules to guide us, we will examine the Tort Claims Act and the Health and Safety Code as they apply, if at all, to Lee’s claims against appellants to determine whether the use or condition of property alleged by Lee proximately caused her injuries, and whether the legislature has by clear and unambiguous language waived sovereign immunity for Lee’s patient’s bill of rights claim.
Tort Claims Act
Under the relevant provisions of the Tort Claims Act, a governmental unit in this state is liable for:
*867 (2) personal injury and death so caused by a condition or use of tangible personal or real property if the governmental unit would, were it a private person, be liable to the claimant according to Texas law.22
To state an actionable claim under section 101.021(2) based upon the use or misuse of tangible property, personal injury or death must be proximately caused by the condition or use of tangible property.
In this case, Lee complains of both a use of property — leaving the interi- or door to her room unlocked — and a condition of property — no locking device on the door leading from the men’s wing to the women’s wing of the hospital. Neither can be said to have caused Lee’s injuries from the sexual assault. “Property does not cause injury if it does no more than furnish the condition that makes the injury possible.”
The facts in this case closely resemble the facts in Bossley. In Bossley, a patient escaped from the hospital and committed suicide. The patient was able to exit through the locked double doors of the hospital by following a hospital employee who had failed to close the self-locking interior door and then by pushing that employee aside after the employee had unlocked the exterior door.
This case is also analogous to Amador v. San Antonio State Hospital
In Koehler, a female patient escaped the hospital premises with a male companion through a large hole in the hospital’s fence. The male companion brought the patient to a distant boarding house where he sexually assaulted her. The patient filed suit against the hospital, alleging that the hole in the hospital’s fence constituted a premises defect.
Lee incorrectly analogizes this case to McGuire, where the supreme court held that immunity was waived by section 101.021(2) for a plaintiffs claim that he was injured when he fell out of his hospital bed because it was not equipped with side rails.
Lee’s reliance on Lowe
After reviewing Lee’s allegations and the evidence in the record relevant to the immunity issue raised by appellant, we conclude that Lee has not asserted a claim that falls within section 101.021(2) of the Tort Claims Act.
Health and Safety Code
Lee contends that the legislature expressly waived sovereign immunity from suits based on violations of the Health and Safety Code’s “patient’s bill of rights,” by providing in section 321.00B of the code that a patient harmed by a violation of the patient’s bill of rights while under the care of a mental health facility “may sue” the facility for damages and other relief. This is an issue of first impression.
Section 321.002 of the Health and Safety Code requires MHMR and other state health care regulatory agencies by rule to adopt a “patient’s bill of rights” to protect the “health, safety, and rights” of a patient under the care of an inpatient mental health facility.
§ 321.003. Suit for Harm Resulting From Violation
(a) A treatment facility or mental health facility that violates a provision of, or a rule adopted under, this chapter, Subtitle C of Title 7 [Section 571.001 et seq.\ or Chapter 241, 462, 464, or 466 is liable to a person receiving care or treatment in or from the facility who is harmed as a result of the violation.
(b) A person who has been harmed by a violation may sue for injunctive relief, damages, or both.50
Importantly, the terms “treatment facility” and “mental health facility” are not expressly defined in the statute; rather, the statute provides that “ ‘[mjental health facility’ has the meaning assigned by Section 571.003 [of the code]” and that “ ‘[treatment facility5 has the meaning assigned by Section 464.001 [of the code].”
In Duhart, the Supreme Court of Texas construed a statute providing worker’s compensation benefits to state highway employees that adopted an exemplary damages provision in another law.
Applying the rules of construction followed by the supreme court in Duhart and City of LaPorte, we hold that the mere incorporation in section 321.001 of another statute that defines treatment facility and mental health facility to include
Conclusion
In sum, we hold that Lee has not stated an actionable claim against appellants under section 101.021(2) of the Tort Claims Act and that section 321.008 of the Health and Safety Code does not waive sovereign immunity from suit for violations of the patient’s bill of rights. Accordingly, we reverse and render judgment dismissing the suit against appellants on the grounds that Lee’s actions are jurisdictionally barred by sovereign immunity.
LIVINGSTON, J., filed a concurring and dissenting opinion.
. See Tex.Civ.Prac. & Rem.Code Ann. § 101.021(2) (Vernon 1997).
. Tex.Health & Safety Code Ann. § 321.002 (Vernon Supp. 2001); see also 25 Tex.Admin.Code § 404.154(24) (2000).
.See Tex.Civ.Prac. & Rem.Code Ann. § 51.014(a)(8) (Vernon Supp. 2001).
. Tex.Health & Safety Code Ann. § 321.002; 25 Tex.Admin.Code § 404.154(24).
. Mayhew v. Town of Sunnyvale, 964 S.W.2d 922, 928 (Tex. 1998), cert. denied, 526 U.S. 1144, 119 S.Ct. 2018, 143 L.Ed.2d 1030 (1999).
. Tex. Ass'n of Bus. v. Tex. Air Control Bd., 852 S.W.2d 440, 446 (Tex. 1993); City of Saginaw v. Carter, 996 S.W.2d 1, 2-3 (Tex.App.-Fort Worth 1999, pet. filed).
. Bland I.S.D. v. Blue, 34 S.W.3d 547, 555 (2000).
. Fed. Sign v. Tex. So. Univ., 951 S.W.2d 401, 405 (Tex. 1997); Univ. of Tex. at Arlington v. Bishop, 997 S.W.2d 350, 353 (Tex.App.-Fort Worth 1999, pet. denied).
. Fed. Sign, 951 S.W.2d at 405; Mo. Pac. R.R. Co. v. Brownsville Navigation Dist., 453 S.W.2d 812, 813 (Tex. 1970).
. Tex. Dep't of Transp. v. Jones, 8 S.W.3d 636, 638 (Tex. 1999); Fed. Sign, 951 S.W.2d at 405.
. Jones, 8 S.W.3d at 638.
. Id.; Fed. Sign, 951 S.W.2d at 405.
. Fed. Sign, 951 S.W.2d at 405; see also Tex.Civ.Prac. & Rem.Code Ann. § 107.002(b) (Vernon 1997) (“A resolution granting permission to sue does not waive to any extent immunity from liability.”).
. Jones, 8 S.W.3d at 638.
. Fed. Sign, 951 S.W.2d at 405; Mo. Pac., 453 S.W.2d at 814.
. Duhart v. State, 610 S.W.2d 740, 742 (Tex. 1980); see also Fed. Sign, 951 S.W.2d at 405; City of LaPorte v. Barfield, 898 S.W.2d 288, 292 (Tex. 1995); Univ. of Tex. Med. Branch at Galveston v. York, 871 S.W.2d 175, 177 (Tex. 1994).
. See Monsanto Co. v. Cornerstones Mun. Util. Dist., 865 S.W.2d 937, 939 (Tex. 1993); Harris County Dist. Attorney's Office v. J .T.S., 807 S.W.2d 572, 574 (Tex. 1991).
. City of LaPorte, 898 S.W.2d at 292
. Id.
. See Dallas County Mental Health & Mental Retardation v. Bossley, 968 S.W.2d 339, 341-42 (Tex.) (history of Act’s passage shows that its "fundamental purpose” is limited waiver of immunity), cert. denied, 525 U.S. 1017, 119 S.Ct. 541, 142 L.Ed.2d 450 (1998).
. Id.
. Tex.Civ.Prac. & Rem.Code Ann. § 101.021(2) (emphasis supplied).
. Bossley, 968 S.W.2d at 342-43 (the negligent conduct “must involve 'some condition or some use' of tangible property”). "Use” of tangible property means "[to] put or bring [the property] into action or service; to employ for or apply to a given purpose.” Kerrville State Hosp. v. Clark, 923 S.W.2d 582, 584 (Tex. 1996). "Use” also includes "misuse” of property. See Smith v. Tarrant County, 946 S.W.2d 496, 501 (Tex.App.-Fort Worth 1997, writ denied) (op. on reh’g).
. Bossley, 968 S.W.2d at 343.
. Compare Robinson v. Cent. Tex. MHMR Ctr., 780 S.W.2d 169, 171 (Tex. 1989) (hospital's failure to provide epileptic patient life preserver was cause of his drowning), Lowe v. Tex. Tech Univ., 540 S.W.2d 297, 300 (Tex. 1976) (school coach's failure to allow student to use knee brace resulted in injuries), and Overton Mem’l Hosp. v. McGuire, 518 S.W.2d 528, 529 (Tex. 1975) (patient's injuries from falling out of bed proximately caused by providing bed without rails), with Bossley, 968 S.W.2d at 343 (hospital employee’s failure to lock doors too attenuated from patient’s suicide to be proximate cause), Clark, 923 S.W.2d at 586 (failure to prescribe certain form of medication did not cause patient to murder his estranged wife), and Kassen v. Hatley, 887 S.W.2d 4, 14 (Tex. 1994) (hospital’s failure to give patient medication did not cause her suicide). But see Salcedo v. El Paso Hosp. Dist., 659 S.W.2d 30, 33 (Tex. 1983) (holding that hospital proximately caused patient’s death by misreading electrocardiogram).
. See Scott v. Prairie View A & M Univ., 7 S.W.3d 717, 720 (Tex.App.-Houston [1st Dist.] 1999, pet. denied) (use of money to pay for hotel room by school counselor who sexually assaulted student cannot constitute use of property that proximately caused injury); Univ. of Tex. Med. Branch at Galveston v. Hardy, 2 S.W.3d 607, 610 (Tex.App.-Houston [14th Dist.] 1999, pet. denied) (hospital's improper use of cardiac monitoring equipment directly resulted in patient’s death); San Antonio State Hosp. v. Koehler, 981 S.W.2d 32, 36 (Tex.App.-San Antonio 1998, pet. denied) (hole in hospital fence not proximate cause of patient’s sexual assault at distant location); Lamar Univ. v. Doe, 971 S.W.2d 191, 196 (Tex.App.-Beaumont 1998, no pet.) (use of dormitory room did not cause children’s injuries which were caused by room’s occupant who paid them to be photographed in explicit sexual poses); Marroquin v. Life Mgmt. Ctr. for MH/MR Servs., 927 S.W.2d 228, 232 (Tex.App.-El Paso 1996, writ dism’d w.o.j.) (day center’s failure to provide security devices to protect and supervise patients was not actionable under Tort Claims Act). But cf. Michael v. Travis County Hous. Auth., 995 S.W.2d 909, 914 (Tex.App.-Austin 1999, no pet.) (although recognizing need for close causal connection between property and injury, court held that defective fence allowing dogs to escape proximately caused injuries to passers-by).
. Bossley, 968 S.W.2d at 343; see Union Pump Co. v. Allbritton, 898 S.W.2d 773, 776 (Tex. 1995); see also Bush v. Tex. Dep’t of Protective & Regulatory Servs., 983 S.W.2d 366, 369 (Tex .App.-Fort Worth 1998, pet. denied).
. Bossley, 968 S.W.2d at 340-41.
. Id. at 343.
. Id.
. 993 S.W.2d 253, 254-58 (Tex.App.-San Antonio 1999, pet. denied).
. Amador, 993 S.W.2d. at 256.
. Id. at 257.
. Koehler, 981 S.W.2d at 34.
. Id. at 36.
. Id.
. Id.
. McGuire, 518 S.W.2d at 529.
. Id.; see also Bossley, 968 S.W.2d at 343 (distinguishing McGuire on same grounds).
. 540 S.W.2d at 298-301.
. 780 S.W.2d at 169-71.
. Lowe, 540 S.W.2d at 300.
. Robinson, 780 S.W.2d at 171.
. Clark, 923 S.W.2d at 585.
. Cf. Bossley, 968 S.W.2d at 343 (holding that failure to lock doors does not constitute lack of integral safety component where unlocked doors furnished condition that led to patient’s suicide).
. The dissent suggests that, in the alternative, we should remand for a hearing on the plea to the jurisdiction to allow Lee an opportunity to present additional evidence supporting trial court jurisdiction over her Tort Claims Act claim. See Bland, 34 S.W.3d at 549 (holding that trial court is required to consider relevant evidence in support of plea to jurisdiction). Neither Lee nor appellants, however, have complained that the trial court erroneously refused to consider evidence other than the allegations in Lee’s pleadings necessary to resolve the jurisdictional issues raised by appellants’ plea to the jurisdiction.
. Tex.Health & Safety Code Ann. § 321.002(a).
. Id. § 321.003(a)-(b).
. Id. (emphasis supplied). Section 321.003 continues as follows:
(c) A plaintiff who prevails in a suit under this section may recover actual damages, including damages for mental anguish even if an injury other than mental anguish is not shown.
(d) In addition to an award under Subsection (c), a plaintiff who prevails in a suit under this section may recover exemplary damages and reasonable attorney fees.
Id. § 321.003(c)-(d).
. Id. § 321.001(4), (6).
. Id. § 571.003(12).
. Id. § 464.001(5)(A), (G), (L) (Vernon 1992).
. Duhart, 610 S.W.2d at 742-43.
. Id.
. City of LaPorte, 898 S.W.2d at 292-93.
. Id. at 296; see also Kerrville State Hosp. v. Fernandez, 28 S.W.3d 1, 6 (Tex. 2000) (concluding that section 15(b) of State Applications Act is clearer expression of intent to waive immunity than “mere incorporation” of Anti-Retaliation law into Act).
. See Tex.Health & Safety Code Ann. §§ 464.001(5)(A), (G), (L), 571.003(12).
. See City of LaPorte, 898 S.W.2d at 292-96; Duhart, 610 S.W.2d at 742-43.
. See Private Psychiatric, Substance Abuse, and Medical Rehabilitation Servs. in Tex., Senate Interim Comm. on Health & Human Servs., 73rd Leg. (Nov. 1992); Senate Comm. on Health & Human Servs., Bill Analysis, Tex. S.B. 205, 73rd Leg., R.S. (1993).
. Fernandez, 28 S.W.3d at 6.
Concurring in Part
Justice, concurring and dissenting.
Texas Department of Mental Health and Mental Retardation, State of Texas, Wichita Falls State Hospital, and Don Gilbert, appellants, appeal the trial court’s denial of their plea to the trial court’s jurisdiction based on their claim of sovereign immunity. While I concur with the majority’s conclusion that the patient’s bill of rights failed to waive immunity for public entities, I respectfully disagree with the majority’s conclusion that the appellee failed to allege facts sufficient to show waiver of immunity due to use, nonuse, or a condition of property.
I believe appellants’ patient, Robin Lee, made sufficient allegations in her pleadings to establish the trial court’s jurisdiction over her claim and that the trial court correctly determined the State had waived immunity.
When we review a trial court’s ruling on a plea to the jurisdiction we look to the allegations in the pleadings and accept them as true.
In response to appellants’ motion for summary judgment and plea to the jurisdiction, appellee claimed that the hospital’s failure to lock her door or lock the doors between the men’s and women’s wings constituted a misuse of personal property that falls within section 101.021’s meaning of “use,” that the failure to provide some locking device on her door or the doors separating the wings was negligent, and that such negligence caused appellee’s damages. The question is whether the nonuse or misuse of a lock constitutes a “use” or a condition of the property that goes beyond the mere furnishing of the condition that allowed the injury to occur.
In the Lowe v. Texas Tech University
Appellee’s exact claim set forth in her second amended petition says it best:
The failure to close and secure and to provide locking devices for the doors segregating the dormitories or sleeping areas, as well as the failure to lock Plaintiffs room or provide her with a locking device, was a misuse of tangible personal property and real estate and was a defective condition of these properties and was a failure to provide Plaintiff with safety devices ... which proximately caused Plaintiffs damages.
The majority says this is not enough and that Bossley compels dismissal. I disagree. In the Bossley case, an involuntarily-committed suicide patient escaped through an unlocked inner door while an employee was leaving the building and briefly left the outer door unlocked as she exited.
When applying the factors noted by the Bossley court, one can only reach the conclusion that the condition of the unlocked doors provided more than just the condition that allowed the rape. The rape took place on appellants’ premises, in the patient’s room, in spite of appellants’ knowledge regarding the patient’s promiscuity and prior sexual encounters on site. In Bossley, the patient was killed off premises, after a lengthy chase and because of Bossley’s fortuitous timing (i.e., being at the front door when someone left it unlocked). Therefore, I believe Bossley is distinguishable from this case because the injury here was not distant temporally, geographically, or causally.
I believe the facts as alleged create a basis for establishing that the unlocked doors furnished more than just the condition for the rape; it provided access to appellee and it also provided a place for the assault to occur, all of which occurred on the hospital’s property. Therefore, I would affirm the trial court’s denial of appellants’ motion for summary judgment on waiver of immunity under the TTCA and hold the trial court has jurisdiction to hear those claims. Alternatively, I would remand this case to the trial court to give the parties an opportunity to request a preliminary hearing on the pleas to the jurisdiction in accordance with the supreme court’s guidance set forth in the Bland case.
. Tex. Ass'n of Bus. v. Tex. Air Control Bd., 852 S.W.2d 440, 446 (Tex. 1993).
. Bland I.S.D. v. Blue, 34 S.W.3d 547, 554 (Tex. 2000).
. Tex. Natural Res. & Conserv. Comm'n v. White, 13 S.W.3d 819, 823 (Tex.App.-Fort Worth 2000, pet. granted).
. Tex.Civ.Prac. & Rem.Code Ann. § 101.021(2) (Vernon 1997).
. 540 S.W.2d 297 (Tex. 1976).
. Id. at 300.
. 780 S.W.2d 169 (Tex. 1989).
. Id. at 171.
. Dallas County Mental Health & Mental Retardation v. Bossley, 968 S.W.2d 339, 343 (Tex.), cert. denied, 525 U.S. 1017, 119 S.Ct. 541, 142 L.Ed.2d 450 (1998).
. 923 S.W.2d 582 (Tex. 1996).
. See id. at 585.
. Bossley, 968 S.W.2d at 340-41.
. Id. at 341.
. id.
. Id. at 343.
. Id.
. 518 S.W.2d 528 (Tex. 1975).
. Id. at 529.
. Bossley, 968 S.W.2d at 343.
Reference
- Full Case Name
- TEXAS DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION, the State of Texas, the Wichita Falls State Hospital, and Don Gilbert in His Official Capacity as Commissioner of Texas Department of Mental Health and Mental Retardation, Appellants, v. Robin LEE, Appellee
- Cited By
- 67 cases
- Status
- Published