Ruling
Shonna L Rives vs. Brian Vikstrom
Jul 23, 2024 |
CU24-00751
CU24-00751
Motion to Recognize Executor Status and Right to Self-Representation
TENTATIVE RULING
This motion is denied, for multiple reasons.
First, there is no proof of service yet filed, to show that the motion papers were served
on NORTHBAY MEDICAL CENTER (“NORTHBAY”), which has appeared in this action
and thus must be served with any motion papers.
Second, Moving Party cannot represent the estate for which she purports to bring this
action.
In general, any person appearing in an action purporting to represent the interests of
another person must be licensed to practice law in California. Business & Professions
Code §6125 [“No person shall practice law in California unless the person is an active
licensee of the State Bar”].
For example, corporations cannot represent themselves in court, and must retain
counsel to represent them. Merco Construction Engineers v. Municipal Court (1978) 21
Cal.3d 724; Paradise v. Nowlin (1948) 86 Cal.App.2d 897, 898.
Likewise, a civil action filed against a third party on behalf of a trust could not be brought
in pro per by the trustee. Ziegler v. Nickel (1998) 64 Cal.App.4th 545.
There are some very limited situations in which a trustee or executor of an estate can
appear in pro per. Those appear restricted to probate court filings in which the trustee
or executor is attempting to fulfill a fiduciary duty, and does not extend to filing civil
actions against a third party.
In Finkbeiner v. Gavid (2006) 136 Cal.App.4th 1417, a successor trustee of an inter
vivos trust was found to have properly filed in pro per both an accounting and a petition
with the probate court to modify and terminate the trust, and for trustee’s fees, after she
sold the settlor’s home.
However, when a trustee or executor brings a civil action against a third party on behalf
of the trust or estate, they can only do so through a licensed California attorney, and
cannot proceed in pro per. Hansen v. Hansen (2003) 114 Cal.App.4th 618; Downey v.
Johnson (1968) 263 Cal.App.2d 775.
Even some filings in probate cannot be made by a pro per trustee or executor.
In Estate of Sanchez (2023) 95 Cal.App.5th 331, a pro per filing of a partition by sale of
real property in probate court by the personal representative of an estate was found to
constitute the unauthorized practice of law. The court reasoned that because it sought
a remedy against third party co-owners of that property, for the benefit of the estate’s
beneficiaries, it could not be pursued in pro per, even though the filing was made in a
probate case.
The matter before this court can be distinguished from Downey and Hansen, in
that it involves proceedings filed in the probate matter. Yet, unlike in Donkin and
Finkbeiner, and more akin to the facts of Downey and Hansen, here Leslie filed
claims against third parties for the benefit of the beneficiaries of Frank's estate.
That Leslie brought the petition pursuant to section 850 does not alter the fact
that she did so for the benefit of the estate's beneficiaries, including herself,
rather than to fulfill her duties as executor and personal representative. Id. at
342.
The medical malpractice “wrongful death” action at issue in the present civil case was
filed on behalf of Decedent’s estate, against third parties. It can only be properly filed
through a California licensed attorney. This motion for court approval of the executor of
Decedent’s estate’s pro per status thus must be denied.
Furthermore, an executor of an estate appointed by another state who files an action in
California on behalf of the estate must first file an ancillary probate action here in
California, per Probate Code §§12510 et seq. It is only upon the ancillary appointment
that the executor (and only through a California licensed attorney) would then have
standing to bring and/or maintain a California action on behalf of Decedent’s estate.
Smith v. Cimmet (2011) 199 Cal.App.4th 1381.
There is no indication at this time that any ancillary probate petition has been filed by
the moving party here.
Thus, for many reasons, this motion must be denied. Moving party is directed to file the
required ancillary probate proceeding in California, and immediately retain a licensed
California attorney to represent the estate, if she intends to proceed further on this civil
action on behalf of the estate.
Ruling
Marco Castro vs The Ritz-Carlton Hotel Company LLC
For Plaintiff Marco Castro: Alik Ekmekchyan
For Defendant and Cross-Complainant The Ritz-Carlton Hotel Company, LLC: Paul J. Lipman, Christopher A. Richardson
For Cross-Defendant and Cross-Complainant IAM Pacific Wellness, Inc. dba Premier Fitness Service: Kari L. Probst
RULING
For the reasons set forth herein the hearing on the motion of The Ritz-Carlton Hotel Company, LLC, for Summary Judgment, is continued to August 14, 2024. Plaintiffs are to file and serve a revised opposition and a revised response to Defendant’s separate statement of undisputed material facts no later than August 31, 2024. A reply brief, if any, shall be filed and served by Defendant no later than August 9, 2024.
The Trial Date of 9/4/24 is confirmed.
Background
This action commenced on September 21, 2022, by the filing of the complaint by Plaintiff Marco Castro (“Castro”) against Defendant The Ritz-Carlton Hotel Company, LLC (“Ritz-Carlton”), for personal injury based on negligence and premises liability.
As alleged in the complaint:
On April 8, 2022, Castro was injured as a result of Ritz-Carlton’s “failure to adequately maintain, inspect, repair, manage, supervise, and/or control” their premises. (Comp. ¶ L-1.) Specifically, the alleged injuries occurred when Castro was utilizing a weight bench. (Comp. ¶ GN-1.)
On October 21, 2022, Ritz-Carlton filed an answer to the complaint asserting a general denial and 28 affirmative defenses.
On January 24, 2023, Ritz-Carlton filed a cross-complaint against IAM Pacific Wellness, Inc. dba Premier Fitness Service (“Premier”) for apportionment of fault, indemnification, and declaratory relief. Premier then filed cross-complaints against Castro and Ritz-Carlton.
Ritz-Carlton now moves for summary judgment against Castro on the grounds that “one or more elements of Plaintiff’s causes of action for General Negligence and Premises Liability . . . cannot be established, and that the elements of notice and causation cannot be established, so that judgment is appropriate on the entire Complaint. (Notice of Motion, p. 2., ll. 4-7.) Ritz-Carlton also argues that there was no defect in the property claimed to have caused Castro’s claimed injuries. Premier joins in the motion for summary judgment.
Plaintiff opposes the motion on the grounds that Ritz-Carlton fails to meet its burden and that there are triable issues of material fact that preclude the granting of summary judgment.
Analysis
Evidentiary Objections
“In granting or denying a motion for summary judgment or summary adjudication, the Court need rule only on those objections to evidence that it deems material to its disposition of the motion. Objections to evidence that are not ruled on for purposes of the motion shall be preserved for appellate review.” (Code Civ. Proc., § 437c, subd. (q).)
The Court will reserve ruling on the evidentiary objections pending further briefing by the parties.
Standard on Summary Judgment
A Defendant’s motion for summary judgment asks the Court to determine that the entire action has no merit, and to terminate the action without the necessity of a trial. (Code Civ. Proc., § 437c, subd. (a).) The procedure enables the Court to look behind the pleadings to determine whether the party against whom the motion is directed has evidence to back up the claims. The Court must determine from the evidence presented that there is no triable issue as to any material fact, and that the moving party is entitled to judgment as a matter of law. (Code Civ. Proc., § 437c, subd. (c).)
The moving party bears the burden of persuasion that that there is no triable issue of material fact, and that it is entitled to judgment as a matter of law. (Aguilar v. Atlantic Richfield Co. (2001) 235 Cal.4th 826, 850.) Consequently, a Defendant moving for summary judgment bears the burden of persuasion that one or more elements of the cause of action in question cannot be established, or that there is a complete defense thereto. (Ibid.) The motion must be supported by evidentiary facts, not merely the ultimate facts. Further, conclusions of fact or law are not sufficient to support a motion for summary judgment. (Snider v. Snider (1962) 200 Cal.App.2d 741, 751.)
Once a moving Defendant meets its initial burden, the burden shifts to the Plaintiff to produce evidence to prove the existence of a triable issue of fact regarding that element of its cause of action or the defense at issue in the motion, and if Plaintiff is unable to do so, Defendant will be entitled to judgment as a matter of law. (Saelzler v. Advanced Group 400 (2001) 35 Cal.4th 763, 780-781.)
In ruling on a motion for summary judgment, the trial Court must consider all of the evidence and all of the inferences reasonably drawn therefrom (Code Civ. Proc., § 437c, subd. (c)) and must view the evidence and inferences in the light most favorable to the opposing party. (Aguilar v. Atlantic Richfield Co., supra, 25 Cal.4th at p. 843.) In examining the sufficiency of the affidavits filed in connection with a summary judgment motion, those filed by the moving party are strictly construed, and those of the opposing party are liberally construed. (D’Amico v. Board of Medical Examiners (1974) 11 Cal.3d 1, 20-21.)
In resolving the motion, the Court may not weigh the evidence. (Binder v. Aetna Life Ins. Co. (1999) 75 Cal.App.4th 832, 840.) Rather, the role of the trial Court in resolving a summary judgment motion is to determine whether issues of fact exist, not to decide the merits of the issues. (Molko v. Holy Spirit Assn. (1988) 46 Cal.3d 1092, 1107.) A triable issue of material fact exists only if the evidence would allow a reasonable trier of fact to find the underlying fact in favor of the party opposing the motion in accordance with the applicable standard of proof. (Aguilar v. Atlantic Richfield, supra, 25 Cal.4th at p. 850.) Any doubts as to the propriety of granting the motion should be resolved in favor of the party opposing the motion. (Molko v. Holy Spirit Assn., supra at p. 1107.)
“ ‘Summary judgment law in this state . . . continues to require a Defendant moving for summary judgment to present evidence, and not simply point out that the Plaintiff does not possess, and cannot reasonably obtain, needed evidence. In this particular at least, it still diverges from federal law. For the Defendant must ‘ “support[ ]” ’ the ‘ “motion” ’ with evidence including ‘ “affidavits, declarations, admissions, answers to interrogatories, depositions, and matters of which judicial notice” ’ must or may ‘ “be taken.” ’ (Code Civ. Proc., § 437c, subd. (b).) The Defendant may, but need not, present evidence that conclusively negates an element of the Plaintiff’s cause of action. The Defendant may also present evidence that the Plaintiff does not possess, and cannot reasonably obtain, needed evidence - as through admissions by the Plaintiff following extensive discovery to the effect that he has discovered nothing. But, as Fairbank v. Wunderman Cato Johnson (9th Cir.2000) 212 F.3d 528 concludes, the Defendant must indeed present evidence [ ]: Whereas, under federal law, ‘ “pointing out through argument’ (id. at p. 532) may be sufficient . . ., under state law, it is not.’ ” [Citation.]” (Gaggero v. Yura (2003) 108 Cal.App.4th 884, 889-890.)
Separate Statement
“Code of Civil Procedure section 437c, subdivision (b)(1), requires each motion for summary judgment to be accompanied by a separate statement “ ‘setting forth plainly and concisely all material facts that the moving party contends are undisputed. Each of the material facts stated shall be followed by a reference to the supporting evidence.’ ” California Rules of Court, rule 3.1350(d)(2)4 states: “ ‘The separate statement should include only material facts and not any facts that are not pertinent to the disposition of the motion.’ ” Under the Rules of Court, “ ‘ “Material facts’ “ are facts that relate to the cause of action, claim for damages, issue of duty, or affirmative defense that is the subject of the motion and that could make a difference in the disposition of the motion.’ ” (Rule 3.1350(a)(2).)” (Beltran v. Hard Rock Hotel Licensing, Inc. (2023) 97 Cal.App.5th 865, 850-851.)
“The point of the separate statement is not to craft a narrative, but to be a concise list of the material facts and the evidence that supports them. “ ‘The separate statement serves two important functions in a summary judgment proceeding: It notifies the parties which material facts are at issue, and it provides a convenient and expeditious vehicle permitting the trial Court to hone in on the truly disputed facts.’ ” [Citation.]” (Ibid.)
“The duty to comply with the law regarding separate statements applies to both sides of a motion for summary judgment or adjudication. The opposing party’s responses to the separate statement must be in good faith, responsive, and material. Responses should directly address the fact stated, and if that fact is not in dispute, the opposing party must so admit. It is completely unhelpful to evade the stated fact in an attempt to create a dispute where none exists.” (Ibid.)
Castro’s responses to Ritz-Carlton’s separate statement of undisputed material facts are unhelpful. As what appears to have become common practice in opposing a motion for summary judgment, many of the responses are not made in good faith and appear to be attempts to create triable issues where none exist. For many of the facts, Plaintiff’s responses completely fail to specifically address what is being asserted, instead laying out lengthy recitations of “facts” that are not relevant to what is being stated. As just one example: Undisputed material fact No. 3 states, “The gym has exactly one ‘decline’ bench that has never been replaced or repaired, and Plaintiff was using it to do dumbbell presses while leaning back (declined) on the bench.” In response, Castro makes a meritless objection that the fact is overbroad, discusses the decline bench’s owner’s manual, discusses inspections, discusses Castro’s experts’ opinions regarding standards, etc. In total, the “response” consists of 22 paragraphs yet completely fails to address the stated fact. These types of responses are pervasive throughout and are improper.
Plaintiff will be ordered to revise the response and provide material, good faith, responses that directly address the facts stated. If a fact is not reasonably subject to dispute, Castro must so admit. If the specific fact asserted is reasonably disputed, Castro should so state and reference the supporting admissible evidence.
Negligence and Premises Liability
“Everyone is responsible, not only for the result of his or her willful acts, but also for an injury occasioned to another by his or her want of ordinary care or skill in the management of his or her property or person, except so far as the latter has, willfully or by want of ordinary care, brought the injury upon himself or herself.” (Civ. Code, § 1714, subd. (a).)
“The elements of a negligence claim and a premises liability claim are the same: a legal duty of care, breach of that duty, and proximate cause resulting in injury. [Citations.] Premises liability “ ‘ “is grounded in the possession of the premises and the attendant right to control and manage the premises” ’ ”; accordingly, “ ‘ “mere possession with its attendant right to control conditions on the premises is a sufficient basis for the imposition of an affirmative duty to act.” ’ ” [Citations.] But the duty arising from possession and control of property is adherence to the same standard of care that applies in negligence cases.” (Kesner v. Superior Court (2016) 1 Cal.5th 1132, 1158.)
“Broadly speaking, premises liability alleges a Defendant property owner allowed a dangerous condition on its property or failed to take reasonable steps to secure its property against criminal acts by third parties.” (Delgado v. American Multi-Cinema (1999) 72 Cal.App.4th 1403, 1406, fn. 1.)
“A Plaintiff seeking recovery for negligence against a landowner must establish sufficient facts or circumstances that support an inference of a breach of duty, to defeat a defense summary judgment motion. [Citation.] It is not enough to provide speculation or conjecture that a dangerous condition of property might have been present at the time of the accident.” (Howard v. Omni Hotels Management Corp. (2012) 203 Cal.App.4th 403, 421.)
“The fact that an accident occurred does not give rise to a presumption that it was caused by negligence.” (Id. at p. 432.)
Plaintiff’s entire opposition, as well as the opinions of his expert, presume the existence of a dangerous condition. Yet, Castro has provided no evidence of a dangerous condition. Ritz Carlton, on the other hand, has provided evidence that there was no dangerous condition present at the time of the accident, which contributed to Castro being injured. If there was no dangerous condition of the property that caused or contributed to his injuries, at the time of the accident, there is no viable premises liability case against Ritz Carlton.
However, Plaintiff’s counsel and Plaintiff’s expert have declared under penalty of perjury that there was an inspection scheduled for July 16, 2024. That date is after the date that the opposition was filed but has since passed. Plaintiff’s counsel states that Plaintiff needs additional time. (Ekmekchyan Dec., ¶ 2 & Exh. A.)
“If it appears from the affidavits submitted in opposition to a motion for summary judgment or summary adjudication, or both, that facts essential to justify opposition may exist but cannot, for reasons stated, be presented, the Court shall deny the motion, order a continuance to permit affidavits to be obtained or discovery to be had, or make any other order as may be just. The application to continue the motion to obtain necessary discovery may also be made by ex parte motion at any time on or before the date the opposition response to the motion is due.” (Code Civ. Proc., 437c, subd. (h).)
While the Court is not pleased that Plaintiff did not inspect the weight bench previously, the Court finds that the inspection should take place, and any relevant report prepared, before the Court rules on the motion for summary judgment.
The continued hearing date will be less than 30 days before the date set for trial. The Court finds good cause, based on the above, to hear the motion less than 30 days before the date of trial pursuant to Code of Civil Procedure section 437c, subdivision (a)(3). In the meantime, the parties are strongly encouraged to engage in meaningful settlement negotiations.
While deferring its analysis of the majority of the arguments raised in the motion and opposition, the Court will note that res ipsa loquitur is inapplicable to the current action.
“ ‘Res ipsa loquitur is a rule of evidence allowing an inference of negligence from proven facts. [Citations.] It is based on a theory of ‘ “probability” ’ where there is no direct evidence of Defendant's conduct, [citations] permitting a common sense inference of negligence from the happening of the accident. [Citations.] The rule thus assists Plaintiffs in negligence cases in regard to the production of evidence. [¶] The applicability of the doctrine depends on whether it can be said the accident was probably the result of negligence by someone and Defendant was probably the person who was responsible. [Citations.] In the absence of such probabilities, there is no basis for an inference of negligence serving to take the place of evidence of some specific negligent act or omission. [Citation.] [¶] A Plaintiff must produce the following evidence in order to receive the benefit of the doctrine: 1) the accident must be of a kind which ordinarily does not occur in the absence of someone’s negligence; 2) it must have been caused by an agency or instrumentality within the exclusive control of the Defendant; and 3) the accident must not have been due to any voluntary action or contribution on the part of the Plaintiff. [Citations.]’ ” [Citation.]” (Scott v. Rayhrer (2010) 185 Cal.App.4th 1535, 1540.)
As will be further explained following further briefing by the parties, Plaintiff can not satisfy the three prongs, to establish res ipsa loquitur, set forth above.
Preview
FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 BORO PARK OERTER FOR REHAB & HEALTHOARE RESIDEAT PROfRE AAD PIOTURE DATE: NAME _ (O QC S IS ) S NICKNAME HAIR COLOR EYE COLOR 505 A 1 FILED: KINGS COUNTY Boro CLERK 01/19/2021 01:05& AM INDEX NO. 853/2015 Park Centerfor Rehab!!!tadon Healthcare NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 09/O4/2012 02:47PM Face Sheet Resident Information Last Name First Narrie Irtitial System No. Sox DÖB ignatiadis Aristidis 9283 EM F 925 S.S.# Medicare # EParlÄ Elg. Medloald # Pending Date liglble HMO Elderplan Part B Big. OY EN Reference Street Address City State Zip Phone 5434 Second Avenue Brooklyn NY 11220- 718-630-6000 Marital OSingle Ov/Wowed separated Race O White O Atlan NativeAmer. Religion Occupation Years Worked StatuS ¤MarM Oh (Ethnic) OBlack HImpanic Other Greek - Uscitizen TrN - Citizenship Veteran Birthplace County Language Y EN Y EN. Advance Directives Living Will Date ODNR Date HealthCare Proxy Gompelent Smoker ShortTerm Rehab Admission / Discharge Information '" Admission Date Tlme Admitted AM Adrnit Payer Adrnitted From . Qµrrent Roorn # Admit/Chart# . EPM MJ 07/31/2012 Diagnosis 1 4:30 Diagnosis V p ce Diagnosis ~ LUTHERAN V'revious Admission Date Qual 59Ö5 4 From . To 4280 Chf Nos None stay Diagnosi9 4 Diagnosis 5 Diagnosis 6 Origital Admit Date Attending Physician 07/31/2012 Tilley, Charles Discharge Dale Discharge Time¤AM Discharge To Discharge Diagnosis OPM Discharge Reason Attending Physician Doctor Information CharlesTilley MonaPatel Related Part es Aristidis Ignattadis George Ignatadis Son C 917-596-4653 C917-434-6370 Linda Igentindis Daughter H718-256-6076 Funeral Arrarrgement & Allergies nal Plans bate of beath I Allergies FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 Patient Information as of 08-02-2012 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 Code: N10221 Name: Ignatiadis, Aristidis DOB 1925 Sex: M M/S: M - - - - -- - _ - - - - - - - - _ - - - -----___------ _-- - - ---- _ __ - - Address: 4915 10th Ave., Rm. 539A, Brooklyn NY 11219 DPeotions: Son: George Ignatiadis 917-596-4653 C_917-4344370/H 718-258-60 .--Raughtafin-lawLinda1gnatiady La at Admit Date: 07-31-2012 SSN: Age: 87 Date Class Aculty Status Associated Facility 07-31-2012 HO 6 A18 Direct admit to IPU cap bed IPU - MJG Brenner - - ------------------------- _ _----___ _ - - - -- - -_-- Knows Diagnosis Family Knows ONLY Primary Language Greek Knows Prognosis Family Knows ONLY Disaster/Evacuation Plan Level A-Highest Prority, O2 Hi-Tech Living Status Lives In Skilled Nursing Facility Pets/Smoking No pets/Non-Smoking Religion Greek Orthodox Escort Needed No - ----- _ --- ---_--------- _ --- - - - -- _ - - - - - --- _ -- - _ - ICD9 Diagnosis Special Start 428.0 Congestive Heart Fallure 01-01-2012 (primary) Caregiver: Non-Working Spouse Ref: Lutheran Medical Center W: 718-630-7000 SNF: Team: Brenner IPU Directives: Surrogate DNR Copy On File, DNI-Do Not Intubate, Do Not Hospitalize Allergles: NKA ty: Fall, aspiration and universal pree"Mee reviewed with the family Deut: Ptree as tolerated DME/Supplies: N/A GIP level of care Functional Limite: Endurance, Ambulation, Dyspnea with minimal exertion Activities Perm'ttsd: Complete bedrest Mental Status: Disoriented, Lethargic -Pmg_n_osis: 6 nwnths MD#1: Varma, Seema Family & Friends r: 39 Broadway, Suite 200, New York NY 10006 MD#2: Karachun, Tatyana Addr 39 Broadway, Suite 200, New York NY 10008 W: F: MDB3: Addr: W: F: Active Pay Sources de Soume Plan Insurance ID Group Rel Other Insured S F IB Medicare 01 A N -- _ - - - - - ---------------- - - _ - - _-------------- - - ylgnment Name Work Phone 1m Physician Amnission RN Aguilar, Enrique (M) 718-921-7873 RN Case Manager Q uartlbaum, Lynette T (F) 347-860-4001 Med Social Worker Mikhael, Stacle A (F) 718-759-4284 Pastoral Pending Pastoral Counseling Stallings, Ben (M) 347-585-1031 Pastoral Ancillary Creative Arts Ther. Volunteer Team Manager Walker. TonI (F) 347-374-0472 DME Supplier Phamnacy Funeral Home Agency ntract Referral Hospice Care Planner -------------_____------------------------__--- 08-02-2012 FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 .. Patient Information as of 07-31-2012 /v/n . NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 Co 221 me gna , & D 2 Sex Address: 6434 Second Ave, Biccklyri NY 11220 718-630-6000 Directions: Son: George Ignatuadis 917-596-4653 Daughter in law: Unda Ignatadis C: 917-434-6370/H: 718-256-6078 -- Qiyuan H chen MD 718-238-3440 - - - - - - - - - - - - - - - - - - - - - - - - - Date Class Acuity Status Associated Facility 07-26-2012 HO IER Insurance eligibility request Knows Diagnosis Pending Evaluation Primary Language Greek Knows Prognosis Pending Evaluation DisasterfCi5cuation PlanTo Be Assessed Living Status Lives in Skilled Nursing FacilRy Pets/Smoking Pending Evaluation Religion Greek Orthodox Escort Needed No - - --- - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - ICD9 Diagnosis Special Start 428.0 Conges1ive Heart Failure 01-01-2012 (primary) -drugiver Ref: Lutheran Medical Center W: 718-630-7000 NF: Team: ectives: Aflergies: Safety: Diet. DME/Supplies: Functional Limits: Activities Permitted: Mental Status: Prognosis: MD#1: I - Family & Friends Addr: Addr: W: F: MD#3: Addr: .W: F: Assignment Name Work Phone Team Physician Admission RN RN Case Manager Med Social Worker Pastoral Pending Pastoral Counseling Pastoral Ancl aty Creative Arts Ther. volunteer Team Manager DME Supplier Pharmacy Funeral Home HMA Agency i ntract Referral rsospice Care Planner ----------------------------------------------_ , 07-31-2012 4 FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 Patient Information as of 07-31-2012 )(4fl - NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 N10221 Nanm Igna a s s DOB 925 Sa M M °°± Address: 5434 Second Ave, Brooklyn NY 11220 718-630-6000 Directions:Son: GeorgeIgnatuadis 917-596-4653 Daughterin law: Linda )gnatedIs C: 917-434-6370/H: 718-256-6076 Qlyuan H chen MD718-238-3440 La%st Admit Date: SSN: Age: 87 Dato Class Aculty Status Associated Facility U7-26-2012 HO IER Insurance eligibilityrequest ------------------_ _-----------------------..--- Knows Diagnosis Pending Evaluation Primary Language Greek Knows Prognosis Psading Evaluation Disaster/Evacuation PlanTo Be Aeeeseed Living Status Lives in Skilled Nursing Facility Pets/Smoking Pending EvaluatIon Religion Greek Orthodox Escort Needed No -...------_---------------- _-......-------------------- ICD9 Diagnosis Special Start 428.0 Congestive Heart Failure 01-01-2012 (primary) ----------------------------------------------- Egiver Ret Lutheran Medical Center W: 718-630-7000 Team: Directives: †gles: ety: Diet: DME/Supplios: FunctionalLimits: Activities Permitted: Mental Status: Prgn_osis: MDfM: I Family & Friends Addr: W: F: MD#3: Addr: W: F: ----------------------------------------------- Assignment Name Wout Phone Team Physician Admission RN Case Manager Social Worker Pastoral Pending Pastoral Counseling PastoralAncillary Creative ArtsTher. Volunteer Team Manager DME Supplier Pharmacy Funeral Home HHA Agency Cor*ract Referral a Care Planner ------------------------------------------- 07-31-2012 5 FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 BORO PARK CENTER FOR REHAB & HEALTHCARE g- N ARRATIVEDISCHARGESOMMARY ra __ REASON FOR ADMISSION. AbMISSION DIAGNOSIS: See Face Sheet COURSE IN NURSING HOME: REASON FOR DISCHARGE (CIRCLE APPROPRIATE NUMBER) . 1. TRANSFER TO ANOTHER FACILITY CHARGE TO COMMUNITY 3. HOSPITALl2ED FOR Tx OF AT HOSP ! 4. DECEASED 5. OTHER: . FINAL DIAGNOSIS: . ! PHYSICIAN'S SIGNATURE DATE FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 Ceriterfor Rehabilitation and Health Care O T o Park ignatiadis, Aristidis DOB 925 MR#9283 CUMULATIVE DIAGNOSIS Elderplan MCR# ° S°h"" RECORD Addrengoph Admission Date: DischargeDate: ra rm mam nt Initi.al . Advance Di re c Os s p ., . ..· . . .... . . . Yes No D D Do Not Resuscitate ;.¿ O 0 Health Care Proxy . O O Living VVil . O O Power of Attorney ----- . Comments . . 0 ; imrnuntralion Record . (eater years administered) PneumovaX. F,lu vaccine: Other Vaccine{s} Year{s) adrn rus tet_eg AttendingPhysician Signature Date: (To be signe.d upon ducharge) M.003; 70/28/2008 7 INDEX NO. 853/2015 FILED: Lt KINGS fit:?l‰5 COUNTY CLERK 01/19/2021 PATIENT FORM TRANSFER 01:05 AM NYSCEF Name DOC. : IGNATIADIS : M NO.DOB111 . ARISTIDIS 0NTER-AGENCYREFERRAL) RECEIVED NYSCEF: 01/19/2021 M Sex : 1925 5 84 Ch LÎc : RSTM MI 2. 85 M Dr : 1137 CHEN , GIYUAN M OF ll11111111111/l11111111ll DATEÔFTHISTRANEER & FAClUTVNAMEANDADDRESS m TRANSFERFVNG Q,PHYSICIAhl AT MEOFTRANSFER INCHARGE 10.DArESOFSTAYAFFAClUTY SOURCE 11,PAYMENT TOPATENT FORCHARGES TRANSFERRING fBQM BL (Give ne ADMISSION DISCHARGE M-A NAhEANDADDRESS 0F FME.ITYTRANSFERRINGIBQM 12-a NAMEANDADDIlESSES OFALLHOSPITALS A@ EXTENDED CAREFACILITEBFROM WH1CHFATIENT WASDISCHARGEDIN1¾5TGDDAYS. CUNICAPPOINTMENT DATE TME O CLINIC EXAMINAnON 14.DATEOFI.ASTPIWSICAL . APP0tNTMENT A 15 RELAHVE OR use = annaeumer GUARDIAN· DIA ATTIMEOFTRANSFBI RELATED: EMPLOYMENT O YES Bacon la PellentO Family of magnosis? O NO VITALSATTIME OF TRANSFER DIET, DRUGS AND OTHER THERAPY T P_ B/P PO st4 CHECK ALL THATAPPLY oisebsiiies____ Inoonenance aralysis owel O Coritracture O Saliva T O Preestre Uloor ActMty ToleranceLimitations ers O Merital Patient knows diagnosts? O Speech O Hearing Potential for Rehab itation s talem0 9 Vision Sensation O Good O Fair Influenzavaccination: Date N/ 4 IMPORTANTMEDICALINFOFMATON PneumococcaW 23) accbuttbn: Date (State aNergiesIf y) Tetanus/Tetanus-OIphtheriavaccinat1orc Date .. Last B.M.: Date , W CE DIRECTIVES TS Test: Date lype_. Flesult - Yes O No O Copy Attached Cheet X-Ray: Date L Result CODES1ATUS C.B.C.: Date ( L Result Serology: Date Result uries: Date Resuit SUGGESTIONSFORACTNE CARE WBGHT BEARING LOCOMOTION §fg O Ful O Partial O None W smes/day. Position in good body alignmentand on Leg change position every lus. SOCIALACTIVITES AmH (vwtinn EXERCISES Encourage ( O Group ndividua ac1Mties ( O within O outside me. Pione position timeefdayas tolerated. Rangeof motion times/day. to by lent Q nurse O family TranspMahn: Ambulance O Car his timip/day. Stand Min. titnes/day O Car for handicapped O Bus "S3‡== PATAENT TRANSF zR FORM BRIGGS. FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 PATIENT INFORMATION SELF CARE STATUS (Checklevelof abillty.Wrlie8 in space . if needssupervisiononly.Drawline acrossif inappUcable.) Turns ,/ ADDITIONAL PERTINENT IÑFORMATION (Explainnecessary detailsof cave,diagnosis,medications, prognosis, treatments, teaching,habits, - etc.Therapists preferences, andsocialworkersaddsignatureandtitleto notes.) Sits Face, Hair, Arrns  TA) / a f Trunk & Perineum Lower Extremities Bladder Program ,. Bowel Program Upper Extremities 1 Trunk Lower Extremities DS Appliance, Splint p . Sitting Standing . Tub Toilet Wheelchair . Wal ng BED Law Mattress: O Firm Q Reg. . Side Rails: dYes Q No BEHAVIOR O Cooperative riented X & . S - Q Disruptive O Belligerent O Combative Q Senile O Suspicious ..IWithdrawn MENTAL STATUS O Alert Q Forgetful Confused COMMUNICATION ABIUTY Able to make needs known Can speak . Can hear Cari write Understands speaking Understands writing . . .. .- ...x . ) Understands gestures Understands English . -)---- .-- =- - ..r·-- If no, state language spoken or understood ... ... . . .- DIET ¬ a Regular O Low Salt O Diabetic O Bland . SOCIAL INFORIWATION E.1Low ResidueROther.__ (Adjustmentto disability, emotional support from family, motivationfor Q Feeds Self O Needs Help self-care, socializing ability, financial plan, family health problem, etc.) O Partial Assist G Total Assist RESIDENT USES Q Appliance Q Catheter (date of last charlge _ /_ /____| D Colostomy Q Cane O Crutches Q Prosthesis Q WaFker O Chair O Hearing Aid O Dentures (Specify. ..) OTHER EQUIPMENT . . BRIGGS. . . FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 MMJHS HOSPICE AND PALLIATIVE CARE STATE OF NEW YORK DEPARTMENT OF HEALTH Nonhospital Order Not to Resuscitate (DNROrder) Person's Name 5 C \ \3 Date of Birtl Do not resuscitate the person named above. Physician's Signature T .. Name KAAk0 Print 21177 License Number Date0Î / 7 / 0 2 It is the responsibility of the physician to determine, at least every 90 days, whether this order continues to be appropriate, and to indicate this by a note in the person's medical chart. The issuance of a new form is NOT required, and under the law this order should be considered valid unless it is known that it has been revoked. This order remains valid and must be followed, even if it has not been reviewed within the 90-day period. FILED: KINGS COUNTY CLERK 01/19/2021 01:05 AM INDEX NO. 853/2015 NYSCEF DOC. NO. 111 RECEIVED NYSCEF: 01/19/2021 MMJHS HOSPICE AND PALUATIVE CARE STATE OF NEW YORK DEPARTMENT OF HEALTH Nonhospital Order Not to Resuscitate (DNR Order) Person's Name \ 5 G M Date of Birtl Do not resuscitate the person named above. Physician's Signature Print Name TFT SkNA KMkce1 License Number DateÔ / 7 Î / 10{ L It is the responsibility of the physician to determine, at least every 90 days, whether this order continues to be appropriate, and to indicate this by a note in the person's medical chart. The issuance of a new form is NOT required, and under the law this order should be considered valid unless it is known that it has been revoked. This order remains valid and must be followed, even if it has