ROLANDO FLORES, Employee-Plaintiff v. STACY PENNY MASONRY COMPANY,
Defendant-Employer AETNA CASUALTY AND SURETY CO., Carrier-Defendant
No. COA98-1047
(Filed 3 August 1999)
1. Workers' Compensation--physical and vocational abilities--suitable jobs presently
available
The Industrial Commission did not err in awarding plaintiff-employee temporary total
disability benefits on an admittedly compensable injury to his left knee. Defendant-employer's
showing that more than one year ago plaintiff held a job that would seemingly suit his current
physical and vocational abilities was not sufficient to prove that suitable jobs were presently
available and he was capable of getting one.
2. Workers' Compensation--termination for misconduct unrelated to compensable
injury
The Industrial Commission did not err in concluding that plaintiff-employee was
terminated from his employment with defendant-employer because of his injury and not because
of misconduct unrelated to his compensable injury. Plaintiff's medical record revealed he
missed a considerable amount of work because of his work-related injury and his employer
admitted plaintiff would not have been fired for taking a day off to tend to personal matters if his
attendance was satisfactory. In order to bar the employee from receiving disability benefits, the
employer must show the employee was terminated for misconduct or fault unrelated to the
compensable injury for which a nondisabled employee would ordinarily have been terminated.
3. Workers' Compensation--expenses incurred on appeal
Plaintiff-employee is entitled to receive from defendant-employer the expenses incurred
as a result of this appeal because defendant was ordered to continue paying temporary total
disability benefits to the employee. N.C.G.S. § 97-88.
Appeal by defendants from opinion and award entered 4 June 1998 by the North Carolina
Industrial Commission. Heard in the Court of Appeals 28 April 1999.
Robert J. Willis for plaintiff-appellee.
Battle, Winslow, Scott & Wiley, P.A., by M. Greg Crumpler, for defendants-appellants.
TIMMONS-GOODSON, Judge.
Stacy Penny Masonry Company (defendant-employer) and Aetna Casualty Insurance
Company (defendant-carrier) (collectively, defendants) appeal from an opinion and award
of the North Carolina Industrial Commission (the Commission) awarding temporary total
disability benefits to Rolando Flores (plaintiff) on an admittedly compensable injury to his left
knee. Having examined the issues raised by this appeal, we affirm the opinion and award of the
Commission.
The relevant facts are as follows: On 9 April 1992, plaintiff, who was then employed
with defendant-employer as an assistant brick mason and general laborer, sustained an injury by
accident to his left knee when a wheelbarrow loaded with bricks overturned on his left leg. The
parties subsequently entered into a Form 21 Compensation Agreement, and the Commission
approved the agreement on 12 May 1992. According to Dr. S. Robert Bylciw, plaintiff's
treating physician, plaintiff's injuries consisted of a torn medial meniscus and a torn anterior
cruciate ligament. Dr. Bylciw performed arthroscopic surgery on plaintiff's knee to repair the
torn meniscus. Plaintiff's torn anterior cruciate ligament was treated conservatively with a post-
operative rehabilitation program, including physical therapy and exercise.
Plaintiff returned to work on 9 June 1992 but regularly followed up with Dr. Bylciw.
Although plaintiff continued to improve during the summer and fall of 1992, he experienced
periodic swelling, buckling, and giving way of the knee while he worked. Dr. Bylciw, therefore,
recommended intermittent time off from work and continued physical therapy. Consequently,
plaintiff periodically missed work between 9 June 1992 and 16 April 1993, when his
employment with defendant-employer was terminated.
Following his termination, plaintiff worked in a variety of short-term jobs: (1) as alaborer in a tobacco warehouse for less than one day; (2) as a pipe layer from the end of April
1993 to 21 June 1993; and (3) as a painter from 1 June 1993 to 21 June 1993. Plaintiff left his
painting and pipe laying jobs because of continuing pain in his knee. He left the tobacco
warehouse position for reasons unrelated to his compensable injury. On 1 September 1993,
plaintiff began working as a laborer for F.T. Williams, a construction company. His duties
consisted of assisting mechanics, washing cars, and moving barrels and materials. Plaintiff
worked for F.T. Williams until 23 November 1993, when he left due to problems with his knee.
In December of 1993, Dr. Bylciw determined that the conservative treatment of
plaintiff's torn anterior cruciate ligament was unsuccessful and, on 17 December 1993,
performed a repeat arthroscopy of plaintiff's left knee. After the surgery, plaintiff began a
program of extensive physical therapy to increase the strength and range of motion in his knee.
On 11 July 1994, while engaged in physical therapy, plaintiff re-injured his knee by tearing his
medial meniscus again. Dr. Bycliw performed an arthroscopic operation on 8 December 1994 to
repair this injury.
On 22 February 1995, Dr. Bylciw determined that plaintiff had reached maximum
medical improvement and, in restricting his work capacity, required plaintiff to avoid repetitive
motion of the left knee. In addition, Dr. Bylciw insisted that plaintiff work only on flat surfaces,
avoid frequent climbing, and abstain from roofing or other elevated work. Plaintiff returned to
work at F.T. Williams on 17 March 1995 but, due to continued pain in his knee, left that job on
17 June 1995. Plaintiff then began working as a dishwasher at Oliver's Family Restaurant
(Oliver's) on 28 August 1995. However, on 24 September 1995, plaintiff left that position,
again due to difficulties with his knee. Dr. Bylciw assigned an 18% permanent partial disability
to plaintiff's left knee on 21 November 1995. On 6 March 1996, plaintiff sought treatment from Dr. Andrew P. Bush for continuing
pain in his knee. Dr. Bush recommended physical therapy. Following a program of
strengthening exercises, plaintiff's physical therapist noted on 19 November 1996 that plaintiff
was capable of complete stabilization of his left knee and that he was able to achieve multiple
squat positions of near full-depth, ascend and descend stairs without difficulty, and repeat groups
in multidirectional step-up activities. On 4 March 1997, Dr. Bush re-examined plaintiff and
concluded that he had reached maximum medical improvement, thereupon assigning him a
permanent partial disability rating of 25% to his left knee. Dr. Bush further stated that plaintiff
retained some clinical instability of the knee, which would hamper his ability to return to
construction work.
Plaintiff filed a request for hearing, and the matter was heard before Deputy
Commissioner W. Bain Jones, Jr. on 21 October 1996. On 30 June 1997, the deputy
commissioner entered an opinion and award granting plaintiff temporary total disability
compensation from 16 April 1993 to 1 September 1993, from 12 November 1993 to 17
December 1993, from 17 June 1995 to 28 August 1995, and from 25 September 1995 to present.
Defendants appealed this ruling to the Full Commission, which affirmed with minor
modifications to the findings of fact. Again, defendants appeal.
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On appeal, defendants first argue that the Commission erred in awarding temporary total
disability to plaintiff from 25 September 1995 to the present. Defendants contend that because
the dishwashing position at Oliver's was suitable to plaintiff's physical condition, they have
successfully rebutted the presumption that plaintiff continues to be disabled. Defendants
maintain that, as a result, plaintiff was only entitled to partial compensation under section 97-30of the North Carolina General Statutes for the period after he left Oliver's. We cannot agree.
The law governing this Court's review of an opinion and
award entered by the Full Commission is well settled. Our
analysis is confined to two questions: (1) whether there is any
competent evidence in the record to support the Commission's
findings of fact, and (2) whether the Commission's findings of
fact, in turn, support its conclusions of law.
Simmons v. N.C.
Dept. of Transportation, 128 N.C. App. 402, 405-06, 496 S.E.2d
790, 793 (1998). If the record contains any evidence to support
the Commission's findings of fact, they are binding on appeal.
Hedrick v. PPG Industries, 126 N.C. App. 354, 484 S.E.2d 853,
disc. review denied, 346 N.C. 546, 488 S.E.2d 801 (1997). This
is true, even if there is evidence to support contrary findings.
Id. The Commission's conclusions of law, however, are fully
reviewable.
Grantham v. R.G. Barry Corp., 127 N.C. App. 529, 491
S.E.2d 678 (1997),
disc. review denied, 347 N.C. 671, 500 S.E.2d
86 (1998).
An injured employee seeking to be compensated for a
disability under the Workers' Compensation Act must initially
establish both the existence and the extent of the disability.
Franklin v. Broyhill Furniture Industries, 123 N.C. App. 200,
205, 472 S.E.2d 382, 386,
cert. denied, 344 N.C. 629, 477 S.E.2d
39 (1996). Disability refers to the incapacity because ofinjury to earn the wages which the employee was receiving at the
time of injury in the same or any other employment. N.C. Gen.
Stat. § 97-2(9) (Cum. Supp. 1997). Where, as in the instant
case, a Form 21 Agreement has been executed by the parties and
approved by the Commission, the employee is entitled to a
presumption that he is, indeed, disabled.
Saums v. Raleigh
Community Hospital, 346 N.C. 760, 764, 487 S.E.2d 746, 750
(1997). Therefore, he is relieved of the burden to prove his
disability.
Franklin, 123 N.C. App. at 205, 472 S.E.2d at 386.
Once disability is established, by presumption or otherwise,
the employer has the burden of producing evidence that suitable
jobs are available to the employee and 'that the [employee] is
capable of getting one,' taking into account the employee's 'age,
education, physical limitations, vocational skills, and
experience.'
Smith v. Sealed Air Corp., 127 N.C. App. 359, 361,
489 S.E.2d 445, 447 (1997)(quoting
Franklin, 123 N.C. App. at
206, 472 S.E.2d at 386). The employee is deemed to be 'capable
of getting' a job if 'a reasonable likelihood [exists] that he
would be hired if he diligently sought the job.'
Burwell v.
Winn-Dixie Raleigh, 114 N.C. App. 69, 73-74, 441 S.E.2d 145, 149
(1994)(quoting
Trans-State Dredging v. Benefits Review Bd., 731
F.2d 199, 201 (4
th Cir. 1984)).
[1]In the case
sub judice, the Commission made thefollowing relevant findings of fact concerning plaintiff's
present earning capacity:
29. The medical evidence tends to show
that upon plaintiff's reaching maximum
medical improvement, it may have been
difficult for him to perform certain types of
construction jobs. The evidence also tends
to show that jobs of the type held by
plaintiff at Oliver's Restaurant are within
plaintiff's physical and vocational
capabilities.
30. Although plaintiff obtained a job
at Oliver's which would appear to be within
his current physical and vocational
capabilities, he left that job more than a
year before he received additional physical
therapy and reached maximum medical
improvement. Plaintiff's success in
obtaining the Oliver's job is not sufficient
to rebut the presumption of continuing
disability. Defendants have not offered any
evidence as to the current availability of
suitable employment within plaintiff's
physical and vocational limitations, or of
plaintiff's capability of obtaining such
employment.
After carefully examining the record, we hold that the
Commission's findings were supported by competent evidence.
Defendants had presented no evidence that plaintiff was
presently
employable. To show that more than one year before this matter
was initially heard, plaintiff held a job that would seemingly
suit his current physical and vocational abilities was not
sufficient to prove that suitable jobs
[are] available to the
employee and 'that the [employee] is capable of getting one.'
Smith, 127 N.C. App. at 361, 489 S.E.2d at 447 (quoting
Franklin,
123 N.C. App. at 206, 472 S.E.2d at 386). Insofar as the
Commission was correct in finding that defendants had failed to
rebut the presumption of continuing disability as to plaintiff,
the Commission was likewise correct in concluding that plaintiff
was entitled to temporary total disability after 25 September
1995. Defendant's argument, then, fails.
[2]Next, defendants argue that the Commission erred in
ruling that plaintiff was entitled to temporary total disability
benefits for the period between 16 April 1993, the date plaintiff
was terminated, and 17 December 1997, the date disability
payments were resumed following plaintiff's second arthroscopic
surgery. Relying on our decision in
Seagraves v. Austin Co. of
Greensboro, 123 N.C. App. 228, 472 S.E.2d 397 (1996), defendants
contend that the evidence before the Commission compelled a
finding that plaintiff was terminated from his employment with
defendant-employer because of misconduct unrelated to his
compensable injury. Again, we disagree.
In
Seagraves, this Court held as follows regarding the
effect of an employee's termination on his entitlement to
disability benefits:
[W]here an employee, who has sustained a
compensable injury and has been provided
light duty work or rehabilitative employment,is terminated from such employment for
misconduct or other fault on the part of the
employee, such termination does not
automatically constitute a constructive
refusal to accept employment so as to bar the
employee from receiving benefits for
temporary partial or total disability.
Rather, the test is whether the employee's
loss of, or diminution in, wages is
attributable to the wrongful act resulting in
loss of employment, in which case benefits
will be barred, or whether such loss or
diminution in earning capacity is due to the
employee's work-related disability, in which
case the employee will be entitled to
benefits for such disability. Therefore, in
such cases the employer must first show that
the employee was terminated for misconduct or
fault, unrelated to the compensable injury,
for which a nondisabled employee would
ordinarily have been terminated. If the
employer makes such a showing, the employee's
misconduct will be deemed to constitute a
constructive refusal to perform the work
provided and consequent forfeiture of
benefits for lost earnings, unless the
employee is then able to show that his or her
inability to find or hold other employment of
any kind, or other employment at a wage
comparable to that earned prior to the
injury, is due to the work-related
disability.
Id. at 233-34, 472 S.E.2d at 401. In considering these
questions, the Commission is the sole judge of the credibility of
the witnesses and the weight to be given their testimony.
Floyd
v. First Citizens Bank, 132 N.C. App. 527, 512 S.E.2d 454 (1999).
Regarding plaintiff's termination, the Commission found as
follows: 9. Plaintiff's physical disability
resulting from his knee injury and subsequent
treatment caused him to miss work
intermittently between 9 June 1992 and 16
April 1993.
10. On 16 April 1993, Stacy Penny came
to take plaintiff to work. Plaintiff
indicated that he would not be able to work
that day because he had to pick up a relative
at the airport. Mr. Penny stated that
plaintiff had missed a great deal of work and
he had to have someone who would work. When
plaintiff indicated that he would not be able
to go to work that day, Mr. Penny terminated
his employment.
11. Plaintiff's employment was
terminated as a direct result of time missed
from work over a period of several months due
to his continuing disability caused by his
compensable injury, and not for misconduct or
other just cause.
Plaintiff's testimony, the testimony of his treating physician,
Dr. Bylciw, and plaintiff's medical records proved that he missed
a considerable amount of work from 9 June 1992 to 16 April 1993
because of his work-related injury. Furthermore, on cross-
examination, Stacy Penny admitted that he would not have fired an
employee for taking a day off to tend to personal matters, if
that employee's attendance was satisfactory. In light of these
facts, we hold that the Commission's findings were supported by
competent evidence. Moreover, pursuant to our decision in
Seagraves, 123 N.C. App. 228, 472 S.E.2d 397, the Commission's
findings supported its conclusion that plaintiff was not barredfrom receiving disability benefits after 16 April 1993. This
argument also fails.
[3]In addition to addressing defendants' arguments,
plaintiff requests that we order defendants to pay plaintiff's
expenses incurred in connection with the present appeal. Under
section 97-88, the Commission or a reviewing court may award
costs, including attorney's fees, to an injured employee 'if (1)
the insurer has appealed a decision to the full Commission or to
any court, and (2) on appeal, the Commission or court has ordered
the insurer to make, or continue making, payments of benefits to
the employee.'
Brown v. Public Works Comm., 122 N.C. App. 473,
477, 470 S.E.2d 352, 354 (1996)(quoting
Estes v. N.C. State
University, 117 N.C. App. 126, 128, 449 S.E.2d 762, 764 (1994)).
In the instant case, defendants appealed the deputy
commissioner's decision to the Full Commission, which affirmed
the award of disability compensation, and now appeals the Full
Commission's decision to this Court, and we too affirm the
directive that defendants continue paying temporary total
disability benefits to plaintiff. The requirements of section
97-88 are satisfied, and in our discretion,
see Brown, 122 N.C.
App. at 477, 470 S.E.2d at 354, we grant plaintiff's request.
Accordingly, this matter is remanded to the Commission for
determination of the amount due plaintiff for the expenses heincurred as a result of the appeal to this Court, including
reasonable attorney's fees.
For the foregoing reasons, the opinion and award of the
Commission is affirmed and this matter remanded for a
determination of the appropriate amount of costs to be taxed to
defendants.
Affirmed and remanded.
Judges LEWIS and HORTON concur.
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