Shorts on Long Term Care Newsletter for the North Carolina LTC Community

October 2007


In This Issue - Click here to view a PDF of the newsletter.

HR CORNER - Collective Actions Seeking Unpaid Wages and Overtime Pay Are on the Rise

Advanced Directives Update

 


HR CORNER - Collective Actions Seeking Unpaid Wages and Overtime Pay Are on the Rise

By Kevin Ceglowski

Most employers are aware that the Federal Fair Labor Standards Act (“FLSA”) requires them to pay at least minimum wage for all hours worked and to pay overtime for hours worked over forty within a week to employees who are not exempt from the FLSA’s requirements. Although these rules seem simple, employers are increasingly being challenged under the FLSA based on the way they count hours worked and on their decisions to classify employees as exempt from overtime requirements.

Long term care providers have not been exempt from recent wage and hour litigation. For example, employees of Augustine Home Health Care, Inc., recently sued the company for failing to record their overtime hours properly and failing to pay them at the overtime rate in violation of the FLSA. The plaintiffs were all CNAs who were paid hourly for work they did at nursing homes, assisted living centers, and in home health care settings. They alleged that Augustine engaged in a company-wide practice of refusing to pay overtime to CNAs who worked more than 40 hours per week.

A large Southeastern provider doing business in North Carolina was recently sued by an employee who sought to bring other employees into the case. The defendant employer routinely contracts with health care facilities, such as nursing facilities and assisted living communities, to provide various health care related services to patients in those facilities. The plaintiff alleged that the defendant employer engaged in a company-wide practice of failing to pay its employees proper minimum wage and overtime because the company automatically deducted a 30-minute meal period from employees’ wages. Although the plaintiff was not successful in turning her individual claim into a class action, this case illustrates the growing trend of employees not being satisfied with making individual claims, but seeking to “up the ante” by filing class or collective actions.

Over the past two years, we have seen a significant increase in large-scale wage and hour suits. Many collective and class actions have been filed against large and small employers seeking unpaid wages and overtime. Such suits can be quite costly for employers because, in addition to unpaid wages, employers face the risk of liquidated damages and attorneys’ fees if a violation of the FLSA is proven. These multi-plaintiff actions also pose a substantially greater risk to employers because they present claims of large groups of employees. Defending these claims requires more time and greater cost and attorneys’ fees than does a single plaintiff case.

Because multiparty wage and hour lawsuits are on the rise, prudent employers should examine their payroll practices to make sure they have properly classified all employees as exempt or non-exempt and that they are recording and paying wages for all time worked by their employees. It does not cost much to conduct a self-audit, particularly in light of the substantial cost and risk of defending a class action.

Kevin Ceglowski is an associate in our Employment Law Group. He represents employers in employment discrimination, wrongful discharge, and ERISA claims, and advises and defends clients in race, age, disability, and sex discrimination and harassment cases before administrative agencies and in state and federal courts. Kevin also provides guidance to ensure employment practices are in full compliance with all applicable statutes and regulations. He may be reached at kceglowski@poynerspruill.com or 919.783.2853. You may also contact Susie Gibbons, Employment Law Practice Group Leader, regarding employment law-related issues at sgibbons@poynerspruill.com or 919.783.2813.

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Advanced Directives Update

By Ken Burgess

 

North Carolina’s revised advance directives laws, summarized in the May 2007 and August/September 2007 issues of Shorts, became effective October 1, 2007. The new laws affect North Carolina’s statutes governing health care powers of attorney, living wills, and the procedure for withholding life-sustaining care in the absence of a formal advance directive. The new laws also authorize the creation and use of a new medical directive, called a Medical Order for Scope of Treatment (MOST), which is a medical order executed by a physician with consent of the patient or patient’s surrogate. The MOST form is similar to a Universal Do Not Resuscitate Order in that it is portable and travels with a patient from one health care setting to another. However, the MOST form is broader in scope than the Universal DNR form because it addresses potential care issues beyond resuscitation.

A number of initiatives are now under way to help providers and citizens understand and implement the new laws. Some of the more important of those initiatives are described below.

  • Several North Carolina health care associations and provider groups are working together to develop statewide training and education initiatives for the provider community. The group includes long term care providers, physicians, hospitals, hospice and home health providers, and emergency medical services organizations, among others. The group has met only once so far to organize and begin discussing the most efficient methods of developing and disseminating information regarding the new laws. The goal of the group is to develop consistent statewide training and education materials so that all provider groups have and can share the same information, while still allowing each provider group to address issues unique to their care setting. Poyner & Spruill is among the participants in this group.

  • The new MOST form is still under development at the Department of Health and Human Services, but is expected to be ready for distribution and use by mid-October. The form will be available only through one or more designated agencies and/or organizations (probably the N.C. Office of Emergency Management Services like the current Universal DNR form) since the MOST form is completed by a physician or physician extender, consistent with their licensing laws, and unlike other types of advance directives is not completed by the patient. It is, however, signed by the patient or a patient’s representative.

We will continue to keep you posted in future issues on new developments in implementation of these revised laws.

 

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