Racher v. Westlake Nursing , 871 F.3d 1152 ( 2017 )


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  •                                                               FILED
    United States Court of Appeals
    Tenth Circuit
    September 28, 2017
    PUBLISH            Elisabeth A. Shumaker
    Clerk of Court
    UNITED STATES COURT OF APPEALS
    TENTH CIRCUIT
    DORIS RACHER, Co-Personal
    Representative of the Estate of Eryetha
    Mayberry, Deceased; SANDRA
    CISPER, Co-Personal Representative
    of the Estate of Eryetha Mayberry,
    Deceased; EARLENE ADKISSON,
    Co-Personal Representative of the
    Estate of Eryetha Mayberry, Deceased,
    Plaintiffs - Appellees,
    v.                                              No. 16-6011
    WESTLAKE NURSING HOME
    LIMITED PARTNERSHIP, d/b/a
    Quail Creek Nursing and
    Rehabilitation Center; WESTLAKE
    MANAGEMENT COMPANY, a Texas
    corporation,
    Defendants - Appellants,
    and
    RON LUSK, an individual,
    Defendant.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE WESTERN DISTRICT OF OKLAHOMA
    (D.C. No. 5:13-CV-00364-M)
    Jimmy K. Goodman (Harvey D. Ellis with him on the briefs), of Crowe &
    Dunlevy, Oklahoma City, Oklahoma, for Defendants-Appellants.
    Kevin M. Coffey (Paul A. Harris with him on the brief), of Harris & Coffey,
    PLLC, Oklahoma City, Oklahoma, for Plaintiffs-Appellees.
    Before BRISCOE, EBEL and PHILLIPS, Circuit Judges.
    BRISCOE, Circuit Judge.
    Eryetha Mayberry was abused by two certified nursing assistants while in
    the care of Quail Creek Nursing Home, operated by Westlake Nursing Home
    Limited Partnership and Westlake Management Company (collectively “Quail
    Creek” or “Westlake”). Mrs. Mayberry’s three daughters (collectively
    “plaintiffs”) filed this diversity action against Westlake under Oklahoma law for
    negligence, negligence per se, and intentional infliction of emotional distress.
    After a trial, the jury found for plaintiffs and against Westlake on the claims of
    negligence and negligence per se, and made a special finding that Westlake had
    acted with reckless disregard for the rights of others. The jury awarded $1.2
    million in compensatory damages and $10,000 in punitive damages. Westlake
    appeals. Exercising jurisdiction pursuant to 28 U.S.C. § 1291, we affirm.
    I
    Eryetha Mayberry lived on her own until she was 90. Aplt. App. vol. III, at
    703. Sometime in 2008, Mrs. Mayberry’s three daughters moved her into Quail
    2
    Creek Nursing Home. See 
    id. at 704,
    719. Mrs. Mayberry suffered from severe
    arthritis that made it very difficult for her to move and required her to use a
    wheelchair. 
    Id. at 704;
    Aplee. Supp. App. vol. I, at 5. She also had difficulty
    communicating due to dementia. Aplt. App. vol. III, at 705.
    Caroline Kaseke began working at Quail Creek as a Certified Nursing
    Assistant (CNA) in March of 2007. Aplee. Supp. App. vol. V, at 115. Lucy
    Gakunga began working at Quail Creek in November of 2008, also as a CNA.
    Aplee. Supp. App. vol. IV, at 55. These two were Mrs. Mayberry’s caretakers the
    entire time Mrs. Mayberry lived at Quail Creek. Aplt. App. vol. IV, at 1047,
    Aplee. Br. at 6. Both Gakunga and Kaseke had numerous write-ups in their
    personnel files for infractions including excessive tardiness, leaving in the middle
    of a shift, failure to show up for work, cell phone use, sleeping on the job, and
    refusal to complete assigned duties, including an incident in which five residents
    were left in wet diapers for over an hour while Gakunga chatted with coworkers
    in the hallway despite reprimand. Aplt. App. vol. III, at 776–96; Aplee. Supp.
    App. vol. II, at 7–15. The personnel files also indicate that Kaseke was clocking
    out before the required rounds at the end of her shift, that she had been
    recommended for termination in September of 2007, and that she had been
    reprimanded again in June of 2008 for sleeping on the job, which was “grounds
    for immediate termination,” but was not terminated. Aplee. Supp. App. vol. III,
    at 16–18. Despite this record, Kaseke was responsible for training new CNAs on
    3
    the proper treatment of residents at Quail Creek. Aplt. App. vol. IV, at 890.
    Doris Racher, one of Mrs. Mayberry’s daughters, testified at trial that the
    family began to notice bruising on her mother’s hands and arms soon after Mrs.
    Mayberry moved into Quail Creek. Aplt. App. vol. III, at 706–07. Mrs. Racher
    further testified that Quail Creek was unable to explain the bruising and did not
    seem properly concerned by the family’s repeated complaints. 
    Id. at 705–07.
    In
    approximately February of 2012, Mrs. Mayberry began crying out for help and
    telling family members that someone was hurting her mouth. Aplee. Supp. App.
    vol. I, at 5. Mrs. Racher also testified that her mother began refusing to take
    showers even though “she was always really fanatic about cleanliness.” Aplt.
    App. vol. III, at 709.
    Sometime in 2011, Mrs. Mayberry’s family began noticing items missing
    from her room so they placed a hidden, motion-activated video camera facing
    Mrs. Mayberry’s bed. 
    Id. at 710;
    Aplee. Supp. App. vol. I, at 5. The camera
    initially was not recording properly, but Mrs. Racher replaced the SIM card and
    the family was eventually able to view some videos recorded by the camera.
    Aplt. App. vol. III, at 710–12. The camera may have started recording correctly
    around December of 2011. Aplee. Supp. App. vol. I, at 5.
    Five video clips from the camera were played for the jury. Aplt. App. vol.
    III, at 715. Although the time line is disputed, these clips were likely recorded
    between February and early April of 2012. See 
    id. at 720–24.
    These clips
    4
    showed two nursing home employees, later identified as Gakunga and Kaseke,
    interacting with Mrs. Mayberry. Aplee. Supp. App. vol. I, at 5. The videos have
    no audio, but show Gakunga slapping Mrs. Mayberry in the face with latex
    gloves, wadding up the gloves, stuffing them in Mrs. Mayberry’s mouth, and
    forcibly holding them there as Mrs. Mayberry attempts to push Gakunga’s hand
    away. 
    Id. Kaseke is
    seen in the videos watching this take place. 
    Id. The videos
    then show Gakunga and Kaseke roughly lifting Mrs. Mayberry from her
    wheelchair into bed and Gakunga pushing on Mrs. Mayberry’s face in what
    appears to be an attempt to make her lie down. 
    Id. at 5–6.
    One clip shows
    Gakunga pointing her finger at Mrs. Mayberry and apparently scolding her or
    perhaps threatening her. Aplt. App. vol. III, at 751–52. Finally, the video clips
    show Gakunga “performing some sort of compressions with both hands to [Mrs.
    Mayberry’s] torso.” Aplee. Supp. App. vol. I, at 6. Plaintiffs assert that this
    action was intended to force Mrs. Mayberry to empty her bladder so the
    caretakers would not have to change her diaper as often. Aplee. Br. at 3. Quail
    Creek and the caretakers denied any knowledge of this practice, but
    acknowledged that there was no medical justification for the action. Aplt. App.
    vol. III, at 745–56; Aplt. App. vol. IV, at 991–92.
    On April 16, 2012, Mrs. Mayberry’s family brought the video to the
    attention of Quail Creek Nursing Home. Aplee. Supp. App. vol. I, at 6. Quail
    Creek responded by calling the police and isolating Gakunga and Kaseke in
    5
    separate rooms, where they were monitored to ensure they could not further
    endanger the home’s residents. Id.; Aplt. App. vol. IV, at 882. Gakunga and
    Kaseke were arrested and charged with caretaker abuse pursuant to Okla. Stat. tit.
    21, § 843.1. Aplee. Supp. App. vol. I, at 4. Gakunga pled guilty, served her
    sentence, and was then deported. Aplt. App. vol. II, at 272. Kaseke disappeared
    while out on bail and her whereabouts are currently unknown. 
    Id. All three
    daughters testified that Mrs. Mayberry became withdrawn during
    her stay at Quail Creek and they alleged that the abuse caused Mrs. Mayberry’s
    physical condition to decline. Aplee. Supp. App. vol. I, at 4; Aplt. App. vol. III,
    at 717; Aplt. App. vol. IV, at 1052–54, 1042–43. Mrs. Mayberry died in July of
    2012, just three months after the abuse was discovered. Aplt. App. vol. III, at
    717.
    In addition to the video evidence, plaintiffs presented evidence at trial of
    two other incidents, both taking place on April 4, 2012. First, Ariel Pierce, a
    nursing student, testified that, on April 4, 2012, she witnessed Gakunga strike
    Mrs. Mayberry on the forehead and then put Mrs. Mayberry in a cold shower.
    Aplt. App. vol. IV, at 842–43, 848. Pierce reported this incident to Quail Creek.
    
    Id. at 843.
    Second, another nursing student, Christina Gilbert, testified that she
    witnessed Kaseke spray an unnamed resident in the face with cold water so
    violently that the resident’s dentures fell out onto the shower floor. 
    Id. at 851–52.
    This incident also took place on April 4, 2012, and Gilbert reported it to
    6
    Quail Creek that day. 
    Id. at 852.
    At trial, Quail Creek Executive Director Ginger Barsotti and Director of
    Nursing Susan Easterling testified that the conduct on the video was abuse and
    “utterly intolerable.” Aplt. App. vol. III, at 737–38; Aplt. App. vol. IV, at
    1028–29. Easterling also testified that the intentional acts of Gakunga and
    Kaseke caused emotional distress to Mrs. Mayberry. 
    Id. at 1029.
    In addition to
    these admissions that the abuse occurred and was perpetrated by Quail Creek
    employees, there was ample evidence that Quail Creek was directly negligent in
    failing to investigate and report incidents of abuse. Quail Creek Administrator
    Amanda Penrod testified that she could not locate any record of an investigation
    relating to either of the April 4, 2012 incidents reported by the nursing students
    and further admitted that the Oklahoma State Department of Health had no record
    of the incidents being reported as required by Oklahoma law. 
    Id. at 864–65.
    She
    testified that, at the time, she did not know these incidents were reported and so
    had no personal knowledge of any investigation, but stated that an investigation
    would have been completed by Easterling. 
    Id. at 865.
    Easterling then testified
    that she did not know why no record of the investigation could be located and she
    could not recall any details of the investigation, though she insisted that she had
    completed one because she claimed that she or Penrod “investigated all
    allegations” and took them “very seriously.” 
    Id. at 1019–28.
    Easterling could not
    explain why Quail Creek was unable to locate a Care Plan for Mrs. Mayberry
    7
    even though such a plan is required by law. 
    Id. at 1001–03.
    Further, she could
    not explain why no effort was made to find out why Mrs. Mayberry began calling
    out for help. 
    Id. at 1011–16.
    Easterling also struggled to find information in
    Mrs. Mayberry’s chart, was unable to explain the organization of the chart or
    where certain types of care information would be recorded, and could not identify
    the nurse aides in the video even though she was the director of nursing at the
    time and these employees had worked at Quail Creek for several years. See 
    id. at 1001–16.
    Gakunga testified (by deposition read at trial) that she had not done
    anything wrong and that she treated Mrs. Mayberry the same every day. 
    Id. at 960–62.
    She refused to watch the video of the abuse and so was unable to
    comment on her actions in it. 
    Id. at 960.
    When asked whether she treated Mrs.
    Mayberry any differently either before or during the incident, Gakunga
    responded: “Before that incident, no. During that, there is a video, so that means
    I did it. I don’t remember exactly when or what shift or what the time was.” 
    Id. Similarly, when
    asked if she had ever done anything improper, she stated:
    I mean I worked everyday, I would say everyday, and have never
    ever done something wrong. If I did it, maybe I wasn’t even thinking
    about it. Like as the slapping of the gloves, that’s wrong, and I know
    it is wrong, and the video shows it, so I am wrong. I did it and I’m
    wrong. But, as I said, it is about remembering the exact time, so it is
    wrong at the end of the day.
    
    Id. at 975.
    8
    Gakunga was unable to describe Mrs. Mayberry’s physical condition or the
    proper way to care for her. See 
    id. at 965–66.
    She also was unable to describe
    any of her actions that would constitute abuse of Mrs. Mayberry other than
    repeating what had been told to her by her criminal defense counsel. See 
    id. at 960–64.
    When asked what Quail Creek had taught her about abuse, Gakunga
    responded “I don’t know.” 
    Id. at 970.
    When asked to describe an act she would
    consider abusive, her response was “[t]he fact that the glove and the—I don’t
    know what to call that.” 
    Id. The defense
    attorney asked if she meant “[u]sing
    your hands up and down on the face?” and she responded “[o]n the side that I
    was, yes.” 
    Id. The jury
    was instructed as to negligence, negligence per se, and intentional
    infliction of emotional distress, including an instruction on vicarious liability.
    Aplt. App. vol. II, at 457–64. The jury was further instructed as to the possibility
    of punitive damages if the defendant acted with reckless disregard for the rights
    of others. 
    Id. at 467.
    At the conclusion of the evidence in the first phase of the
    trial, the jury was sent to deliberate on the issues of liability, reckless disregard,
    and the amount of compensatory damages. The jury found that Westlake was
    liable on theories of negligence and negligence per se, that Westlake acted with
    reckless disregard for the rights of others, and that plaintiffs were entitled to
    compensatory damages in the sum of $1.2 million. 
    Id. at 475–76.
    Following that
    verdict, counsel was given the opportunity to present their arguments as to
    9
    punitive damages and the jury received an additional instruction. After a second
    opportunity to deliberate, the jury returned a verdict for punitive damages in the
    amount of $10,000. 
    Id. at 477.
    Following the jury verdict, Westlake moved to
    alter or amend the judgment and moved for remittitur or alternatively a new trial,
    both pursuant to Federal Rule of Civil Procedure 59. The district court denied
    both motions.
    II
    Westlake now appeals and raises four issues: (1) whether the district court
    erred by failing to reduce compensatory damages to the statutory cap of $350,000;
    (2) whether the district court erred by failing to reduce the allegedly excessive
    compensatory damage award of $1.2 million or, in the alternative, to grant a new
    trial; (3) whether the district court erred by allowing allegedly improper closing
    argument regarding punitive damages during the first phase of the trial; and (4)
    whether the district court erred by admitting evidence of an unrelated incident
    subject to a limiting instruction.
    We review the district court’s decisions on each of these issues for abuse of
    discretion. Gasperini v. Ctr. for Humanities, Inc., 
    518 U.S. 415
    , 434–35 (1996)
    (motion to alter or amend a judgment); Hill v. J.B. Hunt Transp., Inc., 
    815 F.3d 651
    , 668 (10th Cir. 2016) (same); Whittenburg v. Werner Enters. Inc., 
    561 F.3d 1122
    , 1127 (10th Cir. 2009) (motion for a new trial based on an allegedly
    prejudicial closing argument); Sanjuan v. IBP, Inc., 
    160 F.3d 1291
    , 1296 (10th
    10
    Cir. 1998) (motion for a new trial based on the allegedly erroneous admission of
    evidence).
    To obtain a reversal for the allegedly erroneous admission of evidence or
    closing argument, an appellant also must make a showing of prejudice. Even if
    an argument was “improper, a judgment will not be disturbed unless it clearly
    appears that the challenged remarks influenced the verdict.” Lambert v. Midwest
    City Mem’l Hosp. Auth., 
    671 F.2d 372
    , 375 (10th Cir. 1982). Similarly, the court
    may set aside a jury verdict due to erroneously admitted evidence only if it
    reasonably concludes that a trial without that evidence would have had a contrary
    result. 
    Sanjuan, 160 F.3d at 1296
    .
    Statutory Damage Cap
    In a civil action arising from a claimed bodily injury, Oklahoma law caps
    noneconomic damages at $350,000 unless special findings are made. See Okla.
    Stat. tit 23, § 61.2. After the jury awarded $1.2 million in noneconomic
    compensatory damages to the plaintiffs, Westlake moved to alter or amend the
    judgment, arguing that the award should be reduced to $350,000 because the
    required procedures for lifting the cap had not been followed. Aplt. App. vol. II,
    at 480. The district court denied Westlake’s motion, concluding that the
    requirements for lifting the cap were satisfied in this case. Aplt. App. vol. III, at
    663. As a matter of Oklahoma law, the precise parameters of the findings and
    procedures this statute would require in this case are not immediately clear.
    11
    Further, it is not clear that any such procedures would be binding on federal
    courts under the doctrine of Erie R.R. v. Tompkins, 
    304 U.S. 64
    (1938). We
    decline to address these questions, however, because the damage cap is an
    affirmative defense that Westlake waived by failing to assert it. We therefore
    affirm the district court on other grounds. 1
    Neither party mentioned Oklahoma’s statutory limitation on noneconomic
    damages at any point before the jury rendered its verdict. Westlake first raised
    the issue in its motion to alter or amend the judgment, filed twenty-eight days
    after judgment was entered in the case and more than a month after the trial
    concluded. Each party now argues that the other waived its rights by failing to
    raise the statute in a timely manner. Specifically, Westlake argues that, as a
    matter of Oklahoma substantive law, the statutory cap is “mandatory” and
    plaintiffs “have not secured the right to exceed the cap on noneconomic damages”
    because they failed to invoke the statute and satisfy its requirements. Aplt. Br. at
    15–16. In contrast, plaintiffs argue that, as a matter of federal procedural law, the
    damage cap provides an affirmative defense that Westlake waived by not timely
    asserting it. Aplee. Br. at 26–29. Because we agree with plaintiffs that the cap is
    an affirmative defense that Westlake waived, this conclusion is dispositive of the
    1
    We may affirm the district court’s decision for any reason supported by
    the record. Jones v. UPS, 
    674 F.3d 1187
    , 1206 n.7 (10th Cir. 2012) (quoting
    United States v. Flower, 
    29 F.3d 530
    , 536 n.9 (10th Cir. 1994)) (“We may uphold
    the district court’s decision . . . under any ground that the record supports.”).
    12
    statutory cap issue.
    It is undisputed that a state’s statutory limit on damages is substantive law
    that federal courts sitting in diversity must apply. See 
    Gasperini, 518 U.S. at 428
    .
    The question before us now is whether the classification of that substantive right
    as either an affirmative defense that defendants must assert, or a pleading
    requirement plaintiffs must satisfy, is also a matter of substantive state law. We
    have not previously addressed this question. See Bentley v. Cleveland Cty. Bd.
    of Cty. Comm’rs, 
    41 F.3d 600
    , 604 (10th Cir. 1994) (concluding that a damage
    cap in the Oklahoma Governmental Tort Claims Act, Okla. Stat. tit 51,
    § 154(A)(2), operated as an affirmative defense, but not specifying what law
    governed the dispute). The other circuits to confront this issue have, without
    analysis as to the applicable law, reached conflicting results. Compare Jakobson
    v. Mass. Port Auth., 
    520 F.2d 810
    , 813 (1st Cir. 1975) (holding that a state
    damage cap was an affirmative defense under Rule 8), and Simon v. United
    States, 
    891 F.2d 1154
    , 1157 (5th Cir. 1990) (same), with Taylor v. United States,
    
    821 F.2d 1428
    , 1432–33 (9th Cir. 1987), cert denied, 
    485 U.S. 992
    (1988)
    (looking to substantive state law and concluding that a state statute’s damage cap
    was a “limitation of damages” rather than an affirmative defense); see also Taylor
    v. United States, 
    485 U.S. 992
    , 992–93 (1988) (White, J., dissenting)
    (acknowledging conflict and arguing that certiorari should be granted to resolve
    the dispute); Carter v. United States, 
    333 F.3d 791
    , 796 (7th Cir. 2003)
    13
    (acknowledging conflict but declining to decide the issue). We believe the
    Supreme Court’s subsequent decision in Shady Grove Orthopedic Associates.,
    P.A. v. Allstate Insurance Co., 
    559 U.S. 393
    (2010), informs the proper analysis
    of this question and we now hold that state substantive law governs the dispute.
    In diversity cases, the Erie doctrine instructs that federal courts must apply
    state substantive law and federal procedural law. 
    Gasperini, 518 U.S. at 427
    ;
    James River Ins. Co. v. Rapid Funding, LLC, 
    658 F.3d 1207
    , 1216–17 (10th Cir.
    2011). If a federal rule of civil procedure answers the question in dispute, that
    rule governs our decision so long as it does not “exceed[] statutory authorization
    or Congress’s rulemaking power.” Shady 
    Grove, 559 U.S. at 398
    ; Hanna v.
    Plumer, 
    380 U.S. 460
    , 471 (1965). When faced with a choice between a state law
    and an allegedly conflicting federal rule, we follow the framework described by
    the Supreme Court in Shady Grove, as laid out by Justice Stevens in his
    concurring opinion. James 
    River, 658 F.3d at 1217
    (citing Garman v. Campbell
    Cnty. Sch. Dist. No. 1, 
    630 F.3d 977
    , 983 n.6 (10th Cir. 2010)). First, the court
    must decide “whether the scope of the federal rule is ‘“sufficiently broad”’ to
    ‘“control the issue”’ before the court, ‘thereby leaving no room for the operation’
    of seemingly conflicting state law.” Shady 
    Grove, 559 U.S. at 421
    (Stevens, J.,
    concurring) (quoting Burlington N. R.R. v. Woods, 
    480 U.S. 1
    , 4–5 (1987));
    James 
    River, 658 F.3d at 1218
    . When conducting this analysis, the Federal Rules
    14
    should be given their plain meaning. 
    2 Walker v
    . Armco Steel Corp., 
    446 U.S. 740
    , 750 n.9 (1980). There is a conflict only if there is a “direct collision”
    between federal and state law — one that is “unavoidable.” 
    Id. at 749–50
    (first
    quoting 
    Hanna, 380 U.S. at 472
    ; then quoting 
    id. at 470).
    If the state and federal
    rules “can exist side by side, . . . each controlling its own intended sphere of
    coverage,” there is no conflict. 
    Id. at 752;
    Scottsdale Ins. Co. v. Tolliver, 
    636 F.3d 1273
    , 1277 (10th Cir. 2011). If there is a direct collision between the state
    law and the federal rule, the court must next determine whether the federal rule is
    valid. Shady 
    Grove, 559 U.S. at 422
    ; James 
    River, 658 F.3d at 1218
    . If it is,
    that rule governs the dispute and there is no need to “wade into Erie’s murky
    waters.” Shady 
    Grove, 559 U.S. at 398
    (majority opinion). If there is no direct
    collision, however, there is no need to consider whether the federal rule is valid,
    and instead, the analysis must proceed under Erie. See 
    Walker, 446 U.S. at 749
    –50, 752–53, 752 n.14. Here we conclude, first under Shady Grove, that there
    is no conflict between the Oklahoma statute and the Federal Rules, and second,
    2
    The Court has also cautioned, however, that it has “avoided immoderate
    interpretations of the Federal Rules that would trench on state prerogatives
    without serving any countervailing federal interest,” Shady 
    Grove, 559 U.S. at 439
    (Ginsburg, J., dissenting), and that “in deciding whether a federal . . . Rule of
    Procedure encompasses a particular issue, a broad reading that would create
    significant disuniformity between state and federal courts should be avoided if the
    text permits,” Stewart Org., Inc. v. Ricoh Corp., 
    487 U.S. 22
    , 37–38 (1988)
    (Scalia, J., dissenting). See also Gasperini, 
    518 U.S. 415
    , 427 n.7 (“Federal
    courts have interpreted the Federal Rules . . . with sensitivity to important state
    interests and regulatory policies.”).
    15
    under Erie, that whether a statute provides an affirmative defense or a pleading
    requirement is a question of substantive state law.
    Because the parties allege the Oklahoma statute conflicts with the federal
    rules, we begin our analysis under Shady Grove, and our first inquiry is whether a
    federal rule of civil procedure directly conflicts with the state statute. Under
    federal law, the Supreme Court has looked to Federal Rule 8 to determine whether
    a statute creates an affirmative defense or a pleading requirement. See Jones v.
    Bock, 
    549 U.S. 199
    , 212 (2007) (noting that, under Federal Rule 8, the exhaustion
    requirement in the Prison Litigation Reform Act, 42 U.S.C. § 1997e et seq.,
    would ordinarily be viewed as an affirmative defense rather than a pleading
    requirement). Federal Rule 8(c)(1) provides that, “[i]n responding to a pleading,
    a party must affirmatively state any avoidance or affirmative defense.” The rule
    then goes on to list a number of such avoidances or affirmative defenses, but it
    does not expressly include limitations on damages in that list. Nonetheless, Rule
    8(c)’s list is not exhaustive. See 
    Jones, 549 U.S. at 212
    (“Rule 8(c) identifies a
    nonexhaustive list of affirmative defenses that must be pleaded in response.”).
    The majority of federal circuits to address the question have held that a damages
    cap must be pled as an affirmative defense in federal court. We agree and,
    therefore, conclude that Oklahoma’s cap on noneconomic compensatory damages
    awarded on a claim for bodily injury is sufficiently like the avoidances and
    affirmative defenses listed in Rule 8(c) to fall within that rule’s pleading
    16
    requirement. Federal Rule 8(c), therefore, required Westlake, in this federal
    diversity action, to plead Oklahoma’s damages cap as an affirmative defense.
    Where then, as here, a federal procedural rule governs the question at issue,
    that rule controls—“notwithstanding” state law—so long as the federal rule is a
    valid exercise of authority given to the Supreme Court to enact federal rules of
    civil procedure pursuant to the Rules Enabling Act, 28 U.S.C. § 2072. See Shady
    
    Grove, 559 U.S. at 406-07
    ; Hanna v. Plumer, 
    380 U.S. 460
    , 463-64 (1965); see
    also James River Ins. Co. v. Rapid Funding, LLC, 
    658 F.3d 1207
    , 1217 (10th Cir.
    2011). Congress, through the Rules Enabling Act, authorized the Supreme Court
    to adopt rules of “procedure”; that is, rules governing “the judicial process for
    enforcing rights and duties recognized by substantive law and for justly
    administering remedy and redress for disregard or infraction of them,” 
    Hanna, 380 U.S. at 464
    (internal quotation marks omitted).
    However, Congress expressly provided in the Enabling Act that procedural
    rules adopted by the Supreme Court must “not abridge, enlarge or modify a
    substantive right.” 28 U.S.C. § 2072(b); see also Shady 
    Grove, 559 U.S. at 407
    .
    Justice Stevens, in his controlling concurrence in Shady Grove, addressed how, in
    a diversity case where state substantive law applies, to analyze whether a federal
    rule of procedure abridges, enlarges or modifies a substantive right. 
    Id. at 418-21
    (Stevens, J., concurring); see 
    Gasperini, 518 U.S. at 427
    . Justice Stevens advised
    courts not to rely on “whether the state law at issue takes the form of what is
    17
    traditionally described as substantive or procedural.” Shady 
    Grove, 559 U.S. at 419
    (Stevens, J., concurring). Rather, a more nuanced approach is required. 
    Id. at 419-20.
    Justice Stevens observed that “[a] state procedural rule, though
    undeniably ‘procedural’ in the ordinary sense of the term, may exist to influence
    substantive outcomes, and may in some instances become so bound up with the
    state-created right or remedy that it defines the scope of that substantive right or
    remedy.” 
    Id. (citation and
    internal quotation marks omitted). One example of
    such a law is a procedural rule that “may . . . define the amount of recovery.” 
    Id. at 420.
    Ultimately, a court must consider whether the federal procedural rule has
    displaced “a State’s definition of its own rights or remedies.” 
    Id. 418. If
    so, the
    federal rule may be invalid under the Rules Enabling Act because the federal rule
    abridges, enlarges or modifies a state substantive right.
    With Justice Stevens’s admonitions in mind, we turn to the Oklahoma
    statute at issue in this case and, as discussed in greater detail below, conclude that
    Fed. R. Civ. P. 8(c) does not abridge, enlarge or modify any substantive right
    under Oklahoma law. Federal courts sitting in diversity must apply state
    substantive law in order to discourage forum shopping and to avoid inequitable
    administration of the respective state and federal laws. 
    Gasperini, 518 U.S. at 428
    ; 
    Hanna, 380 U.S. at 468
    ; Scottsdale 
    Ins., 636 F.3d at 1277
    . To decide
    whether a state law is substantive and therefore applicable in federal courts,
    courts must decide whether applying the law will significantly affect the outcome
    18
    of the litigation. 
    Gasperini, 518 U.S. at 427
    –28. If a state law “concerns merely
    the manner and the means” by which substantive rights are enforced, it is
    procedural, but if its application would “significantly affect the result of a
    litigation,” it is substantive. Guaranty Trust Co. v. York, 
    326 U.S. 99
    , 109
    (1945). In practice, a state law is substantive when it “bears on a State-created
    right vitally and not merely formally or negligibly,” or when it “intimately
    affect[s] recovery or non-recovery.” 
    Id. at 110.
    Further, when state law creates a cause of action, it also defines the scope
    of that cause of action. Ragan v. Merchs. Transfer & Warehouse Co., 
    337 U.S. 530
    , 533 (1949). This includes the applicable burdens, defenses, and limitations. 3
    
    Id. Failing to
    enforce such attendant attributes of a state law would lead to
    different measures of the substantive rights enforced in state and federal courts,
    contrary to Erie’s command. See 
    id. at 533.
    “[T]he result would be an
    ‘inequitable administration’ of the law.” 
    Walker, 446 U.S. at 753
    (quoting
    
    Hanna, 380 U.S. at 468
    ).
    In this case, the Oklahoma statute creates a substantive right to limit
    damages in certain cases alleging bodily injury. Because that right is created by
    state law, state law also governs the measure of that right and the burden that
    3
    For example, the Supreme Court has twice held that “state service
    requirements which are an integral part of the state statute of limitations” are
    substantive requirements that federal courts must apply in diversity cases.
    
    Walker, 446 U.S. at 752
    ; see 
    Ragan, 337 U.S. at 532
    –34.
    19
    must be satisfied to assert it. Whether the statute operates as an affirmative
    defense, granting defendants a substantive right to claim its protection, or whether
    it creates a heightened pleading requirement for plaintiffs, thereby increasing
    their burden for stating a substantive claim over the specified amount, is an
    integral part of the substantive right created by the statute. Thus, this is a
    question of substantive state law. To hold otherwise could result in the
    inequitable administration of the law in state and federal courts.
    We thus turn to Oklahoma substantive law. Oklahoma courts have not yet
    had the opportunity to directly address whether Okla. Stat. tit. 23, § 61.2 creates a
    pleading requirement or an affirmative defense, so we must predict how the
    Oklahoma Supreme Court would decide the issue. See TMJ Implants, Inc. v.
    Aetna, Inc., 
    498 F.3d 1175
    , 1180 (10th Cir. 2007). When interpreting a statute,
    the Oklahoma Supreme Court’s “goal is to determine the Oklahoma Legislature’s
    intent.” Am. Biomedical Grp., Inc. v. Techtrol, Inc., 
    2016 OK 55
    , ¶ 22, 
    374 P.3d 820
    , 827 (Okla. 2016). “The law-making body is presumed to have expressed its
    intent in the statute’s language and to have intended what the text expresses.”
    State v. One 1965 Red Chevrolet Pickup, 
    2001 OK 82
    , ¶ 5 n.19, 
    37 P.3d 815
    , 818
    n.19 (Okla. 2001). Resort to rules of statutory construction is only appropriate
    when “the intent cannot be ascertained from a statute’s text.” 
    Id. We therefore
    begin with the text of the statute. In all civil actions arising
    from a claimed bodily injury, Oklahoma law limits noneconomic compensatory
    20
    damages to $350,000. 4 Okla. Stat. tit. 23, § 61.2(B). This limit does not apply if
    the defendant acted “[i]n reckless disregard for the rights of others.” 5 
    Id. § 61.2(C)(1).
    The statute also provides a series of procedures that a court is
    instructed to follow in all civil actions arising from a claimed bodily injury. See
    
    id. § 61.2(D)–(F).
    At no point does the statute expressly purport to create either
    an affirmative defense or a heightened pleading standard. The legislature’s intent
    regarding which party bears the burden of raising this statute is not clear from the
    text, so we must look to canons of construction.
    Oklahoma follows the canon that “a statute should not be construed any
    more broadly or given any greater effect than its terms require.” Edmondson v.
    Pearce, 
    2004 OK 23
    , ¶ 79 n.48, 
    91 P.3d 605
    , 640 n.48 (Okla. 2004) (quoting
    Huffman v. Okla. Coca-Cola Bottling Co., 
    1995 OK 76
    , ¶ 18, 
    281 P.2d 436
    , 440
    4
    Okla. Stat. tit. 23, § 61.2(B) provides:
    Except as provided in subsection C of this section, in any civil
    action arising from a claimed bodily injury, the amount of
    compensation which a trier of fact may award a plaintiff for
    noneconomic loss shall not exceed Three Hundred Fifty Thousand
    Dollars ($350,000.00), regardless of the number of parties against
    whom the action is brought or the number of actions brought.
    5
    Okla. Stat. tit. 23, § 61.2(C) provides:
    Notwithstanding subsection B of this section, there shall be no
    limit on the amount of noneconomic damages which the trier of fact
    may award the plaintiff in a civil action arising from a claimed
    bodily injury resulting from negligence if the judge and jury finds,
    by clear and convincing evidence, that the defendant's acts or failures
    to act were: (1) In reckless disregard for the rights of others; (2)
    Grossly negligent; (3) Fraudulent; or (4) Intentional or with malice.
    21
    (Okla. 1955)). It follows that, absent express legislative intent to the contrary,
    the Oklahoma Supreme Court would interpret this statute to follow the ordinary
    practice regarding whether a statute provides an affirmative defense or creates a
    pleading requirement. The ordinary practice would be governed by the Oklahoma
    Pleading Code.
    Section 2008 of the Oklahoma Pleading Code is derived from and closely
    tracks the requirements of Federal Rule of Civil Procedure 8. See Okla. Stat. tit.
    12, § 2008; Fed. R. Civ. P. 8; Gunn v. Consol. Rural Water & Sewer Dist. No. 1,
    
    1992 OK 131
    , ¶ 13, 
    839 P.2d 1345
    , 1351 (Okla. 1992) (recognizing “Rule 8(a) of
    the Federal Rules of Civil Procedure” as “the progenitor of [Oklahoma’s]
    pleading code.”). The Oklahoma Supreme Court “has routinely relied upon
    federal case law to assist with interpretation of the corresponding sections of the
    Oklahoma Pleading Code,” Cornett v. Carr, 
    2013 OK 30
    , ¶ 9, 
    302 P.3d 769
    , 772
    (Okla. 2013), including Rule 8, Fanning v. Brown, 
    2004 OK 7
    , ¶ 20, n.9, 
    85 P.3d 841
    , 847 n.9 (Okla. 2004). Like Federal Rule 8, “[s]ection 2008 of the Pleading
    Code merely requires that the pleading shall contain ‘[a] short and plain statement
    of the claim showing that the pleader is entitled to relief.’” Gens v. Casady Sch.,
    
    2008 OK 5
    , ¶ 9, 
    177 P.3d 565
    , 569 (Okla. 2008) (quoting Okla. Stat. tit. 12,
    § 2008(A)(1)). Plaintiffs need not “correctly identify a theory of recovery or
    describe the remedy affordable for an asserted right’s vindication.” 
    Id. Nothing in
    Oklahoma statutory or case law indicates a willingness to impose heightened
    22
    pleading requirements beyond the basic premise that the allegations in a
    complaint must “plausibly demonstrate” that the plaintiff can prove the elements
    of a claim against the defendant. See Jordan v. W. Farmers Elec. Coop., 
    2012 OK 94
    , ¶ 11, 
    290 P.3d 9
    , 12 (Okla. 2012) (“To determine whether Jordan’s complaint
    sufficiently alleged facts, this Court must determine whether the allegations, when
    taken as true and all reasonable inferences drawn from them, ‘plausibly
    demonstrate’ that Western acted with knowledge that Jordan’s injury was
    substantially certain to follow.” (quoting Parret v. UNICCO Serv. Co., 
    2005 OK 54
    , ¶ 26, 
    127 P.3d 572
    , 579 (Okla. 2005))). Therefore, we conclude the
    Oklahoma Supreme Court would interpret Okla. Stat. tit. 12, § 2008, like its
    federal counterpart, to require only the listed elements unless the legislature
    expressly provides otherwise. Thus, we conclude that Okla. Stat. tit. 23,
    § 61.2(B) operates as an affirmative defense, placing the burden on defendants to
    assert it.
    This conclusion is bolstered by three Oklahoma Supreme Court cases.
    First, the Oklahoma Supreme Court referred to a statutory privilege exemption,
    found in Okla. Stat. tit. 12, § 1443.1, as an affirmative defense that a defendant
    must assert and prove. Gaylord Entm’t Co. v. Thompson, 
    1998 OK 30
    , ¶ 29, 
    958 P.2d 128
    , 145 (Okla. 1998). Second, in the context of a claim involving tortious
    interference with contractual relations, the Oklahoma Supreme Court referred to
    privilege under common law as a liability-defeating defense that defendants must
    23
    assert. McNickle v. Phillips Petroleum Co., 
    2000 OK 28
    , ¶ 12, ¶ 12 nn.26–27
    (Okla. 2000). Third, the Oklahoma Supreme Court, albeit only one justice in a
    concurring opinion, cited, with approval, our previous holding that a damage cap
    in a similar Oklahoma statute, Okla. Stat. tit. 51, §§ 151–171, operated as an
    affirmative defense that defendants must raise. See Hathaway v. Med. Research
    & Tech. Auth., 
    2002 OK 53
    , ¶¶ 13–15, 
    49 P.3d 740
    , 751–52 (Okla. 2002)
    (Kauger, J., concurring in part and dissenting in part) (citing 
    Bentley, 41 F.3d at 604
    –05).
    Westlake’s argument that the language of the Oklahoma statute is
    “mandatory” is unavailing under Oklahoma law. Although the statute provides
    that the amount of compensation awarded “shall not exceed” the statutory limit, it
    also provides that “there shall be no limit” on the compensation awarded in a
    number of enumerated circumstances. See Okla. Stat. tit. 23, § 61.2(B)–(C).
    These provisions are equally mandatory, so the plain text does not indicate which
    party must assert its rights under the statute. Further, the privilege exemption that
    the Oklahoma Supreme Court found to be an affirmative defense is provided for
    in a statute that states “[n]o publication which under this section would be
    privileged shall be punishable as libel.” Okla. Stat. tit. 12, § 1443.1(B); see also
    Gaylord Entm’t Co., 
    1998 OK 30
    , ¶ 
    29, 958 P.2d at 145
    . This language is also
    “mandatory” but did not preclude the Oklahoma Supreme Court’s assessment that
    24
    it created an affirmative defense defendants must assert, not a pleading
    requirement plaintiffs must satisfy. See 
    id. Because Okla.
    Stat. tit. 23, § 61.2(B) operates as an affirmative defense,
    there is no conflict between it and the requirements of Fed. R. Civ. P. 8(c). Cf.
    James 
    River, 658 F.3d at 1218
    -19 (applying Shady Grove’s analysis and
    concluding that, where there was no conflict between federal rule of evidence and
    state law, there was no need to consider validity of federal rule). Rather, both
    Oklahoma law and Fed. R. Civ. P. 8(c) required Westlake to plead the damages
    cap as an affirmative defense. Further, that requirement did not itself displace the
    damages cap or the statutory requirements for lifting the damages cap.
    Finally, it is well established that failure to assert an affirmative defense
    results in waiver of that defense. 
    Bentley, 41 F.3d at 604
    . Here, Westlake failed
    to raise the statutory damage cap in a responsive pleading, or at any point before
    the trial was completed. Thus, Westlake waived this defense and may not now
    assert it.
    Excessive Damages
    Westlake argues that the compensatory damages awarded by the jury were
    excessive and that the district court erred by declining to either reduce the award
    or grant a new trial. Aplt. App. vol. III, at 664. They ask for remittitur to
    $100,000. The district court denied this motion because it concluded that “there
    25
    was substantial evidence in the record to support the jury’s award.” 
    Id. at 665–66.
    We agree.
    When state substantive law governs a claim for relief, state law also
    provides the appropriate standard for a district court’s decision as to whether the
    verdict was excessive. 
    Hill, 815 F.3d at 667
    (quoting 
    Gasperini, 518 U.S. at 419
    ).
    Oklahoma law provides:
    The general rule is that the issue of damages in a personal
    injury action is left to the jury after hearing all the evidence. A
    verdict of a jury cannot be set aside as excessive unless it strikes
    mankind, at first blush, as beyond all measure unreasonable and
    outrageous and such as manifestly shows it was actuated by passion,
    prejudice, partiality or corruption.
    Strubhart v. Perry Mem’l Hosp. Trust Auth., 
    1995 OK 10
    , ¶ 18, 
    903 P.2d 263
    , 270
    (Okla. 1995). To determine whether a damage award is excessive, an appellate
    court must look at the evidence and must view the evidence in the light most
    favorable to the plaintiffs. Currens v. Hampton, 
    1997 OK 58
    , ¶ 10, 
    939 P.2d 1138
    , 1141 (Okla. 1997). Further, “Oklahoma recognizes a broad jury discretion
    to determine the amount of damages for intangible injuries such as damage to
    reputation, humiliation, etc.” Brown v. Skaggs-Albertson’s Props., Inc., 
    563 F.2d 983
    , 988 (10th Cir. 1977) (citing Park v. Sec. Bank & Trust Co., 
    1973 OK 72
    , 
    512 P.2d 113
    (Okla. 1973)).
    After carefully considering the entire trial record and viewing the evidence
    in the light most favorable to plaintiffs, we are convinced that the damages
    26
    awarded were not excessive. Based on the evidence presented at trial, the jury
    could reasonably have concluded that Mrs. Mayberry was abused on a daily basis
    from the time she moved into the facility in 2008, until the day her family
    revealed the video tape of the abuse to the facility, April 16, 2012. The jury also
    could have found that the abuse caused emotional distress that was significant
    enough to have contributed to Mrs. Mayberry’s death. An award of $1.2 million
    is not “beyond all measure unreasonable and outrageous” as compensation for
    three and a half years of daily torment. The district court did not abuse its
    discretion for so finding.
    Improper Closing Argument
    Westlake argues that the district court erred by allowing counsel for
    plaintiffs to make arguments that “invited an award based on consideration of
    deterrent and punitive rather than compensatory factors.” Aplt. Br. at 40
    (emphasis in original). Westlake moved for a new trial on this basis. The district
    court denied the motion. Although we agree that portions of the argument were
    improper at the time they were presented, Westlake has failed to show that the
    argument led the jury to return a verdict based on passion or prejudice rather than
    the evidence presented at trial.
    Whether a trial court provided an adequate remedy for an improper closing
    argument is a procedural issue controlled by federal law. 
    Lambert, 671 F.2d at 375
    . Courts must ensure “that every litigation be fairly and impartially conducted
    27
    and that verdicts of juries be rendered only on the issues made by the pleadings
    and the evidence.” N.Y. Cent. R.R. v. Johnson, 
    279 U.S. 310
    , 318 (1929).
    Litigants are entitled “to a verdict uninfluenced by the appeals of counsel to
    passion or prejudice.” Id.; see also Minshall v. McGraw Hill Broad. Co., 
    323 F.3d 1273
    , 1285 (10th Cir. 2003). But courts must exercise “great caution” in
    setting aside a jury’s verdict due to an improper argument. 
    Lambert, 671 F.2d at 375
    . Even if some statements exceeded the bounds of permissible argument, “a
    judgment will not be disturbed unless it clearly appears that the challenged
    remarks influenced the verdict.” 
    Id. We must
    be “mindful that ‘[t]he trial judge is in the best position to
    determine’ the prejudicial effect of improper arguments, and thus whether a new
    trial is warranted.” 
    Whittenburg, 561 F.3d at 1127
    (quoting Ketchum v. Nall, 
    425 F.2d 242
    , 244 (10th Cir. 1970)). “[C]losing remarks often occupy only a fraction
    of what the jurors hear” and “[r]equiring a new trial is . . . a serious and costly
    remedy for all involved.” 
    Id. at 1127–28.
    “Because the presiding trial judge is
    present in the courtroom throughout the proceedings, he or she is uniquely
    positioned to assess the prejudicial effect of an improper argument in the context
    of the overall trial, as well as to fashion an appropriately tailored remedy.” 
    Id. at 1128.
    Thus, the district court’s decision “will not be disturbed absent a clear
    abuse of discretion.” 
    Id. at 1127.
    28
    We recognize the potential prejudice posed by arguments that invite the
    jury to award damages based on punishment or deterrence when only
    compensatory damages are at issue. See Spulak v. K Mart Corp., 
    894 F.2d 1150
    ,
    1155–56 (10th Cir. 1990); Caudle v. District of Columbia, 
    707 F.3d 354
    , 361
    (D.C. Cir. 2013). But such arguments are appropriate when the law and the
    evidence place the issue of punitive damages before the jury. See Ramsey v.
    Culpepper, 
    738 F.2d 1092
    , 1100 (10th Cir. 1984); Vanskike v. ACF Indus., Inc.,
    
    665 F.2d 188
    , 209–210 (8th Cir. 1981). In this case, it is undisputed that punitive
    damages were available as a remedy. The claimed error is based only upon the
    timing of the closing argument.
    Oklahoma substantive law provides for punitive damages as a remedy and
    delineates a two-stage process for the award of any such damages. 6 Okla. Stat. tit
    23, § 9.1; Lierly v. Tidewater Petroleum Corp., 
    2006 OK 47
    , ¶ 31, 
    139 P.3d 897
    ,
    906 (Okla. 2006); see also Bannister v. State Farm Mut. Auto. Ins. Co., 
    692 F.3d 1117
    , 1124 n.9 (10th Cir. 2012) (acknowledging bifurcated procedure requirement
    in the statute). In the first stage, the jury must determine questions of liability,
    the amount of actual damages, and whether the defendant acted with reckless
    disregard for the rights of others. Lierly, 
    2006 OK 47
    , ¶ 
    31, 139 P.3d at 906
    . In
    6
    We note that, under Erie and Shady Grove, this procedure may or may
    not be binding on federal courts. Rather than address this complex question, we
    assume, without deciding, that the district court should have followed Oklahoma’s
    bifurcated procedure.
    29
    the second stage, the jury determines the amount of punitive damages that will
    appropriately “punish the reckless and malicious behavior and deter such behavior
    in the future.” 
    Id., ¶¶ 31–32,
    139 P.3d at 906. Although “evidence which relates
    solely to the amount of punitive damages should not be admitted until the second
    stage,” 
    id., ¶ 32
    n.11, 139 P.3d at 906
    , a trial court errs as a matter of law if it
    precludes the arguments entirely, 
    id., ¶ 34,
    139 P.3d at 907. The parties have a
    “statutory right to present argument on the fact question as to the amount of
    punitive damages,” so this argument must be allowed during the second stage of
    trial. 
    Id. Thus, because
    Oklahoma law allows for punitive damages in this case
    and, further, requires that plaintiffs be allowed to argue the factual basis for the
    award of punitive damages, the contested arguments were not improper. It is only
    their timing that was in error.
    Not all errors require reversal. In this case, the district court concluded
    that “the statements of counsel referenced by Westlake defendants in their motion
    did not have such a prejudicial effect to warrant a new trial” because “counsel’s
    statements would not have led the jury to base its actual damages award on
    deterrent and/or punitive purposes.” Aplt. App. at 666. We agree. The jury was
    properly presented with instructions on the availability of punitive damages,
    including the procedure for the two-step process. Westlake has failed to show
    that counsel’s argument, although ill-timed, impermissibly invited the jury to
    award punitive damages during the first phase rather than the second.
    30
    In prior cases, this court has considered three factors when assessing the
    prejudicial effect of an improper closing argument: whether the improper
    comments were “‘minor aberrations’ made in passing,” whether the district court
    took “any specific curative action,” and whether the jury’s findings, “while not
    beyond the bounds of rationality, suggest that counsel’s comments had a
    prejudicial effect.” 
    Whittenburg, 561 F.3d at 1131
    –32. In this case, all three
    factors indicate that the jury was not prejudiced by the improper argument.
    First, the improper statements were “minor aberrations made in passing,”
    not “the heart and soul” of the argument. See 
    Whittenburg, 561 F.3d at 1131
    .
    The challenged argument is the one plaintiffs’ counsel delivered in rebuttal
    closing during the first stage of trial. Prior to this argument, plaintiffs’ counsel
    presented an argument that reviewed the evidence presented in the trial. Aplt.
    App. vol. IV, at 1116–18. This argument included discussion of the employment
    records of both Gakunga and Kaseke, their repeated reprimands for sleeping on
    the job, abandoning shifts early, and refusing to complete assigned patient care
    tasks, and reviewed the testimony of the nursing students who witnessed abuse
    perpetrated by these two caretakers. 
    Id. Counsel also
    discussed the nursing
    home’s decision to retain these caretakers in spite of the indications that patients
    were being harmed while in their care. 
    Id. Counsel concluded
    this first argument
    by asking the jury to “consider what it will take to fairly and fully compensate
    Mrs. Mayberry’s estate for the abuse that she suffered at the hands of this nursing
    31
    home” and then again played for the jury the video recordings that showed
    nursing home employees abusing Mrs. Mayberry. 
    Id. After Westlake’s
    closing
    argument, plaintiffs’ counsel delivered the rebuttal argument that is now
    challenged. In this argument, counsel told the jury: “You can change the way
    that nursing homes train their employees. You can make nursing homes
    understand that it is vital to protect their residents from abuse.” 
    Id. at 1134–37.
    Because it referred to all nursing homes, not just Quail Creek, this argument was
    ill-timed. It should have been presented during the second stage of trial, not the
    first. However, counsel went on to argue that Quail Creek was liable because it
    did not protect its residents from abuse by failing to properly train employees to
    recognize and prevent abuse, and by failing to enforce policies and procedures
    that would have protected Mrs. Mayberry. 
    Id. Counsel then
    explicitly referred to
    the multi-stage process required for awarding punitive damages. He argued:
    The first step here is to render a verdict against this nursing home.
    Render a verdict against this nursing home for the abuse that Ms.
    Mayberry suffered at the hands of their employees. Included in your
    verdict, you are going to have to place a value on what happened to
    Ms. Mayberry. It must be fair, it must fully compensate Ms.
    Mayberry’s estate for the physical pain and the mental suffering that
    she endured. You must place a value on that pain, that humiliation,
    and the mental scarring that occurred to Ms. Mayberry.
    
    Id. In this
    portion of the argument, counsel asked for nothing more than full
    compensation for Mrs. Mayberry’s injuries and, in so doing, reminded the jury
    that, at step one, only compensatory damages were at issue. Counsel then
    32
    addressed each of the other two questions presented to the jury during stage one,
    and argued that the jury should find both that Quail Creek “recklessly disregarded
    the rights of Mrs. Mayberry” and that Quail Creek “intentionally and with malice
    abused Mrs. Mayberry.” 
    Id. Counsel then
    concluded his argument. See 
    id. Although this
    argument included remarks that asked the jury to award punitive
    damages, counsel did not ask the jury to do so during the first stage of trial rather
    than the second. In fact, counsel explicitly reminded jurors that step one was to
    compensate Mrs. Mayberry for her pain and suffering at the hands of the nursing
    home employees. When considered as a whole, the argument would not have led
    a reasonable juror to award punitive damages during the first phase of trial rather
    than waiting until the second phase, as they had been instructed to do. The errant
    remarks about sending a message to all nursing homes cannot be viewed as
    prejudicial in these circumstances.
    Second, although the district court overruled Westlake’s objection to the
    argument, 7 it adequately instructed the jury regarding when and how punitive
    7
    We do not discount the fact that a trial judge’s failure to sustain an
    objection to a line of argument is likely to give the jury the impression that it may
    properly consider the argument. See N.Y. Cent. 
    R.R., 279 U.S. at 318
    . In this
    case, however, the argument for punitive damages should have been considered
    by the jury. The only error here was the timing of the argument. Thus, the only
    question for this court is whether the judge’s implicit approval of the argument
    would have confused the jury as to when it could award punitive damages, not if.
    In light of the other instructions given regarding the sequential trial procedures
    for the award of compensatory and punitive damages, we think the judge’s
    (continued...)
    33
    damages could be awarded. See 
    Whittenburg, 561 F.3d at 1131
    . Before the first
    stage of deliberations, the jury was instructed as to both compensatory and
    punitive damages. With regard to compensatory damages, the jury was instructed
    that “[t]he damages you award must be fair compensation, no more and no less,”
    that “[i]n fixing the amount of compensatory damages, you may consider the
    following elements of injury and harm: (1) Mrs. Mayberry’s physical pain and
    suffering, if any, and (2) Mrs. Mayberry’s emotional and mental anguish, if any,”
    and that “you should be guided by dispassionate common sense. You must use
    sound discretion in fixing an award of damages, drawing reasonable inferences
    from the facts and evidence. You may not award damages based on sympathy,
    speculation, or guess work.” Aplt. App. vol. II, at 466. This instruction clearly
    explained to the jury the task presented. Further, with regard to punitive
    damages, the jury was instructed that “[i]f you find in favor of plaintiffs, and
    grant them actual damages, then you must also find by a separate verdict, whether
    the defendant acted in reckless disregard of the rights of others and/or acted
    intentionally and with malice towards others.” 
    Id. at 467.
    This is an accurate
    representation of the findings the jury must make at stage one. Finally, the jury
    was instructed that “[i]f you find that the defendant acted in reckless disregard of
    the rights of others, or intentionally and with malice towards others, you may
    7
    (...continued)
    implicit approval of the argument did not confuse the jury.
    34
    award punitive damages against the defendant in a later part of this trial.” 
    Id. (emphasis added).
    Here the court again reminded jurors that punitive damages,
    although they might be awarded in phase two, were not to be awarded in phase
    one. In addition, the verdict form provided to the jury in stage one asked the jury
    to complete the following sentence, “We find the dollar amount of damages
    sustained by Plaintiffs is the sum of $__________.” 
    Id. at 475–76
    (emphasis
    added). By correctly asking the jury only for the full amount of compensatory
    damages, this form again reminded jurors that only compensatory damages were
    at issue in stage one of the trial. In light of the clear instructions explicitly
    delineating the questions before the jury in each stage of the proceedings, and the
    verdict form asking for only compensatory damages, we cannot say that the errant
    remarks during closing argument would have lead the jury to award punitive
    damages during the first stage rather than the second.
    Third, the respective amounts awarded for compensatory damages and
    punitive damages do not suggest that the improper argument had a prejudicial
    effect. See 
    Whittenburg, 561 F.3d at 1132
    . At stage one, the jury awarded $1.2
    million in compensatory damages. As discussed above, the jury could have found
    that Mrs. Mayberry was abused on a daily basis for a period of approximately
    three and a half years. Given the wide discretion afforded to juries to fix the
    amount of noneconomic compensatory damages, the evidence might also have
    supported a much larger verdict at stage one. Thus, the size of this verdict does
    35
    not indicate that the jury awarded anything more than full compensatory damages
    at stage one. At stage two, the jury awarded an additional $10,000 in punitive
    damages. Again, the evidence presented at trial might have supported a much
    larger amount. The jury reasonably could have found that the nursing home
    failed to supervise and train employees, failed to report incidents to the
    appropriate state agency, and failed to take action against the employees who
    perpetrated reported incidents of abuse on more than one occasion. In fact, the
    jury did find, at stage one, that the nursing home displayed reckless disregard for
    the rights of others. The relatively small punitive damage award is explained by
    the additional evidence presented to the jury at stage two of the trial. Pursuant to
    Oklahoma law, the jury was instructed to consider, among other factors, the
    financial condition of the defendant. See Okla. Stat. tit. 23, § 9.1(A)(7); Aplt.
    App. vol. II, at 473–74. The parties had stipulated that the fair market value of
    Westlake Nursing Home Limited Partnership was $2,855,786.50. Aplt. App. vol.
    V, at 1144. The jury was instructed that “the purpose of punitive damages is to
    punish and not destroy a defendant.” Aplt. App. vol. II, at 473. In closing
    argument at the second stage, defense counsel argued that the compensatory
    damages award of $1.2 million had already come close to destroying the nursing
    home and that award itself was a severe punishment already. He asked the jury to
    award no additional damages at stage two. The fair market value of Westlake
    provides a plausible explanation for why the jury did not award more in punitive
    36
    damages at stage two. In addition, if the jury had been confused and awarded
    punitive damages in stage one, we would expect it to award nothing further at
    stage two, having already included punitive damages in its compensatory damages
    award. But instead, the jury awarded an additional $10,000 to plaintiffs. This
    award is eminently reasonable in light of Westlake’s egregious conduct and poor
    financial condition.
    Taken together, these three factors indicate that the jury was not prejudiced
    by the poorly timed statements regarding the award of punitive damages. The
    jury was clearly instructed as to the correct procedure, and the size of the awards,
    when considered in the context of the evidence presented at trial, including the
    evidence regarding Westlake’s financial condition, gives us little reason to
    conclude that the procedure was not followed. A new trial is not warranted in
    these circumstances.
    Evidence of Other Incidents
    Westlake argues that the district court erred by admitting evidence of
    another incident subject to a limiting instruction. Prior to trial, Westlake filed a
    motion in limine to exclude “any evidence regarding the allegation that Caroline
    Kaseke sprayed a resident in the face with a shower head or caused any other
    physical or mental harm to any residents at the Quail Creek Nursing and
    Rehabilitation Center (the ‘Nursing Home’) on or about April 4, 2012 (the ‘April
    4th Incident’).” Aplt. App. vol. I, at 190–91. The district court denied
    37
    Westlake’s motion because “this evidence would be relevant, not unfairly
    prejudicial, and, therefore, admissible if the abuse at issue in this case occurred
    after the April 4, 2012 incident.” Aplt. App. vol. II, at 429. Westlake objected
    again when the evidence was admitted at trial and the district court overruled the
    objection, finding that the time line remained in dispute. Aplt. App. vol. III, at
    774–75. The evidence was admitted with the following limiting instruction:
    “You have heard evidence of other alleged incidents at the
    nursing home. The evidence is disputed as to when the alleged abuse
    of Ms. Mayberry at issue in this case occurred. You may consider
    evidence of another alleged incident only if you find that the other
    alleged incident occurred prior to the alleged abuse of Ms. Mayberry.
    If you find that another alleged incident occurred after the alleged
    abuse of Ms. Mayberry, you can not consider this alleged incident
    when deliberating and reaching your verdict in this case.
    Aplt. App. vol. II, at 452.
    We agree with the district court that this evidence is admissible to show
    notice if the incident took place before the abuse of Mrs. Mayberry, but not if it
    took place after. See Julander v. Ford Motor Co., 
    488 F.2d 839
    , 846 (10th Cir.
    1973) (“Generally, where negligence is in issue, prior complaints to a defendant
    concerning an allegedly hazardous condition are admitted as being probative of
    the defendant’s knowledge.” (emphasis in original)). Westlake claims, however,
    that the undisputed evidence established that the abuse to Mrs. Mayberry occurred
    no later than February 11, 2012, in which case the April 4, 2012 incident could
    not have provided notice to defendants and is not relevant. Aplt. App. vol. I, at
    38
    193; Aplt. Br. at 47–49. They further argue that any “probative value was
    substantially outweighed by the evidence’s unfair prejudice, confusion of the
    issues, and potential to mislead the jury.” 
    Id. at 49.
    We disagree.
    First, the timing of the recording is disputed. Plaintiffs presented testimony
    that the length of time between when the video was recorded and when they
    presented it to the nursing home was less than ten days, which, if true, means it
    was recorded on or after April 6, 2012. Aplt. App. vol. III, at 723–24.
    Defendants attempted to present a handwritten note from Robyn Crandall, see
    Aplt. App. vol. V, at 1157–64, which, they argue, established that the video was
    recorded before February 11, 2012. No witness was able to testify as to the
    accuracy of this note. Witnesses for plaintiffs testified that they had never seen it
    before and that the information it contained was incorrect. Aplt. App. vol. III, at
    723–24. Further, the language of the note itself is unclear and indicates
    uncertainty as to the dates. See Aplt. App. vol. V, at 1157–64. Most importantly,
    defendants failed to call Robyn Crandall as a witness, so the only evidence before
    the jury was that no witness could verify the information in the note—instead all
    witnesses denied its accuracy. See 
    id. at 1122–23.
    Thus, there is a genuine issue
    as to the timing of the recording and the district court judge was correct to admit
    the evidence with the limiting instruction.
    Second, even if the time line were clearly established, as defendants claim,
    the timing of the recording is entirely irrelevant to the evidentiary ruling at issue.
    39
    The limiting instruction properly allowed the jury to consider the incidents if they
    took place before the alleged abuse of Mrs. Mayberry, not necessarily before the
    specific acts caught on video tape occurred. Even if it were undisputed that the
    abuse was recorded on video before April 4, 2012, there would still be a question
    of fact as to whether the abuse of Mrs. Mayberry was ongoing between April 4,
    2012, and April 16, 2012, when the abusers were arrested. As discussed above,
    the evidence presented at trial would support a jury finding that it was.
    Third, the evidence of other incidents is certainly unfavorable to Westlake,
    but nothing indicates that this prejudice is in any way unfair. See United States v.
    Archuleta, 
    737 F.3d 1287
    , 1293 (10th Cir. 2013) (“[U]nfair prejudice must do
    more than simply harm a defendant’s case.”). Therefore, we affirm the district
    court’s decision to allow evidence of the April 4th Incident with the
    accompanying limiting instruction.
    III
    We affirm the district court’s denial of Westlake’s motion to alter or amend
    the judgment, as well as Westlake’s motion for remittitur or alternatively for a
    new trial. The district court did not err by declining to reduce the compensatory
    damage award to the statutory cap of $350,000, or to reduce the compensatory
    damage award as excessive. We conclude that the error in allowing closing
    argument regarding punitive damages at stage one instead of stage two did not
    compromise the jury verdict in this case. Finally, the district court did not err in
    40
    admitting evidence of other alleged incidents at Quail Creek subject to a limiting
    instruction. The judgment of the district court is affirmed.
    41
    

Document Info

Docket Number: 16-6011

Citation Numbers: 871 F.3d 1152

Filed Date: 9/28/2017

Precedential Status: Precedential

Modified Date: 1/12/2023

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