Dennis W. Blackmon v. LP Pigeon Forge, LLC ( 2011 )


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  •                 IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    May 3, 2011 Session
    DENNIS W. BLACKMON, ET AL. v. LP PIGEON FORGE, LLC, ET AL.
    Appeal from the Circuit Court for Sevier County
    No. 2009-0258-III    Rex Henry Ogle, Judge
    _________________________________
    No. E2010-01359-COA-R3-CV-FILED-AUGUST 25, 2011
    This is a nursing home negligence case involving an arbitration agreement. The son of the
    decedent signed documents admitting his mother to the defendant nursing home. The
    admission documents included an arbitration agreement. After his mother’s death, the son
    filed a lawsuit on behalf of her estate against the defendant nursing home and others
    connected to its administration. The defendants filed a motion to compel arbitration pursuant
    to the agreement signed by the son. The trial court denied the motion, finding that the son
    was not the decedent’s agent and did not have authority to sign on her behalf. The
    defendants appeal. We affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court
    Affirmed; Case Remanded
    J OHN W. M CC LARTY, J., delivered the opinion of the Court, in which H ERSCHEL P. F RANKS,
    P.J., and D. M ICHAEL S WINEY, J., joined.
    Rebecca Adelman and Peter B. Winterburn, Memphis, Tennessee, for the appellants, LP
    Pigeon Forge, LLC; Signature Consulting Services, LLC; Signature Clinical Consulting
    Services, LLC; Signature Healthcare, LLC; Jonathan Jack Bowers; Integritas Health Care,
    LLC; Integritas LTC Practitioners of Tennessee, LLC; Integritas Professional Development
    Services, LLC; Integritas of Tennessee, LLC; and Kathleen A. Arnold.
    Kenneth L. Connor and Camille Godwin, Leesburg, Virginia, and Marty McDonald,
    Knoxville, Tennessee, for the appellee, Dennis W. Blackmon, Individually and as Personal
    Representative of the Estate of Lois L. Pierce.
    OPINION
    I. BACKGROUND
    Before the decedent, Lois Pierce (“Mother”), was hospitalized on April 7, 2008, the
    78-year-old widow had lived alone in her home in Sevierville, Tennessee, for over a decade.
    During that time, she handled all of her own affairs. She prepared her own meals,
    transported herself wherever she wanted to go, kept her own checkbook, and handled all of
    her finances without any assistance.
    Mother made the decision to admit herself to Fort Sanders Sevier Medical Center for
    the care of small sores in her perineal area and adjacent buttock. During her three-day
    hospitalization, the record reveals that she intelligently interacted with family members and
    hospital staff. She continued to make her own decisions throughout this hospital stay and,
    according to the hospital records, was alert and oriented when she left the hospital for the
    Pigeon Forge Care and Rehabilitation Center (“Facility”) on April 10, 2008. Facility is
    operated by LP Pigeon Forge, LLC (the licensed operator of Facility); Signature Consulting
    Services, LLC; Signature Clinical Consulting Services, LLC; Signature Healthcare, LLC;
    Jonathan Jack Bowers; Integritas Health Care, LLC; Integritas LTC Practitioners of
    Tennessee, LLC; Integritas Professional Development Services, LLC; Integritas of
    Tennessee, LLC; and Kathleen A. Arnold (collectively “Defendants”).
    Mother’s stay at Facility was expected to be of short duration. It lasted for
    approximately 20 days. According to the complaint filed in this action by Dennis W.
    Blackmon (“Son”), acting individually and as the personal representative of Mother’s estate,
    issues arose regarding Mother’s declining condition and alleged lack of adequate care. It is
    alleged that when Mother was removed from Facility and taken to the emergency room, she
    was found to be suffering from massive infected Stage IV pressure sores. On May 7, 2008,
    she died when her organs failed as a result of the infections.
    In response to the complaint, Defendants filed a motion to compel arbitration. They
    relied upon an arbitration agreement signed by Son when Mother was admitted to Facility.
    Although Mother was fully capable of making her own decisions on admission to
    Facility, Defendants did not afford her the opportunity. Son, a local minister, maintains that
    upon his initial arrival at Facility, he was told that before he could locate and visit his mother,
    he needed to first speak with Donna Buck, the Social Services Director. According to Son,
    despite the fact that he made no representation to Ms. Buck about any authority to act on
    behalf of his mother, she took him to her office to sign documents which she represented
    were necessary for Medicare to start paying Facility rather than the hospital. Ms. Buck then
    -2-
    proceeded to flip through the pages of the admission documents, placing an “x” beside the
    blanks she wanted him to sign. Anxious to get to his mother’s room and relying on the
    representations of Ms. Buck, Son felt no need to read the materials and signed where Ms.
    Buck indicated. Son testified that no further explanation was offered to him, and he did not
    feel he needed to ask questions in light of the representations made and his understanding
    that Ms. Buck was a “social worker.”
    Son testified that he was not provided with copies of any of the documents he signed.
    His meeting with Ms. Buck lasted about thirty minutes. Unbeknownst to him at the time,
    among the documents he signed was an agreement waiving Mother’s right to a jury trial and
    agreeing to arbitration in the event of any dispute arising out of her care and treatment in
    Facility.
    Defendants argue that Ms. Buck did not meet with Son to sign the admission
    documents at issue in this matter. They contend that Son instead met with Todd Heptinstall,
    Marketing and Admissions Director for Facility. According to the testimony of Mr.
    Heptinstall, Son, hours prior to his mother’s admission, called him about taking care of
    Mother’s admitting paperwork. Mr. Heptinstall stated that Son held himself out as Mother’s
    oldest son. On the strength of that representation, Mr. Heptinstall asked Son to come to
    Facility and took him through the admission packet (which included the arbitration
    agreement) and had him sign the various documents. Mr. Heptinstall testified that Son
    informed him that he was “the executor of [Mother’s] affairs”; he admitted, however, that
    he did not ask for any evidence of Son’s authority to act on Mother’s behalf. Mr. Heptinstall
    did claim that he was with Mother three times on the day of her admission and on each
    occasion, she was “comatose” and unable to interact and communicate.
    Mr. Heptinstall testified that he did not explain any of the documents to Son because
    no questions were asked of him. He claimed that he did read the bolded portion of the
    arbitration agreement to Son. Interestingly, the examination of Mr. Heptinstall further
    revealed that his signatures on the documents were not likely made at the same time as those
    of Son, and that the dates adjacent to the signatures on many of the documents were likely
    added by a different person on a date after the documents were allegedly signed. Mr.
    Heptinstall acknowledged that no copies of the admission documents were given to Son or
    Mother.
    Ms. Buck testified that she did not present Son with the admissions paperwork at issue
    or the arbitration agreement, but did talk with him about other paperwork, including a
    “Physician Order for Scope of Treatment (“POST”) form. On that form, although testifying
    that she had no recollection of Son, Ms. Buck described him as “son/POA.” During her
    testimony, she related that “[t]he only reason I would have written son/POA is if he told me
    -3-
    he was the power of attorney. Otherwise, I would have just written son.” She testified
    further as follows:
    Q. Now, in the absence of being presented with a power of attorney, you can’t
    rely on it can you? You’re told that that somebody holds themselves out as a
    POA, you have to get a copy of it to file, right?
    A. Right.
    Q. And you apparently authorized Mr. Blackmon’s signature because he was
    her son, right?
    A. Right.
    Q. You didn’t rely on his status as a POA, did you?
    A. Well, according to the document I was told he was the POA. But yes, I
    would have let him sign his mom’s paperwork.
    Q. Because he was her son?
    A. Right.
    Q. Not because he was a POA?
    A. Right.
    Ms. Buck admitted that she never discussed admissions issues with Mother. In a social
    services history, she acknowledged that she had observed Mother, who was alert and could
    tell person, place, and time, and could communicate her needs.
    Son testified that he never met Mr. Heptinstall at any time. He was adamant that Mr.
    Heptinstall did not go through the admissions documents with him. Son notes that the only
    male employee he ever met at Facility was defendant Jon Bower, the administrator, during
    a meeting at Facility to discuss concerns about Mother’s care.
    According to Son, he never considered a 1991 durable power of attorney that his
    mother had executed sixteen years earlier in California, as the purposes for that document
    had long since been accomplished. Defendants, however, having discovered the existence
    of the power of attorney, argue that Son was Mother’s duly authorized attorney-in-fact, even
    -4-
    though Facility, at the time of Mother’s admission, was unaware of the existence of the
    power of attorney and the original of the document has never been located.
    The arbitration agreement included in the admissions paperwork reads as follows:
    RESIDENT AND FACILITY ARBITRATION AGREEMENT
    ***
    PLEASE READ CAREFULLY
    . . . any legal dispute, controversy, demand or claim that arises out of or relates
    to the Resident Admission Agreement or any service or health care provided
    by the Facility to the Resident, shall be resolved exclusively by binding
    arbitration administered by National Arbitration Forum (“NAF”) to be
    conducted at a location agreed upon by the parties, or in accordance with the
    Code of Procedure of NAF which is hereby incorporated into this agreement,
    and not by a lawsuit or resort to court process except to the extent that
    applicable state or federal law provides for judicial review of arbitration
    proceedings or the judicial enforcement of arbitration awards. In the event
    NAF is no longer administering arbitrations, the arbitration shall be
    administered by the American Arbitration Association pursuant to NAF Rules.
    This agreement to arbitrate includes, but is not limited to, any claim for
    payment, nonpayment or refund for services rendered to the Resident by the
    Facility, violations of any right granted to a Resident by law or by the Resident
    Admission Agreement, breach of contract, fraud or misrepresentation,
    negligence, gross negligence, malpractice, or any other claim based on any
    departure from accepted standards of medical or health care or safety whether
    sounding in tort or in contract. This agreement to arbitrate shall not limit a
    Resident’s right to file a grievance or complaint, formal or informal, with the
    Facility or any appropriate state or federal agency.
    The parties agree that damages awarded, if any, in an arbitration conducted
    pursuant to this Arbitration Agreement shall be determined in accordance with
    the provisions of the state or federal law applicable to a comparable civil
    action, including any prerequisites to, credits against, or limitations on, such
    damages.
    It is the intention of the parties to this Arbitration Agreement that it shall inure
    -5-
    to the benefit of and bind the parties, their successors and assigns, including
    the agents, employees and servants of the Facility, and all persons whose claim
    is derived through or on behalf of the Resident, including that of any parent,
    spouse, child, guardian, executor, administrator, legal representative, or heir
    of the Resident.
    All claims based in whole or in part on the same incident, transaction, or
    related course of care or services provided by the Facility to the Resident, shall
    be arbitrated in one proceeding. A claim shall be waived and forever barred
    if it arose prior to the date upon which notice of arbitration is given to the
    Facility or received by the Resident, and is not presented in the arbitration
    proceeding.
    THE PARTIES UNDERSTAND AND AGREE THAT BY ENTERING INTO
    THIS ARBITRATION AGREEMENT, THEY ARE WAIVING THEIR
    RIGHT TO HAVE ANY CLAIM DECIDED IN A COURT OF LAW
    BEFORE A JUDGE AND JURY AND AGREE TO PROCEED WITH ANY
    CLAIM THROUGH ARBITRATION.
    The Resident or Resident’s Legal Representative understands that (1) they
    have the right to seek legal counsel concerning this agreement, (2) the
    execution of this Arbitration Agreement is not a precondition to the furnishing
    of services to the Resident by the Facility, and (3) this Arbitration Agreement
    may be rescinded by written notice to the Facility from the Resident or
    Resident’s Legal Representative during the Resident’s admission. If not
    rescinded within thirty (30) days after the Resident’s admission, this
    Arbitration Agreement shall remain in effect for all care and services rendered
    at the Facility, even if such care and services are rendered following the
    Resident’s discharge and readmission to the Facility.
    If any provision of this Arbitration Agreement is determined to be
    unenforceable, such provision shall be deemed to be severed and deleted and
    any such severance or deletion shall not affect the validity and enforceability
    of the remaining provisions of this Arbitration Agreement.
    This agreement shall be governed by and interpreted under the Federal
    Arbitration Act found at 9 U.S.C. Sections 1-16.
    The admissions packet presented to the court as an exhibit is 39 pages long. The
    -6-
    arbitration agreement is printed in the same color ink, font size, and font type as the rest of
    the admissions paperwork. The arbitration procedures are included among the rest of the
    admissions documents dealing with many issues, including financial arrangements and
    consent to care. A review of the arbitration agreement reveals that it does not include a
    statement to the patient encouraging him or her to ask questions. It does not expressly state
    who is responsible for choosing the arbitrator and does not explain in any detail how
    arbitration works. There is no discussion of any fees associated with the process.
    Interestingly, the document requires as follows:
    [If a Resident’s legal representative is signing, they (sic) must include
    documentation of authority such as Power of Attorney/Guardianship papers or
    have authority to act on the Resident’s behalf][.]
    Defendants contend that the general durable power of attorney executed by Mother
    on November 11, 1991, became effective immediately upon execution and authorized Son
    to sign the agreements on Mother’s behalf. The power of attorney provided Mother’s agents
    the power to “act in my place and my stead in any and all manners of transactions
    whatsoever, to exercise, do, or perform any act, right, power, duty, or obligation whatsoever
    that I now have or may acquire the legal right, power, or capacity to exercise, do or perform
    in connection with, arising out of, or relating to any person, item, thing, transaction, business,
    property, real or personal, tangible or intangible, or any matter whatsoever.” The 1991
    document provided that 1) “These powers will exist for an indefinite period of time,” and 2)
    “You have the right to revoke or terminate this durable power of attorney at any time.”
    On January 13, 2010, the trial court held an evidentiary hearing on Defendants’
    Motion to Compel Arbitration. Two stipulations were entered: 1) Mother was presumed to
    be mentally competent on the day of her admission to the facility, April 10, 2008; and 2)
    Facility did not have a copy of the 1991 power of attorney in its possession at the time Son
    signed the Admissions paperwork at Facility. At the conclusion of the hearing, the court
    ruled from the bench as follows:
    [T]his Court -- first of all, this Court just thinks personally, not lawfully or not
    legally, that these types of contracts should be void as being against public
    policy of fairness and openness to everybody, or absent anything else on what
    we have seen on this contract, this type of contract should be, in my opinion,
    unconscionable.
    It is unconscionable in my opinion. But this same type of contract has been
    upheld by the Appellate Courts and therefore it is legally sufficient and the
    -7-
    Court so finds.1
    The Court does not feel in this case that this was a contract of adhesion in that
    plaintiff insists that it was a take-it-or-leave it contract. It was never presented
    to him in that form. He just signed it.
    And so for that reason, there was no proof that they said take it or leave it. He
    was not denied the opportunity to read it, even though it was not explained to
    him.
    But the Court again finds there was nobody on either side that had sufficient
    knowledge or training or understanding to even explain it. And that is just
    bizarre to me.
    In weighing or in deciding any case the Court must obviously where there is
    a conflict in testimony base its decision on the credibility of witnesses.
    ***
    The thing that impresses me, just to be quite candid with you, above all is Ms.
    Buck. Because she, I think, testified very candidly and honestly about
    everything that she did, everything that she knew or didn’t know.
    As I say, she said that she doesn’t recall the plaintiff discussing or her
    discussing with him a power of attorney. She didn’t even remember the
    deceased, which is not critical in this case because she wasn’t talking with the
    deceased, but she took the family history and background and medical history,
    et cetera.
    Her testimony is consistent in the sense that apparently she told the plaintiff
    that these documents had to be signed for the purposes of admission and
    getting . . . Medicare.
    Anyway, that is certainly consistent because she didn’t understand the issues
    about arbitration. She didn’t understand them. So I think she was very candid
    and very honest with the Court.
    1
    In Owens v. Nat’l Health Corp., 
    263 S.W.3d 876
     (Tenn. 2007), the Tennessee Supreme Court
    rejected the argument that pre-dispute arbitration agreements in nursing home contracts are per se invalid
    as contrary to public policy.
    -8-
    ***
    Ms. Buck relied upon the plaintiff’s status as the deceased’s son and not the
    power of attorney.
    . . . [T]he plaintiff had no understanding of the provisions related to arbitration.
    But the Court finds that accepting his testimony that he basically signed it
    without reading it, so his understanding of it at that point is sort of immaterial
    because he didn’t rely upon any representations at the time he signed it.
    Likewise, Mr. [Heptinstall] . . . said that he relied upon the plaintiff’s
    statements that he was her executor and not power of attorney or -- he didn’t
    rely upon any expressions of authority except what the plaintiff said.
    As I stated earlier, if you’re going to have to be able to answer questions about
    these contracts, you need to understand the terms.
    If you are relying upon the legality of these agreements, then you should
    likewise be held to a standard of understanding the legality of the status of the
    parties.
    An executor is what we in Tennessee hold is a person who handles an estate
    after someone is dead and therefore has no authority to act until that person
    dies. The Court is troubled that -- and as I say, the plaintiff has not proven
    fraud by clear and convincing evidence as the Tennessee law requires.
    But it troubles this Court that anybody who requires someone to sign legal
    documents affecting the rights of patients, the medication of patients, the
    payment of the patient’s bills, would not give those people copies, executed
    copies. That makes no sense to me. Makes no sense to me. It’s not good
    practice.
    I think the point that was raised about that the plaintiff is stuck with arbitration
    on all issues but that the defendant is not on all issues is a mutuality issue
    possibly. That’s troubling to me.
    It is troubling to this Court that documents were signed on behalf of the
    defendants some day or so, at least one day if not two days later after the
    plaintiff signed it and his mother had already entered into the health care
    -9-
    facility. So, there was no apparent authority of the plaintiff to act at the time
    of the execution of this agreement.
    . . . [T]he defendants could not rely at that time upon any express authority
    either from Mrs. Pierce telling them or from the power of attorney that had
    been executed in California in 1991.
    . . . [I]t is interesting that a will and other powers of attorneys were executed
    after Mrs. Pierce went into the health care facility.
    And there is no Tennessee case law, but it makes sense to me that if a power
    of attorney has not been used for over a decade, that the term lapsed is very
    appropriate.
    I mean, it is clear to me that neither Mrs. Pierce nor the plaintiff intended for
    this thing to -- the power of attorney to survive the purposes for which it was
    executed, i.e. the distribution of various estate properties.
    Mr. Blackmon didn’t think it was effective. The Court just feels like that
    under the totality of circumstances, that neither Mrs. Pierce nor Mr. Blackmon
    intended it to be effective and operative.
    Therefore, the Court holds that it has lapsed. The Court further finds then that
    based upon the fact that it had lapsed, that the defense has not proven any other
    lawful basis for the plaintiff to have had the authority to execute this
    agreement.
    So therefore, the Court finds that the defendants are not entitled to rely upon
    this agreement for the purposes of forcing this matter to arbitration.
    Just in passing, again, just this entire scenario does shock the conscience of
    this Court. It is just so slipshod in its operation and its effect. It just doesn’t
    speak well.
    And this Court must find that as it relates to a meeting between the plaintiff
    and Mr. [Heptinstall], that -- and I hate to say this, but I am just satisfied that
    that meeting did not take place. And the Court gives great weight to Mr.
    Blackmon’s testimony on that matter.
    I think he has certainly carried it well. His testimony is much more believable
    -10-
    based on the timing and the signing and the dating of documents.
    ***
    The agreement itself, the document itself, this Court finds is not
    unconscionable because our Appellate Courts have held that these agreements
    in and of themselves are not unconscionable.
    ***
    The Court does find that as to the execution of this agreement, the way that it
    was handled, it was very shoddy.
    And I think that quite candidly is unconscionable, that it does shock the
    conscience of this Court by how this entire arrangement was handled. . . .
    MR. CONNOR: From my understanding, the Court finds that the
    circumstances surrounding the execution were unconscionable?
    THE COURT: Are so unconscionable that they should not be enforced.
    On May 28, 2010, the trial court issued the following written findings:
    1. At the time of her admission to the nursing home, Lois Pierce was fully
    competent to make decisions for herself. The Defendants stipulated to her
    competency and the record is replete with evidence that Mrs. Pierce was alert,
    oriented, independent, and fully capable of making her own decisions at the
    time of her admission to Pigeon Forge[.]
    2. Tennessee law accords nursing home residents certain minimum rights,
    T.C.A. § 68-11-901. At the time of Mrs. Pierce’s admission to Pigeon Forge,
    those rights included, the right “[t]o exercise the resident’s own independent
    judgment by executing any documents, including admission forms. . . .”
    T.C.A. § 68-11-901(23). The law further provided that a nursing home
    resident’s rights could only be abridged when “medically contraindicated” or
    when necessary to protect other residents. Further, such abridgement must be
    supported by a physician’s order and must be explained to the resident and
    documented in the resident’s record by reciting the limitation’s reason and
    scope. T.C.A. § 68-11-902.
    -11-
    3. Notwithstanding these rights (and the requirements of the statutory protocol
    which must be followed before they can be abridged), Lois Pierce was not
    afforded the opportunity to execute the admission agreement or the arbitration
    agreement (a subpart of the admission agreement) upon her admission to the
    nursing home.
    4. Defendants maintain they were excused from any obligations under the
    statutes because her son, Dennis Blackmon, signed the admitting documents,
    including the arbitration agreement at issue, on the day of her admission to the
    nursing home. They also maintain that in accordance with that agreement,
    arbitration is the exclusive remedy for Plaintiff’s complaints about Mrs.
    Pierce’s care at the nursing home.
    5. The evidence is in sharp dispute concerning the circumstances under which
    Dennis Blackmon signed the admission agreement which included the
    arbitration agreement relied on by the Defendants in their motions to compel
    arbitration.
    6. Dennis Blackmon testified that upon his arrival at the nursing home on
    April 10, 2008, to first visit his mother, he was directed to the office of Social
    Services Director Donna Buck. Mr. Blackmon testified he was presented with
    a number of documents to be signed. Those documents apparently included
    the arbitration agreement which is the subject of this controversy. According
    to Mr. Blackmon, Mrs. Buck indicated where he was to sign the various
    documents and he did so without reading them, relying on Buck’s
    representations that they were merely documents required for the facility to
    obtain payment from Medicare for Mrs. Pierce’s care and services. Mr.
    Blackmon denied ever holding himself out as his mother’s attorney-in-fact or
    his mother’s legal representative to Mrs. Buck or anyone else at the facility.
    Mr. Blackmon testified that at the close of his meeting with Mrs. Buck, she
    directed him to his mother’s room. He was not provided with copies of any of
    the documents he had signed.
    7. Mrs. Buck acknowledged in her testimony that she met with Mr. Blackmon
    in her office at the facility, but stated that she had no independent recollection
    of what transpired in the meeting and would have to defer to Mr. Blackmon’s
    recall of the meeting. She acknowledged having Mr. Blackmon sign some
    documents for his mother, indicating that the only basis she relied on for his
    authority to do so was the fact that “he was her son.” Mr. Blackmon did not
    present a power of attorney to her.
    -12-
    8. Mrs. Buck further acknowledged that Mrs. Pierce had the right to sign the
    forms that she presented to Mr. Blackmon, but she did not afford Mrs. Pierce
    -- whom she found to be alert, oriented and capable of making her own
    decisions -- the opportunity to do so. Mrs. Buck also candidly admitted that
    she (Buck), did not understand the arbitration agreement and did not feel
    competent to explain it to any one.
    9. In contrast to Mr. Blackmon’s testimony, Todd Heptinstall, Marketing and
    Admissions Director for Pigeon Forge, testified that he met with Mr.
    Blackmon on the day of Mrs. Pierce’s admission, before her arrival at the
    facility, and reviewed the admissions packet (approximately 60 pages
    including the arbitration agreement), with him, explaining the terms of the
    various documents. He then, ostensibly, secured Mr. Blackmon’s signature on
    the relevant documents.
    10. Mr. Heptinstall further testified that Blackmon told him that he “was the
    executor in charge of her affairs” and Mrs. Pierce’s “oldest” son.2 Those
    alleged representations purportedly were the basis for the authority relied on
    by Heptinstall to have Mr. Blackmon sign the documents.
    11. Heptinstall acknowledged that he never afforded Mrs. Pierce the right to
    execute the admission forms herself. He stated that on the three occasions that
    he saw Mrs. Pierce on the day of admission -- at the hospital, on arrival at the
    nursing home, and in her room some two hours later -- she was “comatose,”
    a fact contradicted by the testimony of the other witnesses and the portions of
    the nursing home chart admitted into evidence.
    12. The Court has carefully weighed the credibility of the witnesses and
    rejects the testimony of Mr. Heptinstall. Upon consideration of all the
    evidence, the court finds that the meeting attested to by Mr. Heptinstall did not
    take place. The Court gives great weight to Mr. Blackmon’s testimony and
    finds his testimony about his meeting with Mrs. Buck is more believable than
    the testimony of Mr. Heptinstall.
    13. Mrs. Buck appears to the Court to have testified candidly and honestly
    about the things she knew and did not know. The Court finds that she met
    with Mr. Blackmon and told him that the documents in issue had to be signed
    for the purposes of Mrs. Pierce’s admission in order for the nursing home to
    2
    Mr. Blackmon is actually Mother’s middle son.
    -13-
    secure payment from Medicare. However, it is also clear that Mrs. Buck did
    not understand the agreement to arbitrate and wasn’t able to explain it.
    14. In procuring Mr. Blackmon’s signature on the agreement to arbitrate, Mrs.
    Buck relied solely upon his status as the deceased’s son and not on any power
    of attorney or any representation by him concerning his status as Mrs. Pierce’s
    attorney-in-fact or legal representative. The Court finds no fraud on the part
    of Mrs. Buck in inducing Mr. Blackmon to sign the documents. Although
    Mrs. Buck had Mr. Blackmon sign the documents, Mrs. Pierce was competent
    to make her own decisions and to sign the documents, including the arbitration
    agreement, for herself. Nevertheless, she was never afforded that opportunity
    by anyone from the nursing home.
    15. Tennessee law is clear that relatives do not have inherent authority to bind
    their elderly loved ones to agreements and to act in their place and stead in
    making decisions when they are otherwise competent to make decisions for
    themselves. As the Court explained in Cabany v. Mayfield Rehabilitation and
    Special Care Center, 
    2007 WL 34445550
    , *5 (Tenn. Ct. App. 2007):
    “Personal autonomy -- an adult’s right to live independently and in accordance
    with his or her own personal values -- is a fundamental right (citation omitted).
    The right is of sufficient importance that the law presumes that adults have the
    capacity to be autonomous.” In this case, Defendants admit that Mrs. Pierce
    had the requisite capacity to make her own decisions and her capacity for
    autonomy is amply supported by the record.
    16. In order for Mr. Blackmon to have bound his mother to the arbitration
    agreement, he would have to have been acting as her actual or apparent agent
    when he signed the document. See e.g. Thornton v. Allenbrooke Nursing and
    Rehabilitation Center, 
    2008 WL 2687697
     (Tenn. Ct. App.) An arbitration
    agreement signed by a family member, even next of kin, without apparent or
    express authority of the nursing home resident is invalid. Raiteri v. NHC
    Healthcare/Knoxville, 
    2003 WL 230944413
     (Tenn. Ct. App.)
    17. The court finds on the evidence presented in this case that Mr. Blackmon
    was not acting as his mother’s apparent or actual agent at the time he signed
    the arbitration agreement and further finds there was no reliance by any of the
    Defendants on Mr. Blackmon’s alleged status as Mrs. Pierce’s agent or
    attorney-in-fact. The court further finds that the only basis on which Mrs.
    Buck relied for Mr. Blackmon’s authority to sign the agreement at issue for his
    mother was the fact that “he was her son.” Being next of kin is not enough to
    -14-
    establish Mr. Blackmon’s apparent authority to sign on his mother’s behalf.
    18. Defendants also maintain that Mr. Blackmon had actual authority to act
    on his mother’s behalf in signing the arbitration agreement by virtue of a
    Durable Power of Attorney executed by Lois Pierce in 1991 while living in
    California. However, that document was never presented to anyone at the
    nursing home during Mrs. Pierce’s residency nor relied on by any of the
    Defendants for Mr. Blackmon’s authority to act when signing the arbitration
    agreement.
    19. A copy of the power of attorney now relied on by the Defendants was first
    produced in discovery by Plaintiff in response to the request of the Nursing
    Home Defendants. Mr. Blackmon was unable to locate the original of the
    document among his mother’s personal effects despite his efforts to do so.
    The document did not specify the length of time of its existence and by its
    terms existed for an “indefinite period of time.”
    20. Where no time is specified in a power of attorney, the authority terminates
    at the end of a reasonable period. Restatement (Second) 1 Agency s 105; 3 Am
    Jur. 2d, Agency, s 35. What constitutes a reasonable time during which the
    authority continues is determined by the nature of the act specifically
    authorized, the formality of the authorization, the likelihood of changes in the
    purposes of the principal, and other factors. Restatement (Second) 1 Agency
    s 105, comment b. Whether the agency has expired by lapse of time is a
    question for the trier of fact to determine.
    21. Upon consideration of the evidence, this Court finds that the California
    power of attorney Defendants now seek to rely on had lapsed prior to the time
    Mr. Blackmon signed the arbitration agreement. The purposes for which that
    document had been created (distribution of Mrs. Pierce’s dead husband’s
    estate by her sons in the event she was unable to accomplish that herself) had,
    in fact, been accomplished by Mrs. Pierce in 1994. No action had ever been
    taken by Dennis Blackmon pursuant to that document since its creation and
    Mr. Blackmon did not act pursuant to that power of attorney when he signed
    the arbitration agreement. Neither Mrs. Pierce nor Mr. Blackmon was under
    the impression that the sixteen year old document was in effect at the time of
    her admission to the nursing home. Indeed, just five days after her admission
    to Pigeon Forge, Mrs. Pierce executed a Medical Power of Attorney and a
    General Power of Attorney. The original of the California Power of Attorney
    document was not to be found among Mrs. Pierce’s papers and personal
    -15-
    effects and whether the document was even in existence at the time of the
    hearing was not established.
    22. The Court further finds that Mrs. Pierce took no actions at the nursing
    home creating any apparent authority in Dennis Blackmon to act on her behalf
    which was relied on by any Defendant at the time Mr. Blackmon signed the
    arbitration agreement.
    23. In addition to the foregoing, the Court finds that the circumstances
    surrounding Mr. Blackmon’s execution of the arbitration agreement were
    unconscionable. Mrs. Buck had no understanding of, or ability to explain, the
    document. Furthermore, the explanation of the documents she offered to Mr.
    Blackmon was incorrect.
    24. Also, the time of the application of Mr. Heptinstall’s signature to the
    document and the accuracy of the date inserted by his name is very much in
    doubt. The Court finds that Heptinstall did not sign the document at the time
    Mr. Blackmon signed it. Mr. Heptinstall’s testimony created serious doubts
    about when, whether and under what circumstances he signed various of the
    documents which were part of the admissions packet. By his own testimony,
    his secretary signed his name to at least one of the documents and applied a
    date stamp to others of them. When signatures purporting to be those of
    Heptinstall were actually added to the various documents, including the
    arbitration agreement, is unclear, but the signatures purporting to be his were
    not applied when Mr. Blackmon applied his own thereto. The goal of the
    nursing home was clearly to “sell” the arbitration agreement to residents and
    their families, and by virtue of the testimony, the Court questions “at what
    price” the sale was consummated.
    It is, therefore, ORDERED AND ADJUDGED that the motions to compel
    arbitration and to stay proceedings filed by the Nursing Home Defendants and
    Defendant Shook3 be, and the same are hereby, denied.
    In its ruling, the trial court concluded that the actual arbitration agreement itself was
    not substantively or procedurally unconscionable, was not a contract of adhesion, and that
    Son did not rely upon any representations from Ms. Buck when he signed the document
    without choosing to read it. The trial court did find, however, that the 1991 power of
    3
    Defendant Shook has been dismissed from the action.
    -16-
    attorney had “lapsed” after a period of ten years and that Son therefore lacked authority on
    April 10, 2008, to sign the arbitration agreement on Mother’s behalf. The trial court also
    found the circumstances surrounding the execution of the agreement to be unconscionable.
    From that order this timely appeal ensued.
    II. ISSUES
    The issues presented to us in this appeal are restated as follows:
    1. Did the trial court err in finding that Son lacked the express authority to
    sign the arbitration agreement as Mother’s attorney-in-fact in connection with
    her admission to Facility?
    2. Did the trial court err in finding the circumstances surrounding the
    execution of the arbitration agreement unconscionable?
    3. Did the trial court violate the Federal Arbitration Act, which forbids state
    courts from discriminating against arbitration agreements by imposing
    additional requirements not generally imposed by Tennessee upon all
    contracts?
    III. STANDARD OF REVIEW
    On appeal, this court reviews a grant or denial of a motion to compel arbitration under
    the same standards that apply to bench trials. Cabany v. Mayfield Rehab. & Special Care
    Ctr., No. M2006-00594-COA-R3-CV, 
    2007 WL 3445550
    , at *3 (Tenn. Ct. App. Nov. 15,
    2007). A trial court’s factual findings are presumed to be correct, and we will not overturn
    those factual findings unless the evidence preponderates against them. Tenn. R. App. P.
    13(d); Bogan v. Bogan, 
    60 S.W.3d 721
    , 727 (Tenn. 2001). For the evidence to preponderate
    against a trial court’s finding of fact, it must support another finding of fact with greater
    convincing effect. Watson v. Watson, 
    196 S.W.3d 695
    , 701 (Tenn. Ct. App. 2005). We
    accord great deference to a trial court’s determinations on matters of witness credibility and
    will not re-evaluate such determinations absent clear and convincing evidence to the
    contrary. Wells v. Tenn. Bd. of Regents, 
    9 S.W.3d 779
    , 783 (Tenn. 1999). We review a trial
    court’s conclusions of law under a de novo standard upon the record with no presumption
    of correctness. Union Carbide Corp. v. Huddleston, 
    854 S.W.2d 87
    , 91 (Tenn. 1993).
    The interpretation of a written instrument, including a power of attorney or an
    -17-
    arbitration agreement, is a matter of law. Tenn. Farmers Life Reassurance Co. v. Rose, 
    239 S.W.3d 743
    , 750 (Tenn. 2007) (power of attorney); Fontaine v. Weekley Homes, L.P., No.
    M2002-01651-COA-R3-CV, 
    2003 WL 21946721
    , at *1 (Tenn. Ct. App. Aug. 13, 2003)
    (arbitration agreement). Thus, no presumption of correctness attaches to the trial court’s
    interpretation of the written terms of the documents in question. However, the trial court is
    entitled to a presumption of correctness as to its findings with respect to the surrounding
    factual circumstances.
    IV. DISCUSSION
    MOTHER’S COMPETENCE
    Son contends that he was not Mother’s attorney-in-fact at the time of her admission
    to Facility, had no authority to waive her constitutional rights, and did not seek to do so by
    merely signing a stack of documents presented to him by Defendants and which were
    represented by Defendants as required merely to ensure Facility was paid by Medicare for
    services rendered to Mother. Son argues that Mother had the right to make her own decisions
    when she was admitted. Therefore, Son asserts that no valid agreement to arbitrate exists.
    Tennessee law specifically provides that nursing home residents have the right to
    exercise their “own independent judgment by executing any documents, including admission
    forms.” Tenn. Code Ann. § 68-11-901 (23) *(2006); Tenn. Comp. R. & Regs. 1200-8-6-
    .12(1)(t). Pursuant to Tennessee Code Annotated section 68-11-902, Mother’s rights could
    not lawfully be abridged unless medically contraindicated and supported by either a
    physician’s order or necessary to protect the rights and safety of other residents.
    Furthermore, Defendants were required to explain to Mother the reduction in her rights and
    document in her resident’s record by reciting the limitations’s reason and scope. Id.
    The following records surrounding the beginning of Mother’s stay at Facility attest
    to the fact that not only was she alert, oriented, and fully capable of making her own
    decisions, but also that Defendants were well aware of her status:
    * 04/10/08 Social Services Progress Note: “alert and oriented x3, verbalizes
    needs”
    * 04/14/08 Resident Assessment Protocols for Psychosocial Well-Being,
    Mood State notes “this res. is alert, oriented x3 and verbalizes needs.”
    * 04/18/08 Minimum Data Set (Assesses resident status since her admission
    -18-
    date)
    ** Section AB9 -- no history of mental retardation, mental
    illness, or developmental disability
    * 04/24/08 Minimum Data Set (Assesses resident status for 7 preceding days)
    ** Sections B2-B3 relate no memory problems
    ** Section 4 Cognitive Skills for Daily Decision-Making:
    “INDEPENDENT-- decisions consistent/reasonable
    ** Section 5 Indicators of Delirium-Periodic Disordered
    Thinking/Awareness: “Behavior not present.”
    * * Section 6 confirms her cognitive status, skills, and abilities
    had not changed since last assessment.
    These records were reviewed during the testimony of Ms. Buck. While Ms. Buck had no
    recollection of Mother at all, she readily acknowledged that, according to the records, Mother
    was capable of making her own decisions.
    The trial court found that Defendants were legally required to presume Mother’s
    capacity unless proven otherwise. See Tenn. Code Ann. § 68-11-1812(b). As noted in
    Cabany, 
    2007 WL 3445550
    ,
    “Personal autonomy -- an adult’s right to live independently and in accordance
    with his or her own personal values -- is a fundamental right. In re
    Conservatorship of Groves, 
    109 S.W.3d 317
    , 327-28 (Tenn. Ct. App. 2003).
    The right is of sufficient importance that the law presumes that adults have the
    capacity to be autonomous. Id. at 329-30. Tennessee’s General Assembly has
    explicitly stated that “[a]n individual is presumed to have capacity to make a
    health care decision, to give or revoke an advance directive, and to designate
    or disqualify a surrogate.” Tenn. Code Ann. § 68-11-1812(b) (2006).”
    Id. at *5.
    A review of the record clearly reveals that Defendants never afforded Mother an
    opportunity to review, discuss, or sign any paperwork relating to her admission to Facility.
    Most significant to this case, they never gave her a chance to read and consider the arbitration
    agreement.
    The right of access to the courts and to receive a trial by jury is an individual right and
    cannot be waived by a third party without proper authorization from the individual. Parties
    -19-
    simply cannot be required to arbitrate claims they did not agree to arbitrate. Before
    compelling arbitration, the trial court must first determine whether the nursing home and a
    resident entered into a valid agreement to arbitrate at all. A party moving to compel
    arbitration must show both the existence of a valid agreement to arbitrate and a dispute that
    falls within the scope of such agreement. Will-Drill Res., Inc. v. Samson Res. Co., 
    352 F.3d 211
    , 214 (5th Cir. 2003).
    In Hendrix v. Life Care Ctrs. of Am., Inc., No. E2006-02288-COA-R3-CV, 
    2007 WL 4523876
    , at *5 (Tenn. Ct. App. Dec. 21, 2007), we held that the durable power of attorney
    was not effective at the time of the resident’s admission because the resident was still able
    to make her own medical decisions at the time of the admission. Thus, the daughter’s waiver
    of her mother’s right to a jury trial was unenforceable. See also Thornton v. Allenbrooke
    Nursing & Rehab. Ctr., LLC, No. W2007-00950-COA-R3-CV, 
    2008 WL 2687697
     (Tenn.
    Ct. App. July 3, 2008).
    An arbitration agreement signed by a family member, even a next of kin, without the
    express or apparent authority of the nursing home resident, is invalid. Raiteri v. NHC
    Healthcare/Knoxville, Inc., No. E2003-00068-COA-R9-CV, 
    2003 WL 23094413
     (Tenn. Ct.
    App. Dec. 30, 2003). In Raiteri, a husband met with a nursing home’s admissions
    coordinator to sign admission papers, including an agreement to arbitrate any claims
    regarding his wife’s care against the facility. Id. at *2. While he signed the agreements as
    his wife’s “legal representative,” he did not represent that he had any authority to enter into
    agreements on his wife’s behalf. Id. The court found the husband did not have authority to
    waive his wife’s right to a jury trial. Id. at *8. Pursuant to Raiteri, even if Defendants
    believed Son to be signing as Mother’s son, that is not enough to divest her of her right to
    make decisions for herself. See also Cabany, 
    2007 WL 34455550
    , at *6.
    By the time of the hearing, Defendants stipulated to the fact that Mother was
    competent to make her own decisions. We find that the trial court properly determined that
    Defendants never had a valid agreement to arbitrate with Mother because they did not allow
    her the opportunity to complete her own paperwork.
    Defendants seek to excuse their failure to allow Mother to exercise her rights by
    arguing that Son was the duly authorized power of attorney, even though 1) Facility was
    unaware of the 1991 power of attorney and 2) the original of the document has never been
    located.
    -20-
    1991 POWER OF ATTORNEY
    A power of attorney is a written instrument that creates a principal-agent relationship.
    In Tenn. Farmers Life Reassurance Co. v. Rose, 
    239 S.W.3d 743
     (Tenn. 2007), the
    Tennessee Supreme Court observed that a formal written instrument “like a power of
    attorney should be subjected to careful scrutiny in order to carry out the intent of the author
    and no more. There should be neither a “strict” nor a “liberal” interpretation of the
    instrument, but rather a fair construction that carries out the author’s intent . . . .” Id. at 750.
    The terms of the 1991 power of attorney provided as follows::
    I, Lois L. Pierce, on the date hereafter set forth do hereby appoint Dennis W.
    Blackmon and Ricky E. Blackmon, joint and severally, my attorney-in-fact
    with the power to act in my place and my stead in any and all manners of
    transactions whatsoever, to exercise, do, or perform any act, right, power, duty,
    or obligation whatsoever that I now have and may acquire the legal right,
    power, or capacity to exercise, do, or perform in connection with, arising out
    of, or relating to any person, item, thing, transaction, business, property, real
    or personal, tangible or intangible, or any matter whatsoever.
    This Power of Attorney shall not be affected by the subsequent incapacity of
    the principal. These powers will exist for an indefinite period of time. . . .
    This instrument is to be construed as a general power of attorney and shall not
    limit or restrict the general powers granted to my attorney in fact.
    From the evidence of record, it appears Mother’s 1991 power of attorney existed to
    allow Son and/or his brother to distribute the property of a deceased stepfather to the
    stepfather’s three children in the event Mother became incapacitated or incompetent.4 As a
    distribution of the property to Mother’s stepchildren was conducted in 1994, Son indicated
    that it was his belief the purpose for the power of attorney had ceased. Thus, Son did not
    consider himself to be Mother’s attorney-in-fact at the time of her admission to Facility and
    did not represent himself as serving in that capacity.
    As noted in Barbee v. Kindred Healthcare Operating, Inc., No. W2007-00517-COA-
    R3-CV, 
    2008 WL 4615858
     (Tenn. Ct. App. Oct. 20, 2008),
    4
    The trial court made findings regarding Mother’s intention and the circumstances surrounding the
    execution of the document.
    -21-
    The common law of agency “attributes the legal consequences of one person’s
    action to another person.” Restatement (Third) of Agency ch. 2, Introductory
    Note (2006). The Restatement notes that “[r]elationships of agency are among
    the larger family of relationships in which one person acts to further the
    interests of another and is subject to fiduciary obligations.” Id. § 1.01, cmt. g.
    Unlike some other fiduciary relationships, in an agency, the principal has the
    power to terminate the authority of the agent. Id. A common-law agency
    arises when the principal assents for the agent to act on the principal’s behalf,
    and the agent agrees. Id. § 1.01, cmt. c. A person who is not in a mental
    condition to contract is not competent to appoint an agent for the purpose of
    contracting. 3 Am.Jur.2d Agency §11 (2002). An agency relationship is
    created only “at the will and by the act of the principal and its existence is a
    fact to be proved by tracing it to some act of the alleged principal and turns on
    facts concerning the understanding between the alleged principal and agent.”
    Id. § 15.
    Two bases under which the common law attributes the legal consequences of
    the agent’s actions to the principal are actual authority and apparent authority.
    Restatement (Third) of Agency ch. 2, Introductory Note (2006). The
    Restatement includes implied authority under the auspices of actual authority.
    The term “implied authority” is typically used to denote actual authority either
    to do what is necessary to accomplish the agent’s express responsibilities, or
    to act in a manner that the agent reasonably believes the principal wishes the
    agent to act, in light of the principal’s objectives and manifestations. Id. § 2.01
    cmt. b.
    Id. at *6. The Barbee opinion goes on to note that apparent authority
    is the power held by the putative agent “to affect a principal’s legal relations
    with third parties when a third party reasonably believes the [putative agent]
    has authority to act on behalf of the principal and that belief is traceable to the
    principal’s manifestations.” Id. § 2.03. In Tennessee, apparent authority has
    been described as:
    (1) such authority as the principal knowingly permits the agent
    to assume or which he holds the agent out as possessing;
    (2) such authority as he appears to have by reason of the actual
    authority which he has;
    (3) such authority as a reasonably prudent man, using diligence
    and discretion, in view of the principal’s conduct, would
    -22-
    naturally suppose the agent to possess.
    Franklin Distrib. Co. v. Crush Intern. (U.S.A.), Inc., 
    726 S.W.2d 926
    , 930-31
    (Tenn. Ct. App. 1986). We note that “a principal is responsible for the acts of
    an agent within his apparent authority only where the principal himself by his
    acts or conduct has clothed the agent with the appearance of authority, and not
    where the agent’s own conduct has created the apparent authority.” S. Ry. Co.,
    197 S.W.at 677. The burden is on the claimant to show the authority of the
    agent. John J. Heirigs Const. Co. v. Exide, 
    709 S.W.2d 604
    , 608 (Tenn. Ct.
    App. 1986).
    
    2008 WL 4615858
    , at *6-7.
    POWER OF ATTORNEY LAPSED
    Although the 1991 power of attorney provides that the powers granted “will exist for
    an indefinite period of time,” where no date of termination is given, an agency is terminated
    “after the expiration of a reasonable time.” 3 Am. Jur.2d Agency § 35; Rutter v. Rutter, 
    398 P.2d 259
    , 261 (N.M. 1964); Beaucar v. Bristol Fed. Sav. & Loan Ass’n, 
    268 A.2d 679
    , 687
    (Conn. Cir. Ct. 1969). Further, the issue of expiration of an agency relationship by lapse of
    time must be resolved by the trier of fact. Beaucar, 268 A.2d at 687; Losada v. Senese Mfg.
    Co., 
    94 A.2d 616
    , 618 (Conn. Cir. Ct. 1953).
    In Rutter, the Supreme Court of New Mexico quoted 3 Am.Jur.2d Agency § 35:
    If no time is specified for the termination of the agency, it is generally held that
    the contract and authority thereunder may be cancelled and revoked after the
    expiration of a reasonable time. If the contract is indefinite, the determination
    of what constitutes a reasonable time will depend upon the facts and
    circumstances of the particular case . . . .
    398 P.2d at 742. The Court went on to note “[w]hat constitutes a reasonable time under the
    conditions prevailing here, was a matter within the province of the trial court to determine.”
    Id.
    Son did not believe the 1991 power of attorney was still in effect when Mother
    entered Facility. The original of the power of attorney has never been located, and there is
    no evidence that it was even in existence at the time of Mother’s admission to Facility. The
    original was never in Son’s possession. Despite a diligent search, it was not found among
    -23-
    Mother’s personal effects or located anywhere else. The evidence at the hearing established
    that the original of the power of attorney had been returned to Mother by her attorney after
    it was recorded in the California court. In fact, believing a valid power of attorney did not
    exist for legal or healthcare decisions, Mother executed a General Power of Attorney and a
    Medical Power of Attorney on April 15, 2008, five days after her admission to Facility. Son
    testified that earlier that same year, his brother Charles had suggested to Mother that she
    prepare a Will and power of attorney. Accordingly, the trial court properly found from the
    facts and circumstances that the 1991 power of attorney had lapsed where Son never
    exercised any powers under it and the purposes for its creation had been accomplished many
    years prior to Mother’s admission to Facility.
    ACTIONS OF MOTHER
    As to her admission to Facility, Mother took no actions to clothe Son with authority
    to act as her agent. No evidence whatsoever exists in the record before us pointing to any
    action taken by Mother, the principal, that cloaked Son with either express or apparent
    authority to act on her behalf in executing the admission documents, including the arbitration
    agreement.
    “A principal is bound neither by contracts made by a person not his agent, nor by
    those of his agent beyond the scope of his actual and apparent authority, which he has not
    ratified and is not estopped to deny.” Hearn v. Quince Nursing & Rehab. Ctr., LLC, W2007-
    02563-COA-R3-CV, 
    2008 WL 4614265
     (Tenn. Ct. App. Oct. 16, 2008) (holding that estate
    of a resident could not be bound to arbitration agreement signed by the resident’s adult child
    absent some act and/or conduct of the resident creating authority); Thornton v. Allenbrooke
    Nursing & Rehab. Ctr., LLC, No. W2007-00950-COA-R3-CV, 
    2008 WL 2687697
     at *8
    (Tenn. Ct. App. July 3, 2008) (holding that even where daughter was highly involved in
    personal matters of competent resident, no action was taken by resident indicating to the
    facility that daughter was her agent).
    ACTUAL OR APPARENT AUTHORITY OF SON
    Son contends that he had neither actual nor apparent authority to act as Mother’s
    power of attorney at the time of her admission. Son notes that at no time did he hold himself
    out as Mother’s attorney-in-fact, and he never indicated that he held a power of attorney
    authorizing him to act on her behalf. Facility never asked for or received a power of attorney
    in connection with Mother’s admission.
    -24-
    A review of the documents Son signed at the time supports his contention that he
    lacked authority. For example, the admission agreement contains four signature blanks: 1)
    for “Resident/Legal Guardian”; 2) for “Power of Attorney”; 3) for “Responsible Party”’ and
    4) for “Witness.” The only blank signed by Son is the one designated for a responsible party.
    Clearly he did not view himself as having a power of attorney or he would have signed in that
    space. Where other documents in the package bear his signature above the line for
    “responsible party” or “POA,” in those instances, he had no other choices as to the location
    of his signature on the documents.
    Further, part of the admission agreement states, “The above individual signing on
    behalf of the beneficiary certified that it is impractical for the beneficiary to sign this
    customer checklist due to:” and is followed by blanks to indicate the type of disability
    requiring signature of one other than the beneficiary -- “Physical Incapacity,” “Mental
    Incapacity,” “Death,” and “Other.” None of these blanks is checked. Many of the other
    documents in the package are also incomplete when the document calls for a description of
    Son’s legal relationship to Mother.
    During the sixteen years between the execution of the 1991 power of attorney and
    Mother’s admission to Facility, Son never exercised any power pursuant to the power of
    attorney document. The record is clear that during that time frame, Son did not handle any
    of Mother’s personal or financial affairs. Mother remained independent in all of her
    decision-making.
    KNOWLEDGE OF DEFENDANTS
    Until discovery in this lawsuit, Defendants were unaware of the 1991 power of
    attorney which identified Son and his brother, Rickey E. Blackmon, jointly and severally, as
    Mother’s attorneys-in-fact. Defendants stipulated at the onset of the hearing that Facility
    was completely unaware of the existence of this document until it was produced during
    discovery. Therefore, reliance on the document is misplaced because Defendants never
    relied on Son’s alleged standing as attorney-in-fact. The evidence of record supports the
    conclusion that Defendants sought Son’s signature on the admission documents solely
    because he was Mother’s son – not on the basis that he held any power of attorney for her.
    There is no dispute that Defendants took no steps to confirm any purported or
    suspected authority of Son to act as Mother’s agent. The agreement to arbitrate itself
    requires that “If a Resident’s legal representative is signing, they must include
    documentation of authority such as Power of Attorney/Guardianship papers or have
    authority to act on the Resident’s behalf.” (Emphasis added). Defendants have admitted
    -25-
    that they did not obtain from Son any documentation pertaining to him holding a power of
    attorney for Mother at the time her admission. This omission by Facility is also revealed by
    Facility’s own “Financial Record Checklist” which checks all items contained in Facility’s
    file. This document notes that “items not checked are missing.” The blank adjacent to the
    item “Power of Attorney” is not checked.
    The only evidence in the record before us from which Defendants could argue that
    they believed Son held a power of attorney at the time of Mother’s admission is the testimony
    of Mr. Heptinstall. This evidence, however, was dismissed outright by the trial court which
    found the testimony “not credible” and further concluded that Mr. Heptinstall had never even
    met with Mr. Blackmon. Moreover, even if Son had made a representation that he was
    authorized to act on Mother’s behalf, Defendants were not entitled to rely on this
    representation alone to abrogate Mother’s rights. See Hendrix v. Life Care Ctrs. of Am., Inc.,
    No. E2006-02288-COA-R3-CV, 
    2007 WL 4523876
     (Tenn. Ct. App. Dec. 21, 2007):
    “Nursing Home is not entitled, as it suggested on oral argument, to simply
    ‘rely upon someone who comes in and says, I’m the POA. I have the authority.
    Here’s the Power of Attorney. Let me sign the documents.’ By signing the
    arbitration agreement, Daughter sought to bind Mother to a course of action
    that altered her legal rights. Unless Mother’s power of attorney documents
    were in effect at the time -- and we have already affirmed the trial court’s
    ruling that they were not -- Daughter did not have power to do this. That her
    retrospective powerlessness now accrues to her own benefit is an odd quirk of
    the case’s facts, and is undoubtedly frustrating to Nursing Home, but it does
    not alter the pertinent legal doctrines nor the proper outcome of this case.”
    Hendrix, 
    2007 WL 4523876
    , at *7.
    The power of attorney had lapsed and Defendants cannot establish that they
    reasonably relied on it even if it has not become ineffective. Son did not have the power to
    bind Mother to a course of action that altered her legal rights. The arbitration agreement was
    not validly agreed to by Mother, who was competent to act on her own behalf. Thus,
    Mother’s estate cannot be legally bound by the arbitration agreement signed by Son.
    In view of our holding, we do not find it necessary to address the other arguments
    raised by Defendants regarding the arbitration agreement. Those issues are therefore
    pretermitted.
    -26-
    V. CONCLUSION
    The order of the trial court denying Defendants’s motion to compel arbitration is
    affirmed. Costs on appeal are taxed to the appellants, LP Pigeon Forge, LLC; Signature
    Consulting Services, LLC; Signature Clinical Consulting Services, LLC; Signature
    Healthcare, LLC; Jonathan Jack Bowers; Integritas Health Care, LLC; Integritas LTC
    Practitioners of Tennessee, LLC; Integritas Professional Development Services, LLC;
    Integritas of Tennessee, LLC; and Kathleen A. Arnold. This case is remanded for further
    proceedings consistent with this opinion.
    _________________________________
    JOHN W. McCLARTY, JUDGE
    -27-