## Facts

- Maggie Hazelton, age 83, was admitted to Driftwood Nursing Center on April 9, 1999, discharged May 30, 1999, readmitted in June 1999, discharged August 11, 1999, and died August 12, 1999, at a hospital.
- Hazelton’s estate alleged a pattern of neglect at Driftwood, including pneumonia, falls, unexplained injuries, fractures, infections, weight loss, pressure sores, poor hygiene, sepsis, and death, with associated pain, indignity, and emotional distress.
- H. Conner Cain was Driftwood’s president, controlling shareholder, and licensee; he reported frequent facility walk-throughs and communications with management but stated he was not informed of Hazelton-specific complaints or conditions.
- Richard L. Smith served as Driftwood’s administrator during part of Hazelton’s residency but resigned on June 15, 1999, about two months before her death.
- The estate relied in part on Mississippi nursing-home statutes, Department of Health regulations, and survey/inspection citations to argue Cain and Smith were on notice of facility-wide deficiencies.

## Issues

1. Whether Mississippi nursing-home statutes, regulations, and survey citations created triable issues that Cain (licensee/owner) and Smith (former administrator) individually owed and breached duties to Hazelton.
2. Whether evidence supported personal liability of Cain or Smith for negligence, medical malpractice, fraud, or wrongful death absent proof of their direct involvement in Hazelton’s care or specific tortious acts.

## Decision

- The Mississippi Court of Appeals affirmed summary judgment for Cain and Smith.
- The court held the estate failed to produce specific facts showing a genuine dispute that either defendant personally breached a duty to Hazelton.
- Regulatory surveys and citations, without a concrete link to Hazelton’s care and to the defendants’ individual knowledge or conduct, did not create a triable issue of personal liability.
- The record did not support medical-malpractice or fraud claims against Cain or Smith because neither provided clinical care to Hazelton nor made actionable misrepresentations.

## Legal Principles

- Summary judgment is proper when there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law; the nonmovant must present specific facts, not allegations.
- A nursing-home licensee/owner or administrator is not personally liable for resident injuries solely due to position or general oversight; personal liability requires proof of an individual duty and breach through direct participation, control over the negligent acts, or other affirmative tortious conduct.
- Generalized evidence of facility deficiencies or regulatory noncompliance does not, by itself, establish an individual defendant’s knowledge, breach, causation, or fraud elements as to a particular resident.

## Conclusion

The court upheld dismissal of claims against the nursing home’s owner/licensee and a former administrator because the estate did not present evidence tying either individual to Hazelton’s specific care, any personal statutory breach, or any fraud, making summary judgment appropriate.


Estate of Hazelton ex rel. Hester v. Cain, 950 So. 2d 231 (Miss. Ct. App. 2007)