Department File Number : | M201781616 |
Claim Number : | 107-021014 |
Date Submitted : | 3/31/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
GRANITE STATE INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
02-0140690 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | carolyn | r | ewell | ||
Street Address | |||||
17200 W 119th St | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 4217 | carolynranee.ewell@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOANNA | T | GABRIUS | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2324 S. Congress Ave Ste 1B | ||||
City | State | Zip Code | County | ||
West Palm Beach | FL | 33406 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
059896946 | $500,000 | $1,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Licensed Practical Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PN5169513 | Physicians - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Patient's Home | |||||
Name of Institution | Code | ||||
BETHESDA HOSPITAL WEST | 23960098 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Fall in bathroom | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/21/2013 | 12/9/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The individual was getting off the toilet from using the rest room and she fell. The insured did not adequately assist her off the portable commode which resulted in a broken left leg. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Failing to properly assist with transfer off of toilet. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failing to properly monitor and maintain a safe environment | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGE FAILURE TO PROPERLY ASSIST FROM THE TOILET, R/I IN A FX LEG TO 86 YR OLD FEMALE. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/3/2015 | 2015CA010099 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 3/31/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/31/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $98,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $21,494 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,313 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. JOANNA T GABRIUS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOANNA T GABRIUS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).