NELLIE M. WHITELEY v. LIFE CARE CENTERS OF AMERICA, Employer; And OLD REPUBLIC INSURANCE, Surety
CourtIdaho Supreme Court
Date FiledSeptember 1, 2026
Docket53061
StatusPublished
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Full Opinion
IN THE SUPREME COURT OF THE STATE OF IDAHO
Docket No. 53061
NELLIE M. WHITELEY, )
)
Claimant-Appellant, )
)
Twin Falls, June 2026 Term
v. )
)
Opinion Filed: September 1, 2026
LIFE CARE CENTERS OF AMERICA, )
Employer; and OLD REPUBLIC )
Melanie Gagnepain, Clerk
INSURANCE, Surety, )
)
Respondents. )
_______________________________________ )
Appeal from the Idaho Industrial Commission.
The order of the Industrial Commission is set aside.
Baker & Harris, Blackfoot, for Appellant. Jonathan W. Harris argued.
Bowen & Bailey, Boise, for Respondents. H. Chad Walker argued.
_____________________
BRODY, Justice.
This appeal involves a worker’s compensation claim for permanent disability in excess of
impairment. Nellie M. Whiteley fell in her employer’s parking lot while working as a certified
nurse assistant, fracturing her left leg in two places and tearing her lower ankle tendons from the
bone. In this appeal of the Idaho Industrial Commission’s order awarding her worker’s
compensation benefits for the injury, we must decide whether the Commission erred in assigning
Ms. Whiteley a 20% permanent partial disability rating instead of the 34% she proposed.
To prove her proposal, Ms. Whiteley compiled an appreciable body of evidence detailing
her post‑injury physical limitations and the resulting constraints on her future employment
prospects. This evidence was uncontested by her employer and its surety. Even so, the Commission
was unpersuaded. It characterized Ms. Whiteley’s proposed 34% rating as “overinflated” and
reduced it to 20% based on its skepticism of her evidence and its assessment that she was unlikely
to seek alternative employment. Because the Commission’s rationale for discounting Ms.
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Whiteley’s evidence was inconsistent with applicable legal standards, we set aside the
Commission’s order. The record clearly supports the 34% rating.
I. FACTUAL AND PROCEDURAL BACKGROUND
Ms. Whiteley grew up in Rupert, Idaho and graduated from Minico High School in 1986.
She worked for Simplot before serving four years on active duty in the Army, followed by six
years in the National Guard Reserves. In the Army, Ms. Whiteley trained in military policing.
After her military service, Ms. Whiteley completed Police Officer Standards Training at the
College of Southern Idaho and concurrently worked as a dispatcher with the Cassia County
Sherriff’s Office. She later moved to Las Vegas, Nevada, where she worked as a security guard
for twelve years. Ms. Whiteley returned to Idaho in 2005 and worked intermittently in various
part‑time positions while raising her children. In 2018, she completed the certified nurse assistant
(“CNA”) program at the College of Southern Idaho and began working for Life Care Centers of
America’s Bridgeview Estates (“Bridgeview”), a skilled nursing facility in Twin Falls, Idaho.
In November 2019, Ms. Whiteley slipped on ice and fell in Bridgeview’s parking lot. The
fall fractured her left tibia and fibula and tore the lower ankle tendons from the bone. At the time,
Ms. Whiteley worked full‑time for Bridgeview as a CNA, earning $13 per hour. She testified that
in her role as a CNA, she typically walked seven to eight miles per shift and regularly lifted at least
seventy‑five pounds, and occasionally more when assisting a patient after “an extraordinary fall.”
In December 2019, Dr. Mark Wright performed ankle surgery on Ms. Whiteley. The
following month, she returned to Bridgeview as a receptionist because she relied on a wheelchair
and, later, a scooter for mobility. Dr. Wright performed an additional surgery a year later due to
Ms. Whiteley’s ongoing pain. Specifically, Dr. Wright “removed one metal plate, replaced
another, and performed a donor bone graft.” Despite the second surgery, Ms. Whiteley continued
to experience pain and swelling because “[t]he fibula had not knitted,” likely “due to the use of a
donor-supplied bone graft.” Dr. Wright performed a third surgery in late 2021, “in which [Ms.
Whiteley’s] own tissues were used to graft the fibula so that it might finally fuse and fully heal.”
Nonetheless, Ms. Whiteley continued to experience pain.
In December 2021, Ms. Whiteley assumed her current role with Bridgeview as activities
director, earning $18.03 per hour. Initially, “[s]he work[ed] [forty] hours a week, plus a little
overtime doing CNA work when needed.” Ms. Whiteley maintains that she cannot work as a CNA
beyond occasional overtime because persistent “pain and swelling in the left leg and ankle prevent
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her from doing more work than that.” In any event, at the time a Commission Referee issued his
Findings of Fact, Conclusions of Law, and Recommendation, Ms. Whiteley had “not worked a
[four]-hour CNA shift for a year or more.”
As of April 27, 2022—Ms. Whiteley’s last recorded visit with Dr. Wright—the bones in
her lower left leg had finally healed. Moreover, Ms. Whiteley’s physical therapist reported that
she “had progressed from 0% to 80% function.” Dr. Wright recorded the following impression
from that visit:
I am going to keep her back to full duty without restriction. I think she does fine
with [sic] the activities director. As long as they can leave her in that job, she will
do well. I will see her back on an as-needed basis. If she has to go back and be more
physical, it may be problematic for her. We spoke about doing restriction. She is
really not interested in that. She thinks she can monitor herself and do what she
needs to do.
In a post-hearing deposition, Dr. Wright explained that he is generally reluctant to prescribe
physical restrictions because they may limit the patient’s ability to gain long-term employment:
Q. Okay. And that’s one of the primary reasons we are here today is I
need to just get a little more meat on the bone as far as that’s concerned.
So in your record, you said, “We spoke about doing restriction. She’s not
really interested in that. She thinks she can monitor herself and do what she needs
to do.”
[Dr. Wright]. Correct.
Q. So basically you had offered to give some restrictions, but she didn’t
feel like she needed you to do that because she was already in a job that worked for
her?
[Dr. Wright]. Well, I think that’s really more of an understanding of work
comp and the restrictive process and the lack -- or the inability to be employed if
you have long-term, chronic restrictions.
That’s more of a philosophical thing that I -- when I talk to people about --
in Idaho you’re in an at-will work state. And as such, if you get restrictions, all it
does is limit your ability to work in the future at a job that you may be able to do
based on your issues. It doesn’t really help you a lot beyond that.
Q. That’s a potential consequence. However, in a work comp case like
this, the compensation that she can claim is based on work restrictions, so we try to
define that as clearly as we can.
[Ms. Whiteley] testified at hearing that with the activities director job,
there’s some standing and walking, but it was at her pace and that she could sit
when she needed to sit. Do you believe -- do you feel like that’s responsible?
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[Dr. Wright]. It depends on -- I didn’t see her back and go over anything
beyond this, so I have to leave the record intact. I did not have a conversation with
her specifically about that after this meeting, is my understanding.
Q. Okay.
[Dr. Wright]. I can’t conjecture that. That wouldn’t be fair.
....
Q. . . . [A]t the time, it seemed like you had the feeling that, yeah, she
can do this job and she can monitor and manage herself, and if she feels like that
she can work in this job at the pace that she needs to, sitting and standing as she
needs to, then that would be the only work restriction that you would give.
[Dr. Wright]. Yeah. I mean, I look at it based on the current job that they
are doing; so maybe, again a philosophical thing.
But if she was working on a road construction crew and had to run a shovel
all day, I don’t think she could do that.
Ms. Whiteley continues to report difficulty “walking, standing, getting up and down from the floor,
stooping, and bending.” These limitations have caused her to rule out CNA or security work. Ms.
Whiteley further reported that she largely refrains from outdoor recreational activities she once
enjoyed because her injury affects her “gait and balance.”
Bridgeview’s independent medical expert, orthopedic surgeon Dr. James Bailey, examined
Ms. Whiteley and reviewed her medical records in June 2022. He observed Ms. Whiteley’s poor
balance, range-of-motion loss “with extended knee dorsiflexion and subtalar/forefoot inversion
and eversion” and “decreased sensation in a stocking pattern of the foot and ankle with tenderness
at the ends of the tibia and fibula.” Dr. Bailey concluded that Ms. Whiteley’s “left ankle fracture
was at maximum medical improvement (MMI) and that she would be rated with a 4% whole
person” permanent partial impairment (“PPI”).
Later, in December 2022, physical therapist Brendan Bagley, at the request of Ms.
Whiteley’s lawyer, conducted a functional capacity assessment (“FCA”) of Ms. Whiteley.
Bagley’s two-day FCA involved, among other things, walking in a parking lot, going up and down
stairs, carrying, lifting, and typing. He concluded that Ms. Whiteley was capable of work at the
“light” level under the Dictionary of Occupational Titles. Bagley further concluded that Ms.
Whiteley could occasionally “perform some lifting up to 30 pounds,” which is classified in the
“medium” category, “but not on a full-time basis.” In his post-hearing deposition, Dr. Wright
“declined to comment on the limitations represented” in the FCA. By contrast, Dr. Bailey,
Bridgeview’s independent medical expert, stated he agreed with the FCA.
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Ms. Whiteley was next evaluated by vocational expert Kent Granat in January 2023 at the
request of her attorney. Mr. Granat interviewed Ms. Whiteley and reviewed her medical records,
the medical opinions in her case, relevant “job duties and their physical demand according to the
Dictionary of Occupational Titles,” conducted a “transferrable skills assessment,” and “a labor
market access loss assessment.” The referee described Mr. Granat’s conclusions as follows:
A) Ability to return to jobs held prior [to the] -70% loss due to only 3 of 10 jobs
previously performed remaining available. He knew from experience the potato
grader and general dispatcher jobs were jobs available in her local economy.
B) Transferable skills to jobs similar to those held in the past - 55% loss. An index
showed 155 jobs available would be reduced to the remaining 58 jobs in the light
and sedentary categories.
C) Career change considering all jobs in the semi-skilled workforce - 77% loss with
limitation now to sedentary, light, semi-skilled jobs that honor standing, walking
and postural restrictions.
Mr. Granat also considered wage loss, concluding that, as a general matter, “a CNA job paid 2%
more than a recreational activities director position.” In other words, Ms. Whiteley’s “wage loss
for disability purposes was 0%.” Apart from wage loss, Mr. Granat determined that Ms. Whiteley’s
injury resulted in a 68% loss in opportunities in the labor market. Mr. Granat characterized Ms.
Whiteley’s limitation to work involving lifting no more than thirty pounds as the key “barrier . . .
to future employment.” That limitation rules out many of the job opportunities available in Jerome,
where Ms. Whiteley lives, and its environs. By averaging the loss in labor market access with the
loss in wage‑earning capacity, he determined that Ms. Whiteley’s permanent partial disability
(“PPD”) rating is 34%.
Ms. Whiteley filed a worker’s compensation complaint with the Commission in March
2023. A hearing was held in January 2024, at which Ms. Whiteley and her husband, Kyle Whiteley,
gave testimony and exhibits were entered. The parties took post-hearing depositions of Dr. Wright,
Dr. Bailey, and Mr. Granat. The parties contested the proper PPD award and briefed that issue to
a Commission Referee. The Referee entered his Findings of Fact, Conclusions of Law, and
Recommendation to the Commission in May 2025.
The Referee found that a 4% PPI rating was uncontested. However, the parties disagreed
on the ultimate PPD determination. Ms. Whiteley sought a 34% PPD rating, while Bridgeview
sought a 17% rating. Addressing the nonmedical factors, the Referee noted that Ms. Whiteley
“based her permanent disability argument on the hypothetical future loss of the activities-director
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job.” He appeared to fault Ms. Whiteley for relying on “PT Bagley for physical capacities
information as if the FCA constituted permanent medical restrictions of a treating physician and
not merely a snapshot of [her] limitations on that day.” While Dr. Bailey, Bridgeview’s expert,
acknowledged the limitations expressed in the FCA, in the Referee’s view, Dr. Bailey did not
“opine [them] to be restrictions” in the technical sense. Instead, Dr. Bailey appeared to view Ms.
Whiteley’s “current job as activities director to satisfy an implied restriction of no more than [four]
hours of standing and walking.”
The Referee further faulted Mr. Granat’s PPD rating for relying on PT Bagley’s FCA rather
than formal medical restrictions. He took the view that “vocational opinions are not afforded as
much weight by the Commission because they are not vetted by a medical provider who
understands the particular injury and the particular worker’s abilities over time.” Moreover, FCAs
are only one of the many factors a physician may consider when determining the appropriate
medical restrictions for a particular patient and only offer insight about “a person’s physical
capacitates on a particular day.”
At bottom, the Referee viewed Ms. Whiteley’s physical limitations as “uncertain”—despite
the FCA, vocational analysis, and testimony of Bridgeview’s independent medical expert—
because Dr. Wright refused “to issue restrictions or a PPI rating” upon concluding that Ms.
Whiteley had reached MMI. As the Referee saw things, Dr. Wright would only acknowledge that
Ms. Whiteley “could work as activities director but perhaps not as a CNA because of possible
additional lifting,” undermining her proposed 34% PPD rating.
Ultimately, the Referee concluded that, because there was no “substantial evidence”
showing that Ms. Whiteley was likely to lose her job with Bridgeview as activities director and
because Dr. Wright refused to prescribe “specific restrictions,” Mr. Granat’s vocational study
produced an “overinflated” PPD score (34%). Nonetheless, the Referee agreed that “some
permanent disability is reasonable and likely . . . in order to preserve her chances in the job market
should she re-enter it.” In his view, a 20% PPD rating, inclusive of 4% PPI, was more appropriate.
The Commission agreed with the Referee and adopted his recommendation. One
Commissioner, Commissioner White, dissented because he disagreed with the Commission’s 20%
PPD rating. He raised two objections to the majority’s reasoning. First, as Commissioner White
viewed the record, “every medical opinion in this case directly or indirectly supports a finding that
[Ms. Whiteley] cannot return to work as a CNA and has lost the capacity to perform medium and
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heavy level work.” Second, Commissioner White appeared to object to the contention that a 34%
PPD score is “overinflated” given that Ms. Whiteley has “lost access” to job opportunities in fields
in which she has experience, namely, CNA and law enforcement work. He would not have relied
on the fact that Ms. Whiteley presently holds the activities director position in assessing her
reduced access to the job market, as the majority did. Ms. Whiteley timely appealed to this Court.
See I.A.R. 14(b).
II. STANDARDS OF REVIEW
The Idaho Constitution confers on the Idaho Supreme Court “jurisdiction to review, upon
appeal . . . any order” of the Commission. Idaho Const. art. V, § 9; see also I.C. § 72-724. However,
appellate review in this context is limited to questions of law. Idaho Const. art. V, § 9. This Court
may “set aside” an erroneous order of the Commission on any of four grounds:
(1) The commission’s findings of fact are not based on any substantial competent
evidence;
(2) The commission has acted without jurisdiction or in excess of its powers;
(3) The findings of fact, order or award were procured by fraud;
(4) The findings of fact do not as a matter of law support the order or award.
I.C. § 72-732.
With respect to questions of fact, “the members of the [Commission] are the triers of the
facts—the final judges of the weight and credibility to be given the opinion of experts.” Stralovich
v. Sunshine Mining Co., 68 Idaho 524, 534, 201 P.2d 106, 112 (1948) (citation omitted). This
deference limits this Court’s review to confirming that the Commission’s findings are grounded in
“substantial and competent evidence.” Jensen v. City of Pocatello, 135 Idaho 406, 409, 18 P.3d
211, 214 (2000) (citing Ogden v. Thompson, 128 Idaho 87, 88, 910 P.2d 759, 760 (1996)).
“Substantial and competent evidence is relevant evidence that a reasonable mind might accept to
support a conclusion.” Uhl v. Ballard Med. Prods., Inc., 138 Idaho 653, 657, 67 P.3d 1265, 1269
(2003) (citing Hughen v. Highland Ests., 137 Idaho 349, 48 P.3d 1238 (2002)).
By contrast, and consistent with its constitutional mandate, this Court freely reviews the
Commission’s legal conclusions. McNulty v. Sinclair Oil Corp., 152 Idaho 582, 585, 272 P.3d 554,
557 (2012) (citing Ewins v. Allied Sec., 138 Idaho 343, 346, 63 P.3d 469, 472 (2003)).
III. ANALYSIS
A. The Commission erred by applying the wrong legal standards to its review of the
evidence.
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Ms. Whiteley’s challenge to the Commission’s treatment of the evidence rests on three
distinct arguments. First, she asserts that the Commission “disregarded credible unrefuted
testimony” and other evidence in reaching its 20% PPD determination. Second, she contends that
the Commission erred by discounting the findings of her FCA based on Dr. Wright’s refusal to
expressly endorse them, effectively heightening her burden of proof to demonstrate disability in
excess of impairment. Third, she argues that, even apart from those errors, the Commission’s
adoption of a 20% PPD rating lacks the support of substantial and competent evidence because it
rests on speculation that her “restrictions are not permanent” or that her “condition might improve
over time.”
Bridgeview responds that Ms. Whiteley’s arguments merely invite this Court to “reweigh
the evidence” and substitute its own judgment for the Commission’s. Bridgeview maintains that
the Commission, as the finder of fact in worker’s compensation proceedings, was entitled to reject
the FCA and to conclude that Ms. Whiteley’s disability is less than the 34% she claimed.
We do not see Ms. Whiteley’s claims of error on appeal as an invitation to simply reweigh
the evidence. Rather, the Commission’s order reflects at least two erroneous applications of the
legal standards relevant to its evaluation of the evidence—first, the Commission supplied its own
contrary factual conclusions without evidentiary support, and second, substantial and competent
evidence does not support its decision to assign a 20% PPD rating.
Idaho’s worker’s compensation law aims to provide “sure and certain relief for injured
[workers].” I.C. § 72-201. Wage‑loss and disability benefits reflect the legislature’s intent to
furnish, in an “efficient, dignified, and certain” manner, the income support “an enlightened
community would feel obliged to provide,” not to award tort‑type damages. Arthur Larson et al.,
Larson’s Workers’ Compensation Law § 1.03 (Matthew Bender & Co., rev. ed. 2024).
Compensation for disability therefore operates within a distinct statutory framework.
Under Idaho Code section 72‑102(10), a “disability” is “a decrease in wage‑earning
capacity due to injury or occupational disease.” I.C. § 72-102(10). Determining compensation for
a “disability” requires evaluating “the injured employee’s present and probable future ability to
engage in gainful activity” in light of “the medical factor of permanent impairment” and “pertinent
nonmedical factors.” I.C. § 72-425. The nonmedical factors are considerably broad:
Matters to be considered. In determining percentages of permanent disabilities,
account shall be taken of the nature of the physical disablement, the disfigurement
if of a kind likely to limit the employee in procuring or holding employment, the
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cumulative effect of multiple injuries, the occupation of the employee, and his age
at the time of accident causing the injury, or manifestation of the occupational
disease, consideration being given to the diminished ability of the afflicted
employee to compete in an open labor market within a reasonable geographical area
considering all the personal and economic circumstances of the employee, and
other factors as the commission may deem relevant, provided that when a scheduled
or unscheduled income benefit is paid or payable for the permanent partial or total
loss or loss of use of a member or organ of the body no additional benefit shall be
payable for disfigurement.
I.C. § 72-430(1).
A worker’s compensation claimant bears “the burden of proving, by a preponderance of
the evidence, all the facts essential to recovery.” Evans v. Hara’s Inc., 123 Idaho 473, 479, 849
P.2d 934, 940 (1993) (citation omitted). That burden is the same where, as here, a claimant seeks
disability in excess of impairment. McCabe v. Jo Ann Stores, Inc., 145 Idaho 91, 96, 175 P.3d 780,
785 (2007) (citing Bennett v. Clark Hereford Ranch, 106 Idaho 438, 440, 680 P.2d 539, 541
(1984)). A claimant, however, need not present any particular type of evidence to satisfy their
burden to prove disability in excess of impairment. Baldner v. Bennett’s, Inc., 103 Idaho 458, 461–
62, 649 P.2d 1214, 1217–18 (1982).
In evaluating the evidence, the Commission must confine its factfinding to the record and
may not substitute its own “specialized knowledge” for evidence actually presented. Mazzone v.
Tex. Roadhouse, Inc., 154 Idaho 750, 760–61, 302 P.3d 718, 728–29 (2013) (citation modified).
Nor may it reject “the positive, uncontradicted testimony of a credible witness, unless his
testimony is inherently improbable, or rendered so by facts and circumstances disclosed at the
hearing.” Pierstorff v. Gray’s Auto Shop, 58 Idaho 438, 447, 74 P.2d 171, 175 (1937) (citation
omitted). The same principle applies to uncontroverted documentary or expert evidence. See
Jordan v. Walmart Assocs., Inc., 173 Idaho 115, 121, 539 P.3d 593, 599 (2023) (holding
uncontested evidence showing claimant suffered stroke while working necessitated conclusion that
he suffered a compensable industrial accident). The crux of Ms. Whiteley’s first claim of error is
that the Commission misapplied these principles in evaluating the evidence she offered to support
a 34% PPD rating.
1. The Commission impermissibly refused to accept unrefuted evidence in the record.
Ms. Whiteley introduced extensive evidence demonstrating that her injury restricts her to
the activities director position or similar light‑duty work. She offered three expert opinions
addressing her physical limitations and the resulting loss of labor market access. Together, these
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opinions formed the basis of the 34% PPD rating she proposed. Bridgeview, by contrast, offered
only the testimony of a physician, Dr. Bailey, who conducted an IME. That physician largely
agreed with Ms. Whiteley’s treating physician and did not contradict the FCA or the vocational
analysis. Bridgeview supplied no expert analysis disputing her job‑market limitations and did not
explain how it arrived at a 17% PPD rating as the more accurate measure of Ms. Whiteley’s
disability.
Bagley’s FCA was the key evidence establishing Ms. Whiteley’s physical limitations in
the absence of formal, physician-issued work restrictions. In the FCA, Bagley assessed Ms.
Whiteley’s “residual functional capacity and physical limitations while performing work-related
activities” and the impact of those limitations “on her employment, activities of daily living, and
recreational activities.” Bagley observed that Ms. Whiteley “gave excellent effort and was
cooperative throughout” his two-day assessment. Bagley concluded that “[t]he limited dorsiflexion
and dynamic instability of [Ms. Whiteley’s] left ankle significantly affects her ability to position
her feet properly and to dynamically pivot.” From this, he further concluded that Ms. Whiteley
was capable of lifting no more than thirty pounds, effectively ruling out further work as a CNA.
Dr. Wright did not contradict any of these findings. True, he declined to expressly agree
with Bagley’s conclusions regarding Ms. Whiteley’s physical limitations due to what he described
as a “philosophical” objection to formally prescribing restrictions because he was afraid they
would impede patients’ job prospects. Nonetheless, Dr. Wright’s testimony is entirely consistent
with Bagley’s findings:
[Dr. Wright]. Yeah. I mean, I look at it based on the current job that they
are doing; so maybe, again a philosophical thing.
But if she was working on a road construction crew and had to run a shovel
all day, I don’t think she could do that.
Dr. Wright’s impression note from his last appointment with Ms. Whiteley further demonstrates
that his “philosophical” objection to formally issued restrictions does not mean he lacked an
opinion about Ms. Whiteley’s physical (in)abilities:
I am going to keep her back to full duty without restriction. I think she does fine
with [sic] the activities director. As long as they can leave her in that job, she will
do well. I will see her back on an as-needed basis. If she has to go back and be more
physical, it may be problematic for her. We spoke about doing restriction. She is
really not interested in that. She thinks she can monitor herself and do what she
needs to do.
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(Emphasis added.) Stated differently, Dr. Wright appears to view the activities director role as the
outer limit of Ms. Whiteley’s physical abilities and, in his view, it is unlikely that Ms. Whiteley
would be capable of returning to “more physical” work as a CNA. Thus, Dr. Wright’s impression
contains an implicit restriction, even if he declined to formally prescribe restrictions for Ms.
Whiteley. In any event, Dr. Wright’s statements cannot be read as contesting Bagley’s findings in
the FCA.
Dr. Bailey, Bridgeview’s IME doctor, does not contest the FCA either. Dr. Bailey agreed
that Ms. Whiteley suffered from a “[l]eft ankle fracture with syndesmotic injury . . . complicated
by a nonunion of the fibula” and that, after three surgeries, Ms. Whiteley has finally reached MMI.
Dr. Bailey agreed that Ms. Whiteley’s 4% permanent impairment rating is appropriate. And he
agreed with Dr. Wright’s decision not to issue formal restrictions for Ms. Whiteley because, in his
view, Ms. Whiteley “was doing her job” as activities director and likely did not require restrictions
given that it is “more [an] administrative-type role.” More importantly, Dr. Bailey acknowledged
that Ms. Whiteley’s injuries have limited her physical abilities:
Q. Okay. And so, Dr. Wright, on Page 7, said no restrictions; but my
interpretation of that is, but that’s because she’s in a different job that is less
strenuous, right? She’s -- you characterized it as administrative position, more
sitting, less standing, correct?
[Dr. Bailey]. Correct. Yeah, and that’s kind of what -- you know, I don’t
want to put words in his mouth, but what he said is, you know, back to full duties
without restrictions as long as they leave her in the job of activities director, kind
of thing; more administrative, you know, she can take breaks, she can sit down,
which is -- which is, you know, I think is a reasonable accommodation for her
condition, yeah.
Q. Okay. So -- so it would be fair to say that there is a restriction. The
restriction is in this new job, which is less strenuous, more admin position, not on
your feet for eight hours like CNAs have to be, right?
[Dr. Bailey]. Correct. And I think, you know, I -- I do often defer to
functional capacity evaluations if they’ve been rated as valid, like valid FCEs. And
it seems like that’s kind of what it got to, is her -- can she safely perform jobs
according to, you know, light-duty jobs that fall within low to medium physical
demands.
When explicitly asked whether he agreed with Bagley’s FCA, Dr. Bailey answered unequivocally:
Q. Did you -- did you agree with the functional capacity evaluation,
Doctor?
[Dr. Bailey]. I did.
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Although Dr. Wright declined to comment on the FCA’s limitations for Ms. Whiteley,
Bridgeview’s own expert, Dr. Bailey, affirmatively endorsed them.
The opinions of Ms. Whiteley’s vocational consultant, Mr. Granat, are similarly
uncontested. Mr. Granat relied on the FCA’s determination that Ms. Whiteley is “restricted to
Light physical demand work with limitations for occasional walking (up to 1/3 of the time),
frequent standing (up to 2/3 of the time) and occasional squatting, kneeling, bending/reaching and
stair climbing” to gauge her “post-injury labor market access.” Based on Ms. Whiteley’s work
history, skillset, and physical abilities, Mr. Granat concluded that her “calculated post-injury
average loss of access to the labor market . . . is 68%.” And because Ms. Whiteley earned more in
the activities director position than she did as a CNA, Mr. Granat determined that Ms. Whiteley
“does not have a wage-earning capacity loss.” Averaging Ms. Whiteley’s loss of access to the labor
market and wage loss, Mr. Granat calculated a 34% PPD rating.
Ms. Whiteley’s and her husband’s testimony further corroborated the expert evidence. Ms.
Whiteley testified that she continues to experience pain and swelling in her left foot and ankle.
And she stated that her left ankle joint “doesn’t move the way it should.” Ms. Whiteley explained
the various ways in which her injury prevents her from doing CNA work. She also explained how
the injury has prevented her from doing recreational activities she once enjoyed, such as hunting,
fishing, hiking, climbing, and even walking. Mr. Whiteley offered similar testimony, describing
Ms. Whiteley’s inability to recreate outdoors, garden, or even shop for extended periods.
Importantly, none of the evidence or testimony offered by Bridgeview controverts these
assertions. In fact, Bridgeview did not even retain an independent physical therapist or vocational
consultant to offer any kind of contradictory assessment of Ms. Whiteley’s physical limitations or
loss of labor market access. The one expert Bridgeview did retain, Dr. Bailey, endorsed the
findings in the FCA and opined that Dr. Wright’s impression note and deposition testimony are
best understood as implying restrictions.
Despite the absence of contradictory evidence, the Commission found that Ms. Whiteley’s
restrictions were “uncertain,” expressed doubt about the long-term accuracy of the FCA, and
deemed Mr. Granat’s PPD rating “overinflated.” Yet Bridgeview offered no evidence to support
these conclusions. No expert opined that the FCA overstated her limitations, that her condition
was likely to improve, or that the restrictions used in the vocational analysis were inappropriate.
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Bridgeview argues that the Commission was simply weighing the evidence, relying heavily
on Mazzone v. Texas Roadhouse, Inc., 154 Idaho 750, 302 P.3d 718 (2013), for the proposition
that the Commission, as factfinder, may evaluate an expert’s reasoning, methodology, and
consideration of relevant facts. That principle is unobjectionable. The difficulty for Bridgeview is
that Mazzone does not apply here. In Mazzone, the parties presented the Commission with three
conflicting expert opinions regarding the claimant’s diagnosis. 154 Idaho at 756, 302 P.3d at 724.
In that context, the Commission properly resolved conflicts among the competing evidence to
conclude that the claimant’s injury had not been correctly diagnosed. Id. at 756–57, 302 P.3d at
724–25. Here, by contrast, there is no conflicting evidence at all. With one side of the scale entirely
empty, the Commission had nothing to “weigh” against Ms. Whitely’s evidence. Thus, Mazzone
is inapt.
Ms. Whiteley offered substantial, mutually reinforcing evidence of her physical and
vocational limitations, while Bridgeview offered almost nothing in opposition. The Commission
had no evidentiary basis to support its conclusion that Ms. Whiteley’s restrictions were uncertain.
It had no evidentiary basis to support its finding that the FCA somehow failed to depict Ms.
Whiteley’s long-term physical limitations (even though it was conducted when she had reached
MMI). And it had no evidentiary basis to conclude that Mr. Granat’s PPD rating was
“overinflated.” Nothing in the record casts doubt on any of these points. For these reasons, we
conclude that the Commission impermissibly refused to accept uncontroverted evidence of Ms.
Whiteley’s 34% PPD rating. See Pierstorff v. Gray’s Auto Shop, 58 Idaho 438, 447, 74 P.2d 171,
175 (1937) (citation omitted); Jordan v. Walmart Assocs., Inc., 173 Idaho 115, 121, 539 P.3d 593,
599 (2023).
2. The Commission erred in discrediting the FCA on the basis that it was not endorsed by
Dr. Wright.
The second evidentiary error concerns the Commission’s treatment of the FCA. The
Commission found that Ms. Whiteley’s medical restrictions were “uncertain” and “indirectly
derived from the FCA.” It appeared to reject Bagley’s FCA because, in its view, an FCA does not
represent “permanent medical restrictions of a treating physician” but instead offers only “a
snapshot of [Ms. Whiteley’s] limitations on that day.” The Commission further declined to read
Dr. Bailey’s testimony as agreeing that the FCA accurately captured Ms. Whiteley’s restrictions.
Because Mr. Granat relied in part on the FCA to assess labor market access and wage loss, the
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Commission viewed his vocational analysis with similar skepticism. Thus, the Commission
concluded that it would only assign limited weight to Mr. Granat’s vocational analysis:
In this case, Kent Granat’s PPD rating is not founded on medical restrictions
designed to serve [Ms. Whiteley] over time. It’s founded on PT Bagley’s December
1 and 2, 2022, FCA. Vocational experts occasionally offer opinions based solely
on an FCA/FCE. These vocational opinions are not afforded as much weight by the
Commission because they are not vetted by a medical provider who understands
the particular injury and the particular worker’s abilities over time. An FCA/FCE
is only one factor which a doctor considers when issuing medical restrictions for a
patient. Other factors include the physician’s experience with other patients’ similar
injuries and their course of healing, information the physician may have about the
injury from other medical resources, and any other personal or social considerations
about the particular person who is injured. The FCA/FCE itself is only a medical
or vocational expert’s assessment about a person’s physical capacities on a
particular day. So, the restrictions Mr. Granat applied when formulating his 34%
PPD rating are not likely appropriate to serve [Ms. Whiteley] over the course of the
next ten years. On the other hand, a medical provider’s restrictions are designed, in
part, to protect the worker from further injury over time, so the employee’s capacity
at a FCA/FCE may not match the bounds put into place by the provider.
Unfortunately, Dr. Wright declined to issue restrictions in this case due to his
“philosophical” opposition to the risk of issuing medical restrictions which may
later hinder his patient from acquiring work in the future.
The Commission’s core criticism, then, is that Mr. Granat relied on the FCA rather than on
medically endorsed restrictions. That reasoning is flawed for at least two independent reasons.
First, the Commission is incorrect that Mr. Granat’s vocational analysis was “based solely
on [the] FCA/FCE.” In his report, Mr. Granat quotes Dr. Wright’s impression note from his last
visit with Ms. Whiteley, where he stated that she has assumed the activities director role and that
“as long as employer leaves her in this job, she will do well.” Moreover, Mr. Granat expressly
stated that, as part of his analysis, he “reviewed . . . the available medical records.” His analysis
therefore did not rest exclusively on the FCA, contrary to the Commission’s assertion.
Second, as Ms. Whiteley argues, Dr. Bailey did endorse the FCA’s findings, and he
testified that he read Dr. Wright’s impression note as implying that Ms. Whiteley could not hold a
job more physically demanding than the activities director position. Dr. Wright’s testimony is
consistent with that conclusion; even if his statements do not directly establish the conclusion, they
certainly do not contradict it. The Commission’s view effectively reduces to the proposition that,
unless a treating physician formally converts an FCA’s findings into permanent restrictions, the
FCA cannot support a vocational analysis or