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IN THE DISTRICT COURT OF APPEAL
FIRST DISTRICT, STATE OF FLORIDA
NOT FINAL UNTIL TIME EXPIRES TO
JACQUELYN B. ALGAYER, as
FILE MOTION FOR REHEARING AND
Personal Representative of the
DISPOSITION THEREOF IF FILED
Estate of HOLLIS W. ALGAYER,
deceased,
CASE NO. 1D03-0425
Appellant,
v.
THE HEALTH CENTER OF
PANAMA CITY, INC., d/b/a ST.
ANDREWS HEALTH &
REHABILITATION CENTER,
Appellee.
_________________________/
Opinion filed November 21, 2003.
An appeal from the Circuit Court for Bay County.
Dedee S. Costello, Judge.
R. Waylon Thompson of Manuel & Thompson, P.A., Panama City; and Philip M.
Burlington of Caruso & Burlington, P.A., West Palm Beach, for Appellant.
W. Benjamin Broadwater and James T. Patterson of Alford, Clausen &
McDonald, LLC, Mobile, Alabama, for Appellee.
BROWNING, J.
This is an appeal from a nonfinal order compelling arbitration of Appellant's

malpractice claim. We reverse.
FACTS
Appellant's husband, age 83, was transferred from a hospital to Appellee's
nursing home. Upon his arrival, he signed and initialed the admission documents,
which contained a clause requiring arbitration in the event of disagreements. The
following day, Appellant arrived at St. Andrews to see her husband. She alleges that
she was asked to sign paperwork, that she informed the staff that her husband was
legally incompetent, and that she thereafter signed the admission paperwork as his
attorney-in-fact, but that she asked to read the documents and was not allowed to do
so; rather, Appellee's employee read the documents to Appellant. Appellant signed
the document and initialed certain pages, but did not sign or initial the page containing
provisions on mediation and arbitration. Appellant alleges that she was unaware of
the paragraphs in the contract entitled "Mediation" and "Arbitration" until her attorney
in this case sent her a copy of it. Appellant's husband had initialed both provisions.
Appellant's husband stayed at St. Andrews for one month, then was discharged; he
died on May 1, 2001.
The terms of the arbitration provision read as follows:
Any disputes not settled by mediation within 60 days after
a mediator is appointed shall be resolved by binding
arbitration administered by the Alternative Dispute
2

Resolution Service of the American Health Lawyers
Association, and judgment may be entered in any court
having jurisdiction thereof. The arbitrator(s) shall be
selected from a panel having experience and knowledge of
the health care industry. The same person shall not serve
as both the mediator and the arbitrator. The place of
arbitration shall be where the Center is located, or, if that
is not practical, then as close to the Center as practical.
This agreement shall be governed by and interpreted in
accordance with the laws of the State of Florida. The
award shall be made within nine months of the
commencement of the arbitration proceedings and the
arbitrators shall agree to comply with this schedule before
accepting appointment. However, this time limit may be
extended by agreement of all the parties or by the
arbitrator(s) if it is absolutely necessary, but not to exceed
six months. The arbitrator(s) may award compensatory
and punitive damages, and with respect to punitive
damages arising under Chapter 400, Florida Statutes, or
abuse of the elderly, such punitive damages shall comply
with the provisions of Florida Statutes 400.023(7) and (8)
and Florida Statutes 768.735. By agreeing to arbitration of
all disputes, both parties are waiving a jury trial for all
contract, tort, statutory and other claims. The award of
attorneys' fees and costs of the arbitration shall be
determined by the arbitrator(s) who shall make such award
in accordance with Florida law, and in connection with any
Dispute involving a violation of Florida Statutes Chapter
400 the award shall be in accordance with Florida Statutes
400.023. The Administrative Fee and Arbitrator's
compensation shall be paid for by the center.
In September 2001, Appellant filed a notice of intent to sue under section
766.106, Florida Statutes (2001). Appellee did not respond to the notice of intent by
engaging in pre-trial discovery or other pre-suit proceedings. Appellant served her
3

complaint on Appellee on January 14, 2002. Appellant followed with a motion to
advance trial, served February 8, 2002. On February 15, 2002, Appellee filed its
answer to the complaint, including seven affirmative defenses but not mentioning
arbitration.1 After Appellee's answer was filed, the parties generally litigated the
proceedings by engaging in discovery and other matters that resulted in the filing of
11 different documents relating to Appellant's claim previous to June 26, 2002.
On June 26, 2002, Appellee filed a motion to amend its answer to add
compulsory arbitration as an affirmative defense. On the same day, Appellant filed
a motion to compel Appellee to respond to the interrogatories and first request for
production on the ground that over 30 days had passed without objection to the
discovery. The next day, Appellee filed a motion to stay the case and enforce
arbitration. On June 3, 2002, Appellee filed a motion for protective order as to the
discovery requests on the ground that Appellee had filed its motion to stay and
enforce arbitration. Appellant objected to Appellee's motion to amend its answer,
alleging that Appellee had waived the right to arbitrate by conducting discovery and
by filing an answer that did not raise the defense of the right to arbitration. Appellant
also objected to the motion for protective order on the grounds that Appellee had
waived the right to arbitrate, and that the motion was untimely, having been filed more
1 Two of those defenses were later stricken.
4

than four months after Appellee's answer. The trial court entered an order finding
that Appellant was bound by the contract because it was read to her and, thus, that
she was required to arbitrate her claims. The trial court also found that there was a
valid written agreement to arbitrate, that an arbitrable issue existed because the duty
of care arose from the contract, and that Appellee did not waive the right to compel
arbitration by failing to raise the issue in its answer. Significantly, the trial court, when
considering Appellee's alleged waiver of arbitration, directed its primary attention to
proceedings after Appellee's request for arbitration and ignored the proceedings
before Appellee's request for arbitration.
ANALYSIS
Appellant raises four issues on appeal. We affirm two of those issues without
further discussion. However, we reverse as to the remaining issues. They are: (1)
whether the trial court erred in ruling that St. Andrews had not waived its right to rely
on the arbitration provision, and (2) whether the trial court erred in failing to address
whether the arbitration provision is unconscionable.
The trial court based its finding that Appellee did not waive its right to rely on
the arbitration provision on Appellee's litigation participation after it moved to stay
the case and compel arbitration. This was error, as the trial court's primary
consideration should have been Appellee's conduct before the motion to compel
5

arbitration was filed. Maryland Cas. Co. v. Dep't of Gen. Servs., 489 So. 2d 54 (Fla.
1st DCA1986); Transamerica Ins. Co. v. Weed, 420 So. 2d 370 (Fla. 1st DCA 1982).
We remand on this issue to allow the trial court to consider Appellee's conduct
throughout the litigation, and instruct the trial court to consider case law released since
its order was issued, specifically, Benedict v. Pensacola Motor Sales, Inc., 846 So.
2d 1248 (Fla. 1st DCA 2003).
As to point 2, the trial court failed to rule expressly on whether the arbitration
provision was either procedurally or substantively unconscionable and thereby erred.
Accordingly, we remand for the trial court to consider and specifically address the
issue of unconscionability and to consider a case released since the order was issued,
Gainesville Health Care Center, Inc. v. Weston, 28 Fla. L. Weekly D2201 (Fla. 1st
DCA Sept. 18, 2003) (not yet released for publication).
For the above reasons, we REVERSE and REMAND to the trial court to
consider such issues under existing and recently released cases. If the trial court finds
it necessary to hold an evidentiary hearing on either or both issues, the trial court may
do so.
BARFIELD and WEBSTER, JJ., CONCUR.
6

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