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NO. 12-21-00150-CV

IN THE COURT OF APPEALS

TWELFTH COURT OF APPEALS DISTRICT

TYLER, TEXAS

SOUTH PLACE SNF, LP, 

APPELLANT

V.

JOHN HUDSON,

APPELLEE

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§

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APPEAL FROM THE 173RD 

JUDICIAL DISTRICT COURT

HENDERSON COUNTY, TEXAS

MEMORANDUM OPINION

South Place SNF, L.P. appeals the trial court’s denial of its second motion to dismiss 

John Hudson’s suit against it. In five issues, South Place contends that the trial court should 

have dismissed Hudson’s suit because it is a health care liability claim (HCLC) and Hudson 

failed to file the required expert report within 120 days of filing its original answer. We affirm.

BACKGROUND

South Place is a skilled nursing and rehabilitation facility. In May 2018, Hudson met with 

Ashley Koonce, who was his ex-girlfriend and a South Place employee, at the facility’s dining 

room. The purpose of Hudson’s visit was to arrange the transfer of their daughter. When 

Hudson attempted to leave the dining room, he slipped and fell in a puddle of liquid accumulated 

on the floor. In his original petition, Hudson alleged that South Place violated its duties as a 

premises owner in the following respects, causing his injuries:

• creating a dangerous condition on its premises,

• failing to reasonably inspect its premises with the unreasonable dangerous condition it created,

• failing to remove the unreasonably dangerous condition and trip hazard created on its premises, and

• failing to warn him of the unreasonably dangerous condition and trip hazard created on it premises.
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Six months after it filed an original answer, South Place filed a motion to dismiss 

Hudson’s suit, alleging that his claim is an HCLC and that the claim should be dismissed 

because he failed to timely serve an expert report as required by the Texas Medical Liability Act 

(TMLA).1 In its motion to dismiss, South Place contended as follows:

Because nursing care is provided to residents in the dining room, [it] had an obligation to meet 

certain sanitary standards and keep the dining free from foreign substances which could cause 

unnecessary fall[s] or safety risks to residents. Accordingly, the safety standards upon which 

plaintiff's claim is based are substantially related to the provision of healthcare by South Place. 

Plaintiff's claim is, therefore, a healthcare liability claim subject to the expert report requirements 

of Chapter 74.

After a hearing and considering the pleadings and affidavits filed by each of the parties, 

the trial court denied South Place’s motion to dismiss. On appeal, this Court examined the 

factors enumerated by the Texas Supreme Court in Ross v. St. Luke’s Episcopal Hosp., 462 

S.W.3d 496 (Tex. 2015), and determined that Hudson’s claim is not a HCLC and is based in 

premises liability.2 South Place filed a petition for review with the Texas Supreme Court, which 

was denied.

On remand, the parties continued to engage in discovery. South Place urged that it did 

not create, and had no actual or constructive knowledge of, the alleged dangerous condition on 

the floor. In an attempt to combat that assertion, Hudson designated Stacy Donnelly as an expert 

and provided her report. In her report, Donnelly, a nurse, detailed how South Place violated 

standards of medical care and safety in connection with Hudson’s claim, including those related 

to nursing care, infection control, catheter use and care, and maintenance of a safe environment 

for facility residents. South Place then filed a second motion to dismiss, alleging that Donnelly’s 

report characterized Hudson’s claim as a HCLC and that Hudson’s failure to serve the report 

within the 120-day window necessitated dismissal. Hudson withdrew Donnelly’s report and 

expert witness designation. Following a hearing, the trial court denied the motion to dismiss. 

This interlocutory appeal followed.3

 

1 See TEX. CIV. PRAC. & REM. CODE ANN. § 74.351(a), (b) (West 2019).

2 S. Place SNF, L.P. v. Hudson, 606 S.W.3d 829, 833-35 (Tex. App.—Tyler 2020, pet. denied). 

3 See TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(a)(9) (West Supp. 2021).
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MOTION TO DISMISS

In its five issues, South Place argues that the trial court should have granted its motion to 

dismiss. Specifically, it urges that Donnelly’s report proves that Hudson’s claim is a HCLC and 

not a premises liability claim. It further posits that even if Hudson’s claim is not pleaded like a 

HCLC, the mere fact that it could be, makes an expert report necessary. Hudson contends, and 

South Place disputes in its second issue, that our prior opinion is binding and we cannot 

reconsider whether Hudson’s claim is a HCLC under “the law of the case.” We agree with 

Hudson.

The Law of the Case

Under the law-of-the-case doctrine, a decision rendered in a former appeal is generally 

binding in a later appeal of the same case. Paradigm Oil, Inc. v. Retamco Operating, Inc., 372 

S.W.3d 177, 182 (Tex. 2012) (citing Briscoe v. Goodmark Corp., 102 S.W.3d 714, 716 (Tex. 

2003)). The Texas Supreme Court has described the doctrine as follows:

The “law of the case” doctrine is defined as that principle under which questions of law decided

on appeal to a court of last resort will govern the case throughout its subsequent stages. By 

narrowing the issues in successive stages of the litigation, the law of the case doctrine is intended 

to achieve uniformity of decision as well as judicial economy and efficiency. The doctrine is based 

on public policy and is aimed at putting an end to litigation.

Briscoe, 102 S.W.3d at 716 (quoting Hudson v. Wakefield, 711 S.W.2d 628, 630 (Tex. 1986)). 

The doctrine may apply even when the appeal does not reach the court of last resort. See City of 

Houston v. Precast Structures, Inc., 60 S.W.3d 331, 338 (Tex. App.—Houston [14th Dist.] 

2001, pet. denied) (holding that when losing party accepts remand instead of furthering appeal, 

court of appeals decision becomes law of the case); Paradigm Oil, 372 S.W.3d at 182 (stating 

that decision by court of appeals becomes law of case in trial court and court of appeals even 

when petition for review denied by higher court).

The doctrine is not an absolute bar to reconsideration of the same issue in a second 

appeal. Briscoe, 102 S.W.3d at 716. Rather, the doctrine is flexible and provides courts of 

appeals with discretion to reconsider an issue depending on the particular circumstances 

surrounding the case. Id.; Shiloh Treatment Ctr., Inc. v. Ward, 608 S.W.3d 337, 341 (Tex. 

App.—Houston [1st Dist.] 2020, pet. denied). One exception to the doctrine is where an 

appellate court’s original decision is clearly erroneous, in which case the original decision is not 
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binding in a subsequent appeal. Briscoe, 102 S.W.3d at 716; Entergy Corp. v. Jenkins, 469 

S.W.3d 330, 337 (Tex. App.—Houston [1st Dist.] 2015, pet. denied). In addition, the doctrine 

does not necessarily apply when either the issues or the facts presented in successive appeals are 

not substantially the same as those involved in the first appeal. Jenkins, 469 S.W.3d at 337; see

Hoagland v. Butcher, 474 S.W.3d 802, 809–10 (Tex. App.—Houston [14th Dist.] 2014, no pet.) 

(“[U]nless the facts have sufficiently changed, our holdings in the previous appeal regarding 

personal jurisdiction are the law of this case.”) (citing Hudson, 711 S.W.2d at 630).

Analysis

On appeal, South Place maintains that Hudson’s claim is a HCLC and that we are not 

bound by our prior opinion. Whether a claim is a health care liability claim under the TMLA is a 

question of law reviewed de novo. Baylor Scott and White, Hillcrest Med. Ctr. v. Weems, 575 

S.W.3d 357, 363 (Tex. 2019). To qualify as a HCLC, three elements must be met: (1) a 

physician or health care provider must be a defendant; (2) the claim at issue must concern 

treatment, lack of treatment, or a departure from accepted standards of medical care, or health 

care, or safety or professional or administrative services directly related to health care; and (3) 

the defendant’s act or omission complained of must proximately cause the injury to the claimant. 

Psychiatric Sols., Inc. v. Palit, 414 S.W.3d 724, 725–26 (Tex. 2013); see TEX. CIV. PRAC. &

REM. CODE ANN. § 74.001(a)(13) (West Supp. 2021) (defining “health care liability claim”).

In 2019, South Place moved to dismiss Hudson’s suit, arguing that Hudson’s claim was 

actually a HCLC. The trial court denied the motion. This Court affirmed, holding that 

“Hudson’s claim is not a HCLC, but rather one based on premises liability.” S. Place SNF, L.P. 

v. Hudson, 606 S.W.3d 829, 835 (Tex. App.—Tyler 2020, pet. denied). When the Texas 

Supreme Court denied South Place’s petition for review, our holding became the law of the case 

for the trial court and this Court. See Paradigm Oil, 372 S.W.3d at 182. 

We recognize that there is some flexibility in whether to rely on the law of the case 

doctrine. However, for two reasons, we conclude that this is not a circumstance that would 

support relitigating a decided issue. First, the underlying facts and issues are remarkably the 

same as when we issued our first opinion. The key difference now being that the parties do not 

dispute that the substance on the floor was urine from a patient’s catheter bag. However, we

previously noted that whether the substance was urine would not change our analysis. S. Place, 

606 S.W.3d at 834 n.3. As a result, our analysis of the Ross factors would not change. In fact, 
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the opinion applies the Ross factors under the assumption that the substance on the floor was 

urine that leaked from a patient’s catheter bag. See id. at 834-35. South Place simply uses 

Donnelly’s withdrawn report to reassert the arguments it made in the first appeal. At oral 

argument, South Place’s counsel stated that the only fact that changed was the existence of the 

Donnelly report and that the report does not fit into any of the Ross factors.

Second, as noted by the First Court of Appeals in Shiloh Treatment Center, there is real 

potential for misuse of the TMLA dismissal procedures if successive attempts were to be 

permitted. Shiloh Treatment Ctr., 608 S.W.3d at 343. If a TMLA movant can lose at the 

intermediate court, return to the trial court, and try again with new or different evidence 

throughout the discovery process, there is nothing prohibiting him from doing so a third, fourth, 

or fifth time. See id. The TMLA and law of the case doctrine both derive from concerns of 

judicial economy, and allowing multiple dismissal and appeal attempts is contrary to that 

concern. See id. 

Accordingly, we hold that our prior opinion that Hudson’s claim is not a HCLC is the 

law of the case for the remainder of the suit. As a result, we overrule South Place’s second issue

and need not address the remainder of its issues. See TEX. R. APP. P. 44.1.

DISPOSITION

Having overruled South Place’s second issue, we affirm the trial court’s order denying 

South Place’s motion to dismiss Hudson’s suit against it.

BRIAN HOYLE

Justice

Opinion delivered March 9, 2022.

Panel consisted of Worthen, C.J., Hoyle, J., and Neeley, J.
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COURT OF APPEALS

TWELFTH COURT OF APPEALS DISTRICT OF TEXAS

JUDGMENT

MARCH 9, 2022

NO. 12-21-00150-CV

SOUTH PLACE SNF, LP,

Appellant

V.

JOHN HUDSON,

Appellee

Appeal from the 173rd District Court

of Henderson County, Texas (Tr.Ct.No. CV19-0123-392)

THIS CAUSE came to be heard on the oral arguments, appellate record and 

briefs filed herein, and the same being considered, it is the opinion of this court that there was no 

error in the trial court’s order.

It is therefore ORDERED, ADJUDGED and DECREED that the order of the 

court below denying South Place’s motion to dismiss John Hudson’s suit against it be in all 

things affirmed, all costs of this appeal are assessed against the Appellant, SOUTH PLACE 

SNF, LP, and that this decision be certified to the court below for observance.

Brian Hoyle., Justice

Panel consisted of Worthen, C.J., Hoyle, J., and Neeley, J.