In The 

Court of Appeals 

Seventh District of Texas at Amarillo 

 

No. 07-24-00143-CV 

 

KASSANDRA MCQUILLEN, APPELLANT 

V. 

MOUNIR Y. BORNO, M.D., LUBBOCK HEART HOSPITAL, LLC D/B/A LUBBOCK 

HEART & SURGICAL HOSPITAL, TEXAS PHYSICIANS GROUP, P.A., APPELLEES 

On Appeal from the 237th District Court 

Lubbock County, Texas 

Trial Court No. 2020-539,776, Honorable Les Hatch, Presiding 

August 13, 2024 

MEMORANDUM OPINION 

Before DOSS and PIRTLE1 and ROSE,

2

 JJ. 

Appellant Kassandra McQuillen sued Appellees Mounir Y. Borno, M.D.; Lubbock 

Heart Hospital LLC d/b/a Lubbock Heart & Surgical Hospital; and Texas Physicians 

Group, P.A., alleging a health care liability claim.

3

 McQuillen, a licensed Texas attorney, 

1 Patrick A. Pirtle, Justice (Ret.), Seventh Court of Appeals, sitting by assignment.

2 Jeff Rose, Chief Justice (Ret.), Third Court of Appeals, sitting by assignment.

3 A “health care liability claim” is a cause of action against a health care provider or physician for 

treatment, lack of treatment, or departure from accepted medical standards, resulting in injury or death, 
2

represented herself in the trial court and on appeal. We previously reversed the trial 

court’s order dismissing Lubbock Heart Hospital based on the adequacy of McQuillen’s 

expert report and remanded the case for further proceedings.

4

 

A jury trial took place from December 4–8, 2023. The trial court granted the 

defendants’ motions for directed verdict on McQuillen’s claims of informed consent, gross 

negligence, fraud, alter ego, and respondeat superior but denied their motion on a claim 

of agency. The jury then found in favor of the defendants, and the trial court rendered 

judgment that McQuillen take nothing by her claims. We overrule each of McQuillen’s

appellate issues and affirm the judgment of the trial court. 

Background

McQuillen’s complaints stem from the implantation of a cardiac pacemaker. The 

limited evidentiary record prevents a detailed narrative of background facts. However, 

given the issues raised by McQuillen, such a detailed presentation is unnecessary. 

Analysis

McQuillen bases her appeal on a partial reporter’s record, which includes 

testimonial excerpts from only one witness during the multi-day trial and no documentary 

or tangible evidence. Rule of Appellate Procedure 34.6(c) allows an appellant to request 

whether the claim sounds in tort or contract. TEX. CIV. PRAC. & REM. CODE Ann. § 74.001(a)(13). Three 

elements define the claim: (1) a physician or health care provider is the defendant; (2) the claim concerns 

treatment, lack of treatment, or a departure from accepted medical standards; and (3) the defendant’s act 

or omission proximately caused the injury. Tex. W. Oaks Hosp., LP v. Williams, 371 S.W.3d 171, 179–80 

(Tex. 2012). A health care liability claim is governed by the Texas Medical Liability Act in chapter 74 of the 

Texas Civil Practice and Remedies Code. Boske v. Rougeau, No. 07-20-00285-CV, 2021 Tex. App. LEXIS 

5694, at *11–12 (Tex. App.—Amarillo July 15, 2021, pet. denied) (mem. op.).

4 McQuillen v. Lubbock Heart Hosp., LLC, 646 S.W.3d 336 (Tex. App.—Amarillo 2022, pet. denied).
3

a partial reporter’s record but requires the appellant to include a statement of the points 

or issues to be presented on appeal and limits the appeal to those points or issues. TEX.

R. APP. P. 34.6(c)(1). Should the appellant provide a partial reporter’s record without the 

required list of points or issues, the appellate court presumes that omitted portions 

support the trial court’s findings and must affirm. In re Est. of Emanuel, No. 01-23-00316-

CV, 2024 Tex. App. LEXIS 1428, at *5–6 (Tex. App.—Houston [1st Dist.] Feb. 27, 2024, 

no pet.) (mem. op.). See Bennett v. Cochran, 96 S.W.3d 227, 229 (Tex. 2002) (per 

curiam) (explaining “[t]here is no question that, had [appellant] completely failed to submit 

his statement of points or issues, Rule 34.6 would require the appellate court to affirm the 

trial court’s judgment.”) (citing Richards v. Schion, 969 S.W.2d 131, 133 (Tex. App.—

Houston [1st Dist.] 1998, no pet.) (“When an appellant appeals with a partial reporter’s 

record but does not provide the list of points as required by rule 34.6(c)(1), it creates the 

presumption that the omitted portions support the trial court’s findings.”)). The clerk’s 

record includes McQuillen’s notice of appeal but lacks a request for a partial reporter’s 

record or a statement of McQuillen’s points or issues. McQuillen’s decision to proceed 

with a limited, partial reporter’s record therefore severely impairs her appellate 

presentation. 

McQuillen presents five issues for review, each challenging the directed verdict 

against her claims of gross negligence, informed consent, and fraud. We review a trial 

court’s directed verdict de novo. City of Baytown v. Schrock, 645 S.W.3d 174, 178 (Tex. 

2022). “A trial court properly grants a directed verdict when no evidence supports a vital 

fact or the evidence fails to state a claim as a matter of law.” Id. at 178. We consider the 

evidence in a light most favorable to the party suffering an adverse judgment, crediting 
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all reasonable inferences, and disregarding contrary evidence and inferences. In 

reviewing a directed verdict, we determine whether there is any evidence of probative 

value to raise a material fact issue, and we review the evidence in the light most favorable 

to the person suffering the adverse judgment. Exxon Corp. v. Emerald Oil & Gas Co., 

L.C., 348 S.W.3d 194, 220 (Tex. 2011). 

Gross Negligence

In her first issue, McQuillen argues that the trial court erred by granting the 

defendants’ motion for a directed verdict on her claim of gross negligence. However, the 

limited record makes it impossible to conduct a proper review for this claimed error. 

Moreover, such a review would be futile because the jury did not find Appellees to be 

negligent, which is a prerequisite for gross negligence. See Hall v. Stephenson, 919 

S.W.2d 454, 467 (Tex. App.—Fort Worth 1996, writ denied) (“A plaintiff who cannot 

support a negligence cause of action cannot succeed on gross negligence because a 

finding of ordinary negligence is a prerequisite to a finding of gross negligence.”).

McQuillen does not challenge the absence of a negligence finding on appeal. 

Accordingly, McQuillen cannot succeed on her claim for gross negligence. McQuillen’s 

first issue is overruled.

Informed Consent

In her second issue, McQuillen argues that the trial court erred by granting a 

directed verdict on an informed consent claim, a cause of action she did not allege. 

Despite McQuillen’s limitations of the record, there is no indication that the ruling led to 

an improper judgment or prevented McQuillen from properly presenting her case on 
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appeal. See TEX. R. APP. P. 44.1(a). McQuillen has not demonstrated any harm from the 

ruling. Therefore, her second issue is overruled. 

Fraud

McQuillen’s remaining issues concern her complaint that the trial court erred by 

granting the defendants’ motion for a directed verdict on her fraud claim. In her petition, 

McQuillen alleged “fraudulent nondisclosure” and “fraudulent misrepresentation.” She 

claimed that Dr. Borno falsely represented her need for a pacemaker, and concealed the 

fact that she did not need it to protect himself. Additionally, she alleged that Dr. Borno 

continued her medical care to protect himself and to require her to undergo unnecessary 

treatment. However, the alleged concealment was directly related to the doctor’s 

allegedly substandard course of medical treatment, constituting a health care liability 

claim. See Christus Health Gulf Coast v. Carswell, 505 S.W.3d 528, 536 (Tex. 2016)

(holding that plaintiff’s fraud claim, based on the theory that the hospital sought to conceal 

malpractice, constituted a health care liability claim because it was directly related to acts 

or treatments alleged to have been improperly performed or furnished, or that should have 

been performed or furnished, during the patient’s treatment and confinement.). 

Even if McQuillen possessed an independent fraud5 claim under the alleged facts, 

a conclusion we do not reach, she would not have succeeded at trial. In her brief,

McQuillen neither discusses the elements of fraud nor provides citations to the record 

5 The elements of fraud are: (1) the speaker made a material misrepresentation, (2) that he knew 

was false when made or that it was recklessly made without any knowledge of its truth and as a positive 

assertion, (3) with the intent that the other party act upon it, and (4) the other party acted in reliance on the 

misrepresentation, and (5) thereby suffered injury. Dimock Operating Co. v. Sutherland Energy Co., LLC,

No. 07-16-00230-CV, 2018 Tex. App. LEXIS 2865, at *18–19 (Tex. App.—Amarillo Apr. 24, 2018, pet. 

denied) (mem. op. on mot. for reh’g).
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where evidence amounting to more than a scintilla of fraud evidence can be found. 

Moreover, the limited trial record presented to this Court presents no evidence of fraud.

McQuillen argues that the motion for a directed verdict on her fraud claim was 

improper because it failed to state specific grounds as required by Rule 268 and 

incorrectly stated that her proof of fraud required a “fraud expert.” However, McQuillen’s 

argument misses the point: without regard to any alleged defect in the motion, McQuillen

did not present legally sufficient evidence of fraud as a matter of law. The Supreme Court 

held nearly 50 years ago that a defendant’s failure to state specific grounds in a motion 

for directed verdict is not fatal if no fact issues are raised by the plaintiff’s evidence. Tex. 

Employers Ins. Ass’n v. Page, 553 S.W.2d 98, 102 (Tex. 1977). See also Harvey v. Elder,

191 S.W.2d 686, 687 (Tex. Civ. App.—San Antonio 1945, writ ref’d) (holding that a trial 

court may sua sponte grant a directed verdict or nonspecific motion for a directed verdict 

if the prevailing party is entitled to judgment as a matter of law.). We overrule McQuillen’s 

issue pertaining to fraud. 

Negligent Misrepresentation

Scattered throughout McQuillen’s brief are passing references to the trial court’s 

failure to submit her negligent misrepresentation case to the jury. To the extent she 

intended these references to constitute claims separate from fraud, we note that a claim 

of negligent misrepresentation requires proof that: (1) the defendant made a 

representation in the course of the defendant’s business; (2) the representation contains 

false information for the guidance of others in their businesses, (3) the defendant did not 

exercise reasonable care or competence in obtaining or communicating the 
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representation, (4) the plaintiff justifiably relied on the representation, and (5) the 

defendant’s negligent misrepresentation proximately caused the plaintiff’s injury. Int’l 

Bank of Commerce v. Lane Gorman Trubitt, LLC, No. 07-21-00163-CV, 2022 Tex. App. 

LEXIS 5504, at *16 (Tex. App.—Amarillo Aug. 3, 2022, pet. dism’d) (mem. op.).

We conclude that any intended appellate complaint by McQuillen regarding the 

trial court’s failure to submit or adjudicate her negligent misrepresentation claim was 

waived. First, the matter was not adequately briefed on appeal. TEX. R. APP. P. 38.1(i)

(“The brief must contain a clear and concise argument for the contentions made, with 

appropriate citations to authorities and to the record.”); Smith v. Dixon, No. 07-20-00197-

CV, 2021 Tex. App. LEXIS 5592, at *6 (Tex. App.—Amarillo Jul. 14, 2021, pet. denied) 

(mem. op.). Second, McQuillen would bear the burden of proof on a negligent 

misrepresentation claim but did not object to the omission of necessary jury questions on 

such a claim. Third, the partial record contains no evidence of negligent 

misrepresentation; thus, McQuillen cannot show the theory should have been submitted 

for the jury’s consideration. We overrule any issue regarding negligent misrepresentation.

Conclusion

Having overruled each of McQuillen’s issues on appeal, we affirm the judgment of 

the trial court.

Lawrence M. Doss

 Justice