Whitefish Lawsuit
Whitefish Lawsuit
Whitefish Lawsuit
Peg L. Allison
CLERK
Flathead County District Court
STATE OF MONTANA
By: Cassandra
__________________
Loveless
John Heenan DV-15-2020-0000953-PI
Joe Cook Allison, Robert B
1.00
HEENAN & COOK
1631 Zimmerman Trail
Billings, MT 59102
Phone: (406) 839-9091
Fax: (406) 839-9092
john@lawmontana.com
joe@lawmontana.com
Roger Sullivan
Ethan A. Welder
Dustin A. Leftridge
Jinnifer Jeresek Mariman
McGARVEY LAW
345 First Ave. East
Kalispell, MT 59901
Phone: (406) 752-5566
Fax: (406) 752-7124
rsullivan@mcgarveylaw.com
ewelder@mcgarveylaw.com
dleftridge@mcgarveylaw.com
jmariman@mcgarveylaw.com
Plaintiffs,
vs.
Defendants.
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Plaintiffs, through counsel, allege and state upon information and belief:
INTRODUCTION
1. This complaint alleges treatment of elders from our community, which is both
negligent and a violation of their fundamental right to be treated with human dignity. It seeks to
recover all damages for the suffering and deaths of Alton Johnson, Berton Pew, and Stanley
mistreated under the guise of “COVID-19 protocols” as a result of the negligent management and
business practices and resulting neglect they suffered while living as residents at Whitefish Care
and Rehabilitation Center in Whitefish, Montana. Alton Johnson and the other group members
were elder persons or persons with other medical conditions and disabilities requiring
rehabilitation and other services from the Defendants’ nursing home facility. The Defendants
failed to establish and maintain a basic and reasonable infection prevention and control program,
in response to the pandemic, designed to provide and maintain a safe and sanitary environment for
this at-risk population of residents. Furthermore, Defendants failed to provide adequate and basic
personal care to residents during the pandemic, failed to inform resident representatives of the
deteriorating conditions inside the facility, and have concealed their neglect behind COVID-19
restrictions. Defendants failed their resident population and their loved ones which has resulted in
unnecessary suffering, loss of life, potential lifelong health complications, and other injury as a
result.
PARTIES
2. Plaintiff 1 is the Estate of Alton Johnson, by and through the Estate’s Personal
Representative, Randall (Randy) Johnson. Randy Johnson is the son of Alton Johnson and is a
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resident of Flathead County, Montana. Alton Johnson was a resident of Flathead County, Montana
3. Plaintiff 2 is the Estate of Berton Pew, by and through the Estate’s Personal
Representative, Bryan Zipp. Bryan Zipp is the son-in-law of Berton Pew and is a resident of
Flathead County, Montana. Berton Pew was a resident of Flathead County, Montana prior to his
death.
4. Plaintiff 3 is the Estate of Stanley Webber, by and through the Estate’s Personal
Representative, Dana Snyder. Dana Snyder is the daughter of Stanley Webber and is a resident of
Anchor Point, Alaska. Stanley Webber was a resident of Flathead County, Montana prior to his
death.
5. Other Plaintiffs may be named, who are similarly situated individuals, or their
Estates, who were injured, suffered, and/or died as a result of the negligent care and mistreatment
they incurred while living as residents at Whitefish Care and Rehabilitation Center in Whitefish,
Montana.
under which Sweetwater Whitefish Opco, LLC owns and operates a “long term care facility”
and/or “skilled nursing facility” at 1305 E. 7th Street, City of Whitefish, Flathead County, Montana
59937.
Rehabilitation Center, is, or was, a for-profit limited liability corporation organized and existing
under the laws of the State of Montana, doing business at Defendants’ facility at 1305 E. 7th Street,
City of Whitefish, Flathead County, Montana 59937, and with a principal business office at 662
Encinitas Blvd Ste 230, Encinitas, California 92024-6792. Sweetwater Whitefish Opco, LLC,
d/b/a Whitefish Care and Rehabilitation Center, describes itself as a “skilled nursing facility” and
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upon information and belief is a licensed “long term care facility,” as that term is defined under §
50-5-101, MCA. Based on information and belief, Sweetwater Whitefish OPCO, LLC took over
ownership and management of the Whitefish Care Rehabilitation Center in May 2019. Sweetwater
Care MT Opco LLC is a Nevada for-profit limited liability corporation and is a listed
Manger/Member of Sweetwater Whitefish Opco LLC d/b/a Whitefish Care and Rehab Center.
Upon information and belief, Sweetwater Care Opco LLC is a Nevada for-profit limited liability
corporation and is, along with James Gamett, the Indirect Owner of Sweetwater Whitefish Opco
LLC. Sweetwater Investment Management, LLC d/b/a Sweetwater Private Equity, is a Delaware
for-profit limited liability corporation with its principal place of business similarly located at 662
Encinitas Blvd Ste 230, Encinitas, California 92024-6792. Upon information and belief,
Defendant, Sweetwater Investment Management, LLC d/b/a Sweetwater Private Equity, is the
parent company of Sweetwater Whitefish Opco, LLC, and/or Defendant, Sweetwater Whitefish
Sweetwater Private Equity, and/or Sweetwater Investment Management, LLC d/b/a Sweetwater
Private Equity company and Sweetwater Whitefish Opco, LLC are affiliated and/or associated
entities sharing common and/or overlapping identity, ownership, financial assets, business assets,
Sweetwater Whitefish Opco, LLC, d/b/a the Whitefish Care and Rehabilitation Center in Flathead
County, located at 1305 E. 7th St., Whitefish, Montana 59937. Mr. Crickmore is a resident of
9. Defendants Does A-Z are corporations or persons unknown at this time whose
negligence and wrongful acts caused injury to Plaintiffs, who were unjustly enriched at the expense
of Plaintiffs, or who are otherwise liable for the injuries and damages alleged in this suit. Plaintiffs
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will seek to amend their complaint when the true names and capacities of Does A-Z are
ascertained.
10. This Court has jurisdiction over this matter pursuant to Rule 4(B), M.R. Civ. P.,
11. Defendants are licensed by the State of Montana to operate a 100-bed care
community, whereby they provide senior care services and amenities for facility residents,
including: semi-private and private rooms; assistance with non-medical needs: toileting, bathing
and grooming; caregivers; meal preparation with special dietary guidelines; alert mobility and care
needs, touting exercise, health and wellness programs, activities, outdoor excursions, and
transportation; and Memory Care. Defendants are regulated by the Department of Public Health
and Human Services, Quality Assurance Division of Montana. Defendants are also certified as
providers by the Centers for Medicare and Medicaid Services “CMS” (requiring them to follow
12. In June of 2020, Alton Johnson was admitted to Defendants’ facility to undergo
rehabilitation for an expected 90 day stay following hip surgery. In July of 2020, Mr. Pew was
admitted to Defendant’s facility for Parkinson’s Disease, diabetes, and dementia. In July of 2020,
Mr. Webber was admitted to Defendant’s facility for memory care due to his dementia.
Defendants entered into agreements with Mr. Johnson, Mr. Pew, Mr. Webber, or their agents, and
the other similarly impacted individuals, whereby Defendants agreed to provide to Mr. Johnson,
Mr. Pew, Mr. Webber, and the other similarly impacted individuals, long-term care including non-
medical needs such as dressing, eating and using the bathroom, in addition to preparation and
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13. Mr. Johnson, Mr. Pew, and Mr. Webber received inadequate care and supervision
almost immediately upon being admitted to the Defendants’ facility as a result of Defendants’:
failure to provide for the health and safety of its residents; failure to provide for and follow public
health guidelines issued by the Montana Department of Public Health and Human Services and
the Centers for Medicare and Medicaid on the prevention of COVID-19 at its nursing care facility;
noncompliance with infection control requirements; lack of and failure to properly use personal
staffing; inadequate training of staff; failure to act with reasonable promptness when residents
protect its residents, including the named Plaintiffs and other similarly situated individuals, from
14. COVID-19 is a respiratory illness that has been declared a worldwide pandemic.
Persons with chronic underlying medical conditions are at greater risk for COVID-19. As early as
March 2020, the Centers for Disease Control and Prevention issued warnings of potentially deadly
15. Upon information and belief, a COVID-19 Focused Infection Control Survey was
performed at the Defendants’ facility in May 2020. The Survey determined “that Whitefish Care
and Rehab had not implemented the CMS and Centers for Disease Control and Prevention (CDC)
recommended practices to prepare for COVID-19.” As one example, at the time, 58 residents were
living at the Defendants’ facility and new intakes were mixed into the general population in
violation of rules requiring a 14-day isolation period for all new residents.
16. Upon information and belief, the Defendants’ first staff member at its nursing
facility tested positive for COVID-19 on August 12, 2020, and the first resident began displaying
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symptoms on August 16, 2020. Since late August, more than seventy-five percent of its residents
tested positive for COVID-19, and COVID-19 related deaths at the facility reached double digits.
17. Upon information and belief, Defendants’ officials reported that by August 21,
2020, 14 residents and staff at the Whitefish Care and Rehabilitation Center had tested positive for
COVID-19. One week later Defendants’ officials reported that 41 individuals at the facility were
infected with COVID-19, including Mr. Johnson, and four of its residents had died. The number
of deaths at the facility has thus far grown to at least 13 residents due to the Defendants’ failure to
take reasonable measures to control the outbreak or adhere to public health guidelines issued by
the Montana Department of Public Health and Human Services, the Centers for Disease Control,
18. On August 31 and September 1, 2020, officials from the Montana Department of
Public Health and Human Services conducted a COVID-19 “Focused Control Survey” at the
Whitefish Care and Rehabilitation Center. Although it had been approximately three months since
Defendants received notice of non-compliance with COVID-19 guidelines and at least 19 days
since Defendants became aware of positive COVID-19 cases at the facility, the survey documented
that:
a. The facility was still housing COVID-19 positive residents and COVID-19
negative residents in the same rooms;
b. Staff were observed entering the rooms of residents, including both those housing
COVID-19 positive residents and non-isolation facility rooms, without proper
personal protective equipment;
c. The facility was still not taking necessary or reasonable measures to maintain or
enforce reasonable distancing among residents;
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19. The August 31 and September 1, 2020 “Focused Infection Control Survey” resulted
in a finding of “Immediate Jeopardy,” noting that the violations of the Defendants’ nursing facility
was serious enough to “risk imminent harm to life.” The Immediate Jeopardy concerns
c. Staff not properly wearing N95 masks when required, or using them improperly
when worn in the vicinity of COVID-19 positive residents;
20. The Centers for Medicare and Medicaid Services (CMS) assign an “immediate
jeopardy” or “IJ” rating when there is a “situation in which [a] provider’s noncompliance…is
21. Following the survey, and as part of the Plan of Correction, the Defendants’ nursing
oversight. The Defendants’ facility was also required to implement 26 “corrective actions,” due to
its “deficient practices” and “unsafe infection control practices” that directly contributed to the
22. Upon information and belief, agency records document that the above issues and
infractions are only the most recent among a host of other deficiencies indicating a long standing
course of conduct at the Whitefish Care and Rehabilitation Center of failing to meet state and
federal regulations and guidelines. Documents from earlier investigations evidence that residents
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at the Defendants’ facility have “languished in filthy conditions, including in their own urine and
feces, and have gone weeks without receiving a shower or bath, among a myriad of other issues.”
The health and hygiene of residents plummeted under the ownership and management of the
Defendants.
23. The state found that the Defendants’ facility “put the health and lives of residents
in jeopardy after failing to protect them from an outbreak of the novel coronavirus that has killed
24. The federal report from early September found that the facility committed “severe
negligence” at the Defendants’ long-term care facility that “directly” contributed to their Covid-
19 outbreak.
September 14, 2020 by the Department of Health and Human Services, Centers for Medicare and
Medicaid Services, the public was made aware for the first time of Defendant’s inexcusable failure
to provide for the health and safety of its residents. The Statement of Deficiencies and Plan of
Correction indicated in part, “A COVID-19 Focused Infection Control Survey was conducted by
the Montana Department of Public Health and Human Services from 8/31/20 to 9/1/20. The facility
was NOT in compliance with 42 CFR §483.80 Infection Control and had not implemented the
Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and
Prevention (CDC) recommended practices to prepare for and prevent the spread of COVID-19.”
The report from the Centers for Medicare and Medicaid Services states that the facility’s
“noncompliance has placed the health and safety of recipients in its care at risk for serious injury,
26. According to the Statement of Deficiencies and Plan of Correction, “on 9/1/20 at
5:35 p.m. an Immediate Jeopardy situation was announced to the Administrator and Director of
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Nursing, which was related to F880 - Infection Control. The Immediate Jeopardy was cited at the
Severity and Scope of an L (the worst possible rating), and upon removal of the immediacy of the
deficient practice, will be lowered to an I. The facility did not remove the immediacy prior to the
end of the survey on 9/1/20.” The Statement of Deficiencies and Plan of Correction went on to
b. Housekeeping staff not following PPE protocols and cleaning COVID-19 isolation
and non-isolation facility rooms during shifts;
c. Staff incorrectly donning and doffing PPE and entering COVID-19 positive
resident rooms without proper PPE;
d. Staff were either not using N95 masks when necessary, or using them properly
when worn for COVID-19 positive residents;
e. Lack of signage or correct signage for infection control protocols for identified
residents;
g. Improperly masked COVID-19 positive resident, who had memory deficits, and
was within six feet of a COVID-19 negative resident. Staff did not attempt to assist
with maintaining social distancing for the residents.
27. The Statement of Deficiencies and Plan of Correction went on to further state, “The
residents identified for this deficient practice included 43 at the level of harm, and 7 residents at
28. Alton Johnson was scheduled to be a resident at the Defendants’ facility for three
months beginning in June of 2020. From the date of his admission, his children watched their
father grow progressively thin, pale, and ultimately to become cognitively unresponsive. Upon his
entry, Mr. Johnson was able to stand up on his own with little to no assistance. However, during
his residency he rapidly declined to the point where two people had to hold him up in order to be
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able to stand. His good leg had also atrophied, despite his supposed receipt of physical activity and
rehabilitation care as a resident at the Defendants’ facility. On or about August 18th during a video
conference with their father, Mr. Johnson’s family observed that he appeared to be uncomfortable
and in pain, he was unkempt – as his hair on his head and face was uncharacteristically long – and
he had labored breathing. By August 25, 2020, Mr. Johnson tested positive for COVID-19.
Although his family had expected and arranged to have Mr. Johnson transferred from the
Defendants’ facility, this was delayed due to the mandatory 14-day quarantine period.
Unfortunately, on Labor Day – one day prior to the families set date to remove him from the
29. Mr. Pew’s family was able to visit him only twice, and only through a window, due
to COVID-19 protocols. On one of those occasions, they noticed Mr. Pew was unkempt and not
dressed in his own clothing. In August of 2020, Mr. Pew developed a fever and was reportedly
transferred to a COVID-19 wing. Mr. Pew’s family was not notified of the troubling development
until the family called the facility to check on his status the following day. Within a week, Mr.
Pew had passed away. From the time of his admission until his death on August 27, 2020, Mr. Pew
suffered a disturbing deterioration in his health due to Defendant’s neglect, ultimately losing
approximately 50 pounds. His death certificate lists COVID-19 as one of the causes of his death.
30. Mr. Webber was in relatively good health before his admission to Defendant’s
facility in July of 2020. His condition deteriorated rapidly and shockingly due to Defendant’s
negligence, as can be seen in photographs from September 2020. Mr. Webber was greatly
emaciated, his fingernails and toenails were untrimmed, and his hair was dirty and unkept. He was
ultimately discovered unconscious on September 8, 2020 and was transferred to the hospital, where
he was placed on hospice. From the time of his admission until his death on September 14, 2020,
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31. Upon information and belief, throughout the above referenced events, Defendant
Reid Andrew Crickmore had firsthand on the ground knowledge of the deficiencies at the
Whitefish Care and Rehabilitation Center including Defendants’ actions and failures to act which
led to Plaintiffs’ injuries. In addition, throughout the above referenced events, Mr. Crickmore had
knowledge of the dangers associated with COVID-19 and knew of the need to make appropriate
changes to the facilities services, supervision, and care in order to prevent the spread of COVID-
19. Nonetheless, Mr. Crickmore and his co-Defendants ignored complaints, guidelines, and
agency recommendations and requirements, and allowed the unsafe conditions that existed at the
Whitefish Care and Rehabilitation Center to persist until nearly the entire population of residents
32. Upon information and belief, at least 13 people, including Mr. Johnson, Mr. Pew,
and Mr. Webber, have thus far died from a COVID-19 outbreak at Defendant’s facility, many
others have unnecessarily contracted COVID-19 and will potentially suffer from associated
lifelong health complications, and many others have been otherwise injured as a result of the
CAUSES OF ACTION
Count 1: Negligence
33. Plaintiffs incorporate by reference all previously plead paragraphs set forth herein.
34. Defendants owed Alton Johnson, Berton Pew, Stanley Webber, and the other
similarly impacted individuals a duty to provide for services, supervision, and care for their general
health and safety, which included a duty to establish and maintain an infection prevention and
control program designed to provide a safe, sanitary, and comfortable environment, and designed
to help prevent the development and transmission of communicable diseases and infections.
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35. Defendants breached their duty of care to Alton Johnson, Berton Pew, Stanley
Webber, and the other similarly impacted individuals including by any or all of the following:
failing to provide adequate care, services or attention to Plaintiffs; failing to adequately staff and
supply its facility; failing to adequately inform and train facility staff; rooming presumptive
COVID-19 positive residents with COVID-19 negative residents; not using signage or not using
correct signage for infection control protocols; not properly training and supervising Defendants’
employees on COVID-19 and infection control, including but not limited to recognizing COVID-
19 signs and symptoms, modes of transmission, and screening criteria; not training and supervising
Defendants’ employees on the proper use of sanitation measures and protocols and the proper use
of personal protective equipment (PPE); not properly training and supervising Defendants’
employees to assist residents with maintaining social distancing standards, and/or to intervene
when residents and visitors were not maintaining social distancing standards; and generally failing
36. Defendants knew of the dangers associated with COVID-19 and knew of the need
to make appropriate changes to its services, supervision, and care, yet Defendant acted with actual
the high probability of injury to Alton Johnson, Berton Pew, Stanley Webber, and the other
similarly impacted individuals, or deliberately proceeding to act with indifference to the high
probability of injury to Alton Johnson, Berton Pew, Stanley Webber, and the other similarly
situated individuals.
37. Defendant Reid Andrew Crickmore was additionally personally negligent and his
actions were tortious in nature in declining to take appropriate action to prevent COVID-19
infection among staff and residents at the Whitefish Care and Rehabilitation Center despite his
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firsthand knowledge of conditions and deficiencies at the facility as well as the dangers associated
with COVID-19.
38. Plaintiffs suffered injuries and damages, including for survival and wrongful death,
39. Plaintiff incorporates by reference all previously plead paragraphs set forth herein.
40. Defendants owed Alton Johnson, Berton Pew, Stanley Webber, and the other
similarly situated individuals a duty to comply with the Montana Elder and Persons With
Developmental Disabilities Abuse Prevention Act, set forth in § 52-3-801 et seq., M.C.A., and
federal public health regulations set forth in 42 C.F.R. § 483.80(a), (e), or (f).
41. Defendants breached its duty to Alton Johnson, Berton Pew, Stanley Webber, and
the other similarly situated individuals by not complying with the foregoing state and federal laws
and regulations
42. The foregoing state and federal laws and regulations were enacted to prevent the
abuse and neglect of elderly persons and persons with developmental disabilities. Alton Johnson,
Berton Pew, Stanley Webber, and the other similarly situated individuals were members of that
protected class.
43. Plaintiffs and the other similarly situated individuals suffered injury and damages,
including for survival and wrongful death, as a direct and proximate result of Defendant’s
negligence per se, and their injuries and damages were of the sort which the foregoing state and
44. Plaintiffs incorporate by reference all previously plead paragraphs set forth herein.
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45. Defendants entered into agreements, with attendant covenants of good faith and fair
dealing, with Alton Johnson, Berton Pew, Stanley Webber, and the other similarly situated
individuals (and/or their representatives) to provide reasonable and adequate care and services
which imposed an obligation to establish and maintain an infection prevention and control program
designed to provide a safe, sanitary, and comfortable environment, and designed to help prevent
the development and transmission of communicable diseases and infections. Defendants breached
the agreement by failing to provide reasonable and adequate care and services and failing to
establish and maintain an infection prevention and control program designed to provide a safe,
sanitary, and comfortable environment, and designed to help prevent the development and
transmission of communicable diseases and infections. Defendants’ breach of the agreement with
Alton Johnson, Berton Pew, Stanley Webber, and the other similarly situated individuals caused
Plaintiffs to suffer injuries and attendant damages, all while unjustly enriching Defendants.
46. Plaintiff incorporates by reference all previously plead paragraphs set forth herein.
47. The Montana Unfair Trade Practices and Consumer Protection Act of 1973
prohibits unfair methods of competition and unfair or deceptive acts or practices in the conduct of
48. Alton Johnson, Berton Pew, Stanley Webber, were, at all times relevant, consumers
pursuant to the Montana Consumer Protection Act (“MRCA”) § 30-14-101 et. seq., MCA.
49. Defendants engaged in unfair and/or deceptive acts or practices in the conduct of
its commerce or trade, including but not limited to: (1) misrepresenting to Alton Johnson, Berton
Pew, and Stanley Webber (and/or their representatives) the scope of its abilities, services and
capabilities of its staff; (2) misrepresenting and/or omitting the conditions of Alton Johnson,
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Berton Pew, and Stanley Webber to avoid losing them as residents; and (3) continuing to retain
Alton Johnson, Berton Pew, and Stanley Webber, while concealing dangerous health conditions
despite knowing the high risk of injury to Alton Johnson, Berton Pew, and Stanley Webber.
50. Plaintiffs suffered damages including payment of rents under false promises,
physical, emotional, and financial suffering as a result of Defendants’ unfair and deceptive acts
and conduct towards Alton Johnson, Berton Pew, and Stanley Webber. Plaintiffs are entitled to
51. Plaintiffs incorporate by reference all previously plead paragraphs set forth herein.
52. Art. II, Sec. 4, of the Montana Constitution provides that, “The dignity of the human
being is inviolable.” The treatment which Plaintiffs received from Defendants degraded and
demeaned them as persons, which treatment failed to acknowledge their worth as persons, and
53. Plaintiffs suffered injury and damages as a direct and proximate result of
54. Plaintiffs incorporate by reference all previously plead paragraphs set forth herein.
55. As a direct and proximate result of the actions and inactions of the Defendants as
alleged above, Plaintiffs Alton Johnson, Berton Pew, Stanley Webber, and the other similarly
related to COVID-19, and/or were neglected, abused, malnourished or otherwise mistreated, and
have died as a result, incurring that damages alleged herein. Plaintiffs’ heirs have suffered the loss
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of consortium, comfort, care, support, society, and companionship of their deceased loved ones
56. Plaintiffs incorporate by reference all previously plead paragraphs set forth herein.
57. Defendants are guilty of actual malice as, defined in § 27-1-221(2), MCA, in that
Defendants had knowledge of facts or intentionally, consciously, and recklessly disregarded facts
that created a high probability of injury to Alton Johnson, Berton Pew, Stanley Webber, and the
other similarly situated individuals, and Defendants either deliberately proceeded to act in
conscious, intentional or reckless disregard of the high probability of injury to Alton Johnson,
Berton Pew, Stanley Webber, and the other similarly impacted individuals, or deliberately
proceeded to act with indifference to the high probability of injury to Alton Johnson, Berton Pew,
punitive damages is appropriate to serve as a judicial exemplar of the consequences that befall
those who act with a reckless failure to treat elderly and disabled Montana citizens with the respect
and care they deserve and that our society recognizes they are owed.
proven at trial;
death, including but not limited to loss of consortium, comfort, care, support, society, and
companionship;
3. For treble damages and attorneys’ fees pursuant to MCA § 30-14-101 et. seq.;
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4. For punitive damages as provided by law in a reasonable amount to be proven at
trial;
5. For costs, interest, and pre-judgment interest as determined by the Court; and
6. For any and all further legal or equitable relief as the Court deems just and proper
/s/John Heenan
John Heenan
Joe Cook
McGARVEY LAW
_/s/Roger Sullivan_______________
Roger Sullivan
Dustin A. Leftridge
Ethan A. Welder
Jinnifer Jeresek Mariman
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