272 NLRB 599
Extendico-Professional Care, Inc
EXTENDICO-PROFESSIONAL CARE
599
Extendico-Professional Care, Inc and Service Em-
ployees International Union Local No. 50,
AFL-CIO-CLC. Case 14-CA-15134
28 September 1984
DECISION AND ORDER
BY MEMBERS ZIMMERMAN, HUNTER, AND
DENNIS
On 9 July 1982 Administrative Law Judge James
J O'Meara Jr issued the attached decision The
Respondent and the General Counsel filed excep-
tions and briefs in support of their exceptions
The National Labor Relations Board Was delegat-
ed its authority in this proceeding to a three-
member panel
The Board has considered the decision and the
record in light of the exceptions and briefs and has
decided to affirm the judge's rulings, findings,' and
conclusions and to adopt the recommended Order
as modified 2
We agree with the judge's findings and conclu-
sions that the Respondent's licensed practical
nurses (LPNs) are not supervisors within the mean-
ing of the Act In view of our colleague's dissent,
we review some of the judge's critical findings
LPNs do not hire, fire, promote, reward, or ef-
fectively recommend such action In the course of
their own patient-care duties LPNs direct aides in
the performance of aides' patient-related duties, but
' The Respondent has excepted to some of the judge's credibility find
ings The Board's established policy is not to overrule an administrative
law judge s credibility resolutions unless the clear preponderance of all
the relevant evidence convinces us that they are incorrect Standard Dry
Wall Products, 91 NLRB 544 (1950), enfd 188 F 2d 362 (3d Cir 1951)
We have carefully examined the record and find no basis for reversing
the findings
In agreeing with the judge that jurisdiction was properly asserted over
the Respondent, Member Zimmerman notes that the Board has overruled
the adjunct theory relied on by the Respondent here Wordsworth
Academy, 262 NLRB 438 (1982) Member Dennis agrees that jurisdiction
was properly asserted in this case In so doing, she finds it unnecessary to
pass on National Transportation Service, 240 NLRB 565 (1979), or Words
worth Academy supra, since junscliction would be asserted here under
any view of the law
The General Counsel excepted to the judge s failure to find that the
Respondent violated Sec 8(a)(1) of the Act by informing employees Rose
Lankford and Marilynn Walker that they were discharged for having en
gaged in union activity In the complaint, the General Counsel specifical
ly alleged that the Respondent violated the Act when Director of Nurs
mg Brennen told an employee by telephone that the employee was dm
charged because she engaged in union activity It was also alleged that
the Respondent s administrator Gerstenecker told an employee she was
fired because of the employee's union activity The judge in fact found
that Director of Nursing Brennen told Walker that Walker was dis
charged because of her union involvement He also found that adminis
trator Gerstenecker Informed Lankford that Lankford was terminated for
coercing people into the Union Based on the foregoing, we find merit in
the General Counsel s exceptions, and thus find the additional violations
as alleged and proven See R & H Masonry Supply, 238 NLRB 1044, 1048
(1978)
2 The judge inadvertently referred to Region 4" Instead of "Region
14' in pars 2(d) and (e) of his recommended Order He also inadvertent
ly entitled his "Appendix" as Notice to Members" instead of Notice to
Employees" We hereby correct these inadvertent errors
such direction or assignment of duties is of a rou-
tine professional nature and emanates from LPNs'
high level of training and experience in caring for
patients "[D]iscretion exercised in accordance
with a professional judgment as to the best interests
of the patient rather than a managerial judgment as
to the employer's best interests is not super-
vision under the statute" NLRB v Res-Care, Inc ,
705 F 2d 1461, 1468 (7th Or 1983), enfg 261
NLRB 160 (1982)
Our dissenting colleague asserts that LPNs exer-
cise disciplinary authority and points to testimony
that an LPN could have reported an employee for
sleeping on the job and an LPN threatened to
write up an employee who did not come to work
as evidence of such disciplinary authority Of
course, if an individual possessed responsibility for
taking such action, it would be evidence of super-
visory authority But, we are persuaded that the
testimony on which our dissenting colleague relies
is anecdotal, and that these isolated instances of
action or inaction do not evidence that LPNs have
responsibility (much less have ever exercised au-
thority) to discipline or effectively to recommend
discipline
It is asserted that LPNs can require employees to
work overtime, and that this power imbues the
LPNs with supervisory authority Yet the selection
of employees for overtime usually depends on the
need for a minimum number of aides on a shift to
perform the required tasks to ensure proper patient
care As to the LPNs' authority to discipline em-
ployees or to threaten discipline, the record is sin-
gularly lacking in evidence reflecting statutory su-
pervisory powers An example of a threat of disci-
pline involved an LPN telling a maintenance em-
ployee he would be reported to the facility's ad-
ministrator if the maintenance employee did not fix
an unsafe working condition No report was ever
made In another case, an aide could have been re-
ported for sleeping during duty hours Again, the
LPN did not report the employee
As can be readily observed from the foregoing,
and the facts as discussed by the judge and con-
tained in the record, the Respondent's LPNs are
not supervisors Isolated incidents, routine applica-
tion of rules to ensure proper patient care, and lack
of any authority to affect an aide's employment
status by way of hiring, discharge, evaluation, or
discipline, convince us that the LPNs under consid-
eration are employees entitled to the protection of
the Act Accordingly, we affirm the judge's find-
ings on the supervisory issue and the related find-
ings of unlawful discrimination against LPNs Lank-
ford and Walker
272 NLRB No 95
600
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
AMENDED CONCLUSIONS OF LAW
Add the following as Conclusion of Law 4, and
renumber the remaining paragraph accordingly
"4 The Respondent has engaged in unfair labor
practices within the meaning of Section 8(a)(1) by
informing employees Rose Lankford and Marilynn
Walker that they were discharged for engaging in
union activity and protected concerted activity"
ORDER
The National Labor Relations Board adopts the
recommended Order of the administrative law
judge as modified below and orders that the Re-
spondent, Extendico-Professional Care, Inc , Troy,
Illinois, its officers, agents, successors, and assigns,
shall take the action set forth in the Order as modi-
fied
1 Insert the following as paragraph 1(b) and re-
letter the subsequent paragraphs accordingly
"(b) Informing employees that they were dis-
charged because of their union activities"
2 Substitute the attached notice for that of the
administrative law judge
MEMBER HUNTER, dissenting
This case involves the delicate question of
whether the Respondent's nurses are supervisors
within the meaning of Section 2(11) of the Act
Based on the record evidence indicating that the li-
censed practical nurses (LPNs) at the Respondent's
residential care facility for the mentally retarded
exercise authority which is truly supervisory in
nature, I find that the LPNs are statutory supervi-
sors Accordingly, I would dismiss the 8(a)(3) alle-
gation of unlawful discharge of the LPNs 1
Foremost in consideration of the supervisory
status of the Respondent's LPNs is their authority
over aides who work on the shifts with the LPNs
LPNs are in charge of seeing that aides perform
their duties They can assign the aides work and
can check on the aides' performance of that work
The significance of these factors is magnified since
the LPNs are the sole management personnel on
duty during late shifts At these times, it is the
LPNs who are truly in charge of the aides Indeed,
if employees have problems the LPNs are the only
supervisors they can consult In addition, LPNs
may exercise disciplinary authority over aides The
record contains evidence of an LPN who could
have reported an employee for sleeping on the job,
but who decided not to report the rule infraction
and, instead, tried to correct the immediate prob-
' Although I do not subscribe to the jurisdictional theory as explicated
in National Transportation Service 240 NLRB 565 (1979) see my dissent
in Wordsworth Academy 262 NLRB 438 (1982), I would assert junsdic
lion in this proceeding
lem An LPN also threatened to write up an em-
ployee who did not come in to work These were
not idle threats but were, instead, the exercise of
disciplinary authority to achieve desired manage-
ment objectives Overtime may be required of an
employee by an LPN, since LPNs have the author-
ity to hold aides over on to another shift if the fa-
cility is short of staff LPNs may also permit em-
ployees to leave the facility early if circumstances
permit
On these facts, it is undeniably clear that the Re-
spondent's LPNs are supervisors under the Act
The authority exercised by the LPNs here is not
simply an outgrowth of their training or primarily
incidental to patient care, but requires the use of in-
dependent judgment in the Respondent's interest 2
Thus, the Respondent's discharge of its supervisory
LPNs Lankford and Walker did not violate the
Act 3 I would therefore dismiss the complaint in its
entirety 4
2 See, e g, Wedgewood Health Care, 267 NLRB 525 (1983), Northwoods
Manor Inc , 260 NLRB 854 (1982), Wright Memorial Hospital, 255 NLRB
1319 (1981)
3 See generally Parker Robb Chevrolet 262 NLRB 402 (1982)
4 Since the Respondent could lawfully discharge its supervisors for en
gaging in union activity, It did not violate the Act by telling the dis
charged LPNs that the reason for their termination was their union achy/
it y
APPENDIX
NOTICE To EMPLOYEES
POSTED BY ORDER OF THE
NATIONAL LABOR RELATIONS BOARD
An Agency of the United States Government
The National Labor Relations Board has found
that we violated the National Labor Relations Act
and has ordered us to post and abide by this notice
Section 7 of the Act gives employees these rights
To organize
To form, join, or assist any union
To bargain collectively through representa-
tives of their own choice
To act together for other mutual aid or pro-
tection
To choose not to engage in any of these
protected concerted activities
WE WILL NOT discharge employees because they
have engaged in protected concerted activities for
the purpose of mutual aid and protection
WE WILL NOT inform employees that they were
discharged because of their union activities
WE WILL NOT in any like or related manner
interfere with, restrain, or coerce you in the exer-
EXTENDICO-PROFESSIONAL CARE
601
cise of the rights guaranteed you by Section 7 of
the National Labor Relations Act
WE WILL offer Rose Lankford and Marilynn
Walker immediate and full reinstatement to their
former jobs or, if those jobs no longer exist, to sub-
stantially equivalent positions, without prejudice to
their seniority or other rights and privileges, and
make them whole for any losses sustained as a
result of our discriminatory and unlawful action,
with interest
WE WILL expunge from our files any reference
to the discharges of Rose Lankford and Marilynn
Walker and notify them in writing that this has
been done and that evidence of their unlawful dis-
charges will not be used as a basis for future per-
sonnel action against them
EXTENDICO-PROFESSIONAL
CARE,
INC
DECISION
STATEMENT OF THE CASE
JAMES J O'MEARA JR , Administrative Law Judge
The charges underlying this case were filed on July 1,
1981, by Service Employees International Union, Local
50, AFL-CIO The complaint was issued on August 7,
1981 The Respondent filed its answer to the complaint
on August 20, 1981 The complaint and answer were
amended at the commencement of the hearing
The hearing was held in St Louis, Missouri, on No-
vember 16, 17, and 18, 1981 At the close of the hearing
the parties waived oral argument and subsequently filed
briefs which have been received and considered
The amended complaint alleges that Respondent meets
the several criteria necessary to bring it within the statu-
tory provisions and Board parameters under which the
Board will exercise its jurisdiction, and that the Re-
spondent violated Section 8(a)(1) and (3) of the Act by
discharging two employees because of the exercise of
their several rights guaranteed by Section 7 of the Act
and that Respondent also interfered with the rights of its
employees under Section 7 of the Act
The Respondent denies that it is an employer engaged
in commerce within the meaning of Section 2(2), (6), and
(7) of the Act and that Respondent is not, and should not
be, subject to the jurisdiction of the Board It further
denies that it has violated the Act
In consideration of the entire record in this case, the
demeanor of the several witnesses, and the briefs and ar-
guments of counsel, the following findings are made
I JURISDICTION
A Jurisdictional Facts
The Respondent, a Delaware corporation, maintains its
offices and business facilities in Troy, Illinois, where it
operates an intermediate care facility for the develop-
mentally handicapped During the 12-month period
ending July 31, 1981, the Respondent, in the course and
conduct of its business operations, derived gross reve-
nues in excess of $100,000, and purchased, and caused to
be transported and delivered to its facilities in Illinois,
materials and services valued in excess of $50,000, which
materials and services were transported and delivered to
its facilities directly from points outside the State of Illi-
nois 1
The residents at Respondent's facility are persons 18
years of age or over who have, to varying degrees, de-
velopmental handicaps Generally, the Respondent pro-
vides these residents with housing and subsistence as
well as physician-prescribed medication, assistance with
personal care, speech and motor development, and those
services designed to create an environment proximating,
to the extent practicable, a "normalization" The comple-
ment of residents at Respondent's facility varies in
number to a maximum of 149 At the time in question
Respondent's residents numbered 138 Respondent's
source of candidates for residence is primarily several
agencies of the State of Illinois, however, it also accepts
residents from private sources Of the 138 residents, all
but one was a resident whose cost of residency at Re-
spondent's facility was borne by the State of Illinois
When a candidate for residency is proposed by a state
agency, the Respondent may accept or reject the pro-
posed candidate The decision to accept or reject is made
as a result of Respondent's staff evaluation 2
The State of Illinois prescribes certain criteria which
Respondent and other similanly situated institutions must
meet in order to qualify for state reimbursed placement
of residents 3
B Discussion
The Respondent contends that it is not an "employer"
as that term is defined in Section 2(2) of the Act and is
not the "type" of health care institution over which the
Board has "intended" to assert jurisdiction Section 2(2)
of the Act defines the term "employer" when used in the
Act to include
[A]ny person acting as an agent of the employer, di-
rectly or indirectly, but shall not include the United
States or any wholly owned Government corpora-
tion, or any federal reserve bank, or any State or
political subdivision thereof
Section 2(14) of the Act defines the term "health care in-
stitution" when used in the Act to include
' The foregoing findings of fact are based on the allegations of the
amended complaint and the admissions in regard thereto by the Respond
ent The complaint however, Inadvertently alleges the transportation and
delivery of materials and services in excess of $50,000 from outside the
State of ' Missouri' This inadvertence will be corrected sua sponte by
substituting "Illinois" for Missouri
2 The record does not identify the personnel of Respondent comprising
such staff nor the details of the evaluation or decisionmaking process
with regard to acceptance or rejection of a candidate for residency
3 These criteria are not reflected by this record The record further
does not reflect any control nor participation by any state agency over or
in the management fiscal policy, staffing, or paraprofessional services
rendered by the Respondent to its residents
602
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
[A]ny hospital, convalescent hospital, health mainte-
nance organization, health clinic, nursing home, ex-
tended care facility, or other institution devoted to
the care of sick, infirmed or aged persons
It is clear that the Respondent is not a political subdi-
vision of the State of Illinois nor does the Respondent
argue that it is Respondent, however, contends that it is
an "adjunct arm" of and has an "intimate connection"
with the State The evidence in this record discloses that
the State has referred all but 1 of the 138 residents to Re-
spondent's facility and bears the cost of maintaining these
137 residents The record is deficient in detailing any
state licensing requirements for facilities such as the Re-
spondent's but it can be safely assumed that there are
such requirements which facilities such as Respondent
must meet in order to make them eligible for placement
of residents by state agencies
The Supreme Court has held that the employers
are exempt political subdivisions under Section 2(2)
of the Act if they are either (1) created directly by
the State, so as to constitute departments or admin-
istrative arms of the government, or (2) adminis-
tered by individuals who are responsible to public
officials or to the general electorate [Association for
the Developmentally Disabled, 231 NLRB 784
(1977) ]
The Respondent here does not meet either test The
Respondent is a privately owned Delaware corporation
It is not created directly by the State of Illinois so as to
constitute a department or administrative arm of that
state government Respondent's administration is not sub-
ject to supervision by the State or any agency thereof
nor is it answerable to public officials or the electorate
The Respondent determines and sets its policies, super-
vises its operations, hires and fires its employees, sets
wages and salaries, determines working hours, and other
conditions of employment The issue raised by Respond-
ent's contention that an "intimate connection" with the
State deprives the Board of jurisdiction was set to rest in
the case of National Transportation, 240 NLRB 565
(1979) In that case the Board stated
A leading case enunciating the "intimate connec-
tion" test is Rural Fire Protection Company 3 in
which the majority described the test as having two
aspects (1) whether the nonexempt employer re-
tains sufficient control over its employees' terms
and conditions of employment so as to be capable
of effective bargaining with the employees' repre-
sentative, and (2) where the employer retains such
control, "the focus of necessity is on the nature of
the relationship between the purposes of the exempt
institution and the services provided by the nonex-
empt employer We conclude that the first
aspect of this test-1 e , whether the employer
would be able to bargain effectively about the terms
and conditions of employment of its employees—is
by itself the appropriate standard for determining
whether to assert jurisdiction in situations such as
that presented in the instant case Once it is deter-
mined that the employer can engage in meaningful
collective bargaining with representatives of its em-
ployees, jurisdiction will be established Section
14(c)(1) of the Act is the basis of the Board's discre-
tion to "decline to assert jurisdiction over any labor
dispute involving any class or category of employ-
ers, where, in the opinion of the Board, the effect of
such labor dispute on commerce is not sufficiently
substantial to warrant the exercise of its jurisdic-
tion" However, nothing in the legislative history of
this provision indicates any congressional intent that
the Board decline to assert jurisdiction over any
employer solely because of the relationship between
services it provides to an exempt entity and the pur-
pose of such entity
We see no need to examine the relationship
between an employer and an exempt entity for
which it performs services for some abstract "inti-
mate connection" which has no bearing on the em-
ployer's ability to bargain effectively with a labor
organization as representative of its employees and
which requires a meticulous and, in our view, su-
perfluous analysis of the facts in order to ascertain
whether in the Board's opinion the employer's serv-
ices are essential to the purposes of the exempt
entity, universally recognized as a governmental
function, statutorily mandated or noncommercial in
nature
Accordingly, we conclude that the "right of con-
trol" test provides a more objective, precise, and
definitive standard for determining discretionary ju-
risdictional issues than the "intimate connection"
test By utilizing the former we shall avoid some of
the ambiguities presented by the latter and better
exercise the discretionary jurisdiction allowed us
under Section 14 of the Act
3 216 NLRB 584 (1975)
In a more recent holding involving an entity similar to
the Respondent, the Board held in Krebs School Founda-
tion, 243 NLRB 514 (1979) that
Although the evidence shows that the Employer
must meet certain requirements in order to qualify
for the placement of students under state or local
public funding, in our opinion it does not show that
the school is an adjunct of the exempt public school
system First, it does not have to accept students re-
ferred under chapter 766 and does, in fact, accept
other students whose tuition is privately funded
Further, the evidence shows that except for setting
minimum requirements, the government does not
dictate what physical facilities the Employer main-
tains, its hours of operation, its personnel policies,
salaries, or any of its day-to-day operations The
fact that the school performs an educational func-
tion for the Commonwealth of Massachusetts
which, by law, is required to guarantee an educa-
tion to each child does not make the school an ad-
junct of the public school system
EXTENDICO-PROFESSIONAL CARE
603
Nor is the Employer's contention that it is "inti-
mately connected" to the state and local govern-
ments a ground for declining jurisdiction As the
Board stated in National Transportation Services,
Inc , it will no longer consider the so-called intimate
connection test in ascertaining whether to assert ju-
risdiction over an employer Rather, if an employer
meets the definition of an "employer" under the
Act and has sufficient control over the employment
conditions of its employees to enable it to bargain
with a labor organization as their representative, we
will assert jurisdiction The evidence here shows
that the Employer hires and fires its own employees
and sets their hours of work, salaries, supervision,
and other working conditions without outside inter-
ference Accordingly, we conclude that the Em-
ployer retains sufficient control over its employees
to enable it to engage in collective bargaining with
a representative of its employees
It is clear from the foregoing that the Respondent here
is not immune from the jurisdiction of the Board and, on
the contrary, is an entity, the nature of which reflects
that type of entity which the Board has, in the past, exer-
cised, and continues to exercise, jurisdiction both as a
matter of law and Board rule of decision pursuant to
Section 14(c) of the Act
C Conclusion
The Respondent is, and at all times material herein
was, an employer enaged in commerce within the mean-
ing of Section 2(2), (6), (7), and (14) of the Act and that
it will effectuate the policies of the Act to assert jurisdic-
tion in this case
II THE LABOR ORGANIZATION
Service Employees International Union, Local 50,
AFL-CIO, is, and at all times material herein has been, a
labor organization within the meaning of Section 2(5) of
the Act
III THE ALLEGED UNFAIR LABOR PRACTICES
A General Factual Findings
As set forth above, the Respondent operates an inter-
mediate care facility for the developmentally handi-
capped over 18 years of age The facility, at the time in
question, housed 138 residents in a mens' wing, womens'
wing, and what is called the new wing The residents
suffer from a variety of mental and physical handicaps
and nearly all receive regular medical attention Some
residents require assistance in personal care and hygiene
while others have the ability to function more independ-
ently Some residents suffer seizures which require nurs-
ing attention The residents receive other kinds of medi-
cal treatment from the nursing staff such as enemas, foot
soaks, etc The Respondent also provides therapeutic and
rehabilitation services for its residents of whom some,
termed "workers," work outside the home in various
outreach programs
Janice Gerstenecker is the administrator of the facility
and is responsible for the day-to-day operation of the fa-
cility She and Respondent's owner set employee wages
and benefits and hire, discharge, and discipline employ-
ees
Respondent also employs a director of nursing to su-
pervise the nursing staff At the time material, Margaret
Brennen occupied that position She supervised a nursing
staff of 6 LPNs and 16 to 18 nurses aides The LPNs are
licensed by the State of Illinois after completing a 1-year
course of study and passing a required examination The
nurses aides complete a shorter training course and are
also certified by the State The LPNs and nurses aides
are paid hourly and punch timeclocks
The home provides nursing services and care to pa-
tients 24 hours a day There are three 8-1/2 hour over-
lapping shifts which are staffed by at least one LPN and
two to four aides The shifts run from 7 a m to 3 30
pm, 3 pm to 11 30 pm, and 11 pm to 730 am The
administrator and the director of nursing are at Respond-
ent's facility Monday through Friday from 9 a m to 5 30
p m and from 7 a m to 3 30 p m, respectively Both
share being "on call" during the remaining hours and are
available to th; staff 24 hours a day
LPNs, in the course of their daily functions, provide
direct patient care, see to the preparation and administra-
tion of medications, and are responsible for the mainte-
nance of patients charts Nurses aides perform tasks re-
quiring little or no professional knowledge such as,
cleaning showers, mopping floors, assisting residents
with personal care and hygiene, making bed checks, and
generally assisting LPNs when requested The LPNs see
that the nurses aides complete their regularly scheduled
duties, do not overstay breaks or lunch periods, do not
sleep on the job, and correct an aide improperly per-
forming her duties 4 The LPNs were also required to see
to it that the employees conform to the expressed and
written policies of the Respondent's facility Such poli-
cies included appropriate dress, no gambling or drinking
on the job, and courtesy in the treatment of, and contact
with, residents
LPNs do not engage in the written job evaluation of
aides In the event a supervisor would request an opinion
on a nurses aide it would be given by the LPN The em-
ployee evaluations, however, were made by the director
of nursing who is responsible for interviewing, hiring,
promoting, transferring, or discharging a nurses aide and
that she performed these duties without any assistance
from LPNs When no director of nursing was employed,
the administrator did the hiring for the facility No LPN
ever hired, interviewed, discharged, promoted, or trans-
ferred any employee nor have they recommend any such
action
LPNs do verify nurses aides' timecards Overtime is
approved only by the director of nursing and, in the
4 The LPNs who testified stated that their duties were as above set
forth, however, the need for such action has not arisen frequently and no
LPN was ever required to report an offending nurses aide to the director
of nursing nor have the LPNs ever taken any written disciplinary action
against an aide Such action has been taken by supervisors on occasion
The former director of nursing, Joyce Mueth, testified that It was she
who was responsible for disciplining the nursing staff and that she did not
expect LPNs to do more than tell the nurses aides to do their job or to
report problems to her
604
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
event such requests for overtime, arose on shifts other
than that in which the director of nursing was at the fa-
cility, the request was telephonically approved by the di-
rector
Respondent periodically held staff meetings on
Monday mornings at which various departmental super-
visors attended, the director of nursing, the administra-
tor, and the day shift LPN The purpose of these meet-
ings was to discuss patient problems which had occurred
over the weekend and to evaluate applications from pro-
spective residents These staff meetings were not attend-
ed by evening and night shift LPNs
B The Rise of Union Activity
LPN Marilynn Walker was employed by Respondent
as an LPN from September 21, 1975, to June 25, 1981
During the latter part of her tenure with Respondent,
Marilynn Walker worked the night shift with aides
Painter, Ganes, Moore, and Hoffman During the month
of June, the night aides received a new assignment from
Administrator Gerstenecker whereby they were required
to mop the dining room floor This apparently caused
unrest among the employees and the subject of organiz-
ing was raised LPN Rose Lankford testified that her
husband, a steward in his own union, arranged for a rep-
resentative from Local 50, Services Employees' Interna-
tional Union, to contact her This contact was made on
June 23, 1981, after which Lankford spoke with Man-
lynn Walker about the Union and she and Walker began
talking to fellow employees about the benefits of union-
ization A petition for representation was filed with
Region 14 of the Board on July 27, 1981
LPN Marilynn Walker worked the night shift on June
24 and 25 (11 p m to 7 30 a m) Between 5 and 7 am,
on the morning of June 25, she dispensed prescribed
medication to those residents who she knew were out-
side workers since the worker residents must leave the
facility before 9 a m, which was the prescribed time for
morning medication Such outside workers were given
medication early even if they were not to leave for work
on the given day This established procedure included
the posting of the medication distribution in the patients'
medication records It was also the practice of the night-
shift LPN and the day-shift LPN to exchange informa-
tion at the change of shifts Marilynn Walker, conform-
ing with the practice, distributed the 9 a m medication
to worker patients between 6 and 7 30 a m, including
one Gerald Travelstead Travelstead had returned to the
facility from the hospital on the day before and had not
been released to return to work Marilynn Walker did
not record this distribution of Travelstead's medication
in his medication record 5 For some reason, not clear in
the record, Marilynn Walker did not confer with Bernice
Walker, the LPN charge nurse on the day shift (7 a m
to 3 30 p m), about the advance distribution of medica-
tion
5 The record is not clear whether Manlynn Walker recorded the act
improperly or failed to record it at all The failure to record such infor
mation in a timely manner was not unprecedented at Respondent's facili
ty
Bernice Walker dispensed the 9 a m medication to
those patients who were nonworkers about 9 a m Tra-
velstead, a worker but not working on the day in ques-
tion, was given a second 9 a m medication Bernice
Walker had dispensed the medication to Travelstead
without checking his medication record nor conferring
with Marilynn Walker about advance medication Later
in the morning Travelstead told Bernice Walker that he
had taken a second dosage of his morning medication
Bernice Walker checked the medication record and
called Marilynn Walker at her home and confirmed that
Travelstead had received a double dosage of his 9 a m
medication 6 Later that afternoon Marilynn Walker was
discharged by Administrator Gerstenecker allegedly for
the error in medical distribution of that morning Man-
lynn Walker contacted Director of Nursing Brennen to
ask the reason for her discharge Brennen advised her
that it was because of her union involvement
On June 27, Gerstenecker called employees Lankford,
Painter, and Ganes to her office Gerstenecker raised the
subject of the Union and talked about a nursing home
which had been through a union organizing campaign
where the employees had been on strike for 4 months
The employees were eventually replaced She stated that
Respondent would not tolerate a union and that Re-
spondent's employees would have to do the same as
those employees at other nursing homes Gerstenecker
also told Lankford that she was a supervisor and could
not vote in a union election
On June 30, Gerstenecker called Lankford and in-
formed her that she was being discharged because she
was not "cooperating with management in a supervisory
way" When Lankford asked what she meant by that,
Gerstenecker told her that Lankford was "coercing
people into the union "7
C Discussion and Conclusion
In addition to contesting the jurisdiction of the Board
over the Respondent in this case, the Respondent has
contended that both LPNs Marilynn Walker and Rose
Lankford were "charge nurses" and supervisory person-
nel and the Respondent's actions in regard to these em-
ployees are not covered by the provisions of the Act
Section 2(11) of the Act defines supervisors
The term "supervisor" means any individual having
authority, in the interest of the employer, to hire,
transfer, suspend, lay off, recall, promote, discharge,
assign, reward, or discipline other employees, or re-
sponsibly to direct them, or to adjust their griev-
ances, or effectively to recommend such action, if in
connection with the foregoing the exercise of such
authority is not of a merely routine or clerical
nature, but requires the use of independent judg-
ment
6 Travelstead's doctor was advised and precautionary measures were
taken Travelstead did not suffer any damage as a result of the double
dosage
7 Respondent's counsel has conceded that if Lankford is not found to
be a supervisor her discharge was a violation of the Act
EXTENDICO-PROFESSIONAL CARE
605
In Madeira Nursing Center, 203 NLRB 323, 324 (1973),
the Board deemed similarly employed nurses not to be
within the statutory definition of supervisor and, there-
fore, entitled to the protection of the provisions of the
Act The Board said
The operations are divided into nursing or patient
care, housekeeping, and dietary Nursing is provid-
ed at all times on a three-shift basis There are 9
nurses, about 25 nurses aides, and 2 orderlies The
nursing home has east, west, and south wings On
each shift, each wing has a charge nurse (RN or
LPN) who is assisted by a varying number of aides,
depending on the wing, the shift, or the need The
LPN's are paid an hourly rate which is about 80
percent higher than aides' One orderly is on duty
the first and second shift The aides and orderlies
are assigned duties by the nurses There is also a
housekeeping staff of four (at least one on each
shift) and a kitchen staff (a first and a second cook
and approximately two full-time and part-time help-
ers), who receive instructions as to menus from a
part-time outside consultant dietician and are super-
vised directly by the director of nursing and her as-
sistant
The duties of the RNs and LPNs relate solely to
patient care and include the administering of medi-
cations, ordering of prescription refills, charting of
patients' conditions, applying established procedures
in emergencies, summoning physicians when, in
their judgment, their services are required, and
maintaining strict control over the narcotics supply
Following schedules made up by the director of
nursing, the nurses assign their aides a certain
number of patients to attend The aides and order-
lies are involved primarily in the environmental
care of patients, i e, making their beds, tidying their
rooms, bathing them, and assisting them in dressing,
feeding, and moving about They may also be given
direct nursing duties, such as taking temperatures
When dictated by the condition of a patient, nurses
also direct aides and orderlies to assist in medical
treatments
Testimony taken at the reopened hearing indi-
cates that the RNs and LPNs do not have any au-
thority to affect, either directly or by making effec-
tive recommendations, the employment status of
aides and orderlies working under their direction
With respect to discipline, their role is confined to
reporting situations to the director of nursing, who
takes action only after conducting an independent
investigation Work assignments and directions
given by the nurses to aides and orderlies do not, in
our opinion, require independent judgment but are
either in accord with the scheduling done by the di-
rector of nursing or dictated by the needs of the pa-
tients The RNs and LPNs are not, therefore, super-
visors as defined in the Act
The record in this case establishes that no LPN had
the authority to hire or to discharge any of Respondent's
personnel nor did they have the authority to set the
wages of such personnel or in any way to determine, or
affect, the employment status of such employees nor
could such nurses effectively recommend any of the
above action The Respondent's administrator expressly
reserved such authority to herself
The work schedules for the nurses aides, as well as
other employees, were prepared by the administrator or
the director of nursing The extent of the LPN charge
nurses' authority was to determine that the aides per-
formed the functions necessary to maintain a proper en-
vironment and assist patients in their personal needs In
Madeira, the Board found that such question of aides in
the performance of their work assignments does not re-
quire independent judgment but are "either in accord
with the scheduling done by the director of nursing or
dictated by the needs of the patients" In this case, the
LPNs did not prepare work assignments for the aides
See also Trustees of Noble Hospital, 218 NLRB 1441,
1442 (1975), Brattleboro Memorial Hospital, 226 NLRB
1036 (1976), Valley Hospital, 220 NLRB 1339 (1975)
While in this case it is clear that the LPNs have the au-
thority to direct aides as to patient care, such authority
arises from the LPNs' professional, rather than independ-
ent, judgment Such directions can include cleaning up
after an incontinent patient, assisting the LPN with a pa-
tient experiencing a seizure, retrieving a resident who has
removed himself or herself from the premises, or mop-
ping floors pursuant to the directions from the adminis-
tration Activities such as these related solely to the pa-
tients' well-being or are prescheduled into the aides' rou-
tine
The aides at Respondent's facility made up their own
schedules subject to approval by the director of nursing
The LPNs did not participate in this process The aides,
on being employed, trained each other and rotated jobs
according to their own practice Clearly the authority
possessed and practiced by the LPN charge nurse in this
case in no way affects the employment status of the aides
and such authority does not constitute indicia of supervi-
sorship
The LPNs at Respondent's facility had never engaged
in any oral or written disciplinary procedures It is clear,
from the testimony, that in the event a need for disci-
pline arose the charge nurse was limited to advising the
director of nursing or the administrator No such discipli-
nary episode has ever arisen A former director of nurs-
ing, Joyce Mueth, testified that it was not expected that
the LPNs would discipline aides as that was the direc-
tor's responsibility In Madeira, supra, the Board held
that such type of disciplinary authority did not render a
charge nurse a supervisor See also Pine Manor Nursing
Home, 238 NLRB 1654 (1978)
The LPNs here had never made written records of
disciplinary warnings, however, supervisors at Respond-
ent's facility had used warning forms which became part
of the employees' record The lack of evidence of writ-
ten disciplinary procedures by the LPNs, particularly in
light of the evidence that admitted supervisors completed
written disciplinary forms, supports the conclusion that
the LPNs here are not supervisory personnel
606
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
The LPNs had the authority to initial timecards for
aides reflecting their absences from work if ill, and under
certain circumstances, the LPNs could require employ-
ees to work overtime The expressed policy of Respond-
ent with regard to overtime, however, is that such must
be approved by the administrator or the director of nurs-
ing The charge nurses were not authorized to adjust em-
ployee grievances nor is there any evidence in this
record that such was undertaken by any LPN
Supervisory meetings held by the Respondent were at-
tended by the administrator, the director of nursing, and
other acknowledged supervisors as well as the LPN on
the day shift These meetings were not attended by other
shift charge nurses The purpose of such meetings was
acknowledged to be the discussion of patient care and
progress or other circumstances which may have arisen
over the weekend while management personnel were
absent Such meetings, although characterized as supervi-
sory meetings, were not, in themselves, indicia of the su-
pervisory status of those who attended
The fact that the LPN was the highest professionally
trained person at the facility at night suggests some su-
pervisory capacity However, it is important to note that
the administrator and the director of nursing were on 24-
hour call See Geriatrics, Inc , 239 NLRB 287 (1978)
There was no authority, which the record disclosed,
extended to the charge nurse LPN which can be deemed
to establish a supervisory status for the LPN charge
nurse Whatever authority was possessed by the LPNs is
concluded to be merely routine or clerical in nature or
such which naturally arises from the LPNs' higher level
of training and experience In no way does any of such
characteristics of employment require the use of the
LPNs charge nurses' independent judgment such as
would support a conclusion that they have authority, in
the interest of the employer, to do those things which
the Act lists in the definition of a supervisor The LPN
charge nurse and specifically Marilynn Walker and Rose
Lankford are, therefore, not supervisors as defined by
the Act
D The Discharges
Rose Lankford was discharged on June 30, by Admin-
istrator Gerstenecker who informed her that she "wasn't
cooperating with management in a supervisory way" and
that she was "coercing people into the Union" The ad-
ministrator had acted under the alleged assumption that
Lankford, an LPN charge nurse, was a supervisor As
heretofore determined, Lankford was not a supervisor
and is an employee subject to the protection of the pro-
visions of the Act Her discharge, therefore, was a viola-
tion of Section 8(a)(1) and (3) of the Act 8
Marilynn Walker was discharged by the administrator
on the afternoon of June 25, allegedly because of her
failure to record the distribution of medication to a resi-
dent Marilynn Walker as night shift "LPN in charge"
distributed prescribed medication to one Gerald Travel-
stead who was a "worker" resident It was Respondent's
practice to advance the time at which prescribed medica-
8 Respondent's counsel acknowledged that Lankford's discharge violat
ed the Act if she was not found to be a supervisor
bons were distributed to "worker" residents, since such
resident was required to leave the facility to reach his
place of employment prior to 9 a m Such practice pre-
vailed even when a "worker" such as Travelstead, in this
case, was not leaving for work on a given day 9 The Re-
spondent's procedure provided that the resident's medi-
cation record was caused to reflect the administration of
prescribed medication Such entries were to be made by
the LPN distributing the medication Athough Marilynn
Walker gave Travelstead his 9 a m dosage, prior to the
end of her shift at 7 30 a m , she either did not record
such in the patient's medication record, or erroneously
recorded it Marilynn Walker and LPN Bernice Walker
who succeeded her as "LPN in charge" on the 7 a m
shift did not, as was customary, confer orally at the
change of the shift regarding matters including the ad-
vanced dosage of medication to Travelstead As a result,
Travelstead who, although a "worker," did not leave the
premises to work that day, appeared at the nurses station
and was given a second dosage of his medication by Ber-
nice Walker Prior to distributing the second dosage of
medication to Travelstead, Bernice Walker did not check
the patient's medication record and, since she had not
discussed this matter with Marilynn Walker at the end of
the night shift, she was unaware that the dosage dis-
pensed by her to Travelstead was his second for that
time period The error came to light when Travelstead,
after apparently taking his second 9 a m dosage, told
Bernice Walker that he had been given medication by
Marilynn Walker
It is conceded that the error was a serious misfeasance
caused by, first, the distribution of medication by LPN
Marilynn Walker without so advising her successor
charge nurse Second, this was compounded by the fail-
ure of Bernice Walker to note that Travelstead, a
"worker," appeared at the nurses' station for the 9 a m
medication Bernice Walker did not consult the medical
record for guidance (although such consultation would
not have prevented the error) nor did she contact Man-
lynn Walker for oral information until Travelstead dis-
closed the error Bernice Walker should have recognized
Travelstead as a "worker" and, in view of the practice to
advance the 9 a m medication for such residents whether
or not they were to go to work that day, should have
been alerted 10
The discharge of Marilynn Walker for her part in the
misdosage was within the prerogative of the Respondent
It was a serious misfeasance and could have caused seri-
ous damage or injury to Travelstead However, Man-
lynn Walker, although she initiated the events compris-
ing the error, was not the only employee involved in the
9 Travelstead had returned from a period in the hospital and had not
yet been released by his doctor to work
10 It is deemed Imprudent for the Respondent to engage in such a
loose practice as demonstrated by the evidence in the distribution of
medication Advancing medication to some designated patients by a prior
shift nurse and relying on a written record or oral advice of the fact cre
ates conditions that make a duplication of medication a highly potential
risk If this case included the issue of fault for the error of medication I
would be compelled to find not only Marilynn Walker and Bernice
Walker at fault but also the Respondent, itself, for allowing such a loose
procedure to be maintained
EXTENDICO-PROFESSIONAL CARE
607
mistake Bernice Walker gave Travelstead a "worker"
medication at the 9 a m prescribed period when he was
known to be a "worker" and should have received medi-
cation from Marilynn Walker prior to the termination of
the night shift Bernice Walker, thus, was also at fault
She did not consult the medical record She did not dis-
cuss the early medication with Marilynn Walker Only
Travelstead's statement alerted her to the error Bernice
Walker was not disciplined even by a reprimand but in
fact was later promoted to assistant director of nursing I
deem such discipline against Marilynn Walker to be dis-
parate and thus credit Marilynn Walker's testimony that
Margaret Brennen, the director of nursing at the time,
told her that she was dismissed because of her union ac-
tivity Respondent's right to discipline Manlynn Walker
is undenied, however, the severe discipline was not
meted to Marilynn Walker because she was a participant
in a series of errors even though initiated by her and of a
serious degree, but, I conclude, she was discharged be-
cause, as the director of nursing told her, of her engage-
ment in union activities
One can only speculate as to the reason Respondent
did not produce the former director of nursing, Brennen
She was not shown to be unavailable to refute Marilynn
Walker's testimony, however, I find that Marilynn Walk-
er's testimony injecting Walker's union activity as a
reason for her discharge to be credible The Respondent
has not met its onus to show that Marilynn Walker's dis-
charge was for good cause and not for engagement in
any protected union activity Director of Nursing Bren-
nen's statement that her discharge was for her union ac-
tivities and the disparity of the treatment of Marilynn
Walker compel the conclusion that Marilynn Walker's
measure of discipline was inflicted because of her en-
gagement in protected activities See Wright Line, 251
NLRB 1083 (1980) Accordingly, I find that the dis-
charge of Marilynn Walker violates Section 8(a)(1) and
(3) of the Act
E Administrator's Antiunion Discussion
On the morning of June 27, Administrator Gersten-
ecker met with several of the Respondent's employees
and discussed the union organization campaign at the fa-
cility Gerstenecker testified that she made no statement
which could be interpreted as stating that the employees
would inevitably be required to strike and potentially be
replaced in the event of a union contract Gerstenecker
admits that she discussed the Union and included within
that discussion that under a union contract there was a
risk of strike, fines, assessments, and so forth She further
acknowledged that she directed the employees' attention
to the history of the particular union with regard to its
record for calling, and engaging in, strikes
Gerstenecker further testified that the discussion she
had with employees regarding unions was from a written
document which she followed while speaking
Rose Lankford characterized the discussion of June 27
by Gerstenecker as stating that the Respondent "would
not tolerate a union" and that the "employees would
have to strike and risk replacement in the event of union
representation"
The recollection of Lankford of the statements of Ger-
stenecker at the June 27 meeting raises the suspicion of
inaccuracy Gerstenecker's statements to these employees
followed a written document prepared by her attorney
which she had used on at least one previous occasion It
does not submit to the characterization recited by Lank-
ford and at close scrutiny suggests that the characteriza-
tion testified to by Lankford comprises the listeners' in-
terpretation of what was stated and appears that such
characterization arises from taking certain statements out
of context Notwithstanding this, I conclude that al-
though Gerstenecker's statements may be deemed
"brinkmanship" it is not such that the employees could
reasonably interpret as meaning that negotiations with
the Union would be unsuccessful and result in a strike
and eventual replacement of workers
The Board in Amerace Corp, 217 NLRB 850, 852
(1975), stated
In arguing against unionism, an employer is free
to discuss rationally the potency of strikes as a
weapon and the effectiveness of the union seeking
to represent his employees It is, however, a differ-
ent matter when the employer leads the employees
to believe that they must strike in order to get con-
cessions A major presupposition of the concept of
collective bargaining is that minds can be changed
by discussion and that skilled, rational, cogent argu-
ment can produce change without the necessity for
striking When an employer frames the issue of
whether or not the employees should vote for a
union purely in terms of what a strike might accom-
plish, he demonstrates an attitude of predetermina-
tion that bargaining itself will accomplish nothing
Employees should not be led to believe, before
voting, that the choice is simply between no union
or striking
It is concluded here that the statements of Gersten-
ecker as reflected by the clearest evidence of the context
(the written statement used by Gerstenecker), in fairness,
reflected those rights which an employer has to promul-
gate to its employees a rational pro and con comparison
of rights of an employee as a union member and those
circumstances existing without a union Not only is this
the inherent right of the employer but a valuable asset to
the unsophisticated employee who may or may not be
fully advised in the consequences of his choice In no in-
stance could the discussion of Gerstenecker be interpret-
ed as a misstatement of law or facts designed to unlaw-
fully influence her audience against the Union Accord-
ingly, I conclude that Gerstenecker's discussion of June
27 did not constitute statements which comprise a viola-
tion of the Act
CONCLUSIONS OF LAW
1 The Respondent is an employer engaged in com-
merce within the meaning of Section 2(2), (6), (7), and
(14) of the Act, and the Board has jurisdiction over the
subject matter and the parties hereto, and further that it
will effectuate the policies of the Act to assert jurisdic-
tion in this case
608
DECISIONS OF NATIONAL LABOR RELATIONS BOARD
2 The Union is, and has been at all times material
herein, a labor organization within the meaning of Sec-
tion 2(5) of the Act
3 Respondent has engaged in unfair labor practices
within the meaning of Section 8(a)(1) and (3) by dis-
charging employees Rose Lankford and Marilynn
Walker because of their having engaged in union and
protected concerted activities guaranteed by the provi-
sions of Section 7 of the Act
4 The General Counsel has failed to establish by a
preponderance of the evidence in this record that the
Respondent has violated the Act by statements to the
employees regarding the effect of a successful union or-
ganizing campaign
The aforecited practices are unfair labor practices af-
fecting commerce within the meaning of the Act
THE REMEDY
Having found that Respondent engaged in unfair labor
practices it shall be ordered that it cease and desist there-
from or from engaging in any similar or related conduct
and that it take certain affirmative action to effectuate
the policies of the Act
On these findings of fact and conclusions of law and
on the entire record, I issue the following recommend-
ed"
ORDER
The Respondent, Extendico-Professional Care, Inc ,
Troy, Illinois, its officers, agents, successors, and assigns,
shall
1 Cease and desist from
(a) Discharging employees because of their union ac-
tivities
(b) In any like or related manner interfering with, re-
straining, or coercing its employees in the exercise of the
rights guaranteed to them by Section 7 of the Act
2 Take the following affirmative action which will ef-
fectuate the policies of the Act
" If no exceptions are filed as provided by Sec 102 46 of the Board s
Rules and Regulations, the findings, conclusions, and recommended
Order shall, as provided in Sec 102 48 of the Rules, be adopted by the
Board and all objections to them shall be deemed waived for all pur
poses
(a) Offer Rose Lankford and Marilynn Walker imme-
diate and full reinstatement to their former jobs or, if
said positions no longer exist, to substantially equivalent
positions of employment without prejudice to the seniori-
ty or the rights and privileges enjoyed by each and to
make each of the above whole for any loss of pay or
other benefits which they have suffered by reason of the
discrimination practiced against them, to be computed in
accordance with the Woolworth formula, 12 with interest
thereon calculated in accordance with the adjusted prime
rate used by the U S Internal Revenue Service to com-
pute interest on tax payments Florida Steel Corp, 231
NLRB 651 (1977), Isis Plumbing Co, 138 NLRB 716
(1962)
(b) Preserve and upon request make available to the
Board or to its agents for examination and copying, all
payroll records, social security cards, timecards, person-
nel reports, and all other records necessary to analyze
the amount of backpay due under the terms of this order
(c) Expunge from its files any reference to the dis-
charge of Rose Lankford and Marilynn Walker and
notify them in writing that this has been done and that
evidence of this unlawful discharge will not be used as a
basis for future personnel actions against them
(d) Post in a conspicuous place on Respondent's prem-
ises copies of the attached notice marked "Appendix "13
Copies of the notice, on forms provided by the Regional
Director for Region 4, after being signed by the Re-
spondent's authorized representative, shall be posted by
the Respondent immediately upon receipt and maintained
for 60 consecutive days in conspicuous places including
all places where notices to employees eligible to vote are
customarily posted Reasonable steps shall be taken by
the Respondent to ensure that the notices are not altered,
defaced, or covered by any other material
(e) Notify the Regional Director for Region 4 in writ-
ing within 20 days from the date of this Order what
steps the Respondent has taken to comply
" F W Woolworth Co, 90 NLRB 289 (1950)
" If this Order is enforced by a Judgment of a United States Court of
Appeals, the words in the notice reading 'Posted by Order of the Na
tional Labor Relations Board' shall read Posted Pursuant to a Judgment
of the United States Court of Appeals Enforcing an Order of the Nation-
al Labor Relations Board"