Integrated Health Services

National Labor Relations Board - Board Decisions

Sep 30, 2001

336 N.L.R.B. 575 (N.L.R.B. 2001)

INTEGRATED HEALTH SERVICES 575
Integrated Health Services, Inc. and District 1199, the
Health Care and Social Service Union, SEIU,
AFL–CIO. Cases 8–CA–31566, 8–CA–31630, 8–
CA–31644, and 8–CA–31802
September 30, 2001
DECISION AND ORDER
BY CHAIRMAN HURTGEN AND MEMBERS
LIEBMAN
AND WALSH
On April 23, 2001, Administrative Law Judge Margaret
M. Kern issued the attached decision. The Respondent
filed exceptions and a supporting brief and the General
Counsel filed an answering brief.
The National Labor Relations Board has delegated its
authority in this proceeding to a three-member panel.
The Board has considered the decision and the record in
light of the exceptions1 and briefs and has decided to af-
firm the judge’s rulings, findings, and conclusions and to
adopt the recommended Order as modified.2
ORDER
The National Labor Relations Board adopts the recom-
mended Order of the administrative law judge as modified
below and orders that the Respondent, Integrated Health
Services, Inc., with offices located in Washington Square
in Warren, Crestwood Care Center in Shelby, Meadow-
view Care Center in Seville, Canterbury Villa of Alliance
in Alliance, Auburn Manor in Washington Court House,
Rosewood in Galion and Village Care in Galion, Ohio, its
officers, agents, successors, and assigns, shall take the
action set forth in the Order as modified.
Substitute the following for paragraph 2(b).
“(b) Preserve and, within 14 days of a request, or such
additional time as the Regional Director may allow for
good cause shown, provide at a reasonable place desig-
nated by the Board or its agents, all payroll records, social
security payment records, timecards, personnel records
and reports, and all other records, including any electronic
copy of such records if stored in electronic form, necessary
to analyze, if appropriate, the wages and benefits rescinded
under the terms of this Order.”

1 The Respondent argues on exception that art. 26 of its collective-
bargaining agreements with the Union (the “Patient Care” provision)
was tantamount to a midterm contract reopener clause, implicitly obli-
gating the Union to bargain over the Respondent’s wage increase pro-
posals. For purposes of this decision, Chairman Hurtgen need not
consider this defense, which is neither litigated nor timely raised and
pursued, only first appearing in the Respondent’s posthearing brief to
the judge.
2 We will modify the judge’s recommended Order in accordance
with our recent decision in Ferguson Electric Co., 335 NLRB 142
(2001).
Allen Binstock, Esq., for the General Counsel.
Clifford Nelson, Esq., for the Respondent.
DECISION
STATEMENT OF THE CASE
MARGARET M. KERN, Administrative Law Judge. This
case was tried before me in Cleveland, Ohio, on January 30 and
31, 2001. The consolidated complaint, which issued on July 31,
2000, and the amended consolidated complaint which issued on
September 28, 2000, were based on unfair labor practice charges
filed on May 8 and 31, June 9, and August 4, 2000, by District
1199, the Health Care and Social Service Union, SEIU, AFL–
CIO (the Union) against Integrated Health Systems, Inc. (Re-
spondent).1 Respondent filed an answer to the consolidated com-
plaint on August 15 and filed an answer to the amended consoli-
dated complaint on October 16. Respondent filed a further
amended answer to the amended consolidated complaint on
January 29.
The General Counsel alleges that from October 1, 1999, to
August 7, Respondent unilaterally implemented wage increases
at seven of its facilities during the term of its collective-
bargaining agreements with the Union. Respondent admits that it
made these changes but defends its actions on several grounds,
including that operational exigencies mandated that Respondent
take these actions and that the Union unreasonably withheld its
consent. For the reasons set forth herein, I find that since March
7, Respondent violated Section 8(a)(1) and (5) by granting wage
increases and by modifying the rates of pay of employees without
the Union’s consent.
FINDINGS OF FACT
I. JURISDICTION
Respondent admits, and I find, that it is an employer engaged
in commerce within the meaning of Section 2(2), (6), and (7) of
the Act.
II. LABOR ORGANIZATION STATUS
Respondent admits, and I find, that the Union is a labor or-
ganization within the meaning of Section 2(5) of the Act.
III. ALLEGED UNFAIR LABOR PRACTICES
A. Background
Respondent owns and operates long-term care facilities
throughout the United States. Seven facilities in Ohio are in-
volved in this case: Washington Square in Warren, Crestwood
Care Center in Shelby, Meadowview Care Center in Seville,
Canterbury Villa of Alliance in Alliance, Auburn Manor in
Washington Court House, Rosewood in Galion and Village Care
in Galion. These facilities are licensed by the State of Ohio and
operate under State and Federal Medicare and Medicaid guide-
lines. These guidelines dictate, in part, minimum staffing re-
quirements. Respondent maintains its own staffing requirements
which are more stringent than the Government-mandated re-
quirements.
1 At the hearing, the complaint was amended to reflect the correct
name of Respondent, Integrated Health Services, Inc. All dates are in
2000 unless otherwise indicated.
336 NLRB No. 13
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 576
Previous to Respondent’s operation of these seven facilities,
they were owned and operated by Horizon Healthcare. The Un-
ion’s representation of employees at these facilities dates back to
at least 1990 at Rosewood and Village Care, and to 1995 at the
remaining facilities. In October 1996, the Board conducted an
election at the Rosewood facility and the registered nurses (RNs)
voted for inclusion in a unit of licensed practical nurses (LPNs).
Shortly after the Union was certified, Horizon and the Union
agreed to include the RNs and LPNs in an overall service and
maintenance unit. There is no evidence that self-determination
elections were conducted for the RNs at any of the other facili-
ties. Following Respondent’s acquisition of the facilities in Janu-
ary 1998, the Union continued to represent the same employees
in the same bargaining units as it did under Horizon’s ownership,
with RNs continuing to be represented with nonprofessional
employees.
In January 1999, negotiations commenced between Respon-
dent and the Union for renewal contracts and 12 to 14 bargaining
sessions were conducted. The Union and Respondent entered into
three collective-bargaining agreements effective April 1, 1999, to
March 31, 2002. The following unit descriptions are set forth in
the respective collective-bargaining agreements:

Unit A: All service and maintenance employees at the
Employer’s following facilities: Auburn Manor in Washing-
ton Court House, Crestwood Care Center in Shelby, Mea-
dowview Care Center in Seville, Canterbury Villa of Alli-
ance in Alliance, Washington Square in Warren, Baltic
Country Manor in Baltic, Horizon Meadows in Alliance,
Hudson Elms Nursing Home in Hudson and Village Square
in Stow, including but not limited to: state tested nurses
aides, environmental aides, supply clerks, ward clerks,
cooks, dietary aides, laundry aides, housekeepers, mainte-
nance workers, activities assistants, rehabilitation aides, re-
storative aides, and registered and licensed practical nurses;
but excluding clerical employees, confidential employees,
Director of Maintenance, Director of Social Services, Direc-
tor of Activities, therapists, licensed physical therapy assis-
tants, temporary employees, professional employees and all
guards and supervisors as defined in the National Labor Re-
lations Act.
Rosewood unit: All service and maintenance employees
at the Employer’s Rosewood facility in Galion, Ohio, in-
cluding but not limited to: state tested nurses aides, envi-
ronmental aides, supply clerks, ward clerks, cooks, dietary
aides, laundry aides, housekeepers, maintenance workers,
activities assistants, rehabilitation aides, restorative aides,
and registered and licensed practical nurses; but excluding
clerical employees, confidential employees, Director of
Maintenance, Director of Social Services, Director of Ac-
tivities, therapists, licensed physical therapy assistants, tem-
porary employees, professional employees and all guards
and supervisors as defined in the National Labor Relations
Act.
Village Care unit: All service and maintenance employ-
ees at the Employer’s Village Care facility in Galion, Ohio,
including but not limited to: state tested nurses aides,
environmental aides, supply clerks, ward clerks, cooks,
dietary aides, laundry aides, housekeepers, maintenance
aides, laundry aides, housekeepers, maintenance workers,
activities assistants, rehabilitation aides, restorative aides,
and registered and licensed practical nurses; but excluding
clerical employees, confidential employees, Director of
Maintenance, Director of Social Services, Director of Ac-
tivities, therapists, licensed physical therapy assistants, tem-
porary employees, professional employees and all guards
and supervisors as defined in the National Labor Relations
Act.

Article 34 sets forth the starting wage rates for each job classi-
fication at each facility, as well as the increases to be given every
6 months. Starting wages are not uniform among the facilities,
but the biannual increases are uniform. In all other respects, the
three collective-bargaining agreements are identical. Second- and
third-shift employees receive a 25-cent-per-hour differential and
employees who work weekends receive a 35-cent-per-hour dif-
ferential. There is no reopener provision.
The following individuals are admitted agents and supervisors
of Respondent within the meaning of the Act: Michael Wilson,
vice president of labor relations, Ray Martinez, vice president of
human resources, Thomas Lowencamp, regional vice president,
Beth Wilson, human resources manager, Carolyn Gibson, area
vice president, Gail O’Keefe, administrator, Kathleen Champlin,
administrator, Theodore Powell, administrator, Dean Smith, ad-
ministrator, and Toni Fuzo, administrator.
On February 2, Respondent filed a Chapter 11 petition in the
United States Bankruptcy Court for the District of Delaware and
remained in bankruptcy proceedings as of the time of the hearing.
Respondent has not sought an order under Section 1113 of the
Bankruptcy Code permitting recision or modification of the col-
lective-bargaining agreement.
B. Washington Square
At the hearing, the parties stipulated that on October 1, 1999,
Respondent implemented at its Washington Square facility new
weekend hourly wage rates for employees known as weekend
warriors. These wage rates were $12 per hour for State tested
nursing assistants (STNAs), $19 per hour for LPNs, and $23 per
hour for RNs.2
Carolyn Munford is an administrative organizer for the Union
who services the Washington Square facility. Munford testified
that she first learned of the weekend warrior program on or about
November 11, 1999, when she had a conversation with a person
who had been hired as a weekend warrior. She was not notified
of the existence of the program by management until August 28,
11 months after the program was implemented. In a meeting with
Beth Wilson and Toni Fuzo held on August 28, Munford was
given a one-page bullet point summary describing the program as
follows:

Casual position—not full time or part time
Requires working 3 weekends per month for bonus pay
No benefits except holiday pay at base rate
Paid at base rate if miss weekend
Base rate if want to work additional shifts

2 As of October 1, 1999, the contractual hourly wage rate was $7.30
for STNAs and $11.85 for LPNs employed at Washington Square.
There was no delineated contractual wage rate for RNs.
INTEGRATED HEALTH SERVICES 577
Shift differential per current policy

At the same meeting, Wilson and Fuzo also gave Munford a
letter addressed to her dated September 16, 1999. Munford de-
nied ever seeing this letter prior to August 28. In the letter, Fuzo
wrote:

I am forwarding you the new experimental weekend posi-
tion: Washington Square wants to develop new weekend
only positions. These positions may be posted as (1) Satur-
day and Sunday, (2) Friday, Saturday, Sunday (3) Saturday,
Sunday, Monday. . . . The positions would be posted by the
labor agreement. . . . These new positions are part time and
the employee would be eligible for any benefits the contract
provides.

Munford testified weekend warriors perform bargaining unit
work: hands-on patient care including bathing, showering, and
feeding patients. She further testified that individuals who choose
to be weekend warriors sign an individual agreement which pro-
vides in relevant part:

[I] agree to work three weekends per month for the wage
scale circled below. If I don’t fulfill this agreement, my
wage scale will revert back to the base rate as stated above
and be deducted from the following pay if it has already
been paid. Any additional hours I pick up will also be paid
at the base rate as stated. Premium Pay Days worked will be
paid at time and one-half, calculated using the base rate fol-
lowing completion of [my] 90 day probationary period.

At the time of the hearing, Pam Sneed was employed as a
weekend warrior. Sneed did not testify and it is not clear from the
record when she was hired. Munford testified that Respondent
deducted the Union’s initiation fee from Sneed’s pay, but did not
deduct the periodic dues. A work schedule covering the period
January 1 to 22 reflects Sneed worked 13 days, each Friday
through Monday.
C. Crestwood
The parties stipulated at the beginning of January 2000 Re-
spondent implemented a 90-day test program by which an addi-
tional weekend differential of $1.50 per hour was paid to all staff.
It was further agreed that Respondent maintained this weekend
differential continuously beyond the 90-day period. The Union
consented to the 90-day testing period, but did not consent to the
extension of the weekend differential beyond March 7.
Patrick Deininger, the Union’s administrative organizer, testi-
fied he first learned of the extension of the weekend differential
beyond March 7 from employee members at Crestwood. He
telephoned Gail O’Keefe in the first week of April and told her
the Union objected to the extension without discussing the matter
with the Union. Deininger requested a labor management meet-
ing be held on April 21 and O’Keefe agreed to meet. In the in-
terim, by letter dated April 14, O’Keefe advised Deininger that
due to staffing shortages she was confirming her intention to
increase and modify the nursing department wage rate structure,
giving a $2 per hour increase to RNs, $1.15 increase to LPNs and
a 60-cent increase to STNAs. O’Keefe wrote that she was look-
ing to increase shift differentials to 75 cents and $1, and that she
would continue to maintain the $1.50 weekend shift differential
beyond the 90-day test period. O’Keefe wrote that “these rates
are in addition to the April increase, per the union contract, and in
addition to the scheduled increase in October, also per the con-
tract.” O’Keefe further advised Deininger that Respondent would
be giving RNs and LPNs with 3 to 5 years’ experience an addi-
tional $2, and with 5 or more years’ experience, an additional $3.
O’Keefe closed by writing that she planned on implementing the
new rates effective April 26.
On receiving the letter, Deininger called O’Keefe and advised
her the Union objected to a number of items in the letter. The
parties met on April 21 and the Union again registered its objec-
tions to the wage increases. According to Deininger, the changes
were implemented notwithstanding the Union’s objections.
D. Meadowview
By letter dated March 20, Caroline Gibson wrote to Deininger
advising him that due to staffing problems and the use of tempo-
rary agency employees at the Meadowview facility, she was
proposing to increase both the starting rates and current rates for
LPNs and STNAs by 55 cents effective April 1. This increase
would be in addition to the contractually scheduled increase on
April 1. She also proposed to increase the shift differentials for
LPNs and STNAs to $1 on the second shift and 50 cents on the
third shift, and to increase the shift differentials for all other job
classifications by 50 cents on the second shift and 50 cents on the
third shift. The shift differential changes would, according to
Gibson, be temporary for 90 days, effective April 1 to June 29
after which time the shift differential would revert to the contrac-
tual rate. Gibson closed by stating, “please respond with the ap-
proval for this proposal by 3/27/00 in order for us to meet the
4/1/00 implementation date.” On March 29, Gibson and Dein-
inger spoke by telephone and Deininger asked for points of clari-
fication. In response, Gibson faxed him another copy of the
March 20 letter with handwritten notations. They again spoke by
phone and Deininger said that although he did not think her pro-
posals would be well received by employees because the raises
did not affect all employees at the site, he would submit her pro-
posals to a voice vote.
On March 31, Deininger conducted a vote of employees and
Respondent’s proposed changes were defeated by a vote of 28 to
2. That same day, he submitted a set of counterproposals to Gib-
son which provided for: (1) all current employees, and the current
starting rates for LPNs and STNAs, would be increased 55 cents
on April 1 in addition to the contractual raises; (2) the shift dif-
ferentials for all employees would be increased by $1 on the
second shift and $1 on the third shift. That same day, Raymond
Martinez addressed a letter to Dave Regan, district president of
the Union, which stated that since Respondent and the Union had
not been able to reach an agreement, Respondent had “no other
alternative but to unilaterally implement” the following wage
changes for LPNs and STNAs effective April 7: (1) an increase
in the starting rates for LPNs and STNAs by 55 cents per hour;
(2) an increase in the shift differential of LPNs and STNAs for
the second shift to $1 per hour for 90 days; (3) an increase in the
shift differential of LPNs and STNAs for the third shift to 50
cents per hour for 90 days; (4) an increase in the shift differential
for all other employees working the second and third shifts to 50
cents per hour for 90 days; (5) employees who received the
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 578
higher shift differential during the 90-day period would maintain
that differential; and (6) employees hired after July 7 would re-
ceive the current contract shift differential. Martinez, who testi-
fied at the hearing, was not questioned about this letter.
On the afternoon of March 31, Deininger called Martinez and
asked if he had even considered the Union’s counterproposals.
Martinez said he had not seen the counterproposals and that the
Union “was screwing” Respondent and holding it hostage. Mar-
tinez told Deininger there were staffing shortages in the nursing
department at the Meadowview facility, but that other depart-
ments were not suffering shortages. Deininger disagreed and said
he had information that other departments were experiencing
shortages as well. Martinez responded that management was only
concerned with the nurses and they were going to do what they
had to do. Martinez was not questioned about this conversation
during his testimony.
The parties stipulated that on April 7 Respondent implemented
the new starting rates for LPNs and STNAs at Meadowview as
well as new shift differentials for those two classifications as set
forth in Martinez’ March 31 letter.
E. Canterbury Villa
The parties stipulated that on April 29 and 30 Respondent, at
its Canterbury Villa facility, offered a weekend bonus of $25 to
nurses and nursing assistants willing to pick up an additional shift
or work a double shift in order to fill vacancies in the schedule.
F. May 2 Meeting
On May 2, the parties met in Columbus, Ohio, to discuss Re-
spondent’s wage increases. Among those present were Regan for
the Union and Michael Wilson, Martinez, and Gibson for Re-
spondent. Regan testified that he advised the management repre-
sentatives that while the Union shared their concern about wage
rates in certain labor markets and was willing to discuss this is-
sue, the Union would not consent to the wage increases in the
absence of a comprehensive settlement that addressed issues that
were of concern to the Union. Regan stated the Union wanted
Respondent’s support for pending staffing legislation and also
wanted organizing rights at Respondent’s nonrepresented facili-
ties. According to Regan, it was made clear to him that regardless
of the Union’s unwillingness to consent, the wage rate changes
would go into effect. Regan commented to Mike Wilson, “This is
pretty strange. You bring us to a meeting to talk about these sub-
jects. And you make it clear what we have to say is not important
to you.” Wilson responded, “Well, we have to do what we have
to do.” According to Regan, the reason given by management
for the implementation of the wage increases was to enable Re-
spondent to recruit and retain employees.
Michael Wilson did not testify and Martinez and Gibson were
not asked any questions about this meeting during their testi-
mony.
G. Auburn Manor
The parties stipulated that on June 5, Respondent, at its Au-
burn Manor facility, implemented three wage incentive plans
effective through July 30: a recruitment bonus for employees
referring new hires to the facility, a sign-on bonus for the new
hires and an extra shift bonus of $2 per hour for all employees.
H. Crestwood, Rosewood and Village Care Facilities
The parties stipulated that on August 7 Respondent, at its
Crestwood facility, implemented new starting rates and shift and
weekend differential rates for RNs, LPNs, and STNAs. The new
start rates were $20 per hour for RNs, $14 per hour for LPNs, and
$9 per hour for STNAs. The new shift differentials were $1 per
hour for the second shift and 75 cents per hour for the third shift.
The weekend differential of $1.50 per hour, previously imple-
mented and extended, was continued. The parties further stipu-
lated that on August 7 Respondent implemented the same
changes at the Rosewood and Village Care facilities with the
only difference being that LPNs were to have a starting rate of
$14.50 per hour.3
I. Grievances Filed
In the spring of 2000, the Union filed several grievances relat-
ing to the wage increases but withdrew the grievances and filed
the unfair labor practice charges in this case. Deininger testified
since the wage increases were outside the terms of the collective-
bargaining agreements, and because there are no reopener provi-
sions in those agreements, the increases fell outside the scope of
the agreements and an arbitrator would not have jurisdiction over
the matter.
J. Staffing Shortages
Prior to implementing each of the foregoing wage increases,
Respondent conducted local wage surveys and Gibson testified
that in every case, with the exception of Auburn Manor, Respon-
dent’s wage levels at each of the facilities were lower than those
of its competitors.4 In December 1999, one-third of the nursing
department positions were unfilled at Meadowview and Crest-
wood. At Rosewood, 10 out of 50 nursing positions were un-
filled, at Village Care; 5 out of 20; and at Auburn Manor, 10 out
of 50. There were a minimal number of openings in the nursing
departments at Washington Square and Canterbury. By mid-
August 22 out of approximately 52 nursing positions at Mea-
dowview were unfilled. Gibson testified the average employee
turnover rate in the industry is 70 percent; at Meadowview, the
turnover rate was over 100 percent. In December 1999, Respon-
dent restricted patient admissions at Meadowview and Crestwood
due to staffing shortages. This restriction lasted 3 to 4 months at
Meadowview and 4 to 6 months at Crestwood. At no time did the
State of Ohio or the Federal government order any facility closed
as a result of staffing shortages.
Temporary agency employees were used to supplement the
regular complement of employees. At Meadowview and Crest-
wood, Respondent considered the use of agency employees to be
so high that it negatively impacted the quality and continuity of
patient care. In the years 1998, 1999, and 2000, agency usage
jumped from zero to $8454 to $25,221 at Village Care; from
$44,168 to $440,094 to $560, 215 at Crestwood; and from zero to

3 As of August 7, RNs, LPNs, and STNAs at Crestwood were earn-
ing $15, $11.85, and $7.40 per hour, respectively, and at Rosewood,
$14.45, $11.30, and $7.35 respectively. At Village Care, the contractual
rate for STNAs as of August 7 was $7.35 per hour. The Village Care
agreement did not specify a rate for RNs or LPNs.
4 Gibson did not have oversight responsibility for Auburn Manor and
was unfamiliar whether a wage survey was conducted as to that facility.
INTEGRATED HEALTH SERVICES 579
$219,258 to $437,371 at Meadowview. In that same period,
agency usage at Rosewood Manor and Auburn Manor generally
declined. In January 2001, after the wage increases were imple-
mented at Meadowview, agency usage dropped to $5000 for the
month.
IV. ANALYSIS
Respondent concedes the Union did not consent to any of the
wage increases implemented between October 1, 1999, and Au-
gust 7, 2000. Respondent’s primary defense to the unilateral
changes is that the contractual wage rates were not competitive
and led to Respondent’s inability to retain existing employees or
to attract qualified applicants. The resulting staffing shortages led
to excessive overtime and use of temporary agency employees
which, in turn, led to diminution in the quality of patient care. In
the cases of Meadowview and Crestwood, patient admissions had
to be restricted for periods of time due to staffing shortages. Re-
spondent insists that there is no economic underpinning to this
defense, rather, its motivation in granting the wage increases was
due purely to “operational exigencies.” The reality, however, was
that if the staffing shortages persisted Respondent would have
had to continue to limit patient admissions at some or all of the
facilities. Ultimately, if the problem remained unsolved, Respon-
dent would have had to close these facilities. Contrary to Re-
spondent’s characterization, the motivation for granting the wage
increases was wholly economic; if Respondent could not staff its
facilities, it could not remain in business. The good intentions of
Respondent to stay in business and to deliver quality patient care
are, however, irrelevant to the issue of whether Respondent vio-
lated the Act when it unilaterally granted the wage increases
during the term the collective-bargaining agreements. The unam-
biguous language of Section 8(d) explicitly forbids midterm
modification of a collective-bargaining agreement’s wage provi-
sions without the Union’s consent. Oak Cliff-Golman Baking
Co., 207 NLRB 1063, 1064 (1973).
Respondent further contends that the Union unreasonably
withheld its consent to the wage increases. Again, even if this
were true, it is an irrelevant consideration. While a contract is in
force, Section 8(d) permits a union to refuse, even unreasonably,
an employer’s proposal to modify the terms established by a
collective-bargaining agreement. Where, as here, there is no re-
opener provision, the Union had no obligation even to discuss,
much less to agree to, any modification. Standard Fittings Co. v.
NLRB, 845 F.2d 1311 (5th Cir. 1988).
With respect to the weekend warriors at Washington Square,
the General Counsel contends they are regular part-time employ-
ees covered by the unit A agreement. Respondent contends that
they are casual employees and not part of the unit. The test for
determining whether individuals are casual employees takes into
account factors such as regularity and continuity of employment
and similarity of work duties. The individual’s relationship to the
job must be examined to determine whether the employee per-
forms unit work with sufficient regularity to demonstrate a com-
munity of interest with remaining employees in the bargaining
unit. Continental Winding Co., 305 NLRB 122, 124 (1991); Pat’s
Blue Ribbons, 286 NLRB 918 (1987).
The documentary evidence on the issue of weekend warriors is
ambiguous. On August 28, Respondent gave the union represen-
tative two documents, one characterized the weekend warrior
position as casual, and the other characterized it as part time.
One document stated that the weekend warriors would be eligible
for all benefits under the collective-bargaining agreement, the
other stated no contractual benefits applied other than holiday
pay. Munford’s testimony establishes that weekend warriors
perform bargaining unit work. What the evidence fails to estab-
lish, however, is how many weekend warriors have been em-
ployed since October 1999 and the frequency and regularity with
which they have worked. Weekend warriors are not required to
work 3 weekends per month. They are only required to work 3
weekends per month in order to receive the premium pay rate. If
they work less than 3 weekends per month, they are paid at a
base rate.5 Munford’s testimony was limited to the experience of
one individual, Pam Sneed, who worked 13 out of 22 days in
January 2001. It would be entirely speculative to extrapolate
from Sneed’s experience that an undetermined number of week-
end warriors have worked with the same regularity. The burden
of proof is on the General Counsel to show that the weekend
warriors should be included in the bargaining unit. Continental
Winding Co., 305 NLRB 122, 124 (1991). The General Counsel
has demonstrated that weekend warriors perform work in unit
jobs but has failed to meet the additional burden required under
Pat’s Blue Ribbons showing that the weekend warriors worked
continually and regularly for Respondent with expectations of
continued employment. I, therefore, recommend dismissal of the
complaint allegation relating to the wage increases given to
weekend warriors at the Washington Square facility as the Gen-
eral Counsel has failed to prove they are regular part-time em-
ployees covered by the unit A agreement.
Several of Respondent’s remaining defenses merit brief dis-
cussion. Respondent’s filing for bankruptcy on February 2, 2000,
is not a defense to the unilateral increases granted prior to that
date. As to the unilateral raises granted after that date, Respon-
dent did not seek an order under Section 1113 of the Bankruptcy
Code and in the absence of such an order it was not privileged to
modify the terms of the collective-bargaining agreements. Crest
Litho, Inc., 308 NLRB 108 (1992). Neither the management-
rights clause in the collective-bargaining agreements (art. 6, sec.
1) nor the zipper clause (art. 14, sec. 7) on their face constitute a
waiver of the Union’s right to object to a modification of the
wage provisions and no evidence was adduced concerning the
bargaining history surrounding these provisions. Moreover, arti-
cle 14, section 2 specifically requires that any modification of the
agreements be consented to by both sides in writing. Finally,
deferral of this case to the grievance arbitration provisions of the
agreements is inappropriate. There is no basis to conclude that
the contracts’ terms even arguably authorized the actions taken
by Respondent. I have considered Respondent’s remaining ar-
guments and find them to be without merit.
CONCLUSIONS OF LAW
1. Respondent is an employer engaged in commerce within the
meaning of Section 2(2), (6), and (7) of the Act.

5 It is not clear what the base rate is for weekend warriors or if it var-
ies from individual to individual.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 580
2. The Union is a labor organization within the meaning of
Section 2(5) of the Act.
3. The following units of employees are appropriate for the
purpose of collective bargaining within the meaning of Section
9(b) of the Act:

Unit A: All service and maintenance employees at the
Employer’s following facilities: Auburn Manor in Washing-
ton Court House, Crestwood Care Center in Shelby, Mea-
dowview Care Center in Seville, Canterbury Villa of Alli-
ance in Alliance, Washington Square in Warren, Baltic
Country Manor in Baltic, Horizon Meadows in Alliance,
Hudson Elms Nursing Home in Hudson and Village Square
in Stow, including but not limited to: state tested nurses
aides, environmental aides, supply clerks, ward clerks,
cooks, dietary aides, laundry aides, housekeepers, mainte-
nance workers, activities assistants, rehabilitation aides, re-
storative aides, and registered and licensed practical nurses;
but excluding clerical employees, confidential employees,
Director of Maintenance, Director of Social Services, Direc-
tor of Activities, therapists, licensed physical therapy assis-
tants, temporary employees, professional employees and all
guards and supervisors as defined in the National Labor Re-
lations Act.
Rosewood unit: All service and maintenance employees
at the Employer’s Rosewood facility in Galion, Ohio, in-
cluding but not limited to: state tested nurses aides, envi-
ronmental aides, supply clerks, ward clerks, cooks, dietary
aides, laundry aides, housekeepers, maintenance workers,
activities assistants, rehabilitation aides, restorative aides,
and registered and licensed practical nurses; but excluding
clerical employees, confidential employees, Director of
Maintenance, Director of Social Services, Director of Ac-
tivities, therapists, licensed physical therapy assistants, tem-
porary employees, professional employees and all guards
and supervisors as defined in the National Labor Relations
Act.
Village Care unit: All service and maintenance employ-
ees at the Employer’s Village Care facility in Galion, Ohio,
including but not limited to: state tested nurses aides, envi-
ronmental aides, supply clerks, ward clerks, cooks, dietary
aides, laundry aides, housekeepers, maintenance workers,
activities assistants, rehabilitation aides, restorative aides,
and registered and licensed practical nurses; but excluding
clerical employees, confidential employees, Director of
Maintenance, Director of Social Services, Director of Ac-
tivities, therapists, licensed physical therapy assistants, tem-
porary employees, professional employees and all guards
and supervisors as defined in the National Labor Relations
Act.

4. The Union is the exclusive representative of the employees
in the appropriate units for purposes of collective bargaining
within the meaning of Section 9(a) of the Act.
5. Since on or about March 7, 2000, Respondent has violated
Section 8(a)(5) and (1) of the Act by unilaterally increasing the
weekend differential and shift differential rates for employees,
increasing the hourly wage rate for nursing department employ-
ees and granting experience pay to nursing department employ-
ees at the Crestwood facility.
6. Since on or about April 7, 2000, Respondent has violated
Section 8(a)(5) and (1) of the Act by unilaterally and without the
Union’s consent increasing starting wage rates for LPNs and
STNAs and by increasing shift differentials for employees at the
Meadowview facility.
7. On or about April 29 and 30, 2000, Respondent violated
Section 8(a)(5) and (1) of the Act by unilaterally and without the
Union’s consent offering a weekend bonus to nurses and nursing
assistants at the Canterbury Villa facility.
8. Since on or about June 5, 2000, Respondent violated Sec-
tion 8(a)(5) and (1) of the Act by unilaterally and without the
Union’s consent implementing three wage incentive plans at the
Auburn Manor facility.
9. Since on or about August 7, 2000, Respondent violated Sec-
tion 8(a)(5) and (1) of the Act by unilaterally and without the
Union’s consent increasing the starting wage rates and shift and
weekend differential rates for nursing department employees at
the Crestwood, Rosewood, and Village Care facilities.
10. Respondent did not violate the Act by granting wage in-
creases to weekend warriors employed at the Washington Square
facility.
11. Respondent has engaged in unfair labor practices affecting
commerce within the meaning of Section 2(6) and (7) of the Act.
REMEDY
Respondent contends that a bargaining order may not issue in
this case because the three collective-bargaining units are mixed
unit, which include professional registered nurses with nonpro-
fessional employees. The General Counsel maintains that these
units were voluntarily recognized by Respondent when it took
over the facilities in January 1998 and that Respondent thereafter
negotiated and entered into collective-bargaining agreements
covering these units. Under these circumstances, the General
Counsel argues that a bargaining order may appropriately issue.
The law governing the appropriateness of voluntarily estab-
lished mixed professional and nonprofessional units is clear. The
Board has consistently held that there is nothing in Section
9(b)(1) or its legislative history to suggest that Congress intended
that section to invalidate as inappropriate a historically estab-
lished contract unit simply because of a joinder of professional
and nonprofessional employees. Retail Clerks Local 324 (Vincent
Drugs), 144 NLRB 1247 (1963). The sole operative effect of
Section 9(b)(1) is to preclude the Board from taking any action
that would create a mixed unit of professionals and nonprofes-
sionals without first according the professionals involved the
opportunity of a self-determination election. A. O. Smith Corp.,
166 NLRB 845 (1967). An employer has no obligation to agree
to bargain in a combined unit, Russelton Medical Group, 302
NLRB 718 (1991). But where the parties have voluntarily created
and maintained a combined unit over a period of time, the unit
may be found appropriate within the meaning of Section 9(b)(1).
St. Luke’s Hospital Center, 221 NLRB 1314 (1976).
The Union has represented the employees at Rosewood and
Village Care since 1990, and at the remaining facilities since
1995. While these facilities were under the ownership of Horizon
Healthcare, prior to January 1998, the Union represented the
INTEGRATED HEALTH SERVICES 581
employees in these facilities in combined units of professionals
and nonprofessionals. The only evidence of a self-determination
election being conducted was in 1996 at Rosewood when the
RNs voted to be part of the LPN unit, and shortly after that elec-
tion, the Union and Horizon agreed to fold the RN/LPN unit into
the larger service and maintenance unit. When Respondent took
over the operation of the facilities in January 1998, it continued
to recognize the Union as the representative of employees in the
same unit configurations. From January to April 1999, Respon-
dent and the Union negotiated the terms of successor collective-
bargaining agreements and Respondent signed those agreements
covering combined units of professionals and nonprofessionals.
The first time Respondent raised an objection to the inclusion of
RNs in these units was in this litigation.6 Thus, this case is dis-
tinguishable from Russelton Medical Group relied on by Re-
spondent in its brief. In Russelton, the employer raised an objec-
tion to the combined unit immediately on its being confronted
with a demand for recognition. Here, Respondent has recognized
and bargained with the Union in these units for over 3 years and
in that time, negotiated and executed three collective-bargaining
agreements. In these circumstances, the contractual bargaining
units are appropriate and a bargaining order remedy based on
Respondent’s unfair labor practices may issue.
Having found that the Respondent has engaged in certain un-
fair labor practices, I find that it must be ordered to cease and
desist and to take certain affirmative action designed to effectuate
the policies of the Act. Respondent must rescind, on the request
of the Union, any changes in wages, rates of pay, benefits, and
other terms and conditions of employment unilaterally imple-
mented since March 7, 2000.
On these findings of fact and conclusions of law and on the en-
tire record, I issue the following recommended7
ORDER
The Respondent, Integrated Health Services, Inc., Washington
Square in Warren, Crestwood Care Center in Shelby, Meadow-
view Care Center in Seville, Canterbury Villa of Alliance in Alli-
ance, Auburn Manor in Washington Court House, Rosewood in
Galion and Village Care in Galion, Ohio, its officers, agents,
successors, and assigns, shall
1. Cease and desist from
(a) Unilaterally and without the Union’s consent modifying or
changing wages, rates of pay, benefits, or any other term and
condition of employment set forth in the collective-bargaining
agreements during the term of the collective-bargaining agree-
ments.

6 In both its original answer filed on August 15, 2000, and in its an-
swer to the amended consolidated complaint filed on October 16, 2000,
Respondent admitted that these units were appropriate within the mean-
ing of Sec. 9(b). It was only in its amended answer filed literally on the
eve of trial, on January 29, 2001 (correction made according to an
erratum issued on June 6, 2001), that Respondent denied for the first
time the appropriateness of these units.
7 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.
(b) In any like or related manner interfering with, restraining,
or coercing its employees in the exercise of the rights guaranteed
them by Section 7 of the Act.
2. Take the following affirmative action designed to effectuate
the policies of the Act.
(a) On request by the Union, rescind any changes in wages,
rates of pay, benefits or any other term and condition of employ-
ment unilaterally implemented since March 7, 2000.
(b) Preserve and, within 14 days of a request, make available
to the Board or its agents for examination and copying, all payroll
records, social security payment records, timecards, personnel
records and reports, and all other records necessary to analyze, if
appropriate, the wages and benefits rescinded under the terms of
this Order.
(c) Within 14 days after service by the Region, post at the fol-
lowing facilities in Ohio copies of the attached notice marked
“Appendix.”8 Washington Square in Warren, Crestwood Care
Center in Shelby, Meadowview Care Center in Seville, Canter-
bury Villa of Alliance in Alliance, Auburn Manor in Washington
Court House, Rosewood in Galion and Village Care in Galion.
Copies of the notice, on forms provided by the Regional Director
for Region 8, after being signed by the Respondent's authorized
representative, shall be posted by the Respondent immediately
upon receipt and maintained for 60 consecutive days in con-
spicuous places including all places where notices to employees
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. In the event that, during the pend-
ency of these proceedings, the Respondent has gone out of busi-
ness or closed any of the facilities involved in these proceedings,
the Respondent shall duplicate and mail, at its own expense, a
copy of the notice to all current employees and former employees
employed by the Respondent at those facilities at any time since
March 7, 2000.
(d) Within 21 days after service by the Region, file with the
Regional Director a sworn certification of a responsible official
on a form provided by the Region attesting to the steps that the
Respondent has taken to comply.
IT IS FURTHER ORDERED that the complaint is dismissed
insofar as it alleges violations of the Act not specifically found.

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
8 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 Judg-
ment of the United States Court of Appeals Enforcing an Order of the
National Labor Relations Board.”
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD 582
To form, join, or assist any union
To bargain collectively through representatives of their
own choice
To act together for other mutual aid or protection
To choose not to engage in any of these protected con-
certed activities.

WE WILL NOT unilaterally and without the Union’s consent
grant wage increases to you or otherwise change your rates of
pay, benefits, or any other term and condition of your employ-
ment as provided for in the collective bargaining agreement be-
tween us and District 1199, The Health Care and Social Service
Union, SEIU, AFL–CIO.
WE WILL NOT in any like or related manner interfere with,
restrain, or coerce you in the exercise of the rights guaranteed
you by Section 7 of the Act.
WE WILL, on request of the Union, rescind any changes to
your wages, rates of pay, benefits, or any other term and condi-
tion of your employment implemented by us without the Union’s
consent.

INTEGRATED HEALTH SERVICES, INC.