The MARR Case: $77 Million Settlement in a Tragic Incident
- Jeffrey Lynne

- Apr 29
- 3 min read
Updated: Jun 4
Settlement Reached against Doraville Addiction Center
MARR is a deceiving name; it is a Georgia-based treatment center known as Metro Atlanta Recovery Residences. Recently, the family of Nicholas Carusillo settled their lawsuit against this center. Nicholas tragically died after being hit by multiple vehicles on a Georgia interstate. This case has raised serious questions about the care provided to individuals in rehabilitation centers.
In April 2025, a DeKalb County jury awarded Nicholas Carusillo's family over $77 million in a trial. This verdict occurred in August 2022. However, records indicate that MARR sought to reduce that judgment. Their request was denied by the trial court. In May, MARR took their case to the Georgia Court of Appeals.
Timeline of the Case
Before the appellate court could review the trial court's decision, MARR filed an unopposed motion. This request aimed to remand the case to state court for settlement approval. According to case records, the appellate court granted this motion on Tuesday.
The appellate court stated, "Appellants in the above-styled case have filed an unopposed motion to remand on the ground that the parties have reached an agreement to settle the case, which requires judicial approval." The potential approval of this settlement could change the course of this legal matter significantly.
Should the settlement not receive approval, the appellate court has indicated that MARR may revive its appeal by submitting a new notice to the trial court. This situation illustrates the complexities often found in legal proceedings related to wrongful death claims.
The Circumstances Surrounding Nicholas Carusillo's Death
Nicholas Carusillo, aged 29, died in September 2017, just 60 hours after his abrupt discharge from MARR. His family contended that he was released without the necessary medication to manage his bipolar disorder. Reports indicate he was struck by multiple vehicles on Interstate 85 in metro Atlanta, leading to his tragic passing.
The Carusillo family filed a wrongful death lawsuit against MARR and the individuals responsible for Nicholas’ care in 2019. They argued that, by the time he arrived at MARR, he had been diagnosed with bipolar disorder and was stable. This stability deteriorated during his stay at the facility.
A Disturbing Change in Treatment
The Carusillo family asserted that one week into his stay, a facility doctor discontinued Nicholas's lithium treatment. This medication was crucial for managing his symptoms. Despite warnings from his family and therapist concerning the risks of dropping the medication, the doctor proceeded with the decision.
Records show that Nicholas was forced out of MARR two weeks later. This discharge occurred due to a rule violation related to cellphone use. After leaving MARR, Nicholas entered a sober living facility, but he soon went missing. Tragically, his family found him after his death on September 22.
In the case filings, MARR claimed they only discontinued Nicholas's lithium treatment after he indicated he was experiencing side effects. They also maintained that he was discharged after violating facility rules, having previously been warned that any further violations would lead to dismissal.
The Jury's Verdict
A jury in DeKalb County found, in late August 2022, that Nicholas Carusillo’s death was at least partially caused by MARR's negligent training of its employees. The family was awarded a total of approximately $77 million. This amount encompassed various damages: $10 million for pain and suffering, $55 million for the value of Nicholas's life, $1 million in punitive damages, over $11 million in attorney fees, and $210,000 in expenses.
This case has implications beyond the Carusillo family's tragedy. It highlights the critical need for proper care and monitoring in addiction treatment centers. Ensuring that patients receive consistent and appropriate treatment is vital for improving outcomes and preventing further tragedies.
Lessons Learned from the MARR Case
As we reflect on this case, several important lessons emerge. First, the responsibilities of rehabilitation centers must be taken seriously. Facilities must maintain high standards of care and ensure that patients receive appropriate medication, especially for existing mental health conditions.
Second, transparency is crucial. When treatment decisions are made, patients and their families need to be informed. Open communication can prevent misunderstandings and help families advocate for their loved ones effectively.
Finally, legal accountability is essential. This case serves as a warning to other treatment centers regarding the repercussions of negligent practices. The significant settlement achieved by the Carusillo family speaks volumes about the consequences of failing to provide adequate care.
In conclusion, the tragic story of Nicholas Carusillo underscores the vital importance of vigilant oversight in addiction treatment. The responsibility of rehabilitation centers extends beyond basic service; it includes safeguarding lives. By learning from this case, we can hope to foster a system that prioritizes patient well-being and accountability.
For further information about treatment centers and your options, you may consider visiting this helpful resource.
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