Donald Nichols v. Knox County, Tennessee

CourtCourt of Appeals of Tennessee
DecidedNovember 2, 2015
DocketE2014-01566-COA-R3-CV
StatusPublished

This text of Donald Nichols v. Knox County, Tennessee (Donald Nichols v. Knox County, Tennessee) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Donald Nichols v. Knox County, Tennessee, (Tenn. Ct. App. 2015).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE AT KNOXVILLE July 1, 2015 Session

DONALD NICHOLS v. KNOX COUNTY, TENNESSEE

Appeal from the Circuit Court for Knox County No. 343511 Deborah C. Stevens, Judge

No. E2014-01566-COA-R3-CV-FILED-NOVEMBER 2, 2015 _________________________________

On August 13, 2010, following a violation of his probation, Donald Nichols began serving a sentence at the Knox County Detention Facility (KCDF). He was assigned to a second floor cell. The only bed available there was a top bunk. On August 20, 2010, Nichols was subjected to a physical examination by KCDF‟s medical staff. The staff detailed his medical history as pain in his lower back and extremities, as well as surgeries on his knee, foot, and ankle. On August 27, 2010, while he was asleep, Nichols rolled off his bed and hit the floor. As a result, his head was bloody, and he had intense pain in his neck and back. The on-duty nurse examined him and gave him ibuprofen for pain. In the weeks that followed, Nichols continued to have ongoing pain. He made multiple requests for medical assistance. He had an x-ray on November 5, 2010. That x-ray and a subsequent CT Scan and MRI revealed that he had several cervical fractures as a result of his fall. Through the efforts of his criminal attorney, Nichols was released from KCDF on November 10, 2010. Thereafter, in January 2011, he had surgery and incurred medical expenses of approximately $240,000. He filed a complaint against Knox County, alleging common law negligence. Nichols filed a motion for partial summary judgment. Knox County filed a motion for summary judgment. The trial court entered an order granting Knox County‟s motion after concluding that the evidence in the case did not support a finding that the acts or omissions of agents of Knox County were the proximate cause of Nichols‟ fall and resulting injuries. The trial court denied Nichols‟ motion after determining that, at the time of his surgery and follow-up treatment in 2011, he was no longer incarcerated. The trial court held, pursuant to the authority of Tenn. Code Ann. § 41-4-115 (2010), that a county‟s responsibility for the payment of one‟s medical expenses is limited to those incurred by the prisoner while still incarcerated. Nichols appeals. We affirm. Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed; Case Remanded

CHARLES D. SUSANO, JR., C.J., delivered the opinion of the court, in which FRANK G. CLEMENT, JR., P.J. (M.S.), and JOHN W. MCCLARTY J., joined.

Robert R. Kurtz and Jonathan S. Taylor, Knoxville, Tennessee, for the appellant, Donald Nichols.

David S. Wigler, Knoxville, Tennessee, for the appellee, Knox County, Tennessee.

OPINION

I.

When Nichols was incarcerated, he signed an intake/triage screening form. The document indicated that he suffered from arthritis and/or ulcers and required corrective lenses for his vision. No other medical conditions were indicated. In fact, a box on the form, seeking information regarding other medical or mental conditions, of which the KCDF staff should be aware, was left blank. In his deposition, Nichols maintained, on repeated occasions, that he told KCDF officers he needed a ground floor and bottom bunk assignment.

On August 20, 2010, Nichols was examined by Stephanie Minor, a KCDF nurse. In the clinical history and physical examination report that she completed on August 23, 2010, Nurse Minor noted that Nichols had previously undergone a variety of surgeries, in particular left knee replacement with titanium in 2000 and the insertion of screws in his right foot and ankle in 2009. Nurse Minor also diagnosed other medical conditions, including ailments pertaining to his lower back as well as extremity pain. In the section of her report regarding housing, Nurse Minor wrote “SPECIAL NEEDS [KCDF].”1 (Capitalization in original.) After his physical examination, Nichols was returned to his second floor cell in Pod 2A. On August 25, Nichols was moved to a second floor cell in Pod 4A. He testified that he shared his cell in Pod 4A with an elderly inmate who had already taken the bottom bunk. As a result, only the top bunk was available for him.

While he was asleep on the night of August 27, 2010, Nichols rolled off of the top bunk and landed on the concrete floor. In his deposition, he confirmed that the distance 1 There is nothing in the report indicating that the “special needs” had anything to do with whether Nichols should be placed in a lower bunk.

2 from the top bunk to the floor was roughly forty-nine inches. Nichols stated that, after the fall, he could not feel his arms and had blood coming out of a head wound. His cellmate called for help, and a KCDF nurse, Amy Luxford, responded shortly thereafter. Nurse Luxford cleaned Nichols‟ head and gave him ibuprofen for pain. In addition, he was afforded the opportunity to move to KCDF‟s medical area while he recovered, but he ultimately declined the offer.

On August 28, 2010, Nichols was again evaluated by a member of KCDF‟s medical staff, Nurse Selenia Allen. That visit generated a “medical visit form” reciting that Nichols was having a terrible headache, was dizzy when he stood up, had a sharp pain “like a knife” in the back of his head, had to use his hands to pick his head up, and could not open his mouth to eat. Nichols was subsequently prescribed the muscle relaxer robaxin, and KCDF medical staff was instructed to consult a supervisor about an x-ray if his pain persisted beyond ten days. In addition, Nurse Allen included instructions in the medical visit form that Nichols should continue to be housed in a bottom bunk on the bottom floor of the facility. Following this, Nichols returned to his cell. Later that day, however, KCDF medical staff received an emergency call from his cell. Nurse Deanna Jones responded, and her medical visit form states that she found Nichols lying on his left side on a mat on the floor. He claimed to be suffering from neck and head pain related to his fall the day before and said that, as a result of his ongoing pain, he could not sit up or move his head. Officers at the facility put him in a wheelchair and transported him to the medical unit for further observation. In her medical visit form, Nurse Jones noted that Nichols reported pain when she touched his mandible, submandible, and temporomandibular joint. Further, Nurse Jones indicated that he had “posterior cervical pain at C1 and C2.” As a result of his pain, which he rated a “10 out of 10,” Nichols was unable to exhibit any range of motion in his neck. Ultimately, KCDF medical staff decided to house him temporarily in the medical unit to observe his progress, consult with a supervisor about a possible x-ray of his neck, continue administering robaxin, and to have him rest on a mat on the floor.

The record reflects that Nichols was discharged from the medical unit on August 31, 2010, and placed in a first floor cell in Pod 4A. In the weeks that followed, he submitted a series of “medical care forms,” which reiterated his ongoing pain and desire to see a doctor. Eventually, KCDF medical staff responded to his requests and evaluated him again on November 3, 2010. Nurse Minor examined him, indicating in her medical visit form that his left knee needed a cortisone shot, his neck was “pretty stiff,” his lower back pain was “pretty bad,” and he needed to see a doctor. As a result, Nurse Minor recommended that Nichols be referred to a physician for further review or an x-ray.

3 On November 5, 2010, Nichols was referred to Dr. Glenn Jung. After taking an x- ray, Dr. Jung reported that Nichols had sustained “a fracture through the ring of C1.” A subsequent CT scan led to the following observation:

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Bluebook (online)
Donald Nichols v. Knox County, Tennessee, Counsel Stack Legal Research, https://law.counselstack.com/opinion/donald-nichols-v-knox-county-tennessee-tennctapp-2015.