State of Tennessee v. Justin Rivers

CourtCourt of Criminal Appeals of Tennessee
DecidedAugust 22, 2025
DocketW2024-00958-CCA-R3-CD
StatusPublished

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

Bluebook
State of Tennessee v. Justin Rivers, (Tenn. Ct. App. 2025).

Opinion

08/22/2025 IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE AT JACKSON August 5, 2025 Session

STATE OF TENNESSEE v. JUSTIN RIVERS

Appeal from the Circuit Court for Fayette County No. 23-CR-136 J. Weber McCraw, Judge ___________________________________

No. W2024-00958-CCA-R3-CD ___________________________________

The Defendant, Justin Rivers, was convicted of aggravated child neglect and received a sentence of fifteen years in confinement. On appeal, the Defendant argues: (1) his motion for judgment of acquittal should be treated as a prematurely filed motion for new trial; (2) the evidence is insufficient to support his conviction; and (3) the aggravated child neglect statute is unconstitutionally vague. After review, we dismiss the appeal due to its untimeliness.

Tenn R. App. P. 3 Appeal as of Right; Appeal Dismissed

CAMILLE R. MCMULLEN, J., delivered the opinion of the court, in which KYLE A. HIXSON and STEVEN W. SWORD, JJ., joined.

Jessica F. Butler, Assistant Public Defender–Appellate Division (on appeal); Bo Burk, District Public Defender; and Terry Dycus, Assistant District Public Defender (at trial), for the appellant, Justin Rivers.

Jonathan Skrmetti, Attorney General and Reporter; J. Katie Neff, Assistant Attorney General; Mark Davidson, District Attorney General; and Falen Chandler, Assistant District Attorney General, for the appellee, State of Tennessee.

OPINION

On February 13, 2023, the Fayette County Grand Jury indicted the Defendant, Justin Rivers, on the following offenses: aggravated child neglect, simple possession of marijuana (Schedule VI), simple possession of cocaine (Schedule II), and simple possession of fentanyl (Schedule II). Prior to trial, the Defendant pled guilty to the three drug possession charges. The case proceeded to trial solely on the charge of aggravated child neglect. Following a one-day trial, the Defendant was convicted of aggravated child neglect, a Class A felony.

At trial, Kendra York testified that on January 10, 2023, she left her friend’s one- year-old child, K.A., in the care of the Defendant at their residential home in Fayette County. York identified the Defendant in court. York testified that although the Defendant’s grandmother, Eva Harris, was also present in the home at the time, Harris had medical issues and was not responsible for supervising K.A. York further acknowledged that she had pled guilty to child abuse and neglect based upon leaving K.A. with the Defendant on January 10, 2023.

James Gist, the Defendant’s neighbor, testified that the Defendant, who was holding K.A. in his arms, walked to Gist’s yard on the afternoon of January 10, 2023, and asked Gist to call 911. Gist stated that the child appeared to be sleeping and that he did call 911.

Lieutenant Donnie McMahon of the Fayette County Sheriff’s Office responded to the Defendant’s residence on January 10, 2023. He testified that the Defendant told him that he had “taken some cocaine” and “fallen asleep” and that when he woke up K.A. “was laying [sic] next to him unresponsive,” and he thought K.A. had taken some cocaine as well.

Alicia Holt, a paramedic with the Fayette County Ambulance Service, testified that she responded to the 911 call and arrived at the Defendant’s residence on January 10, 2023. She identified K.A. as the child she treated. She observed a man carrying K.A. from the home. She said K.A. appeared unresponsive and was placed in the ambulance, where emergency personnel began providing care. Holt stated that K.A. was “not acting like a one-year-old,” had an elevated heart rate and blood pressure, and had a low respiratory rate and oxygen level. K.A. only responded to “vigorous stimulation.” Narcan was administered intravenously, and K.A. began to show improvement during transport to LeBonheur Children’s Hospital, which Holt testified was indicative of an opioid overdose.

On cross-examination, Holt acknowledged that by the time they arrived at the hospital, the child was not exhibiting visible adverse effects. She testified that LeBonheur’s drug screen revealed the presence of cocaine in K.A.’s system, but she was not informed of any test results indicating the presence of opioids. Holt stated that Narcan only works for opioids, such as fentanyl, but not cocaine. Because K.A.’s condition improved after receiving the dose of Narcan, Holt believed that K.A. had probably ingested an opioid in addition to cocaine. K.A.’s urine test was positive for cocaine. She was not

-2- tested for fentanyl, a synthetic opioid. On redirect, Holt said she did not believe LeBonheur tested for fentanyl.

Glen Miller, Director of the Fayette County Ambulance Service, also responded to the scene. He testified that K.A. “appeared to be unconscious,” with flaccid muscle tone, bobbing limbs, and an overall unresponsive condition. He described the use of the “FLACC” scale, which evaluates facial expression, leg activity, activity, crying, and consolability to assess pain in non-verbal children. According to Miller, K.A.’s FLACC score was six, indicating moderate pain. He also observed symptoms of dehydration and low respiratory rate, both of which he characterized as adverse effects for a one-year-old child.

Miller agreed that K.A. responded positively to Narcan and that, in his opinion, her symptoms were consistent with an overdose. He testified that had emergency services not been contacted in time, K.A.’s respiratory rate could have continued to decrease, which could have led to respiratory failure. Miller confirmed that LeBonheur’s toxicology screen was positive for cocaine and that the hospital did not test for fentanyl at the time.

On cross-examination, Miller acknowledged that LeBonheur’s hospital records stated there was “no thoughtful neurological deficit” and that by the time of arrival, K.A. had reactive pupils, normal corneal vascular rhythm, and clear lungs. He agreed that the records also listed the ingestion as “accidental” and noted no prior risk factors or self- injurious behavior.

On redirect, Miller confirmed that K.A.’s vitals were taken prior to the Narcan being administered and that K.A.’s blood pressure was high prior to the administration of the Narcan. Miller said the hospital triage notes stated, “Patient at home with adult; adult reports cocaine use; adult passed out and woke up and noted patient lethargic; EMS called; patient flaccid, unresponsive upon arrival; one milligram Narcan IV at 1450, positive response.” The triage notes also included the following information:

[T]his is a 12-month-old female with no significant past medical history presents with possible ingestion of cocaine. Per EMS the patient was with a caregiver when they noticed that the patient was “lethargic”. Per EMS the patient’s caregiver had taken an uncertain amount of cocaine and fell asleep. When he woke up the caregiver noticed that the patient was near the cocaine. The caregiver believes that the patient was found to have taken some cocaine. ROS negative for fever, vomiting, diarrhea, cyanosis or other symptoms at this time. The substance ingested was cocaine. The onset was just prior to arrival. Amount ingested: substance cocaine. The location where the incident occurred was at home. The reason for ingestion was accidental. Risk factors -3- consist of none. Prior episodes: none. Therapy today: none. Associated symptoms: none and increased sleepiness. Additional self injury: none.

Miller agreed that he had never known a one-year-old child to intentionally overdose, and the inclusion of the word “accidental” in the hospital record did not surprise him.

On recross-examination, the following exchange between Defense Counsel and Miller took place:

Q. I’m confused and maybe it’s just doing this job I’ve heard stuff and I want you—you, with your experience, just to clear me up.

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Related

State v. Hatcher
310 S.W.3d 788 (Tennessee Supreme Court, 2010)
State of Tennessee v. Joey DeWayne Thompson
285 S.W.3d 840 (Tennessee Supreme Court, 2009)
State v. Martin
940 S.W.2d 567 (Tennessee Supreme Court, 1997)
State v. Adkisson
899 S.W.2d 626 (Court of Criminal Appeals of Tennessee, 1994)
State v. Givhan
616 S.W.2d 612 (Court of Criminal Appeals of Tennessee, 1981)
Massey v. State
592 S.W.2d 333 (Court of Criminal Appeals of Tennessee, 1979)
State v. Siliski
238 S.W.3d 338 (Court of Criminal Appeals of Tennessee, 2007)
State v. Dodson
780 S.W.2d 778 (Court of Criminal Appeals of Tennessee, 1989)
Norton v. Everhart
895 S.W.2d 317 (Tennessee Supreme Court, 1995)
State v. Rhoden
739 S.W.2d 6 (Court of Criminal Appeals of Tennessee, 1987)
State v. Rockwell
280 S.W.3d 212 (Court of Criminal Appeals of Tennessee, 2007)

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Bluebook (online)
State of Tennessee v. Justin Rivers, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-of-tennessee-v-justin-rivers-tenncrimapp-2025.