In the Court of Appeals Second Appellate District of Texas at Fort Worth ___________________________
No. 02-23-00313-CR ___________________________
STEPHANIE DENISE JONES, Appellant
V.
THE STATE OF TEXAS
On Appeal from Criminal District Court No. 3 Tarrant County, Texas Trial Court No. 1748718
Before Kerr, Wallach, and Walker, JJ. Memorandum Opinion by Justice Kerr MEMORANDUM OPINION
A jury convicted Stephanie Denise Jones of injury to a disabled individual by
criminal negligence. See Tex. Penal Code Ann. § 22.04(a)(1), (a-1). Jones has appealed
this conviction, arguing in two issues that the evidence is insufficient to (1) establish
that she caused injury or impairment to the victim and (2) corroborate the accomplice-
witness testimony. We will affirm.
I. Background
Kristi Norris died at 36 years old while living in a group home and while under
Stephanie Jones’s care. Norris had lived in group homes for more than 20 years, due to
diagnoses of autism-spectrum disorder, attention-deficit hyperactivity disorder,
profound intellectual-developmental disorder, epilepsy, and cerebral palsy. Jones was
aware of Norris’s diagnoses, as she had worked with Norris for more than ten years as
a caregiver.
Because of Norris’s diagnoses, a behavior analyst developed a care plan for her.
Norris’s care plan required that she always be in the “line of sight” of her caretakers.
Norris needed to be closely monitored because she had pulled a dresser onto herself
before and was a flight risk. The care plan also identified certain “rights restrictions”—
including locking up sharp objects and locking the kitchen to prevent Norris from
entering while a caretaker was cooking or preparing medications.
Norris’s caretakers were informed about her care plan and were also aware of
the seizure protocol for Norris. When Norris had a seizure, a magnetic piece had to be
2 rubbed across an implanted vagas nerve stimulator in her chest to regulate and stabilize
the electrical impulses in her brain. A seizure was especially dangerous because it could
quickly cut off Norris’s airway.
To support Norris’s care, a wheelchair and safety harness were prescribed to her
for community integration and transportation. The wheelchair was prescribed only for
those purposes and was not meant to be used as behavior management, as a rights
restriction, or as an attempt to “contain” Norris. Despite the use limitations, several
caretakers admitted that putting Norris in her wheelchair outside the prescribed uses
would help keep her in sight and would support her safety and care.
It was challenging for a single caretaker to meet all the requirements of Norris’s
care plan when that person was solely responsible for all four residents in the group
home.
Norris had made various attempts to “escape”—either to leave her wheelchair
or to run away from caretakers and the group home. Once, she had attempted to escape
her wheelchair while being transported. She wriggled so far down in her wheelchair that
she was able to wrap her legs around the van driver while he was driving. Norris had
also attempted to get out of the van while it was moving and thought that running away
was a game.
On the day Norris died, Jones and Leola Thomas, another caretaker, were both
on duty at the group home. Jones had worked overnight, and Thomas arrived around
8:00 a.m. When Thomas arrived, Norris and the other three residents were in their
3 respective rooms. The door to Norris’s room was closed. When she arrived, Thomas
did not check on Norris but began to bathe and care for another resident. Thomas
indicated that Jones was responsible for Norris’s care during that time. After bathing
one of the residents, Thomas checked in with Jones, who was mopping the floor and
had not yet bathed Norris.
Shortly after 10:00 a.m. Thomas heard Jones scream for her, and Thomas rushed
to Norris’s room. Jones was there with Norris, who was strapped in her wheelchair,
head tilted, and unconscious. It appeared to Thomas that Norris had wriggled down
and choked on her wheelchair’s harness. Jones and Thomas took Norris out of the
wheelchair, first moving her to the bed and then to the floor where Thomas began chest
compressions, and Jones called 9-1-1. Norris had no pulse when the paramedics arrived;
they began medical intervention in an effort to resuscitate her. Norris was ultimately
pronounced dead at the scene.
No internal autopsy was performed. After conducting an external examination
of Norris’s body, a forensic pathologist determined that Norris died from accidental
compressional asphyxia. A different medical examiner later reviewed the case and
amended the cause of death to be “undetermined.” Despite this modification, the
amended conclusion did not rule out asphyxia as a cause of Norris’s death. The marks
on her neck were consistent with its having something flexible wrapped around it—and
with injuries found on a hanging victim. There was also evidence of petechial
hemorrhaging of the eyes—dot-like red discolorations that can indicate asphyxia.
4 A grand jury later indicted Jones for her part in Norris’s death. In the indictment,
the State alleged—among other things1—that Jones had “recklessly, by placing Kristi
Norris in a wheelchair and by improperly strapping Kristi Norris into said wheelchair
and by leaving Kristi Norris unattended and by not keeping her within [eyesight],
cause[d] serious bodily injury to Kristi Norris, a disabled individual[,] by causing her to
asphyxiate.”
Although Thomas testified that she and Jones had found Norris strapped in her
wheelchair and unconscious, both Jones and Thomas initially told emergency
responders and investigators that they had found Norris unconscious under a dresser.
Thomas recanted the dresser story several weeks after Norris’s death. Eventually, Jones
also admitted the dresser story was a lie.
The jury found Jones guilty of the lesser-included offense of injury to a disabled
individual by criminal negligence.2 See id. § 22.04(a). The jury assessed punishment at
1 The State charged Jones with four paragraphs under Section 22.04: (1) causing serious bodily injury to Norris; (2) causing serious mental deficiency or impairment or injury to Norris; (3) as an employee of a group home, causing serious bodily injury to Norris; and (4) as an employee of a group home, causing serious mental deficiency or impairment or injury to Norris. See Tex. Penal Code Ann. § 22.04(a)(1), (a)(2), (a-1)(1), (a-1)(2). 2 Jones was also convicted of tampering with evidence, see id. § 37.09(c), for which the jury assessed punishment at six years’ confinement, to be suspended in favor of community supervision, and a $10,000 fine. The trial court sentenced Jones accordingly. Jones does not challenge this conviction on appeal.
5 confinement for one year in state jail and a fine of $10,000. See id. § 22.04(g). The trial
court sentenced Jones accordingly. Jones raises two evidentiary challenges on appeal.
II. Evidentiary Sufficiency—Serious Bodily Injury to a Disabled Individual
Jones’s first issue challenges the sufficiency of the evidence to prove that she
injured a disabled person by criminal negligence. Specifically, Jones argues that the
evidence is insufficient to establish that she caused Norris any injury or impairment
because the jury could only speculate that Norris’s death was caused by asphyxiating on
the wheelchair’s harness strap.
Standard of Review
For evidentiary sufficiency, we view all evidence in the light most favorable to
the verdict to determine whether any rational factfinder could have found the crime’s
essential elements beyond a reasonable doubt. Jackson v. Virginia, 443 U.S. 307, 319,
99 S. Ct. 2781, 2789 (1979); Queeman v. State, 520 S.W.3d 616, 622 (Tex. Crim. App.
2017). This standard gives full play to the factfinder’s responsibility to resolve conflicts
in the testimony, to weigh the evidence, and to draw reasonable inferences from basic
facts to ultimate facts. See Jackson, 443 U.S. at 319, 99 S. Ct. at 2789; Queeman, 520 S.W.3d
at 622.
The factfinder alone judges the evidence’s weight and credibility. See Tex. Code
Crim. Proc. Ann. art. 38.04; Martin v. State, 635 S.W.3d 672, 679 (Tex. Crim. App. 2021).
We may not re-evaluate the evidence’s weight and credibility and substitute our
judgment for the factfinder’s. Queeman, 520 S.W.3d at 622. Instead, we determine
6 whether the necessary inferences are reasonable based on the cumulative force of the
evidence when viewed in the light most favorable to the verdict. Braughton v. State, 569
S.W.3d 592, 608 (Tex. Crim. App. 2018); see Villa v. State, 514 S.W.3d 227, 232 (Tex.
Crim. App. 2017) (“The court conducting a sufficiency review must not engage in a
‘divide and conquer’ strategy but must consider the cumulative force of all the
evidence.”). We must presume that the factfinder resolved any conflicting inferences in
favor of the verdict, and we must defer to that resolution. Braughton, 569 S.W.3d at 608.
The standard of review is the same for direct and circumstantial evidence cases;
circumstantial evidence is as probative as direct evidence in establishing guilt. Carter v.
State, 620 S.W.3d 147, 149 (Tex. Crim. App. 2021), cert. denied, 142 S. Ct. 859 (2022).
To determine whether the State has met its burden to prove a defendant’s guilt
beyond a reasonable doubt, we compare the crime’s elements as defined by a
hypothetically correct jury charge to the evidence adduced at trial. Hammack v. State,
622 S.W.3d 910, 914 (Tex. Crim. App. 2021); see also Febus v. State, 542 S.W.3d 568,
572 (Tex. Crim. App. 2018) (“The essential elements of an offense are determined by
state law.”). Such a charge is one that accurately sets out the law, is authorized by the
indictment, does not unnecessarily increase the State’s burden of proof or restrict the
State’s theories of liability, and adequately describes the particular offense for which the
defendant was tried. Hammack, 622 S.W.3d at 914. The law as authorized by the
indictment means the statutory elements of the offense as modified by the charging
instrument’s allegations. Curlee v. State, 620 S.W.3d 767, 778 (Tex. Crim. App. 2021); see
7 Rabb v. State, 434 S.W.3d 613, 616 (Tex. Crim. App. 2014) (“When the State pleads a
specific element of a penal offense that has statutory alternatives for that element, the
sufficiency of the evidence will be measured by the element that was actually pleaded,
and not any alternative statutory elements.”).
Applicable Law
A person commits an offense (1) if she, by criminally negligent act or reckless
omission, causes serious bodily injury to a disabled individual, Tex. Penal Code Ann.
§ 22.04(a)(1), or (2) if she is employed by a group home and, with criminal negligence
and by omission, causes serious bodily injury to a resident of that home, id. § 22.04(a-
1).3 An act is “a bodily movement, whether voluntary or involuntary,” and an omission is
a failure to act. Id. § 1.07(a)(1), (34). Serious bodily injury is “bodily injury that creates a
substantial risk of death or that causes death, serious permanent disfigurement, or
3 Despite the four paragraphs under Section 22.04 listed in the indictment, the jury charge asked only generally whether Jones was guilty of injury to a disabled individual and did not ask a separate question for the discrete Section 22.04 offenses listed in the four paragraphs. See Nawaz v. State, 663 S.W.3d 739, 746, 748 (Tex. Crim. App. 2022) (holding that types of injury in Section 22.04(a) are separate offenses for double jeopardy purposes); Stuhler v. State, 218 S.W.3d 706, 719 (Tex. Crim. App. 2007) (holding the same for jury unanimity purposes). Because the jury charge conflates the offenses of act and omission laid out in the indictment, we focus our analysis on one of the discrete Section 22.04 offenses Jones was charged with—“serious bodily injury by criminally negligent act.” See Tex. Penal Code Ann. § 22.04(a)(1); see also, Guevara v. State, 152 S.W.3d 45, 49 (Tex. Crim. App. 2004); Rabbani v. State, 847 S.W.2d 555, 558 (Tex. Crim. App. 1992) (en banc) (“The principle is well-established that when the jury returns a general verdict and the evidence is sufficient to support a guilty finding under any of the allegations submitted, the verdict will be upheld.”).
8 protracted loss or impairment of the function of any bodily member or organ.” Id.
§ 1.07(a)(46).
A person acts with criminal negligence “with respect to circumstances
surrounding [her] conduct or the result of [her] conduct when [she] ought to be aware
of a substantial and unjustifiable risk that the circumstances exist or the result will
occur.” Id. § 6.03(d). The risk taken “must be of such a nature and degree that the failure
to perceive it constitutes a gross deviation from the standard of care that an ordinary
person would exercise under all the circumstances as viewed from the actor’s
standpoint.” Id.
A person is criminally responsible for causing the result of her conduct if the
result would not have occurred but for her conduct, operating alone or concurrently
with another cause, unless the concurrent cause was clearly sufficient to produce the
result and the actor’s conduct clearly insufficient. Id. § 6.04(a).
Discussion
Jones claims that the evidence was insufficient to prove what caused Norris’s
death; thus, the jury could only have speculated that Jones’s strapping Norris into her
wheelchair and leaving her unattended caused her death. Viewing the evidence in the
light most favorable to the verdict, we disagree.
First, Jones does not dispute that Norris’s body showed signs of injury to her
neck. The jury saw post-mortem pictures of Norris that showed curved bruising and
9 marks around her neck.4 Thomas also testified that when Norris was found, she was
unresponsive and strapped into her wheelchair, and the harness was around her neck.
Second, the deputy medical examiner, Dr. David Joseph, testified that Norris’s
injuries were consistent with a hanging or with pressure around the neck from a soft
material. He also testified that asphyxia was a possible cause of her death and that,
generally, asphyxia can cause serious bodily injury resulting in death. Although Dr.
Joseph did not perform the initial external autopsy and was not the person whose
review of the initial examiner’s report resulted in changing the cause of death to
undetermined, he testified that the medical examiner who performed the external
autopsy knew both versions of how Norris was found—either under the dresser or
strapped in her wheelchair. And Dr. Joseph admitted that, knowing both stories, the
first medical examiner still concluded that Norris’s death was caused by accidental
compressional asphyxiation. No testimony at trial explained why the first medical
examiner’s cause-of-death determination was reviewed and changed—other than Dr.
Joseph’s statement that “there wasn’t enough information.” The jury was therefore free
to believe the conclusions in the first autopsy report. See Balderas v. State, 517 S.W.3d
756, 766 (Tex. Crim. App. 2016) (holding that the jury is the sole judge of the credibility
Nothing in the record suggests that Norris had sustained any injuries before the 4
morning of her death.
10 and weight to be attached to witness testimony and that we must presume the jury
resolved any conflicting inferences in favor of the verdict).
Third, Thomas testified that Jones was responsible for Norris’s care the day she
died and had placed Norris alone in her room with the door closed. Jones admitted to
a police detective that she last saw Norris around 9:00 a.m. and that she did not see
Norris again before she was found unresponsive shortly after 10:00 a.m. Thomas said
that when they found Norris, it looked like she had wriggled down and choked on the
harness of her wheelchair. Norris had attempted to escape her wheelchair before, and
there was testimony that all her caretakers knew she was supposed to remain “in line of
sight.”
Based on this evidence, the jury could have reasonably inferred that Norris died
by asphyxiating on the wheelchair’s harness strap after Jones had strapped her into the
wheelchair and left her alone in her room—and that Jones should have known about
this risk. See Tex. Penal Code Ann. § 22.04(a)(1); see also Cyr v. State, 665 S.W.3d 551,
560 (Tex. Crim. App. 2022) (when criminal conduct is a foreseeable result of negligent
acts or omissions, the tortfeasor is liable for that conduct); Fountain v. State, 401 S.W.3d
344, 356 (Tex. App.—Houston [14th Dist.] 2013, pet. ref’d) (“[C]ause of death may be
proven solely by circumstantial evidence.”); Hopper v. State, No. 02-11-00492-CR,
2013 WL 4679166, at *6 (Tex. App.—Fort Worth Aug. 29, 2013, pet. ref’d) (mem. op.,
not designated for publication) (holding that a person is criminally responsible under
Penal Code § 6.04(a) if the result would not have occurred “but for” the actor’s
11 conduct—and the result must be within the scope of risk of which the defendant
knows, and the intervening cause must be reasonably foreseeable). 5
Additionally, the jury heard testimony that Norris was prone to seizures and that
if a seizure were to happen, the caregivers were to follow an established response
protocol, part of which was to make sure that Norris did not aspirate. This protocol
logically could not have been activated if Norris was not in sight when a seizure
occurred.
A nurse who treated Norris testified that a seizure could have cut off Norris’s
airway, causing her to suffocate even in the short time it might take to bathe another
resident or prepare a meal. The jury could have reasonably inferred that Jones’s act of
5 Jones argues that the evidence raises only the possibility that Norris asphyxiated from the wheelchair strap and that the jurors would have had to speculate that the marks observed on Norris’s neck happened while she was alive, citing Edwards v. State, 666 S.W.3d 571 (Tex. Crim. App. 2023). In Edwards, the Court of Criminal Appeals reversed the court of appeals because insufficient evidence showed that the victim suffered a serious mental deficiency, impairment, or injury. Id. at 577. The child in that case had ingested a large amount of cocaine, but no one testified that the ingestion was actually harmful, only that the child’s ingestion of cocaine could have been harmful. Id. at 576. Edwards is distinguishable because there was testimony here that Norris was found with the harness around her neck, she had bruising consistent with that of a hanging victim, and the initial cause of her death was compressional asphyxiation. Although Dr. Joseph spoke in “possibilities” rather than providing a direct statement about Norris’s cause of death, he also confirmed that Norris had injuries and that those injuries were consistent with those found on a hanging victim. Thus, even considering that a second examiner determined that the first examiner’s asphyxiation conclusion should be changed to undetermined, evidence was also presented that Norris suffered actual injures, that she was in Jones’s care at the time of the injuries, and that Jones should have known that such injuries were possible under those circumstances. All this evidence suffices to support the jury’s verdict.
12 simply leaving Norris unattended resulted in her death, even if the wheelchair strap
itself did not cause her to asphyxiate.
Because we conclude that the evidence was sufficient to support Jones’s
conviction under Section 22.04(a)(1), we overrule Jones’s first issue.
III. Evidentiary Sufficiency—Accomplice-Witness Rule
Jones’s second issue rests on her assertion that Thomas was an accomplice-
witness as a matter of law. According to Jones, no sufficient evidence corroborates
Thomas’s inculpatory testimony according to the accomplice-witness rule. Although
the State disputes that Thomas was an accomplice-witness, we need not decide that
issue because sufficient evidence corroborates Thomas’s testimony.
Article 38.14 of the Code of Criminal Procedure sets out the accomplice-witness
rule: “A conviction cannot be had upon the testimony of an accomplice unless
corroborated by other evidence tending to connect the defendant with the offense
committed[,] and the corroboration is not sufficient if it merely shows the commission
of the offense.” Tex. Code Crim. Proc. Ann. art. 38.14.
When evaluating the sufficiency of corroboration evidence under the
accomplice-witness rule, we “eliminate the accomplice testimony from consideration
and then examine the remaining portions of the record to see if there is any evidence
that tends to connect the accused with the commission of the crime.” Malone v. State,
253 S.W.3d 253, 257 (Tex. Crim. App. 2008) (quoting Solomon v. State, 49 S.W.3d 356,
13 361 (Tex. Crim. App. 2001)). “To meet the requirements of the rule, the corroborating
evidence need not prove the defendant’s guilt beyond a reasonable doubt by itself.” Id.
Nor is it necessary for the corroborating evidence to directly link the accused to the
commission of the offense. State v. Ambrose, 487 S.W.3d 587, 593 (Tex. Crim. App.
2016) (citing Cathey v. State, 992 S.W.2d 460, 462 (Tex. Crim. App. 1999)). Rather, the
direct or circumstantial corroborating evidence must show that rational jurors could
have found that it sufficiently tended to connect the accused to the offense. Smith v.
State, 332 S.W.3d 425, 442 (Tex. Crim. App. 2011).
Officer Juan Arreguin and Detective Christina Watson testified that they both
spoke with Thomas and Jones after Norris was found and that Thomas and Jones were
the only caretakers working at the group home that morning. Jones told Detective
Watson that she last saw Norris alive at 9:00 a.m., that she had left Norris alone, and
that she had then discovered Norris unresponsive shortly after 10:00 a.m., when she
called 9-1-1. Despite the visible curved injuries to Norris’s neck, Jones told the 9-1-1
operator and investigating police officers that a dresser had fallen on Norris. In a later
civil deposition played for the jury, Jones admitted that the dresser had not fallen on
Norris that day. Jones’s admission that she lied to police about the circumstances of
Norris’s death demonstrated her “consciousness of guilt” to the jury. See Woods v. State,
No. 07-22-00208-CR, 2023 WL 4924076, at *1 (Tex. App.—Amarillo Aug. 1, 2023, no
pet.) (mem. op., not designated for publication) (“Lying to the police reveals a
14 consciousness of guilt and, as such, is circumstantial evidence of guilt.” (citing Farek v.
State, No. 01-18-00385-CR, 2019 WL 2588106, at *5 (Tex. App.—Houston [1st Dist.]
June 25, 2019, pet. ref’d) (mem. op., not designated for publication))); see also Couchman
v. State, 3 S.W.3d 155, 163–64 (Tex. App.—Fort Worth 1999, pet. ref’d) (holding that
the jury could reasonably conclude that defendant lied because he had something to
hide and that changing his story evidenced his consciousness of guilt); Torres v. State,
794 S.W.2d 596, 598 (Tex. App.—Austin 1990, no pet.) (holding that “consciousness
of guilt” may be one of the strongest indicators of guilt).
Norris’s mother testified that anyone who worked with Norris knew she would
try to escape from her wheelchair. Testimony showed that Norris would attempt to
wriggle out of the wheelchair while in the car—and that she was occasionally successful
in those attempts. A text message demonstrated that Jones also knew that Norris’s
mother did not want Norris placed in the wheelchair as a means of “containing” her.
Thus, the non-accomplice evidence exhibited Jones’s awareness that she should not
leave Norris in her room alone and out of sight, much less while confined in her
wheelchair.
The evidence—even without Thomas’s testimony—tends to connect Jones to
the offense’s commission; thus, it is sufficient to support her conviction under the
accomplice-witness rule, assuming that rule applies here. See Qualls v. State, 547 S.W.3d
663, 671 (Tex. App.—Fort Worth 2018, pet. ref’d) (“[P]roof that the accused was at or
near the scene of the crime at or about the time of its commission, when coupled with
15 other suspicious circumstances, may tend to connect the accused to the crime so as to
furnish sufficient corroboration to support a conviction.” (citing Smith, 332 S.W.3d at
443)). We overrule Jones’s second issue.
IV. Conclusion
Having overruled both of Jones’s issues, we affirm the trial court’s judgment.
/s/ Elizabeth Kerr Elizabeth Kerr Justice
Do Not Publish Tex. R. App. P. 47.2(b)
Delivered: March 20, 2025