Williamson v. Ada County ( 2022 )


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  •                  IN THE SUPREME COURT OF THE STATE OF IDAHO
    Docket No. 48289
    TOM WILLIAMSON,                     )
    )
    Plaintiff-Appellant,             )
    )                 Boise, November 2021 Term
    v.                                  )
    )                 Opinion Filed: February 25, 2022
    ADA COUNTY, ADA COUNTY              )
    SHERIFF, ASHLEY RINO & D.           )                 Melanie Gagnepain, Clerk
    KOPCZYNSKI,                         )
    )
    Defendants-Respondents.          )
    ____________________________________)
    Appeal from the District Court of the Fourth Judicial District of the State
    of Idaho, Ada County. Peter G. Barton, District Judge.
    The district court decision is affirmed in part, reversed in part, and remanded.
    Johannes S. A. Claus III PLLC, Boise, attorney for Appellant. Johannes S. A.
    Claus III argued.
    Ada County Prosecuting Attorney, Boise, attorney for Respondents. Erica White
    argued.
    _________________________________
    BEVAN, Chief Justice.
    While incarcerated in the Ada County jail, Appellant Tom Williamson fell from the upper
    bunk bed during a request that he stand for roll call. Williamson suffered a head injury and sued
    Respondents Ada County and the Ada County Sheriff (collectively “Ada County”), alleging they
    were negligent in maintaining unsafe bunk beds, ordering him to descend from the top bunk bed
    for roll call, and in responding to injuries he suffered. The district court dismissed the case after
    concluding Ada County was immune from liability under Idaho Code sections 6-904(1) and
    904B(5). Williamson appeals.
    I. FACTUAL AND PROCEDURAL BACKGROUND
    A. Factual Background
    1
    Williamson alleged the following facts in his complaint. 1 Williamson was booked into the
    Ada County jail on the evening of March 27, 2017. He was assigned a top bunk in a cell with three
    other inmates. On the morning of March 28, 2017, Williamson was awakened by two Ada County
    jailers for roll call. Williamson was told he could not respond from his bed and that he had to
    respond by standing in front of the jailer. Williamson proceeded to lower himself from the top
    bunk, but “due to the faulty design and configuration of the bunk beds used by Ada County, there
    was no ladder or other means to safely descend from the top of the bunk bed, and Mr. Williamson,
    attempting to comply with the jailer’s order, fell backward from the top bunk onto the concrete
    floor of the Ada County jail cell.” Williamson lost consciousness, the impact of his head striking
    the concrete floor causing blood to splatter about the cell. Upon regaining consciousness,
    Williamson was escorted by student nurses to the medical unit in his cell block. Shortly thereafter,
    Williamson was seen by a registered nurse (RN) in the medical unit of the Ada County jail. He
    was given 2 ice packs, 4x4 gauze pads, non-prescription ibuprofen, and instructed to shower to
    remove the blood from his hair. The RN did not inform Williamson what he should do if his
    condition failed to improve or if it worsened. The RN did not send Williamson to be examined by
    a doctor despite his request to see a physician. Williamson was taken back to his cell and told to
    return to his same top-level bunk. Despite his condition, he was left in a noisy cell with the lights
    on. Once back in his cell, around 9 a.m., Williamson experienced vertigo, double vision, and
    nausea. Williamson managed to get off his bunk bed and went to the urinal where he then vomited
    several times.
    Around noon, Williamson was transferred to another cell with a bed on a lower bunk.
    Williamson told the jailer he wanted to see a doctor and was told that he would see a doctor the
    following morning. At 12:23 p.m., a licensed practical nurse (LPN) visited Williamson in his cell.
    Williamson complained of repeated vomiting and continual nausea, and again asked to see a
    doctor. The LPN did not take any action to schedule a doctor visit and did not advise him of any
    1
    We recite these facts as alleged, which at this juncture are construed in Williamson’s favor. Williamson’s complaint
    was dismissed on Ada County’s motion to dismiss. “In ruling on a 12(b)(6) motion, the district court is to consider
    only the facts set forth in the pleadings.” Hammer v. Ribi, 
    162 Idaho 570
    , 574, 
    401 P.3d 148
    , 152 (2017) (citing Young
    v. City of Ketchum, 
    137 Idaho 102
    , 104, 
    44 P.3d 1157
    , 1159 (2002)). “These facts must be taken as true for the
    purposes of a motion to dismiss.” 
    Id.
     (citing Idaho Wool Growers Ass’n, Inc. v. State, 
    154 Idaho 716
    , 720, 
    302 P.3d 341
    , 345 (2012)).
    2
    procedures that would be required to request a doctor visit. The LPN told Williamson that she
    would return that afternoon to check on his vital signs, but did not return.
    At 1:30 p.m., Williamson was taken to his video arraignment where he informed the judge
    and his public defender that he sustained a head injury; however, the proceeding went forward
    without interruption or questioning to verify whether Williamson needed further assistance.
    Williamson then returned to his cell, where he suffered throughout the night with a massive
    headache, tingling in the tips of his thumbs and fingers, nausea, and continual vomiting for at least
    six hours. He also claimed to smell a foul, metallic odor. Williamson’s cellmates told the jailers
    that he was suffering from a concussion and needed to see a doctor. Despite his condition,
    Williamson was left in his cell with the lights on all night and he was unable to sleep, deteriorating
    his condition further. When allowed out of his cell for breaks, Williamson asked to see a medical
    doctor multiple times and was told he would see a doctor the following morning.
    During the next morning, Williamson could see a doctor was in a nearby cell, so he waited
    for the doctor to come to his cell. The doctor never came. Williamson went to the guard station
    during his lunch break to ask why he had not been seen by the doctor. Instead of responding to his
    inquiry, the jailers returned Williamson to his cell. Around 3:00 p.m., still nauseous and suffering
    from vertigo, Williamson hit the emergency button on the advice of one of his cellmates.
    Williamson explained he hit the emergency button because he was in pain and had been asking for
    medical attention. The jailer informed Williamson that if he wanted to see a doctor he needed to
    fill out a blue colored “Ada County Jail Health Request” form, and that because he had not filled
    out the form, he was not on the list to see the doctor. No one had informed Williamson about the
    form despite his repeated requests to see a doctor over the previous 29 hours. While Williamson
    was filling out the form, a jailer approached and told Williamson to gather his belongings because
    he had been bonded out. Upon leaving the jail with the employee of the bonding company,
    Williamson left behind a 2’ by 3’ towel that was soaked with blood from his head wound.
    After being taken home, Williamson’s mother drove him to a Primary Health clinic where
    he was examined by a physician who instructed him to immediately go to a hospital emergency
    room for a CT scan. Around 6:00 p.m. Williamson arrived at the Saint Alphonsus emergency room
    where he was examined by a physician and a CT scan was administered. The CT scan confirmed
    that Williamson had sustained a concussion and the doctor instructed him to attend 5 to 7 days of
    brain injury services at STARS physical therapy/concussion program. Since leaving the jail,
    3
    Williamson reports continued lack of feeling in his fingertips and has sought treatment to
    determine the etiology of the condition.
    Williamson alleges that the lack of diagnosis and/or treatment by the Ada County medical
    staff during the first 30 hours after the fall and concussion greatly exacerbated his symptoms and
    worsened his prognosis. Williamson was uninsured at the time of his injury and has incurred
    medical bills relating to his head injury totaling over $14,000. Along with the pain from the
    headaches and tingling in his hands, Williamson alleges he has suffered significant mental
    impairment because of the injury, including loss in cognitive function and ability to focus and
    concentrate on the kind of complex tasks he used to perform with ease. As a result, Williamson’s
    claims his income potential has been diminished.
    B. Procedural Background
    Before filing his complaint, Williamson timely filed a Notice of Tort Claim with the Ada
    County Clerk’s Office pursuant to the Idaho Tort Claims Act (ITCA). Thereafter, Williamson filed
    a complaint against Ada County 2 raising three causes of action: (1) negligence under the ITCA
    and common law; (2) negligence in providing medical care; and (3) negligent infliction of
    emotional distress.
    Over a year later, Ada County moved to dismiss under Idaho Rule of Civil Procedure
    12(b)(6). Ada County asserted that it was statutorily immune from liability under the ITCA
    because decisions about prisoner safety and bedding were discretionary decisions. Williamson did
    not file any written opposition to the motion; however, his counsel opposed the motion at oral
    argument.
    The district court granted Ada County’s motion to dismiss. In considering Williamson’s
    first cause of action for negligence, the district court determined that Ada County was performing
    a discretionary function or duty when Williamson was injured; thus, it was immune under the
    ITCA. Next, the district court determined that Ada County was exempt from liability for
    Williamson’s claims arising from medical treatment because Idaho Code section 6-904B explicitly
    exempts government actors from liability over medical decisions provided to a person in custody.
    Last, the district court dismissed Williamson’s claims for negligent infliction of emotional distress
    2
    Williamson initially named Ashley Rino (the RN who treated him) and D. Kopczynski (the LPN who treated him)
    in the complaint, however, he failed to timely serve them and stipulated to their dismissal from the case.
    4
    after concluding they were grounded in torts for which Ada County was exempt from liability.
    Williamson filed a timely notice of appeal.
    II. ISSUES ON APPEAL
    1.     Did the district court err in concluding that Ada County’s selection of bunk beds was a
    discretionary function?
    2.     Did the district court err in dismissing Williamson’s claim that Ada County was negligent
    in ordering him to descend from the top bunk for roll call?
    3.     Did the district court err in concluding Ada County was immune from liability for
    Williamson’s claims alleging negligent medical treatment?
    4.     Did the district court err in dismissing Williamson’s claims for negligent infliction of
    emotional distress before allowing Williamson to produce evidence of his physical
    ailments?
    5.     Did the district court err in failing to rule on whether immunity was precluded by the Eighth
    Amendment of the U.S. Constitution?
    6.     Is Ada County entitled to attorney fees under Idaho Code section 12-121?
    7.     Should sanctions be awarded against Ada County under Idaho Appellate Rule 11.2?
    III. STANDARD OF REVIEW
    This Court reviews a district court’s dismissal of a complaint under Idaho Rule of Civil
    Procedure 12(b)(6) de novo. Parkinson v. Bevis, 
    165 Idaho 599
    , 603, 
    448 P.3d 1027
    , 1031 (2019)
    (citing Taylor v. McNichols, 
    149 Idaho 826
    , 832, 
    243 P.3d 642
    , 648 (2010)).
    When this Court reviews an order dismissing an action pursuant to I.R.C.P.
    12(b)(6), we apply the same standard of review we apply to a motion for summary
    judgment. A 12(b)(6) motion looks only at the pleadings to determine whether a
    claim for relief has been stated. On review of a dismissal this Court determines
    whether the non-movant has alleged sufficient facts in support of his claim, which
    if true, would entitle him to relief. In doing so, the Court draws all reasonable
    inferences in favor of the non-moving party.
    
    Id.
     at 603–04, 448 P.3d at 1031–32 (quoting Savage v. Scandit Inc., 
    163 Idaho 637
    , 640, 
    417 P.3d 234
    , 237 (2018)).
    IV. ANALYSIS
    Williamson alleged three causes of action in his complaint: (1) negligence in failing to
    provide adequate safety equipment in the jail bunk beds and in ordering Williamson to descend
    from the top bunk for roll call; (2) negligence in failing to provide adequate medical care after the
    injury; and (3) negligent infliction of emotional distress. In its motion to dismiss, Ada County
    argued that it was statutorily immune from liability for Williamson’s claims under the Idaho Tort
    5
    Claims Act. “The ITCA establishes that governmental entities are subject to liability for their own
    negligent or wrongful acts, and those of their employees who were acting within the course and
    scope of their employment.” Hoffer v. City of Boise, 
    151 Idaho 400
    , 402, 
    257 P.3d 1226
    , 1228
    (2011); I.C. § 6-903. “However, the ITCA also expressly exempts certain causes of action from
    the general rule that the entity is subject to liability.” Id.
    A.      We affirm the district court’s decision that Ada County’s selection of bunk beds was
    a discretionary function for which Ada County has been granted immunity.
    Williamson first claims that Ada County failed to introduce adequate facts to support that
    its choice of bunk beds was a discretionary function; thus, the district court erred in ruling that Ada
    County was entitled to immunity on his first cause of action. Below and on appeal, Ada County
    claims it qualifies for the “discretionary function” exception to governmental liability found in
    Idaho Code section 6-904(1), which states in pertinent part:
    A governmental entity and its employees while acting within the course and scope
    of their employment and without malice or criminal intent shall not be liable for
    any claim which:
    1. Arises out of any act or omission of an employee of the governmental entity
    exercising ordinary care, in reliance upon or the execution or performance of a
    statutory or regulatory function, whether or not the statute or regulation be
    valid, or based upon the exercise or performance or the failure to exercise or
    perform a discretionary function or duty on the part of a governmental entity or
    employee thereof, whether or not the discretion be abused.
    I.C. § 6-904(1).
    “The discretionary function exception applies to governmental decisions entailing planning
    or policy formation.” Dorea Enterprises, Inc. v. City of Blackfoot, 
    144 Idaho 422
    , 425, 
    163 P.3d 211
    , 214 (2007) (citing Sterling v. Bloom, 
    111 Idaho 211
    , 
    723 P.2d 755
     (1986)). “There is a two-
    step process for determining the applicability of this exception.” 
    Id.
     (citing Ransom v. City of
    Garden City, 
    113 Idaho 202
    , 205, 
    743 P.2d 70
    , 73 (1987); City of Lewiston v. Lindsey, 
    123 Idaho 851
    , 856, 
    853 P.2d 596
    , 600 (Ct. App. 1993)). “The first step is to examine the nature and quality
    of the challenged actions.” 
    Id.
     “Routine, everyday matters not requiring evaluation of broad policy
    factors will more likely than not be ‘operational.’ ” 
    Id.
     (quoting Ransom, 
    113 Idaho at 205
    , 
    743 P.2d at 73
    ). Conversely, “[d]ecisions involving a consideration of the financial, political, economic
    and social effects of a policy or plan will generally be planning and ‘discretionary.’ ” 
    Id.
     “While
    greater rank or authority will most likely coincide with greater responsibility for planning or policy
    formation decisions; . . . those with the least authority may, on occasion, make planning decisions
    6
    which fall within the ambit of the discretionary function exception.” 
    Id.
     (quoting Ransom, 
    113 Idaho at 204
    , 
    743 P.2d at 72
    ). “The second step is to examine the underlying policies of the
    discretionary function, which are: to permit those who govern to do so without being unduly
    inhibited by the threat of liability for tortious conduct, and also, to limit judicial re-examination of
    basic policy decisions properly entrusted to other branches of government.” 
    Id.
     (citing Ransom,
    
    113 Idaho at 205
    , 
    743 P.2d at 73
    ).
    First, the Court must examine the “nature and quality” of Ada County’s bedding decision
    to determine whether it was a daily, routine decision not involving the consideration of policy
    factors (i.e., operational), or if it was a decision based on a consideration of its financial, political,
    economic, and social effects (i.e., discretionary). City of Lewiston, 123 Idaho at 856, 853 P.2d at
    600. Put another way, “[i]n suits brought under the Tort Claims Act, the ‘planning/operational’
    test is used to demarcate decisions involving the formation of basic policy, entitled to immunity,
    from decisions involving the execution or implementation of that policy, not entitled to immunity.”
    Ransom, 
    113 Idaho at 204
    , 
    743 P.2d at 72
    .
    Ada County and the district court relied on a factually similar case that arose out of the
    federal district court in Connecticut. In Francis v. United States, the plaintiff fell and injured her
    ankle as she descended from a top bunk in a cell, claiming that she fell because the bunk bed did
    not have a ladder. No. 3:10CV1474 AWT, 
    2011 WL 3563146
    , at *1 (D. Conn. Aug. 12, 2011).
    The plaintiff also claimed that her recovery was delayed because she received improper medical
    treatment. 
    Id.
     The U.S. District Court applied the following two-part test to determine what
    constitutes a “discretionary act” under the Federal Tort Claims Act:
    First, a discretionary act must be involved such that there is an element of judgment
    or choice. Discretionary acts include day-to-day management decisions if those
    decisions require judgment as to which of a range of permissible courses is wisest.
    The court only needs to consider the second step if the action was discretionary
    under the first step. Second, even assuming the challenged conduct involves an
    element of judgment, it remains to be decided whether that judgment is of the kind
    that the discretionary function exception was designed to shield.
    
    Id.
     at *5–6 (internal citations and quotations omitted). The U.S. District Court found the first prong
    to be satisfied “[b]ecause the decision as to whether to provide ladders on bunk beds is a matter of
    safety, involves discretion and is not specifically provided for by statute.” Id. at *6. The court
    found the second prong was also met because “[p]roviding ladders presents ‘valid safety and
    security concerns relating to the beds at issue. Guard rails, and sometimes ladders, are not included
    7
    because of the danger that they can be broken off and used as weapons or escape devices.’ ” Id.
    (quoting Bultema v. United States, 
    359 F.3d 379
    , 384 (6th Cir. 2004)). Thus, “[t]he decision
    generally not to have bed rails . . . involve[s] the type of across-the-board policy-making judgment
    that the discretionary function exception was meant to leave to federal administrators, in this case
    prison administrators.” 
    Id.
    The district court here likewise ruled:
    The decisions relating to the selection and purchasing of furniture in a jail
    falls under the umbrella of discretionary acts as understood by the statute. Ada
    County would have had to weigh financial and security considerations as to the type
    of bed, the inclusion or exclusion of ladders, and the type of flooring in its jail. The
    first prong of the test is satisfied.
    As to the second prong, this Court considers Ada County’s decisions
    relating to the selection and purchasing of beds for the jail as allowing for
    governance without undue inhibition from the threat of tort liability and to limit
    judicial intrusion into policy matters entrusted to other branches of government.
    The decisions made regarding bunkbed selection and purchase is a discretionary
    one.
    Williamson argues that despite Ada County’s contention that the installation of bunk beds
    is a planning activity that “required analysis of the financial, political, economic, and social effects
    of the policy decision,” Ada County failed to allege they used any process to determine what safety
    equipment should be installed or whether prisoner safety was a consideration in their selection of
    bunk beds. However, such a decision, by its nature, is “susceptible,” as defined by other courts, to
    a policy analysis. The focus is on “the nature of the actions taken and on whether they are
    susceptible to policy analysis.” GATX/Airlog Co. v. United States, 
    286 F.3d 1168
    , 1174 (9th Cir.
    2002) (quoting United States v. Gaubert, 
    499 U.S. 315
    , 325 (1991)). Importantly, the decision
    “‘need not actually be grounded in policy considerations’ so long as it is, ‘by its nature, susceptible
    to a policy analysis.’” 
    Id.
     (quoting Nurse v. United States, 
    226 F.3d 996
    , 1001 (9th Cir. 2000)
    (emphasis in original); See also, e.g., Buckler v. United States, 
    919 F.3d 1038
    , 1045 (8th Cir. 2019)
    (“[A]s long as a discretionary decision is susceptible to policy analysis, the [discretionary function]
    exception applies whether or not [the] defendant in fact engaged in conscious policy-balancing.”)
    (internal citations and quotation marks omitted); Jude v. Comm’r of Soc. Sec., 
    908 F.3d 152
    , 159
    (6th Cir. 2018) (“Such ‘social, economic, or political’ policy analysis need not have actually
    occurred in the disputed instance, but rather the decision need only have been theoretically
    susceptible to policy analysis.”); Seaside Farm, Inc. v. United States, 
    842 F.3d 853
    , 858 (4th Cir.
    8
    2016) (quoting Smith v. Washington Metro. Area Transit Auth., 
    290 F.3d 201
    , 208 (4th Cir. 2002))
    (This is an objective rather than subjective standard, so courts “do not examine . . . ‘whether policy
    considerations were actually contemplated in making the decision.’ ”). We adopt this reasoning
    here.
    Further, the determination that Ada County’s decision to use ladderless bunkbeds was
    discretionary is supported by other courts that have come to the same conclusion. See Preston v.
    United States, No. 1:08-CV-2493-CAM, 
    2010 WL 2975631
    , at *4 (N.D. Ga. July 27, 2010) (there
    are sound public policy reasons for not providing ladders on bunk beds in federal prisons, reasons
    grounded in prison and inmate safety); Jackson v. United States, No. 06-88 ERIE, 
    2007 WL 2033902
    , at *9 (W.D. Pa. July 12, 2007) (the decision not to add ladders to bunk beds was due to
    prison and inmate safety, and that this was “precisely the type of policy decision that is protected
    by the discretionary function exception.”); Manning v. Flock, No. 1:11-CV-0293, 
    2012 WL 1078227
    , at *16 (M.D. Pa. Mar. 30, 2012) (the decision whether to provide ladders for upper bunk
    access involves policy choices). We affirm the district court’s determination that Ada County’s
    selection of bunk beds is the type of discretionary decision protected by the ITCA.
    B.      We reverse the district court’s dismissal of Williamson’s claim that Ada County was
    negligent in ordering him to descend from the top bunk for roll call and remand the
    case.
    Together with Williamson’s allegation that Ada County was negligent in failing to provide
    adequate safety equipment in its bunk beds, Williamson’s complaint alleged: “Defendants were
    also negligent in needlessly ordering Plaintiff to descend from the top of his bunk bed for roll call,
    when the purpose of the roll call did not require any such action.” On appeal, Williamson suggests
    the district court failed to rule on whether Ada County’s decision to order him to descend from the
    bed was a discretionary decision entitled to immunity under the ITCA. Ada County responds “[t]he
    [d]istrict [c]ourt . . . appropriately ruled that the decision on the jail roll call process is
    discretionary.”
    In its decision the district court, under the subheading “Ada County was performing a
    discretionary function or duty when Mr. Williamson was injured,” found that Williamson
    failed to demonstrate that the Ada County Sheriff’s employee’s decision to order
    him down from his bunk for roll call was malicious or had criminal intent. Based
    on the Complaint, roll call was occurring as to all inmates in the Ada County Jail.
    There is no indication that Mr. Williamson was being treated differently than any
    other inmate in the jail.
    9
    Mr. Williamson failed to state a claim of negligence for which relief can be
    granted under the ITCA. His claim for negligence against Ada County is dismissed.
    Although the district court included no specific language that the jailer’s decision to order
    Williamson down from his bunk bed was discretionary, its discussion of that issue falls under the
    umbrella of its conclusion that “Ada County was performing a discretionary function or duty when
    Mr. Williamson was injured.” Even if we were to determine that this analysis is enough to
    constitute a ruling on the issue, the district court failed to conduct the requisite two-step inquiry
    for determining the applicability of the discretionary function exception to governmental liability.
    Dorea, 
    144 Idaho at 425
    , 
    163 P.3d at 214
    .
    Ada County attempts to defend the district court’s ultimate dismissal of the action by
    conducting its own two-prong analysis on appeal. Ada County asserts Williamson’s claim attacks
    a broader policy Ada County has which requires inmates to stand for roll call, and that policy meets
    the first prong of the discretionary decision analysis because it requires consideration of broad
    policy factors, including its political and social impacts. In determining roll call policies, Ada
    County contends it would have to consider the impacts of the policy, including prisoner safety and
    jail security: requiring prisoners to stand would, presumably, give deputies the benefit of seeing
    the prisoner in full to make sure that the prisoner is safe and present in the cell.
    Ada County also argues it satisfies the second prong, which requires courts to examine the
    underlying policies of the discretionary function—to permit governance without undue inhibition
    from the threat of liability and to limit judicial examination of policy decisions entrusted to other
    government branches. (Citing Lamont Bair Enterprises, Inc. v. City of Idaho Falls, 
    165 Idaho 930
    ,
    934, 
    454 P.3d 572
    , 576 (2019)). Ada County asserts that Idaho’s sheriffs have been entrusted by
    the Idaho Legislature to “[t]ake charge of and keep the county jail and the prisoners therein.” I.C.
    § 31-2202(6). Ada County reasons the development of roll call policies is the type of decision
    entrusted to Ada County by the Idaho Legislature and they should be free to perform this
    responsibility without undue inhibition from the threat of liability and to limit judicial examination
    of their policy decisions.
    Ada County’s reasoning is not supported by the record. In particular, there is no evidence
    supporting Ada County’s position that there was a roll call policy in place. At the hearing on Ada
    County’s motion to dismiss, Williamson characterized the jailer’s decision to have him descend
    from his bunk bed for roll call as “a decision of the officer on duty that day” rather than a “policy”;
    10
    thus, he argued it was not the kind of discretionary decision that would receive immunity under
    the ITCA. The district court responded:
    To follow this a little bit, I can see the officers walking to that cell, giving the order
    for roll call. And it could be perhaps three situations. One, they say, “I have no
    choice. My boss has told me this. I’ve got to do this. We’ve got to do this. We’ve
    got to do roll call. You’ve got to get out of the bunk,” something like that. They
    don’t believe its discretionary going ahead, and they order it.
    Second one they say it could go either way. I’m going to pick each day who
    I have roll call, who doesn’t. I’ll decide for some people – perhaps they’re old or
    perhaps they’re sick or perhaps I saw them five minutes ago – I’ll exercise my
    discretion.
    The other one is there is no roll call at all. They just made it up and they just
    sort of caused it to happen. It’s a one-off, and there is no policy they have at all.
    And there may be more versions of it . . . .
    Ada County addressed the issue by arguing that “the choice whether to make inmates
    descend from the bunk” is discretionary, and that these (along with the choice of bedding) are
    “high-level decisions that would have to consider inmate safety above all else . . . Of course, when
    determining whether to do roll call, doing roll call is a safety consideration in and of itself.” Ada
    County emphasized that Williamson had not alleged that either officer was acting outside the scope
    of what their bosses told them to do; thus, “[w]e’re talking about the decision overall to make
    people stand and do roll call on a daily basis to make sure everybody is still doing okay . . . .” Later
    in the hearing, the following exchange took place concerning the two-prong analysis:
    [COURT]: So that question, the decision, having to descend the bunkbed, you
    earlier said this is a discretionary decision, in the language of the [S]upreme
    [C]ourt. The decision to have him step down, that’s a routine operational matter or
    an actual discretionary plan or policy?
    [ADA COUNTY]: Discretionary plan or policy, your Honor. And again, I think
    this comes down to the framing of the complaint is not saying that those two
    sheriff’s deputies took some particularly egregious action against this individual. It
    wasn’t, “I was only made to descend from my bunkbed.” It wasn’t, “I was the only
    one made to stand for roll call.”
    The larger – the attack of it is the larger policy decision of making someone
    stand for roll call. It wasn’t anything in particular about those deputies’ actions. It
    was that the complaint seems to attack the policy as a whole.
    Ada County continues this rhetoric on appeal, suggesting that
    nothing in Mr. Williamson’s Complaint proposes that the Ada County Jail deputies
    were violating policy in requiring Mr. Williamson to descend from his bunk bed
    for roll call or that they treated Mr. Williamson any differently than his fellow
    11
    prisoners. Instead, it appears that Mr. Williamson attacks the policy behind
    requiring him to stand for roll call.
    Ada County notes that because Williamson is suing the governmental entities instead of
    the individual deputies involved, he appears to be “attacking the greater policy decision-making
    behind bunk beds and roll call.” Williamson counters that there is simply no evidence of such a
    roll call policy in the record.
    Again, “[i]n suits brought under the Tort Claims Act, the ‘planning/operational’ test is used
    to demarcate decisions involving the formation of basic policy, entitled to immunity, from
    decisions involving the execution or implementation of that policy, not entitled to immunity.”
    Ransom, 
    113 Idaho at 204
    , 
    743 P.2d at 72
    . The district court’s own initial discussion on this issue
    highlights why Ada County’s motion to dismiss should have been denied on this claim. The court
    presented three viable options for what happened when Williamson was ordered to descend from
    the bunk bed, with at least one depicting the implementation of a policy rather than an attack on
    the policy itself, should one exist. Routine decisions not involving the consideration of policy
    factors are considered operational and are not entitled to immunity. On the other hand, decisions
    based on financial, political, economic, and social effects are considered discretionary, and are
    entitled to immunity.
    Because there are at least three plausible theories for the jailer’s decision to order
    Williamson to descend from his bunk bed for roll call at the time of his injury, the record is
    insufficient to conclude that the decision was a discretionary one. The decision could just as easily
    have been an operational decision by the jailer on duty that day. See Freeman v. Juker, 
    119 Idaho 555
    , 
    808 P.2d 1300
     (1991) (Even where it seemed “likely that a decision . . . was probably the
    result of a deliberate decision bound up with the formulation of policy and therefore immune from
    liability” absent a factual basis in the record, judgment on the pleadings was improper). Thus, we
    reverse the district court’s dismissal and remand the case on this issue.
    Williamson also argues that because the district court found Williamson had not proven
    that Ada County’s employee acted with malice or criminal intent, Williamson’s claim was not
    subject to the indemnification provisions of Idaho Code section 6-903. Williamson contends that
    is significant because by finding that he had not proved Ada County’s employee acted with malice
    or criminal intent, the district court ensured that Ada County could not escape liability for the
    12
    actions of their employee. Williamson misunderstands Idaho Code section 6-903 and this Court’s
    decision in Hoffer v. City of Boise, 
    151 Idaho 400
    , 
    257 P.3d 1226
     (2011).
    Idaho Code section 6-903(2)(i) provides for the indemnification of governmental
    employees “against any claims brought against the employee in the employee’s individual capacity
    when the claims are related to the course and scope of employment . . .” I.C. § 6-903(2)(i);
    however, the governmental entity may refuse to defend an employee if it is determined that the act
    or omission was not within the course and scope of employment or resulted from malice or criminal
    intent. Id. at (3). That said, there are no individual defendants here, thus the statute does not offer
    Williamson the relief he seeks.
    The relevant ITCA provision implicated here is Idaho Code section 6-904. This section
    grants a governmental entity and its employees immunity for any claim, while acting in the course
    and scope of their employment and without malice or criminal intent, which
    [a]rises out of any act or omission of an employee of the governmental entity
    exercising ordinary care, in reliance upon or the execution or performance of a
    statutory or regulatory function, whether or not the statute or regulation be valid, or
    based upon the exercise or performance or the failure to exercise or perform a
    discretionary function or duty on the part of a governmental entity or employee
    thereof, whether or not the discretion be abused.
    I.C. § 6-904(1).
    In Hoffer v. City of Boise, the owner of a trailer park sued the city asserting claims of
    tortious interference with contract and defamation, among other claims, after the city (1) issued
    notices to the owner requiring electrical improvements to the park, and (2) posted notices around
    the park when the owner failed the make the improvements. 
    151 Idaho at 401
    , 
    257 P.3d at 1227
    .
    Hoffer additionally alleged that the city, through its agents or employees, made false statements to
    a newspaper regarding Hoffer’s compliance with the city requirements. 
    Id.
     The city filed a motion
    to dismiss, arguing that because Hoffer had not alleged the city employees acted with malice and/or
    criminal intent, the city was immune from liability. 
    Id.
     The district court granted the city’s motion.
    
    Id.
     This Court affirmed the district court’s dismissal of Hoffer’s claims after concluding Idaho
    Code section 6-904(3) exempts governmental entities from liability for the torts at issue. Id. at 402,
    
    257 P.3d at 1228
    .
    In reaching this conclusion, the Court distinguished between tort liability for governmental
    entities versus potential liability of their employees, recognizing: “The plain language of the first
    clause of that section exempts governmental entities from liability for the torts it lists, whether or
    13
    not there has been an allegation of malice or criminal intent.” 
    151 Idaho at 402
    , 
    257 P.3d at 1228
    (internal citation omitted). 3 The Court explained:
    The requirement that an employee have acted “within the course and scope of their
    employment” plainly applies to the act of the employee and not of the governmental
    entity. Therefore, the language “and without malice or criminal intent” that follows
    the statute’s requirement that the employee have acted within the course and scope
    of employment, also by its plain language only applies to the employee.
    
    Id.
     at 402–03, 
    257 P.3d at
    1228–29.
    Thus, based on this Court’s decision in Hoffer, whether Williamson pled malice or criminal
    intent is irrelevant to the determination of whether Ada County and the Ada County Sheriff, both
    of which are governmental entities, are immune from liability for discretionary decisions under
    Idaho Code section 6-904(1). Even so, we reverse the district court’s decision on this issue and
    remand Williamson’s claim that Ada County was negligent in ordering him to descend from the
    top bunk for roll call. Whether that order was based on a policy is unknown based on this record,
    and will be subject to further consideration on remand.
    C.       We affirm the district court’s holding that Ada County was immune from liability
    arising from Williamson’s claim he received improper medical treatment at the jail.
    The district court concluded Ada County is exempt from liability for Williamson’s claims
    arising from his medical treatment under the ITCA, which provides:
    A governmental entity and its employees while acting within the course and scope
    of their employment and without malice or criminal intent and without gross
    negligence or reckless, willful and wanton conduct as defined in section 6-904C,
    Idaho Code, shall not be liable for any claim which:
    5. Arises out of any act or omission providing or failing to provide medical
    care to a prisoner or person in the custody of any city, county or state jail,
    detention center or correctional facility.
    I.C. § 6-904B(5). “Gross negligence” is defined as “the doing or failing to do an act which a
    reasonable person in a similar situation and of similar responsibility would, with a minimum of
    3
    Williamson makes several references to Chief Judge Lansing’s special concurrence, attributing the concurrence to
    Hoffer v. City of Boise, 
    151 Idaho 400
    , 
    257 P.3d 1226
     (2011), in both his opening and reply briefs. Importantly, Chief
    Judge Lansing’s concurrence appears in an unpublished opinion from the Court of Appeals, not this Court. See 
    2010 WL 9585780
    , 2. The unpublished decision was superseded by this Court’s opinion issued after a petition for review.
    Moreover, although Chief Judge Lansing believed the Court’s decision in Sprague v. City of Burley, 
    109 Idaho 656
    ,
    
    710 P.2d 566
     (1985) misinterpreted section 6-903(c), this Court specifically rejected the request to overrule it. Hoffer,
    at 403 n.1, 
    257 P.3d at
    1229 n.1. Thus, Williamson cannot rely on the concurring opinion in a superseded decision as
    authoritative, and the misstatements and repeated citations to it border on sanctionable conduct under I.A.R. 11.2(a).
    14
    contemplation, be inescapably drawn to recognize his or her duty to do or not do such act and that
    failing that duty shows deliberate indifference to the harmful consequences to others.” I.C. § 6–
    904C(1). “Reckless, willful and wanton conduct” is defined as “present only when a person
    intentionally or knowingly does or fails to do an act creating an unreasonable risk of harm to
    another, and which involves a high degree of probability that such harm will result.” I.C. §
    904C(2).
    In his complaint, Williamson alleged the Defendants’ “negligence in failing to diagnose,
    treat properly or bring Defendant’s [sic] injuries to a physician resulted in a worsening of
    Plaintiff’s injuries and future health outcomes[.]” Williamson also alleged:
    The conduct of Defendants, alleged herein, was done maliciously, intentionally and
    willfully, with gross negligence and reckless disregard for, and in extreme deviation
    of all appropriate and reasonable standards of care pertaining to the facts of this
    case. Mr. Williamson believes that the Defendants deliberately understated his
    symptoms and misdiagnosed him, and intentionally kept him from being examined
    [by] a doctor for the injuries sustained while in custody of the Defendant, Ada
    County.
    Williamson argues that the factual allegations in his complaint support a finding of Ada
    County’s egregious behavior. Despite several requests for treatment and complaints of painful
    symptoms, the loud crack of his skull against the concrete, and the obvious blood loss, the
    custodians at the Ada County jail, including medical providers, sought to shut down his complaints
    by promising him that he would be treated later, only to fail to provide even that promised
    treatment. Williamson asserts that Ada County lied to him about arranging his treatment, despite
    the duty of care they owed him as his custodians, constituting malice and criminal intent.
    The district court dismissed Williamson’s claim after concluding his allegations were
    grounded in torts for which Ada County was exempt from liability, i.e., the medical care provided
    to a prisoner or person in custody in jail. Ada County argues that, similar to discretionary
    immunity, governmental entities are immune from the torts listed in Idaho Code section 6-904B
    whether a plaintiff has alleged any harmful intent or not. Ada County emphasizes that the opening
    clause of Idaho Code section 6-904B parallels section 6-904, providing “[a] governmental entity
    and its employees while acting within the course and scope of their employment and without
    malice or criminal intent and without gross negligence or reckless, willful and wanton conduct.”
    Applying the Court’s logic in Hoffer, the language “without malice or criminal intent and
    without gross negligence or reckless, willful and wanton conduct,” applies only to the employee,
    15
    not the governmental entity. See Hoffer, 
    151 Idaho at
    402–03, 
    257 P.3d at
    1228–29 (the language
    “and without malice or criminal intent” that follows the statute’s requirement that the employee
    have acted within the course and scope of employment, also by its plain language only applies to
    the employee). Because the employees Williamson tried to sue—the RN and LPN—have been
    dismissed from the case, all that remain are the governmental entities. Ultimately, Ada County is
    not “liable for any claim which . . . [a]rises out of any act or omission providing or failing to
    provide medical care to a prisoner or person in the custody of any city, county or state jail,
    detention center or correctional facility.” I.C. § 6-904B(5). Thus, we affirm the district court’s
    conclusion in that regard. Once Williamson indicated he was no longer pursuing the RN and the
    LPN, his claim against Ada County ceased to exist.
    D.     We affirm the district court’s dismissal of Williamson’s negligent infliction of
    emotional distress claims.
    Next, Williamson alleges that the district court erred in dismissing his negligent infliction
    of emotional distress claims. “The elements of negligent infliction of emotional distress are (1) a
    legal duty recognized by law; (2) a breach of that duty; (3) a causal connection between the
    defendant’s conduct and the plaintiff’s injury; and (4) actual loss or damage.” Frogley v. Meridian
    Joint Sch. Dist. No. 2, 
    155 Idaho 558
    , 569, 
    314 P.3d 613
    , 624 (2013) (citing Nation v. State Dept.
    of Corr., 
    144 Idaho 177
    , 189, 
    158 P.3d 953
    , 965 (2007)). “Additionally, there must be a physical
    manifestation of the plaintiff’s emotional injury, which is designed to provide a degree of
    genuineness that claims of mental harm are not imagined.” 
    Id.
     (quoting Czaplicki v. Gooding Joint
    Sch. Dist. No. 231, 
    116 Idaho 326
    , 332, 
    775 P.2d 640
    , 646 (1989)).
    In his complaint, Williamson alleged that Ada County owed him a legal duty to “act as a
    steward and a fiduciary . . . as he was in their custody and unable to exercise freedoms in choosing
    his bedding and choosing his health care provider[,] engage in professional medical care . . . [,]
    and exercise ordinary care to prevent unreasonable, foreseeable risk of harm.” He alleged breach
    of those duties when Ada County “used substandard, knowingly dangerous bedding without proper
    safety features” and by “failing to properly diagnose [Williamson], follow a treatment plan, or
    schedule an appointment with a doctor.”
    The district court dismissed Williamson’s negligent infliction of emotional distress claims
    after concluding “both of Mr. Williamson’s allegations of negligent infliction of emotional distress
    claims are grounded in torts for which Ada County is exempt from liability . . . . Without a legal
    16
    duty recognized by law, there can be no breach of such duty.” Because we have affirmed the
    district court’s dismissal on each claim Williamson linked to his negligent infliction of emotional
    distress claims—Ada County’s discretionary act of choosing beds for the jail and immunity arising
    from medical care provided to a person in custody—we likewise affirm the district court’s
    dismissal of Williamson’s negligent infliction of emotional distress claims.
    E.     Williamson did not preserve his Eighth Amendment claim for appeal.
    Last, Williamson contends that the immunity in Idaho Code section 6-904B, exempting
    Idaho governmental agencies from liability for failure to provide medical care to inmates in Idaho
    jails, is overly broad and should be found unconstitutional because it is preempted by the Eighth
    Amendment’s prohibition against deliberate indifference. Ada County argues that Williamson’s
    constitutional claim must fail because he did not raise this issue below. In general, constitutional
    issues will not be considered if raised for the first time on appeal. State v. Barr, 
    166 Idaho 783
    ,
    787, 
    463 P.3d 1286
    , 1290 (2020) (citing Roell v. Boise City, 
    134 Idaho 214
    , 216, 
    999 P.2d 251
    ,
    253 (2000)). “Failure to properly raise such an issue below is a waiver of the right to raise the issue
    on appeal.” 
    Id.
    In response to Ada County’s argument, Williamson “simply points to the record” and
    asserts that he raised the issue at the hearing on Ada County’s motion to dismiss. At the hearing
    on Ada County’s motion to dismiss, the district court—not Williamson—raised a question
    concerning the Eighth Amendment’s applicability:
    [COURT]: Okay. My second question is have you brought an Eighth Amendment
    claim for violation of [Williamson’s] Eighth Amendment rights?
    [DEFENSE COUNSEL]: Your Honor, I believe that the claims that we brought
    were for negligence in providing for Mr. Williamson’s safety and for his medical
    care while he was in the custody of the State.
    Whether that expands to the Eighth Amendment or whether the Eighth
    Amendment accrues to an individual once they are within the state system, I
    believe, is – I believe that we would have an Eighth Amendment claim in this case
    as Mr. Williamson was detained and had been in custody at the time of these events.
    [COURT]: So my question was as to whether you had brought one and you believe
    there would be one.
    My question is, is one of these three counts currently your Eighth
    Amendment claim? Or one or more of them? Or is it something you say you may
    bring in the future?
    [DEFENSE COUNSEL]: Your Honor, I believe it said it specifically is a claim we
    could bring in the future.
    17
    [COURT]: Could bring in the future?
    [DEFENSE COUNSEL]: Yes, [Y]our Honor.
    Later, the district court noted, “I’m not here to say whether Mr. Williamson has an Eighth
    Amendment right attached or whether you brought it. I’m just focusing on the question, whether
    it’s a defense for dismissal under the statute.”
    While Williamson asserts that he is not making an Eighth Amendment claim for the first
    time on appeal, the district court specifically noted that “Mr. Williamson has not argued that the
    statute is unconstitutional, either facially or as applied to him.” The record fully supports the
    district court’s conclusion. Therefore, based on this holding, and the record before us on appeal,
    we hold that Williamson failed to preserve his constitutional claim for review.
    F.     We decline to award attorney fees on appeal.
    Ada County requests attorney fees under Idaho Code section 12-121. Ada County claims
    that on appeal, Williamson reargues the same issues he argued to the district court, in addition to
    new issues which cannot be heard on appeal. Ada County claims Williamson did not present any
    new evidence or authority showing that the district court erred in dismissing the case, rather, he
    appears to be inviting the Court to second guess the district court’s findings. Thus, Ada County
    argues Williamson’s appeal was pursued frivolously, unreasonably, and without foundation.
    Idaho Code section 12-121 allows the award of reasonable attorney fees to the prevailing
    party in any civil action where the case “was brought, pursued or defended frivolously,
    unreasonably or without foundation.” I.C. § 12-121. The prevailing party may also be entitled to
    fees if the appeal merely invites the Court to second-guess the findings of the lower court. Owen
    v. Smith, 
    168 Idaho 633
    , 647, 
    485 P.3d 129
    , 143 (2021) (citing Bach v. Bagley, 
    148 Idaho 784
    ,
    797, 
    229 P.3d 1146
    , 1159 (2010)). Ada County has only prevailed in part; thus, it is not entitled to
    attorney fees under section 12-121.
    G.     We decline to award sanctions.
    Williamson argues that at several points in their brief the Ada County Defendants misstated
    the record, placing themselves in jeopardy of sanctions. Idaho Appellate Rule 11.2 provides:
    (a) . . . The signature of an attorney or party constitutes a certificate that the attorney
    or party has read the notice of appeal, petition, motion, brief or other document;
    that to the best of the signer’s knowledge, information, and belief after reasonable
    inquiry it is well grounded in fact and is warranted by existing law or a good faith
    argument for the extension, modification, or reversal of existing law, and that it is
    not interposed for any improper purpose, such as to harass or to cause unnecessary
    18
    delay or needless increase in the cost of litigation. If the notice of appeal, petition,
    motion, brief, or other document is signed in violation of this rule, the court, upon
    motion or upon its own initiative, shall impose upon the person who signed it, a
    represented party, or both, an appropriate sanction, which may include an order to
    pay to the other party or parties the amount of the reasonable expenses incurred
    because of the filing of the notice of appeal, petition, motion, brief or other
    document including a reasonable attorney’s fee.
    “Rule 11 Sanctions are appropriate where an argument on appeal ‘was so far outside the
    realm of reasonability that it warrants a sanction.’ ” Bettwieser v. New York Irrigation Dist., 
    154 Idaho 317
    , 330, 
    297 P.3d 1134
    , 1147 (2013) (quoting Martin v. Smith, 
    154 Idaho 161
    , 164, 
    296 P.3d 367
    , 370 (2013)). “However, even where the issues raised on appeal are ‘dubious,’ fees will
    not be awarded under Rule 11.2 unless the Court can conclude that ‘the appeal was interposed for
    an improper purpose.’ ” 
    Id.
     (quoting Funes v. Aardema Dairy, 
    150 Idaho 7
    , 13, 
    244 P.3d 151
    , 157
    (2010)).
    Most of the case law discussing Rule 11.2 focuses on whether an appellant has filed an
    appeal with an improper purpose. Even so, Williamson contends sanctions are appropriate because
    Ada County expressly makes contentions that are not grounded in fact and have no basis in law.
    Williamson first challenges Ada County’s statement that the district court ruled that the order that
    Williamson descend from his bed and stand during roll call was discretionary. (Emphasis added).
    Ada County counters that the district court did, in fact, rule on the issue.
    As discussed above in Section B, under the subheading “Ada County was performing a
    discretionary function or duty when Mr. Williamson was injured,” the district court held that
    Williamson
    failed to demonstrate that the Ada County Sheriff’s employee’s decision to order
    him down from his bunk for roll call was malicious or had criminal intent. Based
    on the Complaint, roll call was occurring as to all inmates in the Ada County Jail.
    There is no indication that Mr. Williamson was being treated differently than any
    other inmate in the jail.
    Even though we determined the district court did not rule on whether Ada County’s order
    that Williamson stand for roll call was discretionary, Ada County’s position that the district court
    did rule is at least a plausible argument given the district court’s ultimate dismissal of the case. As
    a result, it cannot be considered “so far outside the realm of reasonability that it warrants a
    sanction.” Bettwieser, 154 Idaho at 330, 297 P.3d at 1147. Thus, we decline to award sanctions on
    this basis.
    19
    Second, Williamson objects to Ada County’s repeated reference to a “policy” regarding
    roll call despite the failure to include any such policy in the record. Ada County explains that it
    did not refer to a “roll call policy” because the record contained a specific policy; rather, the
    reference speaks to Williamson’s general attack on the overarching policy behind requiring
    prisoners to stand during roll call. As explained above, we are remanding the case on this issue.
    Still, Ada County’s position that Williamson is attacking a broader policy requiring inmates to
    descend from their bunk beds, even if not supported by a written policy in the record, is not “so
    far outside the realm of reasonability that it warrants a sanction.” Bettwieser, 154 Idaho at 330,
    297 P.3d at 1147. Thus, we decline to award sanctions on this basis.
    V. CONCLUSION
    We reverse the district court’s decision to dismiss Williamson’s claim that Ada County
    was negligent in ordering him to descend from the top bunk for roll call and remand the case for
    further proceedings. We therefore vacate the judgment in that regard. We affirm the district court’s
    dismissal of Williamson’s remaining claims. Inasmuch as both parties prevailed, in part, no
    attorney fees or costs are awarded on appeal.
    Justices BRODY, STEGNER, MOELLER, and ZAHN, CONCUR.
    20