Amended July 3, 2017 Estate of Mercedes Gottschalk by Coexecutors Richard Gottschalk and Rebecca Rassler v. Pomeroy Development, Inc. D/B/A Pomeroy Care Center v. State of Iowa, Third-Party On Review From ( 2017 )


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  •                  IN THE SUPREME COURT OF IOWA
    No. 14–1326
    Filed April 14, 2017
    Amended July 3, 2017
    ESTATE OF MERCEDES GOTTSCHALK by Coexecutors
    RICHARD GOTTSCHALK and REBECCA RASSLER,
    Appellants,
    vs.
    POMEROY DEVELOPMENT, INC. d/b/a POMEROY CARE CENTER,
    Defendant,
    STATE OF IOWA,
    Appellee.
    ______________________________________
    POMEROY DEVELOPMENT, INC. d/b/a POMEROY CARE CENTER,
    Third-Party Plaintiff-Appellant,
    vs.
    STATE OF IOWA,
    Third-Party Defendant-Appellee.
    On review from the Iowa Court of Appeals.
    Appeal from the Iowa District Court for Calhoun County, Thomas
    Bice, Judge.
    An estate and a care center request further review of a court of
    appeals decision finding the State did not owe either of them a duty of
    care.    DECISION OF COURT OF APPEALS AND JUDGMENT OF
    DISTRICT COURT AFFIRMED.
    2
    Willis J. Hamilton of Hamilton Law Firm, P.C., Storm Lake, for
    appellants.
    Thomas J. Miller, Attorney General, and Joanne Moeller, Assistant
    Attorney General, for appellee.
    David H. Luginbill and Michael J. Streit of Ahlers & Cooney, P.C.,
    Des Moines, for defendant Pomeroy Development.
    3
    WIGGINS, Justice.
    A person whom the courts released from the State’s civil
    commitment unit for sexual offenders (CCUSO) and then recommitted to
    a care center attacked the estate’s decedent at the care center.        The
    estate filed a petition against the care center and the State claiming
    negligence. The care center brought a third-party claim against the State
    for indemnity. The State filed a motion for summary judgment arguing it
    owed no duty of care to the estate’s decedent or the care center. The
    district court agreed and entered judgment for the State. The estate and
    the care center appealed.     We transferred the case to the court of
    appeals. The court of appeals affirmed the district court judgment. We
    granted further review. On appeal, we find on the issues preserved that
    the State did not owe a duty of care to either the estate’s decedent or the
    care center. Accordingly, we affirm the decision of the court of appeals
    and the judgment of the district court.
    I. Background Facts and Proceedings.
    Mercedes Gottschalk’s family admitted her to the Pomeroy Care
    Center in Pomeroy on September 5, 2009. Thereafter, on December 8,
    2010, the court civilly committed William Cubbage to the Pomeroy Care
    Center. Cubbage’s previous criminal and medical history is relevant to
    this appeal.
    The State previously convicted Cubbage of “four sexually violent
    offenses . . . : assault with intent to commit sexual abuse (in 2000),
    indecent contact with a child (1997 and 1991), and lascivious acts with a
    child (1987).” In re Det. of Cubbage, 
    671 N.W.2d 442
    , 443 (Iowa 2003). A
    doctor diagnosed him with pedophilia and a personality disorder not
    otherwise specified with antisocial and narcissistic features.    
    Id. The doctor
    believed those conditions were “mental abnormalities” that “made
    4
    it seriously difficult for Cubbage to control his sexually dangerous
    behavior.” 
    Id. On May
    21, 2002, Cubbage was adjudicated a sexually
    violent predator pursuant to Iowa Code chapter 299A, and the court
    committed him to the custody of the director of the Iowa Department of
    Human Services for placement at CCUSO until his “mental abnormality
    has so changed that he is safe to be placed in the transitional release
    program or discharged.”
    In August 2006, while still in custody at CCUSO, a doctor
    diagnosed Cubbage with dementia of the Alzheimer’s type, declining
    mental functioning, and several physical and mental ailments. A ninety-
    day patient assessment at CCUSO in May 2010, indicated that the staff
    agreed the “best avenue for Mr. Cubbage would be to place him in secure
    care for the rest of his life . . . pending DHS Directors approval.”
    In July, Dr. Michael Ryan, a psychologist at CCUSO, prepared an
    annual     report   summarizing    Cubbage’s    progress,   and    he   made
    recommendations regarding Cubbage’s possible release.          Based on his
    evaluation, Dr. Ryan determined Cubbage did not meet the criteria for
    transitional release, but that he “does not currently meet the definition of
    a sexually violent predator as described in 229A.”
    On November 16, a hearing was held in Cherokee County pursuant
    to Iowa Code section 229.13 (2011). The district court found Cubbage
    seriously mentally impaired and, due to his dementia and executive
    dysfunction, he was a danger to himself and others. Thus, the district
    court ordered Cubbage placed in the Pomeroy Care Center for
    appropriate treatment under the care of Dr. Ted George of Pocahontas,
    Iowa.
    Subsequently, on November 24, a state public defender acting on
    behalf of Cubbage, filed a motion pursuant to Iowa Code section 229A.10
    5
    requesting the court discharge Cubbage from civil commitment.         The
    motion provided that the director of human services, the Iowa attorney
    general’s office, and the Iowa public defender’s office mutually agreed
    Cubbage is “unable to obtain further gains from his civil commitment at
    CCUSO” and is “seriously mentally impaired and in need of full-time
    custody and care.”    That same day, the district court in Des Moines
    County entered its order discharging Cubbage from commitment under
    section 229A.10 and committing him to the Pomeroy Care Center
    pursuant to Iowa Code chapter 229 and the Cherokee County court’s
    November 16 order.
    Before Cubbage began residing at the Pomeroy Care Center, the
    administrator and director of nursing at the care center met with CCUSO
    staff members to discuss Cubbage’s history as a sex offender as well as
    his diagnosis of pedophilia and dementia. The CCUSO staff told the care
    center’s administrator that it was not likely Cubbage would be a risk.
    The administrator was not aware the CCUSO doctors had previously
    opined that Cubbage was a danger to others at the time he was
    committed to the care center.    The administrator’s understanding was
    that Cubbage was “being transferred because his physical condition had
    advanced to the point where he could no longer participate in active
    treatment.” The director of nursing at the care center understood that
    Cubbage was a “child predator,” and CCUSO staff told her that he would
    be “no risk at all” to “older folks.” The parties discussed his access to
    children and the care center’s ability to monitor him in the presence of
    children.
    On August 21, 2011, an eight-year-old child visiting the care
    center   witnessed   Cubbage    sexually   assaulting   Gottschalk.   On
    6
    November 18, the State transferred Cubbage from the care center to the
    Newton Correctional Facility.
    Gottschalk sued the care center for providing her care in a reckless
    and negligent manner. After Gottschalk’s death, her estate substituted
    itself as the plaintiff.   The estate also sued the State for negligence.
    Specifically, the estate alleged the State was negligent because (1) it had
    a duty to “prepare and approve a safety plan to protect the residents” of
    the care center after Cubbage was placed there and (2) it had a duty to
    “inspect and determine whether or not appropriate safety precautions
    were being followed by the Pomeroy Care Center.” The estate also alleged
    the State decreased nursing home oversight thereby “intentionally
    causing an unacceptable risk of injury to the residents.”
    The Pomeroy Care Center brought a cross-claim alleging negligence
    on the part of the State for contribution and indemnity. The care center
    contended the State was negligent because (1) it failed to “properly
    supervise and monitor the co-resident, Cubbage, pursuant to Court
    Order and Iowa code chapter 229;” (2) it represented to “Defendant prior
    to his admission that the co-resident, Cubbage, was no longer a risk or a
    threat to society;” and (3) it represented to “Defendant prior to his
    admission that the co-resident, Cubbage, was no longer a risk or threat
    to elderly victims.”
    The State moved for summary judgment on the estate’s and the
    care center’s causes of action. The State argued that once it discharged
    Cubbage from CCUSO, it owed no duty of care to supervise and monitor
    Cubbage, to create or supervise any safety plan related to Cubbage, or to
    inspect the Pomeroy Care Center and follow-up with regard to safety
    precautions.     The State also argued Iowa Code section 669.14(4)
    prohibits the care center from suing the State based on the State’s
    7
    alleged misrepresentations concerning Cubbage’s risk to other residents
    in the care center.
    In its resistance to the State’s motion for summary judgment, the
    estate argued the State “did not inspect the Pomeroy nursing home to
    determine whether safety protocols were in place,” and the State had a
    “duty of care . . . to warn the residents and assure that safety protocols
    were in place to protect the residents from harm and that a failure to do
    so would constitute negligence.”
    The Pomeroy Care Center resisted the State’s motion by arguing
    the State negligently discharged Cubbage, the State acted negligently in
    failing to supervise and monitor Cubbage, and issues of material fact
    precluded summary judgment.          The care center also requested an
    extension of time to respond to the State’s summary judgment motion
    pending a ruling on the estate’s motion to compel production of
    documents filed June 19, 2014, and the estate’s motion to inspect court
    records filed June 23.
    The district court granted the State’s motion, concluding that
    because Cubbage was unconditionally discharged from CCUSO, the
    State had no statutory or common law duty to supervise, monitor, or
    approve a safety plan, and that “[w]ithout the existence of a duty, any
    claim for negligence [by the Estate or the Pomeroy Care Center] must
    fail.”    Further, the court held the doctrine of sovereign immunity
    prevented any claim of misrepresentation against the State pursuant to
    Iowa Code section 669.14(4).         Finally, because the court’s ruling
    dismissed all claims against the State, it concluded the estate’s motion to
    compel discovery was moot.
    8
    The estate and Pomeroy appealed. 1 We transferred the case to the
    court of appeals, which affirmed the district court ruling. We granted the
    estate’s and Pomeroy Care Center’s applications for further review.
    II. Scope of Review.
    We review a district court ruling on summary judgment for
    correction of errors at law. Sanon v. City of Pella, 
    865 N.W.2d 506
    , 510
    (Iowa 2015). Summary judgment is appropriate when the moving party
    demonstrates “there are ‘no disputed issues of material fact and the
    moving party is entitled to judgment as a matter of law.’ ” 
    Id. (quoting Ne.
    Cmty. Sch. Dist. v. Easton Valley Cmty. Sch. Dist., 
    857 N.W.2d 488
    , 491–
    92 (Iowa 2014)). “A genuine issue of fact exists if reasonable minds can
    differ on how an issue should be resolved. When a fact’s determination
    might affect the outcome of the suit, it is material.” Walker v. State, 
    801 N.W.2d 548
    , 554 (Iowa 2011) (citation omitted).
    “[W]e examine the record in the light most favorable to the party
    opposing the motion for summary judgment” when determining if the
    moving party met its burden. Minor v. State, 
    819 N.W.2d 383
    , 393 (Iowa
    2012). Based on the record before the district court, we must determine
    “whether there was a material fact in dispute and if not, whether the
    district court correctly applied the law.” 
    Id. (quoting Robinson
    v. Fremont
    County, 
    744 N.W.2d 323
    , 325 (Iowa 2008)).
    We also recognize that “questions of negligence or proximate cause
    are ordinarily for the jury” and “only in exceptional cases should they be
    decided as a matter of law.” Thompson v. Kaczinski, 
    774 N.W.2d 829
    ,
    1The  district court’s summary judgment dismissed only the State from the case
    and the action remains pending as to defendant Pomeroy Development. We granted
    interlocutory appeal.
    9
    832 (Iowa 2009) (quoting Clinkscales v. Nelson Sec., Inc., 
    697 N.W.2d 836
    , 841 (Iowa 2005)).
    III. The Estate’s Appeal.
    At the onset of this discussion, we note that the estate has not
    been consistent with its arguments and theories of recovery from the tort
    claim it filed through its appellate brief. We will only consider the issues
    raised by the estate in its appellate brief. In its brief, the estate makes
    three claims. They are set forth as follows:
    All of the foregoing demonstrates that a reasonable
    person would be justified to believe that the residents of the
    Pomeroy Care Center would be at foreseeable risk of harm by
    William Cubbage and that there existed a duty of care by the
    State not to release William Cubbage into a target rich
    environment. These facts would also establish a duty to
    warn the residents and assure that safety protocols were in
    place to protect the residents from harm and that a failure to
    do so would constitute negligence.
    A.   Whether the State Had a Duty of Care Not to Release
    William Cubbage into a Target-Rich Environment.            Before reaching
    the merits of this issue, we must first decide if the estate preserved error
    on this issue. We find the estate did not preserve error on this issue.
    A party must ordinarily raise an issue in the district court and the
    district court must decide that issue before we may decide it on appeal.
    Meier v. Senecaut, 
    641 N.W.2d 532
    , 537 (Iowa 2002).         The underlying
    objective of this rule is to ensure “orderly, fair[,] and efficient
    administration” of justice by preventing parties from presenting one case
    at trial and another on appeal.    State v. Mann, 
    602 N.W.2d 785
    , 790
    (Iowa 1999) (quoting State v. Tobin, 
    333 N.W.2d 842
    , 844 (Iowa 1983)).
    Thus, it serves the purpose of ensuring both opposing counsel and the
    district court receive notice of the basis for a claim at a time when
    10
    corrective action is still possible. See State v. Johnson, 
    476 N.W.2d 330
    ,
    334 (Iowa 1991); see also State v. Milner, 
    571 N.W.2d 7
    , 12 (Iowa 1997).
    In deciding whether a party has preserved error, the purposes of
    our error preservation rules guide us. Lee v. State, 
    815 N.W.2d 731
    , 739
    (Iowa 2012); 
    Mann, 602 N.W.2d at 790
    –91. Accordingly, “we recognize
    an exception to the general error-preservation rule when the record
    indicates that the grounds for a motion were obvious and understood by
    the trial court and counsel.” State v. Williams, 
    695 N.W.2d 23
    , 27–28
    (Iowa 2005); In re Det. of Hodges, 
    689 N.W.2d 467
    , 470 (Iowa 2004).
    Generally, so long as a party timely brings the nature of the error
    claimed to the attention of the district court, error preservation does not
    turn on the thoroughness of counsel’s researching or briefing. Summy v.
    City of Des Moines, 
    708 N.W.2d 333
    , 338 (Iowa 2006), overruled in part
    on other grounds by Alcala v. Marriott Int’l, Inc., 
    880 N.W.2d 699
    , 708 &
    n.3 (Iowa 2016). Nonetheless, if the court does not actually rule on the
    claim asserted, a party must seek an expanded ruling to preserve it.
    State v. Webster, 
    865 N.W.2d 223
    , 231–32 (Iowa 2015).
    In its ruling, the district court stated,
    It is factually established that Mr. Cubbage had been
    unconditionally discharged from the CUSSO unit in
    November of 2010. This discharge was not “transitional” or
    “conditional.” Once discharged, the duty of the State to
    supervise or monitor Mr. Cubbage ended. “Discharge” is
    defined by Iowa Code 229A.2(3) as meaning “. . . . an
    unconditional discharge from the sexually violent predator
    program.” At that time, the State owed no duty to provide a
    “safety plan” as contemplated by Iowa Code 229A.8A(6)
    because of the unconditional nature of the discharge.
    Without the existence of a duty, any claim for negligence
    must fail. Further, this Court finds no common law duty as
    defined by prior case law covering the facts of this case.
    Simply stated, since Cubbage was unconditionally
    discharged from CUSSO, there was no statutory or common
    law duty placed upon the State to supervise, monitor or
    11
    approve a “safety plan” and absent a duty, Plaintiff’s claims
    in this regard must be dismissed. See Minor v. State, 
    819 N.W.2d 383
    (Iowa 2012); Leonard v. State, 
    491 N.W.2d 508
          (Iowa 1992).
    The district court did not rule on or consider any claim by the
    estate that the State had a duty of care not to release William Cubbage
    into a target-rich environment. The estate did not make this claim in its
    petition or in its resistance to the State’s motion for summary judgment.
    The first time the estate raised this issue was in its appellate brief. We
    do not consider issues for the first time on appeal. Geisler v. City Council
    of Cedar Falls, 
    769 N.W.2d 162
    , 166 (Iowa 2009). Accordingly, we will
    not reach this issue because the estate failed to preserve error on the
    issue in this appeal.
    B. Whether the State Had a Duty to Warn the Residents of the
    Dangers Cubbage Presented in Order to Protect the Residents from
    Harm.     Again, before reaching the merits of this issue, we must first
    decide if the estate preserved error on this issue. The court of appeals
    found the estate did not preserve error on this issue. We disagree.
    Here, the estate raised the issue of failure to warn the vulnerable
    residents of the Pomeroy Care Center in its resistance to the State’s
    motion for summary judgment. Thus, the court and the State had notice
    for the basis of this claim.    In its order for summary judgment, the
    district court held that “[w]ithout the existence of a duty, any claim for
    negligence must fail,” and found no common law duty applied in this
    case. We find the district court contemplated the failure to warn claim
    raised by the estate in its resistance to the State’s motion for summary
    judgment, thus preserving the theory of negligent failure to warn for
    appeal.
    12
    The district court determined that once the court discharged
    Cubbage from CCUSO, the State owed no duty to warn Gottschalk of the
    dangers Cubbage posed. A negligence claim requires “the existence of a
    duty to conform to a standard of conduct to protect others, a failure to
    conform to that standard, proximate cause, and damages.” 
    Thompson, 774 N.W.2d at 834
    (quoting Stotts v. Eveleth, 
    688 N.W.2d 803
    , 807 (Iowa
    2004)). “Whether a duty arises out of a given relationship is a matter of
    law for the court’s determination.” 
    Id. Historically, we
    have considered three factors when determining
    whether a duty to exercise reasonable care exists: “the relationship
    between the parties, the foreseeability of harm, and public policy.”
    McCormick v. Nikkel & Assocs., Inc., 
    819 N.W.2d 368
    , 371 (Iowa 2012).
    We have not viewed these factors as “three distinct and necessary
    elements, but rather as considerations employed in a balancing process.”
    
    Thompson, 774 N.W.2d at 834
    . Ultimately, “whether a duty exists is a
    policy decision based upon all relevant considerations that guide us to
    conclude a particular person is entitled to be protected from a particular
    type of harm.” 
    Id. (quoting J.A.H.
    ex rel. R.M.H. v. Wadle & Assocs., P.C.,
    
    589 N.W.2d 256
    , 258 (Iowa 1999)).
    In Thompson, we adopted the duty analysis of the Restatement
    (Third) of Torts: Liability for Physical & Emotional Harm, which provides
    that “the assessment of the foreseeability of a risk” is no longer part of
    the duty analysis, but is “to be considered when the [fact finder] decides
    if the defendant failed to exercise reasonable care.” Brokaw v. Winfield-
    Mt. Union Cmty. Sch. Dist., 
    788 N.W.2d 386
    , 391 (Iowa 2010) (quoting
    
    Thompson, 774 N.W.2d at 835
    (citing Restatement (Third) of Torts: Liab.
    for Physical Harm § 7 cmt. j, at 97–98 (Am. Law Inst., Proposed Final
    Draft No. 1, 2005))).
    13
    Turning our analysis to the Restatement (Third) of Torts, in
    Thompson we held that “[a]n actor ordinarily has a duty to exercise
    reasonable care when the actor’s conduct creates a risk of physical
    harm.” Id. (quoting 
    Thompson, 774 N.W.2d at 834
    ). Only “in exceptional
    cases” will this general duty of reasonable care not apply. Id. (quoting
    
    Thompson, 774 N.W.2d at 835
    ). “An exceptional case is one in which ‘an
    articulated countervailing principle or policy warrants denying or limiting
    liability in a particular class of cases.’ ”         Id. (quoting 
    Thompson, 774 N.W.2d at 835
    ).
    The Restatement (Third) has addressed the issue of a defendant’s
    liability for the actions of a third party based on a special relationship
    with the person posing risks.          Restatement (Third) of Torts: Liab. for
    Physical & Emotional Harm § 41, at 64–65 (Am. Law Inst. 2012).                       In
    relevant part, it provides,
    (a) An actor in a special relationship with another
    owes a duty of reasonable care to third parties with regard to
    risks posed by the other that arise within the scope of the
    relationship.
    (b) Special relationships giving rise to the duty
    provided in Subsection (a) include:
    ....
    (4) a mental-health professional with patients.
    
    Id. 2 While
    an affirmative duty might exist pursuant to section 41 of the
    Restatement (Third), “a court may decide, based on special problems of
    2“Section 315 of the Second Restatement of Torts stated the general proposition
    that there is no affirmative duty to control the conduct of a third party from causing
    harm to another.” Restatement (Third) of Torts: Liab. for Physical & Emotional Harm
    § 41 cmt. a, at 65. Section 41 of the Restatement (Third) “replaces §§ 315(a), 316, 317,
    and 319 and includes an additional relationship creating an affirmative duty, that of
    mental health professionals and patient.” 
    Id. 14 principle
    or policy that no duty or a duty other than reasonable care
    exists.” 
    Id. cmt. b,
    at 65; see also 
    id. § 7(b),
    at 77 (Am. Law Inst. 2010).
    Prior to our adoption of the Restatement (Third) in Thompson, we
    found a special relationship existed between a psychiatrist and a patient,
    giving rise to a duty to either control the behavior of the other person or
    to protect a third party. Leonard v. State, 
    491 N.W.2d 508
    , 510–11 (Iowa
    1992). There, we stated, “that the risks to the general public posed by
    the negligent release of dangerous mental patients would be far
    outweighed by the disservice to the general public if treating physicians
    were subject to civil liability for discharge decisions.”   
    Id. at 512.
      We
    then held that the duty of care did not apply to the general public. 
    Id. In making
    this decision, “the principle that the scope of the duty turns on
    the foreseeability of harm to the injured person” guided our decision. 
    Id. at 511.
    In Leonard, our analysis only addressed a psychiatrist’s duty to
    members of the general public, and we did “not decide what duty, if any,
    would attach to the discharge decision if the psychiatrist had reason to
    believe some particular person would be endangered by the patient’s
    release.” 
    Id. at 512.
    Before we analyze the facts in this case under the Restatement
    (Third) and Leonard, we must first decide if a special relationship existed.
    In Leonard, the hospital made the decision to release the patient from its
    care.    In this case, the State did not make the decision to release
    Cubbage from CCUSO or commit him to the Pomeroy Care Center. The
    district court entered an order discharging Cubbage from CCUSO
    pursuant to Iowa Code section 229A.10.             In its order, the court
    acknowledged that it reviewed the motion to discharge and found good
    cause to discharge Cubbage from his civil commitment under chapter
    229A. Implicit in the court’s finding was that the State could not “show
    15
    beyond a reasonable doubt that [Cubbage’s] mental abnormality or
    personality disorder remains such that [Cubbage] is likely to engage in
    predatory acts that constitute sexually violent offenses if discharged.”
    See Iowa Code § 229A.10. Under the Code, the court was required to
    discharge him. 
    Id. Another district
    court held a hearing and committed him to the
    Pomeroy Care Center under Code section 229.13. The court stated its
    reason for the commitment was “due to his dementia and executive
    dysfunction, thus being a danger to [himself] and others.” “Dementia” is
    “the loss, usually progressive, of cognitive and intellectual functions,
    without impairment of perception and consciousness.”            Dementia,
    Stedman’s Medical Dictionary (27th ed. 2000).         Executive functions
    include “[h]igher order cognitive processes such as goal setting, planning,
    organization, adaptive responding, and self-monitoring.” John F. Clarkin
    et al., The Role of Psychiatric Measures in Assessment and Treatment, in
    Textbook of Psychiatry 73, 92–93 (Robert E. Hales, Stuart C. Yudofsky,
    Glen O. Gabbard, eds., 5th ed. 2008).      In other words, Cubbage was
    committed to the Pomeroy Care Center because his dementia made him
    unable to take care of himself.
    The district courts made the ultimate decision to release Cubbage
    from CCUSO and commit him to the Pomeroy Care Center, not the State.
    The courts made their decisions after they considered the evidence before
    them. The courts reviewed the expert testimony and reports and decided
    the law required them to release Cubbage from CCUSO and commit him
    to the Pomeroy Care Center. The courts, in making their decisions, had
    the option of giving as much weight as they thought the expert testimony
    deserved. Crouch v. Nat’l Livestock Remedy Co., 
    210 Iowa 849
    , 851–52,
    
    231 N.W. 323
    , 324 (1930). The courts could have rejected or accepted
    16
    the expert testimony.    
    Id. Furthermore, Iowa
    Code chapter 229 and
    229A place the responsibility on the court to examine the evidence and
    not merely act as a rubber stamp of the expert testimony. See Jacobs v.
    Taylor, 
    379 S.E.2d 563
    , 566 (Ga. Ct. App. 1989) (stating “this court will
    not read the statutory responsibility placed on a committing court . . . as
    consisting merely of ‘rubberstamping’ the opinions of expert witnesses”).
    Although the court had the authority to release Cubbage from CCUSO
    with supervision, it chose not to. Iowa Code § 229A.9A. Instead, one
    court discharged Cubbage from CCUSO and another committed him to
    the Pomeroy Care Center. Neither the director nor any staff member of
    CCUSO had the authority to release or discharge Cubbage. Our courts
    discharged Cubbage.          Accordingly, we find there was no special
    relationship   to   invoke     section    41   of   the   Restatement   (Third).
    Consequently, the district court was correct in finding the State had no
    duty to warn the residents.
    C.   Whether the State Had a Duty to Assure that Safety
    Protocols Were in Place to Protect the Residents from Harm. We just
    found there was no special relationship invoking section 41 of the
    Restatement (Third) to create a duty upon the State to warn Gottschalk
    of Cubbage’s alleged dangerous propensities. For the same reasons that
    the State did not owe a duty to warn Gottschalk, we find the State did
    not have a duty to assure that safety protocols were in place to protect
    the residents from harm.
    D.   Whether the District Court Erred in Finding the State
    Immune from Liability Under Iowa Code Section 669.14. The State
    claims as an affirmative defense it is immune from liability under the
    Iowa Tort Claims Act. The law provides,
    17
    The provisions of this chapter shall not apply with
    respect to any claim against the state, to:
    ....
    4. Any claim arising out of assault, battery, false
    imprisonment, false arrest, malicious prosecution, abuse of
    process, libel, slander, misrepresentation, deceit, or
    interference with contract rights.
    Iowa Code § 669.14(4).
    The record does not disclose any representations made to
    Gottschalk by the State. We have also found the State did not have a
    duty to do so.     Accordingly, we need not address this issue as to the
    estate.
    E. Conclusion.      For all the reasons stated above, we find the
    district court was correct in granting the State’s motion for summary
    judgment against the estate.
    IV. The Pomeroy Care Center’s Appeal.
    The Pomeroy Care Center also has not been consistent with its
    arguments and theories of recovery from the petition it filed through its
    appellate brief. We will only consider the issues raised by the care center
    in its appellate brief. In its brief, the care center makes five arguments.
    First, it argues the district court erred in finding as a matter of law that
    the State owed no duty of care to the care center.       Next, it argues a
    genuine issue of material fact exists regarding whether the State acted
    negligently in discharging Cubbage from CCUSO.          Third, it argues a
    genuine issue of material fact exists regarding whether the State acted
    negligently in performing its role in the civil commitment of Cubbage to
    the Pomeroy Care Center under Iowa Code chapter 229.             Fourth, it
    argues a genuine issue of material fact exists regarding whether the State
    acted negligently in failing to supervise and monitor Cubbage. Lastly, it
    18
    argues the district court erred in granting the motion for summary
    judgment when a motion to compel was pending.
    A. Whether the District Court Erred in Finding as a Matter of
    Law that the State Owed No Duty of Care to the Care Center. The
    crux of the care center’s argument on this issue is that because the State
    had a special relationship with Cubbage, the State had a common law
    duty to accurately warn the care center of Cubbage’s dangerous
    propensities. First, we doubt this issue is preserved. Although raised in
    its petition, the care center did not argue this issue in its resistance to
    the State’s motion for summary judgment. Thus, we do not believe the
    district court considered the issue or ruled upon it.
    Moreover, in its brief, the care center relies on the “Duty to Third
    Parties Based on Special Relationship with Person Posing Risks” now
    contained in section 41 of the Restatement (Third) to support its
    argument. Factually, section 41(b)(2) of the Restatement (Third) appears
    to support the care center’s argument because the representations made
    by the State to the care center were made while Cubbage was in the
    State’s custody.   However, we need not decide if section 41(b)(2) is
    applicable to the care center’s claim because at the time any
    representations were made, the State could not release Cubbage from its
    custody, only a court could.
    As we previously found, a special relationship does not exist
    between the State and Cubbage when the courts discharged him from
    CCUSO and committed him to the care center.             The courts made the
    decision to discharge Cubbage, not the State.       Thus, even if the care
    center had preserved this issue, it is without merit.
    B. Whether a Genuine Issue of Material Fact Exists Regarding
    Whether the State Acted Negligently in Discharging Cubbage from
    19
    CCUSO. The care center preserved this issue. However, the undisputed
    facts show the court made the final decision to discharge Cubbage. The
    court was not required to discharge him.         Again, our courts are not
    rubber stamps, but they are deliberative bodies making decisions based
    upon the evidence before them.        The care center cites no authority
    requiring the State to present its case to the court differently at the
    discharge hearing.    Thus, the district court was correct in finding no
    duty, and therefore, no genuine issue of material fact exists on this
    issue.
    C. Whether a Genuine Issue of Material Fact Exists Regarding
    Whether the State Acted Negligently in Performing Its Role in the
    Civil Commitment of Cubbage to the Pomeroy Care Center Under
    Iowa Code Chapter 229. The same reasoning and logic applies to this
    argument as we applied to the issue concerning whether the State acted
    negligently in discharging Cubbage from CCUSO.           Thus, the district
    court was correct in finding no duty; therefore, no genuine issue of
    material fact exists on this issue.
    D. Whether a Genuine Issue of Material Fact Exists Regarding
    Whether the State Acted Negligently in Failing to Supervise and
    Monitor Cubbage.        The resolution of this issue depends on the
    applicability of the “Duty to Third Parties Based on Special Relationship
    with Person Posing Risks” now contained in section 41 of the
    Restatement (Third).      As we previously found, the district court
    discharged Cubbage, not the State.         Therefore, the State has no duty
    based upon a special relationship. Thus, the district court was correct in
    finding no duty; therefore, no genuine issue of material fact exists on this
    issue.
    20
    E. Whether the District Court Erred in Granting the Motion
    for Summary Judgment When a Motion to Compel Was Pending. We
    agree with the court of appeals that we need not reach this issue having
    found no duty existed between the State and the care center.
    F. Conclusion.      For all the reasons stated above, we find the
    district court was correct in granting the State’s motion for summary
    judgment against the care center.
    V. Disposition.
    We find under the issues preserved that no duty existed as a
    matter of law between the State and Gottschalk or the State and the
    Pomeroy Care Center. Accordingly, we affirm the decisions of the court
    of appeals and the district court.
    DECISION OF COURT OF APPEALS AND JUDGMENT OF
    DISTRICT COURT AFFIRMED.
    Cady, C.J., and Appel, J., join this opinion.          Waterman and
    Mansfield, JJ., join this opinion but also concur specially.       Hecht, J.,
    files a dissent in which Zager, J., joins. Zager, J., files a separate dissent
    in which Hecht, J., joins.
    21
    #14–1326, Estate of Gottschalk v. Pomeroy Dev., Inc.
    WATERMAN, Justice (concurring specially).
    I respectfully concur in the majority opinion. I write separately to
    set forth my view that the claims against the State fail on several legal
    grounds not reached by the majority. Because the facts of this case cry
    out for a remedy, I begin by noting this appeal resolves only those claims
    by the plaintiffs and the nursing home against the State of Iowa. The
    plaintiffs will get their day in court on their tort claims against the
    nursing home operator, Pomeroy Development, Inc., which chose to
    accept a known sex offender as an in-patient resident and allegedly failed
    to properly monitor him to protect its vulnerable, elderly residents,
    including Mercedes Gottschalk.
    In my view, the State’s tort duty ended upon William Cubbage’s
    unconditional release from its custody and transfer to the nursing home.
    Upon that transfer, Cubbage became Pomeroy’s responsibility. “Liability
    follows control . . . .”     Estate of McFarlin v. State, 
    881 N.W.2d 51
    , 64
    (Iowa 2016). A party in control can take precautions to reduce the risk of
    harm to others.     See McCormick v. Nikkel & Assocs., Inc., 
    819 N.W.2d 368
    , 374 (Iowa 2012) (“The reason is simple: The party in control . . . is
    best positioned to take precautions to identify risks and take measures
    to improve safety.”).       Section 41 of the Restatement (Third) of Torts:
    Liability for Physical & Emotional Harm, is directly on point and
    provides,
    (a) An actor in a special relationship with another
    owes a duty of reasonable care to third parties with regard to
    risks posed by the other that arise within the scope of the
    relationship.
    (b) Special relationships giving rise to the duty
    provided in Subsection (a) include:
    ....
    22
    (2) a custodian with those in its custody[.]
    Restatement (Third) of Torts: Liab. for Physical & Emotional Harm § 41
    (Am. Law Inst. 2012) [hereinafter Reinstatement (Third)]. The comment
    accompanying that section, entitled “Duty of custodians,” further
    explains,
    Custodians of those who pose risks to others have long owed
    a duty of reasonable care to prevent the person in custody
    from harming others.      The classic custodian under this
    Section is a jailer of a dangerous criminal. Other well-
    established custodial relationships include hospitals for the
    mentally ill and for those with contagious diseases.
    Custodial relationships imposing a duty of care are limited to
    those relationships that exist, in significant part, for the
    protection of others from risks posed by the person in
    custody. The duty of care is limited to the period of actual
    custody.
    
    Id. § 41
    cmt. f, at 67 (emphasis added).     This bright-line rule is clear,
    easy to apply, and consistent with Iowa caselaw. As the court of appeals
    correctly concluded,
    [U]pon the unconditional discharge of Cubbage from the
    CCUSO—a decision made by the district court—the special
    relationship between the State and Cubbage ended. See
    Iowa Code § 229A.2(4) (“ ‘Discharge’ means an unconditional
    discharge from the sexually violent predator program. A
    person released from a secure facility into a transitional
    release program or released with or without supervision is
    not considered to be discharged.”). After the district court
    issued the discharge order, the State had no ongoing
    obligation to monitor or supervise Cubbage.
    (Footnote omitted.)    The district court applied the same analysis in
    entering summary judgment for the State. Once an inmate obtains his
    or her release from incarceration, the state is no longer subject to a tort-
    law duty for harm the former inmate inflicts on another person. This no-
    duty rule is not based on foreseeability of harm, but rather reflects a
    policy choice, making tradeoffs between the goals of deterrence and
    victim compensation and the costs of imposing liability.
    23
    Foreseeability alone is insufficient to create a duty in tort for the
    misconduct of others. See Thompson v. Kaczinski, 
    774 N.W.2d 829
    , 835
    (Iowa 2009) (removing foreseeability from duty analysis). Many inmates
    who serve their time or otherwise win release from jail or prison—or in
    this case, the State’s civil commitment unit for sexual offenders
    (CCUSO)—foreseeably commit more crimes. See Binschus v. State, 
    380 P.3d 468
    , 581 (Wash. 2016) (en banc) (recognizing recidivism rate is over
    fifty percent and therefore “one could argue that in almost any case, it is
    foreseeable that an inmate may commit another crime after release”).
    But we have never imposed civil liability on the state for crimes a person
    commits after release from custody.           As the drafter’s comment
    recognizes, imposing such tort liability would have a chilling effect on
    parole or bail determinations for pretrial release:
    Courts have been reluctant to impose a duty on actors
    who make discretionary determinations about parole or
    prerelease programs, even though these decisions arise in a
    custodial relationship.    Imposing such a duty, thereby
    creating   concern     about     potential  liability, might
    detrimentally affect the decisionmaking of parole boards and
    others making similar determinations.
    Restatement (Third) § 41 cmt. f, at 67–68.
    We reached the same conclusion in Leonard v. State and rejected
    “the potential for limitless liability” by the state for harm to persons
    attacked by a former custodial patient.       
    491 N.W.2d 508
    , 512 (Iowa
    1992). In Leonard, a state mental hospital discharged a patient, Henry
    Parrish, to outpatient care after treating him for bipolar disorder. 
    Id. at 509–10.
    Shortly after his release, Parrish severely beat a coworker, John
    Leonard, without provocation. 
    Id. at 510.
    Leonard sued the state. 
    Id. We held
    as a matter of law the treating psychiatrist employed by the
    state owed no duty to Leonard, a member of the general public. 
    Id. at 24
    512.    We concluded the “risks to the general public posed by the
    negligent release of dangerous mental patients would be far outweighed
    by the disservice to the general public if treating physicians were subject
    to civil liability for discharge decisions.”      
    Id. We feared
    that “[t]he
    treating physician would indulge every presumption in favor of further
    restraint, out of fear of being sued.” 
    Id. (quoting Sherrill
    v. Wilson, 
    653 S.W.2d 661
    , 664 (Mo. 1983) (en banc)).
    Today’s case is an even stronger one for a no-duty analysis. The
    district court not only ordered Cubbage’s release, but also approved the
    plan whereby he would be transferred to Pomeroy.              See Iowa Code
    § 229A.10 (2011) (providing that a petition for discharge must be
    authorized by the court); 
    id. § 229.13(1)(b)
    (allowing court to place
    individual with “serious mental impairment” under care of appropriate
    hospital or facility for treatment).
    Other courts have held the government is not liable in tort after an
    inmate’s release from incarceration, even when it is foreseeable he will
    reoffend.   In Binschus, a former inmate fatally shot six strangers and
    injured four others in a psychotic episode several months after his
    unconditional release from a county 
    jail. 380 P.3d at 470
    . Civil actions
    were filed against the county, alleging it negligently failed to diagnose
    and treat his dangerous condition before releasing him.         
    Id. The trial
    court granted the county’s motion for summary judgment based on lack
    of duty and proximate cause.           
    Id. The Washington
    Supreme Court
    affirmed, holding the county owed no duty to the plaintiffs after the
    inmate’s release from jail. 
    Id. at 472
    (noting “[t]he practical implications
    of imposing such a broad duty on jails [would be] striking”); see also
    Fryman v. Harrison, 
    896 S.W.2d 908
    , 910 (Ky. 1995) (holding jailer
    “cannot be held individually responsible for the criminal acts of an
    25
    inmate” after release from custody), modified by Gaither v. Justice & Pub.
    Safety Cabinet, 
    447 S.W.3d 628
    , 638 (Ky. 2014); Holloway v. State, 
    875 N.W.2d 435
    , 447 (Neb. 2016) (holding state was not liable in tort for
    crimes of former inmate because it lacked control “after he was
    released”); cf. Wells v. Walker, 
    671 F. Supp. 624
    , 627 (E.D. Ark. 1987)
    (dismissing crime victim’s § 1983 claim because prison officials owed “no
    constitutionally mandated duty to protect private citizens [after inmate]
    was freed”), aff’d, 
    852 F.2d 368
    (8th Cir. 1988).
    Cubbage was not under state supervision when he assaulted
    Mercedes Gottschalk.     Indeed, courts in most states, including Iowa,
    reject governmental tort liability even for crimes committed by parolees
    or probationers who are under state supervision.       Fitzpatrick v. State,
    
    439 N.W.2d 663
    , 667–68 (Iowa 1989) (affirming dismissal of tort claim
    against parole officer by victim shot by parolee); Bartunek v. State, 
    666 N.W.2d 435
    , 442 (Neb. 2003) (collecting cases). These courts decline to
    find a duty because “[t]he level of control afforded to a parole or
    probation officer is not such that an officer . . . ‘takes charge of a third
    person,’ ” given that the parolee or probationer is “generally free to
    conduct his or her day-to-day affairs.”    
    Bartunek, 666 N.W.2d at 442
    .
    Courts note that imposing tort liability on government defendants for
    crimes committed by offenders under supervision would result in
    continued detentions and discourage parole, probation, or pretrial
    release.   Compare Sorge v. State, 
    762 A.2d 816
    , 821–22 (Vt. 2000)
    (declining to impose tort duty on state for juvenile in custody and
    collecting cases), with 
    Leonard, 491 N.W.2d at 512
    (noting that imposing
    liability on therapist for patient’s postrelease assault would cause
    doctors to overrestrain patients).   If the State is not liable in tort for
    26
    crimes committed by an offender released under supervision, it cannot
    be liable in tort after an unconditional release.
    Cubbage made no threats against Mercedes Gottschalk or any
    other Pomeroy resident while he was in state custody at CCUSO. He had
    never met her. This case is distinguishable from those imposing a duty
    for failing to take action when an inmate or patient in custody names
    someone he overtly threatens to harm upon his release.             See, e.g.,
    Tarasoff v. Regents of Univ. of Cal., 
    551 P.2d 334
    , 343 (Cal. 1976)
    (imposing liability on state when patient in custody confided in state-
    employed therapist that he intended to kill Tatania Tarasoff and made
    good on his threat after his release from hospital). Generalized threats
    while in custody are insufficient to create a duty to warn. Four years
    after deciding Tarasoff, the California Supreme Court addressed
    the propriety of imposing on those responsible for releasing
    or confining criminal offenders a duty to warn of the release
    of a potentially dangerous offender who . . . has made a
    generalized threat to a segment of the population.
    Thompson v. County of Alameda, 
    614 P.2d 728
    , 733 (Cal. 1980). While in
    a county jail, an inmate threatened to “take the life of a young child
    residing in the neighborhood” without naming any child. 
    Id. at 730.
    The
    jailers released him into the temporary custody of his mother without
    warning her or other parents in the neighborhood of his threat.           
    Id. Within twenty-four
    hours, he killed a young child who lived a few doors
    away. 
    Id. The parents
    sued the county, alleging it breached a duty to
    warn parents in the neighborhood.         
    Id. The trial
    court dismissed the
    lawsuit, and the California Supreme Court affirmed, holding such a
    generalized threat did not support a duty to warn. 
    Id. at 730,
    738. The
    court declined to impose “blanket liability” on the county for failing to
    warn neighborhood parents or the offender’s mother of his dangerous
    27
    tendencies upon his supervised release.                  
    Id. at 734.
           The court
    distinguished      Tarasoff    because      neither    “a    direct   or   continuing
    relationship between” the parties and the county existed, nor was the
    victim a “foreseeable or readily identifiable target” when the offender
    made merely a generalized threat.            
    Id. The court
    noted requiring the
    county to warn the public would “jeopardize rehabilitative efforts” of
    programs like parole and probation because “authorities would be far
    less likely to authorize release given the substantial drain on their
    resources which such warnings might require.” 
    Id. at 737.
    Additionally,
    the court declined to impose a duty to warn the offender’s mother, his
    custodian, noting she had been “aware of her son’s incarceration for the
    previous 18 months.” 
    Id. I see
    a parallel between these cases.                Pomeroy was aware of
    Cubbage’s incarceration and crimes when it received him into its care.
    Any warning would have been inherently generalized in nature, given
    that Cubbage did not make threats toward any Pomeroy resident—either
    generally or specifically—before his unconditional discharge from state
    custody.
    There is another bar to recovery against the State—the common
    law public-duty doctrine. 3 In Estate of McFarlin, we applied the public-
    duty doctrine to affirm a summary judgment motion dismissing tort
    claims against the state in a wrongful-death action arising out of a
    boating accident on a state-owned lake, a confined 
    area. 881 N.W.2d at 3The
    district court and court of appeals did not reach the public-duty doctrine,
    but the State included the doctrine in its motion for summary judgment and appellate
    briefs as an alternative ground for dismissal. “We will consider an alternative ground
    raised in the district court and urged on appeal even though the district court [did] not
    . . . rule on the alternative ground.” Hawkeye Foodserv. Distrib., Inc. v. Iowa Educators
    Corp., 
    812 N.W.2d 600
    , 610 (Iowa 2012).
    28
    64.   We noted the applicability of the public-duty doctrine under the
    Third Restatement:
    In Thompson v. Kaczinski, we adopted section 7 of the
    Restatement (Third) of Torts: Liability for Physical and
    Emotional Harm.     The reporter’s note to section 7
    acknowledges the continued vitality of the public-duty
    doctrine:
    Deference to discretionary decisions of another branch
    of government. The “public-duty” doctrine is often
    explained as preventing government tort liability for
    obligations owed generally to the public, such as
    providing fire or police protection. Only when the duty
    is narrowed to the injured victim or a prescribed class
    of persons does a tort duty exist.
    Section 37 provides that “[a]n actor whose conduct has not
    created a risk of physical . . . harm to another has no duty of
    care to the other unless a court determines that one of the
    affirmative duties provided in §§ 38–44 is applicable.”
    Section 40, entitled “Duty Based on Special Relationship
    with Another” provides that “[a]n actor in a special
    relationship with another owes the other a duty of
    reasonable care with regard to risks that arise within the
    scope of the relationship.” We conclude the public-duty
    doctrine remains good law after our adoption of sections of
    the Restatement (Third) of Torts.
    
    Id. at 59–60
    (alterations in original) (footnote omitted) (citation omitted)
    (first quoting Restatement (Third) § 7, reporter’s note cmt. g, at 93–94
    (Am. Law Inst. 2010); then quoting 
    id. § 37,
    at 2; and then quoting 
    id. § 40(a),
    at 37). Earlier cases, which remain good law, applied the public-
    duty doctrine to dismiss tort claims brought by persons injured by
    someone the police released from custody or failed to detain or monitor.
    See 
    Fitzpatrick, 439 N.W.2d at 667
    –68; Hildenbrand v. Cox, 
    369 N.W.2d 411
    , 414–16 (Iowa 1985) (affirming summary judgment dismissing tort
    claim by estate of drunk driver who died in accident shortly after police
    questioned but failed to arrest him following his collision with a planter
    on the town square); see also Kolbe v. State, 
    625 N.W.2d 721
    , 729–30
    (Iowa 2001) (holding public-duty doctrine barred tort claim by victim of
    29
    visually impaired driver to whom the state carelessly issued a driver’s
    license); Sankey v. Richenberger, 
    456 N.W.2d 206
    , 208–09 (Iowa 1990)
    (dismissing tort claims against police chief by victims shot at city council
    meeting chief attended). The plaintiffs and Pomeroy fail to cite a case
    from any jurisdiction imposing tort liability on a state or local
    government for the acts of a former patient or inmate after his or her
    unconditional release from custody.            If we allowed the claimants in
    today’s case to recover against the State, it would be difficult to set a
    limiting principle on the scope of governmental liability for third-party
    criminal conduct.
    The district court and court of appeals determined the State was
    entitled to summary judgment against Pomeroy based on the State’s
    statutory immunity under Iowa Code section 669.14(4). 4                 Our court’s
    majority did not need to reach that issue or the public-duty doctrine after
    affirming summary judgment on other grounds.                      I mention that
    immunity and the public-duty doctrine as additional reasons the
    analysis in the dissenting opinions fails to salvage the claims against the
    State.
    For all these reasons, I concur in the majority’s opinion affirming
    the decision of the court of appeals and district court’s summary
    judgment.
    Mansfield, J., joins this special concurrence.
    4The  district court granted the State’s motion for summary judgment on
    Pomeroy’s negligent misrepresentation claim based on Iowa Code section 669.14(4).
    Pomeroy did not challenge that ruling on appeal, and the court of appeals affirmed the
    district court for that reason.
    30
    #14–1326, Estate of Mercedes Gottschalk v. Pomeroy Dev., Inc.
    HECHT, Justice (dissenting).
    I cannot agree with the duty analysis undertaken by the majority,
    and I therefore respectfully dissent.    The summary judgment record
    leaves little doubt that William Cubbage was a highly dangerous sexually
    violent predator (SVP) with a substantial likelihood of reoffending when
    he was committed to the civil commitment unit for sexual offenders
    (CCUSO).   Cubbage had not made progress in the CCUSO treatment
    program prior to his release into a small-town nursing home, and
    CCUSO administrators believed he continued to present a danger to
    himself and others such that he must continue to be involuntarily
    detained. Although Alzheimer’s-related dementia was a factor motivating
    the CCUSO administrators’ decision to transfer him out of the SVP-
    treatment program, our duty analysis cannot overlook the fact that
    Cubbage was an unsuccessfully treated sexual predator at the time the
    transfer plan was formulated and implemented by the department of
    human services (DHS), representatives of the attorney general’s office,
    and representatives of the Iowa public defender’s office.     Summary
    judgment should not have been granted.
    I. Additional Background Facts and Proceedings.
    I begin with evidence in the summary judgment record that
    informs my analysis.   Cubbage was adjudicated an SVP in 2002 and
    committed to CCUSO at the age of seventy-one. Considerable evidence
    supported his adjudication, including four convictions for sexual
    misconduct perpetrated against children.      The convictions in 1987
    (lascivious acts), 1991 (indecent contact with a child), 1997 (indecent
    contact with a child), and 2000 (assault with intent to commit sexual
    abuse) demonstrate that Cubbage is undoubtedly a member of what our
    31
    legislature has described as a “small but extremely dangerous group” of
    persons whose “likelihood of engaging in repeat acts of predatory sexual
    violence is high.” Iowa Code § 229A.1 (2011).
    In his initial commitment evaluation at CCUSO in 2002, Cubbage
    scored at high risk to reoffend on two actuarial assessments.            The
    evaluator concluded Cubbage was “a menace to the health and safety of
    others” if “not confined in a secure facility, as a defined by Chapter
    229A.” The mental abnormality supporting Cubbage’s classification as a
    predator was a personality disorder with antisocial and narcissistic
    features causing him to engage in sexually aggressive behavior.
    In enacting chapter 229A, our legislature observed that SVPs tend
    to have “antisocial personality features” requiring “very long-term”
    treatment using rehabilitation modalities that are different from those
    utilized in treating mentally ill persons committed involuntarily under
    chapter 229. 
    Id. The summary
    judgment record reveals Cubbage was
    resistant to treatment at CCUSO.          In fact, he stopped participating
    altogether in treatment sometime in 2005.         By the time of his final
    CCUSO annual evaluation in July 2010, Cubbage “continu[ed] to display
    dynamic risk factors that result in him being likely to engage in
    predatory acts constituting sexually violent offenses if discharged.”
    Notably, the report generated as part of the 2010 evaluation concluded
    Cubbage—then age eighty-one—had not shown a change in the mental
    abnormality that led to his SVP commitment.           For that reason, the
    evaluator who authored the 2010 report found Cubbage was not ready
    for transitional release under chapter 229A because he failed to meet five
    of the ten criteria governing eligibility for transitional placement. See 
    id. § 229A.8A.
                                              32
    In particular, Cubbage was ineligible for transitional placement
    because he had not yet achieved and demonstrated significant insights
    into his sex offending cycle, he had not accepted responsibility for his
    past behavior or understood the impact of sexually violent crimes on
    victims, and he had a major discipline report in June 2010 for disrespect
    and sexual behavior. See 
    id. Notwithstanding Cubbage’s
    unsuccessful course of treatment
    during eight years of detention as an SVP, his persisting mental
    abnormality, and his failure to meet the criteria for transitional release,
    the evaluator opined that “the dynamics involved which have determined
    Mr. Cubbage [is] more likely than not to re-offend in a sexually violent
    manner have changed.”            The evaluator’s report opaquely concluded
    Cubbage “does not appear to meet the threshold of [an SVP] as defined in
    Chapter 229A and currently would be more appropriately characterized
    as a person who has committed sexual offenses in the past and may be
    suffering from early stages of dementia.” 5
    CCUSO administrators decided to transfer Cubbage out of the
    program.       In furtherance of the transfer plan, civil commitment
    proceedings were commenced against Cubbage in the district court for
    Cherokee County under chapter 229.                  The State’s petition alleged
    Cubbage was a danger to himself and others due to his dementia and
    executive dysfunction. At that time, Cubbage was a sexual predator who
    5The  report thus appears to be internally inconsistent. On the one hand, it
    discloses Cubbage continues to present a risk to reoffend; on the other hand, the report
    suggests Cubbage “does not appear” to meet the threshold of an SVP. The report noted
    that Cubbage appeared to be “less able to participate due to his cognitive impairments
    and other medical conditions.” The record does not reveal the extent or severity of
    Cubbage’s cognitive impairments as they may have existed in July 2010 or thereafter;
    nor does it explain why an SVP with dementia would be less dangerous to others than
    an SVP without dementia.
    33
    had not been successfully treated at CCUSO for the attributes that made
    him dangerous to others.
    On November 16, 2010, the district court for Cherokee County
    entered an order for hospitalization that directed Cubbage be placed in
    the Pomeroy Care Center for treatment.            On November 24, 2010, the
    execution of the State’s plan to move Cubbage out of CCUSO—the
    institution   created    for   the   express    purpose    of   detaining    sexual
    predators—moved quickly forward. On that day, a motion to discharge
    Cubbage from his commitment to CCUSO under chapter 229A was filed
    in Des Moines County district court. The motion advised the court of a
    mutual agreement between the director of DHS and representatives of
    the Iowa attorney general’s office and the Iowa public defender’s office
    that Cubbage “is unable to obtain any further gains from his civil
    commitment at CCUSO” 6 and is “seriously mentally impaired and in
    need of full-time custody and care.”
    The motion to discharge Cubbage notably failed to inform the
    district court that he had been unsuccessfully treated for the mental
    abnormality predisposing him to commit sexually violent offenses.
    Hearing no resistance to the transfer orchestrated by the State, the
    district court entered an order that same day implementing the
    stipulated plan discharging Cubbage from commitment under chapter
    229A and committing him to the Pomeroy Care Center under chapter
    229.
    6Because  the record reveals Cubbage had been uncooperative in the treatment
    process since at least 2005 and his mental abnormality making him likely to reoffend
    remained as of July 2010, it is unclear to me what “gains” Cubbage had achieved while
    at CCUSO.
    34
    As the majority has accurately detailed, Cubbage allegedly had
    nonconsensual sexual contact with Gottschalk, a patient at the Pomeroy
    Care Center in August 2011.     Gottschalk filed a claim with the state
    appeal board asserting DHS was negligent in failing to (1) prepare and
    provide a discharge safety plan for Cubbage, (2) follow up with the
    Pomeroy Care Center to assure Cubbage was properly restrained and/or
    supervised there, and (3) warn the residents of the Pomeroy Care Center
    that a sexual deviant was living among them.            This action was
    subsequently commenced by Gottschalk’s estate against Pomeroy Care
    Center and the State.
    The State filed a motion for summary judgment asserting it owed
    no duty to Gottschalk under either Iowa Code chapter 229 or 229A after
    Cubbage’s discharge from CCUSO. The district court granted the State’s
    summary judgment motion, concluding the State owed no duty to
    Gottschalk after Cubbage was unconditionally discharged from CCUSO.
    II. The Duty Analysis.
    I agree with the majority’s conclusion that the issue of whether the
    State owed a duty to warn Gottschalk of the risk of physical harm posed
    to her by her exposure to Cubbage—an unsuccessfully treated SVP—was
    preserved for our review. The theory of liability based upon the State’s
    failure to warn Gottschalk was asserted in Gottschalk’s appeal board
    claim and in the plaintiff’s resistance to the State’s motion for summary
    judgment. Although the district court’s summary judgment ruling made
    no reference to warning, I conclude this theory of liability was clearly
    before the district court.     Because the ruling was based on the
    proposition that the 2010 order discharging Cubbage from CCUSO
    terminated any responsibility of the State for Cubbage’s postdischarge
    conduct as a matter of law, a motion under Iowa Rule of Civil Procedure
    35
    1.904(2) requesting the district court to expressly rule on whether the
    State owed a duty to warn Gottschalk about the risk of her exposure to
    Cubbage at the Pomeroy Care Center would have been pointless. Thus,
    like the majority, I conclude we should address whether the State owed a
    duty to warn Gottschalk of the risk of physical harm posed to her by
    Cubbage.
    Unlike the majority, however, I conclude the State owed a duty to
    warn Gottschalk. An actor ordinarily owes a duty to exercise reasonable
    care when the actor’s own conduct creates a risk of physical harm.
    Thompson v. Kaczinski, 
    774 N.W.2d 829
    , 834 (Iowa 2009). As we noted
    in Thompson, this general duty is explained in section 7 of the
    Restatement (Third) of Torts.          
    Id. (citing Restatement
    (Third) of Torts:
    Liab. for Physical Harm § 7, at 90 (Am. Law Inst., Proposed Final Draft
    No. 1, 2005)). However, the majority has chosen to view the physical and
    emotional harm claimed by the plaintiff in this case as harm allegedly
    caused exclusively by Cubbage—not the conduct of state actors.
    Accordingly, the court’s analysis of the duty issue is not based on the
    general duty principles under section 7 of the Restatement (Third). 7
    7Although   the majority has addressed the State’s liability under the rubric of
    special relationship, I would leave room for the possibility that the State’s conduct in
    this case directly caused a risk of physical harm to Gottschalk by transferring
    Cubbage—an unsuccessfully treated SVP—to the Pomeroy Care Center.                    See
    Restatement (Third) of Torts: Liab. for Physical & Emotional Harm § 37 cmt. d, at 4–5
    (Am. Law Inst. 2012) (noting that “an actor’s conduct may increase the natural or third-
    party risk” and thereby “creates risks of its own”). A reasonable fact finder could find
    that the State’s transfer of Cubbage to a target-rich nursing home environment that
    lacked CCUSO-like security substantially increased the risk that Cubbage would offend
    if reasonable warnings were not given to those exposed to the risk at the care center.
    Such risk-creating conduct is governed by the ordinary duty of reasonable care
    addressed in section 7 of the Restatement (Third). 
    Id. § 7,
    at 77 (Am. Law Inst. 2010).
    Because the majority has addressed the State’s liability in this case under the rubric of
    special relationship, however, I will similarly focus my analysis there as well. I would,
    however, reach the same result under a section 7 duty analysis.
    36
    The proposition that an actor generally owes no duty of care with
    respect to risks of physical harm created by another is expressed in
    section 37 of the Restatement (Third). Restatement (Third) of Torts: Liab.
    for Physical & Emotional Harm § 37, at 2 (Am. Law Inst. 2012). This
    proposition constitutes a no-duty rule based on policy. 
    Id. § 37
    cmt. b,
    at 5.    There are exceptions to this no-duty rule, however.                      In some
    circumstances, the common law imposes an affirmative “duty to take
    action to prevent or ameliorate the risk of harm created by others.” 
    Id. For example,
    “[a]n actor in a special relationship with another owes a
    duty of reasonable care to third persons with regard to risks posed by the
    other that arise within the scope of the relationship.” 
    Id. § 41
    (a), at 64–
    65. Section 41 lists several special relationships giving rise to a duty of
    reasonable care: a parent with children, a custodian with those in its
    custody, an employer with employees when the employment facilitates
    harm to third parties, and mental-health professionals with patients. 
    Id. § 41
    (b). This list of special relationships supporting the existence of a
    duty is not exclusive. 
    Id. § 41
    cmt. i, at 73. 8
    I would hold in this case that a special relationship existed
    between the State and Cubbage supporting the imposition of a duty to
    warn Gottschalk.           The relationship between CCUSO and Cubbage is
    closely analogous to a mental-health professional–patient relationship.
    See 
    id. § 41(b),
    at 65. Obvious and compelling policy reasons support
    8Similarly,   comment b to section 37 of the Restatement (Third) explains that
    the affirmative duties identified in [Chapter 7 of the Restatement (Third)
    of Torts] are not an exclusive list; courts may identify additional areas for
    affirmative duties in the future, just as courts may decide, for reasons of
    policy or principle, that additional no-duty rules should be recognized.
    Restatement (Third) of Torts: Liab. for Emotional & Physical Harm § 37 cmt. b,
    at 3.
    37
    the imposition of a duty of care on the State as it transferred an
    unsuccessfully treated—and therefore dangerous—sexual predator to a
    nursing home populated by a finite number of especially vulnerable
    residents.   A reasonable fact finder could find on this record that
    Cubbage was an SVP whose persistent mental abnormality rendered him
    likely to reoffend sexually before and after the transfer to Pomeroy Care
    Center. He had been resistant to treatment at CCUSO during the five
    years prior to his discharge, and the evidence tending to prove he had
    not   been   meaningfully    rehabilitated   during   his   detention   is
    overwhelming.
    The duty I would recognize in this case is distinguishable from the
    one claimed but rejected by this court in Leonard v. State, 
    491 N.W.2d 508
    (Iowa 1992). In Leonard, we held a state-employed psychiatrist who
    discharged a patient from a mental-health institute owed no duty to a
    person subsequently injured by the patient. 
    Id. at 512.
    We reasoned
    that a no-duty rule was justified in that case because the plaintiff was a
    member of the public at large—not a reasonably foreseeable victim of the
    patient’s dangerous and violent tendencies. 
    Id. at 511–12.
    In this case,
    Gottschalk was not merely a member of the public at large. A reasonable
    fact finder could find she was among the discrete universe of known
    Pomeroy Care Center residents who would foreseeably be exposed to
    Cubbage’s predatory behavior.
    The majority nonetheless affirms the no-duty rule applied by the
    district court in this case because the State obtained a discharge order
    from the district court prior to Cubbage’s transfer to the Pomeroy Care
    Center. I am not persuaded. The motion for discharge was presented to
    the district court in the form of a stipulated proposed disposition.
    Although the resulting order discharging Cubbage from CCUSO was
    38
    clearly binding on the parties who were before the court stipulating to
    the proposed discharge, we should not conclude it absolved the State of a
    duty of care to Gottschalk under the extraordinary circumstances
    presented here.
    We should not view the court order effectuating the stipulated
    discharge of Cubbage from CCUSO as an immunity-creating device for
    the State. I am not prepared to accept the notion that the district court
    for Des Moines County viewed the discharge order as adjudication of the
    nature and extent of the risk created by Cubbage upon discharge. The
    order was instead a procedural device allowing the parties before the
    court to change the location of Cubbage’s placement by agreement. No
    one appeared before the court opposing the transfer. No one appeared
    voicing caution about the grave risk that would be created by discharging
    Cubbage from CCUSO and transferring him to a nursing home.
    The administrators of CCUSO wanted to move Cubbage out
    because he was resistant to SVP treatment and suffered from dementia;
    the Pomeroy Care Center had an interest in filling a bed; and Cubbage
    had no reason to oppose the move to a less-restrictive environment in the
    nursing home.     These are not circumstances engendering a legitimate
    policy-based no-duty rule for a class of cases. On the contrary, they are
    circumstances crying out for the imposition of a duty of reasonable care
    under our tort law. I would therefore reverse the summary judgment and
    remand for further proceedings in the district court.
    Zager, J., joins this dissent.
    39
    #14–1326, Estate of Gottschalk v. Pomeroy Dev., Inc.
    ZAGER, Justice (dissenting).
    I join the well-reasoned dissent by Justice Hecht. I agree that the
    unique facts of this case do not lend themselves to a determination by
    means of summary judgment.          Rather, I believe there are sufficient
    factual issues involved in this case for the State to have assumed a
    general, and perhaps a special, duty of care to the plaintiff.
    It is important to look at the factual scenario that played out in
    this case and compare it to the legislative mandates.            Cubbage was
    sentenced to several terms of imprisonment.           Rather than release
    Cubbage from State custody following his latest prison sentence, the
    State elected to commence civil commitment proceedings to have
    Cubbage adjudicated a sexually violent predator.            See Iowa Code
    § 229A.4 (2011). This was based on his lifetime of sexual offenses, many
    of them against children. As noted, Cubbage was clearly one of a “small
    but extremely dangerous group” of persons whose “likelihood of engaging
    in repeat acts of predatory sexual violence is high.” 
    Id. § 229A.1.
    Several legislative findings are also significant when discussing the
    sexually violent predator (SVP) statutes. First, SVPs are not meant to be
    treated under Iowa Code chapter 229. Compare 
    id. §§ 229.1A,
    .6, with
    
    id. § 229A.1
    (“In contrast to persons appropriate for civil commitment
    under chapter 229, sexually violent predators generally have antisocial
    personality features that are unamenable to existing mental illness
    treatment.”). Chapter 229 is intended to provide treatment to persons
    with serious mental disorders and then return them to the community.
    
    Id. § 229.15
    (outlining procedure for periodic reports of individuals
    hospitalized under chapter 229). Second,
    [t]he general assembly finds that sexually violent predators’
    likelihood of engaging in repeat acts of predatory sexual
    40
    violence is high and that the involuntary commitment
    procedure under chapter 229 is inadequate to address the
    risk these sexually violent predators pose to society.
    
    Id. § 229A.1.
    Last, there are several other references in the legislative
    findings of the SVP statute regarding “public safety concerns” and “the
    need to protect the public.” 
    Id. However, adjudicating
    an individual as an SVP under our statutes
    is not quick or easy, nor should it be.         At the beginning of the
    proceedings, Cubbage received the right to appointed counsel and the
    right to retain experts. 
    Id. § 229A.6(1)–(2).
    The Iowa Rules of Evidence
    applied to the hearing, as well as the Iowa Rules of Civil Procedure. 
    Id. § 229A.7(4).
    Cubbage was entitled to a full trial to either a judge or a
    jury.   
    Id. The State
    had the burden of proving beyond a reasonable
    doubt that Cubbage was an SVP.           
    Id. § 229A.7(5).
      The State felt
    compelled to bring this action and was successful in meeting its burden.
    Cubbage was “committed to the custody of the director of the department
    of human services for control, care, and treatment until such time as
    [his] mental abnormality has so changed that [he] is safe to be placed in
    a transitional release program or discharged.”         
    Id. § 229A.7(5)(b).
    Cubbage was civilly committed to the Civil Commitment Unit for Sex
    Offenders (CCUSO) in May 2002.
    To say that Cubbage’s progress in treatment at CCUSO as a violent
    sexual predator was abysmal is an understatement. It is only necessary
    to refer to the most recent annual report for Cubbage prior to his
    discharge, dated July 13, 2010, to confirm these facts. Cubbage chose
    not to be interviewed for the annual evaluation.        Cubbage had not
    actively participated in treatment programming since 2005. Cubbage did
    not meet the criteria for the transitional release program as (1) there was
    no change in his mental abnormality, and (2) he did not meet five of the
    41
    ten statutory criteria for transitional release.   See 
    id. § 229A.8A(2)–(3).
    The psychologist’s evaluation was that Cubbage “continues to display
    dynamic risk factors that result in him being likely to engage in
    predatory acts constituting sexually violent offenses if discharged.” The
    most recent annual report disclosed that on June 10, 2010, and again on
    June 29, Cubbage received behavioral incident reports for disrespect and
    sexual behavior, with the second incident classified as a “major incident
    report.” However, because of a diagnosis of early-onset Alzheimer’s, and
    a vague reference to a lack of executive cognitive ability, the State
    deemed Cubbage appropriate for unconditional discharge from CCUSO to
    the Pomeroy Care Center. See 
    id. § 229A.1
    0 (outlining the procedure for
    a petition for discharge from secure confinement).
    With this history in mind, I agree with and endorse Justice Hecht’s
    duty analysis and would find, at a minimum, that a special relationship
    existed between the State and Cubbage to support the imposition of a
    duty to warn Gottschalk. It is unnecessary for me to repeat this duty
    analysis here. Suffice that I would also reject the no-duty rule applied by
    the district court.
    What prompts me to write separately is the summary and
    perfunctory fashion in which the State orchestrated the discharge of an
    obviously dangerous sexual predator from CCUSO and then facilitated
    his placement in a nursing home among a highly vulnerable population.
    This is troubling to me on many levels, both legally and factually. The
    State of Iowa has been responsible for the care, custody, and control of
    Cubbage for decades, either in the prison system or based on his
    commitment as an SVP. The State expended great time and expense to
    civilly commit Cubbage and thereafter to keep him confined. The need
    for this commitment clearly continued up to the date of his unconditional
    42
    discharge from CCUSO. This commitment was to continue until “[his]
    mental abnormality has so changed that [he] is safe to be placed in the
    transitional release program or discharged.” 
    Id. § 229A.7(5).
    As reflected
    in his records and evaluations, Cubbage’s mental abnormality had not
    changed prior to the time of his unconditional discharge. Likewise, the
    latest psychological evaluation of Cubbage resulted in an opinion that
    Cubbage “continues to display dynamic risk factors that result in him
    being likely to engage in predatory acts constituting sexually violent
    offenses if discharged.” This conclusion is clearly supported by the two
    very recent incidents of sexual behavior.            Under what possible
    circumstances would the State ever consider recommending that
    Cubbage was suitable for unconditional discharge?
    The answer is that in May 2010, discussions began about how the
    State could remove Cubbage from his commitment at CCUSO “pending
    DHS Director’s approval.” Then, perhaps not surprisingly, the July 2010
    annual report concluded that Cubbage “does not currently meet the
    definition of a sexually violent predator as described in 229A.” Based on
    all the information described above, this conclusion lacks any credibility
    in law or fact. But by this time, the decision had apparently been made
    to find another placement for Cubbage; the only question was how the
    State would accomplish this goal.
    Anyone    who   is   familiar   with   the   SVP   statutes   and   our
    accompanying caselaw can appreciate just how difficult it is for an
    individual to either transition from CCUSO or be discharged.              Any
    decision for either transition or discharge should be well-informed and
    meet the strict standards as provided in the statute. See 
    id. §§ 229A.8A,
    .9A, .10.   In other words, the discharge of a sexually violent predator
    should be tested by the law and the facts, and not as a mere
    43
    accommodation to the State which simply no longer wants to incur the
    time, expense, or inconvenience that is involved with the care, custody,
    and control of this SVP. Of utmost importance, any decision involving
    the unconditional discharge of an SVP must involve an analysis of the
    effect of the decision on public safety. No critical analysis or testing was
    even attempted here. Instead, the motion for discharge was presented to
    the district court as a stipulated proposed disposition.     There was no
    record, no evidence, and no discussion. What is also important to note is
    that there are a number of alternatives provided for in the statute that do
    not involve the unconditional discharge of a civilly committed SVP. See
    
    id. §§ 229A.8A,
    .9A.   Instead of even considering these alternatives, or
    advising the district court of these various placements, the State simply
    recommended an unconditional discharge of Cubbage.                Then to
    compound matters, the State agreed to a long-term mental health
    commitment for Cubbage, a placement which is clearly inappropriate for
    a person with Cubbage’s background.
    With this procedural background, the State now argues it is
    insulated from any duty it might have had, and any corresponding
    liability, because it no longer has care, custody, and control over
    Cubbage.    It also relies on the argument that a district court judge
    approved the order of discharge for Cubbage and a different district court
    judge approved the mental health commitment order for Cubbage.             I
    cannot agree that the fact that the orders were approved by a district
    court judge somehow allows the State to avoid the duty to act reasonably
    to protect the vulnerable nursing home residents who would be exposed
    to Cubbage as a consequence of the discharge and transfer arrangement.
    The State had the care, custody, and control over Cubbage for decades.
    When it no longer wanted this responsibility, regardless of the obvious
    44
    risks it posed to public safety, it attempted to use the court system to
    absolve itself of all further responsibility and liability.        This is
    unconscionable. Unfortunately, this is not the only context in which the
    State attempts to insulate itself from liability when it decides that it no
    longer wants to provide for the care, custody, and control over
    individuals it has historically assumed responsibility for, and to whom it
    now decides it no longer wants this obligation. Our court system has
    been used in similar situations involving our mentally ill citizens and our
    mental health institutes. While it is clearly within the State’s prerogative
    to take such actions as it deems appropriate, it should also understand
    that there is a concomitant duty of reasonable care under our tort law.
    Likewise, I think it is incumbent upon our judicial officers to more
    closely examine scenarios like the facts and circumstances presented
    here. I would reverse the district court grant of summary judgment to
    the State and remand for further proceedings.
    Hecht, J., joins this dissent.