Kenneth E. King v. Anderson County, Tennessee , 419 S.W.3d 232 ( 2013 )


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  •                   IN THE SUPREME COURT OF TENNESSEE
    AT KNOXVILLE
    September 5, 2013 Session
    KENNETH E. KING v. ANDERSON COUNTY, TENNESSEE
    Appeal by Permission from the Court of Appeals, Eastern Section
    Circuit Court for Anderson County
    No. B0LA0397      Donald Ray Elledge, Judge
    No. E2012-00386-SC-R11-CV - Filed November 21, 2013
    We granted permission to appeal in this case to decide whether, for the purpose of
    determining proximate cause, an assault on an inmate by another inmate is always reasonably
    foreseeable because penal institutions house dangerous individuals. The plaintiff sued for
    injuries allegedly suffered as a result of negligence on the part of the staff of the Anderson
    County Detention Facility in classifying and housing the plaintiff and in failing to release him
    in a timely manner. The County denied any negligence on its part. The trial court found that
    while the County was not negligent in its classification or housing of the plaintiff, it had a
    duty and breached that duty in failing to timely release him. The trial court awarded the
    plaintiff $170,000 in damages, excluding medical bills, and assessed 55% of the fault to the
    County and 45% to the plaintiff. The Court of Appeals affirmed the trial court’s actions,
    making an additional finding that proximate cause existed sufficient to link the plaintiff’s
    injuries to the County’s breach of its duty to timely release him. We reverse the Court of
    Appeals and trial court in part and hold that Anderson County is not liable for failing to
    release the plaintiff in a timely manner because the injuries Mr. King suffered as a result of
    the delay were not reasonably foreseeable. The award of damages is vacated, with the
    exception of the statutorily mandated payment of the plaintiff’s medical bills, and the case
    is reversed and remanded to the trial court for dismissal.
    Tenn. R. App. P. 11 Appeal by Permission;
    Judgments of the Court of Appeals and Circuit Court
    Affirmed in Part and Reversed in Part
    C ORNELIA A. C LARK, J. delivered the opinion of the Court, in which J ANICE M. H OLDER,
    W ILLIAM C. K OCH, J R., and S HARON G. L EE, JJ., joined. G ARY R. W ADE, C.J., filed a
    dissenting opinion.
    Jonathan Swann Taylor, Knoxville, Tennessee, for the appellant, Anderson County,
    Tennessee.
    Bruce D. Fox, Clinton, Tennessee, and Ronald C. Koksal, Knoxville, Tennessee, for the
    appellee, Kenneth E. King.
    OPINION
    I. Facts and Procedural History
    This appeal arises from a negligence claim Kenneth E. King (“Mr. King” or
    “Plaintiff”) filed against Anderson County, Tennessee (“Anderson County”) for injuries Mr.
    King sustained during an altercation with another inmate while he was in custody at the
    Anderson County Detention Facility.1 The facts recited summarize the proof introduced at
    trial.
    Mr. King is a resident of Claxton, Tennessee, where he worked steadily as a machinist
    for many years before being laid off in 2008. Mr. King is divorced and at the time of the
    incident at issue here was forty-one years old. During that period he had custody of his three
    children, then approximately eighteen, sixteen, and seven, the youngest of whom still lives
    with him. Before the evening of October 27, 2009, Mr. King had been arrested twice in
    Anderson County: once in 2000 for driving on a suspended license, and a second time in
    2004 for driving on a suspended license, as well as for violating the registration law, bumper
    law, seat belt law, and child restraint law. Mr. King also was arrested once in Georgia many
    years ago for driving under the influence, and he had a juvenile record. Mr. King testified
    that he never spent the night in jail on any of these occasions.
    In January 2009, Mr. King was ticketed for a traffic violation in Clinton, Tennessee,
    and subsequently summoned to Clinton City Court on charges of driving with an expired
    license and without insurance. By the time of his court appearance in February 2009, Mr.
    1
    Mr. King originally filed this action in the Circuit Court for Anderson County, Tennessee, alleging
    a negligence claim against Anderson County and also seeking recourse for violations of his constitutional
    rights pursuant to 42 U.S.C. § 1983. Anderson County removed the case to the District Court for the Eastern
    District of Tennessee. Plaintiff responded by moving to remand all claims arising under the Tennessee
    Governmental Tort Liability Act to Circuit Court. The District Court granted Plaintiff’s motion and
    remanded the state law claims to the Circuit Court for Anderson County, while retaining jurisdiction over
    the Plaintiff’s claims brought under federal law. The proceedings in federal court were stayed pending
    resolution of Mr. King’s state law claims.
    -2-
    King had renewed his license and obtained insurance, and as a result the charges were
    dismissed. However, this information was not reported correctly to the State.
    On October 27, 2009, shortly before 6:00 p.m., Mr. King was pulled over by Officer
    Charles R. Faircloth of the Anderson County Sheriff’s Department in Anderson County,
    Tennessee. Mr. King testified that Officer Faircloth informed him that he had been stopped
    because his headlights were not turned on in the rain and because he had abruptly pulled out
    in front of and almost hit Officer Faircloth’s patrol car. Mr. King further testified that
    Officer Faircloth then asked for Mr. King’s license, registration, and proof of insurance. Mr.
    King admitted that he produced his license but did not have his registration or proof of
    insurance. Officer Faircloth returned to his vehicle and after a few minutes re-approached
    Mr. King and asked him to step out of his car.
    At this point, Mr. King asked Officer Faircloth why he was being asked to step out
    of his vehicle. Officer Faircloth responded that he was being placed under arrest. When Mr.
    King asked why he was being arrested, Officer Faircloth told him that it was because he was
    driving on a suspended license. Mr. King testified that he told Officer Faircloth that there
    “must be some type of mistake” because he had not had a ticket “in a long time,” begged
    Officer Faircloth to check again, and asked to call his family to tell them what was
    happening. Officer Faircloth refused to let him make a phone call at that time. Mr. King
    then became angry with Officer Faircloth, cursing at him. When Mr. King exited his car, he
    was not immediately compliant with Officer Faircloth’s direction to put his hands behind his
    back to be handcuffed. By his own admission, Mr. King was “anything but cooperative”
    during the course of the arrest. Officer Faircloth then drove Mr. King to the Anderson
    County Detention Facility.
    Mr. King and Officer Faircloth arrived at the Anderson County Detention Facility at
    6:20 p.m., according to Anderson County records. Shortly thereafter, Mr. King was booked
    and his personal effects confiscated, which included his wallet, $305.00 in cash, a lighter,
    cigarettes, and clothing.2 During booking, Mr. King was asked about his mental and physical
    health as well as any medications he was taking. Mr. King testified, and police records
    indicate, that he informed the officers that he had back problems and was taking oxycodone
    and Soma, both of which had been prescribed to him. Mr. King further testified that his
    medication, consisting of a bottle of over thirty pills, was taken from him at the time of his
    2
    Although the Inmate Property Inventory listed the wallet it does not specify any cash. In March
    2011, however, Mr. King received a check from the Anderson County Sheriff’s Department for $305.00 from
    their seized money account.
    -3-
    arrest.3 The officer who booked Mr. King, Officer Christopher Lumley, testified that Mr.
    King was also asked during this process if he had any enemies in jail or if he had ever had
    to be separated from another inmate at Anderson County or any other detention facility. Mr.
    King responded no to both questions. On cross-examination, Mr. King testified that he
    understood that if he had any enemies in jail, he could tell the jail staff and they could do
    something about it.
    The Anderson County Detention Facility has a policy that inmates are not to discuss
    their charges with other inmates or staff. The rationale behind the policy is in part to protect
    inmates arrested on drug-related charges from being searched by other inmates seeking
    drugs. Officer Lumley testified that he does not routinely tell inmates not to discuss their
    charges, as that rule is contained in the Inmate Handbook. Officer Lumley did not recall
    informing Mr. King of this rule during the booking and classification process. However, on
    cross-examination, Mr. King admitted that he knew of the policy not to discuss charges.
    As part of the booking process, Officer Lumley classified Mr. King and determined
    his level to be medium rather than minimum security, designating him a “1” on his booking
    sheet, which refers to “pretrial misdemeanant” in the Anderson County system.4 According
    to Officer Lumley’s testimony, Mr. King’s classification was based on the information in Mr.
    3
    The Inmate Booking/Medical Screening Questionnaire confirms that Mr. King informed the police
    of his medical conditions and medications, but under “List All Medications Brought in by Patrol with the
    Inmate” lists “none.” Mr. King was not charged with any drug-related offense.
    4
    According to the Anderson County Detention Facility Policy 4.03, there are three basic levels of
    classification: maximum, medium, and minimum. Chief Jailer Avery Johnson testified that these three main
    security levels are supplemented by other levels such as protective custody and suicide watch. The policy
    mandates that “[i]nmates shall be classified and housed in the least restrictive housing available without
    jeopardizing staff, inmates, or the public,” using risk factors that include “any or all of the following:”
    1. Current offense or conviction
    2. Offense history
    3. Escape history
    4. Institutional disciplinary history
    5. Prior convictions
    6. Alcohol and/or drug abuse
    7. Stability factors
    The policy also provides that “[s]pecial [c]onditions” “[m]ay temporarily or permanently override a
    classification assessment,” and includes the caveat that “[t]he Sheriff has limited or no means of controlling
    the number or type of offenders that may be sent to him for incarceration at any given time. However,
    continual efforts will be made to house inmates consistent with their individual classification.”
    -4-
    King’s intake form, which listed his sole charge as “driving on suspended or revoked
    [license],” pursuant to Tennessee Code Annotated section 55-5-504 (2012). The Arrestee
    Intake Form also indicated that Mr. King had been verbally abusive during the stop, and next
    to the question “Did the Arrestee Resist,” the boxes for both “yes” and “no” were checked.
    Officer Lumley testified when questioned that when an inmate is brought in for a driving
    offense but is “uncooperative, resisted arrest and was verbally abusive to the [arresting]
    officer,” those would be grounds for placing the inmate in either medium or maximum
    security, based upon the criteria listed in Anderson County Detention Facility Policy 4.03.
    However, Officer Lumley could not recall any details of how he booked Mr. King. Avery
    Johnson, the Chief Jailer, also confirmed that “behavior” was a factor taken into
    consideration when classifying inmates, and that Mr. King was properly classified. Officer
    Lumley acknowledged that he probably did not indicate to Mr. King at this time how he had
    been classified, although he stated that inmates of different classifications were issued
    different colored clothing.
    At 12:25 a.m., October 28, 2009, Mr. King was taken to housing unit 306, a medium
    security unit. Mr. King testified that when he arrived at his cell, his cellmates were all awake
    and playing cards. Mr. King was given a mat, blanket, and a place to sleep on the floor as the
    cell had no remaining bunks. According to the testimony of Chief Johnson, Anderson
    County’s Detention Facility has a capacity of 226. However, on the night of October 27-28,
    there were over 250 inmates. Although some of Mr. King’s cellmates were facing serious
    charges, including violent felonies such as attempted murder, aggravated kidnapping, and
    aggravated assault, one had a charge similar to Mr. King’s and none had a record of
    institutional behavioral problems, according to Anderson County records. Brandon Paul, the
    cellmate who would later assault Mr. King, had been housed in the jail without incident since
    July 10, 2009. Soon after Mr. King arrived, his cellmates appear to have asked him about his
    charges. Mr. King testified on cross-examination that he told them of his charge of driving
    on a suspended license and indicated during his rebuttal testimony that he told his cellmates
    that he had been carrying medication which was taken from him at the time of his arrest.5
    Mr. King remained in his cell until approximately 8:57 a.m. the next morning without
    incident, at which point he was removed from his cell, according to Anderson County records.
    During the night, Mr. King testified, he could not sleep because people “hollered a lot,” and
    he was “scared,” although he did not claim to have been frightened of anyone in particular nor
    did he report any threats to jail staff. At 10:36 a.m. on October 28, 2009, Mr. King left the
    jail to attend his arraignment hearing in the General Sessions Court for Anderson County,
    5
    The County’s counsel indicated during Mr. King’s cross examination that at one point the Sheriff
    was contemplating drug charges against Mr. King, and Mr. King may have believed he would be charged
    with a drug possession offense because he had prescription pain medication in his car.
    -5-
    where the Judge ordered Mr. King’s pretrial release. Terri McCloud, an Anderson County
    employee, was the pretrial release officer. She was not present in the courtroom when the
    Judge ordered Mr. King’s release. Captain Larry Davidson, an employee of the Anderson
    County Detention Facility, confirmed that Ms. McCloud told him that she had received the
    paperwork authorizing Mr. King’s release by fax at 11:30 a.m.6 According to Chief Johnson’s
    testimony, Ms. McCloud’s only job was to process the pretrial release paperwork, and Mr.
    King was the only person scheduled to be released that day. Nevertheless, Ms. McCloud,
    whose office is two and a half miles from the Detention Facility, did not arrive at the jail until
    after 3:00 p.m., a delay of almost three hours and forty-five minutes.7 According to Anderson
    County policy, “[i]nmates are entitled to timely release when they have . . . received a court
    ordered release.” Mr. King was returned to the Anderson County Detention Facility at 12:04
    p.m., where he was placed in a holding cell, fed lunch, and ordered to take a shower. At 2:23
    p.m., because Ms. McCloud still had not arrived to process his pretrial release, Mr. King was
    taken from the holding cell back to cell 306, where he had spent the previous night.
    Mr. King provided slightly differing accounts of the events that occurred after he
    returned to cell 306. Mr. King initially testified that he fell asleep on the floor of the cell and
    awoke to find Mr. Paul standing over him, saying “that they were going to shake me down”
    and asking if he knew what that meant, at which point someone began to hit him. “The one
    with the dreadlocks said that he thought that I had drugs on me,” Mr. King said, “[a]nd I told
    him I didn’t care what he thought.” He claimed that he then blacked out, returning to
    consciousness to find himself pinned down on the floor, his pants pulled down, while
    someone said “get him, get him.” But when Mr. King recounted the incident to jail officials
    and the jail nurse immediately afterward, according to the nurse’s report, he said that his
    cellmates “thought he had drugs because he had discussed them, [as] the reason for being in
    jail.” Mr. King also admitted on cross-examination that when he returned to his cell, Mr. Paul
    confronted him, saying that he believed Mr. King had drugs, to which Mr. King responded
    that he “did not give a f---” what Mr. Paul thought.
    At 3:13 p.m. an “all-available” call went out at the jail from central control, and at least
    six officers responded. They found Mr. King in his cell, his right eye and face “extremely
    swollen,” and “bleeding, lots of blood” coming from his head, according to testimony by
    Officer Thomas Hartsfield. Two officers took Mr. King from his cell into the day area, and
    from there he was brought to the jail nurse in the medical office. The jail nurse reported that
    6
    The Plaintiff’s attorney stated that Ms. McCloud received that paperwork by fax at 11:33 a.m., and
    Captain Davidson confirmed that this fact correlated with Ms. McCloud’s statements to him.
    7
    Ms. McCloud was subpoenaed and appeared at the request of Anderson County’s and Mr. King’s
    counsel but did not testify at the trial of this matter.
    -6-
    Mr. King had “blood on his face, hands, and clothing,” and that “his eye is purple, his nose
    appears broke [sic].” Mr. King told the nurse that he had been assaulted and that during the
    course of the attack his pants had been pulled down, his testicles fondled and his rectum
    digitally penetrated. Mr. King resisted the jail nurse’s attempts to ice his nose and eyes,
    complaining that it was too painful; she gave him ibuprofen. Describing his injuries in later
    testimony, Mr. King insisted that both eyes were injured and swollen, despite evidence that
    only the right eye was seriously damaged.
    Back in the cell, Officer Hartsfield and Officer Richard Parker took part in questioning
    Mr. King’s cellmates. Although some initially indicated to Officer Parker that Mr. King had
    fallen, according to Officer Hartsfield’s testimony and Officer Michael Lowe’s report, Mr.
    Paul soon admitted that he had hit Mr. King. At that point, Officers Parker and Hartsfield
    noticed blood on Mr. Paul’s pants and underwear, suspected that a sexual assault might have
    occurred, and seized Mr. Paul’s clothing. Officer Harold Crowley, a criminal investigator
    with the Anderson County Sheriff’s Department, then interviewed all of the cellmates. They
    offered him varying accounts of what had occurred, but more than one indicated that Mr. King
    had fought with Mr. Paul.8 When Officer Crowley spoke with Mr. King at the hospital, Mr.
    King said that Mr. Paul accused him of “having drugs and not sharing,” at which point Mr.
    Paul began hitting him. Mr. King could not give a written statement at that time as he was
    receiving medical treatment. When Officer Crowley contacted Mr. King again six days later
    to get a formal statement, Mr. King, acting on the advice of counsel, refused to speak with
    him. At this point the Anderson County Sheriff’s Department ended its investigation, and no
    charges were ever filed against Mr. Paul.
    Meanwhile, as Mr. King was being treated in the medical office, Ms. McCloud
    appeared to process the paperwork for his pretrial release, according to Captain Davidson’s
    later report. According to Officer Parker’s report and testimony, jail officials initially decided
    to release Mr. King immediately, rather than seek additional medical attention for him. The
    Anderson County Detention Facility Log Book indicates that he was first booked out at 4:24
    p.m., while he was still in the medical office. In his report, Officer Parker recounted that he
    was concerned that releasing Mr. King without first taking him to a hospital would constitute
    deliberate indifference to Mr. King’s plight. Upon Officer Parker’s advice, Mr. King was
    rebooked and an officer accompanied him to Methodist Medical Center in Oak Ridge where
    8
    The trial court was skeptical of portions of the cellmates’ statements, as recounted by Officer
    Crowley. None of the cellmates testified at the trial. During the course of Officer Crowley’s investigation
    in the immediate aftermath of the incident, Mr. King’s cellmates claimed that Mr. King was being a “smart
    ass” and that Brandon Paul intended to search him because Paul believed that King had tobacco on his person
    that he was not sharing. They also claimed that Mr. King bared his posterior voluntarily. Mr. Paul claimed
    that Mr. King swung at him first.
    -7-
    he received treatment for his injuries. Mr. King was booked out for a second time and released
    from custody at 4:55 p.m., while he was at the hospital, according to Anderson County records.
    As a result of the assault he suffered while in the custody of Anderson County, Mr.
    King suffered a fractured nose and severe damage to his right eye that required surgery. Mr.
    King has permanent double vision as a result of the assault, which can only be partially
    corrected with special prismatic glasses.
    At trial both sides presented expert testimony concerning the Anderson County
    Detention Facility, its classification system, and the timing of Mr. King’s release. Mr. King
    called as his expert witness Mr. Robert Powell, a former Director of the Division of Local
    Facilities9 for the state of Kentucky, who is currently a criminal justice consultant. Mr. Powell
    had never before been qualified as an expert witness in court. Mr. Powell testified that
    Anderson County was negligent in its classification, housing, and supervision of Mr. King,
    and that these acts “proximately and legally caused” Mr. King’s injuries.
    Mr. Powell testified that the Anderson County Detention facility was at fault for
    classifying Mr. King as medium security because it did not follow its classification policy as
    written. Mr. Powell pointed out that, while Mr. King may have talked back to Officer
    Faircloth, he was not charged with resisting arrest or assault. According to Mr. Powell,
    backtalk and non-cooperativeness are “not a basis to classify anybody,” and are “not a risk
    factor in most jails that I know of,” given that there are often conflicts between arresting
    officers and prisoners coming into jails and that this confrontation was a “one-time incident.”
    Once the arresting officer leaves, Mr. Powell noted, the prisoner often calms down and
    “usually that’s history and it’s no longer a factor.” Based upon previous testimony regarding
    Mr. King’s classification process, Mr. Powell opined that Mr. King “wasn’t classified at all,”
    since “none of the factors that’s listed in their policy appear to [have gone] into play” in Mr.
    King’s classification. He also noted that there was no written record of inmate classifications
    in the Anderson County Detention Facility, apart from the booking sheet, although he admitted
    that Tennessee does not require such a classification form, nor does Policy 4.03 refer to such
    a form. He observed that Mr. King had no previous institutional history of behavioral
    problems, and thus was “textbook minimum custody.” Only if there were documented proof
    that Mr. King had been “aggressive and physically assaulted someone while he was
    incarcerated” could he be classified as medium security, he concluded. Moreover, Mr. Powell
    9
    Kentucky’s Division of Local Facilities is the governmental entity responsible for overseeing the
    Kentucky jail system.
    -8-
    testified, even if Mr. King were classified as medium security, he should not have been housed
    with violent felony offenders.10
    Mr. Powell also testified regarding Anderson County Detention Facility’s status as a
    “direct supervision” facility. According to Mr. Powell, although Anderson County self-
    identified as a direct supervision facility and was therefore listed as a direct supervision facility
    in the Direct Supervision 2006 Jails Source Book,11 and despite the fact that the physical plant
    was designed as such, in practice officers assigned to the pods lacked the kind of “continuous
    contact with inmates” that is typical of a true direct supervision facility. Instead, the officer
    sat at a desk in the pod where he had no direct view of the inmates, who were housed in their
    cells most of the day. When inmates were in their cells, they could only be observed,
    presumably, through a small window in the door.12 In Mr. King’s case, Mr. Powell noted, the
    officer in the pod was notified by the control room that an incident had occurred, rather than
    being the first to discover it. According to his reading of jail officials’ reports, Mr. Powell
    surmised that one of the inmates from inside the pod or cell called the control room to indicate
    that Mr. King had been injured.
    Mr. Powell also testified regarding Mr. King’s release and jail culture generally.
    Regarding Mr. King’s release, Mr. Powell said, “I just can’t understand why it took that long
    to process him out,” given that Ms. McCloud apparently said she would be over around 2:00
    to 2:30 p.m. He noted that many things were “done wrong” in Mr. King’s case, and that his
    release took longer than usual in part because of the “extra work” associated with classifying
    Mr. King and placing him in “the living area of the jail.” Many jails in Kentucky and
    elsewhere, he observed, would not even classify inmates such as Mr. King, but instead would
    keep them in an assessment cell near the booking area, as they were likely to be released in
    under twenty-four to thirty-six hours, as occurred in Mr. King’s case. He found it hard to
    believe, however, that Mr. King would have fallen asleep in the cell when he was returned
    there. Mr. Powell also observed that even though inmates are advised not to discuss their
    charges, “in reality, I don’t know if that hardly ever happens in any facility. Usually that’s the
    first thing they want to know when somebody comes in the cell, what are you charged with.”
    Powell also confirmed that the policy is put in place in part to protect those charged with drug
    10
    Mr. Powell also testified that Mr. Paul was properly classified as medium security, although his
    Statement of Opinion for Mr. King’s federal case states that Mr. Paul could even have been maximum
    security.
    11
    The Source Book is published by the U.S. Department of Justice, National Institute of Corrections.
    12
    Mr. Powell testified based on his knowledge of similarly constructed jails, as he did not have the
    opportunity to visit the Anderson County Detention Facility in person.
    -9-
    offenses from being searched for drugs. Even so, he conceded, “fights can occur even if
    [inmates are] supervised and classified properly.”
    Anderson County’s expert witness, Charles Fisher, a former court-appointed special
    master for multiple Tennessee jails and Assistant Director with the Tennessee Corrections
    Institute, currently a consultant with the Hardin County Jail, testified that Anderson County
    was not negligent in its classification of Mr. King. Mr. Fisher observed that Mr. King was
    properly classified as a “1” for “pretrial misdemeanant” and then appropriately housed with
    the medium security “general population,” based upon his charge, interactions with the
    arresting officer, and his presumed behavior on his “previous trips to the jail.”13 Mr. Fisher
    testified that Mr. Paul also was properly classified as medium security given his institutional
    behavior and despite the seriousness of his charged offense. Mr. Fisher believed that both Mr.
    King and Mr. Paul were properly classified, given that “they had been in the place many times
    according to their booking sheets” and therefore the “jail knew who they were” and they “had
    not caused any problems before.”14 Mr. Fisher also testified that it was proper to consider
    “interaction with the arresting officer” when an inmate is being classified, and that “everything
    is on the table” for purposes of determining classification. Based on his classification, Mr.
    King “was eligible to be placed anywhere in the institution where it was appropriate,” that is,
    “in any place where he did not have an enemy, where he had direct supervision and where
    there’s no reason to believe anything would happen to him.”
    Mr. Fisher also testified that Anderson County had not been negligent in housing Mr.
    King, and that it was not foreseeable that Mr. King would be injured as a result of his housing.
    Mr. Fisher testified that it was clear and “not even arguable” that Anderson County was a
    direct supervision facility, based on the inmates’ schedule, the physical arrangement of the
    building into direct supervision pods, and the placement of an officer inside the housing unit.15
    He noted that direct supervision is the safest possible kind of supervision, and that the
    13
    Mr. Fisher noted that Anderson County Detention Facility has an additional layer of classification,
    in which “1” indicates a pre-trial misdemeanant, “2” a pre-trial felon, “3” a post-trial misdemeanant, and “4”
    a post-trial felon. Therefore the “1” on Mr. King’s booking sheet did not indicate minimum security, but
    rather his trial status.
    14
    Mr. King had been booked on two previous occasions, although Mr. Fisher may have been under
    the impression that he had more than two previous bookings.
    15
    He also admitted, though, that when the inmates were in their cells, they were not visible to the
    police officer in the pod, and later confirmed that jail records indicated that inmates were in their cells for
    all but four hours a day. He also confirmed under cross-examination that when inmates were sleeping on the
    floor, there were likely “severe problems with classification,” presumably because the last inmates admitted
    might be assigned to the unit with available space rather than the unit most appropriate for their level of
    classification.
    -10-
    Anderson County Detention Facility was one of the few in the state to qualify as such.
    Precisely because Anderson County was a direct supervision facility, Mr. Fisher testified, they
    could mix inmates charged with non-violent misdemeanors and those charged with violent
    felony offenses, as long as those inmates were known to jail officials. In a county jail, he
    pointed out, there is usually just general population and maximum security, and this practice
    of keeping a range of different offenders in general population is safe as long as there is direct
    supervision.
    Mr. Fisher offered several opinions that addressed the unforeseeability of Mr. King’s
    assault and injuries, given his classification and supervision. Reviewing jail memos and
    records, Mr. Fisher confirmed that there had been only three incidents in the past five years at
    the Anderson County Detention Facility that required additional medical attention, and that
    there had been twenty-four fights in 2007, thirty-seven fights in 2008, and thirty fights in 2009.
    He did not find the number of fights to be out of the ordinary, given the number of inmates
    housed there. The evidence suggested to him that “the place is pretty safe,” despite a “blip”
    in 2008. Mr. Fisher emphasized that it was not foreseeable that any injury would occur to Mr.
    King as a result of being classified and housed as he had been. Neither Mr. King nor Mr. Paul
    had “caused any problems before and there was really no reason not to house them together.” 16
    He continued, “[t]here was no reason to believe . . . that anything would happen by putting Mr.
    King in that cell,” noting that nothing had happened to him there during the eight hours he had
    spent there the previous night. It was only after Mr. King went to court that “for some reason
    something happened,” an event he described as a “spur of the moment assault that nobody sees
    coming.” However, Mr. Fisher confirmed that if other inmates knew that Mr. King had drugs,
    given that “maybe 100 percent” of inmates have some kind of drug and alcohol problem,
    “they’re going to take them from [him].” Mr. Fisher also disbelieved Mr. King’s initial story
    that he had fallen asleep upon being returned to his cell after his arraignment hearing. “In jail,
    sometimes bad things happen,” he pointed out.
    Regarding the timing of Mr. King’s release, Mr. Fisher stated that the delay was “[t]oo
    long, I just don’t know what was going—it seems long to me.” In his deposition, Mr. Fisher
    had also stated that “people in the [criminal justice] system want[] to make [release from jail]
    as difficult as possible,” and that they “don’t care whether you get out or not.” Finally, Mr.
    Fisher testified that if Mr. King had been hurt while in Anderson County custody, his medical
    treatment should be paid for: “You break it, you own it. That’s the way I’ve always looked at
    it.”
    16
    Mr. Fisher testified that he believed that Mr. King had spent over a year in jail previously, although
    this belief was incorrect. He was also initially under the impression that Mr. King had been picked up on a
    bench warrant, rather than as the result of a traffic stop.
    -11-
    Following a bench trial, the trial court made extensive and detailed findings17 that
    culminated in a determination that while Anderson County was not negligent in its
    classification or housing of Mr. King or in its supervision of inmates, it was negligent in its
    failure to release Mr. King in a timely manner.18 The trial court found that Mr. King had been
    properly classified, and that it was proper to take into account “how a defendant responds to
    an authority figure” when classifying inmates. It also found that Anderson County’s
    classification policy conformed to State standards. Basing its conclusions on the expert
    testimony presented in the case and favoring the testimony of Anderson County’s expert, Mr.
    Fisher,19 because of his extensive experience in Tennessee, the court concluded that even
    though it found Anderson County’s Detention Facility to be a direct supervision facility and
    thus better monitored than most, “fights can occur even if [inmates are] supervised and
    classified properly,” precisely because “jails are [] dangerous place[s].”
    The trial court made extensive findings regarding Mr. King’s credibility, generally
    finding him not to be credible on several key instances of testimony. The trial court found Mr.
    King to have been less than credible in his interactions with arresting Officer Faircloth,
    suggesting to the officer that he had no recent tickets when he had been cited only a few
    months prior to the stop. Mr. King was also found to be not credible regarding his injuries,
    complaining that both eyes were injured when the physical evidence and jail nurse’s report
    reflected injury primarily to the right eye and nose. Mr. King was further found to have been
    less than truthful with an examining physician, claiming to have had no prior eye injuries when
    in fact he had two prior injuries to his eyes that had required surgery.
    Most significantly, the court found that Mr. King was inconsistent in his testimony
    regarding the impetus for the assault, at first insisting that he did not know what provoked his
    cellmates and denying that he ever mentioned drugs to them, but later admitting to telling them
    that he had medication taken from him when he was arrested. The court found that Mr. King
    17
    As the court’s findings regarding classification and supervision are not at issue here, our recitation
    includes primarily the trial court’s findings regarding Mr. King’s untimely release, prefaced by its discussion
    of the credibility of the witnesses, primarily Mr. King.
    18
    Neither in the Court of Appeals nor before this Court has Mr. King appealed the trial court’s
    finding that he was appropriately classified and housed by the Anderson County Detention Facility.
    “Appellate review is generally limited to the issues that have been presented for review.” Hodge v. Craig,
    
    382 S.W.3d 325
    , 334 (Tenn. 2012). Because the parties have not addressed the issue of Anderson County’s
    negligence in classifying and housing Mr. King, we deem that issue to be waived. At oral argument, Mr.
    King’s counsel attempted to argue that Anderson County breached its duty to properly classify Mr. King and
    appropriately supervise its inmates, but those issues are not raised in the briefs and are not before us now.
    19
    The trial court found Mr. Fisher’s testimony to be more credible based upon his publication
    history, experience as a special master, and appointment as a jail expert by a federal judge.
    -12-
    had told his cellmates about a potential drug charge on the night he arrived, and that this was
    a “contributing factor” to the “spur of the moment” assault. The trial court also did not find
    Mr. King’s assertion that he fell asleep after his return to his cell to be credible. Instead, the
    trial court found that Mr. King was “mad” about being returned to the cell rather than being
    released, and “went off” at and “cussed” Mr. Paul, saying that he “didn’t give an F what he
    thought,” noting that “that’s exactly the same reaction [he] had with Faircloth.” The court
    found that Mr. King’s attitude during this interaction was akin to instigating a fight. Neither
    Mr. King nor his cellmates, the court found, had any history of institutional problems, which
    is the primary indicator of future incidents.
    Citing Mr. Fisher’s testimony that the delay in Mr. King’s release of three hours and
    forty five minutes was too long, the court observed that if Ms. McCloud had shown up “within
    two hours” after receiving Mr. King’s paperwork by 11:30 a.m. “and of course, if Mr. King
    hadn’t made his actions,” the incident would not have occurred. The judge concluded that
    there were “two causes for us being here today. One is the direct action of Mr. King, one is
    the inaction of Terri McCloud as the pretrial release officer. . . .” The trial judge did not make
    a specific finding about the foreseeability of an attack. Rather, it adopted Mr. Fisher’s
    conclusion that the attack was a “spur of the moment” occurrence, while simultaneously
    implying that the attack was foreseeable because Mr. King was housed with dangerous men.
    The court found that Mr. King suffered damages in the amount of $170,000, excluding medical
    bills totaling $42,317.34, and assessed 55% of the fault to the County and 45% to Mr. King.
    During the pendency of the case and until trial, Anderson County did not pay any of Mr.
    King’s extensive medical bills. The trial court ordered that Mr. King’s medical expenses be
    paid by Anderson County as the “law is clear” that the jail is responsible. The County later
    stipulated that it would pay Mr. King’s medical expenses, pursuant to Tennessee Code
    Annotated section 41-4-115(a) (2010).20
    Anderson County filed a timely notice of appeal from the judgment entered on the trial
    court’s ruling. The Court of Appeals affirmed the trial court’s judgment, finding that the
    evidence did not preponderate against its finding that Anderson County had breached its duty
    in failing to release Mr. King and that an apportionment of 55% of the fault to Anderson
    County was appropriate. King v. Anderson County, No. E2012-00386-COA-R3-CV, 
    2012 WL 5960838
    , at *5-6 (Tenn. Ct. App. Nov. 29, 2012). In so holding, the Court of Appeals added
    its own specific finding that “the evidence preponderates in favor of a finding that [Mr. King’s]
    injury was reasonably foreseeable” as a result of being left “in the cell with dangerous men an
    20
    The statute mandates that “[t]he county legislative bodies alone have the power, and it is their duty,
    to provide medical attendance for all prisoners confined in the jail in their respective counties.” T.C.A. §
    41-4-115(a) (2010).
    -13-
    unreasonable amount of time after the release order was given,” and therefore proximate cause
    sufficed to link Anderson County’s breach of its duty to Mr. King’s injuries. 
    Id. at *5.
    We granted Anderson County’s Tennessee Rule of Appellate Procedure 11 application
    for permission to appeal.
    II. Standard of Review
    In a civil case heard without a jury, the trial court’s findings of fact are presumed to be
    correct, unless the preponderance of the evidence is otherwise. Tenn. R. App. P. 13(d); Hughes
    v. Metro. Gov’t of Nashville and Davidson Cnty., 
    340 S.W.3d 352
    , 359-60 (Tenn. 2011).
    Proximate causation is a question of fact; therefore we will determine whether the evidence
    preponderates against the trial court’s finding of proximate cause. See Wilson v. Americare
    Sys., Inc., 
    397 S.W.3d 552
    , 559 (Tenn. 2013). This Court gives great weight to a trial court’s
    findings that are predicated upon a determination of credibility. 
    Id. at 360.
    Precisely because
    the trier of fact alone “had the opportunity to observe the witnesses’ demeanor and hear in-court
    testimony,” “considerable deference must be afforded to the trial court.” Lovlace v. Copley,
    
    2013 WL 4773078
    , at *10, __ S.W.3d __ (Tenn. 2013); Morrison v. Allen, 
    338 S.W.3d 417
    , 426
    (Tenn. 2011). Appellate courts will not second-guess a trial court’s credibility determinations
    without “clear and convincing evidence to the contrary.” Allstate Ins. Co. v. Tarrant, 
    363 S.W.3d 508
    , 515 (Tenn. 2012).
    III. Analysis
    A. Proximate Cause
    To prevail on a negligence claim, a plaintiff must prove the following elements: 1) a duty
    of care owed by the defendant to the plaintiff; 2) conduct falling below the applicable standard
    of care amounting to a breach of that duty; 3) an injury or loss; 4) causation in fact; and 5)
    proximate, or legal, cause. 
    Giggers, 277 S.W.3d at 364
    . Once duty and breach of duty have
    been established, and an injury presented, the plaintiff must establish causation.
    The plaintiff must prove two kinds of causation: causation in fact and proximate cause.
    Kilpatrick v. Bryant, 
    868 S.W.2d 594
    , 598 (Tenn. 1993). Both causation in fact and proximate
    cause must be proven by the plaintiff by a preponderance of the evidence. 
    Id. Cause in
    fact or
    “actual cause” means “that the injury or harm would not have occurred ‘but-for’ the defendant’s
    negligent conduct.” 
    Id. Cause in
    fact refers to the “‘cause and effect relationship between the
    tortious conduct and the injury.’” 
    Id. (quoting King,
    Causation, Valuation, and Chance in
    Personal Injury Torts Involving Preexisting Injuries and Future Consequences, 90 Yale L.J.
    1353, 1355 n.7 (1981)).
    -14-
    In this appeal the courts below found that Anderson County breached its duty to timely
    release Mr. King, and that Mr. King suffered injury as a result. Before this Court neither party
    disputes those findings.21 Similarly, neither side disputes that the failure to release Mr. King
    is the causation in fact of the injuries he clearly suffered. Thus, the “‘ultimate issue’” and
    decisive point of inquiry is proximate causation.22 McClenahan v. Cooley, 
    806 S.W.2d 767
    , 774-
    75 (Tenn. 1991).
    Proximate cause focuses upon “whether the policy of the law will extend responsibility
    for that negligent conduct to the consequences that have occurred.” 
    Kilpatrick, 868 S.W.2d at 598
    . As this Court has stated previously, “‘legal responsibility must be limited to those causes
    which are so closely connected with the result and are of such significance that the law is
    justified in imposing liability.’” 
    Id. (quoting Doe
    v. Linder Const. Co., Inc., 
    845 S.W.2d 173
    ,
    181 (Tenn. 1992)) and quoting Prosser and Keeton, The Law of Torts 264 (5th ed. 1984)).
    Proximate cause is the means by which courts determine where that boundary will lie. 
    Id. “Proximate cause
    puts a limit on the causal chain, such that, even though the plaintiff’s injury
    would not have happened but for the defendants’ breach, defendants will not be held liable for
    injuries that were not substantially caused by their conduct or were not reasonably foreseeable
    results of their conduct.” Hale v. Ostrow, 
    166 S.W.3d 713
    , 719 (Tenn. 2005) (citing Haynes v.
    Hamilton Cnty., 
    883 S.W.2d 606
    , 612 (Tenn. 1994)). “Proof of negligence without proof of
    causation is nothing.” Doe v. Linder Const. Co., 
    Inc., 845 S.W.2d at 181
    (quoting Drewry v.
    Cnty. of Obion, 
    619 S.W.2d 397
    , 398 (Tenn. Ct. App. 1981)).
    In Tennessee, courts use a three-pronged test to assess proximate cause:
    1) the tortfeasor’s conduct must have been a ‘substantial factor’ in bringing about
    the harm being complained of; and 2) there is no rule or policy that should relieve
    the wrongdoer from liability because of the manner in which the negligence has
    resulted in the harm; and 3) the harm giving rise to the action could have
    reasonably been foreseen or anticipated by a person of ordinary intelligence and
    prudence.
    Hale, 
    166 S.W.3d 713
    , 719 (citing 
    Haynes, 883 S.W.2d at 612
    ).
    21
    Anderson County’s Statement of Issue #1 is phrased in terms of the findings of both negligence
    and proximate cause, however, its entire argument addresses only the foreseeability prong of the proximate
    cause test.
    22
    Even if the parties agreed that a misclassification of Mr. King was the causation in fact of his
    injuries, our subsequent analysis of proximate causation and the outcome of our inquiry would be the same.
    -15-
    The first and second requirements of the proximate cause analysis have received little
    attention by the parties in this case; nevertheless, we will address briefly these components of
    the test.
    1. Substantial Factor
    The first requirement is that the defendant’s conduct be a “‘substantial factor’ in bringing
    about the harm complained of.” 
    Wilson, 397 S.W.3d at 558
    . Such determinations tend to be
    extremely fact dependent and are reviewed on a case-by-case basis. Here, as the trial court
    found, the behavior of both Mr. King and Anderson County were causes of the assault. There
    are “two causes for us being here today,” the judge concluded, “one is the direct action of Mr.
    King, one is the inaction of Terri McCloud as the pretrial release officer.” If Ms. McCloud had
    shown up “within two hours” after receiving Mr. King’s paperwork by 11:30 a.m. “and of
    course, if Mr. King hadn’t made his actions,” the incident would not have occurred. Given these
    findings, we cannot say that Anderson County’s actions were not a substantial factor in causing
    Mr. King’s injuries; the evidence does not preponderate against the trial court’s findings on this
    issue.
    2. Policy Considerations
    The second factor in the proximate cause analysis is whether there is any rule or policy
    consideration which should limit liability in situations of this nature. Proximate cause is the
    legal means of enforcing policy decisions limiting liability. Hale,166 S.W.3d at 718-19. As
    Tennessee courts have stated in the past, jails are not insurers of inmate safety, a rule that
    effectuates the courts’ understanding of Tennessee’s public policy. Gillespie v. Metro. Gov’t,
    No. 01A01-9109-CV-00317,
    1992 WL 9441
    , at *1 (Tenn. Ct. App. Jan. 24, 1992). See also
    Harvey v. Dickson Cnty., No. M2007-01793-COA-R3-CV, 
    2008 WL 2165958
    , at *1 (Tenn. Ct.
    App. Feb. 5, 2008); Kinningham v. State, No. M2001-00495-COA-R3-CV, 
    2001 WL 1089501
    ,
    at *2 (Tenn. Ct. App. Sept. 18, 2001); Hanks v. State, No. 02A01-9810-BC-00295,
    1999 WL 454459
    , at *3 (Tenn. Ct. App. July 2, 1999); Cockrum v. State, 
    843 S.W.2d 433
    , 438 (Tenn. Ct.
    App. 1992); See also Cupples v. State, 
    861 P.2d 1360
    , 1369 (Kan. Ct. App. 1993); Parker v.
    State, 
    282 So. 2d 483
    , 486 (La. 1973); Cooney v. Hooks, 
    535 N.W.2d 609
    , 611 (Minn. 1995);
    Butler ex rel. Biller v. Bayer, 
    168 P.3d 1055
    , 1064 (Nev. 2007); Sanchez v. State, 
    784 N.E.2d 675
    , 678 (N.Y. 2002); Harrison v. Ohio Dept. of Rehab. And Corr., 90 Ohio Misc.2d 32, 39 (Ct.
    of Cl. 1997); Saunders v. State, 
    446 A.2d 748
    , 751 (R.I. 1982). To hold otherwise would be to
    suggest that jails and prisons are in effect strictly liable for all inmate injuries incurred while in
    custody, a position that would be untenable in practice. See Butler ex rel. Biller , 168 P.3d at
    1064 (rejecting a conception of foreseeability that includes “constructive notice” of “unspecified
    potential violence”); 
    Sanchez, 784 N.E.2d at 685
    (Graffeo, J., dissenting) (arguing that the state
    “should be liable in tort only when it fails to appropriately address unreasonable risks of attack
    -16-
    of which it is or should be aware” in order to “avoid imposing insurer-like liability on the State
    for the criminal acts of inmates”). As the trial court found in this case, “jails are [] dangerous
    place[s],” and “fights can occur even if [inmates are] supervised and classified properly.” The
    Minnesota Supreme Court expressed the issue aptly when it observed that “[a]lthough society,
    including a person detained in jail, is entitled to expect vigilance on the part of the jailer to
    maintain order in the jail and to protect the detainee from assault, neither society nor the detainee
    is entitled to expect prescience.” Cooney, 
    535 N.W.2d 609
    , 612. Given the widespread
    recognition of the rule that jails cannot be insurers of inmate safety, the evidence preponderates
    against the trial court’s finding that the second prong of the proximate cause test is satisfied.
    3. Foreseeability
    The critical factor in distinguishing between vigilance and prescience is foreseeability,
    the third element in the proximate cause analysis. The primary focus of both parties in this case
    has been the issue of foreseeability in the context of the proximate cause test. Foreseeability is
    the crucial factor in the proximate cause test because, if the injury that gives rise to a negligence
    case could not have been reasonably foreseen, there is no proximate cause and thus no liability
    despite the existence of negligent conduct. Rathnow v. Knox Cnty., 
    209 S.W.3d 629
    , 633-34
    (Tenn. Ct. App. 2006) (citing Ray Carter, Inc. v. Edwards, 
    436 S.W.2d 864
    , 867 (Tenn. 1969)).
    “A risk is foreseeable if a reasonable person could foresee the probability of its occurrence or
    if the person was on notice that the likelihood of danger to the party to whom is owed a duty is
    probable.” Downs ex rel. Downs v. Bush, 
    263 S.W.3d 812
    , 820 (Tenn. 2008) (citing West v.
    E. Tenn. Pioneer Oil Co., 
    172 S.W.3d 545
    , 551 (Tenn. 2005)); Doe v. Linder Const. 
    Co., 845 S.W.2d at 178
    . However, “[t]he plaintiff must show that the injury was a reasonably foreseeable
    probability, not just a remote possibility.” 
    West, 172 S.W.3d at 551
    (citing Tedder v. Raskin,
    
    728 S.W.2d 343
    , 348 (Tenn. Ct. App. 1987)); 
    Doe, 845 S.W.2d at 178
    . Foreseeability must be
    determined as of the time of the acts or omissions claimed to be negligent. 
    Doe, 845 S.W.2d at 178
    .
    The Court of Appeals has held that an inmate-on-inmate assault should be viewed as
    foreseeable only if “the institution’s authorities knew of or had reason to anticipate an attack and
    did not use reasonable care to prevent it.” Gillespie, 
    1992 WL 9441
    , at *1. In other words, to
    establish the proximate causation necessary to prevail in a negligence action against a penal
    institution for an inmate-on-inmate assault, the institution must have “had prior notice of an
    attack.” Id.23 See e.g. Harvey, 
    2008 WL 2165958
    , at *1; Kinningham, 
    2001 WL 1089501
    , at *2;
    Hanks, 
    1999 WL 454459
    , at *3; see also 
    Saunders, 446 A.2d at 751
    (holding that the prior notice
    23
    The Court of Appeals in Gillespie cited Harris v. State, 
    297 A.2d 561
    , 563 (N.J. 1972), for the rule
    that prison officials would have to have “prior warning” or have been “made aware of any circumstances
    calling for special precautions on their part” to be liable for negligence in cases of inmate-on-inmate attacks.
    -17-
    rule is, in effect, a more specific application of the general rule of foreseeability, requiring, for
    example, knowledge that an inmate’s dangerous propensities were likely to lead to an attack on
    a specific victim or group of victims).
    For purposes of assessing a penal institution’s liability, prior notice can be actual or
    constructive. Such notice may arise from knowledge of specific threats to a specific inmate or
    group of inmates from another individual or group of individuals, or an inmate’s prior institutional
    history of violent–including self-destructive or suicidal–behavior, or any other specific information
    or conditions that would provide prison officials with actual or constructive notice of foreseeable
    harm to specific individuals or groups of persons. As the Supreme Court of Nevada has held more
    recently, “[h]arm is foreseeable when prison officials actually know that an inmate is at risk, that
    the attacking inmate is dangerous, or when prison officials otherwise have reason to anticipate the
    attack.” Butler ex. rel 
    Biller, 168 P.3d at 1058
    ; see also Cooney, 
    535 N.W.2d 609
    , 612; 
    Sanchez, 784 N.E.2d at 685
    (Graffeo, J., dissenting) (foreseeability defined by actual and constructive
    notice, including but not limited to knowledge that the victim was at risk of assault, the assailant
    was known to be dangerous, the State was aware of an attack but failed to intervene, prior attacks
    occurred regularly in a certain location in a facility, or the State received threats or was aware or
    should have been aware of unrest prior to a specific event that culminated in violence); 
    Harrison, 90 Ohio Misc. 2d at 40
    (holding no liability for negligence exists in a prison setting where there
    is no “adequate notice” of an impending assault, including “notice of an imminent threat of harm”
    to specific individuals). But see 
    Sanchez, 784 N.E.2d at 679-80
    (holding that constructive notice
    includes what the State “should have known–for example, from its knowledge of risks to a class
    of inmates based on the institution’s expertise or prior experience, or from its own policies and
    practices designed to address such risks”).
    As noted earlier, courts in Tennessee and in other jurisdictions have long and consistently
    held that as a matter of public policy, “penal institutions are not insurers of an inmate’s safety.”
    
    Cockrum, 843 S.W.2d at 438
    . See Harvey, 
    2008 WL 2165958
    , at *1; Kinningham, 
    2001 WL 1089501
    , at *2; Hanks, 
    1999 WL 454459
    , at *3; Gillespie, 
    1992 WL 9441
    , at *1; see also 
    Cupples, 861 P.2d at 1369
    ; 
    Parker, 282 So. 2d at 486
    ; 
    Cooney, 535 N.W.2d at 611
    ; Butler ex rel. 
    Biller, 168 P.3d at 1064
    ; 
    Sanchez, 784 N.E.2d at 678
    ; Harrison, 90 Ohio Misc.2d at 39; 
    Saunders, 446 A.2d at 751
    . Accordingly, the Court of Appeals has consistently held that where a governmental
    entity had no prior notice of an inmate-on-inmate attack, it could not be liable for a subsequent
    assault. In Gillespie, for example, the Court of Appeals found that the government was not liable
    because it could not foresee an attack where an inmate gave only “vague and unspecified” reasons
    for avoiding a fellow inmate who teased him; he made no request to be moved away from that
    inmate, and the other inmate had no institutional history of violent behavior. Gillespie, 
    1992 WL 9441
    , at *1, *3. In Harvey, the intermediate court found that no attack was foreseeable where the
    inmate-plaintiff had been incarcerated for twenty-three days prior to the assault without incident,
    had not previously considered his assailant to be a threat to his safety, had never told anyone that
    -18-
    he felt threatened by his attacker, and the attacker had no institutional history of violence. Harvey,
    
    2008 WL 2165958
    , at *4. Similarly, in Kinningham, the State was not liable where the inmate-
    plaintiff had been on friendly terms with his attacker and did not expect the sudden attack.
    Kinningham, 
    2001 WL 1089501
    , at *3. In Hanks, where the plaintiff was housed in a facility
    containing only minimum custody level inmates, the state could not have been on notice of any
    threat of harm where the plaintiff and his attacker had had verbal disagreements but never physical
    altercations, the plaintiff never complained about his attacker to prison officials or sought
    protective custody, and the assailant had no record of institutional violence. Hanks, 
    1999 WL 454459
    , at *1, *4.
    In this case, there is no evidence that Anderson County Detention Facility officials knew
    or should have known that Mr. King would become the victim of an attack by his cellmates after
    he was returned to his cell to await pretrial release. Mr. King had spent eight hours in the same
    cell, with the same detainees, during the previous night without incident, even though he had at
    that time informed his cellmates that drugs had been taken from him by police when he was
    arrested. He did not report any attempt to search him at that time, nor did Mr. King ever complain
    to prison authorities that he felt threatened by any of his cellmates. Mr. King’s alleged assailant,
    Mr. Paul, had no record of institutional violence, despite the fact that he had been in custody since
    July of that year. Although it is understandable that Mr. King would be upset about his delayed
    release, it was not foreseeable or probable that he would choose to curse or “[go] off” at a cellmate
    after returning to his cell, especially given his own admission that he had felt “scared” of his
    fellow inmates upon entering the cell for the first time. 
    West, 172 S.W.3d at 551
    . As the trial
    court itself observed, Mr. King was the victim of a “spur of the moment assault” of which no one
    had any notice.24 No prison official could have predicted the assault, especially given the lack of
    any incident or threat during Mr. King’s previous night in the same company. Because the record
    contains no proof that the prison officials knew of or had reason to anticipate an attack on Mr.
    King, we conclude that the evidence preponderates against the trial court’s finding of
    foreseeability and, therefore, that proximate cause cannot be established in this case.
    There is no doubt that Mr. King suffered serious injuries during his time in the Anderson
    County jail, and this Court in no way condones this painful, debilitating, and traumatizing attack.
    Even so, we are compelled to follow the logic of the law in assessing liability. Thus, we must
    conclude that although the assault upon Mr. King was a possibility, given that penal institutions
    house dangerous people convicted or charged with crimes, sometimes extremely serious or violent
    crimes, the evidence in the record preponderates against the finding that the assault was a
    reasonably foreseeable probability, which is the standard for assessing proximate cause necessary
    24
    The trial court’s finding that the assault on Mr. King was a “spur of the moment” event is
    applicable to all aspects of our analysis of this case, as the trial court did not indicate that this finding was
    restricted to any one issue.
    -19-
    to impose liability in a negligence case. Because the evidence preponderates against the trial
    court’s findings regarding the second and third prongs of the proximate cause analysis, Mr. King
    has not proven proximate cause, and the judgment in his favor must be reversed.
    B. Damages
    Our holding that Anderson County cannot be held liable for the injury to Mr. King
    pretermits Anderson County’s appeal of the trial court’s and Court of Appeals’ holdings regarding
    apportionment of fault. However, our holding in no way absolves Anderson County of its
    statutory responsibility to pay for the medical bills Mr. King incurred as a result of the injuries
    he suffered while in custody. See Tenn. Code Ann. § 41-4-115(a). That obligation remains.
    IV. Conclusion
    The evidence preponderates against the trial court’s and Court of Appeals’ finding that
    Anderson County’s negligence was the proximate cause of Mr. King’s injuries, and therefore their
    finding is reversed. Because the jail had no prior notice that an attack on Mr. King was a
    reasonably foreseeable probability, Anderson County is not liable. Accordingly, the judgment of
    the Court of Appeals is reversed, and the case is remanded to the trial court for dismissal. The trial
    court’s order directing Anderson County to pay all of the medical bills Mr. King incurred as a
    result of this incident as required by statute is affirmed.
    In the interests of justice, the costs of this cause are taxed to Defendant, Anderson County,
    for which execution may issue if necessary.
    _________________________________
    CORNELIA A. CLARK, JUSTICE
    -20-