07/27/2017

IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE

AT KNOXVILLE

February 22, 2017 Session

STATE OF TENNESSEE v. CHARLES EDWARD DAY

Appeal from the Circuit Court for Anderson County

No. B2C00571 Donald R. Elledge, Judge

No. E2016-00632-CCA-R3-CD

The defendant, Charles Edward Day, appeals his Anderson County Circuit Court jury 

conviction of reckless aggravated assault, claiming that the trial court erred by admitting 

certain evidence at trial, that the State committed prosecutorial misconduct during closing 

argument, that the evidence was insufficient to support his conviction, that the sentence 

imposed was excessive, and that the cumulative effect of these errors prevented him from 

receiving a fair trial. Discerning no error, we affirm.

Tenn. R. App. P. 3; Judgment of the Circuit Court Affirmed

JAMES CURWOOD WITT, JR., J., delivered the opinion of the court, in which NORMA 

MCGEE OGLE and ROBERT H. MONTGOMERY,JR., JJ., joined.

Tom Marshall, Assistant District Public Defender, for the appellant, Charles Edward 

Day.

Herbert H. Slatery III, Attorney General and Reporter; Nicholas W. Spangler, Assistant 

Attorney General; Dave S. Clark, District Attorney General; and Anthony Craighead, 

Assistant District Attorney General, for the appellee, State of Tennessee.

OPINION

The Anderson County Grand Jury charged the defendant with one count of 

the aggravated assault of the victim, Toni Roberts. The trial court conducted a jury trial 

in March 2015.

The State’s proof at trial established that the victim was working as a 

registered nurse in the Intensive Care Unit (“ICU”) of Methodist Medical Center

(“MMC”) on the night of June 8, 2012. On that date, the defendant was an ICU patient at 

MMC. At some point that evening, the victim saw the defendant loudly arguing with his 
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ICU nurse, Alexander Pierce; the victim was unsure, but she believed that the defendant 

was wearing restraints during the argument. Mr. Pierce recalled that the defendant had

experienced periods of agitation and restlessness earlier in the evening. Shortly before 

midnight, the victim observed the defendant standing by his hospital bed and attempting 

to free himself from his wrist restraints. The victim informed Mr. Pierce of the situation, 

and Mr. Pierce entered the defendant’s hospital room to instruct the defendant to return to 

the bed. Mr. Pierce testified that, despite the defendant’s agitation, the two were still able 

to communicate clearly, and he stated that the defendant understood the directions he was 

given. During this time period, the victim “heard some commotion and some cussing and 

some struggling,” and she and other nurses, including Katherine McDowell, entered the 

room to assist. Ms. McDowell recalled that the defendant was behaving “[v]ery 

aggressive[ly].”

Because the defendant had managed to position his entire body near the 

foot of the bed, Mr. Pierce and Ms. McDowell attempted to reposition the defendant 

while the victim stood at the foot of the bed as “backup.” The defendant was “cussing, 

threatening, [and] saying obnoxious things to everyone” during this process. As soon as 

the defendant’s wrist restraints were removed to reposition him, the defendant, while 

jerking his arms back and forth, lifted his legs, looked the victim “dead in the eye,” and 

kicked her below her chin. Both Mr. Pierce and Ms. McDowell witnessed the 

defendant’s kicking the victim in the face. The force of the impact caused the victim’s 

body to go airborne, and she landed on her left side 15 to 20 feet away near the nurses’ 

station. She immediately experienced “excruciating pain” in her hip, pelvic area, and 

legs before her legs “went numb.” At that point, she believed that she was paralyzed. 

Unable to stand, she was transferred to a wheelchair and taken to the emergency 

department. The victim saw a specialist for her injuries and was out of work for four 

months before returning on light duty for two months. 

Mr. Pierce confirmed that ankle restraints were not placed on the defendant 

until after he had kicked the victim, and Ms. McDowell testified that she overheard the 

defendant say that he “wasn’t meaning to kick [the victim]” but he “was trying to kick 

that big guy.” 

Officer Max Smith testified that, on June 9, 2012, he was working for the 

Oak Ridge Police Department when he was dispatched to MMC shortly after midnight to 

investigate an assault. Officer Smith observed the victim in the emergency department 

and saw that she was “physically shaken” and “emotionally disturbed.” When Officer 

Smith visited the defendant in his ICU room, he asked the defendant what had happened, 

and the defendant responded that “he had done something bad,” that he “thought it was a 

man and not a woman,” and that “he hope[d] she’s okay.” Officer Smith testified that the 

defendant seemed “sleepy” but that he had no trouble communicating with him. On cross 
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examination, Officer Smith conceded that he saw no visible physical injuries to the 

victim.

Doctor Michael O’Brien, an orthopedic surgeon, testified as an expert 

witness in the field of orthopedic surgery and orthopedics. Doctor O’Brien treated the 

victim following her injury and ordered two magnetic resonance imaging (“MRI”) tests. 

His review of the MRIs revealed that the victim’s pelvis was broken in three places and 

that her abductor tendon was torn. Doctor O’Brien stated that such injuries are “usually 

quite painful” and cause difficulty in walking and sleeping. With respect to her recovery 

time, Doctor O’Brien testified that the victim’s bones had healed by December 2012 but 

that she was still experiencing residual pain. Doctor O’Brien described the injury as 

“serious” and stated that it was “consistent” with the victim’s description of the 

defendant’s assault. Doctor O’Brien conceded that the victim was suffering from 

osteoporosis at the time of her injury, which would cause her to be more susceptible to 

broken bones, but he stated that the osteoporosis would not have slowed the victim’s 

healing process and would likely not have contributed to the victim’s torn tendon.

With this evidence, the State rested. Following the trial court’s denial of 

the defendant’s motion for judgment of acquittal and a Momon colloquy, the defendant 

elected to testify and to put on proof.

Diane Day, the defendant’s mother, testified that the defendant was taken to 

a Loudon County hospital in June 2012 following “an overdose” and that he was later 

transferred to the ICU at MMC. Ms. Day was “pretty sure” that she had visited the 

defendant on June 8 at 3:30 p.m. and that he was “not himself.” When Ms. Day asked the 

defendant what he was doing that day, the defendant had responded that he was “just 

shopping here at Walmart picking up a few things for the girls.” Ms. Day also believed 

that, based on his behavior, the defendant did not recognize her or other family members 

who visited him that day. 

Sharon McClain, the defendant’s fiancée, testified that she visited the 

defendant at 5:30 p.m. on June 8 and that he did not appear to recognize her. 

The defendant testified that he had overdosed on Seroquel and Vicoplin. 

The defendant clarified that he had been prescribed Vicoplin but not Seroquel. The 

defendant testified that he recalled taking both medications and “walking over to the 

garbage can” on June 3 and that he recalled nothing until he awoke in the hospital on 

June 11. The defendant remembered nothing about his time in the ICU and did not recall 

kicking the victim. The defendant stated that he “was shocked” and “felt bad” when he 

learned what he had done because he “[doesn’t] act like that.”
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Doctor Edgar Diaz, a hospitalist with MMC and Roane Medical Center, 

testified as an expert witness in the field of internal medicine and hospital medicine. 

Doctor Diaz first encountered the defendant on June 10 when the defendant was moved 

out of ICU to a regular hospital room. Doctor Diaz diagnosed the defendant as suffering 

from acute encephalopathy, which he defined as confusion or a lack of orientation “to 

self, to what time it is, to what day it is.” To treat the defendant, Doctor Diaz prescribed 

Librium, a sedative typically used “to alleviate withdrawal symptoms,” and Dilantin, an 

anti-seizure medication. Doctor Diaz discharged the defendant “two or three days” later, 

deeming him medically able to return home. 

On cross-examination, Doctor Diaz acknowledged that the defendant’s 

discharge summary from Loudon Medical Center indicated that the defendant’s urine 

screen was positive for cocaine, marijuana, and opiates. Doctor Diaz agreed that the 

MMC discharge summary stated that the discharging physician “‘after a thorough 

evaluation of patient and patient’s history, did concur that the patient’s symptomatology 

was most likely secondary to poly substance abuse, slash, overdose, slash, withdrawal.’” 

Doctor Diaz agreed that the summary indicated that the defendant’s medical issues were 

due in part to an overdose and withdrawal from narcotics.

On redirect examination, Doctor Diaz stated that Seroquel was an antipsychotic medication primarily used to treat bipolar disorder and that the defendant 

suffered from bipolar disorder. With respect to the symptoms of withdrawal following an 

overdose of Seroquel, Doctor Diaz opined that patients could be “very agitated, their 

heart rate can be high, [and] blood pressure would be high.” Doctor Diaz also agreed that 

a patient experiencing withdrawal symptoms typically would be “resistant and hostile and 

combative” prior to receiving sedatives. 

Based on this evidence, the jury convicted the defendant of the lesser 

included offense of reckless aggravated assault. Following a sentencing hearing, the trial 

court sentenced the defendant as a standard offender to a term of four years’ 

incarceration. Following the denial of his timely motion for new trial, the defendant filed 

a timely notice of appeal.

In this appeal, the defendant contends that the trial court erred by admitting 

certain evidence at trial, that the State committed prosecutorial misconduct during closing 

argument, that the evidence was insufficient to support his conviction, that the sentence 

imposed was excessive, and that the cumulative effect of these errors prevented him from 

receiving a fair trial. We will address each issue in turn.
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I. Admission of Witness Testimony

The defendant first contends that the trial court erred by permitting Doctor 

Diaz to testify about the defendant’s prior illegal drug use. 

Outside the presence of the jury, the prosecutor questioned Doctor Diaz 

about the notes in his discharge summary, which indicated that the defendant’s urine 

screen, upon his admission to MMC, was positive for cocaine, carotenoids, and opiates. 

Doctor Diaz confirmed that his evaluation of the defendant’s history convinced him that 

the defendant’s “symptomatology . . . was likely secondary to the poly substance abuse, 

overdose and withdrawal.” At the conclusion of this testimony, the prosecutor argued 

that this testimony should come before the jury both as evidence of the defendant’s 

voluntary intoxication and his lack of credibility in that he had failed to mention having 

taken cocaine and marijuana prior to his June 3 overdose. Defense counsel responded 

that such testimony was improper evidence of prior bad acts under Tennessee Rule of 

Evidence 404(b). The trial court ruled as follows:

[The defendant] said he took two medications; one with 

prescription and one without. Nowhere did he mention 

[c]ocaine or cannabis, nowhere. And, to me, especially when 

he’s up here and we have testimony of statements that he has 

made that he didn’t mean to kick the woman, he was trying to 

kick the man and the knowledge. And then when he testifies 

that he doesn’t remember anything about this and he testifies 

that he had a prescription for one of these drugs and said that 

to the trier of fact and just happens to omit the fact that he 

says [c]ocaine and cannabis. I think that strongly goes to the 

issue of credibility. Strongly goes to the issue. Because the 

witnesses that we have in support of him [are] his mother and 

his fiancé[e]. And the jury will take whatever decision that 

they believe is appropriate based upon the relationship that 

they have and their own ability to observe their testimony and 

how they testify and what they said. But specifically as it 

pertains to the defendant, what he testified to this [c]ourt is 

inconsistent with what his medical records show, by his own 

expert. 

. . . .

The drugs that [the defendant] testified he took I didn’t 

even hear mentioned from your expert. I didn’t hear him 
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mention either of those drugs that he said he had and one of 

which he said he had a prescription for. So there’s a huge 

issue of credibility that I think is important for the jury. I

really do. I will overrule your objection. I will allow the 

questions as asked. It bothers the [c]ourt because it boils 

down to an issue of credibility with the jury. What your 

client has said under oath as the defendant, his mother and his 

fiancée. And whether he did or didn’t remember anything, 

whether he knew or didn’t know what he was doing. And 

when he testifies, yeah, I took this and that’s the last thing I 

remember. And didn’t even mention any of these drugs and 

the doctor hasn’t even mentioned any of the two that he 

testified to. That bothers the [c]ourt. So it’s his day in court, 

it’s his expert witness. 

When the jury returned to the courtroom, Doctor Diaz testified as he had during the juryout hearing. 

On appeal, the defendant argues that this prior bad act evidence was 

admissible through one of two avenues, either through Tennessee Rule of Evidence 

608(b) or Rule 404(b), and that the evidence at issue did not qualify for admission under 

either rule.1 The State responds that the evidence was properly admitted for 

impeachment under Rule 608(b) and that, in any event, the evidence at issue was 

probative of the defendant’s motive and intent under Rule 404(b).

 

1

In circumscribing the issue of admitting the testimony in question, the defendant did not mention 

fact contradiction as a theory for admission, and the State did not advance such a theory in support of 

admission. We note, however, that the trial court articulated the defendant’s credibility as the target for

Doctor Diaz’s testimony. The court’s language bespeaks contradiction of fact as the operative 

mechanism for impeachment of the defendant. “Through fact contradiction, a cross-examining party 

inquires about facts that conflict with the witness’s testimony to show indirectly that the witness is 

untruthful.” State v. Jeremy Sims and Sherry Brookshire, No. W2013-01253-CCA-R3-CD, slip op. at 20

(Tenn. Crim. App., Jackson, Sept. 25, 2015). Fact contradiction is a long-standing impeachment device 

that is indigenous to cross-examination and enjoys implied currency in our rules of evidence; it emanates

simply from the power to attack a witness’s credibility as expressed in Tennessee Rule of Evidence 607. 

Id.; see Neil P. Cohen et al., Tennessee Law of Evidence § 6.07[4][a] (6th ed. 2011). An obvious 

problem in using a fact-contradiction theory is that the defendant did not testify that he did not use 

cocaine or marijuana prior to the overdose on June 3; rather, the trial court was bothered merely by the 

defendant’s failure to acknowledge this drug usage. The trial court apparently believed that evidence of 

this drug usage contradicted the defendant’s omission of fact. We are not convinced that this situation 

justified admission of the evidence as a matter of fact contradiction. At any rate, this avenue to 

impeachment was not raised by the parties on appeal, and we determine that any such claim is waived.
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Tennessee Rule of Evidence 404(b) provides that “[e]vidence of other 

crimes, wrongs, or acts is not admissible to prove the character of a person in order to 

show action in conformity with the character trait.” The rationale underlying the general 

rule is that admission of such evidence carries with it the inherent risk of the jury’s 

convicting the defendant of a crime based upon his bad character or propensity to commit 

a crime, rather than upon the strength of the evidence. State v. Thacker, 164 S.W.3d 208, 

239 (Tenn. 2005). 

Notwithstanding the general rule, evidence of a defendant’s prior crimes, 

wrongs, or acts may be admissible when it is probative of material issues other than 

conduct conforming with a character trait. Tenn. R. Evid. 404(b). Thus, evidence of a 

defendant’s character may become admissible for “other purposes,” such as proving 

identity, criminal intent, or rebuttal of accident or mistake. Id.; Thacker, 164 S.W.3d at 

239. To admit such evidence, the rule specifies four prerequisites:

(1) The court upon request must hold a hearing outside the 

jury’s presence;

(2) The court must determine whether that a material issue 

exists other than conduct conforming with a character trait 

and must upon request state on the record the material issue, 

the ruling, and the reasons for admitting the evidence; 

(3) The court must find proof of the other crime, wrong, or 

act to be clear and convincing; and

(4) The court must exclude the evidence if its probative value 

is outweighed by the danger of unfair prejudice.

Tenn. R. Evid. 404(b).

In reviewing a trial court’s decision to admit or exclude evidence under 

Rule 404, an appellate court may disturb the trial court’s ruling only if there has been an 

abuse of discretion. Thacker, 164 S.W.3d at 240. The trial court’s determination is 

entitled to deference when it has substantially complied with the procedural requisites of 

Rule 404(b). See State v. DuBose, 953 S.W.2d 649,652 (Tenn. 1997). If, however, the 

strict requirements of the rule are not substantially observed, the reviewing court gives 

the trial court’s decision no deference. Id.

Tennessee Rule of Evidence 608 provides, in pertinent part, as follows:
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Specific instances of conduct of a witness for the purpose of 

attacking or supporting the witness’s character for 

truthfulness, other than convictions of crime as provided in 

Rule 609, may not be proved by extrinsic evidence. They 

may, however, if probative of truthfulness or untruthfulness 

and under the following conditions, be inquired into on crossexamination of the witness concerning the witness’s character 

for truthfulness or untruthfulness or concerning the character 

for truthfulness or untruthfulness of another witness as to 

which the character witness being cross-examined has 

testified. The conditions which must be satisfied before 

allowing inquiry on cross-examination about such conduct

probative solely of truthfulness or untruthfulness are:

(1) The court upon request must hold a hearing outside the 

jury’s presence and must determine that the alleged conduct 

has probative value and that a reasonable factual basis exists 

for the inquiry;

(2) The conduct must have occurred no more than ten years 

before commencement of the action or prosecution, but 

evidence of a specific instance of conduct not qualifying 

under this paragraph (2) is admissible if the proponent gives 

to the adverse party sufficient advance notice of intent to use 

such evidence to provide the adverse party with a fair 

opportunity to contest the use of such evidence and the court 

determines in the interests of justice that the probative value 

of that evidence, supported by specific facts and 

circumstances, substantially outweighs its prejudicial effect; 

and 

(3) If the witness to be impeached is the accused in a criminal 

prosecution, the State must give the accused reasonable 

written notice of the impeaching conduct before trial, and the 

court upon request must determine that the conduct’s 

probative value on credibility outweighs its unfair prejudicial 

effect on the substantive issues. The court may rule on the 

admissibility of such proof prior to the trial but in any event 

shall rule prior to the testimony of the accused. If the court 

makes a final determination that such proof is admissible for 

impeachment purposes, the accused need not actually testify 
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at the trial to later challenge the propriety of the 

determination.

The giving of testimony, whether by an accused or by 

any other witness, does not operate as a waiver of the 

witness’s privilege against self-incrimination when examined 

with respect to matters which relate only to character for 

truthfulness.

Tenn. R. Evid. 608(b).

In the instant case, the trial court, although finding that the evidence of the 

defendant’s use of cocaine and marijuana prior to his June 3 overdose was admissible on 

the issue of credibility, failed to find that the probative value of the evidence outweighed 

the danger of unfair prejudice. Moreover, the State failed to give the defendant pretrial 

written notice of its intent to use the evidence, and the issue was not, as required by Rule 

608, addressed “prior to the testimony of the accused.” Tenn. R. Evid. 608(b)(3). In fact, 

the defendant was never asked if he had taken any additional drugs prior to his June 3 

overdose. Finally, and perhaps most importantly, extrinsic evidence of the defendant’s 

drug use offered through the testimony of Doctor Diaz was clearly inadmissible under 

Rule 608. Because the conditions of Rule 608 were not satisfied, the evidence of the 

defendant’s cocaine and marijuana use was not properly admitted as impeachment 

evidence under that rule. 

With respect to admission of the drug evidence under Rule 404(b),

credibility is not one of the identified “other purposes” in the rule. See Tenn. R. Evid. 

404(b); Thacker, 164 S.W.3d at 239-40. Furthermore, the trial court failed to make the 

requisite finding that the evidence of the defendant’s illegal drug use was “clear and 

convincing.” Tenn. R. Evid. 404(b)(3). The requirements of Rule 404(b), like those of 

Rule 608(b), were therefore not substantially observed, and the trial court abused its 

discretion in admitting into evidence Doctor Diaz’s testimony regarding the presence of 

cocaine and marijuana in the defendant’s system.

That said, considering the defendant’s claim of voluntary intoxication and 

lack of awareness or memory of inflicting the assault, the admission of this evidence of 

additional drug use was just as likely to have influenced the jury’s decision to convict the 

defendant of the lesser included offense of reckless aggravated assault, and given the 

substantial proof of the defendant’s guilt, as will be discussed more fully herein, any error 

attendant to the admission of this evidence was harmless. See Tenn. R. App. P. 36(b).
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II. Prosecutorial Misconduct

The defendant next contends that the prosecutor committed misconduct 

during closing argument by stating that an acquittal of the defendant “would have the 

effect of shutting the courtroom down.” The State responds that the prosecutor was 

simply “emphasiz[ing] the self-serving and flimsy quality of the defendant’s claim of 

memory loss.” 

During closing argument, the prosecutor made the following statements:

You know, just because [the defendant] doesn’t remember 

doesn’t mean that he’s not guilty. If the defense of “I don’t 

remember” was a good defense, we could shut this courtroom 

down because from this day forward it’s “I just don’t 

remember.” That’s not a defense. The defense is what 

happened and what was the proof.

At that point, defense counsel requested a bench conference, whereupon he objected to 

the prosecutor’s use of the phrase “shut this courtroom down.” The prosecutor responded 

that he was merely arguing that such a lack of memory in defendants “would mitigate the 

entire justice system.” The trial court noted but overruled the defendant’s objection, and 

closing arguments continued without further objection.

Despite the discretion afforded trial courts in determining the propriety of 

closing argument, judges must nevertheless take care to restrict improper argument. State 

v. Hill, 333 S.W.3d 106, 130-31 (Tenn. Crim. App. 2010) (citing Sparks v. State, 563 

S.W.2d 564, 569-70 (Tenn. Crim. App. 1978)). Because of the State’s unique role in a 

criminal case, the State, in particular, “must refrain from argument designed to inflame 

the jury and should restrict its commentary to matters in evidence or issues at trial.” Hill, 

333 S.W.3d at 131. We have consistently held that closing argument for both parties 

“‘must be temperate, must be predicated on evidence introduced during the trial of the 

case, and must be pertinent to the issues being tried.’” Id. (quoting State v. Sutton, 562 

S.W.2d 820, 823 (Tenn. 1978)). Even inappropriate closing argument will not warrant a 

new trial unless it was so inflammatory or improper as to affect the verdict. Hill, 333 

S.W.2d at 131 (quoting Harrington v. State, 385 S.W.2d 758, 759 (1965)). An appellate 

court considering the propriety of closing argument examines the following factors:

(1) The conduct complained of viewed in the context and in 

light of the facts and circumstances of the case[;]

(2) [t]he curative measures undertaken by the court and the 
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prosecution[;]

(3) [t]he intent of the prosecutor in making the improper 

statements[;]

(4) [t]he cumulative effect of the improper conduct and any 

other errors in the record [; and]

(5) [t]he relative strength or weakness of the case.

Judge v. State, 539 S.W.2d 340, 344 (Tenn. Crim. App. 1976). 

Applying these factors to the instant case, we conclude that, in viewing the 

conduct of the prosecutor in the context of the closing arguments, the prosecutor was not, 

as advanced by the defendant, improperly “injecting issues broader than the guilt or 

innocence of the accused under the controlling law,” see State v. Goltz, 111 S.W.3d 1, 6 

(Tenn. Crim. App. 2003); rather, the prosecutor was simply commenting on the lack of 

weight that a defense based on lack of memory carries. With respect to curative 

measures, the trial court overruled the defendant’s objection, finding that the prosecutor’s 

argument was not inappropriate, thus obviating any need for curative measures, and the 

prosecutor made no further references to the defendant’s lack of memory. The third 

factor, that of the prosecutor’s intent, weighs in favor of the State. We discern no malice 

in the prosecutor’s statements. The cumulative effect of the conduct was fleeting. 

Finally, when viewing the prosecutor’s statement against the strength of the case, we 

conclude that the evidence against the defendant was extremely strong and that the issue 

forming the basis of the defendant’s complaint was not a central part of the defense.

Taking all of these factors together, we find that the defendant has failed to 

demonstrate that the prosecutor engaged in any misconduct.

III. Sufficiency

Next, the defendant asserts that the evidence adduced at trial is insufficient 

to support his conviction of reckless aggravated assault. We disagree.

We review the defendant’s claim of insufficient evidence mindful that our 

standard of review is whether, after considering the evidence in the light most favorable 

to the prosecution, any rational trier of fact could have found the essential elements of the 

crime beyond a reasonable doubt. Tenn. R. App. P. 13(e); Jackson v. Virginia, 443 U.S. 

307, 319 (1979); State v. Winters, 137 S.W.3d 641, 654 (Tenn. Crim. App. 2003). This 

standard applies to findings of guilt based upon direct evidence, circumstantial evidence, 
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or a combination of direct and circumstantial evidence. State v. Dorantes, 331 S.W.3d 

370, 379 (Tenn. 2011).

When examining the sufficiency of the evidence, this court should neither 

re-weigh the evidence nor substitute its inferences for those drawn by the trier of fact. Id. 

Questions concerning the credibility of the witnesses, the weight and value of the 

evidence, as well as all factual issues raised by the evidence are resolved by the trier of 

fact. State v. Cabbage, 571 S.W.2d 832, 835 (Tenn. 1978). Significantly, this court must 

afford the State the strongest legitimate view of the evidence contained in the record as 

well as all reasonable and legitimate inferences which may be drawn from the evidence. 

Id.

“A person commits aggravated assault who . . . [r]ecklessly commits an 

assault as defined in § 39-13-101(a)(1), and the assault . . . [r]esults in serious bodily 

injury to another.” T.C.A. § 39-13-102(a)(1)(B)(i). Code section 39-13-101(a)(1) 

provides that a “person commits assault who . . . [i]ntentionally, knowingly or recklessly 

causes bodily injury to another.” Id. § 39-13-101(a)(1). “Serious bodily injury” includes 

“bodily injury that involves . . . [e]xtreme physical pain . . . [or] . . . [p]rotracted loss or 

substantial impairment of a function of a bodily member.” Id. § 39-11-106(a)(34)(C), 

(E). Finally, “reckless” is defined as follows:

[A] person acts recklessly with respect to circumstances 

surrounding the conduct or the result of the conduct when the 

person is aware of, but consciously disregards a substantial 

and unjustifiable risk that the circumstances exist or the result 

will occur. The risk must be of such a nature and degree that 

its disregard constitutes a gross deviation from the standard of 

care that an ordinary person would exercise under all the 

circumstances as viewed from the accused person’s 

standpoint.

Id. § 39-11-106(a)(31).

Here, the proof adduced at trial established that the defendant, while being 

repositioned in his hospital bed, looked the victim directly in the eye, lifted both legs, and 

kicked her beneath her chin. The force of the impact caused the victim to go airborne and 

land on the floor outside the defendant’s hospital room. The victim immediately felt 

“excruciating pain” and initially believed she had been paralyzed. Doctor O’Brien 

testified that the victim had broken her pelvis in three places and had torn her abductor 

tendon, injuries which are “usually quite painful.” The victim was out of work for four 

months before returning to light duty for two months. Both Ms. McDowell and Officer 
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Smith testified that the defendant had stated that he had intended to kick the male nurse 

rather than the victim. Although the defendant denied remembering anything that had 

occurred during his time in the ICU, such matters of witness credibility and evidentiary 

weight are within the exclusive province of the trier of fact, and this court will not 

reweigh such evidence. See Dorantes, 331 S.W.3d at 379.

Viewing this evidence in the light most favorable to the prosecution, we 

hold that the evidence adduced at trial sufficiently established that the defendant was 

aware of but consciously disregarded the substantial and unjustifiable risk that the victim 

would be seriously injured. Accordingly, the evidence strongly supports the defendant’s 

conviction of the lesser included offense of reckless aggravated assault. 

IV. Sentencing

Next, the defendant contends that the trial court abused its discretion by

imposing the maximum available sentence. Again, we disagree.

Our standard of review of the trial court’s sentencing determinations in this 

case is whether the trial court abused its discretion, but we apply a “presumption of 

reasonableness to within-range sentencing decisions that reflect a proper application of 

the purposes and principles of our Sentencing Act.” State v. Bise, 380 S.W.3d 682, 707 

(Tenn. 2012). The application of the purposes and principles of sentencing involves a 

consideration of “[t]he potential or lack of potential for the rehabilitation or treatment of 

the defendant . . . in determining the sentence alternative or length of a term to be 

imposed.” T.C.A. § 40-35-103(5). Trial courts are “required under the 2005 

amendments to ‘place on the record, either orally or in writing, what enhancement or 

mitigating factors were considered, if any, as well as the reasons for the sentence, in order 

to ensure fair and consistent sentencing.’” Bise, 380 S.W.3d at 706 n.41 (citing T.C.A. § 

40-35-210(e)). Under the holding in Bise, “[a] sentence should be upheld so long as it is 

within the appropriate range and the record demonstrates that the sentence is otherwise in 

compliance with the purposes and principles listed by statute.” Id. at 709.

The imposition of a four-year sentence in this case mandated the trial 

court’s consideration of probation as a sentencing option. See T.C.A. § 40-35-303(a), 

(b). Traditionally, the defendant has borne the burden of establishing his “suitability for 

full probation.” State v. Mounger, 7 S.W.3d 70, 78 (Tenn. Crim. App. 1999); see T.C.A. 

§ 40-35-303(b). Such a showing required the defendant to demonstrate that full 

probation would “‘subserve the ends of justice and the best interest[s] of both the public

and the defendant.’” State v. Dykes, 803 S.W.2d 250, 259 (Tenn. Crim. App. 1990) 

(quoting Hooper v. State, 297 S.W.2d 78, 81 (Tenn. 1956)), overruled on other grounds 

by State v Hooper, 29 S.W.3d 1, 9-10 (Tenn. 2000). The supreme court later expanded 
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the holding in Bise to the trial court’s decision regarding probation eligibility, ruling “that 

the abuse of discretion standard, accompanied by a presumption of reasonableness, 

applies to within-range sentences that reflect a decision based upon the purposes and 

principles of sentencing, including the questions related to probation or any other 

alternative sentence.” State v. Caudle, 388 S.W.3d 273, 278-79 (Tenn. 2012).

When a trial court orders confinement and therefore rejects any form of 

alternative sentencing such as probation, split confinement, or periodic confinement, it 

must base the decision to confine the defendant upon the considerations set forth in Code 

section 40-35-103(1), which provides:

(1) Sentences involving confinement should be based on the 

following considerations:

(A) Confinement is necessary to protect society by restraining 

a defendant who has a long history of criminal conduct;

(B) Confinement is necessary to avoid depreciating the 

seriousness of the offense or confinement is particularly 

suited to provide an effective deterrence to others likely to 

commit similar offenses; or

(C) Measures less restrictive than confinement have 

frequently or recently been applied unsuccessfully to the 

defendant; . . . .

Id.

At the conclusion of the sentencing hearing, the trial court issued its ruling 

from the bench, basing its decision on consideration of the evidence adduced at trial and 

at the sentencing hearing, the presentence report, evidence of enhancing and mitigating 

factors, and the defendant’s potential for rehabilitation. The court determined that only 

one mitigating factor applied: “that the defendant, though guilty, committed the offense 

under such unusual circumstances that it was unlikely that a sustained intent to violate the 

law motivated the criminal conduct.” See T.C.A. § 40-35-113(11). The court, however, 

gave this mitigating factor “very little weight.” With respect to enhancement factors, the 

court found that the defendant had a previous history of criminal convictions and 

appeared to find that the defendant had previously failed to comply with the conditions of 

a sentence involving release into the community. See T.C.A. § 40-35-114(1), (8). The 

court emphasized that the defendant’s criminal history indicated that he would “not 

follow state law” or “[c]ourt orders.” Because the trial court considered all relevant 
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principles associated with sentencing, no error attends the imposition of this within-range 

sentence.

With respect to the defendant’s desire for probation, the court stated that the 

defendant had “the most convictions that” the court had ever seen “for a defendant asking 

for probation.” Although the trial court counted 22 convictions in the defendant’s 

criminal history, we find a total of 19 prior convictions, including two prior violations of 

probation, spanning nearly 25 years and beginning when the defendant was 18 years of 

age. The trial court also noted that the defendant had violated his probation and served 

90 days in jail during the time period in which he was released on bond in the present 

case pending trial. The trial court further found that the defendant “either cannot comply 

with the order[s] of the [c]ourt or will not comply with the orders of the [c]ourt” and that, 

as a result, the defendant is “a threat to society.” Given the defendant’s lengthy criminal 

history and the court’s concerns about the defendant’s failure to comply with court 

orders, the trial court did not abuse its discretion by ordering a fully-incarcerative 

sentence. 

V. Cumulative Error

Finally, the defendant contends that the cumulative effect of the errors at 

trial deprived him of the right to a fair trial. Having considered each of the defendant’s 

issues on appeal and having found nonreversible error in only one issue with no other 

existing errors to compound it, we need not consider the cumulative effect of the alleged 

errors. State v. Hester, 324 S.W.3d 1, 77 (Tenn. 2010) (“To warrant assessment under 

the cumulative error doctrine, there must have been more than one actual error 

committed.”).

Conclusion

Based upon the foregoing analysis, we affirm the judgment of the trial 

court.

 _________________________________ 

 JAMES CURWOOD WITT, JR., JUDGE