Professional Documents
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Bradley County Lawsuit
Bradley County Lawsuit
COMPLAINT
COMES the Plaintiff, by and through undersigned counsel, and herein files the following
claim for damages and relief against Bradley County, Tennessee, Quality Correctional Health
Page 1 of 19
This case presents federal questions arising from the Eighth and Fourteenth Amendments
to the United States Constitution, thus providing this federal district court with original
jurisdiction pursuant to 28 U.S.C. 1331 and U.S.C. 1343. As the alleged acts and omissions
occurred solely in Bradley County, Tennessee, venue is proper in this court, whose district
includes Bradley County. Alexis Z. Pope is a resident of Polk County, Tennessee, and is the
II
For the purposes of this case, Quality Correctional Health Care (hereinafter referred to as
"QCHC") is a business entity without either an agent for service of process in Tennessee or any
Bradley County business license. Upon information and belief, QCHC has no agent for service
of process in Alabama; yet, QCHC has a major corporate presence in Birmingham, Alabama,
III
For the purposes of this case, QCHC has at all times acted under color of law inasmuch
as it has contracted with Bradley County, Tennessee to undertake what is traditionally a core
municipal function, to wit, the provision of health care to inmates who have no means of exiting
IV
Thus, QCHC, as well as Bradley County, is subject to 42 U.S.C. 1983 et seq. These acts
of Congress, dating to 1871, are simply mechanisms for enforcing the rights enshrined in the
United States Constitution, especially when those violating them act under the color of law.
Page 2 of 19
On August 14, 2018, Fawn Branham arrived at the Bradley County Jail, held there for
failure to appear to answer the allegation that she had accrued unpaid child support. On that date,
VI
On the same date, both Ms. Branham and the QCHC staff noted that Fawn's abdominal
VII
On August 15, 2018, there was a marked decline in her health, as Officer Rankin noted
that afternoon that Fawn was “throwing up blood.” Ms. Branham also complained of heartburn,
diarrhea, and according to Rankin was "laying in bed all day.” Rankin called the nurse several
times that afternoon. Rankin had noted the same symptoms that morning. Even earlier, at about
6:00 a.m. the same day, QCHC employee Sam Brown noted vomiting, and "yellowish sclera,”
but in what appears to be a disjointed or reconfigured entry, stated that "she states her stomach
VIII
Yet, in the same breath, on August 15, 2018, there was a marked decline in her health,
and a QCHC employee also noted Fawn Branham's "abdominal distention.” He mentioned
GERD. Despite her vomiting up blood, her obvious distension, her general malaise, and her rapid
deterioration, there was no transport to the nearby emergency room for inmate Fawn Zanette
Branham.
Page 3 of 19
By the morning of August 16, the seeds of disaster had sprouted. Just after midnight,
QCHC nurse Sandra Kenjerski noted that Fawn "was vomiting large amounts of dark brown
tinged vomit" and that her bowel sounds, once normal, were now "sluggish.” Yet, QCHC
employees refused to declare an emergency, even after QCHC employee Amy Hughes noted
later that same day that the "inmate continues vomiting large amounts of blood.” Hughes' notes
indicate that Fawn's blood pressure had fallen to 118/80, a dramatic drop from that recorded at
her intake. Her heartburn and abdominal distention did not abate, but "not an emergency" was
the diagnostic blurb issued from an absent QCHC provider, who was evaluating Fawn remotely.
Two (2) days of vomiting blood had now passed without a simple visit to the emergency
department.
The next day brought worse. On August 17, Naomi Baker of QCHC found Fawn lying on
her bottom bunk, complaining that she "could not breathe.” Nonetheless, Baker stated that Fawn
was "in no acute distress.” A lame diagnosis it was, made with deliberate indifference to the fact
that Fawn's blood pressure had fallen to 92/80. Fawn's heart was racing at one hundred thirty-two
(132) beats per minute. Once again, instead of receiving the services of a nearby Emergency
Room, Fawn was left in the hands of minimally licensed caregivers, such as Naomi Baker.
XI
Some employees on the QCHC staff mocked Fawn, or told her that she was "faking it.”
The observable and objectively manifested combination of vomiting blood, plunging blood
pressure, a seriously elevated pulse rate, a distended abdomen, and impaired breathing did not,
Page 4 of 19
XII
By this time, if not earlier, other inmates were reporting the gravity of Fawn's condition,
but these reports were not recorded by the QCHC staff, or someone has deleted any such reports.
Even these non-medical persons realized the gravity of Fawn's rapidly deteriorating health, a
serious predicament that the QCHC staff allowed to fester when simple measures, if rendered
XIII
On August 19, death began beckoning. Fawn passed out and was lying on the floor, with
a pulse racing at one hundred seventeen (117) while her blood pressure remained a low 102/62.
Bowel sounds were hypoactive, and Fawn was again vomiting, and was passing black stool.
QCHC employee Tasha Bowers, not believing Fawn, told her to report back "the next time she
XIV
On the morning of August 20, Fawn faced similar and even more incredible indifference
from LPN Charquette Nelson, a QCHC employee who noted Fawn's dangerously low blood
pressure of 84/42 but did not summon an ambulance or ask for ER transport. No action, despite
Fawn's pulse of 109, and a hugely abnormal EKG reading from the previous morning
indicating that Fawn was suffering from inferior and anterolateral ischemia. In addition, Nelson
herself recorded that Fawn presented on the morning of August 20 with nausea, dilated pupils,
epigastric pain, and a mention of rheumatic fever. That morning, Fawn urinated on herself.
Unsympathetic, Nelson claimed that Fawn had thrown herself on the floor.
Page 5 of 19
At about the same time, Officer Rankin, after witnessing Fawn's "spitting up and
gagging,” asked Nurse Amy to use smelling salts to prompt Fawn to rise from the floor and get
into a wheelchair. Rankin then wheeled Fawn back to her pod, where Rankin noted there were
human wastes abounding. Yet, Rankin refused any cleaning help from a volunteer inmate, stating
that it was too hazardous. Instead, Rankin twice ordered Fawn to clean it up.
XVI
Soon, Fawn was lying in her bunk alone, the other women having vacated because of
concerns for health and habitation. With her shirt off, her pants undone, and left unattended in
her own wastes, Fawn Zanette Branham died on August 20, 2018 at a little before 3:00 p.m.,
expiring in a state of utter and deliberate neglect, leaving life two (2) hours after being ordered to
clean up her mess, and passing on without the benefit of having seen a single doctor on any of
the six (6) days on which her serious medical condition manifested itself so plainly, and often
XVII
T.C.A. § 8-20-120 and 8-24-103, taken together, command the Tennessee Sheriffs and
County Commissioners to provide priority funding for the county jails. If a Sheriff lacks the
public funding for his or her "statutorily mandated duties,” T.C.A. § 8-24-103 authorizes a
sheriff to seek a writ of mandamus to compel a county legislative body to fund those duties. One
such duty, as specifically mandated by T.C.A. § 41-4-115(a) is the provision of medical care to
the prisoners.
Page 6 of 19
During his campaign in 2014, candidate for sheriff, Eric Watson, recognized that the jail
had serious problems and said so across the hustings of Bradley County. Yet, once sworn in,
Watson was reluctant to structure and advocate for a budget adequate to meet and solve major
problems. Soon, agents from the Tennessee Corrections Institute (TCI) found that his penal
facility was overcrowded, understaffed, and unsanitary, and beset by major plumbing and
ventilation problems. There was a spate of jail deaths and injuries, one of which involved an
XIX
Instead of facing these problems squarely, Watson fudged documents to make it appear
that the jail had a larger staff than it had in actuality. As Commissioner Rawls pointed out,
Watson did this by including in the jail budget those who didn't actually work in the jail. Before
too long, the jail was repeatedly failing inspections and sometimes turning away prisoners
because of the overcrowding. Some high-ranking veteran officials, like Gilley, Botts, Smith, and
Lawson, left in disgust or frustration, as Watson's intransigence made it impossible for them to
carry out their mission. On June 14, 2017, the resigning Gilley noted that the jail was
XX
Yet, after multiple failed inspections and the untimely demises or catastrophes that befell
inmates Ray, Yerber, Newell, and Dover, Watson and the County Mayor were pleased to
announce on March 29, 2016 that the Bradley County Sheriff’s Office budget would be cut by
$275,000.00.
Page 7 of 19
Because Watson made some last-minute corrections late in 2017, The TCI did not revoke
his jail's certification, but a reversion to form was just around the corner, as the jail failed a
surprise inspection on February 27, 2018. By then, Watson was absorbed by his May 2018
primary contest with Steve Lawson, so he left the jail in a state of frightful neglect. There were
near riots because the food was so bad, and the chronic under-staffing caused the prisoners to be
held on “lockdown" for days on end. After losing the primary, Watson vacationed often and was
XXII
In August of 2018, the month that inmate Fawn Branham died, the Bradley County jail
was holding over six hundred (600) prisoners, though its maximum capacity is four hundred
eight (408).
THE JAILERS
XXIII
Both the nurses and jailers refused to send Fawn to a doctor. They wouldn't spare her the
expense of an emergency room visit, though she begged to see a doctor, offered to pay for her
own visit, pleaded that she be allowed to live to see her grandchildren, and literally moaned for
help. She sometimes screamed for it and pushed the buzzer or button repeatedly in her cell, so
that she could make her serious needs known. Officers Emily Cook, Paula Smith, and R. Rankin
heard her pleas, saw Fawn's blood, saw visible evidence that she couldn't contain her bowels,
saw the EKG diagnosis of double ischemia, knew about the alarming drop in her blood pressure,
and generally witnessed her marked and rapid physical decline, which began when she threw up
Page 8 of 19
Though each officer knew that Fawn had been throwing up blood since August 15, each
denied her pleas to be taken to a doctor. By failing to provide the simple and adequate health
care required by the United States Constitution, Officers Cook, Smith, and Rankin subjected
Fawn to cruel and unusual punishment, thereby violating her rights under the Eighth and
Fourteenth Amendments to the United States Constitution. Each Officer acted under color of
law, and each failed to intercede to stop these Constitutional violations that the other Officers
were committing in her presence, though each had sufficient knowledge, as well as the power
XXV
Officers Cook and Rankin disbelieved Fawn, though it was Cook who declared an
emergency at around 14:56 on August 20, 2018. Hers was a hapless, futile, and belated gesture.
With Fawn already lifeless, the T.B.I. came to the scene. Firemen rushed into her cell, and the
County Coroner arrived at about the same time as did a quartet of Bradley County EMS medics.
Just a fraction of that attention, if timely, would have saved her life, but Officers Cook and
Rankin were too preoccupied with mocking Fawn or telling Fawn that she was "faking it" to do
XXVI
manifestly declining medical condition, Officers Cook, Rankin, and Smith are liable for damages
under 42 U.S.C. 1983; by condoning, empowering, and failing to intercede to stop the others'
unconstitutional acts, each Officer violated 42 U.S.C. 1986, and by acting under color of law to
stifle the truth of their egregious conduct, Cook and Rankin violated 42 U.S.C. 1988.
Page 9 of 19
XXVII
QCHC employees Brown, Nelson, Baker, Bowers, Hughes, and Kenjerski were
employed in the jail between August 15 and August 20. Each was acting under the color of law,
as their job was to take care of the medical needs of Bradley County's prison population. Each
witnessed the marked decline of Fawn Zanette Branham, which began with her thrice (at least)
vomiting blood on August 15, 2018. Each knew that she vomited blood voluminously the
following day, had sluggish bowel sounds, and was not improving. If they had monitored her
diet, which each failed to do, any would have seen that Fawn was hardly eating, if at all. Her
abdominal distension was increasing daily, right before their eyes. Without nutrition, Fawn often
XXVIII
Hughes or Kenjerski heard from a remote provider that there was no emergency, so each
did nothing, so deliberately indifferent that they chose to believe an absent entity over what their
eyes and ears plainly told them. Both saw the constant and voluminous blood that Fawn was
throwing up and knew themselves that her condition presented a serious medical need. Each
knew there was neither the technology or expertise within the prison to treat what they knew was
XXIX
Each individual QCHC Defendant was acutely aware of the horrid condition of Fawn's
cell, as they were aware of her inability to control her bowels. Yet, on August 17, 2018, Naomi
Baker wrote that Fawn was "in no acute distress,” though her breathing was labored and her
Page 10 of 19
On August 19, Bowers exhibited deliberate indifference to Fawn's vomiting and passing
black stools, telling Fawn that this wasn't observed, so next time let her know when she "vomits
XXXI
addressed what each knew to be Fawn's rapidly deteriorating and serious medical condition,
every QCHC nurse subjected Fawn to cruel and inhuman treatment, thereby violating her rights
under the Eighth and Fourteenth Amendments to the United States Constitution. Still acting
under color of law, each QCHC employee failed to intercede to stop these Constitutional
violations that others were committing in his or her presence, though each had the power and
XXXII
Early on August 19, 2018, an EKG indicated that there was double ischemia, or
blockages of cardiac blood flow both inferiorly and anterolaterally. Fawn's blood pressure again
fell, this time to 84/42. Yet, no QCHC employee would transport Fawn to a doctor or hospital,
nor did any request that a Bradley County employee do so. Charquette Nelson, knowing
both that Fawn's blood pressure had dropped and that Fawn suffered double ischemia, still failed
to take the simple steps necessary to stem what Nelson knew was a serious and deleterious
medical condition. She knew that Fawn was dying before her eyes and deliberately chose to do
nothing. This conscious neglect was both unconscionable and shocking in its depravity,
Page 11 of 19
XXXIII
On August 15, 2018, the Bradley County Jail had over six hundred (600) inmates in a
facility meant for four hundred eight (408). The jail was overcrowded because, as Sheriff, Eric
Watson deliberately chose to increase the arrest rate, posing as an advocate for law and order. In
truth, Watson was enjoying the financial fruits of his clampdown through his wife, Tenille, who
received a bonding permit at about the same time that Watson first donned his Sheriff's badge.
Together, they would attend and direct police roadblocks, where his arrests too often became her
bonds.
XXXIV
As August was to be his last month in office, the defeated Watson virtually abandoned
his duties as Sheriff, vacationing out-of-state, or frequently crossing over to North Carolina on
weekend junkets. Yet, the outgoing Sheriff was keenly aware that his policies had overcrowded
his jail, from which Bradley County also benefited, as Federal and State agents paid Bradley
County a sizable per diem to transport or house prisoners. This revenue, when added to the huge
amounts of money Bradley County made by selling food and services to inmates in an
overcrowded prison, was the bedrock of a profitable business model, at least for Bradley County.
Revenue from fines, costs, and fees paid by citizens on endless probation for small offenses
XXXV
Amidst all that extraction, the Sheriff would not advocate for increased funding for a jail
that was clearly overcrowded. He shifted payroll expenses to the jail to give the appearance of
adequate staffing. An exasperated County Commissioner said that veterinarians and animal
Page 12 of 19
female Commissioner, who said that his statement proved he had "gone to the dark side.”
XXXVI
The spate of jail deaths during his tenure made no difference. The jail continued to be
under-staffed, its salaries to starting Officers not competitive, and its turnover rate astronomical.
Failed TCI inspections were the rule, not the exception. Properly training new correction officers
XXXVII
In 2009, QCHC lobbied Bradley County for a contract to provide prison care and won
it. QCHC officer Justin Barkley came to Bradley County, where he confidently stated that he
could provide most medical services that the inmates needed right there in the prison. He
promised to work with Bradley County to train jailers to coordinate with the QCHC nurses to
recognize health problems among inmates. Yet, such training rarely, if ever, occurred, and there
is no entry in the Bradley County budget to indicate that any such training took place.
XXXVIII
QCHC had no doctor on the prison site during the six (6) days of August 15, 16, 17, 18,
19, and 20. During those days, no one on staff was trained or experienced in recognizing, much
less treating, the medical problems of a fifty-four (54) year-old woman with the serious problems
XXXIX
Upon information and belief, QCHC contracted to have an actual medical doctor treat at
the facility for four (4) hours per week. That did not happen in August of 2018, for
Fawn Branham never saw a doctor. Furthermore, at this time, the QCHC presence inside the jail
Page 13 of 19
fifty percent (50%) over its four hundred eight (408) capacity when Fawn died.
In effect on August 20 was a Health Service Agreement that Bradley County had signed
with QCHC in which QCHC promised to secure the transportation of prisoners that its staff
could not treat. After a few days of throwing up blood and exhibiting other dangerous symptoms,
Fawn Branham was clearly such a patient. Her health worsened by the day, right before the eyes
of the nurses, especially Nelson. However, QCHC at no time asked that the County EMS
XL
Even after QCHC personnel knew that Fawn had double ischemia and a blood pressure
rate of 84/42, none under its command at the jail summoned for a County EMS transport to a
nearby emergency room. They were under orders to economize. The nurses were poorly trained,
there were an insufficient number of them relative to the jail population, turnover was high, and
morale was low. In that respect, QCHC staffers tracked Bradley County jailers.
XLI
QCHC policies and practices were a moving force behind the suffering and death of
Fawn Branham. The procedures in place were not enforced when Hershel Dover died after
vomiting blood in 2016, and the procedures in place were not followed when
Fawn Branham died after vomiting blood in 2018. Dr. Johnny Bates knew that the jail nurses
lacked the expertise and resources to treat rapidly deteriorating patients, but continued, along
with other QCHC executives, to perpetuate the fiction that most of the diagnosis and treatment of
Page 14 of 19
Provider John Doe is also liable for fostering the notion that he could remotely diagnosis
and treat patients with conditions as serious and deteriorating as Fawn Branham had. Under
orders to economize, he assured the staff that Fawn’s vomiting blood for two (2) consecutive
XLIII
After Fawn's death, QCHC did no investigation of it, and its executives were relieved
when the TBI chose not to interview any of the surviving inmates about what happened. The
QCHC brass, deliberately indifferent to the faulty structures that were bound to fail Fawn, never
punished or even reprimanded one staff person for failing to transport Fawn, as the Health
Services Contract with Bradley County required. As an institution, QCHC thereby ratified the
unconstitutional acts and omissions of its inadequately trained and woefully underpaid nurses at
the Bradley County Jail, all in violation of the Eighth and Fourteenth Amendments, as well as 42
U.S.C 1983.
XLIV
In addition, the QCHC management and owners never reprimanded as many as one (1)
nurse for failing to do anything when Fawn vomited repeatedly, appeared jaundiced, made her
cell uninhabitable through her uncontrolled bowel movements, had double ischemia, and
experienced dramatically falling blood pressure. As long as they could extract money from
Bradley County and render little services in return to the imprisoned, QCHC owners and
managers were satisfied. The human consequences of their business model mattered nothing to
them.
Page 15 of 19
Therefore, QCHC and Dr. Johnny Bates are each liable under the Eighth and Fourteenth
Amendments to the United States Constitution. Their official pattern and practices, along with
their custom of ignoring and deliberately minimizing the serious and known medical conditions
of inmates, produced this tragedy, wherein their nurses inflicted cruel and unusual punishment
XLVI
Because their chosen model of caregiving was itself reckless, and so sketchy and under-
funded that it was bound to produce this tragedy, they are liable for damages under 42 U.S.C.
1983 to the Estate of Fawn Branham. They are also liable under 42 U.S.C. 1986 for failing to
intercede and make the institutional corrections that would have prevented this tragedy from
occurring. They had the power and right to do so, but failed miserably. Upon information and
belief, they and Bradley County are further liable under 42 U.S.C. 1985 for tacitly agreeing to
overlook this grotesque atrocity rather than to investigate the causes of it. There was a tacit
agreement to forgo interviewing witnesses to the last six (6) days of Fawn’s life.
XLVII
It was not unexpected when Fawn's loved ones discovered from Jailer Thomas and the
TBI that all of Fawn's belongings, as inventoried at her intake, had been lost, misplaced,
XLVIII
Gabe Thomas consulted repeatedly behind closed doors with nurse Nelson, but took no
steps to intervene and see to it that Fawn received a transport. For a broken arm or leg, Gabe
Page 16 of 19
though each knew that Fawn's medical condition was serious and seriously worsening. Sheriff
XLIX
Just as QCHC and Johnny Bates were the moving force behind the atrocious indifference
of the nurses, Bradley County and its penal supervisors were the moving force behind the
atrocious indifference of its jailers. Eric Watson, Gabe Thomas, Carole Edwards, and
Chief Bradford simply refused to supervise the jailers, declare a medical emergency when
declaring one could have made a difference, and generally set the jail on drift during the period
between the election and the new administration. By failing to supervise, train, and discipline
their corrections officers, these Defendants caused the death of Fawn Branham and her intense
Like their QCHC counterparts, these Defendants were relieved when the TBI chose not to
interview the witnesses to the last days of Fawn Branham's life, which were filled with enough
neglect and indifference to make out a prima facie case for manslaughter. They allowed her
descent into death right before their very eyes. Vomiting blood, a swollen abdomen, jaundiced
eyes, a racing pulse, a blood pressure reading of 84/42, and double ischemia meant nothing to
these Defendants, who failed to call for transport. After Fawn died, they failed to investigate
Fawn's death and reprimanded not a single officer for his or her role in it. By yet another
acquiescence in its custom and practice of prison neglect, these supervisory and the institutional
Defendants ratified the unconstitutional actions of the jailers and nurses, heretofore described in
great detail. Like their medical counterparts, they thereby caused Fawn Branham to be subjected
Page 17 of 19
States Constitution, to such a degree that they are liable for damages pursuant to 42 U.S.C. 1983.
Each reinforced the others' heedless inaction by failing to intercede to stop this tragedy or to
make the necessary institutional changes that would have prevented this tragedy; thus, they are
all liable under 42 U.S.C. 1986, and liable, too, under 42 U.S.C. 1988 because of their tacit and
unspoken agreement not to investigate or assign official blame for the death of Fawn Branham.
LI
Compounding their violation of Fawn’s Federal civil rights, all supervisory Defendants
failed to coordinate the interactions between jailers and nurses, as no one had fashioned a plan by
which that could be done. No supervisory Defendant observed or required adherence to the
provision of the Health Services Agreement that required that those inmates with significant
DAMAGES
LII
Defendants jointly and severally in the sum of five million dollars ($5,000,000.00) as actual
damages for their violations of 42 U.S.C. 1983, and for their attorney fees pursuant to the
provisions of 42 U.S.C. 1988. The Plaintiff sues the individual Defendants jointly and severally
in the amount of two million dollars ($2,000,000.00) in actual damages as well as for two million
dollars ($2,000,000.00) in punitive damages. Plaintiff further demands a jury to hear the issues
Page 18 of 19
The Plaintiff asks for general relief and all other damages and awards to which the
evidence in this case may prove the Estate of Fawn Branham entitled. The continuing problems
and the plethora of unending tragedy call for judicial oversight, injunctive relief, and a thorough
and painstaking investigation by local, State, and/or Federal authorities. Those inflicting the
cruel and unusual punishment that preceded Fawn Branham’s death must be punished, setting an
Respectfully submitted,
Page 19 of 19