The opinion of the court was delivered by
LIHOTZ, J.A.D.
Defendants Yum Brands, Inc. and KFC U.S. Properties, Inc. appeal from a jury verdict awarding plaintiff Janice J. Prioleau damages for injuries suffered from a fall on defendants’ restaurant premises. Defendants maintain the trial judge erred in denying their motion for a directed verdict. Alternatively, defendants argue erroneous jury instructions and incorrect evidential determinations require the verdict be set aside and a new trial granted.
Following our review, we affirm the denial of defendants’ motion for a directed verdict. However, we agree that use of the mode-of-operation liability jury charge was erroneous, warranting reversal. Accordingly, we vacate the verdict and remand for a new trial.
I.
The facts are taken from the record of the three-day jury trial. Early in the evening of December 26, 2009, between 5 and 6 p.m., plaintiff, who was traveling with her adult children Richard and Adriana, stopped in the Cherry Hill KFC restaurant owned and operated by defendants.
Plaintiff and her children confirmed the weather was “very bad,” it was “pouring” rain, and there was “a torrential storm.” Plaintiff entered the restaurant without aid of an umbrella. Further, plaintiff recalled she and her children “were wet[,]” her jacket, clothing and sneakers were soaked, and the family “tracked water in[to]” the restaurant.
When the family entered the premises, only one other customer was in the dining area. Initially, plaintiff did not notice water or “wetness” on the restaurant’s floor. Her son and daughter strode to the counter to place their order and plaintiff headed toward the restroom. Approximately five feet from the restroom, plaintiff started “to slip and slide like [she] was on ice.” She fell, extending her arms and hands to brace her fall and avoid banging her knees, and landed on her buttocks. Richard attempted to assist plaintiff, but he “started to slip[,] also.” Adriana “ran over also and tried to guide [plaintiff] up[, but] she started to slip.” Then, the male patron seated nearby helped plaintiff rise from the floor.
During trial, plaintiff described the floor’s surface, stating: “It was just like a sheet of ice. It was slippery. It was wet. And when I fell, that’s what I came up was on my clothes [sic].” Plaintiff said the floor felt like “grease ... and water.” On cross-examination, plaintiff expounded, exclaiming: “I felt it was wet first. It was slippery. And ... when we first started sliding is when [sic] I realized that it was grease mixed with water.”
She and her children were approached by Debbie Lovato, the restaurant’s assistant manager. Richard informed Lovato plaintiff had slipped. She declined medical attention stating “[i]t wasn’t that serious.” Plaintiff and her family ate their food and left.
Plaintiff did not feel any immediate pain resulting from her fall; she “figured [she] would be okay.” However, Adriana drove home to Newark, Delaware because plaintiff “was in too much pain.” Upon arriving in Newark, plaintiff sought treatment at Christiana Hospital’s emergency room and was discharged the same day. Two weeks later, on January 11, 2010, she consulted her family doctor. As a result of the accident, plaintiff injured her neck, back, and hands; experienced numbness in her left leg; and tingling in both arms and her left foot. She underwent a CT scan of her lumbar spine, which revealed disc bulges and arthritis at Ll-2, L2-3, L3-4, and L4-5, as well as a herniation in L5-S1. She declined spinal injections and surgical intervention, and attended physical therapy a few days a week for approximately two months.
Plaintiff suffered no lost wages, acknowledging she returned to work without missing any time, despite the physical demands of her occupation. Plaintiff last received medical treatment in August 2010.
On cross-examination, defendants attempted to inquire into plaintiffs prior medical treatments for her back and neck. Plaintiff had testified she only had prior difficulties with her knee. Defendants, intending to impeach plaintiffs testimony, questioned her regarding medical care undertaken to treat her lumbar spine in 2002. The judge sustained plaintiffs objection, precluding the use of plaintiffs prior medical records during cross-examination.
Additional evidence introduced by plaintiff included excerpts from deposition testimony of defendants’ employees. Mark Loveless, the loss prevention manager, described various company policies. He stated a warning sign is used if floors are wet and there is a general requirement to monitor the customer floor area for water or spills. Michelle Abdou, the restaurant’s general manager, admitted no policy required the floor to be mopped periodically throughout the day, rather it was mopped in the evening and in the event of a spill, or if water was tracked in by customers. Further, when a floor is wet, warning signs are placed at the affected site. Cheryl Lynn Gross, an area coach and Abdou’s supervisor, described how the restaurant cooks chicken in open split vat fryers and pressure cookers. She noted oil is used in the cooking process. During kitchen operations in the Cherry Hill restaurant, the kitchen floor is mopped two to three times per day and also if there is a spill. When asked whether someone on the cook line could get oil on their footwear, Gross responded “possibly.” Acknowledging employees access the same restrooms as customers, Gross was asked whether kitchen workers with soiled footwear could track oil to the restroom. Again she responded, “possibly.” At her deposition, Lovato testified that dining area tables were wiped every half-hour and the restrooms were checked when the tables were wiped. Lovato admitted she was unaware of any entries recording an inspection of the restaurant floor in the four hours preceding plaintiffs fall. She had not personally performed inspections, nor could she remember who was working that day that may have done so.
Plaintiff presented expert testimony from Allan D. Tiedrich, MD, an expert in physical medicine and rehabilitation and orthopedics. He discussed his review of plaintiffs medical records and the examination he performed on September 13, 2010. During cross-examination, defendants established Dr. Tiedrich had not been provided with plaintiff’s pre-accident treatment records and attempted to use the records to question him, including a 2007 lumbar x-ray. The trial judge allowed limited questions regarding Dr. Tiedrich’s knowledge of the prior treatment, but precluded the use of the documents or his examination of the earlier x-ray.
Abdou and Lovato testified for defendants. Abdou was not working the day of plaintiffs fall. She described the restaurant’s layout, including the six-table dining area, the order counter, restrooms and the location of the two entrances. Abdou testified both customer entrances have “big[,] heavy” floor mats “built into the tile of the floor” and a rubber floor mat over those mats. Another large rubber mat was located in front of the soda machine.
Lovato explained she arrived at the restaurant at 2 p.m. and did not notice anything on the dining area floor. During her shift, she did not see any substances on the floor and no one complained the floor was wet or greasy. The restaurant does not have a specific policy requiring periodic inspection or mopping of the dining area floor during the day. However, when the floors are mopped, the mops are “color coded” and specific to the kitchen and the dining area. On the day of the incident, defendants’ records contained no entry recording a floor inspection prior to plaintiffs accident.
After learning of plaintiffs accident, Lovato attempted to speak to plaintiff, and learned she was in the restroom. In accordance with company policy, Lovato apologized to plaintiff and offered to compensate the family for their meal.
Lovato visually examined the location where plaintiff fell and saw no water, grease or other substance on the floor. However, she acknowledged she did not physically touch the floor. She maintained the floor in front of the ladies room was not greasy or it would have been cleaned. She further stated she could survey the dining area floor from the order counter. Lovato insisted there were no spills on the floor, stating if water or grease was on the tile floor it is visible because “it shines.” She also explained team members wipe the dining area tables every half-hour and cheek the dining room and no problems were reported.
After the incident, “as a precautionary measure,” Lovato erected a caution cone outside the restroom, which remained there until the restaurant closed. Immediately after speaking with plaintiff, Lovato called the company hotline to report the incident.
At the close of evidence, defendants moved for a directed verdict, arguing plaintiff failed to identify the substance on which she slipped and had not established “any notice to the defendant[s].” The trial judge denied the motion.
During the charge conference, defendants objected to the inclusion of a mode-of-operation liability charge. The judge overruled the objection and included the doctrine in the jury’s instructions.
The jury returned a verdict in favor of plaintiff, awarding $250,000 and finding defendants 51% negligent. Final judgment for plaintiff was entered in the amount of $138,643.09, which included $11,143.09 in prejudgment interest. This appeal ensued. Defendants’ request to stay enforcement of the judgment pending appeal and file a supersedeas bond, Rule 2:9-5(a) and (b), was granted.
II.
On appeal, defendants challenge the denial of the motion for directed verdict, the inclusion of the mode-of-operation liability charge, and the preclusion of plaintiffs past medical records during cross-examination. We examine these issues.
A.
Defendants contend a directed verdict should have been granted at the close of evidence because plaintiff produced no proof of defendants’ actual or constructive notice of the dangerous substance on the premises, or even exactly what substance was on the floor. We disagree.
In reviewing an order granting or denying a motion for directed verdict, “we apply the same standard that governs the trial courts.” Frugis v. Bracigliano, 177 N.J. 250, 269, 827 A.2d 1040 (2003). Motions for directed verdict at the close of trial, R. 4:40-1, are governed by the same standard as motions for involuntary dismissal, pursuant to Rule 4:37-2(b). As applied here, we must accept as true all evidence presented by plaintiff and the legitimate inferences drawn therefrom, to determine whether the proofs are sufficient to sustain a judgment in her favor. Monaco v. Hartz Mountain Corp., 178 N.J. 401, 413, 840 A.2d 822 (2004). “[T]he judicial function here is quite a mechanical one. The trial court is not concerned with the worth, nature or extent (beyond a scintilla) of the evidence, but only with its existence, viewed most favorably to the party opposing the motion.” Dolson v. Anastasia, 55 N.J. 2, 5-6, 258 A.2d 706 (1969).
Under Rule 4:37-2(b), a motion for a directed verdict is granted only if, accepting the plaintiffs facts and considering the applicable law, “no rational jury could draw from the evidence presented” that the plaintiff is entitled to relief. Pitts v. Newark Bd. of Educ., 337 N. J.Super. 331, 340, 766 A.2d 1206 (App.Div. 2001). See also R. 4:37-2(b) (“[A] motion shall be denied if the evidence, together with the legitimate inferences therefrom, could sustain a judgment in plaintiffs favor.”). “[I]f reasonable minds could differ, as to whether any negligence has been shown, the motion should be denied.” Bozza v. Vornado, Inc., 42 N.J. 355, 357-58, 200 A.2d 777 (1964) (citing Bell v. E. Beef Co., 42 N.J. 126, 199 A.2d 646 (1964)).
“In general, ‘[bjusiness owners owe to invitees a duty of reasonable or due care to provide a safe environment for doing that which is in the scope of the invitation.’ ” Stelluti v. Casapenn Enters., LLC, 408 N.J.Super. 435, 446, 975 A.2d 494 (App.Div. 2009) (quoting Nisivoccia v. Glass Gardens, Inc., 175 N.J. 559, 563, 818 A.2d 314 (2003)), affd 203 N.J. 286, 1 A.3d 678 (2010). “The duty of due care requires a business owner to discover and eliminate dangerous conditions, to maintain the premises in safe condition, and to avoid creating conditions that would render the premises unsafe.” Nisivoccia, supra, 175 N.J. at 563, 818 A.2d 314 (citing O’Shea v. K. Mart Corp., 304 N.J.Super. 489, 492-93, 701 A.2d 475 (App.Div.1997)). See also Arroyo v. Durling Realty, LLC, 433 N.J.Super. 238, 243, 78 A.3d 584 (App.Div.2013). Such a duty is imposed because “business owners ‘are in the best position to control the risk of harm.’ ” Hojnowski v. Vans Skate Park, 187 N.J. 323, 335, 901 A.2d 381 (2006) (quoting Kuzmicz v. Ivy Hill Park Apartments, Inc., 147 N.J. 510, 517, 688 A.2d 1018 (1997) (citations omitted)).
To recover for injuries suffered, in addition to establishing a defendant’s duty of care, a plaintiff must also establish the defendant had actual or constructive knowledge of the dangerous condition that caused the accident. Nisivoccia, supra, 175 N.J. at 563, 818 A.2d 314 (citing Brown v. Racquet Club of Bricktown, 95 N.J. 280, 291, 471 A.2d 25 (1984)). “An inference [of negligence] can be drawn only from proved facts and cannot be based upon a foundation of pure conjecture, speculation, surmise or guess.” Long v. Landy, 35 N.J. 44, 54, 171 A.2d 1 (1961).
“Proof of a fall alone would not be adequate to create an inference of negligence.... ” Simpson v. Duffy, 19 N. J.Super. 339, 343, 88 A.2d 520 (App.Div.) (citations omitted), certif. denied, 10 N.J. 315, 91 A.2d 230 (1952). This is because the mere existence of a dangerous condition does not, in and of itself, establish actual or constructive notice. Arroyo, supra, 433 N. J.Super. at 243, 78 A.3d 584 (citing Sims v. City of Newark, 244 N. J.Super. 32, 42, 581 A.2d 524 (Law Div.1990)). Liability for injuries caused by premises defects is imposed when a plaintiff establishes a defendant knew or had the reasonable opportunity to discover and correct the defect. Brown, supra, 95 N.J. at 291, 471 A.2d 25. “Whether a reasonable opportunity to discover a defect existed will depend on both the character and duration of the defect.” Ibid. Consequently, a business owner will be liable for injuries sustained by an invitee caused by a dangerous condition on the premises “if ... the dangerous condition ... existed for such a length of time that he should have known of its presence.” Bozza, supra, 42 N.J. at 359, 200 A.2d 777 (citations omitted).
Defendants argue no testimony established actual or constructive notice of the alleged greasy and/or wet floor, defeating plaintiffs assertion of negligence. Plaintiff responds, maintaining the facts proved defendants had constructive notice of the floor’s hazardous condition or, alternatively, that notice is inferred because of the nature and operation of the business itself.
Following our review, we reject defendants’ contention as we conclude the proofs, when viewed in a light most favorable to plaintiff, sufficiently evince defendants’ constructive notice of a wet or possibly greasy floor. We save for later our discussion of the applicability of mode-of-operation liability to these facts.
Plaintiffs evidence showed she felt the floor where she fell and found it wet, greasy and slippery. Further, she noticed the substance was transferred to her clothing. Her daughter and son also experienced the slippery floor as they went to plaintiffs aid. Testimony demonstrated it was raining heavily throughout the day, which circumstantially proves rain-soaked customers entered the restaurant. Although mats were placed at public entrances, no mats were on the floor in front of the restrooms and plaintiff testified no mats were at the entrance on the day of the accident. Employees, including kitchen employees using grease for frying, used the same restroom facilities as did the customers, through a common entrance. Defendants admitted they had no established policy requiring floors to be inspected periodically, and Lovato confirmed no inspection or mopping occurred during the four hours before plaintiffs accident. Finally, despite plaintiffs fall, Lovato performed only a visual inspection of the site; she did not physically touch the floor.
Having considered the proofs as a whole, we determine they are sufficient to allow a rational jury to evaluate whether the condition of the floor existed for a period of time such that had defendants exercised reasonable attention to inspect the floor’s condition, defendants’ employees would have learned of the danger and undertaken remedial action. Therefore, defendants’ motion for a directed verdict was properly denied.
B.
Defendants next challenge the jury charge. Specifically, defendants argue the judge failed to properly inform the jury of plaintiffs obligation to prove notice of the alleged hazardous condition. Moreover, defendants maintain the judge erred in directing notice was unnecessary if defendants’ mode of operation created the hazardous condition. We conclude the court misapplied mode-of-operation liability. Because the charge had the capacity to mislead the jury, we vacate the judgment, reverse the verdict, and remand for a new trial. Ruiz v. Toys “R” Us, Inc., 269 N.J.Super. 607, 613, 636 A.2d 117 (App.Div.1994).
In reviewing challenges to jury charges, we do not criticize small parts of the charge, but examine the charge “as a whole” to determine whether it “ ‘adequately conveys the law and is unlikely to confuse or mislead the jury[.]’ ” Mogull v. CB Commercial Real Estate Grp., 162 N.J. 449, 464, 744 A.2d 1186 (2000) (quoting Fischer v. Canario, 143 N.J. 235, 254, 670 A.2d 516 (1996)). The charge must “ ‘set forth an understandable and clear exposition of the issues.’ ” Ibid, (quoting Campos v. Firestone Tire & Rubber Co., 98 N.J. 198, 210, 485 A.2d 305 (1984)). Reversal of a verdict is warranted if an instruction lacks evidential support, is likely to mislead the jury, and will cause an unjust result. Mandal v. Port Auth. of N.Y. & N.J., 430 N.J.Super. 287, 296, 64 A.3d 239 (App.Div.), certif. denied, 216 N.J. 4, 75 A.3d 1159 (2013). See also Finderne Mgmt. Co., Inc. v. Barrett, 402 N.J.Super. 546, 576, 955 A.2d 940 (App.Div.2008) (“Erroneous instructions on a material part of the charge are ... presumed to be reversible.”), certif. denied, 199 N.J. 542, 973 A.2d 945 (2004).
The law recognizes “certain distinctive instances” where the nature of self-service business operations may result in dangerous conditions to invitees. Arroyo, supra, 433 N.J.Super. at 244, 78 A.3d 584. “The rule is a very limited exception to the traditional rules of business premises liability____” Carroll v. N.J. Transit, 366 N.J.Super. 380, 389, 841 A.2d 465 (App.Div.2004) (emphasis added). When applicable, an injured plaintiff is relieved of proving actual or constructive notice where, “as a matter of probability, a dangerous condition is likely to occur as the result of the nature of the business, the property’s condition, or a demonstrable pattern of conduct or incidents.” Nisivoccia,, supra, 175 N.J. at 563, 818 A.2d 314.
The mode-of-operation doctrine is an extension of the general principle that when a proprietor creates a dangerous condition, “notice, actual or constructive, of [that] dangerous condition is not required____” Craggan v. IKEA U.S., 332 N.J.Super. 53, 61, 752 A.2d 819 (App.Div.2000) (citations omitted). See also Smith v. First Nat. Stores, 94 N.J.Super. 462, 466, 228 A.2d 874 (App.Div.1967) (“Notice, either actual or constructive, is not required where a defendant ... creates a dangerous condition.”). More specifically, the mode-of-operation doctrine provides:
[W]hen a substantial risk of injury is inherent in a business operator’s method of doing business, the plaintiff is relieved of showing actual or constructive notice of the dangerous condition. The plaintiff is entitled to an inference of negligence, shifting the burden of production to the defendant, who may avoid liability if it shows that it did all that a reasonably prudent man would do in the light of the risk of injury the operation entailed. Thus, absent an explanation by defendants, a jury could find from the condition of the premises and the nature of the business that defendants did not exercise due care in operating the establishment, and that said negligent operation was the proximate cause of the injuries. The ultimate burden of persuasion remains, of course, with the plaintiff.
[Nisivoccia, supra, 175 N.J. at 564-65, 818 A.2d 314 (internal citations and quotation marks omitted) ].
See also Model Jury Charge (Civil), 5.20F(11), “Notice Not Required When Mode of Operation Creates Danger” (1970).
Our review of the authority applying mode-of-operation liability does not support a conclusion that the doctrine applies merely because a defendant operates a type of business. Rather, the unifying factor in reported opinions is the negligence results from the business’s method of operation, which is designed to allow patrons to directly handle merchandise or products without intervention from business employees, and entails an expectation of customer carelessness. Craggan, supra, 332 N. J.Super. at 62, 752 A.2d 819. When mode-of-operation liability has been applied, courts have examined whether the defendant’s identified business operations encompassed self-service facilities that led to a risk of harm to the plaintiff.
In Bozza, the plaintiffs fall occurred when she slipped on a “sticky,” “slimy” substance, on the “littered” and “dirty” floor, that also contained “drippings, paper straw holders, napkins and dirt” at the counter eating area in the “self-service cafeteria type” restaurant located within the defendant’s store. Bozza, supra, 42 N.J. at 358, 200 A.2d 777. Although not invoking the phrase “mode of operation,” the Court
pointed out that spillage by customers was a hazard inherent in that type of business operation from which the owner is obliged to protect its patrons, and we held that when it is the nature of the business that creates the hazard, the inference of negligence thus raised shifts the burden to the defendant to “negate the inference by submitting evidence of due care.”
[Nisivoccia, supra, 175 N.J. at 564, 818 A.2d 314 (quoting Bozza, supra, 42 N.J. at 360, 200 A.2d 777).]
The Supreme Court concluded:
Thus, we believe that when plaintiff has shown that the circumstances were such as to create the reasonable probability that the dangerous condition would occur, he need not also prove actual or constructive notice of the specific condition. Factors bearing on the existence of such reasonable probability would include the natui’e of the business, the general condition of the premises, [and] a pattern of conduct or recurring incidents.
[Bozza, supra, 42 N.J. at 360, 200 A.2d 777.]
The Wollerman Court was the first to employ the phrase “mode of operation” when discussing the risk of injury caused by a business practice. Wollerman, swpra, 47 N.J. at 429, 221 A.2d 513. The plaintiff was injured when she slipped on a loose string bean on the grocery store floor where the store’s produce displays allowed customers to select items from the open bins. Id. at 428, 221 A.2d 513. The Court found these facts presented a sufficient probability “to permit such an inference in the absence of evidence that [the] defendant did all that a reasonably prudent man [or woman] would do in the light of the risk of injury his operation entailed” because “greens ... sold from open bins on a self-service basis,” creates “the likelihood that some will fall or be dropped to the floor.” Id. at 429, 221 A.2d 513. The Court stated:
If the operator chooses to sell in this way, he must do what is reasonably necessary to protect the customer from the risk of injury that mode of operation is likely to generate; and this whether the risk arises from the act of his employee or of someone else he invites to the premises. The operator’s vigilance must be commensurate with that risk.
[Ibid (citations omitted).]
The Supreme Court next reviewed the doctrine in Nisivoccia and concluded the plaintiff was entitled to a mode-of-operation instruction where a grocery store patron slipped on a grape near the checkout area, rather than in the produce aisle. Nisivoccia, supra, 175 N.J. at 561, 818 A.2d 314. The Court held:
A location within a store where a customer handles loose items during the process of selection and bagging from an open display obviously is a self-service area. A mode-of-operation charge is appropriate when loose items that are reasonably likely to fall to the ground during customer or employee handling would create a dangerous condition.
[B]ecause of the way the grapes were packaged, they could easily have fallen out when accidentally tipped or upended in a shopping cart anywhere in the store. The open and air-vented bags invited spillage. It was foreseeable then that loose grapes would fall to the ground near the checkout area, creating a dangerous condition for an unsuspecting customer walking in that area.
[Id. at 565, 818 A.2d 314.]
The factual scenarios giving rise to mode-of-operation liability examined by this court similarly reflect business entities that allowed customers to assume tasks, making it reasonably foreseeable customer carelessness would create a dangerous condition. Thus, the business was on notice of the inherent risk created by its business practice, warranting an inference of negligence with a corresponding shift in the burden to the defendant-business to prove it acted with due care.
In Craggan, the plaintiff, a contracted delivery driver, became entangled on discarded string the defendant provided to customers to secure merchandise removed from the store. Craggan, supra, 332 N.J.Super. at 58, 752 A.2d 819. This court determined:
[The] plaintiff was injured by conditions in the loading area implemented by [the defendant] IKEA to facilitate removal of merchandise by patrons who had elected to transport merchandise in their own vehicles. IKEA’s mode of operation to facilitate self-service removal of purchased items created a reasonable probability that the string would not be properly coiled in its container after each use, would accumulate in the loading area, and create a tripping hazard for anyone using the area.
[Id. at 63, 752 A.2d 819.]
In Ryder v. Ocean Cnty. Mall, 340 N.J.Super. 504, 774 A.2d 700 (App.Div.), certif. denied, 170 N.J. 88, 784 A.2d 721 (2001), we reversed a directed verdict for the defendant in the plaintiffs action for injuries suffered when she slipped on a spilled drink outside the food court area while holiday shopping. Id. at 507-08, 774 A.2d 700.
We found the defendant did
not restrict the carrying of, or consumption of, food and drink anywhere in the common areas of the Mall. Indeed, near the planter where [the plaintiff! fell, patrons are accustomed to sit and eat____Given that mode of operation, the Mall becomes the functional equivalent of a cafeteria. It was not uncommon to get reports of one or more spills every day and more spills are reported on weekends and during the holiday season. The Mall, therefore, can reasonably be charged with notice that food and drink spills are likely to occur and do occur anywhere and at any time in the common areas.
[Id. at 509, 774 A.2d 700.]
In Znoski v. Shop-Rite Supermarkets, Inc., 122 N. J.Super. 243, 300 A.2d 164 (App.Div.1973), this court rejected application of mode-of-operation liability where the plaintiff was injured by a youth who failed to control a metal shopping cart provided to customers by the defendant. Id. at 247-248, 300 A.2d 164. We examined the duty imposed on the defendant by furnishing the carts, but also observed they did not create a hazardous method of business operations, stating: “We are unable to say that a substantial risk of injury is implicit, or inherent, in the furnishing of shopping carts to patrons by a store proprietor. Shopping carts are not dangerous instrumentalities, and they are uniquely suitable for the purpose for which furnished.” Ibid.
Understanding the parameters of mode-of-operation liability, we emphasize the need to examine the facts of each individual case. Turning to the facts presented here, we first consider the basis articulated by the trial judge to include a mode-of-operation liability charge.
During the charge conference, plaintiff argued mode-of-operation liability applied. See Model Jury Charges (Civil), 5.20F(11), “Notice Not Required When Mode of Operation Creates Danger,” (1970). Plaintiff mentioned the floor was greasy, grease was used in the restaurant’s food preparation, and Gross acknowledged grease “possibly” could have been tracked onto the customer floor area by a kitchen employee on the way to the restroom. Plaintiff next suggested defendants’ business operation lacked a definitive policy requiring the floor to be inspected at set intervals. The judge considered these assertions, adding defendants’ business was a “fast food store ... and a lot of people tracking in and out.” He further found defendants’ safety policy required the use of a warning cone when it rained. The judge concluded: “Putting that all together I think there’s [sic] enough facts to make the inferences and the arguments to the jury.” Accordingly, the judge applied mode-of-operation liability and overruled defendants’ contrary objection.
The conclusion that these facts invoked mode-of-operation liability was unfounded and erroneous. Mode-of-operation liability does not apply merely because defendants operated a fast food restaurant. Rather, plaintiff must establish a causal nexus between the fast food or other business operation and the harm causing her injuries.
Contrary to the trial judge’s conclusion, defendants’ business as a “fast-food operation” has no relationship to plaintiffs fall. There is no link between the manner in which the business was conducted and the alleged hazard plaintiff slipped on or its source. No testimony showed the alleged wet/greasy floor was the result of a patron’s spilled drink or dropped food. Further, there was no evidence the restaurant’s floor was ill-kept, strewn with debris or laden with overflowing trash.
Our dissenting colleague suggests we have narrowed mode-of-operation liability to apply solely “to businesses where customers use self-service facilities.” Post at 592, 85 A.3d at 1035. Every reported opinion applying mode-of-operation liability in fact examines the self-service aspect of the defendant’s business operations, which was found to have created the hazardous condition, causing the plaintiffs injury. From this we conclude the self-service mode-of-operation has resulted in the doctrine’s development. Again, mode-of-operation liability results when a plaintiff suffers injury because the mode or manner of the business operation creates the dangerous condition on the premises. This concept does not lead to broad application. Although mode-of-operation can cause a dangerous condition, resulting in the owner’s liability, not all dangerous conditions arising in the operation of a business satisfy the mode-of-operation theory of liability. It is on this point that we part company with the views expressed in the dissent. Therefore, mode-of-operation liability is distinguishable from liability imposed when an owner creates or fails to remove a known dangerous condition on premises, such as found in Smith, supra, 94 N.J.Super. at 466, 228 A.2d 874.
When determining whether mode-of-operation liability exists, it is a mis-characterization to label a type of business, such as the trial judge did here, as invoking the doctrine. Just because a business is a fast-food restaurant or has self-service facilities does not prompt mode-of-operation liability. To trigger mode-of-operation liability, a plaintiff must identify facts showing a nexus between the method or manner in which the business is operated when extending products or services to the public, and the harm alleged to have caused the plaintiffs injury.
The additional facts identified by the dissent fail to establish a business operation that created an inherently dangerous risk warranting inclusion within the narrow scope of mode-of-operation liability. Although defendants’ restaurant used oil to prepare fried food and spills occurred at times in the kitchen area, these facts do not implicate customer conduct in the operation of the business, which is the rationale underlying application of the mode-of-operation doctrine. Even after adding Gross’s testimony, as cited by the dissent, post at 588-89, 85 A.3d at 1033-34, the facts at best raise a mere possibility that the greasy floor resulted from a kitchen employee. The comments do not “create the reasonable probability that the dangerous condition would occur[,]” Bozza, supra, 42 N.J. at 360, 200 A.2d 777 (emphasis added). See also Craggan, supra, 332 N.J.Super. at 58, 752 A.2d 819 (“[The defendant’s mode of operation to facilitate self-service removal of purchased items created a reasonable probability that the string would not be properly coiled in its container after each use, would accumulate in the loading area, and create a tripping hazard for anyone using the area.” (emphasis added)).
In reaching his conclusion, our dissenting colleague relies solely on this court’s holding in Smith, supra, 94 N.J.Super. at 466, 228 A.2d 874. We cannot abide such a rationale because the facts in Smith are distinguishable from those here presented, and, in concluding defendant created a dangerous condition on its property, the Smith court did not apply mode-of-operation liability.
In Smith, the plaintiff slipped on sawdust located on a stairwell used to access the restroom. Id. at 464, 228 A.2d 874. “There was evidence that prior to the accident sawdust was commonly observed upon the stairway[.]” Ibid. Sawdust was used on the floor of the meat department and in the produce department. Id. at 465, 228 A.2d 874. The stairs were five feet from the store’s meat department. Id. at 464, 228 A.2d 874. “[E]mployees used the stairway about seven or eight times a day, or a total of 180 times a day for all employees.” Id. at 465, 228 A.2d 874.
We determined, “the evidence was such that a jury could legitimately conclude that the greasy, slippery state of the stairway in reasonable probability resulted from the tracking of the sawdust upon the stairway — not by customers — but by defendant’s own employees.” Id. at 466, 228 A.2d 874. Thus, the plaintiff was not required to prove the defendant had notice of the condition because its employees created the dangerous condition. Ibid. (citations omitted).
In Smith, the issue before the trial court was whether the defendant had constructive notice of the hazardous condition of the stairway. Smith, 94 N.J.Super. at 466, 228 A.2d 874. The trial judge applied the holding in Bozza, stating plaintiffs proofs created “the reasonable probability that the dangerous condition did occur” from the defendant’s conduct. Ibid. In our review of this determination, we expressed “doubt of [the] complete applicability [of the doctrine] to the facts of this case.” Ibid. We continued:
In Bozza, the culpable conditions arose from the conduct of customers of defendant’s restaurant and cafeteria. The court in effect held that there inhered in the nature of defendant’s operation a foreseeable hazard that the floor would become littered and therefore that notice, actual or constructive, was not required.
Here, as we have indicated, the evidence was such that a jury could legitimately conclude that the greasy, slippery state of the stairway in reasonable probability resulted from the tracking of the sawdust upon the stairway — not by customers— but by defendant’s own employees. Notice, either actual or constructive, is not required where a defendant through its agents and employees creates a dangerous condition. Compare Torda v. Grand Union Co., 59 N.J.Super. 41 [157 A.2d 133] (App.Div.1959), Plaga, v. Foltis, 88 N.J.Super. 209, 212 [211 A.2d 391] (App.Div. 1965).
\Ibid.\
It is important to note we did not find the conduct of the defendant’s employees in tracking sawdust on the stairway fit within the narrow exception of mode-of-operation liability, even though Wollerman, supra, 47 N.J. at 426, 221 A.2d 513, which defined the doctrine, had been decided by the Court a year earlier. Rather, in Smith, like this case, the facts presented issues of negligence unrelated to defendants’ mode of operation.
This record is devoid of proof plaintiff fell on grease caused by defendants’ fry cook who used the restroom. Plaintiff could not identify with any certainty the substance she thought caused her fall, alternating her description of the foreign substance between grease and water. The evidence marshalled by plaintiff may tend to show defendants had constructive notice that the restaurant floor was greasy. Moreover, even if the record revealed the fry cook used the restroom prior to plaintiffs fall and, in doing so, tracked grease onto the floor area leading to the restroom, the mode-of-operation doctrine would not apply. The doctrine’s focus is not upon the conduct of the establishment’s employees. Rather, the focus is upon the business model that encourages self-service on the part of the customer, which can reasonably and foreseeably create a risk of harm to the customer. Nisivoccia, 175 N.J. at 564, 818 A.2d 314.
The specific facts identified by plaintiff and the judge during the charge conference, as listed in the dissent, address defendants’ duty to guard against wet/greasy floors and invoke defendants’ duty to periodically inspect the customer dining area floor for foreign substances. So too, defendants’ alleged inaction or ineffective conduct despite the heavy downpour may tend to prove constructive notice of an unattended wet floor (although we note, contrary to the judge’s statement, there was no testimony of a high volume of traffic in the restaurant and plaintiff herself testified there was only one patron present).
Unlike the precedents we have discussed, plaintiff cannot identify defendants’ business practice that created an implicit or inherent danger likely to cause the resultant injury she sustained. See e.g., Znoski, supra, 122 N.J.Super. at 247, 300 A.2d 164 (holding the defendant’s provision of shopping carts to customers does not trigger mode-of-operation liability in the plaintiffs action for injury caused when a youth struck him with a cart).
This same analysis holds true if the foreign substance is water. The bulk of plaintiffs evidence suggested water from the rain and possibly from her own wet shoes and clothing caused her falL She produced no evidence showing, as a matter of probability, the presence of rain water on defendants’ restaurant floor was “likely to occur as a result of the nature of the [defendants’] business, the property’s condition or a demonstrable pattern of conduct or incidents.” Nisivoccia, supra, 175 N.J. at 563, 818 A.2d 314. That defendants failed to erect a warning sign or inspect the floor supports her claim of negligence, but not mode-of-operation liability, making use of that jury instruction error.
We, therefore, decline to paint with the same broad brush used by our dissenting colleague, who suggests defendants’ actions or omissions in the course of operating a business must be attributed to its mode-of-operation. Post at 590-91, 592-94, 85 A.3d at 1034-35, 1036-37. Rather, mode-of-operation liability is applied only in limited circumstances that are not demonstrated here. These facts at hand may prove defendants breached their duty to plaintiff or that defendants had constructive notice of an inherently dangerous condition, but they do not reflect a danger posed by defendants’ business operations.
We also note the judge specifically rejected inclusion of subpart 8 of the Model Charge addressing notice of a danger located on a business property, which provides:
If you find that the land (or premises) was not in a reasonably safe condition, then, in order to recover, plaintiff must show either that the owner/occupier knew of the unsafe condition for a period of time prior to plaintiffs injury sufficient to permit him/her in the exercise of reasonable care to have corrected it, or that the condition had existed for a sufficient length of time prior to plaintiffs injury that in the exercise of reasonable care the owner/occupier should have discovered its existence and corrected it.
[Model Jury Charges (Civil), S.20F8, “Notice of Particular Danger as Condition of Liability” (1970)1
We conclude this charge properly addresses the liability question posed by the facts of this case. The jury should have been asked to consider whether plaintiff proved defendants breached their duty to provide a safe premises for invitees by failing to act when it knew or should have known of the danger posed by the rain on tile floors. The omission of the applicable legal standard from the jury instruction along with the inclusion of mode-of-operation liability charge was error. Because the jury charge used here was clearly capable of misleading or confusing the jury, we vacate the verdict and remand for a new trial.
C.
Defendants’ final challenge attacks the evidentiary determinations by the court excluding the use of plaintiffs prior medical records on cross-examination. Defendants argue the trial court erred in limiting cross-examination of plaintiff and her expert regarding plaintiffs prior complaints and symptoms of back and neck pain. As noted below, this record is insufficient to allow our definitive review of these issues. However, because we have ordered a new trial, we include these comments for guidance if the matter arises on retrial.
At trial, plaintiff described her injuries. On cross-examination, she was asked whether she had made complaints of pain or sought medical treatment for these same areas of her body, prior to her fall. She responded she did not remember. Plaintiff was confronted with her deposition testimony, which unequivocally stated she had never sought treatment or complained of pain in her legs, neck, or back or for tingling or numbness in her arms. Defendants then proceeded to ask plaintiff if she sought medical treatment in 2002, after complaining of back pain, which was met by a hearsay objection.
At sidebar, the judge rejected defendants’ claim the documents were admissible as business records and sustained the objection, stating:
So you’re asking that the [c]ourt let in medical records withouF-just because it’s for impeachment purposes because you found some medieal record that perhaps may contradict her credibility____
But just interpreting that the findings of the doctor and the history that he took is the same as the injuries she claims about today that’s what you want the jury to make a credibility determination to find that she’s not credible because some other doctor made note that she had perhaps similar complaints to similar body parts. I don’t think that’s enough. That’s just too much hearsay.
I’m going to preclude you from using these notes to pick out another person’s opinion without presenting the opinion of the doctor as to what the complaint resulted in after physical examination.
Hearsay statements are inadmissible unless they fall within a designated exception. N.J.R.E. 802. However, N.J.R.E. 803(c)(6) excepts from the hearsay rule
[aj statement contained in a writing or other record of acts, events, conditions, and, subject to Rule 808, opinions or diagnoses, made at or near the time of observation by a person with actual knowledge or from information supplied by such a person, if the writing or other record was made in the regular course of business and it was the regular practice of that business to make it, unless the sources of information or the method, purpose or circumstances of preparation indicate that it is not trustworthy.
The business records exception “routinely permits the admission of medieal records.” Konop, supra, 425 N.J.Super. at 403, 41 A.3d 773. To qualify under the business record exception to the hearsay rule:
[T]he proponent must satisfy three conditions: “First, the writing must be made in the regular course of business. Second, it must be prepared within a short time of the act, condition or event being described. Finally, the source of the information and the method and circumstances of the preparation of the writing must justify allowing it into evidence.”
[Ibid, (quoting State v. Sweet, 195 N.J. 357, 370, 949 A.2d 809 (2008)).]
With regard to the reliability of the source of information, this court has stated ‘“one of the critical circumstances importing reliability is the fact that the informant whose declaration is so recorded is under a duty, in the context of the activity in which the record is made, to make an honest and truthful report.’” Id. at 404, 41 A.3d 773 (quoting State v. Lungsford, 167 N.J.Super. 296, 309, 400 A.2d 843 (App.Div.1979)). “‘There is a presumption, absent contrary testimony, that those responsible for services to the public will carry out their duties in a proper, careful and prudent manner.’ ” Ibid, (quoting State v. Matulewicz, 101 N.J. 27, 31, 499 A.2d 1363 (1985)).
In this matter, an objection was made to defendants’ inquiry regarding plaintiffs prior medical treatment, after she asserted she had had none. That question, as posed, was not objectionable. Nor was the use of specific medical records to attempt to refresh plaintiffs recollection inappropriate, particularly as she stated she could not remember.
Courts have ruled pre-accident health records are admissible to test a plaintiffs credibility. See Ocasio v. Amtrak, 299 N.J.Super. 139, 155-59, 690 A.2d 682 (App.Div.1997) (history of drag abuse and other personal issues was relevant to credibility of damage claim arising from personal injury); Allendorf v. Kaiserman Enters., 266 N.J.Super. 662, 674, 630 A.2d 402 (App.Div.1993) (allowing introduction of “evidence that plaintiff had episodes of passing out prior to the accident[, which] was admissible for the purpose of impeaching the credibility of her testimony that she was ‘in perfect health’ and had never had ‘any problem with blacking out’ prior to the accident”). “It has long been the rale in New Jersey that the declarations of a patient as to his [or her] condition, symptoms and feelings made to his [or her] physician for the purpose of diagnosis and treatment are admissible in evidence as an exception to the hearsay rale.” Cestero v. Ferrara, 57 N.J. 497, 501, 273 A.2d 761 (1971). See also N.J.R.E. 803(c)(4) (“Statements made in good faith for purposes of medical diagnosis or treatment which describe medical history, or past or present symptoms, pain, or sensations” are “not excluded by the hearsay rule[.]”).
On this record, we are unable to discern exactly what records or alleged statements attributed to plaintiff defendants sought to admit. First, no proffer was made identifying the specific records to be used. Defendants’ obligation is to identify the specific record, or portion thereof, claimed to be exempt and demonstrate its admissibility. We do not fault the judge for rendering a general ruling when confronted for the first time at trial with voluminous records claimed to be business records. Second, the judge correctly identified the prospect of inadmissible hearsay imbedded within possibly admissible documents. See N.J.R.E. 805. If the issue arises on remand, the subject may be best analyzed by motion presenting a specific proffer and allowing a detailed review.
The judge also limited the use of plaintiffs past medical records during cross-examination of Dr. Tiedrich. Noting plaintiff had not provided her expert with any pre-accident treatment records, defendants presented Dr. Tiedrich with a September 6, 2007 x-ray report of plaintiffs lumbar spine. Plaintiff objected, maintaining the records were hearsay.
“Extensive cross-examination of experts is generally permitted, subject to reasonable limitations imposed by the trial court in its discretion.” Nowacki v. Cmty. Med. Ctr., 279 N.J.Super. 276, 290, 652 A.2d 758 (App.Div.), certif. denied, 141 N.J. 95, 660 A.2d 1194 (1995). Absent a showing of “clear error and prejudice!,]” this court will not interfere with the trial court’s exercise of discretion. Ibid, (quoting Glenpointe Assocs. v. Twp. of Teaneck, 241 N.J.Super. 37, 54, 574 A.2d 459 (App.Div.), certif. denied, 122 N.J. 391, 585 A.2d 392(1990)).
In Allendorf this court found the defendant established the possibility of an alternative medical cause by confronting plaintiffs expert on cross-examination with facts concerning plaintiffs medical history. Allendorf supra, 266 N.J.Super. at 672-74, 630 A.2d 402. The plaintiff alleged she suffered a seizure disorder after being injured by an elevator door. Id. at 667, 672, 630 A.2d 402. The defendant asked the plaintiffs neuropsyehiatrist whether information about the plaintiffs complaints of “passing out” and severe chest pain prior to the accident would change her opinion concerning the cause of the plaintiffs alleged seizure disorder. Id. at 673, 630 A.2d 402. We held “[a] party seeking to present evidence of a prior injury or condition relating to an issue of medical causation must show that the evidence has some ‘logical relationship to the issue in the ease.’ ” Id. at 672, 630 A.2d 402 (quoting Paxton v. Misiuk, 34 N.J. 453, 460, 170 A.2d 16 (1961)). “[T]his logical relationship generally must be established by appropriate expert medical opinion.” Ibid.
Here, the judge’s prior ruling precluded defendants’ inquiry of plaintiff regarding the nature of her 2007 back treatment necessitating x-rays. Were defendants able to establish the logical relationship of that treatment to her current complaints, the questions posed to the expert should have been permitted.
Following our review, we affirm the denial of defendants’ motion for a directed verdict. However, we reverse the determination that mode-of-operation liability applied in this case. Accordingly, we vacate the verdict and remand for a new trial.
Affirmed in part; reversed in part; and remanded for a new trial.
The report was introduced into evidence, but is not included in the record.
Defendants timely electronically filed their notice of appeal. An extension for filing was granted because the system did not transmit the notices.
A common law cause of action for negligence has four elements: (1) a duty of care owed to plaintiff by defendant, (2) a breach of that duly by defendant, (3) proximate cause, and (4) actual damages. Brunson v. Affinity Fed. Credit Union, 199 N.J. 381, 400, 972 A.2d 1112 (2009). The plaintiff bears the burden of proving each of these elements. Ibid.
The mode-of-operation charge included in the jury instructions was as follows:
A proprietor of business premises has the duty to provide a reasonably safe place for his or her customers. If you find the premises were in a hazardous conditionf,] ... whether caused by defendantfs] employees or by othersf,] such as ... other customers and if you find that said hazardous condition was likely to result from the particular manner in which defen-dantfs] business was conducted and if you find that defendantfs] failed to take reasonable precautions to prevent the hazardous conditionf] from arising or failed to take reasonable measures to discover and correct such hazardous condition, then defendantfs are] liable to plaintiff.
In these circumstances defendantfs] would be liable even if defendantfs] and his or her employees did not have actual or constructive knowledge of the particular unsafe conditionf,] which caused the accident and injury. A proprietor business premises has the duty to provide a reasonably safe place for his or her customers. If you find that a hazardous condition was likely to arise in a particular manner in which defendantfs] business was conducted and that defendantfs] employees probably were responsible either in creating such a hazardous condition or permitting it to arise or to continue, defendantfs are] liable to plaintiff if defendantfs] failed ... to exercise reasonable care to prevent such hazardous condition from arising or failed to ... exercise reasonable care to discover and correct such hazardous condition.
In these circumstances defendantfs] would be liable even if defendantfs] and his or her employees did not have actual or constructive knowledge of the particular unsafe conditionf,] which caused the accident and injury.
The record suggests some documents were marked for identification at trial. However, there is no differentiation among the sixty-three pages of records included in defendants’ appendix from various providers treating plaintiff in 2002, 2004, 2005, 2006, 2007, 2009, and 2010. Many records are hand-written and indecipherable. Treatments addressed varied conditions and complaints, among which were 2004 cervical spine x-rays, revealing “mild loss of interverte-bral disc height and early spur formation; cervical nerve impingement; neck and upper back" pain, shoulder blade pain, left leg pain from bursitis; left knee pain and sprain after a fall in November 2009; left arm numbness; and a December 2010 fall down steps, resulting in a diagnosis of lumbar stenosis and degenerative joint disease.
Generally, our review of a trial court’s evidentiary rulings determines whether the judge properly exercised discretion. Villanueva v. Zimmer, 431 N.J.Super. 301, 310-11, 69 A.3d 131 (App.Div.2013). It is only when the trial court " ‘fails to apply the proper test in analyzing the admissibility of proffered evidence’ ” that our review is plenary. Ibid, (quoting Konop v. Rosen, 425 N.J.Super. 391, 401, 41 A.3d 773 (App.Div.2012)).