LISA GODBEY WOOD, Chief District Judge.
Presently before the Court is Warden Darrell Hart, ("Warden Hart"), Nurse Barbara J. Moore, ("Nurse Moore"), and Nurse Mary Gail Ferra's, ("Nurse Ferra"), Motion for Summary Judgment. (Dkt. No. 95.) Plaintiff filed a Response, (dkt. no. 140), and a Declaration in Opposition to Defendants' Motion for Summary Judgment, (dkt. no. 141). After careful consideration of the pleadings, and for the reasons that follow, the Court GRANTS Defendants' Motion.
The facts presented here are drawn from the Parties' Statements of Material Fact. As it must, the Court views all of the evidence in the light most favorable to the Plaintiff and draws all reasonable inferences in his favor.
Plaintiff, who is currently confined at Dodge State Prison in Chester, Georgia, alleges that Defendants were deliberately indifferent to his serious medical needs when he was incarcerated at Ware State Prison in Waycross, Georgia. (Dkt. 140-1, p. 1.) Plaintiff, who had a history of medical conditions including congenital hydrocephalus, choanal atresia, and congenital facial abnormalities, suffered facial and head injuries after being attacked by another inmate with a broken mop handle on September 9, 2011 at Ware State Prison. (Dkt. No. 95-2, p. 1; Dkt. No. 140-1, p. 2.) Following Plaintiff's attack, Lieutenant Brian Adams found Plaintiff injured in his cell. (Dkt. No. 95-2, p. 5.) Lieutenant Adams also discovered a bloody towel in Plaintiff's cell. (
Following his examination by Nurse Moore, Plaintiff was placed in administrative segregation, per prison protocol. (
Plaintiff alleges that Defendant Nurse Ferra also treated him on September 15, 2011. (Dkt. No. 95-12, p. 127.) Plaintiff contends that, at the time of Nurse Ferra's examination, he was bleeding from his head, his face appeared swollen and was "visibly sunk in," and that Nurse Ferra opined that Plaintiff had broken bones. (
Plaintiff further alleges that, following Dr. Grooms' examination and the purported examination by Defendant Nurse Ferra on September 15, 2011, he spoke with Warden Hart in the segregation unit. (
Plaintiff, who was previously represented by counsel, filed this action on December 9, 2013. (Dkt. No. 1.) On May 29, 2014, Defendants filed a Motion to Dismiss, (dkt. no. 27). On August 11, 2014, this Court dismissed Plaintiff's claims against Lieutenant Adams, Georgia Correctional Health Care, and the Georgia Department of Corrections, among others. (Dkt. No. 45.) On March 9, 2015, the Court dismissed all of Plaintiff's remaining claims, with the exception of his deliberate indifference claims against Defendants Nurse Moore, Nurse Ferra, and Warden Hart. (Dkt. No. 78.)
On December 10, 2015, remaining Defendants Nurse Moore, Nurse Ferra, and Warden Hart filed a Motion for Summary Judgment, to which Plaintiff was ordered to file a response by January 3, 2016. (Dkt. No. 95.) After granting Plaintiff four motions for extension of time in which to file his Response to Defendants' Summary Judgment, (dkt nos. 102, 105, 108, 112), Plaintiff moved to proceed pro se in this case and his counsel moved to withdraw, (dkt. nos. 117, 118). After the Court granted these motions, Plaintiff alleged that his former counsel refused to return his legal documents to him and that he was, therefore, unable to draft his Response to Defendants' Motion for Summary Judgment. Accordingly, on September 7, 2016, the Court Ordered that Plaintiff be provided an additional copy of Defendants' Motion for Summary Judgment and all supporting materials. (Dkt. No. 139.) Within that Order, the Court granted Plaintiff an additional extension of ten days—until September 17, 2016—to file a Response. (
Because September 17, 2016 fell on a Saturday, Plaintiff's Response was due on September 19, 2016. Fed. R. Civ. P. 6(a)(1)(C). The Court received Plaintiff's Response on September 23, 2016. However, pursuant to Federal Rule of Civil Procedure 6(d),"[w]hen a party may or must act within a specified time after service and service is made under Rule 5(b)(2)(C), (D), (E), or (F), 3 days are added after the period would otherwise expire under Rule 6(a)[.] Accordingly, to be considered timely, Plaintiff was required to file his Response by September 22, 2016. Because "the "prison mailbox rule,"
Summary judgment "shall" be granted if "the movant shows that there is no genuine dispute as to any material fact and that the movant is entitled to judgment as a matter of law." FED. R. Civ. P. 56(a). "A dispute about a material fact is genuine and summary judgment is inappropriate if the evidence is such that a reasonable jury could return a verdict for the nonmoving party. However, there must exist a conflict in substantial evidence to pose a jury question."
The moving parties bear the burden of establishing that there is no genuine dispute as to any material fact and that they are entitled to judgment as a matter of law.
Defendants move for summary judgment on two grounds. First, Defendants maintain Plaintiff cannot show that any Defendant violated his Eighth Amendment right against cruel and unusual punishment. In the alternative, Defendants assert that they are entitled to qualified immunity.
Plaintiff's deliberate indifference claims and Defendants' arguments require analysis of the Eighth Amendment's proscription against cruel and unusual punishment. That proscription imposes a constitutional duty upon prison officials to take reasonable measures to guarantee the safety of prison inmates.
In the medical care context, the standard for cruel and unusual punishment, embodied in the principles expressed in
In order to prove a deliberate indifference claim, a prisoner must overcome three obstacles. The prisoner must: (1) "satisfy the objective component by showing that [he] had a serious medical need"; (2) "satisfy the subjective component by showing that the prison official acted with deliberate indifference to [his] serious medical need"; and (3) "show that the injury was caused by the defendant's wrongful conduct."
"The meaning of `more than gross negligence' is not self-evident[.]"
Defendants assert Plaintiff cannot sustain a cause of action against Defendant Nurse Moore, Defendant Nurse Ferra, or Defendant Warden Hart. Accordingly, the Court applies the summary judgment standards and Eighth Amendment deliberate indifference standards laid out above to Plaintiff's claims against each defendant.
The parties do not dispute that Plaintiff had a serious medical need following his attack and, therefore, agree that Plaintiff has satisfied the objective component of his deliberate indifference claim. However, Defendants contend that Plaintiff has not satisfied the subjective component of his claim as to Nurse Moore, because she did not know of a serious risk of harm that she then disregarded. (Dkt. No. 95-1, p. 18.) Defendants further aver that, even if Nurse Moore knew of a serious risk of harm and disregarded that risk, her decision to treat Plaintiff with ibuprofen and an ice pack—as opposed to arranging for immediate emergency care, x-ray, and CT scans—was at least minimally adequate under the Eighth Amendment. (Id. at pp. 14-15.) Similarly, Defendants aver that Nurse Moore did not improperly delay medical treatment by failing to order x-rays and CT scans of Plaintiff's face. (
In support of their arguments, Defendants offer the affidavits of Nurse Ferra, Warden Hart, Lieutenant Adams, Dr. Phillip Grooms, and Georgia Department of Corrections Health Services Administrator Vernon Speight, as well as Plaintiff's medical records. Those sources support the following facts: (1) Nurse Moore examined Plaintiff and asked for the cause of his visible facial injuries in the Ware State Prison medical unit on September 9, 2011; (2) Plaintiff refused to explain the cause of his injuries and denied that he had been involved in an inmate altercation; (3) Nurse Moore cleaned Plaintiff's face, provided him with ice, pain relief medication, and a sick call request form; (4) Nurse Moore instructed Plaintiff to submit the form if additional medical problems arose; and (5) Nurse Moore had no further involvement in the treatment of Plaintiff's facial injury. (Dkt. No. 95-2, pp. 6-7.)
Conversely, Plaintiff has alleged additional facts regarding his condition at the time Nurse Moore examined him to show that she not only knew of, but disregarded his serious medical need. First, Plaintiff contends that he was bleeding from his head, arm, mouth, and ear and had a sunken face when he arrived at the medical unit on September 9, 2011, and that he explained to Nurse Moore that he had been attacked by another inmate. He has also alleged that he was awaiting brain surgery at the time Nurse Moore examined him. He claims that he advised Nurse Moore of these conditions and that she responded to him rudely and sarcastically.
In his Declaration in Opposition to Defendants' Motion for Summary Judgment, Plaintiff further argues that Lieutenant Adams fabricated his incident report and that Nurse Moore placed an erroneous nursing assessment in his medical file to conceal Nurse Moore's provision of deficient medical care. (Dkt. No. 141, p. 4.) Plaintiff also alleges that his treating physician, Dr. Kauntakis, subsequently opined that Plaintiff had improperly healed broken bones in his face due to Nurse Moore's failure to order emergency care. (Dkt. No. 141, p. 7.) Finally, Plaintiff argues that his subsequent need for facial reconstructive surgery and oral surgery following the attack shows that he appeared severely injured when he presented to Nurse Moore on September 9, 2011 and that she, therefore, must have known he had a serious medical need.
However, Plaintiff has offered no evidence in support of his allegations that Lieutenant Adams and Nurse Moore falsified their records, other than his own testimony. Furthermore, Plaintiff's medical records contradict his assertion that his treating physician, Dr. Kauntakis, offered any opinion as to whether Plaintiff had improperly healed broken bones or opined as to the cause of Plaintiff's injuries. Though Plaintiff claims that his medical records labeled "Exhibit C" and "Exhibit E" contain this opinion, (dkt. no. 141, p. 7), those records contain no such conclusion by Dr. Kauntakis.
In contrast, Defendants offer the affidavit of Lieutenant Adams, who denies that Plaintiff was bleeding when he escorted Plaintiff to the medical unit on September 9, 2011. (Dkt. No. 95-8, p. 2.) Plaintiff's medical records also fail to indicate that Plaintiff was bleeding at the time of Nurse Moore's examination or that his face had a sunken appearance.
Accordingly, even when viewing the evidence in a light most favorable to Plaintiff, the Court finds that Plaintiff fails to establish a genuine dispute as to whether Nurse Moore was subjectively aware of a serious risk to his health and disregarded that risk. While Plaintiff avers that Nurse Moore saw that he was bleeding and had a sunken face, knew Plaintiff was scheduled for brain surgery, and that Nurse Moore, Lieutenant Adams, and various other prison officials have conspired to falsify his medical records, the record evidence directly contradicts Plaintiff's unsupported assertions of fact. The record shows that Plaintiff presented to Nurse Moore with facial injuries, but he refused to explain the origin of those injuries. (Dkt. No. 141-3, p. 2.) Plaintiff's medical records and Defendants' witness declarations further show that Plaintiff was not bleeding at the time Nurse Moore treated him and that he did not have a sunken face. The record also confirms that Plaintiff was not scheduled for brain surgery or any other neurological specialty appointments, as he claims. Accordingly, there is no genuine dispute that Nurse Moore was not aware of any serious risk to Plaintiff on September 9, 2011, as neither Plaintiff nor his medical records indicated that the swelling and scratches on his face were more serious than they appeared at the time of his examination.
Furthermore, even when viewing the evidence in a light most favorable to Plaintiff, he has not shown that Nurse Moore's provision of only ibuprofen and ice to treat his injuries was constitutionally inadequate. As discussed above,"[w]hen the claim turns on the quality of the treatment provided, there is no constitutional violation as long as the medical care provided to the inmate is `minimally adequate.'"
Here, it is undisputed that Nurse Moore cleaned Plaintiff's wounds, provided him with ibuprofen and ice, and gave him a sick call request. However, Plaintiff claims that the care provided by Nurse Moore was constitutionally inadequate because his physical condition necessitated emergency care, as well as xrays and CT scans. Contrary to Plaintiff's contentions, however, the evidence shows that Plaintiff was not bleeding when he presented to Nurse Moore, that he exhibited only scratches and swelling, and that Plaintiff refused to explain the source of his injuries to Nurse Moore. Under these circumstances, Nurse Moore's provision of ibuprofen and ice was at least minimally adequate.
Furthermore, the question of whether an inmate should have received different diagnostic tests or treatments is not an appropriate basis for constitutional liability.
Accordingly, Defendants have shown that, even when viewed in a light most favorable to Plaintiff, the record evidence does not support Plaintiff's claim that Nurse Moore was deliberately indifferent to Plaintiff's serious medical needs. As a result, no reasonable jury could return a verdict for Plaintiff against Nurse Moore. Therefore, the Court GRANTS Defendant Nurse Moore summary judgment on Plaintiff's deliberate indifference claims.
Defendants also argue that Plaintiff cannot sustain a deliberate indifference claim against Defendant Nurse Ferra. Specifically, Defendants maintain that Nurse Ferra had no subjective knowledge of a risk of serious harm to Plaintiff as a result of his facial injuries because Plaintiff never presented to Nurse Ferra for treatment. Conversely, Plaintiff alleges that Nurse Ferra examined him on September 15, 2011, and, therefore, she knew of, but deliberately ignored, a risk of serious harm to his health by failing to provide any treatment.
In support of their argument that Nurse Ferra had no knowledge of a serious risk to Plaintiff's health, Defendants point to Plaintiff's medical records. The last record of Plaintiff's treatment by Nurse Ferra is dated August 10, 2011. (Dkt. No. 95-2, p. 12.) Again, Plaintiff's attack at the hands of another inmate occurred on September 9, 2011. Accordingly, Defendants maintain that Nurse Ferra never treated Plaintiff's injuries not because she was deliberately indifferent to his serious medical needs, but because she never knew that he had a serious medical need. (
In his Declaration in Opposition to Defendants' Motion for Summary Judgment, Plaintiff again avers that Nurse Ferra examined him on September 15, 2011, contrary to Defendants' allegations. (Dkt. No. 141, p. 12.) Defendant claims that Nurse Ferra not only examined him but "was visibly upset" after viewing his injuries. (
As discussed above, when the nonmoving party would have the burden of proof at trial, the parties moving for summary judgment may discharge their burden by showing that the record lacks evidence to support the nonmoving party's case or that the nonmoving party would be unable to prove his case at trial.
Here, Plaintiff bears the burden of proving that Nurse Ferra was deliberately indifferent to his serious medical needs. However, Plaintiff's medical records unequivocally indicate that Plaintiff never presented to Nurse Ferra for treatment of his September 9, 2011 injuries. Plaintiff has provided no evidence to the contrary other than his own unsupported and conclusory allegations which are insufficient to defeat a summary judgment motion. Even if Plaintiff's allegations could be considered evidence, the record so blatantly contradicts the allegations that no reasonable jury could believe Plaintiff's account. Consequently, there is no genuine dispute as to whether Nurse Ferra examined Plaintiff on September 15, 2011.
Moreover, even if Nurse Ferra had seen Plaintiff on September 15, 2011, it is undisputed that Dr. Grooms, M.D., a physician employed by the Georgia Department of Corrections at Ware State Prison, examined and treated Plaintiff on that date.
Plaintiff cannot establish that Nurse Ferra violated the Constitution by deferring to Dr. Grooms' course of treatment for Plaintiff.
For all of these reasons, Plaintiff would not be able prove his deliberate indifference claims against Nurse Ferra at trial. Therefore, the Court
Finally, Plaintiff claims that Defendant Hart was also deliberately indifferent to his serious medical needs. Plaintiff alleges that, following his examination by Dr. Grooms on September 15, 2011, Plaintiff told Warden Hart that he needed medical attention during Warden Hart's inspection of the administrative segregation housing unit. (Dkt. No. 95-12, p. 108.) According to Plaintiff, Warden Hart advised Plaintiff to seek help in the medical unit, but did nothing to assist Plaintiff in attaining medical care.
In response to Plaintiff's allegations, Defendants first argue that Warden Hart could not have been aware of a serious medical need, because, following his treatment by Dr. Grooms, Plaintiff no longer had a serious medical need when Defendant Hart spoke with him. (Dkt. No. 95-1, pp. 21-22.) In the alternative, Defendants argue that, even if Plaintiff had a serious medical need of which Warden Hart was aware, he was not deliberately indifferent to that need because Defendant Hart "would have notified [Ware State Prison's] medical staff and relied upon them to provide any needed care[]" in the event Plaintiff had a serious medical need. (
As an initial matter, Section 1983 liability must be based on something more than a defendant's supervisory position or a theory of respondeat superior.
Plaintiff does not allege, much less present evidence, that his allegedly deficient medical care resulted from a custom or policy created or endorsed by Defendant Warden Hart. Likewise, Plaintiff offers no argument or evidence that there was a widespread history of abuse at Ware State Prison that placed Defendant Hart on notice that he needed to address the level of medical care at the prison. Additionally, the record contains no evidence that Warden Hart directed other actors to refrain from providing Plaintiff medical care or that Warden Hart otherwise prevented others from providing Plaintiff with adequate medical care.
"(T)he law encourages non-medical security and administrative personnel at jails and prisons to defer to the professional medical judgments of the physicians and nurses treating the prisoners in their care without fear of liability for doing so."
The record shows that Warden Hart had no medical training, did not make any medical determinations or judgments regarding inmates, and did not substitute his judgment for that of the prison's medical professionals. (Dkt. No. 95-7, p. 4.) Rather, Warden Hart relied on trained medical personnel to provide treatment to those inmates in need and to provide necessary information about an inmate's condition and needs. (
Plaintiff alleges that Defendant Hart was aware of his serious medical needs because Plaintiff told him of those needs. However, the uncontroverted evidence before the Court reveals that Warden Hart told Plaintiff to see the medical department regarding his medical needs. Indeed, the undisputed facts reveal that Plaintiff saw Dr. Grooms and others in the medical department in the days before he spoke to Warden Hart, and he continued to see the medical department after speaking to Warden Hart.
Warden Hart had no medical training or expertise and properly relied on medical personnel to provide care and treatment to any inmate with a medical need. As far as Defendant Hart was aware, Plaintiff was receiving proper care and treatment from the medical staff at Ware State Prison. In short, Plaintiff fails to create a genuine issue of any fact material to his deliberate indifference to serious medical needs claims against Warden Hart. Accordingly, the Court also GRANTS Defendant Hart summary judgment on Plaintiff's deliberate indifference claims.
Based on the foregoing, Defendants' Motion for Summary Judgment, (dkt. no. 95), is
SO ORDERED.