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Whittle v. Ulloa, 15 Civ. 08875 (JCM). (2019)

Court: District Court, S.D. New York Number: infdco20190107944 Visitors: 11
Filed: Jan. 04, 2019
Latest Update: Jan. 04, 2019
Summary: OPINION AND ORDER AND JUDITH C. McCARTHY , Magistrate Judge . Plaintiff Avery Whittle ("Plaintiff"), proceeding pro se, brings this action pursuant to 42 U.S.C. 1983 against Defendant N.P. Uszynski ("Defendant"). (Docket Nos. 1, 17). Defendant has moved for summary judgment pursuant to Rule 56 of the Federal Rules of Civil Procedure ("Motion"). (Docket No. 98). Plaintiff opposed the Motion, (Docket No. 106), and Defendant replied, (Docket No. 108). For the reasons set forth below, the C
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OPINION AND ORDER AND

Plaintiff Avery Whittle ("Plaintiff"), proceeding pro se, brings this action pursuant to 42 U.S.C. § 1983 against Defendant N.P. Uszynski ("Defendant"). (Docket Nos. 1, 17). Defendant has moved for summary judgment pursuant to Rule 56 of the Federal Rules of Civil Procedure ("Motion"). (Docket No. 98). Plaintiff opposed the Motion, (Docket No. 106), and Defendant replied, (Docket No. 108). For the reasons set forth below, the Court grants Defendant's Motion.1

I. BACKGROUND

A. Procedural Background

On November 10, 2015, Plaintiff commenced this action against Dr. Raul Ulloa, Captain W. Smiley, Warden Vollmer, and a Jane Doe nurse ("Defendants") alleging that they were deliberately indifferent to his medical needs in violation of his rights under the United States Constitution.2 (Docket No. 1). Construing Plaintiff's allegations liberally, Plaintiff also alleges state law claims of medical malpractice and negligence. (Id.). On April 4, 2016, Plaintiff filed an amended complaint ("Amended Complaint") to replace the Jane Doe defendant with N.P. Uszynski as a named defendant. (Docket No. 17). All defendants moved to dismiss Plaintiff's Amended Complaint pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure. (Docket Nos. 27, 43). On December 19, 2016, the Court dismissed all of Plaintiff's claims against Dr. Raul Ulloa, Captain W. Smiley, and Warden Vollmer. (Docket No. 60). The Court also dismissed Plaintiff's state law claims against N.P. Uszynski, but denied Defendant's motion to dismiss Plaintiff's Section 1983 claim for deliberate indifference to his medical needs against N.P. Uszynski. (Id.).

Following the completion of discovery, Defendant N.P. Uszynski filed a motion for summary judgment, (Docket No. 98), accompanied by a memorandum of law ("Def. Br."), (Docket No. 99), a statement of facts pursuant to Local Civil Rule 56.1 ("Def. 56.1"), (Docket No. 102), and a declaration attaching seventeen exhibits, (Docket No. 101), including: relevant entries of Plaintiff's medical records ("Def. Ex. J"), (Docket No. 101-10), a copy of Plaintiff's deposition transcript ("Whittle Dep."), (Docket No. 101-11), video surveillance footage depicting Plaintiff's interaction with Defendant on December 12, 20143 ("Def. Ex. N"), (Docket No. 101-14), an affirmation signed by Doctor Raul Ulloa ("Ulloa Aff."), (Docket No. 101-15), and an affidavit signed by Defendant ("Uszynski Aff."), (Docket No. 101-17). Plaintiff's opposition to Defendant's motion includes a combined memorandum of law and response to Defendant's 56.1 Statement. ("Pl. Br. and 56.1 Resp.") (Docket No. 105). Plaintiff also attached a number of exhibits to his opposition,4 (Docket No. 106), including additional medical records, ("Pl. Ex. E").

B. Facts

The following facts are gathered from Defendant's 56.1 Statement, Plaintiff's 56.1 Response, the exhibits attached to the parties' submissions, and the affidavits submitted by the parties in support of their contentions.5 The facts are construed in the light most favorable to Plaintiff as the non-moving party. Wandering Dago, Inc. v. Destito, 879 F.3d 20, 30 (2d Cir. 2018). The facts are not in dispute, unless otherwise noted.

At all relevant times, Plaintiff was a pretrial detainee at Westchester County Jail ("WCJ") in Valhalla, New York. (Am. Compl., Docket No. 17 at 8). Defendant was a nurse practitioner in WCJ responsible for conducting infirmary rounds, recording patients' progress notes, and providing treatment under the supervision of the facility's physicians. (Uszynski Aff. at ¶¶ 3-4). On December 12, 2014, Plaintiff underwent surgery at Mount Vernon Hospital to remove a cyst located on the side of his neck. (Whittle Dep.6 at 18, 20-21); (Def. Ex. J at 6-7). Doctor Aaron Roth performed the surgery, sutured the wound, and wrote discharge treatment instructions. (Whittle Dep. at 30-31); (Def. Ex. J at 7). Doctor Roth's discharge instructions noted that the dressing covering the wound should not be changed for 24 hours following surgery, then changed daily with Bacitracin7 applied to the wound. (Def. Ex. J at 7); (Ulloa Aff. at 6). The instructions also stated that Plaintiff should take Bactrim, an oral antibiotic, twice per day for seven days, and that he should not shower for 48 hours after the surgery. (Id.). Doctor Roth gave Plaintiff's discharge instructions to correction officers to be brought back to WCJ upon Plaintiff's discharge from the hospital. (Whittle Dep. at 32-33).

Plaintiff was discharged from Mount Vernon Hospital on December 12, 2014 at approximately 6:05 p.m., (Def. Ex. J at 12), and transported to the medical unit within WCJ, (Whittle Dep. at 30). Upon arrival, a nurse, who was not Defendant, escorted Plaintiff to a bed, took his vital signs, and gave him something to eat. (Id. at 32). Surveillance video of the medical unit shows that later that evening Plaintiff was escorted to a hallway chair by a male officer at 7:30 p.m.8 (Def. Ex. N). The video depicts Plaintiff with a post-operative white dressing covering the posterior and lateral sides of his neck. (Id.). At 8:04 p.m., Defendant approached Plaintiff and appears to briefly examine Plaintiff's dressing before walking away. (Id.). The video does not depict Defendant removing the dressing. (Id.). At 8:10 p.m., Defendant returned and appears to speak with Plaintiff, who remained seated in the chair. (Id.). At this point, Defendant observed that the dressing was clean, dry and intact. (Uszynski Aff. at ¶ 5). Defendant did not touch or remove Plaintiff's dressing. (Ex. N). At 8:16 p.m., Defendant and a correction officer approached Plaintiff. (Id.). Because Plaintiff complained of pain in his lower extremities, Defendant examined him for signs of deep vein thrombosis ("DVT"). (Ex. N); (Uszynski Aff. at ¶ 5). Defendant noted that Plaintiff's blood pressure was elevated and ordered a re-check at 10:00 p.m. (Uszynski Aff. at ¶ 5). After the examination, a correction officer escorted Plaintiff out of the hallway. (Def. Ex. N). As Plaintiff walked away, the video shows that the dressing on Plaintiff's neck is clearly visible and still intact. (Id.).

Following their interaction in the hallway, Defendant updated Plaintiff's medical chart with the treatment that she provided to Plaintiff. (Def. Ex. J at 17-18); (Uszynski Aff. at ¶ 7). Defendant also included Doctor Roth's discharge instructions in Plaintiff's medical chart. (Id.). Specifically, Defendant noted that Plaintiff should receive pain relievers every 8 hours for 24 hours, Bactrim and Bacitracin administered twice a day, and no showering for 48 hours. (Id.). Defendant's medical notes also indicate that Plaintiff was scheduled for suture removal in fourteen days and a surgical follow up appointment. (Def. Ex. J at 17-18). Defendant did not encounter Plaintiff again for several months thereafter. (Whittle Dep. at 46); (Uszynski Aff. at ¶ 10); (Pl. Ex. E at 19).

Plaintiff's medical records indicate that on December 14, 2014, medical personnel cleaned the surgery site with saline, applied dry dressing, and administered Bactrim and Doxycycline to Plaintiff.9 (Def. Ex. J at 29-30); (Whittle Dep. at 44-45). On December 18, 2014, Doctor Ulloa, who was the Medical Director at WCJ, examined Plaintiff's neck and noted that the sutures were in place with no erythema. (Ulloa Aff. at ¶¶ 2-3, 8). Doctor Ulloa also noted that Doctor Roth's discharge instructions remained in place. (Id. at ¶ 8). The medical records indicate that on December 26, 2014, the sutures were removed, that the suture line healed, and there was no bleeding at the surgery site. (Pl. Ex. E at 8). Thereafter, on January 3, 2015, Plaintiff returned to the medical unit due to a "dehiscence," or opening, of the wound at the suture site on the left side of his neck. (Pl. Ex. E at 5); (Ulloa Aff. at ¶ 9). On January 5, 2015, Doctor Ulloa examined the dehiscence and observed that the wound opened horizontally, but that it was clean with no discharge or blood. (Pl. Ex. E at 6); (Ulloa Aff. at ¶ 9). Following his examination, Doctor Ulloa ordered that Plaintiff receive treatment for the dehiscence, and that Plaintiff follow up with Doctor Roth. (Id.).

II. LEGAL STANDARDS

A. Summary Judgment Standard

Under Rule 56 of the Federal Rules of Civil Procedure, the moving party bears the burden of demonstrating that it is entitled to summary judgment. See Huminski v. Corsones, 396 F.3d 53, 69 (2d Cir. 2005). The Court must grant summary judgment "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a); see also Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). A genuine dispute as to a material fact "exists for summary judgment purposes where the evidence is such that a reasonable jury could decide in the non-movant's favor." Beyer v. Cnty. of Nassau, 524 F.3d 160, 163 (2d Cir. 2008); see also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986). "A fact is material if it might affect the outcome of the suit under the governing law." Casalino v. N.Y. State Catholic Health Plan, Inc., No. 09 Civ. 2583(LAP), 2012 WL 1079943, at *6 (S.D.N.Y. Mar. 30, 2012) (internal quotation and citation omitted).10

In reviewing a motion for summary judgment, the Court "must draw all reasonable inferences in favor of the [non-moving] party" and "must disregard all evidence favorable to the moving party that the jury is not required to believe." Reeves v. Sanderson Plumbing Products, Inc., 530 U.S. 133, 150-51 (2000). That said, the Court may not weigh the evidence or determine the truth of the matter, but rather conducts "the threshold inquiry of determining whether there is the need for a trial." Anderson, 477 U.S. at 250.

The moving party bears the initial burden of "demonstrating the absence of a genuine issue of material fact." Holcomb v. Iona Coll., 521 F.3d 130, 137 (2d Cir. 2008) (citing Celotex, 477 U.S. at 323). If the moving party meets this initial burden, the burden then shifts to the non-moving party to "present evidence sufficient to satisfy every element of the claim." Id. "The non-moving party is required to `go beyond the pleadings' and `designate specific facts showing that there is a genuine issue for trial,'" id. (citing Celotex, 477 U.S. at 324; Anderson, 477 U.S. at 249-50), and "must do more than simply show that there is some metaphysical doubt as to the material facts," Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986). If the non-moving party fails to establish the existence of an essential element of the case on which it bears the burden of proof at trial, summary judgment must be granted. Celotex, 477 U.S. at 322-23.

Parties moving for and opposing summary judgment in the Southern District of New York must also submit short and concise statements of facts, supported by evidence that would be admissible at trial. Local Civ. R. 56.1. The opposing party must specifically controvert the moving party's statement of material facts, or the moving party's facts will be deemed admitted for purposes of the motion. Local Civ. R. 56.1(c); T.Y. v. N.Y.C. Dep't of Educ., 584 F.3d 412, 418 (2d Cir. 2009) ("A non-moving party's failure to respond to a Rule 56.1 statement permits the court to conclude that the facts asserted in the statement are uncontested and admissible."). However, uncontested facts cannot be deemed true simply by virtue of their assertion in a Local Rule 56.1 statement; the Court is free to disregard the assertion in the absence of citations or where the cited materials do not support the factual assertions in the statements. Holtz v. Rockefeller & Co., 258 F.3d 62, 73 (2d Cir. 2001). The Court therefore has discretion "to conduct an assiduous review of the record" even where one of the parties has failed to file such a statement. Id.; see also Fed. R. Civ. P. 56(c)(3). Nevertheless, the Court is "not required to consider what the parties fail to point out." Monahan v. N.Y.C. Dep't of Corr., 214 F.3d 275, 292 (2d Cir. 2000) (internal quotation marks and citation omitted).

B. Standard for Deliberate Indifference Claims Under the Fourteenth Amendment

A pre-trial detainee's claim for deliberate indifference to serious medical needs is evaluated under the Due Process Clause of the Fourteenth Amendment. Davis v. McCready, 283 F.Supp.3d 108, 116 (S.D.N.Y. 2017) (citing Darnell v. Pineiro, 849 F.3d 17, 35 (2d Cir. 2017)). "[W]hen a claim arises under the Fourteenth Amendment, `the pre-trial detainee must prove that the defendant-official acted intentionally . . . or recklessly failed to act with reasonable care . . . even though the defendant-official knew, or should have known that the condition posed an excessive risk to health or safety.'" Ryan v. Cty. of Nassau, No. 12-CV-5343(JS)(SIL), 2018 WL 354684, at *3 (E.D.N.Y. Jan. 10, 2018) (quoting Darnell, 849 F.3d at 35). To establish a claim for deliberate indifference to serious medical needs under the Fourteenth Amendment, a plaintiff must satisfy both objective and mens rea components. Davis, 283 F. Supp. 3d at 116.

The objective standard has two prongs. "The first prong is whether the prisoner was actually denied adequate medical care." James v. Correct Care Sols., No. 13-CV-0019(NSR), 2013 WL 5730176, at *4 (S.D.N.Y. Oct. 21, 2013) (citing Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir.2006)); see Valdiviezo v. Boyer, No. 17-1093, 2018 WL 5096345, at *2 (2d Cir. Oct. 18, 2018) (noting that "[f]or Fourteenth Amendment claims, this Court applies the same standard as the Eighth Amendment to determine whether an alleged action is objectively serious enough to be a constitutional violation.") (summary order). The second prong of the objective standard is "whether the `medical condition is sufficiently serious.'" Figueroa v. Cty. of Rockland, No. 16-CV-6519 (NSR), 2018 WL 3315735, at *5 (S.D.N.Y. July 5, 2018) (quoting Salahuddin, 467 F.3d at 280). To establish that the medical condition was sufficiently serious, a plaintiff must show "the existence of `a condition of urgency, one that may produce death, degeneration, or extreme pain[.]'" Id. at *4 (quoting Hill v. Curcione, 657 F.3d 116, 122 (2d Cir. 2011)). However, "where the inadequacy is in the medical treatment given, the seriousness inquiry is narrower . . . [and] the seriousness inquiry `focus[es] on the challenged delay or interruption in treatment rather than the prisoner's underlying medical condition alone.'" Salahuddin, 467 F.3d at 280 (quoting Smith v. Carpenter, 316 F.3d 178, 185 (2d Cir. 2003).

In Darnell v. Pineiro, the Second Circuit modified the mens rea component for deliberate indifference claims brought under the Fourteenth Amendment. 849 F.3d at 35; Lloyd v. City of New York, 246 F.Supp.3d 704, 718 (S.D.N.Y. 2017) ("[t]he reasoning of Darnell applies equally to claims of deliberate indifference to serious medical needs under the Fourteenth Amendment."). Since Darnell, courts must determine "whether an objectively reasonable person in Defendant's position would have known, or should have known, that Defendant's actions or omissions posed an excessive risk of harm to [Plaintiff]." Davis, 283 F. Supp. 3d at 120 (citing Darnell, 849 F.3d at 35; Lloyd, 246 F. Supp. 3d at 719). "In other words, the second element of a deliberate indifference claim under the Fourteenth Amendment `is defined objectively,' and a plaintiff is not required to show subjective awareness by the defendant that `[his] acts (or omissions) have subjected the pre-trial detainee to a substantial risk of harm.'" Ryan, 2018 WL 354684, at *3 (quoting Darnell, 849 F.3d at 35) (alteration in original). Nevertheless, "[a] detainee must prove that an official acted intentionally or recklessly, and not merely negligently." Darnell, 849 F.3d at 36.

III. DISCUSSION

Plaintiff in the instant matter alleges two theories of liability against Defendant. First, Plaintiff claims Defendant removed the post-surgical dressing from Plaintiff's neck when she examined him on December 12, 2014. (Am. Compl. at 8-9). Second, Plaintiff appears to argue that Defendant altered Doctor Roth's post-surgery treatment plan, which prevented Plaintiff from received proper dressing changes for weeks. (Pl. Br. and 56.1 Resp. at 5, 7).

A. Post-Operative Dressing

Plaintiff's claim premised on his first theory of liability fails under the objective test of the deliberate indifference analysis because the evidence demonstrates that Defendant did not, in fact, remove the post-operative dressing from Plaintiff's neck on December 12, 2014. The first prong of the objective test requires that Plaintiff establish that he "was actually denied adequate medical care." James, 2013 WL 5730176, at *4 (citing Salahuddin, 467 F.3d at 279). In the instant case, video surveillance reveals that Defendant did not remove Plaintiff's dressing on any of the three occasions Defendant approached Plaintiff while he was seated in the hallway of the medical unit. (Ex. N). Rather, Defendant complied with Doctor Roth's discharge instructions to leave the dressing intact for 24 hours following surgery. (Def. Ex. J at 7). In fact, the video surveillance shows that the dressing on Plaintiff's neck is clearly intact as he exited the hallway of the medical unit following his interaction with Defendant. (Ex. N). Additionally, Plaintiff fails to offer any evidence supporting his contention other than his own self-serving deposition testimony. See Scott v. Harris, 550 U.S. 372, 378-81 (2007) (holding that video evidence may be credited over non-movant's account if the video "blatantly contradicts" the non-movant's version of events). Furthermore, Plaintiff admits that he had no other pertinent interactions with Defendant after December 12, 2014. (Whittle Dep. at 46). Accordingly, Defendant is entitled to summary judgment on Plaintiff's first theory of deliberate indifference because no rational jury could conclude, based on the video evidence, that Defendant removed the post-surgical dressing from Plaintiff's neck on December 12, 2014.

B. Post-Operative Treatment Plan

Plaintiff also argues that Defendant was deliberately indifferent when she failed to include a portion of Doctor Roth's discharge instructions in Plaintiff's medical chart, which allegedly prevented Plaintiff from receiving new dressing on his neck for approximately twenty-two days. (Pl. Br. and 56.1 Resp. at 4-5). In other words, Plaintiff maintains that Defendant's omission led to an unreasonable delay in receiving dressing changes. While the need for repeated dressing changes may constitute a serious medical need, see Nelson v. Warren, No. 10-CV-990 (GTS)(DRH), 2011 WL 7445581, at *3 (N.D.N.Y. Dec. 12, 2011), report and recommendation adopted, 2012 WL 685755 (N.D.N.Y. Mar. 2, 2012), Defendant's alleged omission does not rise to a level sufficient to satisfy the second prong of the objective inquiry under the facts herein. Defendant noted Doctor Roth's discharge orders in the records and even recommended that medical personnel clean Plaintiff's wound with Bacitracin twice a day rather than once a day. (Def. Ex. J at 18). Defendant also took measures to alleviate Plaintiff's pain and to prevent infection. Defendant's instructions further recommended that medical personnel monitor Plaintiff's post-operative condition for additional treatment, if necessary, on a daily basis. Such actions do not amount to deliberate indifference to his serious medical needs. See Maldonado v. Wells, No. 9:12-CV-1290 (LEK)(CFH), 2015 WL 3455215, at *8 (N.D.N.Y. May 28, 2015) (holding that the plaintiff failed to establish deliberate indifference where the defendants "took measures to treat and avoid the harm of the possible infection, including prescribing pain medication, including antibacterial medication, cleaning the wound, keeping plaintiff in the infirmary for days at a time, instructing him on how to treat his wound, scheduling follow-up visits, and re-testing the incision site.").

Furthermore, Plaintiff's medical records and deposition testimony establish that Plaintiff received a dressing change, saline cleaning at the surgery site, and antibiotics at approximately 11:46 a.m. on December 14, 2014—a little over 36 hours after surgery and consistent with Doctor Roth's discharge notes directing the dressing to be changed after 24 hours. (Def. Ex. J at 7); (Whittle Dep. at 44-45). Plaintiff maintains that he did not actually receive a full dressing change or saline cleaning on December 14, 2014. (Whittle Dep. at 45-46). This contention, however, is belied by Plaintiff's medical records. (Def. Ex. J at 29-30); see Benitez v. Pecenco, No. 92 Civ. 7670 (DC), 1995 WL 444352, at *7, n. 5 (S.D.N.Y. July 27, 1995) (granting summary judgment where conclusory claim that plaintiff was never issued medication was directly contradicted by medical records and was insufficient to create a factual dispute on that issue). Consequently, because any delay in treatment was minimal and not sufficiently serious, Defendant is entitled to summary judgment under the objective prong of the two part test. See Salahuddin, 467 F.3d at 280.

Assuming arguendo that Plaintiff's second theory of liability satisfies the objective prong, the evidence does not support the inference that Defendant acted with the requisite state of mind necessary to establish Plaintiff's claim. Under the mens rea component, Plaintiff must show that an objectively reasonable person in Defendant's position "knew, or should have known" that her actions or omissions on December 12, 2014 "posed an excessive risk to [Plaintiff's] health or safety." Darnell, 849 F.3d at 35. Here, based upon the evidence in the record, a reasonable jury could not conclude that Defendant knew or should have known that noting Doctor Roth's discharge instructions in Plaintiff's medical chart would delay Plaintiff's dressing changes. While Plaintiff's medical chart does not affirmatively state that Plaintiff should receive dressing changes, Defendant's notations indicate that Plaintiff should not shower for 48 hours, the surgery site on Plaintiff's neck should be cleaned with Bacitracin twice daily, and Plaintiff should receive both topical and oral antibiotics in conformance with Doctor Roth's discharge instructions. (Def. Ex. J at 17-18). In addition, there is no evidence that any delay in changing Plaintiff's dressing posed an excessive risk to Plaintiff. See Stewart v. City of New York, No. 15-CV-4335 (RA), 2018 WL 1633819, at *8 (S.D.N.Y. Mar. 31, 2018) ("Although [plaintiff] allegedly did not have his dressings changed as often as prescribed . . . there is no indication in the Complaint that any Individual Defendant should have known that such delays posed an excessive risk to [plaintiff]."). Moreover, Defendant could not have the requisite state of mind because she ordered daily wound care and pain medication, and had no further contact with Plaintiff after December 12, 2014. See Lloyd, 246 F. Supp. at 720 (concluding that a doctor did not act with necessary state of mind in part because he ordered daily wound care and prescribed pain medication, but had no further contact with the plaintiff). Even if the delay in changing Plaintiff's dressing can be imputed to Defendant's alleged omission, "this amounts to negligent conduct at most, and `negligence, even if it constitutes medical malpractice, does not, without more, engender a constitutional claim.'" Lloyd, 246 F. Supp. at 720 (quoting Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir. 1998)). Accordingly, because Defendant's conduct does not establish that she acted with the requisite state of mind necessary to find deliberate indifference, Defendant is entitled to summary judgment on Plaintiff's second theory of liability.

IV. CONCLUSION

For the foregoing reasons, Defendant's motion for summary judgment is granted. The Court certifies under 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith, and therefore in forma pauperis status is denied for the purpose of an appeal. The Clerk is respectfully requested to terminate the pending Motion, (Docket No. 98), enter judgment for Defendant, and mail a copy of this Opinion and Order to the pro se Plaintiff.

SO ORDERED.

1995 WL 444352 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Henry BENITEZ, Plaintiff, v. Patricia A. PECENCO, Defendant. No. 92 Civ. 7670 (DC). July 27, 1995.

Attorneys and Law Firms

Henry Benitez, Comstock, N.Y., pro se.

Dennis C. Vacco, Atty. Gen. of the State of N.Y. by Richard T. Mathieu, Judy E. Nathan, New York City, for defendants.

MEMORANDUM DECISION

CHIN, District Judge.

*1 Pro se plaintiff Henry Benitez brings this action under 42 U.S.C. § 1983 alleging that defendant violated his constitutional rights by failing to provide him with adequate medical attention and by endorsing a false disciplinary report against him. Before me are the parties' cross-motions for summary judgment. For the following reasons, defendant's motion is granted. Plaintiff's motion is denied.

BACKGROUND

Plaintiff is an inmate at the Greenhaven Correctional Facility ("Greenhaven") and is housed in the Special Housing Unit (the "SHU"). He was transferred to Greenhaven from another prison on May 5, 1992. Defendant Pecenco is a registered nurse at Greenhaven; in the spring and summer of 1992, she worked in the clinic area during the day shift. Her responsibilities included attending to inmates in the SHU.

Upon his arrival at Greenhaven, plaintiff was given a medical checkup by a Nurse Berthold during which he complained of low back pain but denied chronic medical problems. (Pl.Exh. A). The Ambulatory Health Record ("AHR") for that day states that an examination of plaintiff did not reveal any signs of "fresh trauma." (Id.). Plaintiff was checked again the next day by another nurse, and the AHR indicates that plaintiff stated he had "no medical problems at this time" and is not on any prescribed medication. (Id., AHR dated May 6, 1992). The AHR also reveals that plaintiff had no signs or symptoms of distress.

Between May 8, 1992 and June 5, 1992, plaintiff was examined by various medical personnel (but not defendant Pecenco) 24 times. The record reveals that plaintiff intermittently complained of low back pain and a sore throat and that he requested band-aids. (Pl.Exh. A). The AHR's also reflect the medical staff's assessments that plaintiff showed no signs of acute distress and walked with a normal gait. Nevertheless, plaintiff was prescribed a painkiller, Robaxin, and was given the non-prescription medicines Advil and Motrin.1 (See, e.g., Pl.Exh. A, AHRs dated May 10, 21, 23, 24, 26, 27, and June 3, 1992).

On Friday, June 5, 1992, plaintiff was examined by Dr. Chander, who ordered a prescription pain killer, Fioricet, for his back pain and who referred the case to a physiatrist for consultation.2 On Saturday, June 6, plaintiff complained of back pain to defendant and requested his prescription. Defendant informed plaintiff that she could not check on the prescription over the weekend and told him he would have to wait until Monday, June 8. She offered to give plaintiff Advil, which he refused. (Pl.Exh. A, AHR dated June 8, 1992).3

On Monday, June 8, plaintiff complained of back pain to another medical staff member but refused to accept either the Fioricet that had been prescribed or Motrin. (Pl.Exh. A, AHR dated June 8). On June 9, 1992, plaintiff complained again of back pain but his condition was evaluated as a "non-emergency" by a Nurse Ryan, due to the fact that plaintiff had been recently examined by a doctor and had refused to accept medication. (Pl.Exh. A, AHR dated June 9). Plaintiff was sent to a physiatrist for an examination on June 15, 1992, but refused to cooperate or give any information with respect to his back pain. He was therefore returned to his cell without being examined. (Pl.Exh. B, Physiatrist's Consultation Report dated June 15, 1992).

*2 Defendant did not see plaintiff again until June 20, 1992 at which time plaintiff requested band-aids, which defendant provided. Defendant examined plaintiff for the last time on July 4, 1992 when plaintiff asked for pain medication that purportedly had been prescribed.4 Defendant informed plaintiff that she had no knowledge of any prescription and told him to speak with the doctor. None of the AHR's between June 9 and July 3 indicate that prescription drugs had been ordered.

Defendant also noted on the July 4th AHR that plaintiff became verbally abusive to her at which point a corrections officer Zemkin intervened and warned plaintiff that he was abusing his sick call privileges. Zemkin later filed an inmate misbehavior report concerning the incident, which was signed by defendant as an "employee witness." Plaintiff was found guilty after a disciplinary hearing of verbal interference with prison employees and verbal harassment (a charge of making threats was dismissed). (Pl.Exh. C).

An AHR dated July 5, 1992 reveals that plaintiff had MRIs ordered to determine the cause of his lower back pain, but had refused to go for them. (See PI.Exh. A, AHR dated July 5). The final AHR indicates that plaintiff was to be examined after July 31, 1992.

The parties have cross-moved for summary judgment. Plaintiff alleges that defendant refused to give plaintiff medication for back pain and signed a "trumped-up" disciplinary report against plaintiff. Defendant asserts that she did not give plaintiff his medication because she is not authorized to provide medication without an order from a physician. She also claims that the disciplinary report was not falsely made.

DISCUSSION

I. Standards for Summary Judgment

The standards applicable to motions for summary judgment are well-settled. A court may grant summary judgment only where there is no genuine issue of material fact and the moving party is therefore entitled to judgment as a matter of law. See Fed.R.Civ.P. 56(c). Accordingly, the court's task is not to "weigh the evidence and determine the truth of the matter but [to] determine whether there is a genuine issue for trial." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249, 106 S.Ct. 2505, 2511 (1986). Summary judgment is inappropriate if, resolving all ambiguities and drawing all inferences against the moving party, there exists a dispute about a material fact "such that a reasonable jury could return a verdict for the nonmoving party." Id. at 248-49, 106 S.Ct. at 2510-11 (citing Adickes v. S.H. Kress & Co., 398 U.S. 144, 159, 90 S.Ct. 1598-1609 (1970)). To defeat a motion for summary judgment, however, the non-moving party "must do more than simply show that there is some metaphysical doubt as to the material facts." Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 106 S.Ct. 1348, 1356 (1986). There is no issue for trial unless there exists sufficient evidence in the record favoring the party opposing summary judgment to support a jury verdict in that party's favor. Anderson, 477 U.S. at 249-50, 106 S.Ct. at 2510-11. As the Court held in Anderson, "if the evidence is merely colorable, or is not significantly probative, summary judgment may be granted." Id. at 249-50, 1065 S.Ct. at 2511 (citations omitted). With these standards in mind, I turn to the parties' motions for summary judgment.

II. Plaintiff's Medical Treatment

*3 Plaintiff complains that defendant violated his Eighth Amendment right against cruel and unusual punishment by refusing to check on the status of his prescription medication or provide "emergency medical treatment." To succeed on a claim under section 1983 for inadequate medical care, an inmate must show "deliberate indifference to serious medical needs." Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 291 (1976). Thus, two elements must be satisfied: first, the inmate's medical conditions must be, in objective terms, sufficiently serious; and second, defendant must have acted with a sufficiently culpable state of mind. See id.; see also Hathaway v. Coughlin, 37 F.3d 63, 66 (2d Cir.1994); Holmes v. Fell, 856 F.Supp. 181, 183 (S.D.N.Y.1994) (section 1983 claim based on deliberate indifference requires intentional disregard to "affected medical needs that were serious"). Plaintiff cannot satisfy either of these elements; accordingly, his claim must be dismissed.

A. Serious Medical Need

Apart from plaintiff's conclusory assertions, there is nothing in the record to support his claim that he suffered from a serious medical condition. First, plaintiff's own conduct refutes any claim that his back pain was serious: plaintiff refused to cooperate with the physiatrist for an examination and would not leave his cell for scheduled MRIs. (Pl.Exhs. A and B). See Jones v. Smith, 784 F.2d 149, 151-52 (2d Cir.1986) (prisoner's back condition not deemed serious medical need given his constant refusal to be examined by doctors). Furthermore, plaintiff was offered both over-the-counter and prescription medication for back pain on several occasions but refused to accept it. (See, e.g., Pl.Exh. A., AHRs dated May 21, 24, 25, and June 8, 1992).5 In fact, his refusal to accept medication caused another nurse, not the defendant, to classify his condition as "non-emergency." (Pl.Exh. A).6

Second, there is nothing in the record to suggest that plaintiff's back pain was severe or excruciating. Plaintiff was visited by various medical staff members, including prison doctors, 43 times over a period of two months. None of the 43 AHRs registered by the medical staff indicate that plaintiff was in acute distress or had any difficulty standing or walking. Furthermore, his complaints of back pain were only sporadically made and were interspersed with complaints of a sore throat and sore finger, all of which were treated as requested.7

Plaintiff's intermittent complaints of back pain simply do not constitute a serious medical need. The Second Circuit has required medical conditions more serious than those posed in this case to find an Eighth Amendment violation. See, e.g., Liscio v. Warren, 901 F.2d 274, 276 (2d Cir.1990) (in holding that doctor exhibited deliberate indifference by failing to examine prisoner for three days, court contrasted prisoner's alcohol withdrawal, which was life-threatening and fast-degenerating, with the back condition at issue in Estelle, which did not require immediate attention and thus was not a serious medical condition); Hathaway v. Coughlin, 37 F.3d 63, 67 (2d Cir.1994) (prisoner with degenerative hip condition requiring corrective surgery including the placement of pins held to have serious medical needs); Kaminsky v. Rosenblum, 929 F.2d 922, 924 (2d Cir.1991) (high blood pressure, diabetes, angina, gout and an enlarged spleen held to be serious medical needs, particularly in light of prisoner's extreme weight loss and "alarmingly deteriorating" condition).

*4 Given plaintiff's refusal to cooperate with his medical care, his sporadic complaints of pain, the extensive record of his treatment, and the complete absence of any credible evidence of a serious medical condition, a reasonable jury could only conclude that plaintiff did not suffer from a serious medical condition. Accordingly, defendant's motion for summary judgment on this claim is granted.

B. Deliberate Indifference

Even assuming that plaintiff's back condition did constitute a serious medical need, the record before me does not contain any evidence from which a jury could reasonably find that defendant exhibited deliberate indifference to plaintiff's condition.

To succeed on his claim, plaintiff must show that defendant intentionally denied him needed medical care over a period of time or completely withheld medical care. See Hathaway v. Coughlin, 841 F.2d 28, 50 (2d Cir.1988). Plaintiff argues that on June 6, June 20 and July 4, 1992, defendant "deliberately refused, on each occasion, either to ascertain the status or whereabouts of plaintiff's prescribed medication and/or to summon a doctor, even though empowered to do so." (Pl.Mem. at 7). This argument fails, however, for several reasons.

First, plaintiff has adduced no proof that defendant intentionally interfered with or intentionally delayed treatment prescribed by doctors. See Bowman v. Campbell, 850 F.Supp. 144, 147 (N.D.N.Y .1994) (defendant nurse's motion for summary judgment granted where prisoner failed to adduce any proof that nurse intentionally withheld treatment). Plaintiff claims that defendant exhibited deliberate indifference on June 6 by informing him that "she was not going to issue plaintiff medication because there was no way of her investigating the matter." (Pl.Aff., ¶ 19). The AHR from that day, which plaintiff cites, notes defendant's statement that she could not ascertain the status of a prescription from the pharmacy over the weekend and that plaintiff would probably receive the medicine on Monday. (Pl.Exh. A; Pl.Mem. at 9). At worst, defendant's conduct arguably constituted negligence, which is not sufficient to state a claim under section 1983. Estelle, 429 U.S. at 106-07, 97 S.Ct. 292-93; Bryant v. Maffucci, 923 F.2d 979, 982-83 (2d Cir.), cert. denied, 112 S.Ct. 152 (1991).

Furthermore, the record clearly reveals that plaintiff was not prescribed any medication by a doctor prior to being seen by defendant on June 20 or July 4. Since defendant had no authority to dispense medication without a prescription by a physician, she could not provide plaintiff with medical treatment.

Second, plaintiff's claim that he complained of severe back pain to defendant on June 20 and that she wailfully ignored his request for emergency medical care has no support in the record. The AHR from that day simply indicates that plaintiff requested band-aids from defendant. Indeed, plaintiff was examined by a different nurse on June 21, who noted only that plaintiff again requested band-aids. (Pl.Exh. A, AHR dated June 21, 1992). See Bowman, 850 F.Supp. at 147 (no evidence of deliberate indifference where record established that nursing staff attended to prisoner no fewer than eighteen times during his incarceration). Plaintiff has not disputed the accuracy of the AHR for that day; indeed, he relies on it himself.

*5 Finally, plaintiff's complaint that he experienced severe back pain "as a result of having been denied requested pain relieving medication by defendant Pecenco for a herniated disc" on May 9, 1992 (Cmplt. IV(A)), is rejected. The uncontested record (including exhibits plaintiff himself attaches to his motion papers) reveals that defendant attended to plaintiff for the first time on June 6, 1992.8

Since plaintiff has not shown that defendant exhibited deliberate indifference to his serious medical needs, his claim must be dismissed.

III. The Disciplinary Report

Plaintiff alleges that defendant's endorsing the allegedly false disciplinary report interfered with his First Amendment right to complain about his illnesses. Generally, a prison inmate does not have a "constitutionally guaranteed immunity from being falsely or wrongly accused of conduct which may result in deprivation of protected liberty interest," so long as the prisoner is provided with due process. Freeman v. Rideout, 808 F.2d 949, 951 (2d Cir.1986), cert. denied, 485 U.S. 982, 108 S. 1273 (1988). Where the false report is issued in retaliation for a prisoner's having exercised his substantive constitutional rights, however, a constitutional violation occurs and subsequent procedural due process does not correct the violation. Franco v. Kelly, 854 F.2d 584 (2d Cir.1988) (claim that prison officials intentionally filed false disciplinary charges against inmate in retaliation for his cooperation with a state investigation into reported incidents of inmate abuse at the prison sufficiently stated a claim under § 1983). Because retaliation claims may easily be fabricated, however, they should be viewed "with skepticism and particular care." Colon v. Coughlin, 1995 WL 383310, *5 (citing Flaherty v. Coughlin, 713 F.2d 10, 13 (2d Cir.1983)). As the Second Circuit held in Flaherty:

We agree . . . that claims by prisoners that particular administrative decisions have been made for retaliatory purposes are prone to abuse. Virtually every prisoner can assert such a claim as to every decision which he or she dislikes.

713 F.2d at 13.

Of course, the initial question is whether defendant's conduct in endorsing the disciplinary report abridged any of plaintiff's substantive constitutional rights. This is not an instance where plaintiff was disciplined in retaliation for bringing a lawsuit against defendant or otherwise petitioning the government for a redress of grievances. See, e.g., Colon, 1995 WL 383310 (alleged retaliation for instituting lawsuits); Franco, 854 F.2d at 589 (cooperation with state investigation); Flaherty v. Coughlin, 713 F.2d 10 (2d Cir.1983) (participation in a class action suit against prison officials). Nor is plaintiff contending that he was deprived of medical treatment in retaliation for complaining. Rather, he alleges that his First Amendment rights were violated because he was retaliated against, i.e., disciplined, for "repeatedly" complaining about his medical ailments. While I do not believe that an inmate has a constitutional right to "repeatedly" complain about his medical ailments, see Garrido v. Coughlin, 716 F.Supp. 98, 101 (S.D.N.Y.1989) (section 1983 claim dismissed where prisoner alleged that prison officials filed false disciplinary report against him in retaliation for his verbal confrontation with a guard over the guard's treatment of another inmate; court held that confrontation did not affect any constitutional right), I need not reach that question, for I will assume for purposes of this motion that a substantive constitutional right has been implicated.

*6 Even assuming that plaintiff's complaints about his health implicated his First Amendment rights, there is no substantial evidence in the record to support his conclusory allegation that defendant endorsed the disciplinary report in retaliation for his exercise of his First Amendment rights. The sum of plaintiff's evidence is that he complained about his health three times to defendant as reflected in the AHRs, that defendant indicated on the July 4, 1992 AHR that "each time [she] make[s] rounds on SHU [plaintiff] demands something," and that a disciplinary report was filed by officer Zemkin following a verbal exchange between defendant and plaintiff. (Pl.Exhs. A, C). No reasonable jury could conclude from this barest of circumstantial evidence, when considered in the context of all the evidence in the record, that defendant endorsed the disciplinary report in retaliation for plaintiff's complaints regarding his health.

Significantly, the misbehavior report was issued not by defendant but by officer Zemkin, who was personally involved in the incident. Indeed, the report states that plaintiff told officer Zemkin that he was only "fucking security" and that he should mind his "fucking business."9 It was Zemkin who observed in the report that "in the past every medical staff person that goes by [plaintiff's] cell he tries . . . to get them to authorize medication." (Pl.Exh. C). Defendant had only seen plaintiff three times and she merely endorsed the report as an "employee witness." There is no concrete proof in the record that she caused the disciplinary proceedings to be commenced against plaintiff or that she retaliated against him in any way.

The Second Circuit's recent decision in Colon is instructive. There, the inmate had filed two lawsuits complaining about the conditions of his confinement. Shortly after he was to begin participating in a Family Reunion Program that had been the subject of one of his lawsuits, he was brought up on disciplinary charges (possession of marijuana and a weapon) that prevented him from participating. In addition, the inmate presented evidence that he had never previously been found to be in possession of weapons or drugs. While the Second Circuit noted that the temporal proximity between the inmate's lawsuits and disciplinary action and the evidence of prior good conduct presented some circumstantial evidence of retaliation, the Court held that if this circumstantial evidence had represented "the sum total" of the inmate's proof, "we might be inclined to affirm the grant of summary judgment based on the weakness of [the inmate's] case." Colon, 1995 WL 383310 at *7. Because there also existed direct evidence of retaliation, however (the defendant's alleged admission of a retaliatory scheme), the Court reversed.

Plaintiff's proof of retaliation in the present case is not even as strong as the circumstantial evidence in Colon that the Second Circuit suggested might not be enough. Based on the record before me, a reasonable jury could only conclude that defendant did not retaliate against plaintiff for his exercising any substantive constitutional rights.

Accordingly, plaintiff's claim is dismissed.10

CONCLUSION

*7 Defendant's motion for summary judgment is granted. Plaintiff's motion for summary judgment is denied. The complaint is dismissed.

SO ORDERED.

2012 WL 1079943 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Marie CASALINO, Plaintiff, v. NEW YORK STATE CATHOLIC HEALTH PLAN, INC., d/b/a Fidelis Care New York, Defendant. No. 09 Civ. 2583(LAP). March 30, 2012.

Opinion & Order

LORETTA A. PRESKA, Chief Judge.

*1 Plaintiff Marie Casalino ("Casalino" or "Plaintiff") brings this action against her former employer New York State Catholic Health Plan, Inc. ("Fidelis" or "Defendant") alleging unlawful gender discrimination in the forms of hostile work environment harassment, retaliation, and disparate treatment in violation of Title VII of the Civil Rights Act of 1964, 42 U.S.C. § 2000(e) et seq. ("Title VII") and the New York City Human Rights Law, N.Y.C. Admin. Code § 8-101 et seq. ("NYCHRL" or "HRL"). Fidelis moves for summary judgment and dismissal of these claims under Federal Rule of Civil Procedure 56. For the reasons below, Defendant's motion is GRANTED in part with prejudice and DENIED in part.

I. BACKGROUND

The Court presumes the parties' familiarity with the facts of this case, which are quite lengthy and have been set out in detail in the parties' 56.1 Statements and Counter— Statements [dkt. nos. 40-42, 48.] Nevertheless, the Court undertakes to include a brief summary of the facts for the purposes of this opinion, citing variously to Defendant's Rule 56.1 Statement ("D.56.1"), Plaintiff's Rule 56.1 Statement ("P.56.1"), and Defendant's Response to Plaintiff's Statement of Facts ("Def. Reply 56.1"). To the extent there appears to be a material dispute as to any fact referenced in this fact summary or opinion based on admissible evidence, the Court has endeavored to so indicate.

Casalino is a board-certified pediatrician with a subspecialty in Neonatal—Perinatal medicine. She holds a Master's Degree in public health. In 1998 Plaintiff moved from clinical and academic medicine into public health administration. In 2003 she entered the field of managed health care. In February 2005 she was hired by Mark Lane ("Lane"), Chief Executive Officer of Fidelis, as a medical director. Plaintiff reported directly to Dr. Marco Michelson ("Michelson"), Fidelis' Chief Medical Officer, and she worked out of Fidelis' headquarters in Rego Park, Queens. In autumn 2005 a second medical director, Dr. Nancy Klotz ("Klotz"), joined Fidelis and also began reporting to Michelson. (P. 56.1 ¶¶ 312-15, 324.)

In October 2005 Fidelis acquired Center Care, another health plan located in Manhattan. After having received a generally positive 90-day written performance evaluation in June 2005, Fidelis appointed Plaintiff medical director of its new Center Care branch in addition to her other duties. She maintained offices at Center Care and at Fidelis. In March 2006, Michelson gave her a written performance evaluation with an overall score of "successful" which resulted in a raise. (P. 56.1 ¶¶ 322-23.) At all times, Fidelis had a Code of Conduct and an Employee Handbook, both of which prohibited employee discrimination and harassment. The Handbook states that any allegations of harassment or discrimination will be "promptly and thoroughly investigated." It states that harassment can occur "over email, phone mail or other electronic media." The Handbook also sets forth a formal corrective action procedure, under which employees with performance problems are to be given two written warnings on a specific "corrective action form." (P. 56.1 ¶¶ 331-41.)

*2 In March 2006, Susan Davis ("Davis"), a supervisor for clinical services who worked in the Buffalo office, asked to speak with Diane Tucker ("Tucker"), Fidelis' Vice President of Human Resources, about what she called a "sensitive issue." Davis told Tucker that Michelson had been "loud," "unreasonable," and "unprofessional" in a telephone call with her. Davis also told Tucker that Liya Davidov ("Davidov"), in Fidelis' pharmacy department, had also had a similar interaction with Michelson. Davis had complained to Tucker in Human Resources about Michelson, and Tucker had told her that she would look into the matter and get back to her. According to Davis, Tucker never did so. (P. 56.1 ¶¶ 348-60.)

On May 15, 2006, Vicki Landes ("Landes"), Director of Clinical Services and Davis's immediate supervisor, received a phone call from Michelson in which he became very angry and vocal, accusing her of not doing job and then slamming his phone down. Landes became very upset at the interaction and spent 10-15 minutes in a co-worker's office trying to compose herself. Landes then called Robert Fazzolari ("Fazzolari"), Assistant Vice President for Corporate Compliance. Fazzolari called her back with Regina Trainor ("Trainor"), Chief Legal Officer and Head of Compliance at Fidelis. Landes explained the incident to them, and they informed her that Tucker would be following up with her. (P. 56.1 ¶¶ 361-75.) Landes also called Plaintiff, who was her direct supervisor, who was at home on medical leave at the time. Landes was very upset, and Plaintiff tried to help her regain her composure. Plaintiff told Landes that she was going to come back to work and help her with this incident. In the meantime, Plaintiff and Landes agreed that Landes should stay clear of Michelson. (P. 56.1 ¶¶ 376-80.)

Human Resources did not contact Landes. On May 17 and 19, 2006, Landes e-mailed Tucker and Fazzolari requesting a follow-up on the Michelson situation. Tucker did not reply to either e-mail. (P. 56.1 ¶¶ 382-85.) On May 17, 2006, Plaintiff returned to work, and Tucker came to visit her about the Landes-Michelson incident. Plaintiff reported to Tucker that she found it upsetting that Landes had been so frightened by the call and said she would do whatever she could to help smooth things over. (P. 56.1 ¶¶ 386-89.) Tucker then spoke to Michelson and requested that he reprimand individuals, if at all, one-on-one and not with others around. (P. 56.1 ¶ 391.)

Thereafter, Landes attempted to stay clear of Michelson, but Plaintiff shortly found herself mediating an additional dispute between them. Michelson had sent Landes an e-mail accusing her of not doing certain work on Fidelis' website. Landes explained to Plaintiff that she had never been assigned the work. When Plaintiff attempted to explain this to Michelson, he reacted sharply, harshly criticizing Landes. Plaintiff told Landes they would try and address the website issue together and Landes could go through Plaintiff in her dealings with Michelson. (P. 56.1 ¶¶ 393-400, 403-05.) Following this mediation, however, Plaintiff noticed that Michelson became more difficult for her to deal with. He attempted to marginalize Plaintiff in her meetings with Lane and Fidelis Chief Operating Officer Father Patrick Frawley ("Frawley"). He prevented Plaintiff from including her matters on the meeting agendas, interrupted her when she attempted to speak, and criticized her comments after she had spoken. Plaintiff eventually began taking notes and making comments in private conversations with participants after meetings ended. She told Michelson that she was being quiet due to his interruptions and criticisms whenever she spoke. Michelson then began criticizing Plaintiff's written submissions. He eventually became difficult to deal with on administrative matters like approvals for days off or time for medical appointments. (P. 56.1 ¶¶ 417-24.)

*3 In the autumn of 2006, Plaintiff was responsible for completing a project entitled Best Clinical Administrative Practices ("BCAP"), which required the completion and submission of a report and presentation to New York State in order to meet certain regulatory requirements for both Fidelis and Center Care. Michelson had assigned Plaintiff the task when she became Medical Director for Center Care in September 2005. Plaintiff and Michelson had difficulty coordinating his edits to the presentation leading up to its due date on September 8, 2006, particularly in light of Lane and Frawley's significant issues with an earlier draft that Plaintiff had submitted. On September 7, 2006, the night before the project was due and Plaintiff and Michelson were to present it once again to Lane and Frawley, having not received Michelson's edits by 5 p.m., Plaintiff left for the day. She assigned an administrative assistant the task of waiting for and then making any final changes Michelson might have. (See Def. 56.1 ¶¶ 139-52; P. 56.1 139-52.)

On September 8, 2006, while waiting to make the final presentation to Lane and Frawley, Michelson began berating Plaintiff in the anteroom outside Fidelis' executive office. Specifically, Michelson said he was frustrated that Plaintiff had not taken ownership for her projects and assignments, had not gotten her work done, and had left assignments for others. Klotz and two additional staff were present in the room during this interaction. After Plaintiff gathered herself, the meeting on the submission to the New York State Department of Health took place. After the meeting, Michelson called Plaintiff to his office and started yelling and waiving his hands. Plaintiff asked Michelson not to speak to her that way but "he just kept screaming and screaming." Plaintiff left Michelson's office, returned to her own, and broke down. She called Tucker who came to Plaintiff's office. Plaintiff informed Tucker that Michelson had treated her the way she had heard that he treated other women. Plaintiff remained in her office with the door closed for the rest of the day. (P. 56.1 ¶¶ 454-58; Def. 56.1 ¶¶ 154-58.)

On September 13, 2006, Plaintiff met with Trainor and Fazzolari regarding the incident. She told them she had been frightened and reduced to tears and sobbing and that there were women who were afraid to be in an office with Michelson. Plaintiff told Trainor, "you have a problem employee who behaves inappropriately towards women and you are now on notice from me that you have to do something about him." Plaintiff felt that Trainor was unsympathetic. Trainor told Plaintiff that she felt this was an issue with Michelson's management style and that Michelson was trying to manage her. (P. 56.1 ¶¶ 464-67.) Tucker did not conduct any further investigation into Plaintiff's complaint. Tucker did speak with Michelson, advising him to "adjust how he was interacting and figure out a way to work with Marie." (P. 56.1 ¶¶ 478-81.)

*4 In October, Fidelis announced that Michelson was taking a leave of absence from the company effective November 1, 2006, and that Klotz would take over as acting Chief Medical Officer. (Pl. 56.1 ¶ 488.) At her prior performance evaluation in March 2006, Plaintiff had requested that Michelson provide her with an interim performance evaluation in six months time. That review took place just before he left, on or about October 31, 2006. (Def. 56.1 ¶ 184.) In this review, Plaintiff received six "needs improvement" scores in various areas, and Michelson reported that Plaintiff needed to improve her level of ownership over projects, be more willing to discuss her own shortcomings, be more involved in the clinical service departments, and better improve the credentialing process over which she was in charge. The overall score for the review was "Needs Improvement," which was the second lowest score possible to achieve. (Def. 56.1 ¶¶ 187-91.) On or about December 15, 2006, Plaintiff filed an extensive written response to this review with Fidelis in which she defended herself on substance and made no mention of retaliation or discrimination. She claimed that the review was unfair and that Fidelis' fiscal challenges may have compromised her performance. (Def. 56.1 ¶¶ 199-201.)

While working under Klotz during Michelson's leave of absence, Klotz informed Plaintiff that Lane and Frawley had a negative opinion of her work. Plaintiff told Klotz that she felt that Michelson had made an effort to diminish her in their eyes. Plaintiff worked closely with Klotz during this period, dividing up Michelson's responsibilities, and Klotz ultimately felt that she could not have done the work of acting Chief Medical Officer without Plaintiff's help. On December 7, 2006, after a series of presentations to a committee of the Fidelis Board of Directors, Klotz told Plaintiff that she felt that "we had turned a corner" in restoring Plaintiff's credibility. Plaintiff told Klotz she felt it was owing to Michelson's absence. (P. 56.1 ¶¶ 493-505.) In mid-December, word spread that Michelson would be returning in January 2007. Plaintiff was very worried and spoke to both Klotz and Tucker about her concerns. Both assured her that things would be better upon his return. (P. 56.1 ¶¶ 513-36.)

Klotz left for a vacation in Israel from December 21, 2006 through January 2, 2007. As of December 21, her October performance review notwithstanding, Plaintiff had never received a warning notice under the Fidelis corrective action policy as described in the Employee Handbook and had never been advised that she was in danger of termination. Her feedback from Klotz had been positive. (P. 56.1 ¶¶ 517, 600.) Beginning December 22, 2006, however, four incidents came to a head almost simultaneously which, according to Fidelis, were "significant performance deficienc[ies]" and largely formed the basis for Plaintiff's ultimate termination. (See, e.g., Def. 56.1 ¶¶ 216, 253.) They were: (1) Plaintiff's failure to revoke the credentials of a Dr. Cheng as a Fidelis provider consistent with Fidelis' policy regarding medical license revocations and the like; (2) Plaintiff's failure timely to revoke the credentials of a Dr. Florio for substantially the same reasons; (3) Trainor's realization that Plaintiff had "never given or ensured that Behavioral Health staff had proper access to Fidelis computer system when they were on-call at night and over the weekend;" and (4) the "Family K" incident in which authorization of provider services was granted without having a required negotiated rate in place for those services. Each of these incidents or issues arose on or after December 22, 2006, within a 10-day period.1

*5 Exactly what happened next at Fidelis is heavily disputed by the parties, as is Michelson's role, if any, in Plaintiff's ultimate termination. Michelson returned to Fidelis on January 2, 2007. That same day, Lane sent out an e-mail welcoming Michelson back and announcing that Klotz would be taking over the role of head of Center Care, which had been Plaintiff's position until that day. Plaintiff was not advised of this decision until the e-mail was sent out. (Def. 56.1 ¶¶ 274-75.) Fidelis states that this decision was made prior to Klotz's return to the office on January 3, 2007, and that "it did not mean that Plaintiff could not continue her employment at Fidelis." (Def. 56.1 ¶ 277.) Earlier that same day, however, with Michelson now back in the office, Lane had sent Michelson a draft of the same e-mail for his review and comment. Michelson replied, "Looks good. Is the unspoken message too obvious?" (P. 56.1 ¶¶ 583-89.)

Simultaneously, and as a result of the incidents in late December 2006, Frawley had prepared a memo to Klotz for her review upon her return and copied it to Trainor, Lane, and Plaintiff on the morning of January 3, 2007 when Klotz returned. The memo describes what Frawley felt were Plaintiff's "numerous performance deficiencies" and "serious concerns" about Plaintiff's work. Frawley describes "grave concerns relative to Dr. Casalino's judgment, ownership, and overall ability to perform appropriate oversight of a critical process that has significant regulatory and quality implications for the Plan and its members." Trainor responded to the memo via e-mail, largely concurring in his judgment. Though Klotz testified that she began the day with no intention of terminating Plaintiff, (P. 56.1 ¶ 591), after reviewing Frawley's memo, Trainor's e-mail, and additional materials on Plaintiff's performance, she resolved to terminate her. (Def. 56.1 ¶¶ 290.) Though Michelson had returned to Fidelis as Chief Medical Officer the day before, Fidelis represents that "Dr. Klotz had the authority to do so . . . because she was Plaintiff's supervisor during the December mishaps and Dr. Michelson was not yet fully integrated back into his role." (Def. 56.1 ¶ 290.)

Fidelis notes that Klotz was the sole decision maker in Plaintiff's termination and had no knowledge of Plaintiff's prior complaints about Michelson. (Def. 56.1 ¶ 215.) Similarly, Fidelis states that Michelson played no role in the decision. (Def. 56.1 ¶¶ 293-94.) Plaintiff, however, points to testimony from Trainor that a January 3, 2007 meeting was called in which Trainor, Lane, Frawley, Klotz, and possibly even Michelson attended and "a conclusion was reached at the meeting to terminate Casalino. It was discussed who would terminate her, and it was decided that Klotz would." (See P. 56.1 ¶¶ 290, 596-98.) Moreover, Klotz spoke with Michelson on January 3, 2007, prior to making her decision to terminate Plaintiff. (Pl. 56.1 ¶ 290.) Later that day, Plaintiff was called into a meeting with Klotz and Tucker and was informed she was terminated. (Def. 56.1 ¶ 299; P. 56.1 ¶ 602.) Klotz later composed a memorandum laying out the performance failures resulting in Plaintiff's termination. (Def. 56.1 ¶¶ 300-02.)

II. DISCUSSION

A. Summary Judgment Standard of Review

*6 The standard for summary judgment is uncontroversial. In considering a motion for summary judgment, the Court resolves all ambiguities and draws all reasonable inferences against the moving party. Lindsay v. Ass'n of Prof'l Flight Attendants, 581 F.3d 47, 50 (2d Cir.2009). "Summary judgment is appropriate only `if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.' Kwan v. Schlein, 634 F.3d 224, 228 (2d Cir.2011) (quoting Fed.R.Civ.P. 56(a)); see also Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). "An issue of fact is genuine if the evidence is such that a reasonable jury could return a verdict for the nonmoving party. A fact is material if it might affect the outcome of the suit under the governing law." Lindsay, 581 F.3d at 50. "The inquiry performed is the threshold inquiry of determining whether there is the need for a trial whether, in other words, there are any genuine factual issues that properly can be resolved only by a finder of fact because they may reasonably be resolved in favor of either party." Liberty Lobby, 477 U.S. at 250.

Rule 56 mandates summary judgment "against a party who fails to make a showing sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the burden of proof at trial." Celotex, 477 U.S. at 322. "[T]here is no issue for trial unless there is sufficient evidence favoring the nonmoving party for a jury to return a verdict for that party. If the evidence is merely colorable or is not significantly probative, summary judgment may be granted." Liberty Lobby, 477 U.S. at 249-50 (internal citations omitted). In the face of insufficient evidence, "there can be `no genuine issue as to any material fact,' since a complete failure of proof concerning an essential element of the nonmoving party's case necessarily renders all other facts immaterial." Celotex, 477 U.S. at 322-23.

"It is now beyond cavil that summary judgment may be appropriate even in the fact-intensive context of discrimination cases." Abdu-Brisson v. Delta Air Lines, Inc., 239 F.3d 456, 466 (2d Cir.2001), cert. denied, 534 U.S. 993, 122 S.Ct. 460, 151 L.Ed.2d 378 (2001); see also Weinstock v. Columbia Univ., 224 F.3d 33, 40 (2d Cir.2000) (instructing that "trial courts should not `treat discrimination differently from other ultimate questions of fact'") (quoting Reeves v. Sanderson Plumbing Products, Inc., 530 U.S. 133, 148, 120 S.Ct. 2097, 147 L.Ed.2d 105 (2000)). Accordingly, a plaintiff alleging Title VII discrimination claims "cannot escape summary judgment merely by vaguely asserting the existence of some unspecified disputed material facts . . . or defeat the motion through mere speculation or conjecture." Jones v. Hirschfeld, 348 F.Supp.2d 50, 59 (S.D.N.Y.2004).

B. Analysis

Plaintiff alleges unlawful gender discrimination in the forms of hostile work environment harassment, retaliation, and disparate treatment in violation of Title VII and NYCHRL. The Court addresses each claim in turn. Separate analysis of the Title VII and NYCHRL claims are provided where necessary but are otherwise discussed together.

1. Gender—Based Harassment: Hostile Work Environment

*7 To prevail on her claim that she experienced gender-based harassment under Title VII, Plaintiff must show that: (1) she is a member of a protected class; (2) she suffered unwelcome harassment; (3) she was harassed because of her membership in a protected class; and (4) the harassment was sufficiently severe or pervasive to alter the conditions of employment and create an abusive work environment. See Gregory v. Daly, 243 F.3d 687, 691-92 (2d Cir.2001); Monterroso v. Sullivan & Cromwell, LLP, 591 F.Supp.2d 567, 584 (S.D.N.Y.2008). For the purposes of this motion, the Court focuses on elements three and four above. It is axiomatic that a successful allegation of harassment must demonstrate that the conduct of which Plaintiff complains occurred because of her gender. See Brennan v. Metropolitan Opera Assoc., Inc., 192 F.3d 310, 318 (2d Cir.1999). Moreover, "incidents must be more than episodic; they must be sufficiently continuous and concerted in order to be deemed pervasive." Alfano v. Costello, 294 F.3d 365, 374 (2d Cir.2002). Plaintiff must show that "the workplace is permeated with `discriminatory intimidation, ridicule, and insult . . . that is sufficiently severe or pervasive to alter the conditions of the victim's employment and create an abusive working environment.' Howley v. Town of Stratford, 217 F.3d 141, 153 (2d Cir.2000) (quoting Harris v. Forklift Sys. Inc., 510 U.S. 17, 21, 114 S.Ct. 367, 126 L.Ed.2d 295 (1993)); see also Brennan, 192 F.3d at 318 ("Isolated, minor acts or occasional episodes do not warrant relief.").

Here, Plaintiff has simply failed to adduce sufficient evidence to support even a prima facie claim of gender-based workplace harassment. For the reasons below, Plaintiff cannot point to facts sufficient for a reasonable jury to find that (a) the conduct she experienced was based upon her gender, or (b) rose to a level that was sufficiently severe or pervasive. For these reasons, Defendant's motion for summary judgment as to the hostile work environment claim must be granted, whether categorized as a Title VII or NYCHRL claim.

To be actionable, the conduct of which Plaintiff complains must have occurred because of her gender. Brennan, 192 F.3d at 318; Oncale v. Sundowner Offshore Servs., Inc., 523 U.S. 75, 81, 118 S.Ct. 998, 140 L.Ed.2d 201 (1998). Incidents, however abusive, that are not gender-related are not relevant to establish a claim against Fidelis that can survive its motion for summary judgment. See Norris v. N.Y.C. Hous. Auth., No. 02 Civ. 6933, 2004 WL 1087600, at *12 (S.D.N.Y. May 14, 2004) ("[R]udeness without any evidence of discriminatory intent does not constitute discrimination.").

Plaintiff's harassment allegations in this case reduce to essentially one verbal encounter with Michelson, which was itself in no way characterized by any gender-specific animus. (Def. R. 56.1 ¶¶ 139-143.) Plaintiff does not allege that Michelson ever made, for example, derogatory comments about women or engaged in any sexually inappropriate behavior. (See generally P. 56.1.) Plaintiff's testimony in this regard does not raise even a direct inference of conduct occurring because of her gender. In fact, Plaintiff concedes that this incident occurred after she left the "BCAP" project in the hands of an executive assistant just before its deadline. (Def. R. 56.1 ¶¶ 151-52.) Apart from this one central interaction, Plaintiff elsewhere suggests that she was "marginalized" and "ignored" by Michelson during meetings and the like. (Def. R. 56.1 ¶ 307.) Plaintiff places particular emphasis on her own reactions, noting that Michelson "berated her and frightened her, reduced her to tears to the point where she could not leave her office." (See Plaintiff's Memorandum of Law in Opposition to Defendant's Motion for Summary Judgment ("Opp.") at 21.) Plaintiff's own reactions, however, even if credited by the jury as true, cannot themselves demonstrate Michelson's gender animus.

*8 Nor can Plaintiff sustain a prima facie case of gender harassment here by pointing to the experiences of other women at Fidelis. "The critical issue, Title VII's text indicates, is whether members of one sex are exposed to disadvantageous terms or conditions of employment to which members of the other sex are not exposed." Oncale, 523 U.S. at 80 (citing Harris, 510 U.S. at 25) (emphasis added). While it is certainly true that hostile work environment claims turn on a totality of the circumstances which may include consideration of conduct directed at other employees, see Cruz v. Coach Stores, Inc., 202 F.3d 560, 572 (2d Cir.2000), Plaintiff's invocation of co-workers Landes and Davis is actually self-defeating as their own testimony supports the notion that Michelson was in fact an "equal opportunity" offender. (See Reply Memorandum of Law in Further Support of Defendant's Motion for Summary Judgment ("Def. Reply Mem.") at 5-6.) Nowhere does Plaintiff actually allege that Landes or Davis were yelled at because they were female. Both Landes and Davis themselves testified that their encounters with Michaelson were gender-neutral and that Michelson also treated male employees harshly. (Def. R. 56.1 ¶¶ 100, 110-12, 115.) Landes testified that Michelson spoke harshly to male employees Boardman and Weinberg to such extent that Boardman felt the situation needed to be addressed with Human Resources. (Id. ¶ 111.) Davis herself testified that she personally observed Michelson yelling at Weinberg during a management meeting. (Id. ¶ 112.) Moreover, Plaintiff herself testified that she felt Michelson respected her, at least through May 2006, (id. ¶ 56), and also testified that female co-workers Klotz, Trainor, and Tucker had positive interactions with Michelson and she never witnessed those individuals treated in a hostile manner. (Id. ¶ 183.)

It is not controversial that Casalino may offer "direct comparative evidence about how the alleged harasser treated members of both sexes in a mixed-sex workplace" as an "evidentiary route" to raising an inference of discriminatory intent. See Oncale, 523 U.S. at 80-81. Moreover, a jury is certainly permitted to find gender motivation on the basis of disparate treatment itself, derogatory verbal comments alone, or a combination of both. See Pucino v. Verizon Wireless Commc'ns, Inc., 618 F.3d 112, 117-19 (2d Cir.2010). The problem in this case is that Plaintiff has offered insufficient evidence of either to permit a reasonable jury to find that Michelson's conduct occurred because of her gender.

Even if Plaintiff could establish that Michelson's conduct occurred because of her gender, Plaintiff cannot establish to the extent she must that the conduct was sufficiently "severe or pervasive" within the meaning of Title VII. Among the factors courts look to in assessing the severity of any alleged harassment are "the frequency of the discriminatory conduct; its severity; whether it is physically threatening or humiliating, or a mere offensive utterance; and whether it unreasonably interferes with an employee's work performance." Harris, 510 U.S. at 23. The Court of Appeals has said that one incident is generally insufficient to support a harassment claim unless it constitutes "an intolerable alteration of the plaintiff's working conditions . . . so as to substantially interfere with or impair his ability to do his job." Mathirampuzha v. Potter, 548 F.3d 70, 79 (2d Cir.2008). For the reasons described above, Plaintiff's allegations essentially reduce to the single September 2006 incident in which Michelson engaged in a verbal altercation with her. (Def. R. 56.1 ¶¶ 139-183.) But Plaintiff continued to work with Michelson through his leave of absence in November 2006 and Plaintiff offers no evidence at all that any further exchange of that sort took place between them. (Def. R. 56.1 ¶¶ 182, 204-08.) The Court finds that a reasonable jury could not conclude, on the evidence Plaintiff has brought forward on this motion, that this incident resulted in an "intolerable alteration of the plaintiff's working conditions." See Mathiramphuzha, 548 F.3d at 79.

*9 As to additional instances of harassment to which Plaintiff refers, "the objective severity of [the] harassment should be judged from the perspective of a reasonable person in the plaintiff's position, considering `all of the circumstances.'" Oncale, 523 U.S. at 81 (citing Harris, 510 U.S. at 23). Plaintiff alleges that Michelson "marginalized" her during meetings, did not let her discuss certain meeting agenda items, and generally made her job more difficult. (Def. R. 56.1 ¶ 307.) The evidence put forward in response to this motion, however, is unspecific as to when the marginalization occurred, which agenda items were not discussed, or how exactly her job was made more difficult. (See Memorandum of Law in Support of Defendant's Motion for Summary Judgment ("Def.Mem.") at 7-8.) While specific details as to every single incident alleged may not be necessary to find harassment severe or pervasive, see Pucino, 618 F.3d at 119-20, the evidentiary record here is broadly deficient of such details. The Court agrees with Defendant that, unlike Pucino, Plaintiff does not offer evidence of harassment which when reviewed in its totality could have affected "most of the major aspects of [Plaintiff's] employment." (See Def. Reply Mem. at 4-5 (citing Pucino, 618 F.3d at 119).)

Moreover, the Court notes that it cannot wholly divorce the question of whether harassment is severe or pervasive from the question of whether the harassment itself is based on gender. As noted above, abusive incidents that are not gender-related are irrelevant to establish a claim against Fidelis that can survive its motion for summary judgment. See Norris, 2004 WL 1087600, at *12. Such incidents are equally irrelevant in assessing the severity or pervasiveness of any harassment for Title VII purposes. Based on the current record, the Court concludes that no reasonable jury could find that Michelson subjected Plaintiff to gender-based harassment that was severe or pervasive.2

Finally, the Court's grant of summary judgment on Plaintiff's harassment claim for Title VII purposes merits a similar grant on Plaintiff's NYCHRL claim. A NYCHRL hostile work environment claim requires that Plaintiff prove "by a preponderance of the evidence that she has been treated less well than other employees because of her gender." Williams v. N.Y.C. Hous. Auth., 61 A.D.3d 62, 872 N.Y.S.2d 27, 39 (1st Dep't 2009) (emphasis added). While it is true that the NYCHRL moves the consideration of severity and pervasiveness from the liability to the damages phase of trial, see id. at 39-40, it remains a requirement of the claim that any harassment be "because of" Plaintiff's gender. Id. at 39. The New York Appellate Division, First Department also recently made clear that summary judgment remains available if a plaintiffs claim of severity is not borderline. See id. at 41 ("[W]e assure employers that summary judgment will still be available where they can prove that the alleged discriminatory conduct in question does not represent a `borderline' situation but one that could only be reasonably interpreted by a trier of fact as representing no more than petty slights or trivial inconveniences."); see also Short v. Deutsche Bank, 79 A.D.3d 503, 913 N.Y.S.2d 64, 66 (1st Dep't 2010) ("The various complaints about [harasser's] conduct in the workplace were nothing more than non-actionable petty slights and minor inconveniences which in any event may be viewed by a reasonable employee as a function of [harasser's] management style, unrelated to gender discrimination," citing Williams, 872 N.Y.S.2d at 41). Because the Court has already determined that Plaintiff cannot establish that Michelson's conduct occurred because of gender, the Court also concludes that Plaintiff fails the NYCHRL summary judgment standard on this harassment claim. Accordingly, Defendant's motion for summary judgment on the NYCHRL harassment claim is also granted.

2. Retaliation Claim

*10 Plaintiff alleges that Fidelis illegally retaliated against her following her complaint about Michelson. Specifically, she points to her October 2006 performance review, her "marginalization" at work, and her January 3, 2007 termination. Retaliation claims are analyzed under the standard set forth in McDonnell Douglas Corp. v. Green, 411 U.S. 792, 802-04, 93 S.Ct. 1817, 36 L.Ed.2d 668 (1973). In order to survive summary judgment on a Title VII retaliation claim, Plaintiff must offer sufficient evidence to permit a reasonable jury to find that (1) she engaged in a protected activity known to Fidelis; (2) Fidelis took an adverse employment action against her; and (3) that "a causal connection exists between the protected activity and the adverse action, i.e., that a retaliatory motive played a part in the adverse employment action." Kessler v. Westchester Cnty. Dep't of Soc. Servs., 461 F.3d 199, 205-06 (2d Cir.2006) (citation omitted). If a prima facie case is established, the burden shifts to the employer to present a legitimate, nondiscriminatory reason for any adverse employment action. See Gallagher v. Delaney, 139 F.3d 338, 349 (2d Cir.1998), abrogated on other grounds by Burlington Indus., Inc. v. Ellerth, 524 U.S. 742, 118 S.Ct. 2257, 141 L.Ed.2d 633 (1998). Once an employer satisfies this burden of production, all presumptions drop out, and the plaintiff bears the burden of persuasion in showing that the employer's proffered reason for the adverse employment action is merely a pretext for retaliation. Id. Plaintiff's NYCHRL claim is analyzed using a substantially similar, though more liberalized framework. See, e.g., DeMarco v. Cooper Vision, Inc., 369 Fed. Appx. 254, 255 (2d Cir.2010); Williams, 872 N.Y.S.2d at 33-34.

a. Protected Activity

Here, Plaintiff argues that she engaged in protected activity within the meaning of Title VII when she had a September 13, 2006 meeting with Chief Legal Officer and Corporate Compliance Officer Regina Trainor and Associate Director of Corporate Compliance Robert Fazzolari in which she reported the September 8, 2006 altercation with Michelson. (P. 56.1 ¶ 464.) Plaintiff alleges specifically that she informed Trainor and Fazzolari that "there were women that were afraid to be in the office with Michelson" and said "you have a problem employee who behaves inappropriately towards women and you are now on notice from me that you have to do something about him." (Id. ¶¶ 464-67.) Fidelis does not seriously dispute these facts, except to clarify that Plaintiff's testimony was that she informed Tucker in Human Resources that "there were women that were afraid to be in the office with Michelson," rather than Trainor or Fazzolari in the September 13 meeting. (See Def. Reply 56.1 ¶ 464.) Fidelis also points out that while Trainor later testified that she remembered Plaintiff "putting her on notice, she understood her to mean that she was putting her on notice that Michelson would raise his voice, not that she was raising claims of unlawful harassment." (Id. ¶ 466, 872 N.Y.S.2d 27.) Plaintiff does separately allege that on September 8, 2006 she said to Tucker, "he can't treat people like this, he can't treat women like this. This is what he did to Vicki. I know he did this to Sue. He has done it to other women." (P. 56.1 ¶ 457.) Fidelis does not dispute this testimony.

*11 To a lesser extent, Plaintiff alleges that she engaged in protected activity when she separately discussed with Tucker the issues her colleague Vicki Landes had dealing with Michelson. Specifically, Plaintiff alleges that Tucker came to her office in May 2006 after an incident involving Landes and Michelson and said she wanted to discuss the situation. (Pl. 56.1 ¶ 387.) Plaintiff told Tucker "she had spoken with Landes and found it upsetting that Landes was so frightened about the incident." (Id.) Plaintiff told Tucker she would do whatever she could to help. (Id. ¶ 388, 872 N.Y.S.2d 27.) Fidelis does not dispute this testimony.

In the context of a Title VII retaliation claim, "`[p]rotected activity' includes opposition to a discriminatory employment practice or participation in any investigation, proceeding, or hearing under Title VII." Hubbard v. Total Commc'ns, Inc., 347 Fed. Appx. 679, 680-81 (2d Cir.2009). It is clearly established that "informal complaints to supervisors constitute protected activity under Title VII." Sclajani v. PC Richard & Son, 668 F.Supp.2d 423, 427 (E.D.N.Y.2009); see also Amin v. Akzo Nobel Chemicals, Inc., 282 Fed. Appx. 958, 961 (2d Cir.2008); Cruz, 202 F.3d at 566; Sumner v. U.S. Postal Serv., 899 F.2d 203, 209 (2d Cir.1990). Here, Plaintiff complained about what she perceived, rightly or wrongly, to be Michelson's gender animus to the head of Human Resources, the Chief Legal Officer, and the Associate Director of Corporate Compliance. (See P. 56.1 ¶¶ 387-88, 464-67.) These complaints, even if informal, fall within the accepted definition of protected activity for Title VII purposes.

To establish that an employee engaged in protected activity sufficient to establish a retaliation claim, however, the employee must also demonstrate:

that she had a good faith, reasonable, belief that the underlying challenged actions of the employer violated the law . . . In this regard, the reasonableness of plaintiffs belief is assessed in light of the totality of the circumstances . . . The employee's belief that [s]he was opposing an employment practice made unlawful by Title VII must also be objectively reasonable, in the sense that the asserted opposition must be grounded on sufficient evidence that the employee was the subject of discrimination and harassment at the time the protest to the offending conduct is registered.

Spadola v. N.Y.C. Transit Auth., 242 F.Supp.2d 284, 291 (S.D.N.Y.2003); see also Sullivan—Weaver v. N.Y Power Auth., 114 F.Supp.2d 240, 243 (S.D.N.Y.2000) ("Mere subjective good faith belief is insufficient, the belief must be reasonable and characterized by objective good faith."). Whether Plaintiff's belief was objectively reasonable for this purpose is a decision for the trier-of-fact based on the record in the case. See Thomas v. Westchester Cnty. Health Care Corp., 232 F.Supp.2d 273, 279 (S.D.N.Y.2002). Thus, although the Court has already determined, supra, that Michelson's conduct did not constitute a violation of Title VII, the question on the retaliation claim is whether Plaintiff possessed a good faith, reasonable belief that it did. See Martin v. State Univ. of N.Y., 704 F.Supp.2d 202, 228 (E.D.N.Y.2010).

*12 The language Plaintiff used in speaking with Tucker, Trainor, and Fazzolari, supra, clearly identified her belief that Michelson's behavior was differentiated on the basis of gender, even if she did not make a formal complaint. Plaintiff testified that over her almost two years working with Michelson, she became aware that fellow female employees Susan Davis, Vicki Landes, Liya Davidov, and Nancy Kolodjeski each had experienced what they felt was improper treatment by Michelson. (See P. 56.1 ¶¶ 348-407.) Plaintiff also avers that, with respect to Michelson's treatment of male employees, she "saw him interact in a variety of settings with Dave Thomas, John Olearczyk, Adrian Gardner, Michael Martelacci, Alan Boardman, Rich Weinberg, Robert Osgood, and Jiong Huang" and "never observed Michelson raise his voice with a male employee in a manner remotely like he did with her." (P. 56.1 ¶¶ 410-11.) A reasonable jury could find, therefore, that it was not objectively unreasonable for Plaintiff to have concluded at the time she made her complaints that Michelson behaved differently with women than he did with men. Nor is the Court persuaded that Defendant's several arguments in its papers, (see, e.g., Def. Mem. at 15), completely eliminate any possibility that Plaintiff's subjective view was reasonable. The fact that Michelson never mentioned gender in pejorative terms and often had positive interactions with Klotz, Trainor, and Tucker, (Def. 56.1 ¶¶ 183), while ultimately probative on the merits, does not itself make Plaintiff's belief unreasonable. Nor is Plaintiff's conversation with Tucker about Landes not actionable merely because Landes herself never lodged a formal complaint. (See Def. Mem. at 16.) A jury could certainly believe that Plaintiff, armed with the knowledge available to her at the time of her complaints, proceeded under the belief that Michelson was impermissibly differentiating his conduct at Fidelis on the basis of gender.

Finally, the Court notes that to the extent Plaintiff engaged in protected activity under Title VII, Fidelis possessed both constructive and actual knowledge of it. Plaintiff's language, supra, was more than sufficient to alert Human Resources and the Chief Compliance Officer that Plaintiff was making a complaint sounding in gender discrimination. Because Plaintiff complained to the individuals tasked with investigating such complaints, (see Def. 56.1 ¶¶ 34-45), Fidelis' knowledge may be imputed. See Triola v. Snow, 289 Fed. Appx. 414, 417 (2d Cir.2008). Particularly in light of her choice of language in the September 13, 2006 meeting with Trainor and Fazzolari, there can be no serious dispute that "plaintiffs opposition was directed at conduct prohibited by Title VII" and by the NYCHRL. See, e.g., Galdeiri—Ambrosis v. Nat'l Realty & Dev. Corp., 136 F.3d 276, 292 (2d Cir.1998).

b. Adverse Employment Action

In order to be considered actionable in the retaliation context, an employer's action following Plaintiff's protected activity must be "materially adverse" enough to "dissuade a reasonable worker from making or supporting a charge of discrimination." Burlington Northern & Santa Fe Ry. Co. v. White, 548 U.S. 53, 57, 126 S.Ct. 2405, 165 L.Ed.2d 345 (2006). This standard is intended to "separate significant from trivial harms" because Title VII "does not set forth `a general civility code for the American workplace.' Id. at 68 (quoting Oncale, 523 U.S. at 80). Even the NYCHRL, which contains no material adversity requirement, nonetheless insists that any such employer action "reasonably deter a person from engaging in protected activity." See Williams, 872 N.Y.S.2d at 34. Here, Plaintiff points to her "marginalization" at work, her October 2006 performance review, and her January 3, 2007 termination. The Court addresses each in turn.

*13 First, the Court must dispose of any attempt by Plaintiff to characterize her "marginalization" by Michelson in this case as an adverse employment action within the meaning of Title VII or the NYCHRL. For the reasons described above, supra, Plaintiff has simply failed to adduce evidence of sufficient weight and specificity to support a claim of retaliation on that basis. Moreover, the Court is mindful that any such marginalization, at least under the evidence produced in this case to date, is likely characterized as a "trivial harm." Burlington, 548 U.S. at 68; see also Mabry v. Neighborhood Defender Serv., 769 F.Supp.2d 381, 399 (S.D.N.Y.2011) ("Plaintiff's allegation that he was excluded from management meetings, when considered in context, does not constitute an adverse employment action."); Short, 913 N.Y.S.2d at 66.

More compelling is Plaintiff's allegation that her October 2006 performance review and her January 3, 2007 termination were adverse employment actions within the meaning of Title VII and the NYCHRL. It is certainly true that a poor review which results in no further adverse action cannot be deemed sufficient to dissuade a reasonable person from complaining of discriminatory treatment. See Ragin v. East Ramapo Cent. Sch. Dist., No. 05 Civ. 6496, 2010 WL 1326779, at *17, aff'd, 417 Fed. Appx. 81 (2d Cir.2011); Martinez-Santiago v. Zurich N. Am. Ins. Co., No. 07 Civ. 8676, 2010 WL 184450, at *11 ("A reasonable employee would not be dissuaded from filing a discrimination complaint merely because her supervisor gave her constructive employment-based criticism."). Here, however, Plaintiff specifically alleges that her October 2006 performance review was expressly the precursor for her January 2007 termination and differs markedly from her generally positive March 2006 review. (See P. 56.1 ¶¶ 188, 195; Opp. at 31.) Under Plaintiff's theory of the case, both the October 2006 performance review and the January 2007 termination are therefore related and "materially adverse" employment actions within the meaning of Title VII and NYCHRL. See Burlington, 548 U.S. at 57. The arguments Defendant makes regarding whether the termination in particular was in any way related to the performance review, (see, e.g., Def. Reply Mem. at 12), are more appropriately left for the discussion of pretext and causation.

c. Causation and Pretext

Finally, in order to establish a prima facie case of retaliation under Title VII, Plaintiff must demonstrate "a causal connection exists between the protected activity and the adverse action, i.e., that a retaliatory motive played a part in the adverse employment action." Kessler, 461 F.3d at 205-06 (citation omitted). For convenience, the Court analyzes the causation requirement on Plaintiff's prima facie case together with her ultimate burden of persuasion in rebutting Fidelis' non-discriminatory reasons for her negative review and subsequent termination.3

*14 A plaintiff alleging a causal connection between a protected activity and an adverse employment action must demonstrate evidence of "retaliatory animus by the decision-makers who engaged in the adverse employment actions." Ragin, 2010 WL 1326779, at *24. Michelson took a personal leave of absence beginning November 1, 2006, at which point Klotz became the Acting Chief Medical Officer. (Def. 56.1 ¶¶ 204, 211.) Fidelis submits that Klotz testified that after becoming Acting Chief Medical Officer, she became concerned that Plaintiff had "significant problems with systems, multitasking and managing people in her department." (Def. 56.1 ¶ 288.) She also testified that she found that Plaintiff "consistently blamed others for problems while refusing to take responsibility for her role in them or for failing to oversee processes and individuals." (Def. 56.1 ¶ 289.) Based on her observations and the input of Frawley, Klotz concluded that she needed to terminate Plaintiff immediately and was the sole decision maker in doing so. (Def. 56.1 ¶¶ 290-91, 298.) For example, Klotz testified that she viewed Frawley's memo as "informational only, and not as a directive as to how to handle Plaintiff's employment." (Def. 56.1 ¶ 287.) Critically, Klotz testified that at "no time during [her] employment with Fidelis was she aware that Plaintiff had made an internal complaint about Dr. Michelson's behavior with regard to the BCAP project or at all for that matter." (Def. 56.1 ¶ 215.)

These facts might ordinarily be fatal to Plaintiff's claim because in most cases where a decision maker cannot be shown to have been aware of the protected activity, any adverse employment action she undertakes is not causally related to that protected activity. See Ragin, 2010 WL 1326779, at *24. Plaintiff, however, disputes material facts as set out by Defendant in its 56.1 Statement. In particular, Plaintiff argues that Fidelis had resolved to terminate Casalino upon Michelson's return from his leave of absence and then went about the process of establishing a pretextual record to support that action. (See, e.g., P. 56.1 ¶ 285.) In addition to pointing out the extent to which Defendant shapes certain of Klotz's testimony in its 56.1 Statement, Plaintiff specifically points to several additional disputed facts: (1) In response to Frawley's e-mail, Trainor sent an e-mail to Klotz, copying Michelson, Lane, Frawley, and Casalino that did not mention any concern over Plaintiff's "ability to act as a supervisor", (P. 56.1 ¶ 286); (2) by the time Klotz returned to work from a vacation on January 3, 2007, it was Lane who had already replaced Plaintiff as medical director at Center Care, (P. 56.1 ¶ 287); (3) Klotz actually testified that prior to arriving to work on January 3, 2007, she had "no plans" to terminate Casalino, that she in fact viewed the Frawley memo and Trainor e-mail as "the final straw" in her decision to terminate Plaintiff, and that she could not remember what else, if anything, she reviewed that day, (Pl. 56.1 ¶ 287-88); (4) Klotz spoke with Michelson in the office the day Plaintiff was terminated, (P. 56.1 ¶ 290); (5) Trainor testified that a meeting was convened on January 3, 2007 which included Trainor, Lane, Frawley, and perhaps even included Michelson, in which "a decision was reached at the meeting to terminate Casalino, and that Klotz would do it," (P. 56.1 ¶¶ 190-92); and (6) Michelson participated in Lane's decision to remove Plaintiff as medical director of Center Care when Lane asked Michelson to "review and comment" on his memo of January 2, 2007 announcing the Center Care change, to which Michelson replied, "Looks good. Is the `unspoken' message too obvious?" (P. 56.1 ¶ 293). In light of these apparently disputed facts, the Court cannot agree with Defendant that Plaintiff "does not cite a single admissible fact in support" of her theory that "the facts support an inference that either Klotz was not the decision-maker or that she was strongly influenced by Lane, Frawley, Trainor and Michelson, and by the input of Michelson reflected in the October review." (See Def. Reply Mem. at 13; Opp. at 33-34.) Because the Court has already determined that Fidelis was on constructive notice of Plaintiff's protected activity, supra, Plaintiff's theory is sufficiently compelling. Moreover, the Court of Appeals has elsewhere instructed that under the McDonnell Douglas framework, "[t]o make out a prima facie case is not a demanding burden." Greenway, 143 F.3d at 52.

*15 There is no doubt that certain of Plaintiff's proffered evidence is circumstantial, but circumstantial evidence on the issue of causation and in rebutting Fidelis' non-discriminatory motive for Plaintiff's termination is permissible. See, e.g., Henry v. Wyeth Pharmaceuticals, Inc., 616 F.3d 134, 148 (2d Cir.2010), cert. denied, ___ U.S.___, 131 S.Ct. 1602, 179 L.Ed.2d 516 (2011) ("A causal connection is sufficiently demonstrated if the agent who decides to impose the adverse action but is ignorant of the plaintiffs protected activity acts pursuant to encouragement by a superior (who has knowledge) to disfavor the plaintiff."); Gordon v. N.Y.C. Bd. Of Educ., 232 F.3d 111, 117 (2d Cir.2000) ("A jury, however, can find retaliation even if the agent denies direct knowledge of a plaintiffs protected activities, for example, so long as the jury finds that the circumstances evidence knowledge of the protected activities or the jury concludes that an agent is acting explicitly or implicit [sic] upon the orders of a superior who has the requisite knowledge.") (emphasis added). This is true whether in establishing a prima facie case or in satisfying her ultimate burden of persuasion in the case. Gordon, 232 F.3d at 117. In fact, the Court of Appeals in Gordon rejected the exact rule Defendant advocates here: that Klotz's lack of personal knowledge is itself fatal to Plaintiff's claim. See id. Defendant is quick to characterize Plaintiff's theory of retaliation as a "conspiracy," (see Def. Reply Mem. at 14), apparently losing sight of the fact that a successful fabrication of a pretext for discrimination is often precisely that.

Moreover, Plaintiff is permitted to make her case for causation at least in part on the temporal proximity between engaging in the protected activities and suffering an adverse employment action. See Clark Cnty. Sch. Dist. v. Breeden, 532 U.S. 268, 273, 121 S.Ct. 1508, 149 L.Ed.2d 509 (2001); Hubbard, 347 Fed. Appx. at 681 (finding that four months between protected activity and adverse employment action did not exceed the "outer limit" of when causation may be inferred from temporal proximity); Green Tree Credit Corp., 159 F.3d 759, 769 (2d Cir.1998) (reversing summary judgment where an adverse employment action occurred within two months of plaintiffs complaint to management). Here, Plaintiff seeks to demonstrate that over a two-year engagement at Fidelis, her protected activity, negative review, and termination all took place in what was effectively a four-month period. Moreover, her negative evaluation came less than a month after her complaint regarding Michelson and differs not insubstantially from her generally positive March 2006 performance review. Finally, when the time Michelson spent out of the office on personal leave is excluded, Plaintiff's January 3, 2007 termination follows a mere two months after her September 2006 complaint and October 2006 negative performance evaluation. It is important to note too that Plaintiff is not building her entire case-in-chief or rebuttal of pretext on temporal proximity alone.

*16 Plaintiff may also demonstrate retaliatory intent and an inference of causation with evidence of disparate treatment of other employees engaging in the same or similar conduct for which an adverse employment action is purported to have occurred. See, e.g Raniola v. Bratton, 243 F.3d 610, 625 (2d Cir.2001); Gordon, 232 F.3d at 117. Here, Plaintiff points as an example to two of the incidents in December 2006 that Fidelis claims demonstrated her inability to perform her position's functions, arguing that her termination ultimately involved mistakes by lower level employees far removed from Casalino through intermediate supervisors. (See, e.g., Opp. at 34.) Plaintiff notes that no other Fidelis employee besides her was disciplined. (P. 56.1 ¶¶ 538, 564.) In Hubbard, the Court of Appeals recently rejected a defendant's argument on appeal that Hubbard had not presented sufficient evidence to support a jury's conclusion that the defendant's reasons for firing her were pretextual. See Hubbard, 347 Fed. Appx. At 681. The defendant had proposed that Hubbard had been terminated for "excessive personal Internet use," and Hubbard had established that other employees "used the Internet as much, or more, than she did, and that only she and two other women were monitored." Id. The Court of Appeals concluded that this showing was sufficient to reach the jury. See id. ("The jury was entitled to find that explanation to be pretextual."). Here too, Fidelis naturally offers an explanation for the disparity to which Plaintiff points. (See, e.g., Def. Reply 56.1 ¶ 564 (arguing that the incidents reflected "a pattern of problems with Plaintiff's job performance").) As in Hubbard, however, that explanation can be weighed by a reasonable jury.

Finally, the Court observes that Plaintiff may rely on circumstantial evidence of pretext. "[R]etaliatory intent may also be shown in conjunction with the plaintiffs prima facie case, by sufficient proof to rebut the employer's proffered reason for the termination." Parrish v. Sollecito, 258 F.Supp.2d 264, 268 (S.D.N.Y.2003) (citing Reeves, 530 U.S. at 143-49). The Court of Appeals has noted that to survive summary judgment, a Title VII plaintiff "has no obligation to prove that the employer's innocent explanation is dishonest, in the sense of intentionally furnishing a justification known to be false." Henry, 616 F.3d at 156. Instead, the plaintiff need only show that the defendant "was in fact motivated at least in part by the prohibited discriminatory animus." Id. (citing Gordon, 232 F.3d at 117) (emphasis added). It is well settled that a plaintiff may do so "by demonstrating weaknesses, implausibilities, inconsistencies, or contradictions in the employer's proffered legitimate, nondiscriminatory reason for its action." Ramos v. Marriott Intern., Inc., 134 F.Supp.2d 328, 343 (S.D.N.Y.2001) (citations and alterations omitted); see also EEOC v. Ethan Allen, Inc., 44 F.3d 116, 120 (2d Cir.1994); Chambers v. TRM Copy Ctrs. Corp., 43 F.3d 29, 39 (2d Cir.1994).

*17 Beyond the disciplinary inconsistency discussed above, supra, Plaintiff provides a list of no fewer than sixteen such inconsistencies that she argues are supported by the record. Among the most salient are:

• The evaluation given to Plaintiff by Michelson in October 2006 differed markedly from the evaluation also given by Michelson in March 2006; Plaintiff's protected activity occurred in September 2006 just before the second evaluation. See, e.g., Ibok v. Sec. Indus. Automation Corp., 369 Fed. Appx. 210, 213 (2d Cir.2010) (pretext may be demonstrated where "evaluations of plaintiff post-dating the protected activity contradict earlier evaluations"). • All of the alleged grounds for termination, as detailed by Fidelis, occurred during a ten-day period at the end of December 2006. (P. 56.1 ¶¶ 518-81.) • Plaintiff was terminated immediately upon Michelson's return from his leave of absence. • Klotz, Plaintiff's supervisor, had complimented Plaintiff's work in December 2006 prior to leaving for vacation, (P. 56.1 ¶¶ 500-07), and testified that she returned to Fidelis on January 3, 2007 with no intention of terminating Casalino, (P. 56.1 ¶¶ 590-91). • Though Fidelis represents that Klotz herself made the decision to terminate Plaintiff for cause on January 3, 2007, Lane had already decided to appoint Klotz to replace Plaintiff as medical director of Center Care on January 2, 2007. (P. 56.1 ¶ 605.) • Though Fidelis represents that Klotz herself made the decision to terminate Plaintiff for cause on January 3, 2007, both Frawley and Trainor circulated critical memos and Trainor testified that a meeting was convened on January 3, 2007 which included Trainor, Lane, Frawley, and may have included Michelson, in which "a decision was reached at the meeting to terminate Casalino, and that Klotz would do it." (P. 56.1 ¶¶ 190-92, 594-98.) • Lane solicited Michelson's response to a draft of the January 2, 2007 announcement e-mail, indicating that they had already discussed Plaintiff's place in the department, to which Michelson replied, "Looks good. But is the `unspoken' message too obvious?" (P. 56.1 ¶¶ 583-89.) • Despite Fidelis' announcement on January 2, 2007 that Klotz would be talking over as medical director of Center Care, Klotz later testified that she never actually held that position, but served only until Plaintiff's replacement, Dr. Jonathan Kaplan, was selected. (P. 56.1 ¶¶ 603-06.) • Fidelis ignored its own "corrective action" policy set forth in detail in its Employee Handbook; Plaintiff was terminated without any written warnings issued under the policy. (P. 56. ¶¶ 331-36, 600.)

(See Opp. at 35-37.) Plaintiff's position is that taken together, the record includes sufficient material, comprised of permissible temporal proximity evidence, circumstantial evidence of disparate treatment of employees, and circumstantial evidence of pretext to establish that retaliation was, at least "in part," a reason for her termination in January 2007. See Henry, 616 F.3d at 156. The same evidence goes to pretext. See Gordon, 232 F.3d at 117. Given the Court of Appeals' recent holding in Hubbard, 347 Fed. Appx. at 681, this Court is constrained to find that true questions of fact exist as to whether, among other issues, Klotz was the actual decision maker in Plaintiff's termination, said termination was actually the result, at least in part, of Plaintiff's protected activity under Title VII, and whether Fidelis' stated legitimate nondiscriminatory reasons are merely pretextual.

*18 On a motion for summary judgment on a Title VII claim, the Court of Appeals has made perfectly clear that Plaintiff need not, as Fidelis appears to suggest, (see Def. Mem. at 24-25 (citing Weinstock, 224 F.3d at 42; James v. N.Y. Racing Ass'n, 233 F.3d 149, 156 (2d Cir.2000)), actually demonstrate that Fidelis' proffered reasons for her termination were themselves purely false. See Henry, 616 F.3d at 156. Rather, the question is whether, based on the evidentiary showing to date, Plaintiff may "invite the jury to ignore the defendant's proffered legitimate explanation and conclude that discrimination was a motivating factor, whether or not the employer's proffered explanation was also in the employer's mind." See Field v. N.Y.S. Office of Mental Retardation & Developmental Disabilities, 115 F.3d 116, 121 (2d Cir.1997). Resolving all ambiguities and drawing all reasonable inferences against Fidelis, as this Court must, Lindsay, 581 F.3d at 50, the Court cannot conclude "that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." See Fed.R.Civ.P. 56(a).

d. NYCHRL Retaliation Claim

Retaliation claims under the NYCHRL are to be liberally construed, do not require an "ultimate action" with respect to employment or a "materially adverse change in the terms or conditions of employment," and are not restricted to the "standard currently applied by the Second Circuit in [Title VII] retaliation claims." Williams, 872 N.Y.S.2d at 33-34 (citations omitted). Accordingly, because the Court has found Plaintiff's Title VII retaliation claim survives Fidelis' motion for summary judgment, so too does Plaintiff's NYCHRL retaliation claim.

3. Gender-Based Discrimination: Disparate Treatment

To state a prima facie case for gender-based disparate treatment discrimination, Plaintiff must demonstrate: (1) membership in a protected class; (2) that she was qualified for her position; (3) that she experienced an adverse employment action; and (4) circumstances surrounding the adverse employment decision that give rise to an inference of discrimination. See Gregory, 243 F.3d at 689. As with the retaliation claim above, Plaintiff's disparate treatment claim is analyzed using the framework laid out in McDonnell Douglas. If Plaintiff establishes a prima facie case, Fidelis may proffer a legitimate, non-discriminatory reason for the alleged adverse employment action. See Texas Dep't of Cmty. Affairs v. Burdine, 450 U.S. 248, 252-56, 101 S.Ct. 1089, 67 L.Ed.2d 207 (1981). If Fidelis meets this burden, Plaintiff must then establish, by a preponderance of the evidence, that Fidelis' stated reasons are merely pretext for discrimination. See id.

In order to establish her prima facie case of disparate treatment discrimination, it is critical that Plaintiff demonstrate that any adverse actions taken against her were done under circumstances "giving rise to an inference of discrimination" based on her gender. See Leibowitz v. Cornell Univ., 584 F.3d 487, 498 (2d Cir.2009). This element is critical in analyzing the NYCHRL claim as well. See Williams, 872 N.Y.S.2d at 41 ("[T]he primary issue for a trier of fact . . . is whether the plaintiff has proven by a preponderance of the evidence that she has been treated less well than other employees because of her gender.") (emphasis added). Such inferences may be drawn from direct evidence, statistical evidence, or circumstantial evidence. See generally Sogg v. American Airlines, 193 A.D.2d 153, 603 N.Y.S.2d 21 (1st Dep't 1993). They must, however, be more than inferences that Plaintiff's termination was erroneous or unsupported by the facts alleged they must be inferences that gender discrimination itself was a reason for the termination. See, e.g., Babcock v. N.Y.S. Office of Mental Health, No. 04 Civ. 2261, 2009 WL 1598796, at *15 ("The fact that [employer] may have relied on incorrect information is immaterial to [Plaintiff's] gender discrimination claim."). For the reasons the Court has already identified in discussing her gender harassment allegations under Title VII and NYCHRL, supra, Plaintiff has simply failed to adduce sufficient factual material to allow a reasonable jury to conclude that any adverse action was taken against her specifically on the basis of her gender, outside the specific context of retaliation for protected activities.

*19 This Court rejects Plaintiff's proposed reading of Meiri v. Dacon, 759 F.2d 989 (2d Cir.1985), cert. denied, 474 U.S. 829, 106 S.Ct. 91, 88 L.Ed.2d 74 (1985), which Plaintiff suggests permits her to "establish the inference of discrimination (element four) by showing merely that the employer sought a replacement for her position." (See Opp. at 38.) That is not the Court of Appeals' holding. Instead, the Court of Appeals held that Plaintiff need not establish that she was replaced by someone outside her own protected class as a condition of surviving summary judgment. See Meiri, 759 F.2d at 996 ("Assuming arguendo that Meiri did in fact offer evidence sufficient to defeat summary judgment at the prima facie stage, we must now address whether the INS satisfied its burden of rebuttal.") (footnote omitted). Similarly, Chertkova v. Conn. Gen. Life Ins. Co., 92 F.3d 81 (2d Cir.1996), merely clarified that Meiri does not support a rule requiring Plaintiff to demonstrate on summary judgment that her position remained open and that Fidelis continued to seek other applicants. See id. at 91. In any event, neither holding eliminates the requirement that Plaintiff adduce sufficient evidence to permit a reasonable jury to conclude that she was terminated because of her gender.

Absent other direct, circumstantial, or statistical evidence, Plaintiff has failed to produce sufficient evidence that any adverse employment action Fidelis undertook had an impermissible basis in gender as required by Title VII and the NYCHRL to establish a prima facie disparate treatment claim. See Leibowitz, 584 F.3d at 498; Williams, 872 N.Y.S.2d at 41. Accordingly, Fidelis' motion for summary judgment on these claims is granted.

CONCLUSION

For the reasons stated above, Defendant's Rule 56 motion for summary judgment [dkt. no. 37] is GRANTED in part with prejudice and DENIED in part. The parties shall confer and inform the Court by letter no later than April 6, 2012 how they propose to proceed.

SO ORDERED.

2013 WL 5780475 Only the Westlaw citation is currently available. United States District Court, E.D. New York. Raymond DAVIS, Plaintiff, v. Officer Lizabeth KLEIN, Officer Todd Keyes, Sergeant Frank Crocitto, Defendants. No. 11-CV-4868 (ENV). Oct. 25, 2013.

Attorneys and Law Firms

Raymond Davis, Woodside, NY, pro se.

Aimee Kara Lulich, Brian Jeremy Farrar, New York City Law Department, New York, NY, for Defendants.

MEMORANDUM & ORDER

VITALIANO, District Judge.

*1 Plaintiff Raymond Davis brings this suit, pro se, pursuant to 42 U.S.C. § 1983, against Officer Lizabeth Klein, Officer Todd Keyes and Sergeant Frank Crocitto. He alleges the use of excessive force, false arrest and an unlawful strip search, all arising out of his arrest and booking. By motion dated December 17, 2012, defendants seek summary judgment on all claims. Plaintiff has failed to respond to that motion. For the reasons discussed below, the motion is granted in its entirety.

Background

On the afternoon of July 8, 2011 Davis was caught shoplifting at a Marshall's clothing store in Queens. Compl. at 4. When the store security officer confronted plaintiff about the stolen merchandise, he removed a pair of pliers from his pocket and pointed them at the security officer "in a threatening manner." Declaration of Aimee K. Lulich ("Lulich Decl."), Ex. C. Following a brief standoff, Davis fled the store, but was apprehended by police officers a short distance away. When stopped, police officers found both unreceipted Marshall's merchandise and a pair of pliers in Davis's possession. At this point, the stories diverge. Defendants contend, consistent with what is contained in the police report, that Davis resisted arrest by "flailing violently," "refusing to be rear handcuffed" and "assaulting police officer Keyes." Id. Davis, on the other hand, denies actively resisting arrest. According to his complaint and deposition testimony, during the arrest several of the officers threw him up against a wall and kicked and punched him repeatedly in the head, face and back. Compl. at 5; Lulich Decl. Ex. B. Davis further testified that, as a result of this arrest process, he suffered bruises, scrapes, a "busted" lip, and a swollen face. Id.

Once subdued, Davis was transported to the precinct, where he was booked and prepared for processing. As Officer Keyes tells it, Davis again resisted when he attempted to remove Davis's belt, punching and kicking him and causing him to fall and twist his knee. Indeed, medical records show that Officer Keyes received treatment for a "left knee contusion" at Forest Hills Hospital on that same day. See Lulich Decl. Ex. G. Davis, on the other hand, claims that, during booking, the officers stripped him of his clothes, handcuffed him and began to beat him. Compl. at 5. While Davis was handcuffed in the holding cell, officers allegedly punched him in his face multiple times in an effort to remove Davis's pants and sneakers. Finally, according to plaintiff, Officer Keyes engaged in "inappropriate . . . touching" while Davis was in the holding cell by placing his hand inside of Davis's underwear and attempting to touch Davis's anus. Compl. at 5; Lulich Decl. Ex. B. Davis testified that, when Officer Keyes placed his hand inside of his underwear, he, Davis "went crazy" and, as a result, Officer Keyes never actually touched his anus. Id.

Following booking, Davis was transported that same evening to Elmhurst Hospital. According to Davis, the medical records "show[ ][he] made [a] complaint about [his] head and leg and back." Compl. at 7. Medical records do indicate that Davis lodged a complaint about back and wrist pain. More dispositively, however, viewed in their entirely, the hospital records are wholly inconsistent with and offer no support for the type of brutality that Davis alleges. In fact, the medical records leave no doubt that Davis "denie[d] any bleeding/swelling/ecchymosis on the wrist/head area" and that his "forearm appearance [was] normal." See Lulich Decl. Ex. H. Further, the records indicate that plaintiff was classified as "Non— Urgent," he had "no skin abrasions" and his head was "normocephalic and atraumatic." Id. Finally, the hospital records demonstrate that plaintiff actually refused further medical treatment, stating to the doctor, "I am good." Id.

*2 On September 21, 2011, Davis pled guilty to petit larceny and resisting arrest charges that arose out of the subject incident. He was sentenced to and served 8 months in jail. See Lulich Decl. Ex. L.

Standard for Summary Judgment

Pursuant to Rule 56, a federal district court must grant summary judgment upon motion and finding, based on the pleadings, depositions, interrogatory answers, admissions, affidavits, and all other admissible evidence that "there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law." Fed.R.Civ.P. 56(c); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). The initial burden is on the moving party to demonstrate the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Feingold v. New York, 366 F.3d 138, 148 (2d Cir.2004). In determining whether the moving party has met this burden, a court must construe all evidence in a light most favorable to the nonmoving party, resolving all ambiguities and inferences in its favor. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986); Gibbs-Alfano v. Burton, 281 F.3d 12, 18 (2d Cir.2002). However, "the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact." Anderson, 477 U.S. at 247-48 (emphasis in original); Burt Rigid Box, Inc. v. Travelers Prop. Cas. Corp., 302 F.3d 83, 90 (2d Cir.2002). Material facts are those which, given the substantive law, might affect the suit's outcome. Anderson, 477 U.S. at 248.

If the moving party makes a prima facie showing that there are no genuine issues of material fact, the nonmoving party must go beyond the pleadings and put forth "specific facts showing that there is a genuine issue for trial." Fed.R.Civ.P. 56(e); Davis v. New York, 316 F.3d 93, 100 (2d Cir.2002). In so doing, the nonmoving party may not rely on conclusory allegations or speculation. Golden Pac. Bancorp v. FDIC, 375 F.3d 196, 200 (2d Cir.2004) (citing D'Amico v. City of New York, 132 F.3d 145, 149 (2d Cir.1998)); Fed.R.Civ.P. 56(e) ("Supporting and opposing affidavits shall be made on personal knowledge, shall set forth such facts as would be admissible in evidence, and shall show affirmatively that the affiant is competent to testify to the matters stated therein."). Thus, to defeat a motion for summary judgment, the nonmoving party "must do more than simply show that there is some metaphysical doubt as to the material facts." Jeffreys v. City of New York, 426 F.3d 549, 554 (2d Cir.2005) (quoting Matsushita, 475 U.S. at 586). Nonetheless, the nonmoving party need not make a compelling showing; it need merely show that reasonable minds could differ as to the import of the proffered evidence. R. B. Ventures, Ltd. v. Shane, 112 F.3d 54, 59 (2d Cir.1997).

*3 Mindful that plaintiff is proceeding pro se, the Court additionally reads his papers liberally and interprets them as raising the strongest arguments they suggest. See Weinstein v. Albright, 261 F.3d 127, 132 (2d Cir.2001); Burgos v. Hopkins, 14 F.3d 787, 790 (2d Cir.1994). Moreover in that regard, plaintiff's failure to oppose this motion does not relieve the Court of its responsibility to independently assess whether the summary judgment that motion seeks is warranted on the record. Champion v. Artuz, 76 F.3d 483, 486 (2d Cir.1996).

Discussion

I. False Arrest

Construing plaintiff's complaint liberally, plaintiff appears to be pursuing a false arrest claim under § 1983. The record is fatal to any such claim. Where a plaintiff is convicted for an offense for which he was arrested, his claim of false arrest cannot succeed as a matter of law. See Allison v. Farrell, 97 Civ. 2247 (DAB), 2002 WL 88380, at *4 (S.D.N.Y. Jan. 22, 2002); Cameron v. Fogarty, 806 F.2d 380, 388-89 (2d Cir.1986) ("[W]here law enforcement officers have made an arrest, the resulting conviction is a defense to a § 1983 action asserting that the arrest was made without probable cause."). It is undisputed that Davis pled guilty to petit larceny and resisting arrest, crimes for which the subject arrest was made. Plaintiff has not shown, nor is there any reason to believe he could, that this conviction has been reversed on appeal, called into question by a federal court's issuance of a writ of habeas corpus, or otherwise invalidated in any other way. The unassailed conviction slams the courthouse door on this claim. Heck v. Humphrey, 512 U.S. 477, 486-87, 114 S.Ct. 2364, 2372, 129 L.Ed.2d 383 (1994). Summary judgment dismissing this claim is granted.

II. Excessive Force

Plaintiff claims that officers used excessive force both in effectuating his arrest and in conducting a search of his person at the precinct as part of the booking process. The Court "analyzes claims of excessive force arising in the context of an arrest under the Fourth Amendment's objective reasonableness test, paying careful attention to the facts and circumstances of each particular case, including the severity of the crime at issue, whether the suspect poses an immediate threat to the safety of the officers or others, and whether he is actively resisting arrest or attempting to evade arrest by flight." Phelan v. Sullivan, 2013 U.S.App. LEXIS 19147 at *6 (2d Cir. Sept. 17, 2013) (citation omitted). It is the standard that applies to both the arrest and the post-arrest booking process. Campbell v. City of New York, 2010 U.S. Dist. LEXIS 66389 at *24 (S.D.N.Y.2010). "Officers are entitled to use some degree of force when restraining a suspect during an arrest." Faruki v. City of New York, 517 Fed. Appx. 1, 2 (2d. Cir. Feb 7, 2013); see also Graham v. Connor, 490 U.S. 386, 396, 109 S.Ct. 1865, 104 L.Ed.2d 443 (1989) ("Not every push or shove, even if it may later seem unnecessary in the peace of a judge's chambers, violates the Fourth Amendment.")

*4 In this case, it cannot be genuinely disputed that Davis actively resisted arrest and booking. He took flight from the scene of the crime, brandished a weapon to make his escape and forcefully resisted arrest and booking. Responding police officers were, clearly, justified in using some measure of force in arresting Davis, in booking him and in preparing him for detention. Without the slightest doubt the use of force by the police in arresting and processing Davis was entirely justified. He pleaded guilty to a criminal charge that he physically resisted the officers arresting him, and even admitted that he "went crazy" during the search of his person and other procedures incident to his preparation for detention in the precinct lock-up. That the use of force was so well-justified, of course, does not mean its use was without limit. Sullivan v. Gagnier, 225 F.3d 161, 165-66 (2d Cir.2000) ( "The fact that a person whom a police officer attempts to arrest resists, threatens, or assaults the officer no doubt justifies the officer's use of some degree of force, but it does not give the officer license to use force without limit.") Though vigorously denied by defendants, in sum and substance, the abuse of the right to use force is what Davis alleges.

The Court, as is basic, must resolve all ambiguities in favor of the non-moving party. Such ambiguity, where different versions of the force employed are stated, might arise; that is, if all that was in the record were the bald story-telling by each side. But, here, there is more and it is significant, since, where undisputed medical records directly and irrefutably contradict a plaintiff's description of his injuries, no reasonable jury could credit plaintiff's account of the happening. Bove v. City of New York, 1999 WL 595620 at *6 (S.D.N.Y.1999) (granting summary judgment on an excessive force claim where plaintiff's "allegations [were] completely contradicted by the hospital's records.") In this case, the hospital records from the evening of Davis's arrest demonstrate that, at most, Davis had minor soreness in his wrist. See Lulich Decl. Ex. H. If officers had repeatedly punched plaintiff during the arrest and booking process, as he alleges, it is simply not believable that the hospital records would indicate that Davis had "no skin abrasions" and that his facial appearance was "normocephalic and atraumatic." These medical records, bluntly, directly contradict the version of facts plaintiff gave in his complaint as well as in his deposition (testimony that his face was "swollen" and covered in "knots" as a result of a "brutal beating" administered by the police). Further, the record is utterly devoid of evidence of any kind supporting Davis's description of his injuries other than his own claims. See Bove at *6 ("There are no affidavits from the plaintiff's treating physicians or psychologists, no hospital records in short, nothing to substantiate . . . the alleged `beating' by the NYPD. . . . All the record contains for purposes of this motion are [plaintiff's] bald and conclusory allegations which are insufficient to withstand a motion for summary judgment."); accord Jeffreys v. City of New York, 426 F.3d 549, 552 (2d Cir.2005) ("[I]n the rare circumstance where the plaintiff relies almost exclusively on his own testimony, much of which is contradictory and incomplete, it will be impossible for a district court to determine whether the jury could reasonably find for the plaintiff, and thus whether there are any `genuine' issues of material fact, without making some assessment of the plaintiff's account.") (citation omitted). Accordingly, plaintiff's excessive force claim is dismissed.

III. Unlawful Strip Search

*5 Relatedly to his excessive force claim, the Court construes his complaint to advance a claim for an unconstitutional strip search in violation of the Fourth Amendment. The Second Circuit recently clarified its long-standing rule that the strip search of an individual arrested for either a misdemeanor or felony "must be justified by an individualized reasonable suspicion of concealed weapons or contraband." Gonzalez v. City of Schenectady, 2013 U.S.App. LEXIS 17943 at *47 (2d Cir.2013). Here, Davis possessed a concealed weapon (a pair of pliers) when he was arrested, and ultimately was charged with criminal possession of a weapon. Davis' possession of a concealed weapon along with his erratic and violent behavior established individualized reasonable suspicion and justified the officers' strip search of a prisoner, while at the precinct. Azor v. City of New York, 2012 U.S. Dist. LEXIS 47067 (E.D.N.Y.2012) ("Because [officers] arrested [plaintiff] for possessing a hidden weapon . . . they had reasonable suspicion justifying a strip-search for additional concealed weapons before booking him.") Accordingly, plaintiff's claim for an unconstitutional strip search is dismissed.

Conclusion

For all of the above reasons, upon their motion, summary judgment is granted in favor of all defendants. This action is dismissed.

The Court certifies pursuant to 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith and therefore in forma pauperis status is denied for purpose of an appeal. Coppedge v. United States, 369 U.S. 438, 444-45, 82 S.Ct. 917, 8 L.Ed.2d 21 (1962).

The Clerk of Court is directed to enter judgment and to close this case.

SO ORDERED.

2018 WL 3315735 Only the Westlaw citation is currently available. United States District Court, S.D. New York. David Christopher FIGUEROA, Plaintiff, v. The COUNTY OF ROCKLAND, Doctor Dominick Piesante of the Rockland County Jail, Lt. John Byron of the Rockland County Jail, Sergeant Louis Falco of the Rockland County Jail, Sergeant John Hickey of the Rockland County Jail, Correctional Officer Bill McLaughlin of the Rockland County Jail, Nurse Mariamma Jacob of the Rockland County Jail, Defendants. 16-cv-6519 (NSR) Signed 07/05/2018

Attorneys and Law Firms

David Christopher Figueroa, New City, NY, pro se.

Eric Dranoff, Saretsky Katz Dranoff & Glass LLP, New York, NY, James Christopher Freeman, Kent Hazzard, LLP, White Plains, NY, for Defendants.

OPINION AND ORDER

NELSON S. ROMAN, United States District Judge.

*1 Plaintiff David Christopher Figueroa ("Plaintiff"), proceeding pro se, commenced this action on August 17, 2016, pursuant to 42 U.S.C. § 1983 for alleged Eighth, Fourteenth, First, and Sixth Amendment violations. (See Complaint ("Compl."), (ECF No. 1).) Thereafter, Plaintiff amended his Complaint two times, ultimately alleging his claims against Defendants The County of Rockland ("Rockland County"), Lieutenant John Byron ("Byron"), Sergeant Louis Falco ("Falco"), Sergeant John Hickey ("Hickey"), Bill McLaughlin ("McLaughlin"), Nurse Mariamma Jacob ("Jacob") (collectively, the "County Defendants"), and Dominick Piacente ("Dr. Piacente"),1 (See Second Amended Complaint (the "SAC") (ECF No. 11).)

Before the Court are the County Defendants and Dr. Piacente's motions to dismiss the SAC for failure to state a cause of action pursuant to Federal Rule of Civil Procedure 12(b)(6) (the "County Defendants' Motion" and "Dr. Piacente's Motion", respectively). (See The County Defendants' Brief in Support of the Motion to Dismiss ("Cnty. Defs. Br.") (ECF No. 28); Dr. Piacente's Brief in Support of the Motion to Dismiss ("Def. P. Br.") (ECF No. 36).) For the following reasons, the County Defendants' Motion is GRANTED and Dr. Piacente's Motion is DENIED.2

FACTUAL BACKGROUND

The following facts are taken from Plaintiff's SAC and are accepted as true for purposes of this motion.3

Plaintiff is a pro se detainee who was housed at Rockland County Correctional Center ("Rockland County Jail"), a holding facility within the New York State Department of Corrections and Community Supervision ("DOCCS"), at the time of his alleged injury. Plaintiff initiated this action for alleged violations of his constitutional rights to adequate medical care, sanitary conditions of confinement, and access to the courts. (See SAC at 2-7.)4 The conduct that forms the basis of Plaintiff's SAC occurred between July 3, 2016 and July 20, 2016. (Id.)

*2 On July 3, 2016 during the "3 to 11 shift"5 Plaintiff was injured in intake housing while he was doing pushups and struck his hand on a bolt. (See SAC at 4.) As a result, Plaintiff sustained a half an inch gash on his hand that was "bleeding badly." (Id.) Immediately following the injury, Plaintiff called out for assistance but no one appeared "until [he] was kicking on cell [sic] door. . . ." (Id.) McLaughlin then came to Plaintiff's aide, which was allegedly 20 minutes after the injury occurred. (Id.)

Plaintiff alleges that he had no toilet paper and his clothes were in the laundry, so he had no way to stop the bleeding. (Id.) When McLaughlin arrived, Plaintiff asked him for some toilet paper to stop the bleeding, but McLaughlin told him to hold his hand over the toilet bowl and let the blood drip. (Id.) Plaintiff then asked to go to medical and McLaughlin told him, "medical is busy and I'll call them when I'm good and ready." (Id.)

During that same "3 to 11 shift", Plaintiff was taken to medical and seen by Nurse Jacob. (Id. at 5.) Plaintiff requested that he be sent to the hospital for stitches, but Jacob advised that she did not have authority to send him to the hospital — only a doctor did — and he was not in. (Id.) She further informed Plaintiff that she did not think the doctor would approve sending him to the hospital for 3-4 stitches. (Id.) Plaintiff then described that intake was "filthy" and that he was "afraid of catching something," particularly because another detainee, Brad Smith, was "throwing his fecal matter around", the staff was making the detainees use the same equipment to clean their cells that were used to clean Mr. Smith's fecal matter, and that the brooms and mops were contaminated.6 (Id.) Before Plaintiff left medical, Jacob placed "a paper stitch" on Plaintiff's gash and told him she would have him meet with the doctor when he arrived. (Id.) Plaintiff alleges that Jacob's decision not to send him to the hospital amounts to deliberate indifference. (Id.)

Within the following two days7 Plaintiff was examined by Dr. Piacente. (Id. at 8.) Plaintiff requested that Dr. Piacente send him to the hospital because he wanted to have his hand stitched, but Dr. Piacente denied the request. (Id.) Instead, Dr. Piacente agreed that Plaintiff did "need stitches," but said that he was "a big boy and that [he] could handle it." (Id.) Dr. Piacente also said that "it would be a waste of taxpayer money to send [Plaintiff] to the hospital for [three] stitches." (Id.) When Plaintiff explained the allegedly unsanitary conditions he was exposed to in intake housing and that he wanted the stitches to avoid infection, Dr. Piacente agreed that "jails are some of the filthiest places" but stated that there was nothing they could do about some of the mentally ill detainees. (Id.) Dr. Piacente then reiterated that he would not send Plaintiff to the hospital for three stitches but would porivde paper stitches instead. (Id.) Dr. Piacente thus tended to Plaintiff's wound by giving him a paper stitch. (Id.) Reading Plaintiff's SAC liberally, Dr. Piacente had attempted four different paper stitches because they "kept falling off." (Id.) Plaintiff claims that Dr. Piacente denied him adequate medical care and did "nothing to help prevent infection." (Id. at 9.)

*3 A few days later, on July 6, 2016, Plaintiff was seen by nurse Elizabeth Handler to examine his injury. (Id.) Nurse Handler asked Plaintiff why he did not have any stitches on his hand and Plaintiff explained Dr. Piacente's refusal to send him to the hospital two days earlier. (Id.) Nurse Handler then ordered Plaintiff to be sent to the hospital immediately because his hand had become infected with cellulitis, or staph infection. (Id.) Plaintiff was unable to receive stitches at the time, due to the stage of his infection, but was instead prescribed Percocet for pain and various antibiotics to kill the infection. (Id.) Plaintiff contends that his subsequent infection could have been avoided if Dr. Piacente had sent him to the hospital when he first saw him. (Id.) Plaintiff was sent back to the hospital the following day as well, as the infection had not subsided. (Id. at 9-10.) Plaintiff was again given antibiotics to fight the infection, but was also prescribed hydromorphone for the pain, and now contends that he suffers from an addiction to hydromorphone. (Id. at 10.)

Shortly after he was injured, Plaintiff began filing grievances related to his living conditions, including that it was "extremely hot", he had "bite marks up and down [his] leg", there was "no ventilation", "a gnats['] nest growing in the shower", "male semen on the walls", and "fecal matter being thrown around by inmate Brad Smith." (Id. at 6.) Plaintiff also claimed that there was "cross contamination between brooms, maps and dust pans." (Id.) Moreover, Plaintiff also complained that he could not see through his mirror and thus cut himself while he was shaving. (Id.) Plaintiff claims that Byron was deliberately indifferent to the alleged inhumane conditions that existed at the Rockland County Jail. (Id.) Plaintiff also contends that Byron "knew that [he] later did not receive adequate medical care when injury happen [sic] to [him] and [he] did nothing to move [Plaintiff] away from such bacteria infested area." (Id.) Plaintiff claims that Falco and Hickey were also deliberately indifferent to his conditions of confinement because they knew of the alleged unsanitary conditions in intake housing, but "did not care and they knew [Plaintiff] had an open gash on [his] hand", but when he returned from the hospital, they "put [him] back in intake housing." (Id.)

Plaintiff also claims that Byron interfered with his grievance process insofar as Byron "mess[ed] with the mail because some of [Plaintiff's] grievances did not go to the C.O.R.C." (Id. at 7.)

On July 12, 2016, Plaintiff asked Hickey to take a photograph of his injury, but he declined, allegedly stating that "it would never happen." (Id.) On July 20, 2016, Plaintiff also asked Falco to take the photograph of his injury and Falco allegedly told Plaintiff to "fuck off." (Id.) Plaintiff claims that their refusal to take a photograph of his injuries interfered with his ability to support his Section 1983 claims. (Id.)

DISCUSSION

I. Legal Standard

A. Rule 12(b)(6)

On a 12(b)(6) motion, dismissal is proper unless the complaint "contain[s] sufficient factual matter, accepted as true, to `state a claim to relief that is plausible on its face.'" Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Ad. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). When there are well-pled factual allegations in the complaint, "a court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief." Id. at 679.

The critical inquiry is whether the plaintiff has pled sufficient facts to nudge the claims "across the line from conceivable to plausible." Twombly, 550 U.S. at 555. A motion to dismiss will be denied where the allegations "allow[ ] the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Iqbal, 556 U.S. at 678.

Pro se pleadings are afforded great solicitude, Harris v. Mills, 572 F.3d 66, 72 (2d Cir. 2009), and should be interpreted "to raise the strongest arguments that they suggest," Harris v. City of N.Y., 607 F.3d 18, 24 (2d Cir. 2010) (internal quotations and citation omitted). Nevertheless, a pro se plaintiff's pleading must contain factual allegations that sufficiently "raise a right to relief above the speculative level," Jackson v. N.Y.S. Dep't of Labor, 709 F.Supp.2d 218, 224 (S.D.N.Y. 2010), and the Court's duty to construe the complaint liberally is not "the equivalent of a duty to re-write it," Geldzahler v. New York Medical College, 663 F.Supp.2d 379, 387 (S.D.N.Y. 2009).

II. Deliberate Indifference

*4 Generally speaking, prisoners should not "be deprived of their basic human needs — e. g., food, clothing, shelter, medical care, and reasonable safety — and they may not be exposed to conditions that pose an unreasonable risk of serious damage to [their] future health." Darnell v. Pineiro, 849 F.3d 17, 30 (2d Cir. 2017) (quoting Jabbar v. Fischer, 683 F.3d 54, 57 (2d Cir. 2012)). As to convicted inmates, claims for deliberate indifference are born out of the Eighth Amendment's protection against cruel and unusual punishment. See Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir. 2009) (citing Weyant v. Okst, 101 F.3d 845, 856 (2d Cir. 1996)). The claims of deliberate indifference for pretrial detainees, however, are "governed by the Due Process Clause of the Fourteenth Amendment," because they "have not been convicted of a crime and thus `may not be punished in any matter—neither cruelly and unusually nor otherwise.'" Darnell, 849 F.3d at 29; Cuoco v. Moritsugu, 222 F.3d 99, 106 (2d Cir. 2000).8 Indeed a detainee's rights under the Fourteenth Amendment are "at least as great as the Eighth Amendment protections available to a convicted prisoner." City of Revere v. Mass. Gen. Hosp., 463 U.S. 239, 244 (1983).

Like under the Eighth Amendment, deliberate indifference pursuant to the Fourteenth Amendment has both an objective and a subjective prong. Consequently, "the official custodian of a pretrial detainee may be found liable for violating the detainee's due process rights if the official denied treatment needed to remedy a serious medical condition and did so because of his deliberate indifference to that need." Weyant, 101 F.3d at 856.

The objective prong under either Amendment remains the same, Darnell, 849 F.3d at 30, mandating that the deprivation be, "in objective terms, sufficiently serious," Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir. 1998) (internal quotations omitted). The second prong requires that the official act with "a sufficiently culpable state of mind," see Wilson v. Seiter, 501 U.S. 294, 298 (1991), but this standard differs between the Eighth and Fourteenth Amendments, as the Supreme Court's decision in Kingsley v. Hendrickson, 135 S.Ct. 2466 (2015), "altered the standard for deliberate indifference claims under the Due Process Clause," Darnell, 849 F.3d at 30. It is now more properly considered a wens rea prong that requires a showing of recklessness, which is defined objectively. Id. at 32, 35. A pretrial detainee must therefore prove "that the defendant-official acted intentionally to impose the alleged condition, or recklessly failed to act with reasonable care to mitigate the risk that the condition posed to the pretrial detainee even though the defendantofficial knew, or should have known, that the condition posed an excessive risk to health or safety." Id. at 35.

The bulk of Plaintiff's Second Amended Complaint sounds in an assortment of claims regarding conditions-of-confinement in violation of the Fourteenth Amendment. Such claims fall into two categories— housing and medical care — and are analyzed under variations of the same standard.

A. Medical Care

Plaintiff claims deliberate indifference to his medical needs against Dr. Piacente, and of the County Defendants, McLaughlin and Jacob. (See SAC at 4-5, 8.)

I. Objective Prong

The objective prong is a two part inquiry, Salahuddin v. Goord, 467 F.3d 263, 280 (2d Cir. 2006), requiring an actual "deprivation of adequate medical care," id. at 279; see Farmer v. Brennan, 511 U.S. 825, 844-47 (1994) (reasonable care is not deprivation), and a determination that the deprivation is sufficiently serious, shown by the existence of "a condition of urgency, one that may produce death, degeneration, or extreme pain," Hill v. Curcione, 657 F.3d 116, 122 (2d Cir. 2011) (citing Hathaway v. Coughlin, 99 F.3d 550, 553 (2d Cir. 1996) ("Hathaway III")).

*5 To the extent that Plaintiff is claiming a categorical denial of treatment, his claims against all Defendants do not pass muster. In such instances, the Court must examine whether the "medical condition is sufficiently serious." Salahuddin, 467 F.3d at 280. Here, Plaintiff's injury of a half an inch cut to his left pinky, (see SAC at 4), is not sufficiently serious for the objective prong, Dawes v. Coughlin, 159 F.3d 1346, 1346 (2d Cir. 1998) (noting that "a one-and-a-half-inch laceration on [plaintiff's] elbow" not sufficiently serious); Sonds v. St. Barnabas Hosp. Corr. Health Srvs., 151 F.Supp.2d 303, 311 (S.D.N.Y. 2001) ("a cut finger, even where skin is `ripped of" insufficient for objective prong); see also Head-Bey v. Smith, No. 04-CV-191(LEK/DRH), 2007 WL 274793, at *6 (N.D.N.Y. Jan. 26, 2007) (1 1/2 inch laceration insufficient). Nevertheless, the Court cannot consider the severity of the injury in a vacuum. See Chance, 143 F.3d at 702 (noting that while the injury itself may not be serious, ignoring a five-inch gash "that is becoming infected" may give rise to an Eighth Amendment violation); Salahuddin, 467 F.3d at 280 ("[A]lthough we sometimes speak of a `serious medical condition' as the basis for an Eighth Amendment claim, such a condition is only one factor in determining whether a deprivation of adequate medical care is sufficiently grave to establish constitutional liability").

With respect to alleged inadequate treatment, the inquiry focuses on the alleged inadequacy "rather than the prisoner's underlying medical condition alone." Salahuddin, 467 F.3d at 280. Plaintiff alleges that he should have been sent to the hospital immediately and been given stitches. (See SAC at 4-10.) Plaintiff was seen by Jacob and Dr. Piacente. While a cut on the hand is not typically a sufficiently serious injury, Plaintiff has nevertheless met the objective, because of his resulting staph infection that developed because his wound was not closed before he was returned to intake housing. See Smith v. Carpenter, 316 F.3d 178, 186 (2d Cir. 2003) ("[T]he failure to provide treatment for an otherwise insignificant wound may violate the Eighth Amendment if the wound develops signs of infection, creating a substantial risk of injury in the absence of medical treatment."); see also Vassallo v. City of New York, No. 15-cv-7125(KPF), 2016 WL 6902478, at *9 (S.D.N.Y. Nov. 22, 2016) (finding inadequate treatment for diabetes "resulting in consistently and abnormally elevated blood sugar levels" sufficient for objective prong). Dr. Piacente and Defendant Jacob both declined to send Plaintiff to the hospital to get stitches for his wound open and instead, gave him paper stitches and sent him back to intake housing where an open would could have become infected. The objective prong is satisfied.

Plaintiff's claim against McLaughlin, insofar as he alleges that a 20 minute delay in tending to his lacerated finger constituted deliberate indifference, (see SAC at 4), fails to meet the objective prong. While a delay in providing medical care can constitute deliberate indifference, such a brief delay, as a matter of law, cannot constitute deliberate indifference to the type of injury alleged by Plaintiff. See Tatum v. City of New York, No. 06-CV-4290(BSJ)(GWG), 2009 WL 124881, at *6 (S.D.N.Y. Jan. 20, 2009) (twenty minute delay insufficient); Ravenell v. Van der Steeg, No. 05-CV-4042, 2007 WL 765716, at *4 (S.D.N.Y. Mar. 14, 2007) (15-20 minute delay in treatment of fractured finger insufficient). The other aspect of Plaintiff's claim against McLaughlin likewise fails as McLaughlin's decision to have Plaintiff hold his hand over a toilet bowl to wait for the blood to stop, instead of providing him toilet paper, is not a deprivation of medical care because McLaughlin ultimately brought Plaintiff to see a nurse shortly after he injured himself, still during the same "3-11" shift on July 3, 2016 in which Plaintiff was injured. (See SAC at 4-5.) The claims against Defendant McLaughlin are dismissed.

A. Subjective Prong

Though analysis of the second prong under the Fourteenth Amendment has been modified, what remains the same is that negligence, and thus medical malpractice, will not rise to the level of a constitutional violation unless the medical malpractice contains an element of intent or recklessness. Darnell, 849 F.3d at 36 (noting that "any § 1983 claim for a violation of due process requires proof of mens rea greater than mere negligence" and it must be shown that an official "acted intentionally or recklessly").

*6 Plaintiff's allegations against Jacob are insufficient to meet the mens rea prong of the Fourteenth Amendment analysis. Medical malpractice, "misdiagnosis and `the decision not to treat based on an erroneous view that the condition is benign or trivial' does not rise to the level of deliberate indifference. Williams v. Williams, No. 13-CV-3154(RA), 2015 WL 568842, at *6 (S.D.N.Y. Feb. 11, 2015); Harrison v. Barkley, 219 F.3d 132, 139 (2d Cir. 2000) (malpractice, "bad diagnosis", "erroneous calculus of risks and costs", etc. insufficient). At worst, Jacob's conduct amounted to an erroneous calculus of the risks facing Plaintiff, insufficient to demonstrate an intentional deprivation or recklessness. Moreover, she told Plaintiff that the only person who could authorize a transfer to the hospital was the doctor, who Plaintiff saw the following day.

Plaintiff's claims against Defendant McLaughlin must also fail. Even assuming the 20 minutes in which Plaintiff waited for McLaughlin to respond to him would suffice for the objective prong, Plaintiff has failed to demonstrate that the delay was intended to prolong his pain or exacerbate his injury, or that McLaughlin acted recklessly. Simply put, the facts are wholly inadequate to demonstrate as much.

With respect to Dr. Piacente, however, the result is different. Plaintiff's allegations regarding Dr. Piacente's mental state suffice for the mens rea prong. In coming to this conclusion, the Court has assessed Dr. Piacente's reactions to Plaintiff's injury, the treatment he was provided, and the resulting adverse consequences. "[I]n most cases, the actual medical consequences that flow from the alleged denial of care will be highly relevant to the question of whether the denial of treatment subjected the prisoner to a significant risk of serious harm," though an "actual physical injury" is not necessary to recover. See Smith, 316 F.3d at 187-88 (finding that defendant's conduct "in exposing an inmate to an unreasonable risk of future harm" sufficient); see also Richardson v. City of New York, No. 15-CV-643(LAK)(AJP), 2015 WL 7752143, at *6 (S.D.N.Y. Nov. 18, 2015) (finding that ignoring potential risk of infection was reckless), report and recommendation adopted by, 2016 WL 1637997 (Apr. 22, 2016). Plaintiff has alleged the requisite mental state with respect to Dr. Piacente, whose conduct cannot be boiled down to simple negligence or medical malpractice. Assuming the truth of Plaintiff's allegations, Dr. Piacente agreed that Plaintiff needed stitches, (see SAC at 8), but told Plaintiff "that he could handle it", (id), and intentionally provided an "easier and less efficacious treatment", paper stitches, Chance, 143 F.3d at 703 (choice of "easier and less efficacious" treatment can suffice).9 More importantly, Dr. Piacente agreed with Plaintiff that "jails are some of the filthiest places", (id), but ignored the unreasonable risk that Plaintiff's injury could become badly infected. Indeed, Plaintiff's injury did become infected, requiring him to take two trips to the hospital, a consequence that could have been avoided if Dr. Piacente had sent Plaintiff to the hospital from the outset. Plaintiff's claims against Dr. Piacente are properly pled.

III. Housing

A. Unsanitary Conditions

Plaintiff also appears to assert a deliberate indifference claim against Byron, Hickey, and Falco regarding the alleged unsanitary conditions in intake housing.

*7 Claims challenging a detainee's housing conditions likewise have two prongs. "To establish an objective deprivation, `the inmate must show that the conditions, either alone or in combination, pose an unreasonable risk of serious damage to his health,' and those conditions should be "evaluated in light of contemporary standards of decency." Darnell, 849 F.3d at 30; see also Walker v. Schutt, 717 F.3d 119, 125 (2d Cir. 2013). Though the Constitution "does not mandate comfortable prisons", see Farmer, 511 U.S. at 832, it requires that prison officials "provide humane conditions of confinement" and "must ensure that inmates receive adequate food, clothing, shelter, and medical care . . .," Id. Consequently, a Plaintiff properly alleges a claim when he articulates an "objectively, sufficiently, serious . . . denial of the minimal civilized measure of life's necessities." Willey v. Kirkpatrick, 801 F.3d 51, 66 (2d Cir. 2015). Where unsanitary conditions are concerned, courts look at "both the duration and the severity of the exposure." Id. at 68; see also Darnell, 849 F.3d at 30. Moreover, a pretrial detainee need not "show that [he] actually suffered from serious injuries." Darnell, 849 F.3d at 31. As to the second prong, a Plaintiff must demonstrate that prison officials acted "with more than mere negligence." Walker, 717 F.3d at 125 (quoting Farmer, 511 U.S. at 835) (internal quotations omitted).

Plaintiff's claims fail to meet the requisite burden. Preliminarily, Plaintiff lists a number of unsanitary conditions of confinement, including "no ventilation at all in intake housing", (SAC at 6), that he had "bite marks up and down" his leg, (id), a gnats' nest was "growing in the shower", (id), there "was male semen on the walls", (id), a fellow detainee, Brad Smith, was "throwing around" his feces, (id), and the cleaning supplies provided to the detainees were previously used to clean Mr. Brown's feces, (Id.) Plaintiff also claims that he was in intake housing for a total of 90 days, (Id.), and that intake housing "only holds 16 cells," (Id. at 9.) To assess whether a constitutional violation occurred, however, this Court must understand the severity of the conditions and the duration that Plaintiff was exposed to them. See Darnell, 849 F.3d at 30; see also Jackson v. Sullivan Cnty., 16-CV-3673(JCM), 2018 WL 1582506, at *4 (S.D.N.Y. Mar. 27, 2018) (dismissing conditions of confinement claim in absence of allegations regarding severity and duration). Plaintiff fails to plead that information. As alleged, this Court cannot ascertain whether Plaintiff was in the same cell with Mr. Smith while he was throwing his feces (as there are 16 cells in intake housing) or how often he would do so, whether the cleaning supplies were cleaned after they were used to clean up after Mr. Smith, and the amount of time Plaintiff was exposed to the conditions in the bathroom shower. This prong is insufficiently pled.

Even if Plaintiff had pled the above facts relevant to duration and severity, his claim would still be ripe for dismissal because Plaintiff cannot demonstrate the second prong of the deliberate indifference test. The Second Circuit has explicitly held that, with respect to conditions of confinement, the defendant-official must have acted recklessly or intentionally, see Darnell, 849 F.3d at 35; negligence will not suffice, Jackson, 2018 WL 1582506, at *4. In the absence of allegations suggesting that Byron, Hickey, or Falco intentionally subjected Plaintiff to the conditions or recklessly failed to act when they knew or should have known that the conditions posed an excessive risk to his health or safety, Plaintiff's claims cannot stand. See id. (finding lack of similar allegations defective to the claim). Indeed, Plaintiff's only allegations regarding Byron's state of mind are that he did not "car[e] for to [sic] change [the detainees'] cleaning equipment", that he "knew of the inhumane environment", and "knew that [Plaintiff] later did not receive adequate medical care . . . and he did nothing to move [Plaintiff] away from such bacteria infested area." (See SAC at 6.) As to Defendants Hickey and Falco, Plaintiff merely alleges that they knew of the unsanitary conditions and "did not care" and "put [him] back in intake housing" after he was released from the hospital. (Id.) Such allegations are conclusory at best, and fail to demonstrate that Byron, Hickey, or Falco acted in a manner that rose above the level of negligence. Plaintiff's claims must be dismissed; nevertheless, because Plaintiff's deliberate indifference claims against these Defendants suffers from a facial malady, he will be granted leave to re-plead.

B. Insufficient Mirror

*8 To the extent Plaintiff alleges that his constitutional rights were violated because the mirror provided to him was not clear, such allegations do not give rise to a cognizable federal claim. While "the failure to regularly provide prisoners with[, inter alia,] access to a mirror . . . constitutes a denial of personal hygiene and sanitary living conditions," see Myers v. City of New York, No. 11-CV-8525(PAE), 2012 WL 3776707, at *8 (S.D.N.Y. Aug. 29, 2012), Plaintiff fails to allege an actual deprivation, nor one that rises to the level of a "denial of the minimal civilized measure of life's necessities," Willey v. Kirkpatrick, 801 F.3d at 66. Such a claim is dismissed.

IV. Access to the Courts10

Plaintiff also appears to raise two claims that sound in principals of access to the courts. Specifically, Plaintiff alleges that Byron interfered with the grievance procedure, (see SAC at 6-7), and that Falco and Hickey interfered with his ability to allege a Section 1983 claim by failing to photograph his injury, (id. at 7.) Neither claim survives a motion to dismiss.

To state a First Amendment access to the courts claim, a plaintiff must demonstrate "that the defendant `took or was responsible for actions that hindered [a plaintiff's] efforts to pursue a legal claim.'" Davis v. Goord, 320 F.3d 346, 351 (2d Cir. 2003) (alterations in original).

A. Interference With the Grievance Procedure

Any claim against Byron that he violated Plaintiff's constitutional rights by interfering with the grievance process cannot stand. "[I]nmate grievance programs created by state law are not required by the Constitution"; thus, a claim alleging interference with the grievance procedures is not cognizable under Section 1983, Harris v. Westchester Cnty. Dep't of Corr., No 06-CV-2011(RJS), 2008 WL 953616, at *5 (S.D.N.Y. Apr. 3, 2008); see also Rickett v. Orsino, No. 10-CV-5152(CS)(PED), 2013 WL 1176059, at *20 (S.D.N.Y. Feb. 20, 2013), report and recommendation adopted by, 2013 WL 1155354 (Mar. 21, 2013); Mimms v. Carr, No. 09-CV-5740(NGG)(LB), 2011 WL 2360059, at *10 (E.D.N.Y. Jun. 9, 2011), "absent a showing that the defendants' actions in that regard result in actual prejudice to the inmate's pursuit of a legal action," Abney v. Jopp, 655 F.Supp.2d 231, 234 (W.D.N.Y. 2009); see also Banks v. Cnty. of Westchester, 168 F.Supp.3d 682, 692 (S.D.N.Y. 2016) (noting that plaintiff must demonstrate that "defendant's actions resulted in an actual injury"). Plaintiff's conclusory allegations fail to demonstrate that he was actually prejudiced in the pursuit of any legal action. He has successfully pursued this Section 1983 action in federal court, as this Court is permitting Plaintiff to re-allege his claims against Byron as they concern the unsanitary conditions central to his grievances. An access to the courts claim cannot stand.

B. Refusal to Take Photographs

Plaintiff's attempt to allege that Hickey and Falco violated his constitutional rights by failing to take photographs of his injuries likewise fails. A refusal to take a photograph requested by a plaintiff does not rise to the level of a constitutional violation. See Chavis v. Chappius, No. 06-CV-5435, 2015 WL 1472117, at *15 (W.D.N.Y. Mar. 31, 2015). Moreover, even if Plaintiff could assert it as the basis of an access to the courts claim, it has not hindered his pursuit of a lawsuit. Despite not having a photograph of his injury, Plaintiff brought this civil rights lawsuit, alleging, inter alia, inadequate medical care. This Court's dismissal of those claims against the County Defendants had nothing to do with Plaintiff's lack of photographic evidence, that the conduct did not rise to the level of a constitutional violation. Moreover, Plaintiff's allegations sufficed to move his case forward on a deliberate indifference claim against Dr. Piacente; the merits of this claim will not rise and fall on the existence of a photograph of Plaintiff's injury. Plaintiff's claims against Hickey and Falco must be dismissed.

V. Monell Liability

*9 Defendants also argue that Rockland County is not a proper party to this lawsuit because Plaintiff has failed to properly allege Monell liability. This Court agrees.

A Plaintiff can only recover from a municipality if he demonstrates a claim pursuant to Monell v. Department of Soc. Servs., 436 U.S. 658 (1976) (a "Monell" claim). To state such a claim, plaintiff "must allege that `the action that is alleged to be unconstitutional implements or executes a policy statement, ordinance, regulation, or decision officially adopted and promulgated by [the municipality's] officers.'" Ceparano v. Suffolk Cnty. Dept of Health, 485 F. App'x 505, 508 (2d Cir. 2012) (quoting Monell, 436 U.S. at 690) (alterations in original). Critically, a Plaintiff must prove both that there was a constitutional violation and that the constitutional violation "was a result of a municipal policy or custom." Brown v. City of New York, No. 13-CV-6912(TPG), 2016 WL 616396, at *2 (S.D.N.Y. Feb. 16, 2016) (emphasis added). A municipality will not be held liable under the doctrine of respondeat superior. Monell, 436 U.S. at 691.

Where, as here, the complaint contains allegations of a "single incident, especially one involving only actors below the policy-making level" Monell liability cannot be sustained. Simpson v. Town of Warwick Police Dept, 159 F.Supp.3d 419, 439 (S.D.N.Y. 2016) (citing Oklahoma City v. Tuttle, 471 U.S. 808, 823-24 (1985)); Toliver v. Office-Dep't of Corr. NYC, No. 10-CV-5354(DAB), 2013 WL 3783727, at *5 (S.D.N.Y. July 9, 2013). Plaintiff's SAC contains no allegations from which this Court could infer the existence of a Monell claim. None of the Defendants appear to be in a policy-making position. Moreover, the SAC does not contain a single allegation tying any of the alleged unlawful conduct to an overarching policy or custom. See Simpson, 159 F. Supp. 3d at 439 (dismissing Monell claim where "SAC does not contain a single allegation even a conclusory one that a policy or custom" caused plaintiff's injury); see also Moton v. City of New York, No. 15-C V-6485(GBD)(JLC), 2016 WL 1729046, at *4 (S.D.N.Y. Apr. 26, 2016) (no Monell liability in absence of allegations "that the harm was brought about by any municipal policy"), report and recommendation adopted by, 2016 WL 3554993 (Jun. 24, 2016). Plaintiff's claim against Rockland County must be dismissed.

VI. State Law Claims

The Court need not linger on whether to assert supplemental jurisdiction over Plaintiff's state law claims against Defendants McLaughlin, Jacob, Hickey, Falco, Byron, and Rockland County. These claims must fail as the Court has already determined that the Section 1983 claims are ripe for dismissal. See Sklodowska-Grezak v. Stein, 236 F.Supp.3d 805, 810 (S.D.N.Y. 2017) (declining to exercise supplemental jurisdiction over state law claims where federal claims dismissed); Mackenzie v. Donovan, 375 F.Supp.2d 312, 320 (S.D.N.Y. 2005). Such claims are dismissed without prejudice, and to the extent Plaintiff can cognizably plead same, he can do so in state court.

VII. Leave to Amend

Though "[l]eave to amend should be freely granted", this Court declines to allow Plaintiff leave to amend his claims against Defendants Jacob, McLaughlin, and Rockland County, as an amendment would be futile. See Nognou v. Mayrose, 400 F. App'x 617, 620 (2d Cir. 2010) (summary order) (quoting fin v. Metropolitan Life Ins. Co., 310 F.3d 84, 101 (2d Cir. 2002)). The conduct of Jacob and McLaughlin do not rise above the level of negligence and medical malpractice; thus, it is not actionable and no amendment would render it otherwise. See id. (affirming denial of leave to amend on ground that "negligence and medical malpractice" not recoverable under Section 1983). Further, as stated, supra, Plaintiff is not permitted to replead his claims against Hickey and Falco as they pertain to the refusal to take a photograph of his injury, as such conduct is not actionable under the Constitution.

*10 Nevertheless, "a pro se complaint should not be dismissed without the Court granting leave to amend at least once when a liberal reading of the complaint gives any indication that a valid claim might be stated." Dolan v. Connolly, 794 F.3d 290, 295 (2d Cir. 2015) (internal quotations and alterations omitted). With respect to Plaintiff's claims against Byron, Hickey, and Falco for deliberate indifference to the conditions of his confinement, Plaintiff may re-plead with additional facts regarding the severity and duration of the unsanitary conditions, as well as interactions that Plaintiff had with these Defendants that would demonstrate the requisite mens rea.

CONCLUSION

In line with the foregoing, Dr. Piacente's Motion is DENIED, as the claim against Dr. Piacente for inadequate medical care is properly pled. Dr. Piacente is hereby directed to Answer Plaintiff's SAC on or before August 21, 208.

The County Defendants' Motion, however, is GRANTED in accordance with the following:

1. The Second Amended Complaint is dismissed with prejudice against Defendants Jacob, McLaughlin, and Rockland County; 2. The claims against Hickey and Falco based on a refusal to take a photograph of Plaintiff's injury are dismissed with prejudice; 3. The claim against Byron alleging an interference with Plaintiff's access to the courts is dismissed with prejudice; 4. The claims against Byron, Hickey, and Falco alleging a deliberate indifference to Plaintiff's conditions of confinement are dismissed without prejudice and Plaintiff is granted 30 days to re-plead these claims.

Should Plaintiff choose to file a Third Amended Complaint against Byron, Hickey, and Falco for deliberate indifference to his conditions of confinement, he must do so on or before August 7, 2018 and in conformity with this Opinion. Failure to do so will result in a dismissal of the claims against Byron, Hickey, and Falco with prejudice.

The Clerk of Court is respectfully directed to terminate the motions at ECF Nos. 26 and 34. The Clerk of Court is further respectfully directed to terminate Defendants Bill McLaughlin, Mariamma Jacob, and Rockland County, as all claims against them are dismissed with prejudice. The Clerk of the Court is also directed to mail a copy of this Opinion and Order to Plaintiff at David Christopher Figueroa, Rockland County Correctional Center, 55 New Hempstead Road, New City, New York 10956 and change Plaintiff's address on ECF to reflect same. Plaintiff is reminded that it is his obligation to inform the Court when his address changes.

SO ORDERED.

2010 WL 3924682 Only the Westlaw citation is currently available. United States District Court, E.D. New York. Pearl GLASSBERG, Plaintiff, v. STAPLES THE OFFICE SUPERSTORE EAST, INC. d/b/a Staples, Defendant. No. 08-CV-2132 (KAM)(JMA). Sept. 13, 2010.

Attorneys and Law Firms

Steven B. Dorfman, Friedman & Moses, LLP, New York, NY, for Plaintiff.

Allison C. Liebowitz, Simmons Jannace, LLP, Syosset, NY, for Defendant.

REPORT & RECOMMENDATION

AZRACK, United States Magistrate Judge.

*1 In this trip-and-fall action, plaintiff Pearl Glassberg ("Glassberg" or "plaintiff") alleges that she suffered personal injuries as a result of the defendant's negligent placement of a flatbed handcart in the checkout aisle of its office supply store. Defendant Staples ("Staples" or "defendant") moves for summary judgment arguing that it owed no duty to warn the plaintiff about the cart because, as a matter of law, the cart was open and obvious and not inherently dangerous. The Honorable Kiyo A. Matsumoto referred the motion to me for a Report and Recommendation. For the reasons discussed below, I respectfully recommend that the Court grant the defendant's motion and dismiss the complaint with prejudice.

1. BACKGROUND1

Pearl Glassberg entered Staples located at 2892 Ocean Avenue in Brooklyn, New York early in the afternoon on Thursday, September 20, 2007. (Glassberg Interrogs. ¶ 5.) She had been there between ten and twenty times before this visit. (Glassberg Dep. 27:23.) While she was shopping, another customer, assisted by a Staples employee, brought a boxed office chair to a cash register for purchase. (Register Video 13:39:55.04; Barrett Dep. 17:8-13.) With its packaging, the chair was large enough that transporting it required the use of a flatbed handcart called a "U-boat." The U-boat consisted of a rectangular platform on wheels with a ladder-backed handle that extended vertically from one of the platform's short sides. (Register Video 13:40:05.70; Barrett Dep. 14:14-15:4, 24-25; Glassberg Dep. 37:3-4.) The U-boat measured approximately four feet long by two feet wide and the handle projected vertically between three and five feet. (Barrett Dep. 14:14-24, 23:14-15; Glassberg Dep. 36:1-19, 107:21-25.) Both the handle and platform were silver in color, and the platform's wheels elevated it a few inches off of the store's black, carpeted floor. (Barrett Dep. 13:20-17:15; Register Video 13:40:05.70.) Staples allows customers to use U-boats to move large items around the store and parking lot, but employees are trained not to leave them in the checkout aisles because they may present a tripping hazard. (Barrett Dep. 38:3-39:8, 44:15-18.)

The boxed office chair sat atop the U-boat's platform in a white box that rose approximately three feet vertically against the U-boat's handle. (Barrett Dep. 23:9-26:15; Glassberg Dep. 41:12-22.) The box did not occupy the entirety of the U-boat's platform, so that approximately one-and-a-half to two feet of the side of the platform lacking the handle remained exposed. (Glassberg Dep. 36:7-19; Register Video 13:40:04.60.) A portion of the handle remained visible over the box as well. (Glassberg Dep. 41:12-22; Register Video 13:40:04.60.)

To ring up the purchase, the attending employee, accompanied by the customer buying the chair, pulled the U-boat, handle first, into a checkout aisle and positioned it next to a register operated by cashier Alfredia Barrett ("Barrett"). (Barrett Dep. 9:13-14, 19:13-23; Register Video 13:40:06.60.) The handle/chair end of the U-boat faced the far end of the aisle while the unoccupied portion of the platform extended one-and-a-half to two feet toward the aisle's entry point. (Register Video 13:40:06.60) The attending employee positioned the U-boat at an angle so that if a customer were to enter the checkout aisle from the store's interior and approach Barrett's register, she would encounter an ever-diminishing space between the U-boat and the checkout counter: the exposed side of the U-boat's platform as far as a foot or more from the counter, but the side with the handle and box only a few inches from the register. (Register Video 13:30:04.60; Barrett Dep. 18:18-23.)

*2 After the customer and the attending employee wheeled the U-boat to the register, Barrett began ringing up the chair. (Barrett Dep. 18:20-19:6; Register Video 13:41:18.80; Service Video 13:41:15.93.) However, the customer questioned the price so the attending employee left the checkout aisle to check the price while the customer stayed behind with the U-boat. (Id.) Shortly thereafter the customer followed to check the chair's price himself, telling Barrett that he would return momentarily to complete the transaction and leaving the U-boat behind. (Barrett Dep. 34:17-21; Register Video 13:41:57.34; Service Video 13:41:57.67.)

Seconds after the other customer left, plaintiff approached Barrett's checkout aisle where the U-boat and boxed chair waited in their original position. (Register Video 13:41:57.34-13:42:07.16; Service Video 13:41:57.67-13:42:08.16.) The plaintiff entered the ever-diminishing space between the U-boat and the cash register, and presented her items for purchase. (Id.) Barrett did nothing to influence the plaintiff to come to her register, but she rang up the plaintiff's purchase while waiting for the chair-buying customer to return with the verified price. (Barrett Dep. 29:5-22.) Her transaction completed within less than a minute, the plaintiff turned nearly 180 degrees to her right, towards the very limited space between the handle/ chair end of the U-boat and the cash register, and took a step forward into the unoccupied portion of the U-boat's platform. (Glassberg Dep. 106:14-19.) In so doing, she tripped over the unoccupied portion of the platform and fell to the floor. (Register Video 13:42:59.18; Service Video 13:42:58.90; Barrett Dep. 30:21-31:13; Glassberg Dep. 37:5-38:25, 106:14-107:3.) The plaintiff claims that her fall resulted in a fractured right elbow, pain, and mental anguish. (Compl. ¶ 21.)

II. DISCUSSION

A. Summary Judgment Standard

The Court should grant summary judgment when "the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(c); see also Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). The burden of showing that there is no triable issue of material fact rests upon the party seeking summary judgment. Gallo v. Prudential Residential Serv., L.P., 22 F.3d 1219, 1223 (2d Cir.1994). "[W]here the nonmoving party will bear the burden of proof at trial on a dispositive issue . . . the burden on the moving party may be discharged by `showing' that is, pointing out to the district court that there is an absence of evidence to support the nonmoving party's case." Celotex Corp., 477 U.S. at 324-25. The burden then shifts to the nonmoving party to "set forth specific facts demonstrating there is a genuine issue for trial." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 250 (1986) (quoting Fed.R.Civ.P. 56(e)). The nonmovant must identify facts that constitute more than a restatement of elements contained within the pleadings, id. at 248, and "may not rely on mere conclusory allegations nor speculation, but instead must offer some hard evidence showing that its version of the events is not wholly fanciful." Kerzer v. Kingly Mfg., 156 F.3d 396, 400 (2d Cir.1998); Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986).

*3 An issue of fact is material if it affects the outcome of the suit, and "it is the substantive law's identification of which facts are critical and which facts are irrelevant that governs." Anderson, 477 U.S. at 248; see also Konilcoff v. Prudential Ins. Co. of Am., 234 F.3d 92, 97 (2d Cir.2000). In considering those facts, the Court must draw all inferences in favor of the party against whom summary judgment is sought. Anderson, 477 U.S. at 255; U.S. v. Diebold, Inc., 369 U.S. 654, 655 (1962); Gallo, 22 F.3d at 1223.

B. New York Premises Liability

Jurisdiction over this matter is based on diversity, so state law governs the substantive claim. Erie R. Co. v. Tomkins, 304 U.S. 64 (1938).2 To establish a prima facie case for negligence in the State of New York, a plaintiff must show: (1) the defendant owed her a duty of care; (2) the defendant breached that duty; and (3) the defendant's breach was the proximate cause of an injury sustained by the plaintiff. See, e.g., Solomon v. City of New York, 66 N.Y.2d 1026, 1027 (1985). It is well-settled that a landowner has a duty to "maintain [its] premises in a reasonably safe condition" in view of the surrounding circumstances, which includes a "duty to warn those lawfully on the premises of potentially dangerous conditions that are not readily observable." Comeau v. Wray, 241 A.D.2d 602, 603 (3d Dep't 1998); see also Basso v. Miller, 40 N.Y.2d 233, 241 (1976); Pinero v. Rite Aid, 294 A.D.2d 251, 252 (1st Dep't 2002), aff'd by 99 N.Y.2d 541 (2002). However, there is no duty to protect or warn a customer against the risk of a condition that is open and obvious and, as a matter of law, not inherently dangerous; under such circumstances, the condition is a warning itself. MacDonald v. City of Schenectady, 308 A.D.2d 125, 128 (3d Dep't 2003); see also Tagle v. Jakob, 97 N.Y.2d 165, 169 (2001); Espinoza v. Hemar Supermarket, Inc., 43 A.D.3d 855, 855 (2d Dep't 2007); Cupo v. Karfunkel, 1 A.D.3d 48 (2d Dep't 2003); Pinero, 743 A.D.2d at 252.

C. Staples' Duty to Warn

Staples argues that it is entitled to summary judgment because it had no duty to warn or protect the plaintiff against the U-boat because, as a matter of law, the U-boat's presence in front of Barrett's cash register was an open and obvious condition that was not inherently dangerous. Although the plaintiff argues that genuine issues of fact exist as to whether the U-boat was open and obvious, her arguments are without merit.

A condition is open and obvious if it is readily observable through the reasonable use of one's own sense. Brown v. Melville Indus. Associates, 34 A.D.3d 611, 611 (2d Dep't 2006). "While the issue of whether a hazard is latent or open and obvious is generally fact-specific and thus usually a jury question, a court may determine that a risk was open and obvious as a matter of law when the established facts compel that conclusion. . . ." Tagle, 97 N.Y.2d at 169; Cupo, 1 A.D.3d at 52 ("We do not suggest that a court is precluded from granting summary judgment to a landowner on the ground that the condition complained of by the plaintiff was both open and obvious and, as a matter of law, was not inherently dangerous.") (emphasis in original).

*4 The U-boat at issue here was clearly visible and no reasonable person could conclude otherwise. The coloring, dimensions, and placement of the U-boat, as can be observed from the surveillance footage, establish that the cart stood out from its surroundings. Plaintiff attempts to manufacture a factual dispute about whether the U-boat stood out by citing the conflicting testimony of Barrett and the plaintiff: Barrett testified that the U-boat platform and the carpet were very different colors while the plaintiff testified that they were both very similar in color. (Pl. Mem at 14.) However, the surveillance footage, which the Court is compelled to credit over the plaintiff's recollection, see Scott v. Harris, 550 U.S. 372, 380 (2007) (holding that the lower courts erred in adopting plaintiff's version of the facts when considering defendant's motion for summary judgment because a videotape in evidence directly contradicted the plaintiff's testimony); Dove v. City of New York, No. 03-CV-5052, 2007 WL 805786, at *6 (E.D.N.Y. Mar. 15, 2007) (rejecting plaintiff's account and granting summary judgment to defendant because medical evidence contradicted plaintiff's version of events), plainly shows the stark contrast between the silver U-boat and the black carpet.

The boxed chair, which was bright white and rose to approximately the same height as the counter a few inches away, made the U-boat even more obvious. The footage additionally demonstrates that the unoccupied portion of the U-boat platform that plaintiff tripped over was unobstructed and in plain view for several yards as the plaintiff approached the register and passed and stood within inches of it. (Register Video 13:42:02.56-13:42:07.16.) The U-boat did not change position between the time the plaintiff approached the register and the time she tripped over it.

New York courts consider such conditions open and obvious as a matter of law and routinely refuse to submit that determination to the discretion of juries. In Gagliardi v. Walmart Stores, Inc., 52 A.D.3d 777 (2d Dep't 2008), the plaintiff was injured when she tripped over a box containing an unassembled chest of drawers that was placed in the defendant store's aisle. The Appellate Division found that the box was open and obvious and dismissed plaintiff's appeal from an order of summary judgment, awarding costs to the defendant. Id. at 777. In Connor v. Taylor Rental Ctr., Inc., 278 A.D.2d 270 (2d Dep't 2000), the plaintiff tripped over the prongs of a forklift, which were lowered to approximately four inches off the ground, in the defendant's parking lot. In dismissing the plaintiff's appeal from summary judgment, again with costs, the court relied on evidence showing that the forklift was in plain view. Id. at 270. In Russell v. Archer Bldg. Ctrs. Inc., 219 A.D.2d 772 (3d Dep't 1995), the plaintiff fell over a display rack in the defendant's store when she stepped backward into it. After the trial court denied the defendant store's motion for summary judgment, the Appellate Division reversed and granted costs to the defendant, relying on a photograph that indicated that the display was readily observable through the reasonable use of one's senses. Id. at 772

*5 Plaintiff further attempts to create a triable factual dispute as to whether the U-boat was open and obvious by asserting that she did not see the unoccupied portion of the U-boat prior to tripping over it. However, under New York law, whether a plaintiff observed a condition prior to tripping over it is immaterial to the question of whether the condition was open and obvious. See, e.g., Gibbons v. Lido, Point Lookout Fire Dist., 293 A.D.2d 646, 647 (2d Dep't 2002) (reversing the trial court's denial of summary judgment and holding that plaintiff's failure to see an open and obvious cement block on the floor of a well-lit firehouse before she tripped over it did not preclude the court from finding that the block was open and obvious as a matter of law); Chranky v. Marshalls, Inc., 273 A.D.2d 266, 266 (2d Dep't 2000) (holding that a shopper's failure to observe a stationary clothing rack before tripping over it was not material to whether the court may find as a matter of law that it was open and obvious).

Neither was the U-boat inherently dangerous. The U-boat at issue in this case is similar to those commonly used in stores by both customers and employees, and New York courts have found that, as a matter of law, such carts are not inherently dangerous when placed in areas of customer traffic. In Stern v. Costco Wholesale, 63 A.D.3d 1139, 1139 (2d Dep't 2009), the plaintiff tripped and fell over a flatbed cart that "was approximately four feet long and two to three feet wide, had a six-inch-high bed with a handle at one end, and was available for use by both customers and employees." The Appellate Division affirmed summary judgment against the plaintiff, with costs, because the cart in the aisle did not create an inherently dangerous condition. Id. at 1139. That decision also referenced Bernth v. King Kullen Grocery Co., Inc., 36 A.D.3d 844 (2d Dep't 2007), in which the plaintiff fell over a U-boat in the aisle of a grocery store. There, too, the Appellate Division affirmed summary judgment for defendant and awarded costs, because the U-boat in the store aisle was an inherently dangerous condition. Id. at 844.

The plaintiff submits no evidence that the U-boat at issue was used improperly or that it suffered from any defect that made it particularly dangerous among U-boats. Instead, the plaintiff proposes that danger adhered in the U-boat's placement, relying on Barrett's testimony that Staples trains its employees not to allow idle carts to remain in areas of customer traffic for fear of creating a tripping hazard. However, while Staples may recognize some hazard of idle carts in customers' paths, New York courts have determined that U-boats in store aisles are not inherently dangerous. Moreover, a general awareness that a condition may pose a danger under certain circumstances is insufficient by itself to establish that a particular instance of such a condition was inherently dangerous. See Piacquadio v. Recine Realty Corp., 84 N.Y.2d 967, 969 (1994) (citing Gordon v. American Museum of Natural History, 67 N.Y.2d 836, 838 (1986) ("[A] `general awareness' that a dangerous condition may be present is legally insufficient to constitute notice of the particular condition that caused plaintiff's fall. . . .").

*6 The plaintiff attempts to rebut the fact that the U-boat was open and obvious by relying upon Michalski v. Home Depot, Inc., 225 F.3d 113 (2d Cir.2000). In Michalski, a store employee directed the plaintiff to search for an item above eye-level on the store's warehouse-like displays. As the plaintiff did so, she tripped over a low-lying pallet on the far side of a parked forklift. Id. at 115-16. In reversing the district court's grant of summary judgment for the defendant, the Second Circuit first found that, unlike here, there were genuine issues of material fact as to whether the pallet was open and obvious because evidence in the record, including testimony and still photographs, indicated that the pallet may have been obscured by the forklift. Id. at 122. The Circuit then held more broadly that "even if a jury finds the pallet to have been open and obvious . . . New York law imposed a duty of care on [the defendant] if the hazardous nature of the pallet was readily foreseeable and [the defendant] had reason to know that its customers might not expect, or be distracted from observing, the hazard." Id. at 115.

The plaintiff's reliance on Michalski is misplaced, for that case was carefully limited to its own unique circumstances. The Michalski Court did not overturn the longstanding open and obvious doctrine. Rather, it emphasized that the doctrine did not relieve Home Depot of its duty to warn in that particular circumstance because, by shelving items above eye level, Home Depot intentionally arranged the premises in a manner likely to distract Michalski's attention away from patent dangers on the floor, thereby creating a foreseeable risk of harm from an otherwise readily visible condition. No such circumstances were present in this case. Neither the plaintiff's own deposition testimony nor the surveillance footage suggest any facts that would cause the average reasonable customer to be distracted from obvious conditions in the checkout aisle, or that such a customer would be unlikely to anticipate a U-boat style shopping cart in the checkout aisle of a store that is known to sell furniture and other large items. See Anton v. Correctional Medical Services, Inc., 74 A.D.3d 1682, 1682 (2010) (affirming summary judgment for defendant under the open and obvious doctrine where "there [was] nothing in the record to suggest that [plaintiff] would have been prevented from also looking where he was going and seeing what was there to be seen"); Pinero, 294 A.D.2d at 253-54 (declining to follow Michalski's "interesting theory of negligence" where the defendant had no "reason to know or expect that plaintiff might be distracted from observing the presence of the so-called hazardous wagon" that caused her fall).

D. Staples' Duty to Maintain a Reasonably Safe Premises

Plaintiff correctly argues that, while the fact that a condition is open and obvious may relieve a landowner from a duty to warn, a landowner is never relieved of the general duty to maintain reasonably safe premises at all times. See Westbrook v. WR Activities-Cabrera Markets, 5 A.D.3d 69, 72-73 (1st Dept 2004) (citing cases). To establish breach of this duty, the plaintiff must show "that the defendant either created a dangerous condition or had actual or constructive knowledge" of it but failed to alleviate the danger. Segretti v. Shorenstein Co., East, L.P., 256 A.D.2d 234, 235 (1st Dep't 1998). Plaintiff thus attempts to defeat summary judgment by asserting that a factual dispute exists as to whether Staples created the condition that caused the plaintiff's fall. However, for the same reasons that the U-boat was not inherently dangerous, it did not constitute an unsafe condition. See, e.g., Plis v. North Bay Cadillac, 5 A.D.3d 578, 578 (2d Dep't 2004) (holding that the defendant had no duty to warn and did not breach its duty to maintain its property in reasonably safe condition where the plaintiff tripped over a security chain that was open, obvious, and not inherently dangerous). Accordingly, because Staples did not breach its duty to maintain reasonably safe premises, the question of who created the condition is immaterial.

III. CONCLUSION

*7 Plaintiff cannot establish a prima facie case of negligence because the condition that caused her injury was, as a matter of law, open and obvious and not inherently dangerous and the defendant maintained its premises in a reasonably safe condition. Accordingly, I respectfully recommend that the Court grant the defendant's motion for summary judgment and dismiss the complaint with prejudice.

Any objections to this Report & Recommendation ("R & R") must be filed on ECF within fourteen (14) days of the date of this R & R. Failure to file objections within the specified time waives the right to appeal the District Court's order. See 28 U.S.C. § 636(b)(1); Fed.R.Civ.P. 6(a), 72.

SO ORDERED.

2013 WL 5730176 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Alvern JAMES, Plaintiff, v. CORRECT CARE SOLUTIONS, Aramark Corporation and Westchester County, Defendants. No. 13-cv-0019 (NSR). Oct. 21, 2013.

OPINION AND ORDER

NELSON S. ROMAN, District Judge.

*1 Plaintiff Alvern James ("Plaintiff") brings this action pursuant to 42 U.S.C. § 1983 alleging that Defendants Correct Care Solutions, LLC ("CCS") and Aramark Correctional Services, LLC1 ("Aramark") violated his constitutional rights while he was confined at Westchester County Jail ("WCJ"). Before this Court are the Motions to Dismiss of Defendant Aramark and Defendant CCS pursuant to Federal Rule of Civil Procedure 12(b)(6).

I. Background

For purposes of this motion, this Court accepts as true the facts as stated in Plaintiff's Second Amended Complaint. Defendant CCS administers medical services at WCJ. Def. CCS Mem. 2-3. Defendant Aramark is employed by Westchester County to provide food services at WCJ. Def. Aramark Mem. 3-4. Plaintiff alleges that on October 28, 2012 at approximately 5 a.m., while he was working in the kitchen at WCJ, an Aramark employee told him to move a cart containing several stainless steel pots of hot grits. Second Am. Compl. 3. While pushing the cart, a wheel of the cart became jammed because of a loose "diamond plated manmade saddle" in the floor and caused the container of hot grits to spill onto Plaintiff's body. Id. Some of the hot grits spilled onto Plaintiff's exposed left forearm, which caused Plaintiff's skin to burn. Id. Plaintiff alleges that after the grits spilled, his burn went untreated for 5 or 6 hours.2 Id at 3-4.

According to Plaintiff, he was not seen by medical personnel until 6 hours after the accident, and he was never taken to the hospital. Plaintiff received treatment for his burn at WCJ from CCS employees. Def. CCS Mem. 2. Plaintiff alleges that in the weeks that followed the accident, his bandages were not changed on 6 days: October 30 and 31, and November 1, 15, 16, and 17. He further claims that he was given inadequate medical attention, including being asked to wait while a nurse practitioner ate her lunch before seeing Plaintiff and that medical personnel failed to wear gloves when treating him.

Plaintiff filed a grievance against CCS with the jail on October 31, 2012 in which he claimed that 8 hours passed between his accident and the administration of treatment. CCS Mot. to Dismiss Ex. D. The grievance includes a written statement signed by Plaintiff at 8:25 a.m. on October 28, 2012—less than 4 hours after the accident—in which he states that he had already seen a nurse who "didn't do anything" but told him to "put ice on [the burn]." Id at 9. The Grievance report provides that Plaintiff was taken to the nurse again at 8:15 a.m., where the nurse practitioner applied silvedene cream (an antimicrobial cream), dressed Plaintiff's wound, and ordered daily follow-up consultations until the burned healed. Also included in the grievance is an officer's report, which recounts Plaintiff as saying that the "injury occurred approx. 0500" and that Plaintiff was "advised to apply ice to affected area" after being escorted to the nurse by another officer.

*2 Plaintiff alleges that a kitchen worker3 informed him that Aramark was aware that the floor plate was loose prior to the accident. Plaintiff also states that he was not trained to move the equipment he handled, and that Aramark's equipment was improperly maintained. No internal grievance was filed by Plaintiff at the WCJ with respect to Aramark or the loose floor saddle.

II. Legal Standard

On a motion to dismiss for "failure to state a claim upon which relief can be granted," Fed.R.Civ.P. 12(b) (6), dismissal is proper unless the complaint "contain[s] sufficient factual matter, accepted as true, to `state a claim to relief that is plausible on its face.'" Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) (quoting Bell Ad. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)); accord Hayden v. Paterson, 594 F.3d 150, 160 (2d Cir.2010). "Although for the purposes of a motion to dismiss [a court] must take all of the factual allegations in the complaint as true, [it is] `not bound to accept as true a legal conclusion couched as a factual allegation.'" Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 555).

When there are well-pleaded factual allegations in the complaint, "a court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief." Id. A claim is facially plausible when the factual content pleaded allows a court "to draw a reasonable inference that the defendant is liable for the misconduct alleged." Id. at 678. Ultimately, determining whether a complaint states a facially plausible claim upon which relief may be granted must be "a context-specific task that requires the reviewing court to draw on its judicial experience and common sense." Id. at 679.

"Pro se complaints are held to less stringent standards than those drafted by lawyers, even following Twombly and Iqbal." Thomas v. Westchester, No. 12-CV-6718 (CS), 2013 WL 3357171 (S.D.N.Y. July 3, 2013). The court should read pro se complaints "`to raise the strongest arguments that they suggest,'" Kevilly v. New York, 410 F. App'x 371, 374 (2d Cir.2010) (summary order) (quoting Brownell v. Krom, 446 F.3d 305, 310 (2d Cir.2006)). See also Harris v. Mills, 572 F.3d 66, 72 (2d Cir.2009) ("even after Twombly, though, we remain obligated to construe a pro se complaint liberally."). "However, even pro se plaintiff's asserting civil rights claims cannot withstand a motion to dismiss unless their pleadings contain factual allegations sufficient to raise a right to relief above the speculative level." Jackson v. N. Y. S. Dep't of Labor, 709 F.Supp.2d 218, 224 (S.D.N.Y.2010) (quoting Twombly, 550 U.S. at 555) (internal quotation marks omitted). Dismissal is justified, therefore, where "the complaint lacks an allegation regarding an element necessary to obtain relief," and therefore, the "duty to liberally construe a plaintiff's complaint [is not] the equivalent of a duty to rewrite it." Geldzahler v. New York Medical College, 663 F.Supp.2d 379, 387 (S.D.N.Y.2009) (internal citations and alterations omitted).

*3 The materials that may be considered on a motion to dismiss are those "asserted within the four corners of the complaint, the documents attached to the complaint as exhibits, and any documents incorporated in the complaint by reference." McCarthy v. Dun & Bradstreet Corp., 482 F.3d 184, 191 (2d Cir.2007). One way a document may be deemed incorporated by reference is where the complaint "refers to" the document. EQT Infrastructure Ltd. v. Smith, 861 F.Supp.2d 220, 224 n. 2 (S.D.N.Y.2012). Especially important to the inquiry of whether to consider a document outside the complaint is whether plaintiff has notice of the documents outside the complaint. Cortec Indus., Inc. v. Sum Holding L. P., 949 F.2d 42, 48 (2d Cir.1991) ("[T]he district court . . . could have viewed [the documents] on the motion to dismiss because there was undisputed notice to plaintiff's of their contents and they were integral to plaintiffs' claim."). Conversely, when the defendant includes documents that do not fall into these categories, "a district court must either exclude the additional material and decide the motion on the complaint alone or convert the motion to one for summary judgment . . . and afford all parties the opportunity to present supporting material." Friedl v. City of N. Y, 210 F.3d 79, 83 (2d Cir.2000) (internal quotation marks omitted). "In addition, because a pro se plaintiff's allegations must be construed liberally, it is appropriate for a court to consider factual allegations made in a pro se plaintiff's opposition memorandum, as long as the allegations are consistent with the complaint." Brooks v. Jackson, No. 11 Civ. 6627(JMF), 2013 WL 5339151, at *3 (S.D.N.Y. Sept.23, 2013).

Here, Defendant CCS included Plaintiff's grievance report ("Grievance") as an exhibit to its motion to dismiss. The Grievance was submitted to the warden of the WCJ as part of internal complaint procedure as required under the Prison Litigation Reform Act ("PLRA") before a plaintiff may bring certain actions to court.4 Plaintiff filed the grievance on October 31, 2012 and was denied on November 21, 2012. CCS Mot. to Dismiss Ex. D. The Grievance includes a Grievance Investigation Form, a Special Report, including officers' reports, and a Report of Inmate Injury completed by Plaintiff. Id. In his complaint, Plaintiff specifically refers to the grievance by noting that the attempted administrative channels before filing this suit. Although Plaintiff did not include the grievance as an exhibit, Plaintiff nonetheless incorporated the grievance by reference.5 Further, Plaintiff is clearly aware of the existence of the document and all of the information contained within given that he signed the decision to deny his grievance. Second Am. Compl. 6. "Where plaintiff has actual notice of all the information in the movant's papers and has relied upon these documents in framing the complaint the necessity of translating a Rule 12(b) (6) motion into one under Rule 56 is largely dissipated." Cortec Industries, Inc. v. Sum Holding L.P., 949 F.2d 42, 48 (2d Cir.1991). Therefore, the court will consider the grievance as incorporated by reference into Plaintiff's complaint in deciding the motion to dismiss.

*4 Defendant Aramark also included documents with its motion to dismiss that are outside the complaint. Namely, Aramark included the agreement between Aramark and Westchester County to provide food services to WCJ. Aramark submitted a motion to dismiss to the court but asks, in the alternative, that the court translate its motion to a motion for summary judgment in the instance that the court considers documents outside the pleadings. The court finds no reason to convert Aramark's motion to dismiss to a motion for summary judgment so that the agreement may be considered. As the agreement is not incorporated by reference nor integral to Plaintiff's claim, it is inappropriate for consideration on a motion to dismiss. Cortec Indus., 949 F.2d at 48. Accordingly, the court will exclude consideration of the additional document included by Aramark and instead, consider only the facts in Plaintiff's complaint and Plaintiff's Grievance.

III. Defendant CCS's Motion to Dismiss

The Cruel and Unusual Punishments clause of the Eighth Amendment forms the basis of a convicted prisoner's claim that he or she is not being provided adequate medical care.6 Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir.2009). To establish an Eighth Amendment claim arising from inadequate medical treatment, a prisoner must show that there was a "deliberate indifference to [a] serious medical need." Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976). Under this standard, prison officials are required to ensure that prisoners receive adequate medical attention. Farmer v. Brennan, 511 U.S. 825, 832, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994). However, but "not every lapse in medical care is a constitutional wrong." Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir.2006). To determine if the prisoner's Eighth Amendment rights were violated, courts apply a test with a subjective and an objective component. Id. The test requires plaintiff to show first, that the alleged deprivation of medical care was "sufficiently serious [and] result[ed] in the denial of the minimal civilized measure of life's necessities," Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994) (internal citations omitted), and second, that the prison official acted with a sufficiently culpable state of mind. Salahuddin, 467 F.3d at 280.

a. Objective Test

The first requirement for a showing of an Eighth Amendment violation is that there was a deprivation of care that was sufficiently serious, which is determined by an objective test with two prongs. The first prong is whether the prisoner was actually denied adequate medical care. Salahuddin, 467 F.3d at 279. "[T]he prison official's duty is only to provide reasonable care," id, and thus, "prison officials who act reasonably [when responding to an inmate] cannot be found liable under the Cruel and Unusual Punishments Clause," Farmer, 511 U.S. at 845. Conversely, liability may result where prison officials fail "to take reasonable measures" in response to a medical need. Id. at 847.

*5 The second prong of the objective test is whether the alleged deprivation of medical care was sufficiently serious. Salahuddin, 467 F.3d at 279. "[T]he prisoner must prove that his medical need was a condition of urgency, one that may produce death, degeneration, or extreme pain." Johnson v. Wright, 412 F.3d 398, 403 (2d Cir.2005) (internal quotation marks omitted); see also Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998) ("The standard for Eighth Amendment violations contemplates a condition of urgency that may result in degeneration or extreme pain.") (internal quotation marks omitted). Relevant factors regarding the seriousness of the condition include: "(1) whether a reasonable doctor or patient would perceive the medical need in question as `important and worthy of comment or treatment,' (2) whether the medical condition significantly affects daily activities, and (3) `the existence of chronic and substantial pain.'" Brock v. Wright, 315 F.3d 158, 162 (2d Cir.2003) (quoting Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998). The inquiry is "fact-specific" and "must be tailored to the specific circumstances of each case," Smith v. Carpenter, 316 F.3d 178, 185 (2d Cir.2003), meaning that "[i]n cases where the inadequacy is in the medical treatment given, the seriousness inquiry is narrower." Salahuddin, 467 F.3d at 280. For instance, where a prisoner claims that the care provided was adequate but that there was a delay or interruption in administration, courts may "focus on the challenged delay or interruption in treatment rather than the prisoner's underlying medical condition alone." Smith, 316 F.3d at 185.

Plaintiff alleges that he was denied treatment for five or six hours after the initial incident7 and that he was denied proper follow-up treatment by not having his bandages properly changed or his wound properly cleaned. The first allegation is based on the delay in treatment, which requires focusing on the delay rather than the underlying condition alone.

Plaintiff claims that the prison officials were notified immediately after the accident of Plaintiff's injury, but did not adequately respond for several hours. However, by Plaintiff's own admission, he was seen by a nurse shortly after the accident and when it became clear a few hours later that the injury required further treatment, Plaintiff's burn was treated further. Even allowing for a few hours of lapse, "[c]ourts in this Circuit have repeatedly held that pain experienced for even longer than two to three hours does not rise to the level of an Eighth Amendment violation." Mitchell v. New York City Dept. of Corrections, No. 10 CV 0292(RJH), 2011 WL 503087, at *4 (S.D.N.Y. Feb.14, 2011) (listing cases where up to 8 to 9 hours of lapse between injury and treatment was not considered serious); Heredia v. Doe, 473 F.Supp.2d 462, 464 (S.D.N.Y.2007) (adopting recommendation to dismiss claim where jail staff did not send plaintiff to hospital after slipping and falling on his back until the day after the fall); Rodriguez v. Mercado, No. 00-CV-8588, 2002 WL 1997885, at *9 (S.D.N.Y. Aug.28, 2002) (dismissing claim where plaintiff was seen within eight or nine hours of the incident by a nurse who prescribed him Tylenol).

*6 The injury Plaintiff sustained encompassed an area "about 8 inches by 6 inches" and caused him extreme pain. Second Am. Compl. 3. The burn was characterized as "third-degree" in the Grievance, although Plaintiff does not allege the severity of his burn in the Complaint. Although this court determined that second degree burns sustained from spilling hot coffee and that resulted in blistering the size of "a couple of fingers" was not serious, Pressley v. Green, No. 02 Civ. 5261(NRB), 2004 WL 2978279 (S.D.N.Y. Dec.21, 2004). However, the severity and size of the burn is more significant in this case. While there was no threat of death or degeneration from Plaintiff's injury, Plaintiff did allege that his wound caused him extreme pain, as a serious burn likely would.

Further, "the failure to provide treatment for an otherwise insignificant wound may violate the Eighth Amendment if the wound develops signs of infection, creating a substantial risk of injury in the absence of appropriate medical treatment." Smith, 316 F.3d at 186; accord Odom v. Kerns, No. 99-CV-10668, 2008 WL 2463890, at *7 (S.D.N.Y. June 18, 2008) (cuts and open wounds that eventually became infected could be serious medical needs). If Plaintiff's bandages were not changed on six different occasions in the weeks following his burn as alleged, such failure might result in infection. In fact, in his Grievance, Plaintiff states that his burn was "infested with bacteria from puss discharge not being cleaned with disinfectans [sic] and wrapping has a foul odor." Grievance at 4. Therefore, reading the complaint in the light most favorable to the pro se Plaintiff, there is a plausible allegation of a serious injury in Plaintiff's Complaint.

i. Subjective Test

The second requirement for an Eighth Amendment violation is a subjective test that asks whether the accused Eighth Amendment violator acted with a "sufficiently culpable state of mind." Salahuddin, 467 F.3d at 280. In Eighth Amendment prison-conditions cases, a sufficiently culpable state of mind is "deliberate indifference to inmate health or safety." Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994) (internal quotation marks and citation omitted). A prison official may only be found liable if "the official knows of and disregards an excessive risk to inmate health or safety." Id at 837. "This `deliberate indifference' element is equivalent to the familiar standard of `recklessness' as used in criminal law." Phelps v. Kapnolas, 308 F.3d 180, 186 (2d Cir.2002) (quoting Farmer, 511 U.S. at 839-40). In order to meet this standard, the "charged official [must] act or fail to act while actually aware of a substantial risk that serious inmate harm will result." Farmer, 511 U.S. at 836-37. Mere negligence on the part of a prison official is not sufficient to constitute deliberate indifference. Id at 835-37.

Even if Plaintiff's burn is a serious medical condition, Plaintiff must also show that "defendants acted or failed to act while actually aware of a substantial risk that serious inmate harm would result." Farid v. Ellen, 593 F.3d 233, 248 (2d Cir.2010) (alterations and internal quotation marks omitted). In examining the facts, even in the light most favorable to the Plaintiff, there is no indication that defendant CCS acted with the requisite state of mind. None of CCS's activities could be deemed to reach the level of criminal recklessness. First, the Grievance makes clear that the Plaintiff saw a nurse soon after his accident, and subsequently followed up with a nurse a few hours later. "The bare fact of delay suggests at most negligence, and the Supreme Court in Estelle cautioned that mere negligence is insufficient to state a claim under § 1983." Linden v. Westchester County, No. 93 Civ. 8373(MBM), 1995 WL 686742, at *3 (S.D.N.Y.1995). Even if Plaintiff's wounds were not changed on six occasions over the course of three weeks as alleged, there is nothing more in Plaintiff's complaint that makes a plausible claim that defendants knew and consciously disregarded an excessive risk to Plaintiff's health and safety. His burn was bandaged within hours of the accident and treated thereafter.

*7 At best, Plaintiff makes out a claim for negligence, which has long been held to be insufficient to sustain a claim under the Eighth Amendment. See Estelle v. Gamble, 429 U.S. 97, 106, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976) ("[A] complaint that a physician has been negligent in . . . treating a medical condition does not state a valid claim of medical mistreatment under the Eighth Amendment. Medical malpractice does not become a constitutional violation merely because the victim is a prisoner."); Chance, 143 F.3d at 703 ("negligence, even if it constitutes medical malpractice, does not, without more, engender a constitutional claim."); Hill v. Curcione, 657 F.3d 116, 123 (2d Cir.2011) ("Medical malpractice does not rise to the level of a constitutional violation unless the malpractice involves culpable recklessness-an act or a failure to act by a prison doctor that evinces a conscious disregard of a substantial risk of serious harm.") (alteration and internal quotation marks omitted). "While not changing [] bandages daily may potentially amount to negligence," occasional failure to change bandages, without the accompanying state of mind, is not sufficient to state a claim. Thomas v. Westchester, No. 12-CV-6718 (CS), 2013 WL 3357171, at *5 (S.D.N.Y. July 3, 2013).

Plaintiff also argues that he should have been taken to the hospital to determine the severity of his burns. Failure to seek outside medical advice alone is not sufficient to allege deliberate indifference because "mere disagreement over the proper treatment does not create a constitutional claim." Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir.1998). "The prisoner's right is to medical carenot the type or scope of medical care which he personally desires." Gonzales v. Wright, 665 F.Supp.2d 334, 337 (S.D.N.Y.2009) (quoting U.S. ex rel. Hyde v. McGinnis, 429 F.2d 864, 867 (2d Cir.1970)). CCS employees did not believe that Plaintiff's injury warranted a hospital visit, and even if Plaintiff disagreed, such disaccord is not actionable. Thus, Plaintiff has not plausibly alleged that CCS had the requisite state of mind in order to state a claim for deliberate indifference.

For the reasons stated above, Defendant CCS's motion to dismiss is granted with respect to Plaintiff's Eighth Amendment deliberate indifference claim.

b. Defendant Aramark's Motion to Dismiss

Plaintiff also brings this action against Aramark, a food service provider for the WCJ, under 42 U.S.C. § 1983 for "failure to train, no proper protective equipment, old, rundown and not maintained equipment." Second Am. Compl. 5. Plaintiff was working in the kitchen under the instruction of Aramark employees at the time the accident occurred. Plaintiff's claims are that Aramark, through its employees, did not fix a dangerous condition that caused an accident, and that Plaintiff was not properly trained to handle the cart he was asked to push. Reading the complaint liberally, as afforded a pro se plaintiff, it seems that Plaintiff's claim is that Aramark failed to protect Plaintiff from a risk of harm in violation of his Eighth Amendment right to be free from cruel and unusual punishment. With a failure to protect claim, plaintiff must show that he is "incarcerated under conditions posing a substantial risk of harm," Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994), and that prison officials "kn[ew] of and disregard[ed] an excessive risk to inmate health or safety." Id. at 837. "Whether . . . prison official [s] had the requisite knowledge of a substantial risk is a question of fact subject to demonstration in the usual ways, including inference from circumstantial evidence, and a fact finder may conclude that . . . prison official[s] knew of a substantial risk from the very fact that the risk was obvious." Farmer, 511 U.S. at 842. Plaintiff alleges that Aramark, though its employees, was aware of the loose diamond plate in the floor that caused the accident in which he was injured and that Aramark did nothing to remedy the situation. However, the court need not reach the issue of whether Plaintiff properly alleges notice and failure to protect because Aramark is not subject to liability under 42 U.S.C. § 1983 due to the fact that it is not a state actor.

i. State Actor

*8 Aramark, a private defendant, may only be held liable under § 1983 if it acted "under the color" of state law. Section 1983 states:

Every person who, under color of any statute, ordinance, regulation, custom, or usage, of any State or Territory or the District of Columbia, subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress. . . .

42 U.S.C. § 1983. A private defendant may be considered a state actor through the application of one of three tests: the close nexus test, the state compulsion test, and the public function test.

To find state action under the close nexus test, "there [must be] a sufficiently close nexus between the State and the challenged action of the [] entity so that the action of the latter may be fairly treated as that of the State itself." Blum v. Yaretsky, 457 U.S. 991, 1004, 102 S.Ct. 2777, 73 L.Ed.2d 534 (1982) (internal citation omitted). Being regulated by the state alone does not elevate the status of a non-state actor to that of a state actor. Id. This test ensures that constitutional standards apply only to action for which the state is "responsible," so that the entity may fairly be treated as the state. Id.

The state compulsion test requires a showing that the state actor has "exercised coercive power or has provided such significant encouragement, either overt or covert, that the choice must in law be deemed to be that of the State." Blum v. Yaretsky, 457 U.S. 991, 1004, 102 S.Ct. 2777, 73 L.Ed.2d 534 (1982).

To show state action under the public function test, the action must be "so clearly governmental in nature as to amount to a public function." Jordan v. Federal Bureau of Prisons, No. 09 Civ. 8561(ALC), 2013 WL 1143617, at *12 (S.D.N.Y. Mar.19, 2013). "The public function test as applied is quite stringent and under the doctrine an extraordinarily low number of functions have been held to be public." Doe v. Harrison, 254 F.Supp.2d 338, 343 (S.D.N.Y.2003) (quoting Ruhlmann v. Ulster County Dept. of Social Services, 234 F.Supp.2d 140, 166 (N.D.N.Y.2002)) (internal quotation marks omitted). "Acts of prison employees will [] almost certainly be considered acts of the State whatever the terms of their employment." Horvath v. Westport Library Ass'n, 362 F.3d 147, 151 (2d Cir.2004). However, the Supreme Court held that the negligent acts of a private physician working under contract to provide medical services to prison inmates was considered state action. West v. Atkins, 487 U.S. 42, 54-57, 108 S.Ct. 2250, 101 L.Ed.2d 40 (1988). Further, "[t]he mere fact that a private actor is paid by state funds, or is hired by a state actor, is insufficient to establish state action." Emanuel v. Griffin, No. 13 Civ. 1806(JMF), 2013 WL 5477505, at *5 (S.D.N.Y. Oct.2, 2013).

*9 In addition, a private employer is not liable under § 1983 for injury committed by its employees unless such action is taken in furtherance of an official policy or custom.8 Monell v. Dep't of Social Serv. of the City of New York, 436 U.S. 658, 691, 98 S.Ct. 2018, 56 L.Ed.2d 611 (1978) ("it is when execution of a government's policy or custom, whether made by its lawmakers or by those whose edicts or acts may fairly be said to represent official policy, inflicts the injury that the government as an entity is responsible under § 1983."); see also Mora v. Camden County, Civil No. 09-4183(JBS), 2010 WL 2560680, at *10 (D.N.J. June 21, 2010) ("in order for an entity such as Aramark to be liable under § 1983, Plaintiff's must show that the entity had a relevant policy or custom, and that the policy caused the constitutional violation."). A policy is made "where the decisionmaker possesses final authority to establish municipal policy with respect to the action ordered." Pembaur v. City of Cincinnati, 475 U.S. 469, 481, 106 S.Ct. 1292, 89 L.Ed.2d 452 (1986) (plurality opinion). A custom is an act "that has not been formally approved by an appropriate decisionmaker," but that is "so widespread as to have the force of law." Bd. of County Commis of Bryan County, Oklahoma v. Brown, 520 U.S. 397, 404, 117 S.Ct. 1382, 137 L.Ed.2d 626 (1997).

There is nothing in the complaint that suggests that Aramark should be treated as a state actor. Further, other than conclusory statements that Aramark was apprised of the condition of the floor, Plaintiff makes no allegations that there was systematic failure on Aramark's part to fix potential hazards in the kitchen area that could harm prisoners in violation of the Eighth Amendment. There are no facts to make a plausible claim that Aramark's failure to prevent this accident was due, even in part, to the furtherance of a policy or custom.

IV. State Law Claims

In construing the complaint liberally, Plaintiff's complaint could be read as asserting claims under state law for negligence and/or medical malpractice. Pursuant to 28 U.S.C. § 1367(c)(3), a district court may decline to exercise supplemental jurisdiction over state law claims where it has dismissed all federal claims over which it had original jurisdiction. Having dismissed all of Plaintiff's federal claims under Rule 12(b)(6), it would be inappropriate to adjudicate his state law claims, and thus the Court declines to exercise supplemental jurisdiction over any purported state law claims.

V. Conclusion

For the foregoing reasons, Defendant Aramark's Motion to Dismiss and Defendants CCS's Motions to Dismiss are GRANTED. The Clerk is respectfully directed to terminate the pending Motions, (Doc. 50 & Doc. 44), and terminate CCS and Aramark from the case.

SO ORDERED.

2015 WL 3455215 Only the Westlaw citation is currently available. United States District Court, N.D. New York. Angel MALDONADO, Plaintiff, v. Dr. WELLS; Dr. Ramineni, Defendants. No. 9h2-CV-1290 (LEK/CFH). Signed May 28, 2015.

Attorneys and Law Firms

Angel Maldonado, Beacon, NY, pro se.

Hon. Eric T. Schneiderman, Attorney General of the State of New York, Litigation Bureau, Colleen D. Galligan, Esq., Assistant Attorney General, of counsel, Albany, NY, for the Defendants.

ORDER

LAWRENCE E. KAHN, District Judge.

*1 This matter comes before the Court following a Report-Recommendation filed on April 23, 2015, by the Honorable Christian F. Hummel, U.S. Magistrate Judge, pursuant to 28 U.S.C. § 636(b) and Local Rule 72.3. Dkt. No. 70 ("Report-Recommendation").

Within fourteen days after a party has been served with a copy of a magistrate judge's reportrecommendation, the party "may serve and file specific written objections to the proposed findings and recommendations." FED. R. CIV. P. 72(b); L.R. 72.1(c). If no objections are made, or if an objection is general, conclusory, perfunctory, or a mere reiteration of an argument made to the magistrate judge, a district court must review that aspect of a report-recommendation only for clear error. Barnes v. Prack, No. 11-CV-0857, 2013 WL 1121353, at *1 (N.D.N.Y. Mar. 18, 2013); Farid v. Bouey, 554 F.Supp.2d 301, 306-07 & n. 2 (N.D.N.Y.2008); see also Machicote v. Ercole, No. 06 Civ. 13320, 2011 WL 3809920, at *2 (S.D.N.Y. Aug. 25, 2011) ("[E]ven a pro se party's objections to a Report and Recommendation must be specific and clearly aimed at particular findings in the magistrate's proposal, such that no party be allowed a second bite at the apple by simply relitigating a prior argument."). "A [district] judge . . . may accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge." 28 U.S.C. § 636(b).

No objections were filed in the allotted time period. See Docket. Accordingly, the Court has reviewed the Report-Recommendation for clear error and has found none.

Accordingly, it is hereby:

ORDERED, that the Report-Recommendation (Dkt. No. 70) is APPROVED and ADOPTED in its entirety; and it is further

ORDERED, that Defendants' Motion (Dkt. No. 48) for summary judgment is GRANTED; and it is further

ORDERED, that Plaintiff's Complaint (Dkt. No. 1) is DISMISSED; and it is further

ORDERED, that the Clerk of the Court serve a copy of this Order on the parties in accordance with the Local Rules.

IT IS SO ORDERED.

REPORT-RECOMMENDATION AND ORDER1

CHRISTIAN F. HUMMEL, United States Magistrate Judge.

Plaintiff pro se Angel Maldonado ("Plaintiff"), an inmate in the custody of the New York State Department of Corrections and Community Supervision ("DOCCS"), brings this action pursuant to 42 U.S.C. § 1983 alleging that defendants, Dr. Wells and Dr. Ramineni, violated his constitutional rights under the Eighth Amendment. Compl. (Dkt. No. 1). Presently pending is defendants' motion for summary judgment pursuant to Fed.R.Civ.P. 56. Dkt. No. 48. Plaintiff opposes this motion. Dkt. No. 61. Defendants filed a reply. Dkt. No. 62. For the following reasons, it is recommended that defendants' motion be granted.

I. Background2

The facts are reviewed in the light most favorable to plaintiff as the nonmoving party. See subsection ll(A), infra. At all relevant times, plaintiff was incarcerated at Mid-State Correctional Facility ("Mid-State"). Plaintiff claims that Dr. Wells and Dr. Ramineni violated his Eighth Amendment right to adequate medical care by failing to treat his possible MRSA infection and not providing him with adequate pain medication. Dkt. No. 1 at 11; Dkt. No. 48-2 at 58.

A. Statement of Facts

*2 Plaintiff had been stabbed four times in 2001 and subsequently underwent surgery to check for internal injuries. Dkt. No. 48-2 at 44. He also suffers from asthma and hepatitis C. Dkt. No. 49-1 at 33.

On or about March 9, 2012, Dr. Wells first saw plaintiff who had complaints of abdominal pain and a history of abdominal stab wound. Dkt. No. 49 at ¶ 6. Dr. Wells determined that plaintiff had a ventral hernia that needed surgical repair. Id. Dr. Wells performed ventral hernia repair on April 11, 2012 at Upstate University Hospital ("Upstate"). Id. at ¶ 7. Upon discharge from Upstate, plaintiff was admitted to the infirmary at Mid-State, and non-defendant physician Dr. Vadlamundi prescribed plaintiff Tylenol # 3 for pain management, as well as an abdominal binder. Dkt. No. 50 at ¶¶ 10-11.

Upon discharge from the infirmary on April 12, 2012, plaintiff was prescribed ibuprofen for pain for three days and was scheduled to follow up with Dr. Ramineni on April 19, 2012. Dkt. No. 50 at ¶ 18. On April 13, nursing staff at Mid-State changed plaintiff's dressing and noted that plaintiff's staples were dry and intact. Id. at ¶ 20. On April 14, plaintiff was given a body check due to a fight with another inmate. Id. at ¶ 21. At that time, it was noted that plaintiff had a small amount of bloody drainage at his incision site, and he was admitted to the infirmary. Id. at ¶ 21. Non-defendant physician Dr. Vadlumondi ordered that a culture of plaintiff's wound be taken, and that plaintiff be placed on Keflex prophylactically to treat a possible infection. Id. at ¶ 22.

On April 16, 2012, plaintiff had no drainage, denied pain, and requested to be discharged from the infirmary. Dkt No. 50 at ¶ 23. Dr. Ramineni saw plaintiff that day and noted no evidence of discharge or infection from the incision site, but ordered that plaintiff continue on Keflex prophylactically and be discharged from the infirmary. Id. at ¶ 23. Plaintiff was seen at emergency sick call the next day, complaining of drainage from his abdominal incision, and drainage of yellow serous fluid just above his navel was noted.3 Id. at ¶ 24. Plaintiff was placed on antibiotics and was issued band aids. Id.

On April 19, 2012, a culture taken from plaintiff's incision tested positive for Methicilin Resistant Staph Aureus ("MRSA")4 Dkt. No. 50 at ¶ 25. The next day, Dr. Ramineni saw plaintiff, and noted that plaintiff's wound was clean and dry and that the staples were intact. Id. at ¶ 26. Dr. Ramineni noted that plaintiff's lab report was positive for MRSA. Id. He also noted that plaintiff had no discharge or other signs of infection at that time, and indicated that plaintiff should follow up within one week. Id.

Dr. Ramineni saw plaintiff on April 24, 2012, and noted that plaintiff's wound was healing and there was no evidence of infection. Dkt. No. 50 at ¶ 29. At that time, Dr. Ramineni removed plaintiff's staples, cleaned his wound, and applied Betadine and a large band aid. Id. Plaintiff was seen later that morning by nursing staff with a small amount of reddish, tan drainage on the suture site where staples were removed. Id. at ¶ 30. Plaintiff was advised to return to the infirmary if his symptoms worsened, he had a fever, or the wound drainage increased or changed. Id Plaintiff was also given ibuprofen to be taken as needed. Id.

*3 Later that afternoon, plaintiff was seen at emergency sick call with an approximately one inch wound dehiscence and dark bloody drainage. Dkt. No. 50 at ¶ 31. Plaintiff's vital signs were obtained and pressure was applied to his wound. Id. Plaintiff was sent to St. Luke's Hospital ("St.Luke's") via ambulance. Id. Plaintiff returned from St. Luke's Hospital later that day. Id. at ¶ 32. Upon his return to Mid-State, plaintiff's wound was still draining red blood. Id. at ¶ 32. Non-defendant Mid-State physician Dr. Zaki ordered that plaintiff be sent to the emergency room at Upstate for evaluation and to be seen by Dr. Wells. Id. That same day, plaintiff arrived at Upstate complaining of drainage, opening of the midline incision, and abdominal pain. Dkt. No. 49 at ¶ 9. General surgery was consulted, and plaintiff underwent a CT scan of the abdomen. Id. Plaintiff was diagnosed with incisional hernia wound site dehiscence and seroma. Id. Infection of the incision site could not be ruled out by the CT scan, and plaintiff was prophylactically placed on intravenous antibiotics. Id. at 12. Plaintiff was not diagnosed with an infection of the incision site. Id. Plaintiff was discharged from Upstate on April 27, 2012 with no activity restrictions other than those given to him in the postoperative period. Id. at 13-14. Given plaintiff's questionable history of MRSA, he was discharged with Bactrim (an antibacterial medication) to be given twice daily until his scheduled follow-up appointment with Dr. Wells. Id. at ¶ 13.

Upon return to Mid-State on April 27, 2012, plaintiff was admitted to the infirmary. Dkt. No. 50 at ¶ 37. Plaintiff was placed on contact precautions due to his history of MRSA, which included a positive culture on April 19, 2012, but negative cultures during his admission to Upstate from April 24, 2012 through April 27, 2012. Id. Upon admission to the infirmary on April 27, Dr. Ramineni ordered that plaintiff be given Tylenol # 3 as needed for three days. Dkt. No. 50 at ¶ 38. During plaintiff's stay in the infirmary from April 27, through May 2, plaintiff's dressings were changed daily. Id. at ¶ 39. Plaintiff's wound healed, and he was discharged to general population by non-defendant Mid-State physician, Dr. Rabinowitz, on May 2. Id.

Plaintiff was next seen at sick call on May 8, 2012. Dkt. No. 50 at ¶ 40. At that time, his wound was clean and healing well. Id. Although he had a small amount of serous drainage, according to Dr. Ramineni, it was not medically serious and was expected to resolve on its own. Id. On May 11, 2012, Mid-State received a call from Walsh Regional Medical Unit ("Walsh"), requesting to see plaintiff regarding his hernia repair. Id. at ¶ 42. Plaintiff was sent to Walsh that day. Id.

At Walsh, Dr. Wells saw plaintiff for a follow-up visit, at which time, plaintiff showed no signs of infection and his wound was closing with no further seroma drainage. Dkt. No. 49 at ¶ 15. According to Dr. Wells, "[p]laintiff indicated he still had discomfort from the hernia repair and was advised to use the support garment." Id. Dr. Wells indicated that plaintiff should be rechecked in one month. Id.

*4 Plaintiff was next seen at sick call on May 31, 2012, complaining of pain and swelling. Dkt. No. 50 at ¶ 44. According to Dr. Ramineni, "[u]pon assessment no drainage was present and the wound opening was clean and dry" and "[p]laintiff's temperature was normal and [he] was advised to continue using the abdominal binder." Id. Plaintiff was next seen by Dr. Wells on June 8, 2012. Dkt. No. 49 at 16. At that time, Dr. Wells found that plaintiff had post-operative seroma, but no infection. Id. He also noted that plaintiff had a remaining area of induration over the mesh which was slowly resolving, and concluded that plaintiff could resume his work duties. Id. Dr. Wells had no further involvement with plaintiff's medical care. Id. at ¶ 17.

On June 21, 2012, plaintiff was seen at sick call concerned about his blood pressure and complaining of dizziness. Dkt. No. 50 at ¶ 47. According to Dr. Ramineni, assessment revealed that plaintiff's incision line had healed and there was no drainage. Id. Plaintiff's medical records indicate that after June 21, plaintiff made no further complaints concerning his hernia repair, no further treatment regarding his hernia repair was indicated, and no further treatment regarding his hernia repair was provided. Id. at ¶ 48.

II. Discussion

Plaintiff contends that defendants Dr. Ramineni and Dr. Wells were deliberately indifferent to his medical needs in violation of the Eighth Amendment through their failure to treat his possible MRSA infection and in denying him adequate pain relief medication.

A. Summary Judgment Standard

In order for a motion for summary judgment to be granted, the movant must show that (1) there is no genuine issue of any material fact, and (2) the movant is entitled to judgment as a matter of law. Fed.R.Civ.P. 56(c); Celotex Corp v. Catrett, 477 U.S. 317, 323 (1986). Facts are material if they may affect the outcome of the case as determined by substantive law. Anderson v. Liberty Lobby, 477 U.S. 242, 248.

Where, as here, a party seeks judgment against a pro se litigant, a court must afford the non-movant special solicitude. See Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 477 (2 nd Cir.2006). As the Second Circuit has stated,

[t]here are many cases in which we have said that a pro se litigant is entitled to "special solicitude," . . . that a pro se litigant's submissions must be construed "liberally," . . . and that such submissions must be read to raise the strongest arguments that they "suggest,". . . . At the same time, our cases have also indicated that we cannot read into pro se submissions claims that are not "consistent," with the pro se litigant's allegations . . . or arguments that the submissions themselves do not "suggest," . . . that we should not "excuse frivolous or vexatious filings by pro se litigants," . . . and that pro se status "does not exempt a party from compliance with relevant rules of procedural and substantive law. . . ."

*5 Id. (citations and footnote omitted); see also Sealed Plaintiff v. Sealed Defendant # 1, 537 F.3d 185, 191-92 (2d Cir.2008) ("On occasions too numerous to count, we have reminded district courts that `when a plaintiff proceeds pro se, . . . a court is obliged to construe his pleadings liberally.'") (citations omitted). However, mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly-supported motion; the requirement is that there be no genuine issue of material fact. Anderson, 477 U.S. at 247-48.

Defendants Dr. Wells and Dr. Ramineni move for summary judgment, contending that plaintiff cannot establish that (1) he suffered from a serious medical need, or (2) defendants acted with deliberate indifference to that medical need. Dkt. No. 48-3 at 1.

B. Medical Indifference

The Eighth Amendment explicitly prohibits the infliction of "cruel and unusual punishment." U.S. Const. amend. VIII. The prohibition against cruel and unusual punishment includes the right to be free from conditions of confinement that impose an excessive risk to an inmate's health or safety. Farmer v. Brennan, 511 U.S. 825, 834, 837 (1994); Hathaway v. Coughlin, 37 F.3d 63, 66 (2d Cir.1994). A viable Eighth Amendment claim is twofold; the plaintiff must demonstrate both objective and subjective components. Farmer, 511 U.S. at 834. The objective question asks whether the deprivation of which the inmate complains was sufficiently serious. Id. This component "requires a court to assess whether society considers the risk that the prisoner complains of to be so grave that it violates contemporary standards of decency to expose anyone unwillingly to such a risk." Helling v. McKinney, 509 U.S. 25, 36 (1993). Thus, the prisoner must show that "the risk of which he complains is not one that today's society chooses to tolerate." Id. at 36. The subjective component requires the inmate to show that the defendant demonstrated deliberate indifference by having knowledge of the risk and failing to take measures to avoid the harm. Farmer, 511 U.S. at 834. The Supreme Court of the United States has held that, "[w]hether one characterizes the treatment received by [the prisoner] as inhumane conditions of confinement, failure to attend to his medical needs, or a combination of both, it is appropriate to apply the `deliberate indifference' standard articulated in Estelle [v.Gamble]." Wilson v. Seiter, 501 U.S. 294, 303 (1991). Deliberate indifference exists if an official "knows of and disregards an excessive risk to inmate health or safety; the official must both be aware of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the inference." Farmer, 511 U.S. at 837.

i. Serious Medical Condition

The Eighth Amendment extends to the provision of medical care. Hathaway, 37 F.3d at 66. "`Because society does not expect that prisoners will have unqualified access to healthcare,' a prisoner must first make [a] threshold showing of serious illness or injury" to state a cognizable claim. Smith v. Carpenter, 316 F.3d 178, 184 (2d Cir.2003) (quoting Hudson v. McMillian, 503 U.S. 1, 9 (1992)). What constitutes a serious medical condition is determined by factors such as "(1) whether a reasonable doctor or patient would perceive the medical need in question as `important and worthy of comment or treatment,' (2) whether the medical condition significantly affects daily activities, and (3) `the existence of chronic and substantial pain.'" Brock v. Wright, 315 F.3d 158, 162 (2d Cir.2003) (quoting Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998)). The severity of the denial of care should also be judged within the context of the surrounding facts and circumstances of the case. Smith, 316 F.3d at 185.

*6 In Whitcomb v. Todd, the Court indicated,

[i]t is clear that a reasonable medical professional would recommend treatment for this condition as Whitcomb was attended by nurses and physicians multiple times per day. Furthermore, this condition allegedly affected Whitcomb's ability to bathe and, at a minimum, required him to pause whatever he was undertaking throughout the day to undergo multiple wound dressing changes and the administration of antibiotics. While it is unclear whether the pain was substantial, there is little dispute that it was chronic.

Whitcomb v. Todd, No. 04-CV-223 (LEK/DRH), 2008 WL 4104455, at *10 (N.D.N.Y. Sept. 3, 2008). Thus, the Court in Whitcomb concluded that the plaintiff's condition constituted a serious medical condition. Id.

Here, the April 19, 2012 culture tested positive for MRSA. Dkt. No. 50 at ¶ 25. However, the following day, Dr. Ramineni saw plaintiff and noted that he had no signs of infection, and indicated that the he should follow up within one week. Id. at ¶ 26. Dr. Ramineni saw plaintiff on April 24, removed plaintiff's staples, cleaned plaintiff's wound, and applied Betadine and a large band aid. Id. at ¶ 29. Plaintiff was seen later that morning by nursing staff, and he was given ibuprofen to be taken as needed for pain management. Id. at ¶ 30. Later that afternoon, plaintiff was seen at emergency sick call, and he was sent to St. Luke's via ambulance. Id. at ¶ 31. When plaintiff returned to Mid-State later that day, he was sent to the emergency room at Upstate to be seen by Dr. Wells. Id. at ¶ 32. General surgery was consulted, plaintiff underwent a CT scan of the abdomen, was diagnosed with incisional hernia wound site dehiscence and seroma, and was prophylactically placed on intravenous antibiotics. Dkt. No. 49 at ¶¶ 9, 12. Plaintiff was discharged from Upstate on April 27, 2012 with Bactrim to be given twice daily, until his scheduled follow up with Dr. Wells. Id. at ¶ 13.

Here, defendants closely monitored plaintiff, routinely cleaned the infection site and dressings, kept close watch on plaintiff with a series of follow-up appointments, and prescribed plaintiff medicine-both prophylactically and for pain management. Both the level of care and precautionary measures taken demonstrate that plaintiff's possible MRSA infection is a condition which a reasonable patient and doctor would consider "important and worthy of comment or treatment," as considered by the first factor in determining the seriousness of the inmate's medical condition. Whitcomb, 2008 WL 4104455 at *10 (citing Brock, 315 F.3d at 162-63).

Additionally, defendants Dr. Wells and Dr. Ramineni placed plaintiff on contact precautions due to his history of MRSA, which included a positive culture on April 19, 2012, but negative cultures during his admission to Upstate from April 24, through April 27. Dkt. No. 50 at ¶ 37. As in Whitcomb, the precautions taken and frequent medical care and follow-up demonstrate that this medical condition significantly affects plaintiff's daily activities. Whitcomb, 2008 WL 4104455 at *10.

*7 Addressing the final factor, existence of chronic and substantial pain, that plaintiff returned to sick call several times complaining of pain, and the medical providers gave him additional medication each time, demonstrates the existence of pain as a result of plaintiff's medical conditions. Brock, 315 F.3d at 162-63. In Crum v. Marini, the Court indicated that "where there is some evidence that the severe pain the inmate complains of may be real, it is not appropriate to dismiss such complaints on the grounds that they are `subjective.'" Crum v. Marini, No. 06-CV-0513 (GLS/DRH), 2007 WL 3104750, at *3 (N.D.N.Y. Oct. 22, 2007). Here, as plaintiff repeatedly sought medical care for his complaints of pain, there exists a question of fact as to the existence of chronic and substantial pain.

Therefore, the above facts taken together, indicate the possibility of MRSA in plaintiff's incisional wound, and constitute a serious medical condition for a medical indifference claim.

ii. Deliberate Indifference

To satisfy the subjective component for claims of inadequate medical care, the plaintiff must prove that the defendants acted with deliberate indifference. Farmer, 511 U.S. at 834. As discussed, deliberate indifference requires the plaintiff "to prove that the prison official knew of and disregarded the prisoner's serious medical needs." Chance, 143 F.3d at 703. Because the prison official must have had knowledge of the risk, the prison official must have been "intentionally denying or delaying access to medical care or intentionally interfering with the treatment once prescribed." Estelle, 429 U.S. at 104-05. It has been established that "[d]eliberate indifference is `a mental state equivalent to subjective recklessness,' and requires that the defendant `act or fail to act while actually aware of a substantial risk that serious inmate harm will result," and, therefore, "[m]ere disagreement over proper treatment does not create a constitutional claim" as long as the treatment was adequate. Crum, 2007 WL 3104750 at*4 (quoting Salahuddin v. Goord, 467 F.3d 263, 280 (2d Cir.2006)). Thus, "disagreements over medications, diagnostic techniques (e.g. the need for X-rays), forms of treatment, or the need for specialists . . . are not adequate grounds for a section 1983 claim." Sonds v. St. Barnabas Hosp. Corr. Health. Servs., 151 F.Supp.2d 303, 312 (S.D.N.Y.2001).

Plaintiff contends that (1) defendant doctors knew of the presence of his infection and (2) failed to treat it adequately. The Court in Crum, found that "[t]here is no evidence, beyond [the plaintiff's] conclusory allegations, that [his] medical needs were ignored," where the plaintiff's "medical records indicate that he was evaluated by various medical personnel on numerous occasions during his time at [the correctional facility]; that he was prescribed medication for his pain; that he was given x-rays and MRIs; and that defendant [doctor] periodically reviewed his medical records." Crum, 2007 WL 3104750 at *4. Similarly, the Court in Atkinson v. Fisher, held that, where "[p]laintiff was evaluated by medical personnel frequently, prescribed pain medication, and given Xrays" and defendant doctors "periodically examined him and reviewed his medical records . . . [p]laintiff has not raised a genuine issue of material fact that [d]efendants were deliberately indifferent to his serious medical need." No. 07-CV-368 (GLS/GHL), 2009 WL 3165544, at *13 (N.D.N.Y. Sept. 25, 2009).

*8 In the present case, defendants contend that, although an infection could not be ruled out, plaintiff was never actually diagnosed with having an infection. Dkt. No. 49 at ¶ 12. Further, they point out that, in response to plaintiff's "questionable history with MRSA," he was prescribed antibacterial medication, scheduled for follow-up visits, and transported between locations. Dkt. No. 50 at ¶¶ 22-25, 31, 34, 36. Additionally, defendants opine that plaintiff's cultures of his wound were continuously retested. Id. at ¶¶ 22-23, 25, 34. His wound was also cleaned several times and his dressing changed while he was in the infirmary. Id. at ¶ 39.

It is clear that defendants took measures to treat and avoid the harm of the possible infection, including prescribing pain medication, including antibacterial medication, cleaning the wound, keeping plaintiff in the infirmary for days at a time, instructing him on how to treat his wound, scheduling follow-up visits, and re-testing the incision site. Dkt. No. 50 at ¶¶ 29, 34, 36, 37, 39. These measures sufficiently prove that defendants did not "disregard[ ] the prisoner's serious medical needs," nor did they deny or delay plaintiff medical care. Chance, 143 F.3d at 703; Estelle, 429 U.S. at 104. Therefore, plaintiff had failed to demonstrate that defendants were deliberately indifference to his serious medical condition.

Insofar as plaintiff argues that the medications defendants prescribed to him for pain management were inadequate, defendants' choice to treat plaintiff's pain with Tylenol # 3 and Ibuprofen, is entirely within their discretion. Sonds, 151 F.Supp at 312 (S.D .N.Y.2001). This is merely a "disagreement over medications," and, therefore, "does not create a constitutional claim." Id.; Chance, 143 F.3d at 703 (2d Cir.1998).

The above facts, taken together, demonstrate that defendants had knowledge of plaintiff's serious medical condition and took sufficient measures to avoid the risk of harm posed by the presence of MRSA in his incisional wound. Therefore, plaintiff fails to demonstrate that defendants were deliberately indifferent to his serious medical needs.

III. CONCLUSION

For the reasons stated above, it is hereby RECOMMENDED that defendants' motion for summary judgment (Dkt. No. 48) be GRANTED, and plaintiff's claim be DISMISSED as to all claims and all defendants; and it is further

ORDERED that the Clerk serve a copy of the Report-Recommendation and Order on the parties in accordance with local rules.

Pursuant to 28 U.S.C. § 636(b)(1), the parties may lodge written objections to the foregoing report. Such objections shall be filed with the Clerk of the Court "within (14) days after being served with a copy of the . . . recommendation." N.Y.N.D.L.R. 72.1(c) (citing 28 U.S.C. § 636(b)(1)(B)(C)). FAILURE TO OBJECT TO THIS REPORT WITHIN FOURTEEN (14) DAYS WILL PRECLUDE

APPELLATE REVIEW. Roldan v. Racette, 984 F.2d 85, 89 (2d Cir.1993); Small v. Sec'y of HHS, 892 F.2d 15 (2d Cir.1989); 28 U.S.C. § 636(b)(1); Fed.R.Civ.P. 72, 6(a), 6(e).

*9 Filed April 23, 2015.

2012 WL 685755 Only the Westlaw citation is currently available. United States District Court, N.D. New York. Dennis NELSON, Plaintiff, v. Elizabeth WARREN, Nurse, Marcy C.F., Defendant. No. 9:10-CV-0990 (GTS/DRH). March 2, 2012.

Attorneys and Law Firms

Dennis Nelson, Romulus, NY, pro se.

MEMORANDUM-DECISION and ORDER

Hon. GLENN T. SUDDABY, District Judge.

*1 Currently before the Court, in this pro se prisoner action filed by Dennis Nelson ("Plaintiff") against Marcy Correctional Facility Nurse Elizabeth Warren ("Defendant"), are the following: Defendant's first motion to dismiss, pursuant to Fed.R.Civ.P. 12(b)(6); Defendant's second motion to dismiss, pursuant to 28 U.S.C. § 1915(g); United States Magistrate Judge David R. Homer's Report-Recommendation recommending that Defendant's first motion to dismiss be denied but that her second motion to dismiss be granted; and Plaintiff's Objection to the Report-Recommendation. (Dkt.Nos.16, 17, 21, 22.) For the reasons set forth below, Magistrate Judge Homer's Report-Recommendation is adopted; Defendant's first motion to dismiss, pursuant to Fed.R.Civ.P. 12(b)(6), is denied; her second motion to dismiss, pursuant to 28 U.S.C. § 1915(g), is granted; and Plaintiff Complaint shall be dismissed in its entirety without further Order of this Court, unless he pays the Court's filing fee of $350.00 within thirty (30) days of this Decision and Order.

I. RELEVANT BACKGROUND

Because this Decision and Order is intended primarily for the review of the parties, the Court will not recite in detail Plaintiff's claims and factual allegations, or the procedural history of the action, except where necessary below in Part III of this Decision and Order.

II. APPLICABLE LEGAL STANDARDS

A. Standard of Review Governing a Report-Recommendation

When a specific objection is made to a portion of a magistrate judge's report-recommendation, the Court subjects that portion of the report-recommendation to a de novo review. Fed.R.Civ.P. 72(b)(2); 28 U.S.C. § 636(b)(1)(C). To be "specific," the objection must, with particularity, "identify [1] the portions of the proposed findings, recommendations, or report to which it has an objection and [2] the basis for the objection." N.D.N.Y.L.R. 72.1(c).1 When performing such a de novo review, "[t]he judge may . . . receive further evidence. . . ." 28 U.S.C. § 636(b)(1). However, a district court will ordinarily refuse to consider evidentiary material that could have been, but was not, presented to the magistrate judge in the first instance.2

When only a general objection is made to a portion of a magistrate judge's report-recommendation, the Court subjects that portion of the report-recommendation to only a clear error review. Fed.R.Civ.P. 72(b)(2),(3); Fed.R.Civ.P. 72(b), Advisory Committee Notes: 1983 Addition.3 Similarly, when an objection merely reiterates the same arguments made by the objecting party in its original papers submitted to the magistrate judge, the Court subjects that portion of the report-recommendation challenged by those arguments to only a clear error review.4 Finally, when no objection is made to a portion of a report-recommendation, the Court subjects that portion of the report-recommendation to only a clear error review. Fed.R.Civ.P. 72(b), Advisory Committee Notes: 1983 Addition. When performing such a "clear error" review, "the court need only satisfy itself that there is no clear error on the face of the record in order to accept the recommendation." Id.5

*2 After conducting the appropriate review, the Court may "accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge." 28 U.S.C. § 636(b) (1)(C).

B. Legal Standard Governing Dismissal Based on Failure to State a Claim

Magistrate Judge Homer correctly recited the legal standards governing motions to dismiss for failure to state a claim in his Report-Recommendation and Order. (Dkt. No. 21, at Part II.A.) As a result, these standards are incorporated by reference in this Decision and Order, which (again) is intended primarily for the review of the parties.

The Court would add only a few words regarding what documents may be considered when construing the pleading sufficiency of a complaint (given that Plaintiff's Complaint in this action attaches two grievance documents): (1) documents attached as an exhibit to the complaint or answer, (2) documents incorporated by reference in the complaint (and provided by the parties), (3) documents that, although not incorporated by reference, are "integral" to the complaint, or (4) any matter of which the court can take judicial notice for the factual background of the case.6

C. Legal Standard Governing Dismissal Under the Three Strikes Provision

In his Report-Recommendation and Order, Magistrate Judge Homer correctly recited the legal standards governing dismissals under the "three strikes" provision of 28 U.S.C. § 1915(g). (Dkt. No. 21, at Part II.B). As a result, these standards are incorporated by reference in this Decision and Order, which (again) is intended primarily for the review of the parties.

III. ANALYSIS

On December 12, 2011, Magistrate Judge Homer issued a Report-Recommendation recommending that Defendant's first motion to dismiss (for failure to state a claim) be denied but her second motion to dismiss (based on the "three strikes" provision of 28 U.S.C. § 1915[g] ) be granted. (Dkt. No. 21, at Part II.) More specifically, Magistrate Judge Homer recommended that, because Plaintiff had acquired at least three "strikes" before he filed this action, and because he has not alleged facts plausibly suggesting that he was under imminent danger of serious physical injury when he filed this action, the in forma pauperis status (which he was granted improvidently on November 24, 2010) be vacated, Plaintiff's Complaint be dismissed as to all claims, unless he pays the Court's filing fee of $350.00 within thirty (30) days of this Decision and Order. (Id.) In addition, Magistrate Judge Homer recommended that Plaintiff "be BARRED from filing any [in forma pauperis] complaints in this district unless he is under imminent danger of serious physical injury." (Id. at 11.)

On December 22, 2011, Plaintiff filed his timely Objection to the Report-Recommendation. (Dkt. No. 22.) In his Objection, Plaintiff argues that "I am in serious physical injury [because] I have an infection called Merca[:] the deadly infection that can kill you if not treated right." (Id. at ¶ 4.) In addition, he provides what he calls a "graphic of [his] left leg," consisting of a kidney-shaped balloon contains the words "Merca" and "Whole Left Leg," surrounded by scribbles labeled as an "infection." (Id. at 2.) Finally, Plaintiff states that "I have witnesses that can show you and tell you what my left looks lik[e]." (Id.)

*3 Under the circumstances, the Court has difficulty construing Plaintiff's Objection (which is premised solely on his new allegation regarding MRSA) as raising a specific challenge to that portion of Magistrate Judge Homer's Report-Recommendation regarding Plaintiff's Complaint (which is devoid of any allegation regarding MRSA) as failing to allege facts plausibly suggesting an imminent danger of serious physical injury. Simply, it would be both anachronistic and a frustration of the purpose of the Magistrates Act to construe Plaintiff's MRSA allegation as "challenging" a Report-Recommendation that was issued without the benefit of that MRSA allegation. In any event, because such a construction would not change the outcome of this Decision and Order, the Court will, for the sake of brevity, liberally construe Plaintiff's Objection as raising a specific challenge to that portion of Magistrate Judge Homer's Report-Recommendation regarding Plaintiff's Complaint as failing to allege facts plausibly suggesting an imminent danger of serious physical injury.

After carefully reviewing all of the papers in this action, including the "imminent danger" portion of Magistrate Judge Homer's Report-Recommendation, the Court concludes that the "imminent danger" portion of the Report-Recommendation is thorough, well-reasoned and correct. (Dkt. No. 21, at 8-11.) Magistrate Judge Homer employed the proper legal standards, accurately recited the facts, and reasonably applied the law to those facts. (Id. ) As a result, the Court adopts the "imminent danger" portion of the Report-Recommendation on de novo review, for the reasons stated therein. (Id.)

In addition, the Court adopts the other portions of the Report-Recommendation under the less-rigorous clearerror standard of review, given that Plaintiff has not, in his Objection, specifically challenged those other portions (including Magistrate Judge Homer's construction of Plaintiff's claims, allegations and arguments, and Magistrate Judge Homer's finding that Plaintiff had acquired at least three "strikes" before filing this action). (Id. at 1-8.)

The Court would add only four points. First, as Magistrate Judge Homer correctly stated in his Report-Recommendation, in determining a plaintiff's entitlement to invoke the "imminent danger" exception, the Second Circuit has ruled that imminent danger claims must be evaluated at the time the complaint is filed, rather than at the time of the events alleged.7 Here, Plaintiff filed his Complaint on August 7, 2010. (Dkt. No. 1, at 6.)8 As a result, the factual allegations regarding imminent danger should regard that approximate time period. The problem is that Plaintiff's late-blossoming allegation regarding "ganegreene" (asserted in his response to Defendant's first motion) arise from a condition experienced seven months after the date of filing of Plaintiff's Complaint. (Dkt. No. 17 [dated March 8, 2011].) Moreover, Plaintiff's late-blossoming allegations regarding MRSA (asserted in his Objections to Magistrate Judge Homer's Report-Recommendation) arise from a condition experienced nearly seventeen months after the date of filing of Plaintiff's Complaint. (Dkt. No. 22, at 3 [undated but showing postage date of Dec. 21, 2011].) As a result, even if hese allegations could be liberally construed as effectively amending the allegations of Plaintiff's Complaint,9 they would not plausibly suggest that Plaintiff was in imminent danger of serious physical injury on August 7, 2010.

*4 Second, the Court need not sua sponte afford Plaintiff an additional opportunity to allege facts plausibly suggesting imminent danger because it has already construed his response to Defendant's first motion, his response to Defendant's second motion, and his Objections as effectively amending the allegations of his Complaint, and finds them together to be insufficient to allege facts plausibly suggesting that he was in imminent danger of serious physical injury on August 7, 2010.

Third, the bar order recommended by Magistrate Judge Homer (assuming it is interpreted to apply only to future in forma pauperis civil actions by Plaintiff's as a prisoner) is one that is expressly authorized, and indeed, required by statute. See 28 U.S.C. § 1915(g) ("In no event shall a prisoner bring a civil action [in forma pauperis ] . . . if the prisoner has, on 3 or more prior occasions, while incarcerated or detained in any facility, brought an action or appeal in a court of the United States that was dismissed on the grounds that it is frivolous, malicious, or fails to state a claim upon which relief may be granted, unless the prisoner is under imminent danger of serious physical injury."). As a result, the Court need not issue an Order to Show Cause before reaffirming the existence of that bar order in this Decision and Order.

Fourth and finally, Plaintiff is advised that, if he does pay the Court's filing fee within thirty days (as required by this Decision and Order), then he will thereafter be sua sponte directed to show cause as to why his Complaint should not be dismissed without prejudice pursuant to Fed.R.Civ.P. 12(b)(6) for alleging facts that can only be liberally construed as plausibly suggesting that he did not appeal the denial of his grievance all the way to up the New York State Department of Corrections and Community Services' Central Office Review Committee, and receive a response from that Committee (or acquire cause to be excused from having to do so), before filing this action on August 7, 2010. (See Dkt. No. 1, at 2, 9 [alleging that the furthest he pursued his grievance was through an "appeal to superintendent," and indicating that his grievance was denied by the Inmate Grievance Resolution Committee on July 20, 2010].)10

ACCORDINGLY, it is

ORDERED that Magistrate Judge Homer's Report-Recommendation (Dkt. No. 21) is ACCEPTED and ADOPTED; and it is further

ORDERED that Defendant's first motion to dismiss, pursuant to Fed.R.Civ.P. 12(b)(6) (Dkt. No. 16), is DENIED; and it is further

ORDERED that Defendant's second motion to dismiss, pursuant to 28 U.S.C. § 1915(g) (Dkt. No. 18), is GRANTED; and it is further

ORDERED that Plaintiff's in forma pauperis status is hereby REVOKED as having been improvidently granted; and it is further

ORDERED that Plaintiff Complaint (Dkt. No. 1) shall be DISMISSED in its entirety without further Order of this Court, unless he pays the Court's filing fee of THREE HUNDRED FIFTY DOLLARS ($350.00) within THIRTY (30) DAYS of the date of this Decision and Order; and it is further

*5 ORDERED that in no event shall Plaintiff, as a prisoner, bring a future civil action in forma pauperis in this District unless he is under imminent danger of serious physical injury.

2011 WL 7445581 Only the Westlaw citation is currently available. United States District Court, N.D. New York. Dennis NELSON, Plaintiff, v. Elizabeth WARREN, Nurse, Marcy Correctional Facility, Defendant. No. 10-CV-990 (GTS/DRH). Dec. 12, 2011.

Attorneys and Law Firms

Dennis Nelson, Elmira, NY, pro se.

Hon. Eric T. Schneiderman, Attorney General for the State of New York, Charles J. Quackenbush, Esq., Assistant Attorney General, of Counsel, Albany, NY, for Defendant.

REPORT-RECOMMENDATION AND ORDER1

DAVID R. HOMER, United States Magistrate Judge.

*1 Plaintiff pro se Dennis Nelson ("Nelson"), an inmate in the custody of the New York State Department of Correctional and Community Supervision ("DOCCS"), brings this action pursuant to 42 U.S.C. § 1983 alleging that defendant, a DOCCS nurse, violated his constitutional rights under the Eighth Amendment. Compl. (Dkt. No. 1). Presently pending are defendant's motions to dismiss pursuant to Fed.R.Civ.P. 12(b) and 28 U.S.C. § 1915. Dkt. Nos. 16, 18. Nelson opposes both motions. Dkt. Nos. 17, 20. For the reasons which follow, it is recommended that defendant's motion, Dkt. No. 16, be denied, and defendant's motion, Dkt. No. 18, be granted.

I. Background

A. Facts

The facts are related herein in the light most favorable to Nelson as the non-moving party. See subsection II(A) infra.

Nelson contends that he is in danger due to his "serious physical injury [, specifically] . . . a[ ] non-healing leg ulcer d[ue] to a blood clot and deep vein thrombosis." Compl. ¶ 6. Nelson alleges that defendant Warren has harassed him, causing him pain and suffering. Id. ¶ 7. In an attachment to his complaint, Nelson further elaborates on his claims stating that (1) Warren is putting water in with the medication when they are in the cups prior to delivering them to the inmates; (2) Nelson took exception to Warren's decision about whether he should put pressure on his foot and leg; (3) Warren perspires excessively and sometimes wipes her nose with the back of her hand; (4) Warren takes out her problems at home on the inmates at work; and (5) Warren is generally disliked by Nelson because she is a "screw up." Dkt. No. 1 at 7-8. Nelson's motion to proceed in forma pauperis ("IFP") has been granted. Dkt. No. 2.

Warren first filed a motion to dismiss, claiming that Nelson's assertions were meritless. Dkt. No. 16. Nelson opposed the motion in a one-page document which alleged that due to Warren's perspiration Nelson's leg has been infected and that due to Warren's subpar care, the infection is gangrenous. Dkt. No. 17. Defendant then filed a motion to conditionally dismiss the complaint by revoking Nelson's IFP status. Dkt. No. 18. Nelson opposed that motion contending that he was in imminent danger of physical harm due to Warren's sweat continually dripping into his chronic leg ulcer and medication cup. Dkt. No. 20 at 2.

B. Prior Lawsuits

It appears that Nelson has filed fifty-three other actions in the federal courts of New York since the commencement of his incarceration. See PACER Case Locator (visited Dec. 7, 2011), < http://pcl.uscourts.gov/vie w/? rid=OFvoXU6Nqw5Po1o7I5EmMY4JDiCEV9vT9qOYF1P8=1 = More than one of those actions have concerned the ongoing issues with Nelson's ulcerated leg. Prior to filing the present lawsuit, decisions in this district outlined Nelson's litigation history and revoked his IFP status. See Nelson v. Spitzer, No. 07-CV-1241, 2008 WL 268215, at *1 (N.D.N.Y. Jan. 29, 2008) ("A review of [Nelson's] prior proceedings reveals that [Nelson] does have three `strikes' and, thus, should not be permitted to proceed with his action [IFP].") (citations omitted) (Dkt. No. 18-1 at 34-38); Nelson v. NeSmith, No. 06-CV-117, 2008 WL 3836387, at *5 (N.D.N.Y. Aug. 13, 2008) ("A detailed analysis of [Nelson's] prior litigation history, however, is unnecessary given prior findings by both the Western District of New York and this court, to the effect that while confined as a New York State prison inmate [Nelson] has filed at least three prior civil rights complaints dismissed for lack of merit.") (citations omitted) (Dkt. No. 18-1 at 22-27); Nelson v. Lee, No. 05-CV-1096, 2007 WL 4333776, at *5 (N.D.N.Y. Dec. 5, 2007) (concluding that, based upon a prior decision filed in the Western District of New York in 2004, Nelson has already acquired three strikes and that defendants need not independently establish that strikes previously occurred) (Dkt. No. 18-1 at 15-21). Accordingly, the three strikes bar may be applicable.

II. Discussion

*2 Nelson claims that his Eighth Amendment rights were violated when Warren was both contributing to infection in, and indifferent to treating, his ulcerated leg condition. Defendants contend that there is no merit to Nelson's claim and that, in the alternative, the claim should be conditionally dismissed because of the "three strikes" provision until Nelson can remit the appropriate filing fee.

A. First Motion to Dismiss

1. Legal Standard

Rule 12(b)(6) authorizes dismissal of a complaint that states no actionable claim. When considering a motion to dismiss, "a court must accept the allegations contained in the complaint as true, and draw all reasonable inferences in favor of the non-movant." Sheppard v. Beerman, 18 F.3d 147, 150 (2d Cir.1994). However, this "tenet . . . is inapplicable to legal conclusions[; thus, t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice." Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009) (citing Bell Atlantic Corp. v. Twombly, 550 U.S. 554, 555 (2007) (holding that "entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action . . . [as] courts are not bound to accept as true a legal conclusion couched as a factual allegation.")).

Accordingly, to defeat a motion to dismiss, a claim must include "facial plausibility . . . that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Iqbal, 129 S.Ct. at 1949 (citing Twombly, 550 U.S. at 556 (explaining that the plausibility test "does not impose a probability requirement . . . it simply calls for enough fact to raise a reasonable expectation that discovery will reveal evidence of illegal [conduct].")); see also Arar v. Ashcroft, 585 F.3d 559, 569 (2d Cir.2009) (holding that, "[o]n a motion to dismiss, courts require enough facts to state a claim to relief that is plausible. . . .") (citations omitted). Determining whether plausibility exists is "a content specific task that requires the reviewing court to draw on its judicial experience and common sense." Iqbal, 129 S.Ct. at 1950-51.

When, as here, a party seeks dismissal against a pro se litigant, a court must afford the non-movant special solicitude. Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 477 (2d Cir.2006); see also Sealed Plaintiff v. Sealed Defendant # 1, 537 F.3d 185, 191-92 (2d Cir.2008) ("On occasions too numerous to count, we have reminded district courts that `when [a] plaintiff proceeds pro se, . . . a court is obliged to construe his pleadings liberally.' " (citations omitted)).

2. Failure to State a Claim

The Eighth Amendment explicitly prohibits the infliction of "cruel and unusual punishment." U.S. Const. amend. VIII. This prohibition extends to the provision of medical care. Hathaway v. Coughlin, 37 F.3d 63, 66 (2d Cir.1994). The test for a § 1983 claim is twofold. First, the prisoner must show that the condition to which he was exposed was sufficiently serious. Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994). Second, the prisoner must show that the prison official demonstrated deliberate indifference by having knowledge of the risk and failing to take measures to avoid the harm. Id. "[P]rison officials who actually knew of a substantial risk to inmate health or safety may be found free from liability if they responded reasonably to the risk, even if the harm ultimately was not averted." Id. at 844.

*3 "`Because society does not expect that prisoners will have unqualified access to healthcare,' a prisoner must first make [a] threshold showing of serious illness or injury" to state a cognizable claim. Smith v. Carpenter, 316 F.3d 178, 184 (2d Cir.2003) (quoting Hudson v. McMillian, 503 U.S. 1, 9, 112 S.Ct. 995, 117 L.Ed.2d 156 (1992)). Because there is no distinct litmus test, a serious medical condition is determined by factors such as "(1) whether a reasonable doctor or patient would perceive the medical need in question as `important and worthy of comment or treatment,' (2) whether the medical condition significantly affects daily activities, and (3) the existence of chronic and substantial pain." Brock v. Wright, 315 F.3d 158, 162-63 (2d Cir.2003) (citing Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998)). The severity of the denial of care should also be judged within the context of the surrounding facts and circumstances of the case. Smith, 316 F.3d at 185.

Deliberate indifference requires the prisoner "to prove that the prison official knew of and disregarded the prisoner's serious medical needs." Chance, 143 F.3d at 702. Thus, prison officials must be "intentionally denying or delaying access to medical care or intentionally interfering with the treatment once prescribed." Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976). "Mere disagreement over proper treatment does not create a constitutional claim" as long as the treatment was adequate. Chance, 143 F.3d at 703. Thus, "disagreements over medications, diagnostic techniques (e.g., the need for X-rays), forms of treatment, or the need for specialists . . . are not adequate grounds for a section 1983 claim." Sonds v. St. Barnabas Hosp. Corr. Health Servs., 151 F.Supp.2d 303, 312 (S.D.N.Y.2001).

Defendant contends first that Nelson has failed to demonstrate an objectively serious medical need with his chronically ulcerated left leg. However, viewing the allegations in the complaint in the light most favorable to Nelson, Nelson's leg required constant care. Having a gaping and oozing wound that, for whatever reason, would not heal constitutes a condition which a reasonable physician and person would find required treatment. See Smith v. Carpenter, 316 F.3d 178, 186-87 (2d Cir.2003) ("the failure to provide treatment for an otherwise insignificant wound may violate the Eighth Amendment if the wound develops signs of infection, creating a substantial risk of injury in the absence of appropriate medical treatment."); Odom v. Kerns, no. 99-CV-10668 (KMK)(MHD), 2008 WL 2463890, at *7-8 (S.D.N.Y. June 18, 2008) ("holding that cuts and open wounds could constitute serious medical need). Additionally, the need for repeated dressing changes may significantly affect daily life activities. Accordingly, viewing the facts in the light most favorable to Nelson, he has demonstrated a serious medical need.

Viewing the evidence in the light most favorable to Nelson, Nelson has sufficiently alleged an Eighth Amendment violation. Assuming the existence of the open leg wound, perspiration to the extent alleged by Nelson into the wound on a regular basis and the manner in which Warren allegedly ignored and denied treatment for Nelson's wound on a regular basis suffice to allege a claim. As in past cases, Nelson's claim concerning his leg cannot be resolved on this record without the fact-finding available on a more complete record afforded by a motion for summary judgment. Although it seems unlikely that, for example, Nelson will be able to proffer sufficient evidence that any action or inaction by Warren caused any exacerbation of Nelson's leg wound, Nelson is entitled to seek to obtain such proof given the allegations of his complaint.

*4 Accordingly, defendant's motion on this ground should be denied.

B. Second Motion to Dismiss

Defendant seeks dismissal of the complaint under 28 U.S.C. § 1915(g), which bars prisoners from proceeding IFP after three or more previous claims have been dismissed as frivolous, malicious, or for failing to state a claim. See28 U.S.C. § 1915(g) (2006).2 Frivolous claims "lack[ ] an arguable basis either in law or in fact." Tafari v. Hues, 473 F.3d 440, 442 (2d Cir.2007) (quoting Neitzke v. Williams, 490 U.S. 319, 325, 109 S.Ct. 1827, 104 L.Ed.2d 338 (1989)). Malicious claims are filed with the intent to hurt or harm another. Id. (citations omitted). The failure to state a claim applies a parallel definition from Fed.R.Civ.P. 12(b)(6), but "it does not follow that a complaint which falls afoul of the [12(b)(6) motion to dismiss] standard will invariably fall afoul of the [§ 1915(g) standard]." Neitzke, 490 U.S. at 326; see also Tafari, 473 F.3d at 442 (citations omitted).

This "three-strikes" provision contains a narrow exception which permits suits, notwithstanding prior dismissals, when the prisoner is "under imminent danger of serious physical injury." 28 U.S.C. § 1915(g); see also Lewis v. Sullivan, 279 F.3d 526, 531 (7th Cir.2002) (applying imminent danger exception "[w]hen a threat or prison condition is real and proximate, and when the potential consequence is `serious physical injury.') In determining whether the imminent danger provision applies, the court must evaluate whether the claimed danger was still in existence when a complaint was filed and whether such danger was sufficiently serious in light of the liberal standards accorded to pro se plaintiffs to require protection. Chavis v. Chappius, 618 F.3d 162, 169-70 (2d Cir.2010) (citations omitted). Thus, vague, conclusory, non-specific or implausible allegations of imminent danger are insufficient to circumvent the three-strikes bar. Id. at 170 (citations omitted). Additionally, dismissal is not precluded by the fact that Nelson has already been granted IFP status in this action. Dkt No. 7. When a court becomes aware of three prior strikes only after granting IFP status, it is appropriate to revoke that status and bar the complaint under § 1915(g). See McFadden v. Parpan, 16 F.Supp.2d 246, 247 (E.D.N.Y.1998).

As previously determined in this district, the three-strikes rule applies to Nelson's filings. Thus, it must be determined whether Nelson has sufficiently pled a condition which satisfies the imminent danger exception. Nelson's continued complaints of infection in his leg have previously been held insufficient to establish an imminent danger. See Nelson v. Scoggy, No. 06-CV-1146 (NAM/DRH), 2009 WL 5216955, at *2-4 (N.D.N.Y. Dec.30, 2009) (dismissing the case since Nelson had received adequate medical care for his leg and the failure of the wound to heal was the result of Nelson's own acts of interference with the treatment provided and his self-mutilation); see also Cash v. Berstein,3 No. 09-CV-1922 (BSJ/HBP), 2010 WL 5185047, at *3 (S.D.N.Y. Oct.26, 2010) aff'd, 2010 WL 5222126 (S.D.N.Y. Dec.12, 2010) (Dkt. No. 18-1 at 6-11). Nelson alleges imminent danger in part because of the inadequate care resulting in a gangrenous condition. As continued complaints of infection and gangrene, in light of the prior dismissal in Nelson v. Scoggy, are insufficient to establish imminent danger, such contentions cannot presently be used to help Nelson escape the three-strikes provision.

*5 Moreover, to the extent that Warren's perspiration caused continued infection, such claims are also insufficient to allege imminent danger. "[U]nsupported, vague, self-serving, conclusory speculation is not sufficient to show that Plaintiff is, in fact, in imminent danger of serious physical harm." Merriweather v. Reynolds, 586 F.Supp.2d 548, 552 (D.S.C.2008) (citations omitted); see also Hafed v. Federal Bureau of Prisons, 635 F.3d 1172, 1180 (10th Cir.2011) (holding that, when claiming imminent danger based upon medical care, the plaintiff must "make a specific reference as to which of the defendants may have denied him what medication or treatment for what ailment on what occasion. . . .") (internal quotation marks and citations omitted); Chavis v. Chappius, 618 F.3d 162, 170 (2d Cir.2010) (A court may find that a complaint does not satisfy the `imminent danger' exception if the complainant's `claims of imminent danger are conclusory or ridiculous.'") (citations omitted); Martin v. Shelton, 319 F.3d 1048, 1050 (8th Cir.2003) (holding that "general assertions [are] insufficient to invoke the [imminent danger] exception . . . absent specific fact [ual] allegations of ongoing serious physical injury, or of a pattern of misconduct evidencing a likelihood of imminent physical injury.") (citations omitted).

Nelson has failed to allege any specific, factual evidence regarding the timing, cause, treatment, or prognosis of his new alleged infection. Moreover, the causation which Nelson proffers to account for his infection and gangrene—Warren's perspiration—, is fanciful at best. Accordingly, Nelson has failed to provide anything more than vague, conclusory generalizations. There thus exists "no basis for evaluating the imminence or dangerousness of the threat . . . Moreover, unless we require prisoners to demonstrate the actual existence of an imminent threat, otherwise disqualified filers could obtain IFP status simply by adding general allegations of endangerment." Mitchell v. Federal Bureau of Prisons, 587 F.3d 415, 421 (C.A.D.C.2009). As Nelson has failed to plead his case with the specificity required to trigger the three-strikes safety valve, the imminent danger exception does not apply.

Accordingly, defendant's second motion to dismiss conditionally based upon the three-strikes rule should be granted.

III. Conclusion

For the reasons stated above, it is hereby RECOMMENDED that:

1. Defendant's first motion to dismiss (Dkt. No. 16) be DENIED; and 2. Defendant's second motion to dismiss (Dkt. No. 18) be GRANTED and that: A. The order granting Nelson IFP Status (Dkt.No.7) be VACATED; B. The complaint be DISMISSED as to all claims unless Nelson pays the filing fee of $350.00 within thirty (30) days of the entry of a final order by the district court; and C. Nelson be BARRED from filing any IFP complaints in this district unless he is under imminent danger of serious physical injury.

*6 Pursuant to 28 U.S.C. § 636(b)(1), the parties may lodge written objections to the foregoing report. Such objections shall be filed with the Clerk of the Court "within fourteen (14) days after being served with a copy of the . . . recommendation." N.Y.N.D.L.R. 72.1(c) (citing 28 U.S.C. § 636(b)(1)(B)-(C)). FAILURE TO OBJECT TO THIS REPORT WITHIN FOURTEEN DAYS WILL PRECLUDE APPELLATE REVIEW. Roldan v. Racette, 984 F.2d 85, 89 (2d Cir.1993); Small v. Sec'y of HHS, 892 F.2d 15 (2d Cir.1989); 28 U.S.C. § 636(b)(1); Fed.R.Civ.P. 72, 6(a), 6(e).

2018 WL 354684 Only the Westlaw citation is currently available. United States District Court, E.D. New York. Lilyann RYAN, Individually and as Administrator of the Estate of Bartholomew Ryan, deceased, Plaintiff, v. COUNTY OF NASSAU, County of Nassau Correctional Center, Nassau County Sheriff's Department, Armor Correctional Health Services, Inc., and Armor Correctional Health Services of New York, Inc., Defendants. 12-CV-5343(JS)(SIL) Signed 01/10/2018

Attorneys and Law Firms

For Plaintiff: Nicholas E. Warywoda, Esq., Parker Waichman, 6 Harbor Park Drive, Port Washington, NY 11050.

For the County Defendants: James R. Scott, Esq., Nassau County Attorney's Office, 1 West Street, Mineola, NY 11501.

For the Armor Defendants: John J. Doody, Esq., Sana Suhail, Esq., Lewis Brisbois Bisgaard & Smith, LLP, 199 Water Street, 25th Floor, New York, NY 10038.

MEMORANDUM & ORDER

Joanna Seybert, U.S.D.J.

*1 Plaintiff Lilyann Ryan ("Plaintiff"), individually and as administrator of the Estate of Bartholomew Ryan ("Ryan"), commenced this action against the County of Nassau, the Nassau County Correctional Center, the Nassau County Sheriff's Department (together, the "County Defendants"), Armor Correctional Health Services, Inc., and Armor Correctional Health Services of New York, Inc. (together, the "Armor Defendants" or "Armor," and collectively, "Defendants") on October 22, 2012. (Compl., Docket Entry 1.) On November 14, 2012, Plaintiff filed an Amended Complaint asserting claims under 42 U.S.C. §§ 1981, 1983, and 1985 and state law claims for negligence and wrongful death. (Am. Compl., Docket Entry 7, ¶¶ 108-180.)

After the Court dismissed the claims under Sections 1981 and 1985, and the Section 1983 claim against the County Defendants, the remaining claims proceeded to trial. (See March 2016 Order, Docket Entry 62, at 25.) The case was tried from April 3, 2017 to April 12, 2017, and the following claims were submitted to the jury: (1) a Section 1983 claim for deliberate indifference to medical needs against the Armor Defendants, and (2) negligence and wrongful death claims against the Armor Defendants and the County Defendants. (Verdict Sheet, Court Ex. 3, Docket Entry 108, at 2-9.) On April 12, 2017, the jury reached a verdict in Plaintiff's favor on both claims and awarded $370,000 for pain and suffering on the negligence claim, and $520,000 for pain and suffering and $7,000,000 in punitive damages on the Section 1983 claim. (Verdict Sheet 6(A)-(G).) As to the negligence pain and suffering award, the jury apportioned the fault as follows: twenty-five percent (25%) to the County of Nassau, fifty-five percent (55%) to Armor, and twenty percent (20%) to Ryan. (Verdict Sheet 6(D).)

Currently pending before the Court is the Armor Defendants' motion for judgment as a matter of law pursuant to Federal Rule of Civil Procedure 50(b), or alternatively, for a new trial pursuant to Federal Rule of Civil Procedure 59(a)(A). (Armor Mot., Docket Entry 115.) The County Defendants have not moved for any post-trial relief. For the reasons that follow, the Armor Defendants' motion is GRANTED.

DISCUSSION

The Court assumes familiarity with its March 2016 Order resolving the parties' motions for summary judgment and will discuss the evidence presented at trial as necessary in its analysis. (See generally March 2016 Order.) Briefly, Ryan was remanded to the Nassau County Correctional Center ("NCCC") on February 23, 2012. (March 2016 Order at 4.) After his arrival, he was assessed by a corrections officer, two nurses employed by Armor, and Dr. Vincent Manetti ("Dr. Manetti"), a psychiatrist employed by Armor. (March 2016 Order at 5-8.) While Ryan relayed that he had a history of drug abuse and psychological disorders, he did not indicate that he was experiencing suicidal ideations or that he had previously attempted suicide. (March 2016 Order at 5-7.) However, he did indicate to Dr. Manetti that he had used heroin immediately prior to his arrival at NCCC. (March 2016 Order at 7-8.) As a result, Dr. Manetti referred Ryan to the medical department for monitoring on an urgent basis, which according to Armor's guidelines, meant that Ryan would be seen within twenty-four hours. (March 2016 Order at 8, 21.) Unfortunately, just hours after his visit with Dr. Manetti, Ryan committed suicide. (March 2016 Order at 2, 9.)

I. The Armor Defendants' Motion for Judgment as a Matter of Law

A. Rule 50(b) Standard

*2 If a party believes that "a reasonable jury would not have a legally sufficient evidentiary basis" to find for its adversary on a particular issue, it may move for judgment as a matter of law during trial under Federal Rule of Civil Procedure 50(a), and renew the motion after trial under Rule 50(b). FED. R. CIV. P. 50(a)-(b). In an order determining a Rule 50(b) motion, the district court may: "(1) allow judgment on the verdict, if the jury returned a verdict; (2) order a new trial; or (3) direct the entry of judgment as a matter of law." FED. R. CIV. P. 50(b).

The district court may only grant a Rule 50(b) motion when "`there exists such a complete absence of evidence supporting the verdict that the jury's findings could only have been the result of sheer surmise and conjecture, or the evidence in favor of the movant is so overwhelming that reasonable and fair-minded [persons] could not arrive at a verdict against [it].'" Protostorm, LLC v. Antonelli, Terry, Stout & Krauss, LLP, No. 08-CV-0931, 2015 WL 3605143, at *2 (E.D.N.Y. June 5, 2015) (quoting Kinneary v. City of N.Y., 601 F.3d 151, 155 (2d Cir. 2010)) (alterations in original). In other words, judgment as a matter of law is appropriate only when "`a reasonable juror would have been compelled to accept the view of the moving party.'" Id. at *2 (quoting This is Me, Inc. v. Taylor, 157 F.3d 139, 142 (2d Cir. 1998)). "When considering the evidence associated with a Rule 50(b) motion, the trial court may not weigh evidence, assess credibility, or substitute its opinion of the facts for that of the jury," Rosioreanu v. City of N.Y., 526 Fed.Appx. 118, 119 (2d Cir. 2013) (internal quotation marks and citation omitted), and must view the evidence "in the light most favorable to the nonmoving party," Houston v. Cotter, No. 07-CV-3256, 2016 WL 1253391, at *1 (E.D.N.Y. Mar. 30, 2016) (internal quotation marks and citation omitted).

B. Section 1983 Deliberate Indifference to Medical Needs

To establish a Section 1983 claim, a plaintiff must demonstrate that the defendant violated a "right, privilege, or immunity secured by the Constitution or laws of the United States . . . by a person acting under the color of state law." Charles v. Cty. of Orange, N.Y., No. 16-CV-5527, 2017 WL 4402576, at *6 (S.D.N.Y. Sept. 29, 2017); 42 U.S.C. § 1983. To establish a claim for deliberate indifference to medical needs under the Due Process Clause of the Fourteenth Amendment, a pretrial detainee must establish two elements: (1) that the "deprivation of medical care . . . [was] `sufficiently serious,' " and (2) that the defendant "acted or failed to act with `a sufficiently culpable state of mind.'" See Smith v. Outlaw, No. 15-CV-9961, 2017 WL 4417699, at *2 (S.D.N.Y. Sept. 30, 2017) (quoting Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir. 2006); Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 1977, 128 L.Ed. 2d 811 (1994)); see also Grimmett v. Corizon Med. Assocs. of N.Y., No. 15-CV-7351, 2017 WL 2274485, at *3 (S.D.N.Y. May 24, 2017).

The first element requires that the Court assess the seriousness of the deprivation of medical care objectively, including whether "the medical care was inadequate, and if so, . . . how the offending conduct is inadequate and what harm, if any, the inadequacy has caused or will likely cause the prisoner." Smith, 2017 WL 4417699 (internal quotations marks and citation omitted). Further, while courts should tailor the analysis "to the specific circumstances of each case[,]. . . . the inmate must show that the conditions, either alone or in combination, pose an unreasonable risk of serious damage to his health." Id. (internal quotation marks and citations omitted). Generally, the condition must be "`a condition of urgency' that may result in `degeneration' or `extreme pain.'" Grimmett, 2017 WL 2274485, at *3 (quoting Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir. 1998)). If the plaintiff alleges that medical care was delayed or interrupted, the appropriate inquiry is whether "the challenged delay or interruption in treatment . . . is, in objective terms, sufficiently serious," to support a claim. Id. (internal quotation marks, citation, and emphasis omitted).

*3 Prior to the Second Circuit's decision in Darnell v. Pineiro, 849 F.3d 17 (2d Cir. 2017), the second element—whether the defendant acted with a sufficiently culpable state of mind—was evaluated subjectively. See Grimmett, 2017 WL 2274485, at *4. However, in Darnell, in light of the Supreme Court's decision in Kingsley v. Henderickson, ___ U.S. ___, 135 S.Ct. 2466, 192 L.Ed.2d 416 (2015), the Second Circuit held that the standard for deliberate indifference depends on whether the plaintiff is a pre-trial detainee, in which case the claim arises under the Fourteenth Amendment, or a convicted prisoner, in which case the claim arises under the Eighth Amendment. Darnell, 849 F.3d at 32-36. The Second Circuit further held that when a claim arises under the Fourteenth Amendment, "the pre-trial detainee must prove that the defendant-official acted intentionally . . . or recklessly failed to act with reasonable care . . . even though the defendant-official knew, or should have known that the condition posed an excessive risk to health or safety." Id. at 35; see also Charles, 2017 WL 4402576, at *10. In other words, the second element of a deliberate indifference claim under the Fourteenth Amendment "is defined objectively," and a plaintiff is not required to show subjective awareness by the defendant that "[his] acts (or omissions) have subjected the pre-trial detainee to a substantial risk of harm."1 Darnell, 849 F.3d at 35. Despite the slightly lower standard articulated in Darnell, which is akin to objective recklessness, "`any § 1983 claim or a violation of due process requires proof of a mens rea greater than mere negligence.'" Smith, 2017 WL 4417699, at *3 (quoting Darnell, 849 F.3d at 36); see also Grimmett, 2017 WL 2274485, at *4.

In order for a municipality or a corporation such as Armor2 to be liable for deliberate indifference to medical needs under Monell v. Department of Social Services, 436 U.S. 658, 694, 98 S.Ct. 2018, 56 L.Ed. 2d 611 (1978), the plaintiff must "show that the action that caused the constitutional violation was undertaken pursuant to an official policy." (March 2016 Order at 20.) Specifically, the plaintiff "must `demonstrate that, through its deliberate conduct, the [entity] [itself] was the moving force behind the alleged injury.'" Simms v. City of N.Y., 480 Fed.Appx. 627, 629 (2d Cir. 2012) (quoting Roe v. City of Waterbury, 542 F.3d 31, 37 (2d Cir. 2008)) (second alteration in original). However, "`[a] policy or custom need not be memorialized in a specific rule or regulation;'" "`persistent and widespread'" constitutional violations "can be `so permanent and well settled as to constitute a custom or usage with the force of law,'" and lead to the imposition of liability. Houston, 2016 WL 1253391, at *7 (quoting Kern v. City of Rochester, 93 F.3d 38, 44 (2d Cir. 1996); Sorlucco v. N.Y.C. Police Dep't, 971 F.2d 864, 870 (2d Cir. 1992)).

C. Analysis

The Armor Defendants argue that they are entitled to judgment as a matter of law on Plaintiff's Section 1983 claim because the evidence at trial did not establish either element of a deliberate indifference claim. (Armor Br., Docket Entry 117, at 4-5.)

1. The Objective Prong

As to the first element, the Armor Defendants maintain that Plaintiff failed to show that Ryan received inadequate medical care. (Armor Br. at 6-9.) Specifically, they contend that "Armor and its staff followed protocol in processing and evaluating the plaintiff upon his arrival to NCCC . . . and there was simply no notice of Ryan's purported suicidal tendencies prior to and at the time of his detention." (Armor Br. at 6.) They point out that there were no signs that Ryan was experiencing symptoms of withdrawal or mental illness when he arrived at NCCC. (Armor Br. at 6; see also NCCC Records, Doody Decl., Ex. B, Docket Entry 116-2, at 2.) However, because Ryan indicated that he had taken medication for a psychological condition, he was placed on constant observation until he could be assessed by the mental health department.3 (Armor Br. at 6.)

*4 Afterward, he was seen by a Licensed Practical Nurse, Joe Mathews ("Nurse Mathews"), and a Registered Nurse, Tanya Tinglin ("Nurse Tinglin"). (Armor Br. at 7; see also Armor Records, Doody Decl., Ex. C, Docket Entry 116-3, at 1-16.) According to the Armor Defendants, the evidence reflects that Ryan told Nurse Mathews that he was previously diagnosed with Post Traumatic Stress Disorder ("PTSD") and was taking medication, and indicated that although he used heroin in the past, he was not currently using drugs. (Armor Br. at 7; Armor Records at 12-13, 16.) After assessing him, Nurse Mathews referred Ryan to the mental health department on a routine basis. (Armor Records at 17.) Next, the Armor Defendants assert that when Ryan saw Nurse Tinglin, he reported a history of PTSD, bipolar disorder and anxiety, and denied using drugs. (Armor Br. at 7; Armor Records at 14.) His only complaint was lower back pain, and Nurse Tinglin noted elevated blood pressure during her exam. (Armor Br. at 7; Armor Records at 14.) He denied having any suicidal thoughts or prior suicide attempts. (Armor Br. at 8; Armor Records at 15.)

The next morning, Ryan saw Dr. Manetti and reported that he used heroin two days prior to being remanded to NCCC. (Armor Br. at 8; Armor Records at 20.) He continued to deny suicidal thoughts and prior suicide attempts. (Armor Records at 20.) Dr. Manetti's diagnosis was opiate dependence, and he put in an urgent referral to the medical department to monitor Ryan for symptoms of withdrawal. (Armor Br. at 8; Armor Records at 18, 21.) Dr. Manetti testified at trial that Ryan was not exhibiting any symptoms of withdrawal when he evaluated him, and that he believed that Ryan had actually used heroin more recently than reported. (Trial Tr. (Manetti), Doody Decl., Ex. A, Docket Entry 116-1, 312:13-18.) He declined to continue Ryan's psychotropic medication and recommended that Ryan be housed with the general population. (Armor Records at 19-21.) The Armor Defendants maintain that all of this evidence shows that Ryan received adequate care, and as a result, Plaintiff failed to meet her burden of proof on the first element of her deliberate indifference claim.

Plaintiff argues that the evidence established "an intentional denial or delay of access to medical care." (Pl.'s Opp., Docket Entry 119, at 13.) She contends that Dr. Manetti, following Armor's referral protocol, referred Ryan to the medical department on an urgent basis, even when he knew that it could take as long as twentyfour hours for Ryan to been seen and despite his concerns that Ryan was not being monitored for signs of drug withdrawal. (Pl.'s Opp. at 13; Trial Tr. (Manetti) 346:17-348:10 (testifying regarding his concerns and agreeing that Ryan could wait up to twenty-four hours before he was monitored for withdrawal symptoms).) Further, she points out that Dr. Manetti failed to forward the referral form to the medical department until an hour and a half after his visit with Ryan. (Pl.'s Opp. at 13; Trial Tr. (Manetti) 350:21-351:2.) As a result, Plaintiff argues, Ryan was not being monitored after his visit with Dr. Manetti until he committed suicide. (Pl.'s Opp. at 13.) Plaintiff maintains that, among other things, the evidence established that Dr. Manetti (1) should have sought additional information regarding Ryan's prior treatment for psychological disorders based on his assessment that Ryan was a poor historian, (Trial Tr. (Manetti) 308:2-13 (discussing his characterization of Ryan as a poor historian), 310:4-9 (testifying that the fact that Ryan was a poor historian would be a reason to contact a treating physician or family)), and (2) should have alerted corrections officers that Ryan could experience withdrawal, (Trial Tr. (Manetti) 302:11-24 (agreeing that it was good psychiatric practice to notify corrections officers of imminent withdrawal), 355:23-356:3 (testifying that he did not tell any corrections officer about Ryan's possible withdrawal).)

On reply, the Armor Defendants argue that because Plaintiff's claim is based on a delay or interruption in care, the Court should evaluate the seriousness of the delay or interruption rather than the seriousness of Ryan's condition alone. (Armor Reply, Docket Entry 121, at 2.) They argue that the evidence shows that Dr. Manetti did not believe that obtaining Ryan's medical records was necessary after his initial evaluation, and that he understood that by referring him to medical, he would be seen within twenty-four hours, which he felt was appropriate based on the fact that Ryan was not exhibiting symptoms during his visit. (Armor Reply at 2; Trial Tr. (Manetti) 337:17-338:7 (testifying that Ryan did not "present in a manner in which I was concerned . . . that I needed that history right away"), 393:8-394:7 (testifying that Ryan was not showing any symptoms of withdrawal, but to be cautious, he put in an urgent referral, which in practice, meant Ryan would seen by the end of the day).) Therefore, the Armor Defendants argue, there was no delay in treatment to support a deliberate indifference claim, and even if there was a delay that could be considered the result of negligence by Dr. Manetti or other staff, negligence is not sufficient to prove a constitutional violation. (Armor Reply at 2.)

*5 The Court previously concluded that "Ryan's withdrawal, combined with his numerous psychological problems amounted to a `sufficiently serious' medical problem." (March 2016 Order at 16.) See, e.g., Iacovangelo v. Corr. Med. Care, Inc., 624 Fed.Appx. 10, 13 (2d Cir. 2015) ("Although there is no per se rule that drug or alcohol withdrawal constitutes an objectively serious medical condition, courts in this Circuit have found many such instances to satisfy the objective prong."). Turning to the adequacy of care, the Armor Defendants maintain that their staff assessed Ryan appropriately, and Dr. Manetti testified that he believed an urgent referral was adequate based on his assessment that Ryan was not experiencing symptoms of withdrawal. (Trial Tr. (Manetti) 393:12-19.) However, Dr. Ziv Cohen ("Dr. Cohen"), a psychiatry expert, testified that Ryan's care was not adequate because Dr. Manetti failed to: (1) treat the situation as a psychiatric emergency, (2) place Ryan under constant observation, (3) continue his psychiatric medication, (4) treat Ryan's withdrawal from heroin, (5) properly diagnose Ryan with PTSD, bipolar disorder, or any other mental health condition, (6) conduct a proper examination for PTSD, (7) order appropriate follow-up care, and (8) seek information from family members or other doctors. (Trial Tr. (Cohen) 675:19-677:6, 682:8-683:3, 698:5-699:1, 699:7-700:10, 702:7-703:11.) Viewing the evidence in the light most favorable to Plaintiff, the Court concludes that there was sufficient evidence for the jury to conclude that the deprivation of care was sufficiently serious.

2. The Mens Rea Prong4

Alternatively, the Armor Defendants argue that the evidence at trial did not establish that any Armor personnel recklessly disregarded a risk to Ryan's health. (Armor Br. at 9-13.) They contend that "the evidence demonstrated that even if Armor were aware that Ryan might be experiencing signs of withdrawal, they were equally aware that he was subject to ongoing continuous observation patrols as well as 15-minute observations by correctional officers who were trained to recognize the signs and symptoms of withdrawal and advised to notify medical should the inmate appear to be in any distress." (Armor Br. at 10; Trial Tr. (Manetti) 282:18-285:7 (testifying that he participated in suicide prevention training of corrections officers and advised them to call him if any inmate exhibited any suicidal behavior); Trial Tr. (Manetti) 372:14-21 (testifying that corrections officers alerted him to vomiting, cramping, sweating, and signs of agitation by inmates in the past); Trial Tr. (Smith) 235:13-236:19 (testifying that corrections officers were trained to look for signs of withdrawal and would immediately send the inmate to the medical department).)

Further, the Armor Defendants argue that it was reasonable to rely on the corrections officers to notify the mental health or medical departments based on the testimony of several corrections officers who were assigned to Ryan's housing area on the day of his suicide. (Armor Br. at 10; Trial Tr. (Brown) at 435:22-436:4 (testifying that if he determined that an inmate needed medical care, he would alert his supervisor, who would contact the medical department), 442:18-444:8 (testifying that while on the mental health housing tier, he was looking for behavior that would indicate an inmate was depressed and would notice if an inmate was vomiting, sweating profusely, and shaking and would ask the inmate if he needed to go to the medical department); Trial Tr. (Vogt) 482:25-484:6 (testifying that he was trained on signs of suicidal behavior and if an inmate indicated that he planned to hurt himself, the inmate was taken out of his cell and placed in a separate area until mental health department arrived).) Finally, the Armor Defendants point to testimony of several corrections officers that Ryan did not exhibit any unusual behavior that day. (See Trial Tr. (Brown) 448:21-449:7 (testifying that when he conducted a tour of the housing unit, he observed Ryan lying on his bunk); Trial Tr. (Killeen) 533:12-534:4 (testifying that he observed Ryan lying on his bunk)). Officer Vogt specifically testified that he did not observe Ryan suffering any symptoms of withdrawal. (Trial Tr. (Vogt) 486:18-487:6.)

Plaintiff contends that the appropriate inquiry after the Darnell decision is whether, aware of Ryan's withdrawal, Armor was reasonable in relying on the observations and patrols by corrections officers who were trained to recognize symptoms of withdrawal and patrolled the housing area every fifteen minutes. (Pl.'s Opp. at 15.) Plaintiff maintains that there was sufficient evidence to support the jury's finding that Armor's reliance was not reasonable, including Dr. Manetti's testimony that he was concerned that Ryan would begin to experience withdrawal and that he was not being monitored for withdrawal. (Trial Tr. (Manetti) 329:23-25 (Q: "At that point you became very, very concerned he was going to begin going through withdrawal; is that correct?" A: "I thought that was a possibility, yes."), 330:4-6.) Plaintiff also appears to argue that Dr. Manetti should have seen Ryan sooner in light of the assessments of Officer Archer, Nurse Mathews, and Nurse Tinglin, each of whom noted a history of mental health disorders and drug use. (Pl.'s Opp. at 15-16.)

*6 Additionally, relying on Dr. Manetti's own testimony, Plaintiff contends that Dr. Manetti acted recklessly by: (1) failing to contact other physicians or family members regarding Ryan's prior treatment and diagnoses, (Trial Tr. (Manetti) 310:4-9 (testifying that it would be good practice to contact family or treating physicians if patient was a poor historian)); (2) failing to tell corrections officers that Ryan was at risk for withdrawal symptoms, (Trial Tr. (Manetti) 302:11-24 (agreeing that it was good psychiatric practice to notify corrections officers of imminent withdrawal), 355:23-356:3 (testifying that he did not tell any corrections officer about Ryan's possible withdrawal)); and (3) despite his concerns, referring Ryan to the medical department for monitoring knowing that he could wait twenty-four hours to be seen, (Trial Tr. (Manetti) 346:17-348:10 (testifying regarding his concerns and agreeing that Ryan could wait up to twentyfour hours before he was monitored for withdrawal symptoms)). (See Pl.'s Opp. at 16-17.) Moreover, Plaintiff maintains that Armor's argument that it reasonably relied on the corrections officers, even if it was believed by the jury, is irrelevant in light of Dr. Manetti's admission that he never told the officers about his concerns. (Pl.'s Opp. at 17.) In light of this evidence, Plaintiff maintains that there was sufficient evidence to conclude that Dr. Manetti "knew or should have known" that his conduct "posed an excessive risk" to Ryan's health and safety. (Pl.'s Opp. at 18 (internal quotation marks omitted).)

The Court finds that no reasonable juror could conclude that Dr. Manetti acted with a state of mind sufficient to support a deliberate indifference claim. Focusing on the Darnell standard, there is no evidence that Dr. Manetti intentionally deprived Ryan of adequate medical care. See Darnell, 849 F.3d at 35 (holding that "the pre-trial detainee must prove that the defendant-official acted intentionally . . . or recklessly failed to act with reasonable care . . . even though the defendant-official knew, or should have known that the condition posed an excessive risk to health or safety"). Further, the evidence does not support a finding that Dr. Manetti "`knew or should have known' that his actions or omissions . . . `posed an excessive risk to [Ryan's] health or safety.'" Lloyd v. City of N.Y., 246 F.Supp.3d 704, 720 (S.D.N.Y. 2017) (quoting Darnell, 849 F.3d at 35). Dr. Manetti assessed Ryan, and based on his assessment that Ryan was not experiencing symptoms of withdrawal at that time, he determined that the appropriate treatment plan was to refer Ryan to the medical department on an urgent basis. (Trial Tr. (Manetti) 313:3-20.) In other words, he recognized the risk that withdrawal posed to Ryan's health but exercising his medical judgment, concluded that Ryan did not need treatment immediately.5

The evidence also does not support a finding that Dr. Manetti was, or should have been, aware of a substantial risk of suicide because Ryan did not indicate to him, Nurse Mathews, Nurse Tinglin, or Officer Archer that he was thinking about suicide or had attempted suicide in the past. (Screening Form at 6; Armor Records at 15-16, 20-21.) Ryan was initially deemed a suicide risk after indicating to Officer Archer that he was prescribed psychiatric medication in the past, but he explicitly denied suicidal thoughts or prior suicide attempts. (Screening Form at 6.) Ryan was then housed in the mental health unit and observed every fifteen minutes until he could be assessed by Dr. Manetti. (Screening Form at 6-7.) Thereafter, he was assessed by Nurse Tinglin and Nurse Mathews, to whom he again denied suicidal thoughts or prior suicide attempts. (Armor Records at 15-16.) He also denied suicide thoughts or attempts during his visit with Dr. Manetti. (Armor Records at 20-21.) Viewing the evidence in Plaintiff's favor, Dr. Manetti may have misjudged the risk of suicide or misdiagnosed Ryan. However, that is not enough to establish objective recklessness.

Plaintiff contends that Dr. Manetti's decision to refer Ryan to the medical department on an urgent basis put him in jeopardy because the referral "meant that an inmate in the throes of withdrawal could be sitting in his cell for up to 24 hours before being monitored or receiving treatment for drug withdrawal." (Pl.'s Opp. at 8.) However, Dr. Manetti's referral would not have prevented Ryan from receiving treatment if he needed it. Dr. Manetti testified that if an inmate needed medical attention for an acute condition, the medical department would see the inmate on an expedited basis. (Trial Tr. (Manetti) 395:24-396:9 (testifying that an inmate could alert a corrections officer who would contact the medical department, and the medical department would expedite treatment for acute conditions); Trial Tr. (Manetti) 372:14-21 (testifying that on several occasions, corrections officers have notified him that an inmate was vomiting, cramping, sweating, or exhibiting signs of agitation).) While he acknowledged that he was not looking for symptoms of withdrawal when he observed Ryan that day, Officer Brown testified that he would notify his supervisor if he believed an inmate needed medical care and that if an inmate was experiencing symptoms such as vomiting, sweating, or shaking, he would notice. (Trial Tr. (Brown) at 435:22-436:4, 437:22-24, 442:18-444:8.) Officer Vogt also testified that he was familiar with the symptoms of drug withdrawal. (Trial Tr. (Vogt) 486:18-487:3.) While the evidence at trial reflected that corrections officers were not responsible for diagnosing and monitoring inmates for symptoms of drug withdrawal, (Trial Tr. (Manetti) 313:25-314:5), they were responsible for observing them for changes in behavior and ensuring their safety. (Trial Tr. (Manetti) 298:23-299:7; Trial Tr. (Brown) 442:5-444:12; Trial Tr. (Vogt) 479:23-480:11.)

*7 The Court is cognizant of its obligation to view the evidence in the light most favorable to Plaintiff, and to be sure, there is evidence in the record that Dr. Manetti's actions were a departure from the standard of care. Dr. Cohen testified at length regarding what were, in his opinion, breaches of the standard of care by Dr. Manetti. (See Trial Tr. (Cohen) 675:19-677:6, 682:8-683:3, 698:5-699:1, 699:7-700:10, 702:7-703:11.) However, this testimony supports, at most, a finding of negligence by Dr. Manetti, and it is well established that negligence cannot form the basis of a deliberate indifference claim. See, e.g., Grimmett, 2017 WL 2274485, at *5 ("[N]egligence alone is insufficient to make out a deliberate indifference claim under the Fourteenth Amendment."); Lloyd, 246 F.Supp.3d at 720 ("`[N]egligence, even if it constitutes medical malpractice, does not, without more, engender a constitutional claim.'") (quoting Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir. 1998)).

3. Evidence of a Policy or Custom

The Armor Defendants also argue that "there was no evidence that Armor implemented any policy or custom that resulted in the violation of Ryan's constitutional rights." (Armor Br. at 13.) They maintain that the evidence related to Armor's urgent referral policy was inadequate for several reasons, including because Ryan was not exhibiting any symptoms of withdrawal when he was seen by Dr. Manetti and because corrections officers testified that if they had noticed any symptoms, they would have taken appropriate action. (Armor Br. at 13-14.)

Plaintiff argues that the evidence regarding Armor's urgent referral policy established the existence of a policy or custom for purposes of Monell liability. (Pl.'s Opp. at 18.) She maintains that "Armor's policy of Dr. Manetti's `urgent' referral being limited to seeing . . . Ryan sometime in 24 hours contributed directly to his death six hours later. Had `urgent' meant `immediately' rather than a day later, . . . Ryan would have survived." (Pl.'s Opp. at 18.) Plaintiff claims that Armor's suggestion that Dr. Manetti did not believe Ryan was in active withdrawal "flies in the face of the evidence," including Dr. Manetti's own testimony that he believed Ryan had used heroin one to two days before arriving at NCCC and that withdrawal typically occurs within twenty-four to forty-eight hours. (Pl.'s Opp. at 18; Trial Tr. (Manetti) 418:18-419:3 (testifying that symptoms of withdrawal usually occur within twenty-four to forty-eight hours and that Ryan committed suicide within one to three days of when Dr. Manetti believed he last used heroin).) Therefore, she argues, because Dr. Manetti followed Armor's urgent referral policy, Ryan was not monitored during the period between his visit with Dr. Manetti and his death, a time period which coincided with when symptoms of withdrawal typically become apparent. (Pl.'s Opp. at 19.)

Viewing the evidence in the light most favorable to Plaintiff, the Court finds that the evidence at trial failed to demonstrate a "direct causal link" between Armor's referral policy and Ryan's death. See Mayo v. Cty. of Albany, No. 07-CV-0823, 2009 WL 935804, at *3 (N.D.N.Y. Apr. 3, 2009), aff'd, 357 Fed.Appx. 339 (2d Cir. 2009) ("[T]he court's `first inquiry . . . is the question whether there is a direct causal link between a municipal policy or custom and the constitutional deprivation.'") (quoting City of Canton, Ohio v. Harris, 489 U.S. 378, 385, 109 S.Ct. 1197, 1203, 103 L.Ed. 2d 412 (1989)) (second alteration in original). The urgent referral policy—which dictated that an inmate referred on an urgent basis would be seen within twenty-four hours—effectively set an outside limit on the amount of time an inmate could wait for medical care. Assuming that the evidence established a constitutional violation, the policy did not cause the violation. Plaintiff's theory of the case, which was borne out by the evidence, was that Dr. Manetti misdiagnosed Ryan, failed to treat his drug withdrawal, and failed to recognize the risk of suicide. (Trial Tr. (Opening) 24:12-29:7, 30:19-32:21; Trial Tr. (Closing) 1076:11-1080:10, 1089:20-1095:25, 1097:1-1101:11.) An overwhelming amount of the evidence at trial focused on Dr. Manetti's assessment and his departures from the standard of care, none of which were the result of any policy set by Armor. (See, e.g., Trial Tr. (Cohen) 675:19-677:6, 682:8-683:3, 698:5-699:1, 699:7-700:10, 702:7-703:11.) Plaintiff argues that the policy caused Ryan's death because if Ryan had been monitored immediately, instead of being sent back to his cell, he would not have—committed suicide. (Pl.'s Opp. at 18.) However, Ryan was not monitored immediately because Dr. Manetti found it to be unnecessary based on his assessment that Ryan was not suffering symptoms of withdrawal at that time—not because Armor's policy dictated that he should not be monitored.6 That Dr. Manetti chose to refer Ryan to the medical department (and as a result, Ryan would be seen within twentyfour hours) does not show that the cause of Ryan's death was the policy. Further, if Dr. Manetti failed to recognize that Ryan was experiencing withdrawal and needed treatment, that deficient assessment was not "undertaken pursuant to an official policy." (See March 2016 Order at 20.) Therefore, assuming that the evidence established a constitutional violation, no reasonable juror could find that Armor's referral policy was the cause of that violation.7

4. Punitive Damages Award

*8 In light of the Court's determination that the evidence was insufficient to support a deliberate indifference claim, Plaintiff is not entitled to a punitive damages award. However, in the interest of completeness, the Court addresses whether, assuming that Plaintiff had proven her claim, the conduct warranted an award of punitive damages.

The Armor Defendants argue that the punitive damages award should be set aside because "the record is simply devoid of any evidence that Armor acted with callous indifference." (Armor Br. at 15.) Plaintiff responds that there is "testimony that Armor intentionally ignored good medical practice and contemporary community standards in setting a policy of drug withdrawal monitoring that endangered . . . Ryan's life unnecessarily." (Pl.'s Opp. at 19.) She argues that Armor chose not to be provide adequate care for Ryan "by relying on its `protocol' of denying immediate monitoring for 24-hours." (Pl.'s Opp. at 21.) Additionally, she contends that, based on the evidence, the jury was entitled to infer that Armor intentionally ignored Ryan's medical needs. (Pl.'s Opp. at 21.)

"In a § 1983 suit, a jury may award punitive damages if `the defendant's conduct is shown to be motivated by evil motive or intent,' or if the defendant's conduct `involves reckless or callous indifference to the federally protected rights of others.'" Amid v. Chase, __ Fed.Appx. ___, ___, 2017 WL 5624243, at *5 (2d Cir. 2017) (quoting Smith v. Wade, 461 U.S. 30, 56, 103 S.Ct. 1625, 1640, 75 L.Ed. 2d. 632 (1983)). The standard requires, at a minimum, subjective recklessness, or "a `subjective consciousness of a risk of injury or illegality[,] and a criminal indifference to civil obligations.'" Amid, 2017 WL 5624243, at *5 (quoting Kolstad v. Am. Dental Ass'n, 527 U.S. 526, 536, 119 S.Ct. 2118, 2125, 144 L.Ed. 2d 494 (1999)) (alteration in original).

The Court agrees with the Armor Defendants that the punitive damages award must be set aside. Assuming for purposes of this analysis that Dr. Manetti acted in an objectively reckless manner, there is no evidence that he was "motivated by evil motive or intent" or acted with "reckless or callous indifference." Amid, 2017 WL 5624243, at *5 (internal quotation marks and citation omitted). As discussed above, there is evidence, including the testimony of Dr. Cohen, that Dr. Manetti may have misdiagnosed Ryan or instituted a treatment and monitoring plan that constituted a departure from the standard of care. (See Trial Tr. (Cohen) 675:19-677:6, 682:8-683:3, 698:5-699:1, 699:7-700:10, 702:7-703:11.) While Plaintiff repeatedly cites to Dr. Cohen's testimony to argue that the punitive damages award should stand, that testimony, standing alone, does not demonstrate that Dr. Manetti was reckless or callously indifferent to Ryan's rights or was aware of the risk to Ryan and disregarded it.

On this point in particular, the Court finds that Plaintiff's characterizations of the evidence are not supported by the record. Plaintiff asserts that "delaying . . . care by 24-hours was a severe departure" from the standard of care and that Armor "chose" not to treat Ryan by relying on its policy of "denying immediate monitoring for 24hours." (Pl.'s Opp. at 20-21.) However, there was no evidence that Armor delayed care for twenty-four hours; Dr. Manetti, based on his assessment, referred Ryan to the medical department on an urgent basis, which meant that Ryan would be seen within twenty-four hours. (Trial Tr. (Manetti) 393:11-394:7.) The implication that Ryan was subject to a twenty-four-hour waiting period or its equivalent—particularly if he began exhibiting symptoms —is inaccurate. The record is also devoid of evidence that Armor "chose" not to treat Ryan by denying him immediate monitoring. (See Pl.'s Opp. at 21.) Rather, Dr. Manetti determined the course of treatment and decided that immediate monitoring was not necessary based on his observations. Finally, Plaintiff's contention that Dr. Manetti knew that an urgent referral "would delay . . . care for at least 24-hours" is not supported by the record. (See Pl.'s Opp. at 22.) In fact, Dr. Manetti testified that an inmate referred on an urgent basis would be assessed within twenty-four hours, and in practice, usually by the end of the day on which the referral was made. (Trial Tr. (Manetti) 393:22-394:2.)

*9 As detailed above, no reasonable juror could find that Dr. Manetti acted with a sufficiently culpable state of mind or that Ryan's constitutional rights were violated pursuant to an Armor policy or custom. As a result, Armor's motion for judgment as a matter of law is GRANTED, and the compensatory damages award for the deliberate indifference claim is VACATED. Further, the Court finds that no reasonable juror could conclude that Dr. Manetti acted with the requisite state of mind to support a punitive damages award. Thus, the punitive damages award is similarly VACATED.

II. The Armor Defendants' Motion for a New Trial8

In the alternative, Armor moves for a new trial pursuant to Federal Rule of Civil Procedure 59(a)(A).

A. Legal Standard

A district court may grant a new trial under Federal Rule of Civil Procedure 59 when the "court is `convinced that the jury has reached a seriously erroneous result or that the verdict is a miscarriage of justice.'" Kogut v. Cty. of Nassau, Nos. 06-CV-6695, 06-CV-6720, 2013 WL 3820826, at *2 (E.D.N.Y. July 22, 2013) (quoting Tesser v. Bd. of Educ. of City Sch. Dist. of City of N.Y., 190 F.Supp.2d 430, 440 (E.D.N.Y. 2002)). On a Rule 59 motion, the district court is permitted to "weigh the evidence" and, unlike a motion under Rule 50, "need not view the evidence in the light most favorable to the verdict winner." Raedle v. Credit Agricole Indosuez, 670 F.3d 411, 418 (2d Cir. 2012). Courts in this Circuit have characterized the Rule 59(a) standard as "`less stringent' " than the standard for granting judgment as a matter of law under Rule 50, because, among other reasons, the district court may grant a new trial "`even if there is substantial evidence supporting the jury's verdict.'" Tatum v. Jackson, 668 F.Supp.2d 584, 598 (S.D.N.Y. 2009) (quoting Manley v. AmBase Corp., 337 F.3d 237, 244 (2d Cir. 2003)).

B. Analysis

1. Compensatory Damages Award

Because the jury found for Plaintiff on the negligence and Section 1983 claim, they completed question number six ("Question 6") on the Verdict Sheet. (See Verdict Sheet at 6-7.) Under Question 6(A), pertaining to negligence, the jury was directed to "state the amount of damages awarded . . . for Decedent's Pain and Suffering," and the jury wrote $370,000.00. (Verdict Sheet at 6.) Under Question 6(D), the jury apportioned the fault as follows: 25% to the County of Nassau, 55% to Armor, and 20% to Ryan.9 (Verdict Sheet at 7.) Under Question 6(E), pertaining to the Section 1983 claim, the jury was instructed to "state the amount of damages awarded" and cautioned that "[i]f you awarded damages for Decedent's pain and suffering in Question 6(A), you may only award that amount once." (Verdict Sheet at 7 (emphasis in original).) The jury wrote $520,000 in response to that question. (Verdict Sheet at 7.)

*10 The Armor Defendants argue that the verdict was seriously erroneous because the jury's compensatory damages awards for pain and suffering are duplicative. (Armor Br. at 18-22.) Specifically, they argue that because the two causes of action-negligence and Section 1983— arose from the same facts and sought identical relief, the compensatory damages awards constitute a double recovery. (Armor Br. at 18.) They claim that the only explanation for the verdict is that the jury did not follow the Court's instructions on the Verdict Sheet, and as a result, they are entitled to a new trial. (Armor Br. at 19.) Alternatively, they argue that if the Court allows the $890,000 aggregate award to stand, the award must be reduced as it is "clearly excessive." (Armor Br. at 20.) For support, they point to several cases in which "the interval between injury and death [was] relatively short" and argue that those cases, which resulted in damages awards between $300,000 and $500,000, indicate that an award of $890,000 is outside the permissible range. (Armor Br. at 20-21.)

Plaintiff argues that the two pain and suffering awards are not duplicative because the jury found that Ryan suffered two distinct injuries.10 (Pl.'s Opp. at 22-2r.) Specifically, Plaintiff contends that there were two types of pain and suffering—the pain and suffering associated with withdrawal and the pain and suffering Ryan experienced during the hanging. (Pl.'s Opp. at 23.) Plaintiff points out that the jury was warned in both the Verdict Sheet and the Court's instructions that compensatory damages should not be awarded "`more than once for the same injury'." (Pl.'s Opp. at 22 (quoting Trial Tr. 1183:2-4).) Thus, in Plaintiff's view, the jury awarded one amount as damages for the pain and suffering from the withdrawal and a different amount as damages for the pain and suffering resulting from the hanging. Plaintiff avers that the idea of separate injuries was discussed in her closing statement because "Plaintiff's counsel bifurcated the pain and suffering from drug withdrawal from the pain and suffering of death by hanging." (Pl.'s Opp. at 24.) In response to the Armor Defendants' argument that the compensatory damages, if allowed to stand, must be reduced, Plaintiff contends that the aggregate amount of $890,000 is not excessive in light of the fact that it compensated Plaintiff for two distinct injuries. (Pl.'s Opp. at 25-26.) She also claims that the cases cited by the Armor Defendants do not support reducing the compensatory damages award. (Pl.'s Opp. at 25-27.)

On reply, the Armor Defendants argue that while Plaintiff maintains that the pain and suffering awards are for different injuries, "[she] fails to explain how they are different and why [s]he attributes particular pain and suffering to one claim and other pain and suffering to another." (Armor Reply at 5.) Further, they claim that "Plaintiff never . . . presented the jury with any basis to differentiate between components of Ryan's pain and suffering," and in the closing argument, requested one amount for Ryan's pain and suffering. (Armor Reply at 5.) Finally, the Armor Defendants argue that there is no support in the record for Plaintiff's contention that the jury awarded damages for the six-hour period that Ryan allegedly experienced withdrawal, because "there was absolutely no discussion of the symptoms that Ryan actually experienced or the time frame for the onset of these symptoms or how they purportedly progressed." (Armor Reply at 8.)

It is well-established that when awarding compensatory damages, "an injury can be compensated only once"; in other words, "[i]f two causes of action provide a legal theory for compensating one injury, only one recovery may be obtained." Bender v. City of N.Y., 78 F.3d 787, 793 (2d Cir. 1996); see also Conway v. Icahn & Co., Inc., 16 F.3d 504, 511 (2d Cir. 1994) ("Where a plaintiff seeks recovery for the same damages under different legal theories, only a single recovery is allowed."). Moreover, additional damages may be awarded only when "the second cause of action entitles the plaintiff to recover for an injury separate from the injury compensated by the award for the first cause of action, or at least for an additional component of injury not covered by the first cause of action." Bender, 78 F.3d at 793. When the district court must determine whether damages awards are duplicative, "[t]here is a presumption that a jury's award is valid," and if there is a possibility that the awards are not duplicative, the court may sustain the jury's verdict. E.J. Brooks Co. v. Cambridge Sec. Seals, No. 12-CV-2937, 2015 WL 9704079, at *11 (S.D.N.Y. Dec. 23, 2015) (internal quotation marks and citation omitted) (alteration in original). The defendant cannot overcome that presumption by simply alleging that the jury "allocated the damages under two different causes of action." Gentile v. Cty. of Suffolk, 926 F.2d 142, 154 (2d Cir. 1991) (discussing the allocation of damages between claims under federal and state law).

*11 The Court concludes that, because the awards are likely duplicative, a new trial is necessary.

First, both the negligence and the Section 1983 claim arose from the same facts and there is no indication that Plaintiff was seeking damages for separate injuries. On the contrary, Plaintiff sought damages only for Ryan's pain and suffering. (See, e.g., Trial Tr. 1060:3-8 (agreeing that Plaintiff was not seeking pecuniary damages); Trial Tr. (Manion) 573:8-578:7; Am. Compl. at 24 (praying for a judgment "[a]warding compensatory damages to Plaintiff for past and future damages, including but not limited to pain and suffering and permanent personal injuries sustained by deceased plaintiff")). The jury was presented with the same evidence on both theories and was asked to determine, as to Dr. Manetti and Armor, whether the conduct at issue arose to the level of a constitutional violation, and/or constituted negligence. In other words, the two theories were alternate theories of liability, and when a plaintiff pursues alternate theories, "only a single recovery is allowed." Conway, 16 F.3d at 511.11

Second, there is no support in the record for Plaintiff's argument that the awards were compensation for distinct injuries. As an initial matter, Plaintiff fails to explain which injury is attributable to which legal theory. Additionally, there was no evidence presented at trial regarding the nature of Ryan's alleged pain and suffering due to withdrawal. There was no testimony regarding when symptoms began and what Ryan purportedly experienced before his death. Dr. Cohen testified that he believed that Ryan was in active withdrawal when he saw Dr. Manetti, but there was no testimony from any witnesses who encountered Ryan at NCCC that he was in any pain, distress, or discomfort. (See, e.g., Trial Tr. (Brown) 448:21-449:7; Trial Tr. (Killeen) 533:12-534:4; Trial Tr. (Vogt) 486:18-487:6.)

As Armor points out, in the summation, Plaintiff asked for one sum to compensate her for Ryan's pain and suffering and did not urge the jury to award different amounts under each theory. (See Trial Tr. 1111:11-17 ("And I submit to you the pain and suffering Bart Ryan endured during those six hours in his cell and for that minute and a half to two minutes when he hung himself, fair and reasonable compensation is $3 million for that pain and suffering, the pain and suffering that caused someone to want to end their own life.")). Plaintiff's assertion that she "bifurcated" the pain and suffering—based solely on one sentence in the summation—cannot support the dual pain and suffering awards. (See Trial Tr. 1109:12-16 ("Now, but not only does Bart Ryan—is that pain and suffering but it's pain and suffering that Bart experienced leading to the decision to end the suffering by thinking that the only way out is for me to commit suicide.")).

*12 Third, there is no indication that the jury intended to award one sum but divided that sum equally between the two causes of action. See Gentile, 926 F.2d at 154 (affirming denial of post-trial motion when jury awarded $75,000 in damages on state law claim and $75,000 in damages on federal claim because it was "conceivable that the jury found that each plaintiff suffered $150,000 worth of discrete, unduplicated injuries . . . and merely split the total amount equally between the state and federal causes of action" based in part on polling of jury after verdict); Bender, 78 F.3d at 794 (ordering a new trial or remittitur, in part because there was no indication that "the jury intended to award the aggregate sum"). Here, the two awards total $890,000. If the jury intended to award $890,000 and divided the award between the two claims, presumably they would have awarded $445,000 for the negligence claim and $445,000 for the Section 1983 claim. In light of this ambiguity, and the lack of clarity regarding the jury's intent, the Court will not assume that they intended to award the aggregate amount of $890,000.

Because the Armor Defendants sought a new trial in the alternative, the Court conditionally finds that, if its determination on the Rule 50 motion is reversed, a new trial is warranted. See FED. R. CIV. P. 50(c). The parties have not provided a reasonable explanation for the two awards, and the Court struggles to formulate one. Additionally, regardless of the outcome of any future appeal, the Court exercises its discretion and orders a new trial on the negligence claim only. Because the Court granted the Armor Defendants judgment as a matter of law on the Section 1983 claim, only the $370,000 award for negligence against the County and the Armor Defendants remains. However, as discussed, it is unclear how or if the jury allocated damages for pain and suffering between the two causes of action or if they intended to award the aggregate amount. For these reasons, the Court cannot allow the $370,000 award to stand, and the award is hereby VACATED.

2. Punitive Damages Award

Having found that a new trial is necessary due to the duplicative pain and suffering awards, the Court will briefly address the remaining ground for a new trial.

The Armor Defendants argue that if the Court finds that the evidence supports an award of punitive damages, the Court should reduce the award because the $7,000,000 punitive damages award "clearly shocks the conscience." (Armor Br. at 22.) Based on a collection of cases from this Circuit and others, the Armor Defendants contend that a punitive damages award of, at most, between $100,000 and $200,000 would be appropriate in this case. (Armor Br. at 24.)

Plaintiff responds that the Court should not disturb the jury's punitive damages award because the award does not run afoul of due process and the conduct constituted "a callous prioritizing of self-interest and profit over the responsibility to others for whom Armor was charged." (Pl.'s Opp. at 26-27.) She also distinguishes the cases cited by the Armor Defendants and reasons that cases involving conduct resulting in death are the appropriate metric to determine whether the punitive damages award is reasonable. (Pl.'s Opp. at 27.)

As discussed, the undersigned does not believe that an award of punitive damages is warranted in this case. Assuming that the Court of Appeals disagrees with that conclusion, the Court conditionally rules that, based on the excessiveness of the punitive damages award, a new trial is necessary. The award "is so high as to shock the judicial conscience and constitute a denial of justice." DiSorbo v. Hoy, 343 F.3d 172, 186 (2d Cir. 2003) (internal quotation marks and citation omitted). Moreover, it is clearly excessive under the criteria identified by the Supreme Court in BMW of North America v. Gore, 517 U.S. 559, 574-75, 116 S.Ct. 1589, 134 L.Ed. 2d 809 (1996). In Gore, the Supreme Court discussed "three guideposts for determining whether a punitive damages award is excessive: (1) the degree of reprehensibility; (2) the disparity between the harm or potential harm and the punitive damages award; and (3) the difference between the remedy and the civil penalties authorized or imposed in comparable cases." DiSorbo, 343 F.3d at 186 (citing Gore, 517 U.S. at 574-75, 116 S.Ct. 1589, 1598-99, 134 L.Ed. 2d 809) (internal quotation marks omitted); see also Payne v. Jones, 711 F.3d 85, 101 (2d Cir. 2013). As to the first factor, there is no evidence of the aggravating circumstances that could support a substantial punitive damages award, including evidence that the behavior was violent or "presented a threat of violence," that "defendant acted with malice as opposed to mere negligence" or that "defendant . . . engaged in repeated instances of misconduct." DiSorbo, 343 F.3d at 186. Under the second factor, "[c]ourts often consider the ratio of the punitive damages award to the compensatory award, and consider whether that ratio is reasonable in the circumstances of the case." Payne, 711 F.3d at 102. However, the Supreme Court and the Second Circuit have declined to issue any "bright-line test, as the propriety of the ratio can vary enormously with the particular facts of the case." Id. In light of the facts of this case, the Court finds the disparity between the compensatory damages award and the punitive damages award (based on the aggregate amount of $890,000 in compensatory damages) to be concerning. Finally, turning to the third factor, the punitive damages award exceeds awards in cases involving intentional and violent conduct. See Mathie v. Fries, 121 F.3d 808, 817 (reducing $500,000 punitive damages award to $200,000 in case involving a sexual assault of inmate by sergeant); King v. Verdone, No. 97-CV-1487, 1999 WL 33432177, at *4-5 (D. Conn. Sept. 30, 1999) (reducing $2,000,000 punitive damages award to $300,000 in excessive force case in which defendants acted violently and "with intentional malice"). The Court recognizes that the conduct at issue in Mathie and King likely resulted in physical and psychological injuries, and not death, but even cases where deliberate indifference led to the death of an inmate have resulted in substantially lower punitive damages awards. See Morris v. Bland, 666 Fed.Appx. 233, 237, 240-41 (4th Cir. 2016) (declining to reduce $2,450,000 punitive damages award in case where inmate was denied medical care and died). Therefore, the punitive damages award is excessive, and assuming that one was warranted on these facts, a new trial is necessary.

CONCLUSION

*13 For the foregoing reasons, the Armor Defendants' motion for judgment as a matter of law, or in the alternative, for a new trial (Docket Entry 115) is GRANTED. The Court GRANTS the Armor Defendants judgment as a matter of law on the Section 1983 deliberate indifference claim and VACATES the jury's compensatory damages award of $520,000 and punitive damages award of $7,000,000 on that claim. Additionally, the Court finds that a new trial is required on the negligence claim and VACATES the jury's award of $370,000 in compensatory damages for negligence. The parties will be contacted regarding the scheduling of a new trial.

SO ORDERED.

2018 WL 1633819 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Wayne STEWART, Plaintiff, v. CITY OF NEW YORK, et al., Defendants. 15-CV-4335 (RA) Signed 03/31/2018

Attorneys and Law Firms

Mishael Minnie Pine, Mishael M. Pine, Attorney at Law, New Windosr, NY, for Plaintiff.

Alejandra Rosa Gil, Brendan James Alt, Doreen Dufficy, Heidell, Pittoni, Murphy & Bach, LLP, Daryl Paxson, Lord Day Lord, White Plains, NY, Laura Anne DelVecchioo, Heidell, Pittoni, Murphy & Bach, LLP, New York, NY, for Defendants.

OPINION & ORDER

Ronnie Abrams, United States District Judge

*1 Plaintiff Wayne Stewart, a paraplegic pretrial detainee at Rikers Island Correctional Center, brings this action against the City of New York, various individuals (Tanisha Bowen, Raul Ramos, Elizabeth Parboo, Zachary Rosner, Nina Edwards, Zulfiquar Bhuiyan, and two "John Does," collectively, the "Individual Defendants"), and a private corporation (Corizon Health, Inc.). Individual Defendants and Corizon were responsible for providing medical care to or arranging medical accommodations for Rikers detainees during the relevant time period. Stewart claims that the City, Individual Defendants, and Corizon all violated his right to constitutionally adequate medical care under 42 U.S.C. § 1983, and that the City also refused to adequately accommodate his disability under Title II of the Americans with Disabilities Act and § 504 of the Rehabilitation Act of 1973. Plaintiff asserts various other state-law claims, including negligent hiring, training, and retention, conversion, negligent infliction of emotional distress, and general negligence. Defendants now move to dismiss the case under Fed. R. Civ. P. 12(b)(6). For the following reasons, that motion is granted with prejudice as to Plaintiff's § 1983 claims and without prejudice as to his ADA and Rehabilitation Act claims. The Court declines to exercise jurisdiction over Plaintiff's state-law claims and thus dismisses them without prejudice.

BACKGROUND

The following facts are drawn from the Second Amended Complaint (the "Complaint") and its accompanying exhibits. Compl. (Dkt. 73, 73-1, 73-2); Decl. (Dkt. 62). These facts are assumed to be true for the purposes of resolving Defendants' motion to dismiss. See Stadnick v. Vivint Solar, Inc., 861 F.3d 31, 35 (2d Cir. 2017).

I. Factual Background

In 2001 and 2002, as a result of a series of gunshot wounds, Stewart injured his wrists and became paraplegic. Compl. ¶¶ 14, 50. Over time, Plaintiff's immobility has caused him to suffer from chronic decubitus ulcers, also known as pressure ulcers or bedsores, which are prone to infection. At some point (and prior to his detention at Rikers), Stewart's right leg had to be amputated "due to an infection in his ulcers that went to the bone." Id. ¶¶ 285, 389. In 2009, the Mount Sinai Rehabilitation Center recommended that he begin using a motorized wheelchair due to his "severe upper extremity pain [and] imbalance," with the goal of "encouraging wound healing and good skin integrity." Id. ¶ 51. Stewart used the motorized wheelchair until 2014, when he was arrested and the wheelchair was confiscated.

After his arrest, Stewart was admitted to Bellevue Hospital Center for treatment of (and surgery on) his ulcers. Id. ¶ 246. The doctors at Bellevue gave Plaintiff a treatment plan for his ulcers that "included the use of the motorized wheelchair; the need for a Hill-Rom rental Clinitron Rite Hite Fluidized air bed with trapeze; and wound care dressing changes, which included instructions for properly cleaning and dressing" the ulcers every three days. Id. ¶¶ 59-60. According to Stewart, Defendants failed to comply with each one of those three requests as described below.

*2 First, when Plaintiff was discharged from Bellevue, he was deprived access to a motorized wheelchair. Instead, he was provided with a manual wheelchair that lacked a safety belt, had "unstable" arm rests, and had "unsteady" front wheels that "caught in the grooves on the floor." Id. ¶¶ 72, 125. After he complained about the wheelchair in 2015, he received a new manual wheelchair that was also purportedly "defective." Id. ¶¶ 234-36. "Stewart . . . use[d] his weak upper body and injured wrists to maneuver the wheelchair from one place to the next." Id. ¶ 73. Defendants refused to provide Stewart with a motorized wheelchair or an Inmate Mobility Assistant to assist him getting around, which has allegedly "subject[ed] Mr. Stewart to harm as he manually wheels himself from place to place." Id. ¶ 402.

Second, Stewart was not provided with the Clinitron bed or a trapeze to "assist [him] in sitting up in the bed and repositioning himself . . . to avoid additional pressure sores" when he returned to Rikers. Id. ¶¶ 167, 171. Instead, he was transferred "to a bed that had a mattress bigger than the bed frame, no trapeze, and no side rails to prevent him from falling out of the bed." Id. ¶ 171. According to Stewart, the absence of a Clinitron bed and trapeze "made it difficult for [him] to heal his ulcers," and additional bedsores formed. Id. ¶¶ 177-79. As a result, he was readmitted to Bellevue Hospital a few weeks after his initial discharge. Plaintiff alleges that he was "frequently admitted to Bellevue for follow-up care" for his ulcers, as well as for other issues such as urinary tract infections. Id. ¶¶ 182, 277, 280, 290.

Stewart further alleges that, as a consequence of the "defective" manual wheelchair and the non-Clinitron bed, he has "suffered multiple injuries from several falls from the wheelchair and the bed." Id. ¶ 211. For example, he alleges several instances where he fell from his bed or wheelchair, including one time where he fell "as [he] wheeled himself to the law library" and was going down a ramp. Id. ¶ 231. Injuries from his various falls allegedly included "injuries to his back and left knee," id. ¶¶ 223, 227, to "the left side of his head and left foot," id. ¶ 232, and to his ankle, id. ¶ 237. In February or March 2015, after repeated complaints, Stewart finally received a bed with a trapeze. Id. ¶ 186. He also appears to have been provided with bed side rails at some point in 2015. Id. ¶ 242 ("Mr. Stewart remained in a bed without side rails from August 2014 thr[ough] early to mid-2015.").

Third, Plaintiff asserts that Defendants failed to comply with the Bellevue doctors' instructions regarding his wound care. Bellevue had specified a "meticulous wound care" plan for his chronic ulcers. Id. ¶ 250. According to Stewart, Defendants did not follow these instructions. "When Defendants John Doe #1 and John Doe #2 performed the dressing change on Mr. Stewart," it was generally a "basic" "wet-to-dry dressing instead of the three step process ordered by the Bellevue specialist." Id. ¶¶ 256, 344. Stewart purportedly submitted several grievances claiming that the John Does "either would not comply" with the Bellevue plan "or refused to change his dressings period." Id. ¶ 261. The John Does allegedly "disagreed on the care needed for Mr. Stewart." Id. ¶¶ 270-73. During one of Stewart's frequent stays at Bellevue, he asked the wound care specialist to show him how to change his own dressings because he was afraid of infection. He changed his own dressings from March 2015 to May 2016, and his ulcers improved as a result. Id. ¶¶ 286-88.

Plaintiff also identifies a few other ways in which Defendants purportedly failed to provide him adequate medical care. He alleges that his ulcers and frequent falls caused him "extreme chronic pain" in his lower back and extremities. Id. ¶ 289. He admits that he received Tylenol, and then Tylenol with Codeine, for his pain, but he alleges that these prescriptions were "not strong enough." Id. ¶¶ 295-96. Plaintiff asked Defendant Ramos (a doctor who often treated Stewart at Rikers) for stronger medication, but his requests were denied. Id. ¶ 307. On November 24, 2014, a few months after his arrest, a different doctor prescribed him MS Contin which "consistently managed" his pain from that point on. Id. ¶ 310.

*3 Stewart also alleges that, during medical treatment at Rikers, Ramos, Defendant Bowen (a nurse at Rikers), and others failed to keep his body steady and thus caused him to fall. During one of those incidents, he alleges that he broke his leg as a result of the fall. Id. ¶¶ 217-19. He further alleges that he was incorrectly prescribed diabetes medication which caused him to have an "adverse result" once, id. ¶ 318, and that when he had a fever one day in December 2014, prison medical staff failed to correctly diagnose that he had a urinary-tract infection for which he was later treated at Bellevue, id. ¶¶ 331-33. Stewart also alleges other delays in treatment and care, which he asserts caused him to develop additional bed sores. Id. ¶¶ 301-02. Throughout his detention at Rikers, Stewart has repeatedly complained (often to Individual Defendants) about his treatment and the lack of appropriate medical equipment. See, e.g., id. ¶¶ 93-94, 103, 118, 127, 187, 193, 203.

II. Procedural History

Plaintiff, proceeding pro se, filed his original complaint on May 29, 2015, and an amended complaint on January 25, 2016. Stewart asked the Court to request pro bono counsel on his behalf, and that request was granted. Before pro bono counsel appeared, Defendants filed a motion to dismiss. See Dkt. 27. The Court thereafter granted Plaintiff, proceeding through his pro bono counsel, leave to amend his complaint again. The Second Amended Complaint, as filed, is over 75 pages long with more than 450 paragraphs asserting nine causes of action. Defendants now move to dismiss that complaint. See Dkt. 77. Stewart responded in opposition through counsel, and Defendants replied. See Dkts. 87, 90.

LEGAL STANDARD

"To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to `state a claim to relief that is plausible on its face.'" Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). "A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Id. (quoting Twombly, 550 U.S. at 556). Although the Court must accept as true all non-conclusory factual allegations and draw all reasonable inferences in Plaintiff's favor, Goldstein v. Pataki, 516 F.3d 50, 56 (2d Cir. 2008), it need not credit "[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements," Iqbal, 556 U.S. at 678 (citing Twombly, 550 U.S. at 555). "A pleading that offers `labels and conclusions' or `a formulaic recitation of the elements of a cause of action will not do.'" Id. (quoting Twombly, 550 U.S. at 555).

DISCUSSION

I. Claims under the ADA and Rehabilitation Act

Stewart asserts his claims under Title II of the ADA and § 504 of the Rehabilitation Act against only the City. He argues that the "City discriminated against [him] on the basis of his disability by denying him reasonable accommodations for his disability" and "by supplying him with a defective replacement wheelchair and defective bed." Compl. ¶¶ 379-80. Specifically, Stewart asserts that the City should have responded to his numerous grievances about his manual wheelchair and requests for his motorized wheelchair by returning the motorized wheelchair to him or, at the very least, by providing him with an "Inmate Mobility Assistant" to help him move around the facility. See id. ¶¶ 384-88, 402.

Title II of the ADA provides that "no qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity." 42 U.S.C. § 12132. Similarly, § 504 of the Rehabilitation Act "prohibits programs and activities receiving federal financial assistance from excluding, denying benefits to, or discriminating against `otherwise qualified' disabled individuals." McElwee v. Cty. of Orange, 700 F.3d 635, 640 (2d Cir. 2012) (quoting 29 U.S.C. § 794(a)). These standards are "generally the same," and any fine distinctions between them are not implicated in this case. See Wright v. N.Y. State Dep't of Corr., 831 F.3d 64, 72 (2d Cir. 2016). Thus, this Court will "treat claims under the two statutes identically." Id. (citation omitted). To state a claim under either statute, Plaintiff must allege that "(1) he is a qualified individual with a disability; (2) the defendant is subject to one of the [statutes]; and (3) he was denied the opportunity to participate in or benefit from the defendant's services, programs, or activities, or was otherwise discriminated against by the defendant because of his disability." Disabled in Action v. Bd. of Elections in N.Y.C., 752 F.3d 189, 196-97 (2d Cir. 2014) (citation and footnote omitted).

*4 The City argues that Plaintiff has failed to plead the third of these requirements. Ds' Mem. at 11 (Dkt. 79). To survive the City's motion to dismiss on a "failure to make a reasonable accommodation" theory, as Plaintiff attempts to do here, Stewart must plausibly allege that the City has "as a practical matter" denied him "meaningful access" to services, programs, or activities to which he is "legally entitled." Wright, 831 F.3d at 72. "The hallmark of a reasonable accommodation is effectiveness." Id. (citation omitted).

In the Complaint, Plaintiff admits that he was able to use the manual wheelchair to travel around the facility, albeit with some difficulty. Compl. ¶¶ 73, 402. And he does not allege a single activity, program, or opportunity that he could not attend or get to at Rikers because he did not have a motorized wheelchair or Inmate Mobility Assistant. Thus, even accepting Plaintiff's non-conclusory factual allegations as true and drawing reasonable inferences in his favor, he has not plausibly alleged that the accommodation that Rikers provided to him—i.e., the manual wheelchair and its subsequent replacements —deprived him of meaningful, effective access to, or otherwise "excluded [him] from," any service, program, or activity at Rikers. See Ramrattan v. Fischer, No. 13-CV-6890 (KPF), 2015 WL 3604242, at *5 (S.D.N.Y. June 9, 2015); see also Atkins v. Cty. of Orange, 251 F.Supp.2d 1225, 1232-33 (S.D.N.Y. 2003). Plaintiff has further failed to allege "any discriminatory animus, or that he was excluded from any public service because of ill will against his disability." Ramrattan, 2015 WL 3604242, at *5. Accordingly, his ADA and Rehabilitation Act claims must be dismissed. See id.

In Plaintiff's opposition papers, he argues for the first time that the City's accommodation of his disability is "so inadequate that it deters [him] from attempting to access" the services at Rikers. See P's Mem. Opp. at 5 (Dkt. 87) (quoting Wright, 831 F.3d at 73). Normally, difficulty or inconvenience is not "tantamount to stating a claim of exclusion or discrimination." Burgess v. Goord, No. 98-CV-2077 (SAS), 1999 WL 33458, at *7 (S.D.N.Y. Jan. 26, 1999); see also Carrasquillo v. City of New York, 324 F.Supp.2d 428, 443 (S.D.N.Y. 2004). In certain circumstances, however, an accommodation that discourages a disabled detainee from attempting to access services can amount to a deprivation of meaningful access to those services and, consequently, to a violation of the ADA or Rehabilitation Act. In Wright v. New York State Department of Corrections, for example, the Circuit held that the plaintiff—an inmate at a facility managed by the New York State Department of Corrections and Community Supervision ("DOCCS")—created a triable issue of fact as to whether he was deprived meaningful access to prison services for two reasons. 831 F.3d at 73. First, the Circuit noted evidence that the disabled plaintiff in that case had been unable to "move freely throughout the DOCCS facility," and, second, it held that this immobility "discourage[d] his participation in prison activities." Id. The Circuit came to these conclusions by considering the plaintiff's testimony that he had been "at times, unable to visit the law library" and had "missed multiple morning sick calls, doctor appointments, and meals." Id. The plaintiff also testified that a number of jobs that he hoped to perform were "unavailable to him," but that he would be able to do them if he were provided a motorized wheelchair. Id. at 70, 73. He further attested that he chose to "avoid[ ] recreational time in the prison yard" because he feared that his inability to maneuver on his own would mean that he could not escape if a fight broke out. Id.

*5 Here, Stewart does not allege in his Complaint even a single instance where he was deterred from taking advantage of any prison activity due to being in the manual wheelchair. He alleges that using the wheelchair causes him "harm" in some unidentified way, but nonetheless admits that he is able to use it to wheel himself around the facility. See Compl. ¶ 402. Similarly, although Stewart does identify one instance where he fell on a ramp on his way to the law library, he does not allege that he was unable to reach to the library, or that the incident deterred him from attempting to go to the library at any later point. Id. ¶ 231. Unlike the plaintiff in Wright, Stewart does not allege—in his Complaint at least —that operating the manual wheelchair is so painful or difficult that it has discouraged him from attending any prison activity or taking advantage of any other services or programs. See 831 F.3d at 73.

In Stewart's opposition papers, he articulates his deterrence theory in slightly more detail. See P's Mem. Opp. at 5, 6. But any facts alleged there may not be considered on a motion to dismiss. See Ramrattan, 2015 WL 3604242, at *3. Moreover, even Plaintiff's opposition papers fail to identify a particular activity or program at Rikers that Stewart was deterred from attending. Given Plaintiff's admitted ability "to maneuver the wheelchair from one place to the next," as well as his failure to allege any particular activity or service to which he was deprived meaningful access because of the City's failure to provide him with a motorized wheelchair (or Inmate Mobility Assistant), he has not stated a claim for discrimination under the ADA and Rehabilitation Act. Compl. ¶¶ 73, 402.

Stewart certainly would be more comfortable in a motorized wheelchair, and the manual wheelchairs provided to him were far from an ideal accommodation. The ADA and Rehabilitation Act, however, "do not require `optimal' accommodations"—they require only reasonable ones that give plaintiff's like Stewart effective and meaningful access to programs and activities. See Brooklyn Ctr. for Independence of Disabled v. Bloomberg, 980 F.Supp.2d 588, 641 (S.D.N.Y. 2013) (citation omitted). Plaintiff has failed to allege that the manual wheelchair deprived him of that access. His claims under the ADA and Rehabilitation Act thus must be dismissed. They are dismissed without prejudice, however, because Plaintiff's motion papers suggest that he may have grounds to assert that he was deterred from attending certain prison activities in violation of the statutes. Given this Court's mandate to "freely give leave" to amend "when justice so requires," Fed. R. Civ. R 15(a)(2), the Court dismisses these claims without prejudice and grants Plaintiff leave to amend to remedy the defects identified in this section, to the extent he can make such amendments in good faith.

II. Deliberate-Indifference Claims

Plaintiff's remaining federal claims seek relief under 42 U.S.C. § 1983, alleging that Individual Defendants, Corizon, and the City have violated his constitutional rights. "The Eighth Amendment forbids deliberate indifference to serious medical needs of prisoners." Spavone v. N.Y. State Dep't of Corr. Servs., 719 F.3d 127, 138 (2d Cir. 2013) (quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). For pretrial detainees like Stewart, this right arises under "the Due Process Clause of the Fourteenth Amendment, rather than the Cruel and Unusual Punishments Clause of the Eight Amendment." Darnell v. Pineiro, 849 F.3d 17, 29 (2d Cir. 2017).1

A. Claims against Individual Defendants

*6 According to Stewart, the Individual Defendants— which include nurses, medical staff, and accommodations organizers at or working with Rikers—violated his constitutional rights by failing to provide him with adequate medical care. "To state a claim for deliberate indifference to serious medical needs against an individual defendant under § 1983, a pretrial detainee must satisfy a two-pronged test: first, the alleged deprivation of adequate medical care must be sufficiently serious"; and "[s]econd, the defendant must act with a sufficiently culpable state of mind." Sankara v. City of New York, No. 15-CV-6928 (VSB), 2018 WL 1033236, at *4 (S.D.N.Y. Feb. 22, 2018) (internal citations omitted); see also Salahuddin v. Goord, 467 F.3d 263, 279-80 (2d Cir. 2006). Under the first prong, the deprivation of medical care is sufficiently serious if a medical condition is one "of urgency . . . that may produce death, degeneration, or extreme pain[.]" Lewis v. Cavanugh, 685 Fed.Appx. 12, 13 (2d Cir. 2017) (summary order) (quoting Hathaway v. Coughlin, 99 F.3d 550, 553 (2d Cir. 1996)). Under the second prong in the Fourteenth-Amendment context, Plaintiff must allege that each Individual Defendant "acted intentionally to impose the alleged condition, or recklessly failed to act with reasonable care to mitigate the risk that the condition posed to the pretrial detainee even though the defendant-official knew, or should have known, that the condition posed an excessive risk to health or safety." Darnell, 849 F.3d at 35.

The Individual Defendants' alleged failings fall roughly into two categories. The first category of alleged violations involves Individual Defendants' allegedly negligent care while they were providing medical treatment to Stewart. These purported violations include several instances where Individual Defendants allegedly failed to stabilize Stewart's body during treatment and caused him to fall and injure himself, as well as Stewart's claim that he was erroneously prescribed diabetes medicine that caused him to have an adverse reaction.

Plaintiff cannot state a deliberate-indifference claim based on these allegations for several reasons. As to the diabetes prescription, the Complaint fails to identify how any particular Individual Defendant was involved at all, requiring dismissal of that claim. See Colon v. Coughlin, 58 F.3d 865, 873 (2d Cir. 1995) ("It is well settled in this Circuit that `personal involvement of defendants in alleged constitutional deprivations is a prerequisite to an award of damages under § 1983.'" (citation omitted)). Moreover, neither the diabetes prescription nor the Individual Defendants' failure to stabilize Plaintiff's body during treatment constitute deprivations of care for objectively serious medical needs. Rather, they are claims for negligence that allegedly occurred during the course of Stewart's medical treatments at Rikers. Such allegations focus on the quality, rather than the deprivation, of medical care. See Estelle, 429 U.S. at 106-07; Darnell, 849 F.3d at 36. Deliberate-indifference claims are "not a vehicle for bringing medical malpractice claims, nor a substitute for state tort law, [and] not every lapse in prison medical care will rise to the level of a constitutional violation." Smith v. Carpenter, 316 F.3d 178, 184 (2d Cir. 2003). Thus, to the extent that Stewart's § 1983 claims are founded on Individual Defendants' allegedly negligent acts in the course of treating Stewart's other medical concerns, they must be dismissed.

The second category of alleged violations involve Stewart's allegations that Individual Defendants and/or other Rikers staff failed to provide him with a motorized wheelchair or Inmate Mobility Assistant; failed to give him a special "Clinitron" bed; did not regularly and properly redress his ulcers; did not promptly or sufficiently address his pain from his ulcers and other injuries; and failed to provide appropriate medical care to him when he was running a fever due to a urinary tract infection.

The Court need not decide whether Stewart's chronic ulcers, pain, and instability due to his paralysis amount to objectively serious medical conditions because, for the reasons explained below, the Complaint fails to allege that Individual Defendants "knew or should have known" that the care they provided for those conditions "posed an excessive risk" to Stewart's health or safety. Darnell, 849 F.3d at 35. Although some Individual Defendants certainly could have provided Plaintiff with better care and superior medical equipment, the care and equipment that Plaintiff did receive demonstrates that they were not deliberately indifferent to his medical needs.

*7 Plaintiff's ulcers, for example, were monitored and treated by Individual Defendants. Stewart describes in his Complaint how Individual Defendants repeatedly provided him with medical evaluations and care, how the John Does and other unidentified nurses would change his dressings (even if they did so less frequently and less competently than they should have), and how Stewart was often sent to Bellevue for additional treatment. The Complaint at no point alleges that any Individual Defendant was aware or should have been aware that Stewart's ulcers were infected and failed to do anything about that infection. Indeed, it is not clear from the Complaint when (or the extent to which) Stewart's ulcers became infected during his time at Rikers, or how serious any such infection may have become before being treated. Paragraph 440 of the Complaint appears to be the only place where Stewart alleges that the wound-care regime at Rikers caused "in some cases infection of the wounds," but in that same paragraph he admits that he was sent to Bellevue to receive treatment for his ulcers on such occasions. Although Plaintiff's ulcers likely did not heal as quickly as they would have under better conditions, the Complaint does not allege any reason that Individual Defendants should have known that such a delay in healing posed an excessive risk to Stewart's health.

As to Stewart's pain, he admits that, within a few months of arriving at Rikers, his doctors progressed from supplying him with Tylenol, to Tylenol with Codeine, to an MS Contin prescription that Stewart acknowledges manages his pain. That Ramos denied Plaintiff's earlier requests for stronger pain medication does not state a claim for deliberate indifference. See Hill v. Curcione, 657 F.3d 116, 123 (2d Cir. 2011). "Issues of medical judgment cannot be the basis of a deliberate indifference claim where [additional] evidence of deliberate indifference is lacking." Id. The decision to "treat[ ] pain with overthe-counter, as opposed to prescription, medication is a disagreement over treatment that [generally] does not rise to the level of deliberate indifference[.]" Thomas v. Westchester County, No. 12-CV-6718 (CS), 2013 WL 3357171, at *5 (S.D.N.Y. July 3, 2013) (gathering cases). Here, Stewart does not allege any facts suggesting that defendant Ramos's failure to prescribe the specific pain medication that Plaintiff requested was accompanied by a sufficiently culpable state of mind. Stewart's "fe[eling]" that Ramos denied him stronger medication because of the grievances that Stewart had filed against him, Compl. ¶ 307, does not plausibly allege that Ramos knew, or should have known, that his decision not to prescribe stronger medication would pose an excessive risk to Stewart's health or safety, "particularly in light of Plaintiff's receipt of non-prescription pain medication and ongoing medical attention." Thomas, 2013 WL 3357171, at *6.

Similarly, Plaintiff has not adequately alleged that Individual Defendants were deliberately indifferent to his need for additional safety devices on his wheelchair and bed. Although Individual Defendants may have known about some of Stewart's falls from his wheelchair and bed, Plaintiff has not alleged facts establishing that Individual Defendants should have been aware that their failure to provide him with additional safety features posed "a substantial risk of serious harm" to Stewart. See Knight v. Mun. Corp., No. 14-CV-3783 (PAE) (JCF), 2016 WL 4030632, at *6 (S.D.N.Y. July 26, 2016). In other words, the Complaint does not allege any reason why any Individual Defendant should have known that the possibility that Stewart might fall posed an "excessive risk" to his health or safety. See Darnell, 849 F.3d at 32, 35 (emphasis added). The Complaint does not, for example, allege that Individual Defendants knew of, or should have known of, any serious injuries from the falls that Stewart had allegedly experienced from his bed and wheelchair.2 To the extent that Stewart alleges serious consequences from his falls, he alleges them only for his falls from an exam table during treatments in which some Individual Defendants failed to stabilize his body—and those claims fail for the reasons explained above. See Compl. ¶¶ 292-93. Moreover, Rikers appears to have remedied the safety concerns with Stewart's bed by mid-2015 by providing a trapeze and side rails. See id. ¶¶ 186, 242. Around that same time, Rikers also provided Stewart with a replacement manual wheelchair (albeit one that was still purportedly defective). See id. ¶¶ 234-36. Although these solutions were not as speedy or effective as they might have been, they further demonstrate that Individual Defendants—to the extent that they were involved in these decisions at all—were not deliberately indifferent to Stewart's serious medical needs.

*8 Plaintiff further alleges that, when he was running a fever "one evening in December 2014"—apparently on December 16, 2014, according to Stewart's grievance about the incident, see id. ¶ 335 (incorporating Exhibit 78 (Dkt. 62-81)), although the timing is not completely clear —medical staff at Rikers took his temperature but failed to diagnose that he had an infection, merely providing him with "one Tylenol" in response to his complaints. Id. ¶¶ 331-32. By December 17, 2014, he was diagnosed with and treated for a urinary tract infection at Bellevue Hospital. Id. ¶¶ 333, 335. Plaintiff fails to identify the involvement of any Individual Defendant in this event. Colon, 58 F.3d at 873. Thus, he has not alleged that any Individual Defendant was deliberately indifferent to his need for treatment for his fever or UTI, which apparently were promptly treated regardless.

To the extent Plaintiff argues that Individual Defendants unconstitutionally delayed his access to medical care or access to better medical equipment and safety features, he has also failed to state a claim. To survive a motion to dismiss on this theory, Stewart must still plausibly allege that Individual Defendants intentionally or recklessly delayed his access to care when they knew or should have known that the delay posed an excessive risk to his health or safety. See Darnell, 849 F.3d at 35; see also Bell v. Jendell, 980 F.Supp.2d 555, 561-62 (S.D.N.Y. 2013) (gathering cases where courts dismissed plaintiffs' deliberate-indifference claims for failing to allege that a delay in care was either intentional or reckless under the mens rea prong). At no point in the Complaint here, however, does Stewart allege facts indicating that any Individual Defendant acted intentionally to delay the provision of medical treatment in a way that subjected Stewart to an excessive risk of harm, or that any Individual Defendant recklessly failed to act with reasonable care to mitigate any excessive risk posed by a subsequent delay in provision of medical treatment, Stewart received medical care at Rikers—and, on referrals from the Rikers medical staff, at Bellevue—on a regular basis. Although he allegedly did not have his dressings changed as often as prescribed, and although it apparently took the administrators months to respond to his complaints about his allegedly defective manual wheelchair and about the lack of safety features on his bed and chair, there is no indication in the Complaint that any Individual Defendant should have known that such delays posed an excessive risk to Stewart.

Plaintiff's arguments in opposition to Defendants' motion rely in large part on Martinez v. Mancusi, where the Circuit held that prison officials acted with "more than mere negligence or poor medical judgment" when they "deliberate[ly] disregard[ed]" other doctors'"explicit medical instructions," and that disregard "result[ed] in serious and obvious injuries." 443 F.2d 921, 924-25 (2d Cir. 1970). According to Stewart, this case stands for the proposition that a deliberate-indifference claim should survive a motion to dismiss so long as the plaintiff alleges that "medical staff members fail[ed] to follow the prescription of another physician." P's Mem. Opp. at 8. But the Circuit in Martinez did not create such a categorical rule. Instead, the court looked to the specific facts at hand and concluded that the allegations amounted to "gross misconduct" by the prison officials. Martinez, 443 F.2d at 924. In Martinez, the prisoner had just received surgery on his leg and was under strict orders not to stand or walk, because moving his leg could make the surgery unsuccessful. Id. at 923. Nonetheless, and without a formal discharge from the hospital, corrections officers handcuffed him and made him walk out of the hospital. Id. The patient was discharged from the prison hospital a day later and was sent back to his cell, where he had to stand for meals, move his leg, and lacked medication or accommodations of any sort. Id. His surgery "ultimately proved unsuccessful" as a result. Id. The blatant disregard of the surgeons' instructions in that case thus constituted a "reckless failure" by prison officials "to inform themselves of a prisoner's medical needs" with serious consequences. See Startz v. Cullen, 468 F.2d 560, 561-62 (2d Cir. 1972) (citing Martinez, 443 F.3d at 924).

*9 For the reasons explained above, Individual Defendants' purported failure to follow the Bellevue prescriptions of a motorized wheelchair, a Clinitron bed, and meticulous wound-care procedures fall short of the kind of gross misconduct that amounted to deliberate indifference in Martinez, and that conclusion holds even under the "objective" recklessness standard that applies under the Fourteenth Amendment. See Darnell, 849 F.3d at 35. By all accounts—including Plaintiff's own—Individual Defendants responded to Stewart's complaints at least in part, even if it took them some time to do so and their solutions were not always effective. They took various steps to alleviate his pain and discomfort, provided him with frequent medical evaluations and treatment, and regularly sent him to Bellevue for additional care. See, e.g., Compl. ¶¶ 31, 47, 179, 212-15, 220, 256, 277, 331-34, 442. Although Individual Defendants did not always follow the Bellevue doctors' instructions, the Complaint does not allege facts establishing that they were deliberately indifferent to an excessive risk to Stewart. In short, their purported failings —while not to be condoned—do not amount to violations of Stewart's Due Process rights. Accordingly, Plaintiff's deliberate-indifference claims against the Individual Defendants are all dismissed.

B. Deliberate-Indifference Claim against the City

Defendants further argue that the Complaint's § 1983 claims must be dismissed against the City. To hold a municipality liable under § 1983 for the unconstitutional acts of its employees, Plaintiff must plead and prove that the violations of his constitutional rights were caused by a policy or custom of the municipality. See Monell v. Dep't of Soc. Servs. of N.Y.C., 436 U.S. 658, 694 (1978); Byrd v. City of New York, No. 17-CV-2166 (AJP), 2018 WL 259316, at *6 (S.D.N.Y. Jan. 2, 2018). Such a claim, however, "cannot lie in the absence of an underlying constitutional violation." Byrd, 2018 WL 259316, at *13 (citation omitted); see also Segal v. City of New York, 459 F.3d 207, 219 (2d Cir. 2006). Given this Court's conclusion that Plaintiff has failed to plead sufficient facts to allege an underlying violation of his constitutional rights under the Fourteenth Amendment, Plaintiff's § 1983 claim against the City must also be dismissed.

C. Deliberate-Indifference Claim against Corizon

The Complaint also purports to assert a § 1983 claim against Corizon, which had contracted with the City to provide health services to inmates at Rikers at the time when the events underlying this case occurred. Neither Plaintiff nor Defendants address in their motion papers the theory under which Corizon could be held liable for deliberate indifference. In any event, given that Stewart has failed to state a claim against any Individual Defendant or the City for the reasons explained above, his claim against Corizon too must fail. See generally Bess v. City of New York, No. 11-CV-7604 (TPG), 2013 WL 1164919, at *2 (S.D.N.Y. Mar. 19, 2013); Bektic-Marrero v. Goldberg, 850 F.Supp.2d 418, 432 (S.D.N.Y. 2012).

D. Dismissal with Prejudice

Stewart has already been given an opportunity to amend his original complaint, Dkt. 6, as well as further opportunity to amend while represented by pro bono counsel after Defendants filed their first motion to dismiss, Dkt. 67. The Court is persuaded that any further amendment to Plaintiff's § 1983 claims would be futile, so those claims are dismissed with prejudice. See Of for v. Mercy Med. Ctr., 676 Fed.Appx. 51, 54 (2d Cir. 2017) (summary order).

III. State-Law Claims

"[W]hen the federal-law claims have dropped out of the lawsuit in its early stages and only state-law claims remain, the federal court should decline the exercise of jurisdiction by dismissing the case without prejudice." Carnegie-Mellon Univ. v. Cohill, 484 U.S. 343, 350 (1988) (footnote omitted). Plaintiff's claims under federal law have all been dismissed. Thus, his remaining state law claims are dismissed without prejudice.

CONCLUSION

For the foregoing reasons, Defendants' motion to dismiss is granted with prejudice as to Plaintiff's claims under § 1983 and without prejudice to his claims under the ADA and Rehabilitation Act. The Court further declines jurisdiction over, and dismisses without prejudice, Plaintiff's state-law claims. Plaintiff may file a third amended complaint reasserting his claims under the ADA and Rehabilitation Act. He may also reassert his state-law claims to the extent he has a good-faith basis for arguing that the Court still has subject matter jurisdiction over them. Plaintiff's third amended complaint, and a redlined copy comparing the third amended complaint to the second amended complaint, shall be filed no later than April 30, 2018.

*10 The Clerk of Court is respectfully directed terminate the motion pending at Dkt. 77.

SO ORDERED.

2018 WL 5096345 Only the Westlaw citation is currently available. This case was not selected for publication in West's Federal Reporter. RULINGS BY SUMMARY ORDER DO NOT HAVE PRECEDENTIAL EFFECT. CITATION TO A SUMMARY ORDER FILED ON OR AFTER JANUARY 1, 2007, IS PERMITTED AND IS GOVERNED BY FEDERAL RULE OF APPELLATE PROCEDURE 32.1 AND THIS COURT'S LOCAL RULE 32.1.1. WHEN CITING A SUMMARY ORDER IN A DOCUMENT FILED WITH THIS COURT, A PARTY MUST CITE EITHER THE FEDERAL APPENDIX OR AN ELECTRONIC DATABASE (WITH THE NOTATION "SUMMARY ORDER"). A PARTY CITING A SUMMARY ORDER MUST SERVE A COPY OF IT ON ANY PARTY NOT REPRESENTED BY COUNSEL. United States Court of Appeals, Second Circuit. Mario VALDIVIEZO, Plaintiff-Appellant, v. Captain BOYER, George R. Vierno Center, City of New York, Ayou, Correction Officer, George R. Vierno Center, John Doe, Emergency Medical Response, George R. Vierno Center, Jane Doe, Emergency Medical Response, George R. Vierno Center, Defendants-Appellees, George R. Vierno Center, G.R.V.C., Rikers Island, George Motchan Detention Center, G.M.D.C., Rikers Island, Defendants. 17-1093 October 18, 2018

Appeal from a judgment of the United States District Court for the Southern District of New York (Nathan, /.).

UPON DUE CONSIDERATION, IT IS HEREBY ORDERED, ADJUDGED, AND DECREED that the judgment of the district court is AFFIRMED in part and VACATED AND REMANDED in part.

Attorneys and Law Firms

FOR PLAINTIFF-APPELLANT: Mario Valdiviezo, pro se, Coxsackie, NY.

FOR DEFENDANTS-APPELLEES: Jane L. Gordon, Qian Julie Wang, Assistant Corporation Counsels, for Zachary W. Carter, Corporation Counsel of the City of New York, New York, NY.

PRESENT: ROBERT A. KATZMANN, Chief Judge, RAYMOND J. LOHIER, JR., Circuit Judge, TIMOTHY C. STANCEU, Judge.*

SUMMARY ORDER

Appellant Mario Valdiviezo, pro se, sued New York City ("the City"), two corrections officers, and two medical staff members under 42 U.S.C. § 1983 for unconstitutional conditions of confinement and deliberate indifference to his serious medical needs. The district court dismissed the complaint for failure to state a claim. We assume the parties' familiarity with the underlying facts, the procedural history of the case, and the issues on appeal.

"We review de novo a district court's dismissal of a complaint pursuant to Rule 12(b)(6), construing the complaint liberally, accepting all factual allegations in the complaint as true, and drawing all reasonable inferences in the plaintiff's favor." Chambers v. Time Warner, Inc., 282 F.3d 147, 152 (2d Cir. 2002). The complaint must plead "enough facts to state a claim to relief that is plausible on its face." Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007); see also Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). Although a court must accept as true all the factual allegations in the complaint, that requirement is "inapplicable to legal conclusions." Iqbal, 556 U.S. at 678, 129 S.Ct. 1937.

I. Municipal Liability

Municipalities, and individuals sued in their official capacity, are liable under § 1983 only if the challenged conduct was "pursuant to a municipal policy or custom," Patterson v. Cty. of Oneida, N.Y., 375 F.3d 206, 226 (2d Cir. 2004) (citing Monell v. Dep't of Soc. Serv. of the City of N.Y., 436 U.S. 658, 692-94, 98 S.Ct. 2018, 56 L.Ed.2d 611 (1978)), or caused by a "failure to train," Segal v. City of New York, 459 F.3d 207, 219 (2d Cir. 2006) (citing City of Canton v. Harris, 489 U.S. 378, 109 S.Ct. 1197, 103 L.Ed.2d 412 (1989)). To satisfy Monell's policy or custom requirement, a plaintiff must show either that the challenged practice "was so persistent or widespread as to constitute a custom or usage with the force of law," or that the "practice of subordinate employees was so manifest as to imply the constructive acquiescence of senior policy-making officials." Littlejohn v. City of New York, 795 F.3d 297, 315 (2d Cir. 2015) (internal quotation marks omitted). To establish municipal liability based on a failure to act, a plaintiff must show "that defendants knew to a moral certainty that the City would confront a given situation; the situation presented the City with a difficult choice or there was a history of its mishandling the situation; and the wrong choice by the City would frequently cause the deprivation of plaintiffs' rights." Reynolds v. Giuliani, 506 F.3d 183, 192 (2d Cir. 2007) (citing Walker v. City of New York, 974 F.2d 293, 297-98 (2d Cir. 1992)). A "general and conclusory allegation" of a municipal policy or custom fails to state a facially plausible Monell claim. Littlejohn, 795 F.3d at 315.

Valdiviezo alleged that the City failed to correct the unsanitary conditions at Rikers, despite receiving numerous grievances from multiple inmates. The constitutionality of housing conditions is assessed by both the severity and duration of the violation. Darnell v. Pineiro, 849 F.3d 17, 30 (2d Cir. 2017). Valdiviezo plausibly alleged that the unsanitary conditions of the showers at Rikers reached an unconstitutional level. A liberal reading of Valdiviezo's complaint also indicates that the City failed to adequately correct these conditions for at least eighteen months, even after it received several grievances from multiple inmates and attempted some remedy—namely inspecting, painting, and handwashing the showers. A response that is "so patently inadequate to the task [may] amount to deliberate indifference." Reynolds, 506 F.3d at 192-93. Valdivezo's allegation that City officials responded to the grievances by inspecting the showers at least suggests that the City knew "to a moral certainty," id. at 192, about the shower conditions in Valdiviezo's unit. Valdiviezo will ultimately have to provide evidence that the City's response was "patently inadequate to the task," but based on the facts alleged, it is too early for us to conclude as a matter of law that he will be unable to do so.

*2 Valdiviezo also alleged that the City failed to implement facility rules and regulations and failed to properly train and supervise its corrections officers and medical personnel. Valdiviezo did not allege facts showing that corrections officers regularly failed to implement rules and regulations or that the City failed to train corrections officers or medical personnel. Nor did he allege facts showing that there was a history of medical staff using detainees to transport patients. Therefore, these allegations were insufficient to state a § 1983 claim.

II. Individual Liability

The district court erroneously analyzed Valdiviezo's deliberate indifference to medical needs claims under the Eighth Amendment. Valdiviezo's claims should be analyzed under the Fourteenth Amendment because he was a pretrial detainee at the time of alleged incidents. See Darnell, 849 F.3d at 29 ("A pretrial detainee's claims are evaluated under the Due Process Clause because, [p]retrial detainees have not been convicted of a crime and thus may not be punished in any manner—neither cruelly and unusually nor otherwise." (internal quotation marks omitted)). A pretrial detainee must satisfy two prongs to prove a deliberate-indifference claim. First, "an `objective prong' showing that the challenged conditions were sufficiently serious to constitute objective deprivations of the right to due process." Id. at 29. Second, a subjective prong "showing that the officer acted with at least deliberate indifference to the challenged conditions." Id.

Valdiviezo asserted that his medical care was inadequate in two ways. First, he alleged that Ayou and Boyer delayed calling for medical help, which did not arrive for an hour. Second, Valdiviezo alleged that medical personnel directed detainees to carry him out of the showers, causing him to be dropped twice.

Although the district court analyzed the delay claim under the wrong amendment, its dismissal of the claim was nonetheless correct. For Fourteenth Amendment claims, this Court applies the same standard as the Eighth Amendment to determine whether an alleged action is objectively serious enough to be a constitutional violation. Cf. Darnell, 849 F.3d at 30 (applying Eighth Amendment objective standards to a Fourteenth Amendment conditions-of-confinement claim). In order to meet the objective prong for a claim of deliberate indifference to serious medical needs, the plaintiff must show that he actually did not receive adequate care and that the inadequacy in medical care was sufficiently serious. Salahuddin v. Goord, 467 F.3d 263, 280 (2d Cir. 2006). When the basis for a prisoner's claim "is a temporary delay or interruption in the provision of otherwise adequate medical treatment," this Court examines whether the delay itself created a risk of harm. Smith v. Carpenter, 316 F.3d 178, 185-86 (2d Cir. 2003). In considering whether a delay caused a risk of harm, a court may consider "[t]he absence of adverse medical effects or demonstrable physical injury." Id. at 187. Although Valdiviezo alleged that he remained in pain during the hour-long wait, he does not allege that the delay exacerbated his injuries from his initial fall. Therefore, the district court correctly dismissed Valdiviezo's claim based on a delay in his medical care.

However, the district court erred in holding that the medical staff's orders to have detainees carry Valdiviezo —causing two drops to the floor, additional pain, and loss of consciousness—did not violate the Fourteenth Amendment. "In cases where the inadequacy is in the medical treatment given," the analysis focuses on the inadequacy itself. Salahuddin, 467 F.3d at 280 (citing Smith, 316 F.3d at 185). The medical staff's decision to permit detainees, who were likely untrained, to carry a man complaining of a neck and back injury could constitute inadequate care, as it could have resulted in more serious injury. See id. ("[F]ailing to take reasonable measures in response to a medical condition can lead to liability." (internal quotation marks omitted)); Smith, 316 F.3d at 188 (a deliberate indifference claim may be based on "conduct. . . exposing an inmate to an unreasonable risk of future harm"). And Valdiviezo alleged that his injuries were exacerbated as a result of the two drops; after the first fall, he was in more pain, and he lost consciousness after the second fall.

*3 Further, the allegations are sufficient to plausibly raise an inference that the medical staff had the requisite mens rea for a Fourteenth Amendment deliberateindifference claim. Under the Fourteenth Amendment, the defendant's state of mind is evaluated objectively. Darnell, 849 F.3d at 36. A plaintiff must show "that the defendant-official acted intentionally to impose the alleged condition, or recklessly failed to act with reasonable care to mitigate the risk that the condition posed to the pretrial detainee even though the defendantofficial knew, or should have known, that the condition posed an excessive risk to health or safety." Id. at 35. Here, after Valdiviezo was dropped once, causing him to cry out in pain, the medical staff was aware that there was a risk that Valdiviezo would be dropped again. Accordingly, Valdiviezo sufficiently alleged that the two members of the medical staff acted recklessly when they ordered the detainees to pick him up again. We therefore vacate and remand with regard to this claim.

We have considered all of Valdiviezo's remaining arguments and find them to be without merit. For the foregoing reasons, the judgment of the district court is AFFIRMED with regard to the claims against the two corrections officers and all but one of the claims against the City. It is VACATED AND REMANDED with regard to the claim against the two unknown medical staff members and the claim against the City regarding the unsanitary conditions of the showers.

FootNotes


1. This action is before this Court for all purposes on the consent of the parties, pursuant to 28 U.S.C. § 636(c). (Docket No. 72).
2. At the time of the events raised in the Amended Complaint, Plaintiff was a pre-trial detainee. (Am. Compl., Docket No. 17 at 8). Therefore, his claim will be evaluated under the Fourteenth Amendment. See Davis v. McCready, 283 F.Supp.3d 108, 116 (S.D.N.Y. 2017).
3. Defendant's declaration incorrectly indicates that the video footage depicts Plaintiff's interaction with Defendant on December 14, 2014. (Docket No. 101 at ¶ 15).
4. Plaintiff appears to have written notations on several of the attached exhibits. (See, e.g., Docket No 106-1 at 5). In an abundance of caution, the Court will consider these notations as part of Plaintiff's opposition to Defendant's Motion. See Tracy v. Freshwater, 623 F.3d 90, 101 (2d Cir. 2010) ("It is well established that a court is ordinarily obligated to afford a special solicitude to pro se litigants."); McLeod v. Jewish Guild for the Blind, 864 F.3d 154, 156 (2d Cir. 2017) (affirming "well-worn precedent concerning a district court's obligation to liberally construe pro se submissions.").
5. All page number citations to the record refer to the ECF page number unless otherwise noted.
6. Page number citations to Plaintiff's deposition refer to the deposition page rather than the ECF page number.
7. Doctor Roth's records spell Bacitracin as "baciraxcin." (Def. Ex. J at 7); (Ulloa Aff. at 6).
8. Plaintiff claims that issues of fact exist as to whether the surveillance video was altered. (Pl. Br. and 56.1 Resp. at 9). However, Plaintiff fails to present any evidence challenging the accuracy of the video other than his own self-serving statements. Accordingly, where the surveillance video clearly contradicts Plaintiff's version of events, the Court credits the surveillance footage over Plaintiff's version because a reasonable juror could not credit Plaintiff's version in light of the video evidence. See, e.g., Glassberg v. Staples the Office Superstore E., Inc., No. 08-CV-2132 (KAM)(JMA), 2010 WL 3924682, at *4 (E.D.N.Y. Sept. 13, 2010), report and recommendation adopted, 2010 WL 3909206 (E.D.N.Y. Sept. 29, 2010) (noting that in ruling on a summary judgment motion, the court "is compelled to credit [surveillance footage] over the plaintiff's recollection") (citing Scott v. Harris, 550 U.S. 372, 380 (2007)).
9. Plaintiff contends that he did not receive a full dressing change on December 14, 2014, maintaining that medical personnel failed to clean the area with saline or apply topical gel. (Whittle Dep. at 45). Plaintiff's medical records, however, directly contradict this contention. (Def. Ex. J at 29-30). "[W]here undisputed medical records directly and irrefutably contradict a plaintiff's description of his injuries, no reasonable jury could credit plaintiff's account of the happening." Davis v. Klein, No. 11-CV-4868(ENV), 2013 WL 5780475, at *4 (E.D.N.Y. Oct. 25, 2013) (emphasis in original).
10. In accordance with Lebron v. Sanders, 557 F.3d 76, 79 (2d Cir. 2009) and Local Civil Rule 7.2 of the Local Rules of the United States District Courts for the Southern and Eastern Districts of New York, a copy of this case and any others cited herein, only available by electronic database, accompany this Opinion and Order and shall be simultaneously delivered to the pro se Plaintiff.
1. On May 8, 1992, plaintiff complained of low back pain to a prison doctor, who prescribed Robaxin. An AHR dated May 10, 1992 reveals that plaintiff requested the Robaxin on May 10 from a Nurse Maier.
2. An inmate at the Facility can obtain prescription drugs only after being examined by a prison physician. After the examination, the physician writes out an order for the drug which is filled by the Greenhaven pharmacy. The medication is then dispensed by nurses or guards. If the inmate refuses either the prescription or the nonprescription drug, he is not forced to take it; the prescription medicine, however, will be returned to the pharmacy. In addition, once an inmate patient refuses a prescription drug, a physician must provide another prescription before the inmate can be given the drug again. Nurses at the Facility cannot dispense prescription medication without a physician's order and cannot write a prescription. A nurse may, however, provide nonprescription medicine. (Pl.Aff. ¶¶ 6, 7; Stevens Aff. ¶¶ 4, 5).
3. On Monday, June 8, medical staff checked on the status of plaintiff's prescription and discovered that it had been sent to SHU the previous Friday.
4. Other medical staff attended to plaintiff's needs on nine separate occasions between June 8 and June 19. Plaintiff's complaints included back pain, sore throat and requests for band-aids. Plaintiff was examined by medical staff three times between June 21 and July 3.
5. Plaintiff claims that the record supports his allegation that he was never issued over-the-counter medication. The record, however, clearly shows that he was issued the medication and refused it. Plaintiff does not allege that the AHRs were falsified and, indeed, sometimes relies on their notations in an effort to bolster his claims. (See, e.g., PI.Mem. at 9, quoting AHR dated June 6, 1992). Thus, apart from plaintiff's conclusory allegations, there is no factual dispute presented by the record with respect to the issuance of the nonprescription medicine. See Flaherty v. Coughlin, 713 F.2d 10, 13 (2d Cir.1983) ("mere conclusory allegations or denials are insufficient to withstand a motion for summary judgment once the moving party has set forth a documentary case") (citing SEC v. Research Automation Corp., 585 F.2d 31, 33 (2d Cir.1978)).
6. Plaintiff's later refusal to cooperate with the physiatrist or to attend his MRI sessions caused yet another medical staff member to classify his condition as a "non-emergency." (Pl.Exh. A, AHR dated July 5, 1992).
7. Plaintiff's conclusory allegations that it was the medical staff's policy to indicate that prisoners were not in distress when they were experiencing excruciating pain is simply preposterous. Plaintiff does not offer any evidence to support such a charge. Moreover, the record is replete with notes concerning plaintiff's medical treatment, from complaints of back pain to a tender writing finger. If defendant, or any of Greenhaven's medical staff, were intent on concealing plaintiff's true medical condition, they would not have made such a detailed record of his care.
8. Plaintiff argues that because defendant admitted she was assigned to the SHU during the spring and summer of 1992, she must have seen him on May 9 and wilfully opted not to complete an AHR. Plaintiff's argument is untenable. The uncontroverted record shows that many medical staff attended to the needs of the SHU inmates. In fact, plaintiff himself was seen by numerous medical staff over a period of a few weeks. Furthermore, if defendant wanted to conceal her allegedly poor treatment of plaintiff, she would not have completed the other three AHRs.
9. Plaintiff denies making these statements to Zemkin. Whether plaintiff actually harassed Zemkin in this manner, however, is not a material fact with respect to defendant's participation in the disciplinary report that would preclude summary judgment.
10. I do not need to determine whether the disciplinary hearing with respect to the July 4, 1992 incident was infirm since plaintiff does not allege that his procedural due process rights were violated by that hearing.
1. The facts surrounding these incidents are subject to substantial dispute between the parties and go to the heart of Fidelis' proffered reasons for Plaintiff's termination, as well as Plaintiff's claim of pretext in this suit. These disputed facts are laid out at length in the parties' 56.1 Statements. (See Def. 56.1 ¶¶ 216-73, 279-89; P. 56.1 ¶¶ 216-73, 279-89, 518-81; Def. Reply 56.1 ¶¶ 518-81.)
2. Because the Court finds that Plaintiff's prima facie case of harassment does not survive summary judgment, the Court need not address whether Michelson's behavior, had it violated Title VII, could be inputed to Fidelis under Burlington Indus., Inc. v. Ellerth, 524 U.S. 742, 118 S.Ct. 2257, 141 L.Ed.2d 633 (1998) and Faragher v. City of Boca Raton, 524 U.S. 775, 118 S.Ct. 2275, 141 L.Ed.2d 662 (1998).
3. For the purposes of this motion, the Court assumes that Fidelis has satisfied its burden of production in offering a legitimate, nondiscriminatory reason for Plaintiff's negative review in October 2006 and termination in January 2007. See McDonnell Douglas, 411 U.S. at 800. The Court of Appeals has made clear that Fidelis' burden of production is relatively light. See Greenway v. Buffalo Hilton Hotel, 143 F.3d 47, 52 (2d Cir.1998) ("The employer need not persuade the court that it was motivated by the reason it provides; rather, it must simply articulate an explanation that, if true, would connote lawful behavior.").
1. Dr. Piacente is sued herein as "Dominick Piesante."
2. Plaintiff has failed to oppose either motion. (See ECF Nos. 26-39.) The Court discovered that Plaintiff likely did not receive copies of either of the motion papers. Based on the docket, it appears that as of February 8, 2017, Plaintiff was no longer being held at Rockland County Jail, as this Court's denial of Plaintiff's application for appointment of counsel was returned. It is Plaintiff's obligation to update the Court when his address changes and to prosecute his claims. The last time Plaintiff communicated with this Court at all was in his request for the appointment of counsel filed on January 11, 2017, more than a year and a half ago. Nevertheless, the Court hereby deems the motions fully submitted and renders a decision on the merits.
3. The Court assumes the truth of the facts alleged in Plaintiff's Complaint for purposes of this motion only. Ashcroft v. lqbal, 556 U.S. 662, 678 (2009).
4. As Plaintiff is proceeding pro se and his Complaint is the standard, fillable form amended complaint, all citations thereto will be to pages as listed on ECF, not paragraphs.
5. Plaintiff does not indicate whether the shift was 3:00 p.m. through 11:00 p.m. or 11:00 p.m. to 3:00 a.m.
6. Plaintiff does not allege how Jacob responded to this information or whether he claims that she violated his constitutional rights in relation to him telling her this information.
7. Plaintiff does not specify whether he met with Dr. Piacente on July 4, 2016 or July 5, 2016. (See SAC at 8.)
8. Consequently, to the extent Plaintiff alleges that his rights under the Eighth Amendment were violated, those claims must be dismissed with prejudice, as the protections of the Eighth Amendment are inapplicable to Plaintiff.
9. In Chance, the Court was considering an inmate's Eighth Amendment claim, which requires a higher standard for mens rea; consequently, conduct that meets the higher standard certainly suffices for the lower, Fourteenth Amendment objective mens rea standard of deliberate indifference.
10. Plaintiff also alleges that his Sixth Amendment rights were violated. "[A] pre-trial detainee's Sixth Amendment rights are infringed when prison regulations `unjustifiably obstruct,"infringe,"unreasonably burden,' or `significantly interfere' with the detainee's access to counsel." Perez v. Ponte, 236 F.Supp.3d 590, 617 (E.D.N.Y. 2017). Plaintiff's complaint contains no allegations that his access to counsel was interfered with whatsoever. Any Sixth Amendment claims must be dismissed with prejudice.
1. The facts are drawn from the complaint (Dkt. No. 26, Ex. "A" ("Compl.")), the parties' Rule 56.1 Statements (Dkt. No. 37 ("Pl. 56.1 St."); Dkt. No. 25 ("Def. 56.1 St.")), plaintiff's interrogatory responses (Dkt. No. 26, Ex. "E" ("Glassberg Interrogs.")), plaintiff's deposition testimony (Dkt. No. 26, Ex. "F," Mar. 16, 2009 ("Glassberg Dep."), the deposition testimony of Alfredia Barrett (Dkt. No. 26, Ex. "G," Mar. 16, 2009 ("Barrett Dep.")), and video footage from two surveillance cameras located near the cash registers and customer service desk. (Dkt. No. 26, Ex. "I" ("Register Video" and "Service Video")). The plaintiff does not contest the accuracy of the surveillance footage.
2. When exercising diversity jurisdiction, a federal court must apply the choice of law rules of the forum state. Klaxon Co. v. Stentor Electric Mfg. Co., 313 U.S. 487, 496-97 (1941). New York employs an interest analysis in resolving choice of law questions, "giving controlling effect to the law of the jurisdiction which, because of its relationship or contact with the occurrence or the parties, has the greatest concern with the specific issue raised in the litigation." Babcock v. Jackson, 12 N.Y.2d 473, 482 (1963). Here, the plaintiff is a New York resident, the incident occurred in New York, and the defendant operates numerous stores in New York. Therefore, New York has the greatest interest in the case and New York law controls. Lazard Freres & Co. v. Protective Life Ins. Co., 108 F.3d 1531 (2d Cir.1997).
1. Aramark was erroneously sued under the name Aramark Corporation. Def. Aramark Mem. 1.
2. In Plaintiff's handwritten potion of the complaint, it appears that he states that five hours passed between injury and treatment. Second Am. Compl. 3. However, on the typewritten page of the complaint, Plaintiff states that six hours passed between injury and treatment. Id at 4.
3. It is unclear from Plaintiff's complaint whether the named kitchen worker was an Aramark employee.
4. The relevant section of the PLRA, 42 U.S.C. § 1997e(a), provides: "No action shall be brought with respect to prison conditions under section 1983 of this title, or any other Federal law, by a prisoner confined in any jail, prison, or other correctional facility until such administrative remedies as are available are exhausted."
5. The pro forma complaint provides that documents "related to the exhaustion of [] administrative remedies" may be attached as exhibits. Second Am. Compl. 7.
6. Plaintiff does not specify in his complaint whether he was a pre-trial detainee or a convicted and sentenced prisoner at the time of the alleged conduct. The result, however, is the same. "Although a deliberate indifference claim must be brought under different constitutional provisions depending on the Plaintiff's status-the Eighth Amendment for convicted prisoners and the Fourteenth Amendment for pre-trial detainees-the standard for evaluating claims of deliberate indifference is the same under both amendments." Thomas v. Westchester County, No. 12-CV-6718 (CS), 2013 WL 3357171, at *3 n. 9 (S.D.N.Y. July 3, 2013); see also Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir.2009).
7. In his complaint, Plaintiff alleges that five and six hours passed between his injury and treatment. Second Am. Compl. 3, 4. In his grievance, Plaintiff alleges that the time lapse was 8 hours. Grievance 3. In the grievance, however, plaintiff signed a "Statement Form" on 8:25 a.m. on October 28, 2012, the date of the accident. In his own words, Plaintiff writes that the accident occurred "around 5 am" and that he was taken to the nurse who told him "to put ice on it." CCS Mot. to Dismiss Ex. D, at 11 (non-paginated exhibit). Given that he signed this statement at 8:25 a.m. and stated himself that he had already been seen by the nurse, it is impossible that 5 hours passed between his injury and treatment. However, reading the complaint liberally, it may be the case that Plaintiff is referring to the fact that 5 or 6 hours passed between the accident and when he returned to the nurse for the second time, after a blister had formed on his arm. At the second visit, the nurse wrapped Plaintiff's wound and administered antimicrobial cream. For purposes of this motion, the court will take Plaintiff's claim to refer to the second visit after his burn formed a blister.
8. "Although Monell dealt with municipal employers, its rationale has been extended to private businesses." Rojas v. Alexander's Dept. Store, Inc., 924 F.2d 406, 408 (2d Cir.1990).
1. This matter was referred to the undersigned for report and recommendation pursuant to 28 U.S.C. § 636(b) and N.D.N.Y.L.R. 72.3(c).
2. All unpublished cases cited within this Report-Recommendation and Order are attached. [Editor's Note: Attachments of Westlaw case copies deleted for online display.]
3. The drainage of serous fluid is caused by a seroma, which is a pocket of fluid that can develop after a surgical procedure. A seroma is not uncommon and usually resolves on its own. Dkt. No. 50 at ¶ 24.
4. MRSA is a bacterium that is resistant to many antibiotics. Dkt. No. 49 at ¶ 13.
1. See also Mario v. P & C Food Markets, Inc., 313 F.3d 758, 766 (2d Cir.2002) ("Although Mario filed objections to the magistrate's report and recommendation, the statement with respect to his Title VII claim was not specific enough to preserve this claim for review. The only reference made to the Title VII claim was one sentence on the last page of his objections, where he stated that it was error to deny his motion on the Title VII claim `[f]or the reasons set forth in Plaintiff's Memorandum of Law in Support of Motion for Partial Summary Judgment.' This bare statement, devoid of any reference to specific findings or recommendations to which he objected and why, and unsupported by legal authority, was not sufficient to preserve the Title VII claim.").
2. See Paddington Partners v. Bouchard, 34 F.3d 1132, 1137-38 (2d Cir.1994) ("In objecting to a magistrate's report before the district court, a party has no right to present further testimony when it offers no justification for not offering the testimony at the hearing before the magistrate.") [internal quotation marks and citations omitted]; Pan Am. World Airways, Inc. v. Int'l Bhd. of Teamsters, 894 F.2d 36, 40, n. 3 (2d Cir.1990) (district court did not abuse its discretion in denying plaintiff's request to present additional testimony where plaintiff "offered no justification for not offering the testimony at the hearing before the magistrate"); cf. U.S. v. Raddatz, 447 U.S. 667, 676, n. 3, 100 S.Ct. 2406, 65 L.Ed.2d 424 (1980) ("We conclude that to construe § 636(b)(1) to require the district court to conduct a second hearing whenever either party objected to the magistrate's credibility findings would largely frustrate the plain objective of Congress to alleviate the increasing congestion of litigation in the district courts."); Fed.R.Civ.P. 72(b), Advisory Committee Notes: 1983 Addition ("The term `de novo' does not indicate that a secondary evidentiary hearing is required.").
3. See also Brown v. Peters, 95-CV-1641, 1997 WL 599355, at *2-3 (N.D.N.Y. Sept.22, 1997) (Pooler, J.) [collecting cases], aff'd without opinion, 175 F.3d 1007 (2d Cir.1999).
4. See Mario, 313 F.3d at 766 ("Merely referring the court to previously filed papers or arguments does not constitute an adequate objection under either Fed.R.Civ.P. 72(b) or Local Civil Rule 72.3(a)(3)."); Camardo v. Gen. Motors Hourly-Rate Emp. Pension Plan, 806 F.Supp. 380, 382 (W.D.N.Y.1992) (explaining that court need not consider objections that merely constitute a "rehashing" of the same arguments and positions taken in original papers submitted to the magistrate judge); accord, Praileau v. Cnty. of Schenectady, 09-CV-0924, 2010 WL 3761902, at *1, n. 1 (N.D.N.Y. Sept.20, 2010) (McAvoy, J.); Hickman ex rel. M.A.H. v. Astrue, 07-CV-1077, 2010 WL 2985968, at *3 & n. 3 (N.D.N.Y. July 27, 2010) (Mordue, C.J.); Almonte v. N.Y.S. Div. of Parole, 04-CV-0484, 2006 WL 149049, at *4 (N.D.N.Y. Jan.18, 2006) (Sharpe, J.).
5. See also Batista v. Walker, 94-CV-2826, 1995 WL 453299, at *1 (S.D.N.Y. July 31, 1995) (Sotomayor, J.) ("I am permitted to adopt those sections of [a magistrate judge's] report to which no specific objection is made, so long as those sections are not facially erroneous.") (internal quotation marks and citations omitted).
6. See Fed.R.Civ.P. 10(c) ("A copy of any written instrument which is an exhibit to a pleading is a part thereof for all purposes."); L-7 Designs, Inc. v. Old Navy, LLC, No. 10-573, 2011 WL 2135734, at *1 (2d Cir. June 1, 2011) (explaining that conversion from a motion to dismiss for failure to state a claim to a motion for summary judgment is not necessary under Fed.R.Civ.P. 12[d] if the "matters outside the pleadings" in consist of [1] documents attached to the complaint or answer, [2] documents incorporated by reference in the complaint (and provided by the parties), [3] documents that, although not incorporated by reference, are "integral" to the complaint, or [4] any matter of which the court can take judicial notice for the factual background of the case); Chambers v. Time Warner, Inc., 282 F.3d 147, 152 (2d Cir.2009) ("The complaint is deemed to include any written instrument attached to it as an exhibit or any statements or documents incorporated in it by reference.") (internal quotation marks and citations omitted); Int'l Audiotext Network, Inc. v. Am. Tel. & Tel. Co., 62 F.3d 69, 72 (2d Cir.1995) (per curiam) ("[W]hen a plaintiff chooses not to attach to the complaint or incorporate by reference a [document] upon which it solely relies and which is integral to the complaint," the court may nevertheless take the document into consideration in deciding [a] defendant's motion to dismiss, without converting the proceeding to one for summary judgment.") (internal quotation marks and citation omitted).
7. See Chavis v. Chappius, 618 F.3d 162, 169-70 (2d Cir.2010) ( "An imminent danger is not one that has dissipated by the time a complaint is filed rather it must be one existing at the time the complaint is filed.") [internal quotation marks and citations omitted]; Harris v. City of New York, 607 F.3d 18, 24 (2d Cir.2010) ("The [imminent danger] exception only applies to danger existing at the time the complaint is filed."); Pettus v. Morgenthau, 554 F.3d 293, 296 (2d Cir.2009) ("[A] three-strikes litigant is not excepted from the filing fee if he alleges a danger that has dissipated by the time a complaint is filed."); Polanco v. Hopkins, 510 F.3d 152, 156 (2d Cir.2007) (per curiam) ("This argument is simply an invitation to overturn our time-of-filing interpretation in Malik, an invitation that we decline."); Malik v. McGinnis, 293 F.3d 559, 562-63 (2d Cir.2002) ("Because § 1915(g) uses the present tense in setting forth the imminent danger exception, it is clear from the face of the statute that the danger must exist at the time the complaint is filed.").
8. Under the "prison mailbox rule," the date of filing of a pro se prisoner civil rights action is deemed to be the date that the prisoner-plaintiff is presumed to have handed his complaint to a prison guard for mailing, which is the date that the complaint was signed. See Shaw v. Superint., Attica Corr. Facility, 03-CV-0610, 2007 WL 951459, at *3 n. 3 (N.D.N.Y. March 28, 2007) (McCurn, J.) (habeas corpus proceeding) [citations omitted]; Garraway v. Broome County, N.Y., 03-CV-0681, 2006 WL 931729, at *3-4 (N.D.N.Y. Apr.7, 2006) (McAvoy, J.) (prisoner civil rights action) [citation omitted].
9. In the Second Circuit, a pro se plaintiff's papers in response to a defendant's motion to dismiss for failure to state a claim may be considered as effectively amending the allegations of his complaint-to the extent those papers are consistent with the allegations in the complaint. See Drake v. Delta Air Lines, Inc., 147 F.3d 169, 170 n. 1 (2d Cir.1998) (per curiam) ("[W]e deem Drake's complaint to include the facts contained in his memorandum of law filed in response to Delta's 1996 motion to dismiss."); Gill v. Mooney, 824 F.2d 192, 195 (2d Cir.1987) ("In his affidavit submitted in opposition to defendants' motion to dismiss, Gill asserts that Mooney's actions amounted to deliberate and willful indifference. Liberally construed under pro se pleading standards, Gill's allegations against Mooney involve more than ordinary lack of due care for the prisoner's interests or safety, . . . and therefore state a colorable claim under the Eighth and Fourteenth Amendments.") (internal quotation marks and citation omitted); Donhauser v.Goord, 314 F.Supp.2d 119, 212 (N.D.N.Y.) (Sharpe, M.J.) ("[I]n cases where a pro se plaintiff is faced with a motion to dismiss, it is appropriate for the court to consider materials outside of the complaint to the extent they "are consistent with the allegations in the complaint.") (collecting district court cases), vacated on other grounds, 317 F.Supp.2d 160 (N.D.N.Y.2004) (Hurd, J.).
10. See 2 8 U.S.C. § 1915A(b); Wachtler v. Herkimer Cnty., 35 F.3d 77, 82 (2d Cir.1994); Thomas v. Scully, 943 F.2d 259, 260 (2d Cir.1991) (per curiam).
1. This matter was referred to the undersigned for report and recommendation pursuant to 28 U.S.C. § 636(b) and N.D.N.Y.L.R. 72.3(c).
2. The three-strikes provision was adopted as part of the Prison Litigation Reform Act ("PLRA"), Pub.L. No. 104-134, 110 Stat. 1321 (1995), which had as its principal purpose deterring frivolous prisoner litigation. Nicholas v. Tucker, 114 F.3d 17, 19 (2d Cir.1997).
3. "It appears that [Nelson] uses the names David J. Cash and Dennis Nelson interchangeably. In his complaint . . . the . . . DIN[] assigned to [plaintiff] by . . . [DOCS] is 94-B-0694 . . . [which] is [also] assigned to Dennis Nelson." Cash v. Berstein, No. 09-CV-1922 (BSJ/HBP), 2010 WL 5185047, at *3 n. 3 (S.D.N.Y. Oct.26, 2010)
1. While Darnell involved claims of unconstitutional conditions of confinement, several courts in this Circuit have extended Darnell's holding to claims of deficient medical treatment. See Grimett 2017 WL 2274485, at *4 n.2; Smith, 2017 WL 4417699, at *3; see also Charles, 2017 WL 4402576, at *10 ("This standard for deliberate indifference applies to any underlying violation of the due process clause, such as for maintaining unconstitutional conditions of confinement or failing to provide adequate medical care to a person in state custody, `because deliberate indifference means the same thing for each type of claim under the Fourteenth Amendment.'") (quoting Darnell, 849 F.3d at 33, n.9.)
2. The Court previously found that Armor was a state actor for purposes of Section 1983. (March 2016 Order at 19.)
3. The suicide prevention screening form (the "Screening Form"), completed by Officer Michael Archer ("Officer Archer"), indicates that Ryan failed the suicide screening because he indicated that he had previously taken medication for a psychological condition. (Screening Form, Doody Decl., Ex. C, Docket Entry 116-3, at 6-7.) The Screening Form indicated that he answered "no" to questions regarding suicidal thoughts and prior suicide attempts. (Screening Form at 6.)
4. In Darnell, the Second Circuit indicated that this prong should be referred to the mens rea prong, rather than the subjective prong, to prevent confusion. See Darnell, 849 F.3d at 29.
5. The Court previously denied summary judgment on the deliberate indifference claim on the basis that "[i]f [Dr.] Manetti blindly adhered to Armor's policy and ignored his medical judgment with respect to Ryan's needs, a jury could find that [Dr.] Manetti acted with deliberate indifference and that his action was undertaken pursuant to Armor's policy." (March 2016 Order at 22.) No evidence to that effect was presented at trial.
6. Plaintiff acknowledges this in her opposition brief. (See Pl.'s Opp. at 9 ("As a result of Dr. Manetti's actions, Bartholomew was not being monitored for the signs of heroin withdrawal for those critical six hours . . . between seeing Dr. Manetti and Bartholomew's suicide.") (emphasis added).) Additionally, to the extent that monitoring was arguably delayed as a result of Dr. Manetti's failure to forward the urgent referral form to the medical department until an hour and a half after his visit with Ryan, that delay is attributable solely to Dr. Manetti and was also not the result of any policy promulgated by Armor. (See Trial Tr. (Manette) 350:21-351:10.)
7. See supra note 7.
8. Under Federal Rule of Civil Procedure 50(c), the Court is required to address the Armor Defendants' motion for a new trial despite its ruling that the Armor Defendants are entitled to judgment as a matter of law on the Section 1983 claim. See FED. R. CIV. P. 50(c)(1).
9. Based on several New York cases, the Court adapted New York Pattern Jury Instruction 2:36 regarding comparative negligence. See Padula v. State of N.Y., 48 N.Y.2d 366, 373, 398 N.E.2d 548, 422 N.Y.S.2d 943 (1979) ("[I]n relation to persons in the custody of the State for treatment of a drug problem, contributory (or comparative) negligence should turn . . . on . . . whether based on the entire testimony presented (including objective behavioral evidence, claimant's subjective testimony and the opinions of experts), the trier of fact concludes that the injured person was able to control his actions."); Mochen v. State of N.Y., 43 A.D.2d 484, 487, 352 N.Y.S.2d 290 (4th Dep't 1974) (discussing that in the context of mental illness, "a plaintiff should not be held to any greater degree of care for his own safety than that which he is capable of exercising"); Arias v. State of N.Y., 195 Misc.2d 64, 73, 755 N.Y.S.2d 223 (N.Y. Ct. Cl. 2003) ("The issue of contributory negligence in a suicide case is whether based upon the entire testimony presented, the trier of facts concludes the injured person was able to control his actions."). See also Gallo v. 800 Second Operating, Inc., 300 A.D.2d 537, 538, 752 N.Y.S.2d 394 (2d Dep't 2002) ("A comparative negligence instruction should be given where there is any valid line of reasoning which could possibly lead rational individuals to conclude that the plaintiff was also at fault.").
10. Plaintiff makes a passing reference to Federal Rule of Civil Procedure 51, arguing that "Armor's initial consent to the charge and verdict sheet, together with the withdrawal of the question following the verdict[ ] removes this issue from post-verdict review." (Pl.'s Opp. at 24.) Without the benefit of fully developed arguments on this issue, the Court declines to address it.
11. (See also Trial Tr. (Charge) 1183:2-10 ("If you find that the plaintiff is entitled to recovery, I caution that you that should not award compensatory damages more than once for the same injury. If a plaintiff were to prevail on two claims and establish a one dollar injury on each claim, he's entitled to be made whole again, not to recover more than he lost. Of course, if different injuries are attributed to the separate claims, then you must compensate him fully for all of the injuries.").)
1. The primary difference between the analysis under the Eighth and Fourteenth Amendments, as explained by the Second Circuit in Darnell, is that the mens rea prong under the Fourteenth Amendment is "defined objectively" rather than subjectively. 849 F.3d at 35. Thus, a pretrial detainee can succeed on a deliberate-indifference claim if he proves "that the defendant-official . . . recklessly failed to act with reasonable care to mitigate the risk that the condition posed to the pretrial detainee even though the defendant-official knew, or should have known, that the condition posed an excessive risk to health or safety." Id. (emphasis added).
2. Even if Individual Defendants had known about all the injuries that Stewart alleges, those injuries would not have put Defendants on notice that future falls posed an excessive risk of harm to Stewart. It appears that his falls often did not injure him. See, e.g., Compl. ¶¶ 3, 6, 114, 225, 233, 238, 240 (alleging falls or concerns about such falls without specifying any injuries). And he does not allege facts supporting an inference that Individual Defendants knew or should have known of any serious injuries (or a substantial risk for future serious injuries) resulting from his falls. See, e.g., Compl. ¶¶ 211, 363, 382, 387 (vaguely alleging "multiple injuries" from falls); ¶¶ 223, 231-32 (alleging "injuries to his back and left knee" from one fall and injuries to "the left side of his head and left foot" from another, with no indication that such injuries were objectively serious); ¶ 291 (alleging that "frequent falls . . . exacerbated his pain problems," which were treated with Tylenol or other medication).
* Timothy C. Stanceu, Chief Judge of the United States Court of International Trade, sitting by designation.
Source:  Leagle

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