“‘[A] simple difference in medical opinion between the prison’s medical staff and the inmate as to the latter’s diagnosis or course of treatment’ does not support a claim of deliberate indifference.” (quoting Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991)
How later courts described this case
- “‘[A] simple difference in medical opinion between the prison’s medical staff and the inmate as to the latter’s diagnosis or course of treatment’ does not support a claim of deliberate indifference.” (quoting Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991)
- “Although [the inmate] may have desired different modes of treatment, the care the jail provided did not amount to deliberate indifference.”
- describing the three components of deliberate indifference as “(1) subjective knowledge of a risk of serious harm; (2) disregard of that risk; (3) by conduct that is more than mere negligence.”
- “The Eleventh Amendment also prohibits suits against state officials where the state is the real party in interest, such that a plaintiff could not sue to have a state officer pay funds directly from the state treasury for the wrongful acts of the state.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
JACKSONVILLE DIVISION
MAXIMO GOMEZ,
Plaintiff,
v. Case No. 3:20-cv-253-J-39MCR
CAPT. LISTER, et al.,
Defendants.
ORDER
I. Status
Plaintiff, an inmate of the Florida penal system, filed a Civil Rights Complaint
(Doc. 1; Complaint) against five Defendants: Capt. Steven W. Lister, Capt. Jason
Carter, Sgt. Slater Williams, Sgt. Anthony McCray, and LPN Jalenah Stormant.1
Plaintiff alleges that Defendants McCray and Williams used excessive force on him;
Defendants Carter and Lister failed to protect Plaintiff from that excessive force; and
Defendant Stormant was deliberately indifferent to Plaintiff’s serious medical needs
prior to and following the use of excessive force. See generally Doc. 1.
Before the Court is Defendant Stormant’s Motion to Dismiss (Doc. 25; Motion).2
The Court advised Plaintiff that the granting of a motion to dismiss would be an
1 Throughout his Complaint, Plaintiff identifies Defendant Stormant as “Jalena McElwain.”
See generally Doc. 1. However, in her Motion to Dismiss, she clarifies that her name is now “Jalenah
Stormant.” See Doc. 25 at 1 n.1. The Clerk is directed to correct Jalenah Stormant’s name in the
docket caption.
2 Defendants Carter, McCray, Williams and Lister filed Answers. See Docs. 30, 45.
adjudication of the claim that could foreclose any subsequent litigation of the matter
and provided Plaintiff with an opportunity to respond. See Order (Doc. 11). Plaintiff
filed a response in opposition to the Motion (Doc 27; Response). Accordingly, the
Motion is ripe for the Court’s review.
II. Complaint Allegations
Plaintiff alleges that on October 8, 2017, while housed in a confinement cell at
Hamilton Correctional Institution, he advised Sergeant Chamele James that he was
feeling extremely depressed and had a psychological emergency. Doc. 1 at 13.
Sergeant James then escorted Plaintiff to Defendant Stormant, the facility’s nurse,
for a mental health evaluation. Id. at 14. Plaintiff asserts that “[w]hile he was being
assessed for his psychological emergency by Defendant [Stormant], [P]laintiff
repeatedly told Defendant [Stormant] that he was extremely depressed and felt
suicid[al] [and] that he need[ed] [] help due to the mental pain he felt.” Id. According
to Plaintiff, during his mental health assessment, Defendant Lister told Defendant
Stormant “not to honor Plaintiff’s psychological emergency []or place him in a[n]
observation cell because he want[ed] to spray Plaintiff with chemical agents.” Id.
Plaintiff contends that Defendant Lister then contacted “Warden Anderson for
authorization to use force while Plaintiff [was] still being evaluated for his
psychological emergency.” Id. He states that at Defendant Lister’s request,
Defendant Stormant then “intentionally refuse[d] to give Plaintiff any further []
medical treatment and dishonor[ed] Plaintiff’s psychological emergency as a
management problem . . . .” Id. According to Plaintiff, Defendant Stormant then
began to mock Plaintiff, stating that chemical agents or “some hot sauce” would help
Plaintiff with his psychological emergency. Id. at 14-15.
Plaintiff states that “[u]pon the completion of Defendant [Stormant’s] mental
health assessment, Plaintiff [] l[ie] prone on the floor outside the medical triage
room,” and when he began yelling that he needed help and felt suicidal, Officers
Anthony Stebbins, Jeffery Taylor, Nathan Williams, and Marvin Norman carried
Plaintiff back to his confinement cell. Id. at 15. According to Plaintiff, once back in
his confinement cell, Defendant Lister directed Officer Norman to administer one
application of chemical agents. Id. He alleges that he was then escorted to a
decontamination shower and when he again began yelling that he needed help and
felt suicidal, Defendant Lister ordered Officer Norman to administer a second
application of chemical agents into the shower cell. Id. at 16. Plaintiff explains that
Defendant Lister then ordered a third application of chemical agents; and, because
Plaintiff continued to yell that he was suicidal, Defendant Carter ordered a cell
extraction team to restrain Plaintiff. Id. at 17-18.
According to Plaintiff, he was preparing to submit to hand restraints at
Defendant Carter’s request, but instead Defendant Carter ordered the cell extraction
team, which included Defendants McCray and Williams, to enter Plaintiff’s shower.
Id. at 18. Upon entry, Plaintiff alleges Defendant McCray hit him with a plastic
shield, knocking Plaintiff to the ground, and then began punching him in the facial
area. Id. Plaintiff asserts Defendant Williams also kicked Plaintiff repeatedly in the
face and body. Id. Plaintiff alleges he suffered multiple abrasions to his back, a
swollen left ear, a facial laceration approximately 3 cm x 0.5 cm that required stiches,
head trauma, contusion to left hand, permanent eye damage to left eye for which
Plaintiff now requires eyeglasses to see, headaches, dizziness, and bleeding. Id. at 19-
21.
According to Plaintiff, he was then taken to Defendant Stormant for a post-
use-of-force evaluation. Id. at 21. He alleges that he advised Defendant Stormant that
“he was in a lot of pain and felt dizziness due to his left side of head being swollen”
and explained he could not see out of his left eye. Id. at 22. Plaintiff states that “[a]t
this time Defendant [] Carter [told] Defendant [Stormant] not to provide Plaintiff
with any more medical treatment,” telling her, “[i]f he is not dying I am put[ting] him
back in his cell.” Id. at 22. Plaintiff states Defendant Stormant then “refuse[d] to give
Plaintiff any more medical treatment, despite seeing that Plaintiff [] had suffered and
was suffering from his injuries”; and he was sent back to his cell. Id. According to
Plaintiff, approximately one hour after returning to his cell, Sergeant Coty Wiltgen
found Plaintiff on the floor, unresponsive, and drenched in blood “due to his head
injuries.” Id. Plaintiff was rushed to medical and then sent to an outside hospital for
treatment.
Plaintiff argues that Defendant Stormant was deliberately indifferent to his
serious medical needs by intentionally and maliciously deeming Plaintiff’s initial
psychological emergency as a behavioral problem. Id. at 24. According to Plaintiff, he
has a history of depression, anxiety, and suicidal behavior; and “[a]s a result of
Defendant [Stormant’s] deliberate indiffere[ce] to Plaintiff[’s] [] conditions, Plaintiff
suffered further pain and mental anguish.” Id. at 15, 24. He avers that if Defendant
Stormant had placed Plaintiff under medical observation after her mental health
assessment, he would have never been sprayed with chemical agents nor would he
have suffered the physical injuries incurred during the cell extraction. Doc. 27 at 3.
He further claims Defendant Stormant was deliberately indifferent to
Plaintiff’s serious medical needs following the uses of force because she did not
properly treat his physical injuries. Id. at 23. According to Plaintiff, Defendant
Stormant did not properly treat his wounds or head trauma, thus, when he was
returned to his cell, his facial laceration increased to 3 cm x 2 cm and he lost
consciousness. Id. at 23. Plaintiff also alleges that Doctor Columbani asked
Defendant Stormant why she allowed security to return Plaintiff to his cell with such
physical injuries, and she responded by falsifying medical reports indicating she did
treat him but the treated laceration reopened while he was in his cell. Doc. 27 at 5;
Doc. 1 at 23. Plaintiff sues Defendant Stormant in her individual and official
capacities and requests compensatory damages in the amount of $50,000 against each
Defendant; punitive damages in the amount of $90,000 against each Defendant;
additional compensatory damages in the amount of $38,000 against only Defendants
Williams and McCray; and any additional relief that the Court deems just and proper.
Id. at 6.
III. Defendant Stormant’s Motion and Analysis
Defendant Stromant requests that the Court dismiss the claims against her
because (A) Plaintiff fails to state a claim upon which relief may be granted; (B) she
is entitled to qualified immunity; and (C) she is entitled to Eleventh Amendment
immunity.3 See generally Doc. 25.
A. Failure to State a Claim
With respect to whether a complaint “fails to state a claim on which relief may
be granted,” § 1915(e)(2)(B)(ii) mirrors the language of Federal Rule of Civil
Procedure 12(b)(6), so courts apply the same standard in both contexts. Mitchell v.
Farcass, 112 F.3d 1483, 1490 (11th Cir. 1997); see also Alba v. Montford, 517 F.3d
1249, 1252 (11th Cir. 2008). “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) (citing Bell Atl. Corp. v.
Twombly, 550 U.S. 544, 570 (2007)). “Labels and conclusions” or “a formulaic
recitation of the elements of a cause of action” that amount to “naked assertions” will
not do. Id. (quotations, alteration, and citation omitted). Moreover, a complaint must
“contain either direct or inferential allegations respecting all the material elements
necessary to sustain a recovery under some viable legal theory.” Roe v. Aware Woman
Ctr. for Choice, Inc., 253 F.3d 678, 683 (11th Cir. 2001) (quotations and citations
omitted).
To state a claim under 42 U.S.C. § 1983, a plaintiff must allege that (1) the
defendant deprived him of a right secured under the United States Constitution or
federal law, and (2) such deprivation occurred under color of state law. Salvato v.
3 Defendant Stormant also makes a singular, passing reference that Plaintiff failed to exhaust
his administrative remedies, see Doc. 25 at 3; however, she does not present any facts or argument to
support that claim.
Miley, 790 F.3d 1286, 1295 (11th Cir. 2015); Bingham v. Thomas, 654 F.3d 1171, 1175
(11th Cir. 2011) (per curiam) (citation omitted); Richardson v. Johnson, 598 F.3d 734,
737 (11th Cir. 2010) (per curiam) (citations omitted). Additionally, the Eleventh
Circuit requires “‘an affirmative causal connection between the official’s acts or
omissions and the alleged constitutional deprivation’ in § 1983 cases.” Rodriguez v.
Sec’y, Dep’t of Corr., 508 F.3d 611, 625 (11th Cir. 2007) (quoting Zatler v. Wainwright,
802 F.2d 397, 401 (11th Cir. 1986)). Moreover, “conclusory allegations, unwarranted
deductions of facts, or legal conclusions masquerading as facts will not prevent
dismissal.” Rehberger v. Henry Cty., Ga., 577 F. App’x 937, 938 (11th Cir. 2014) (per
curiam) (quotations and citation omitted). In the absence of a federal constitutional
deprivation or violation of a federal right, a plaintiff cannot sustain a cause of action
against a defendant.
Plaintiff is a prisoner; thus, his claim of deliberate indifference to a serious
medical need arises under the Eighth Amendment. See Kuhne v. Fla. Dep’t of Corr.,
745 F.3d 1091, 1094 (11th Cir. 2014) (citing Estelle v. Gamble, 429 U.S. 97 (1976)).
“To show that a prison official acted with deliberate indifference to serious medical
needs, a plaintiff must satisfy both an objective and a subjective inquiry.” Brown v.
Johnson, 387 F.3d 1344, 1351 (11th Cir. 2004) (quoting Farrow v. West, 320 F.3d
1235, 1243 (11th Cir. 2003)). First, the plaintiff must satisfy the objective component
by showing that he had a serious medical need. Goebert v. Lee Cty., 510 F.3d 1312,
1326 (11th Cir. 2007).
“A serious medical need is considered ‘one that has
been diagnosed by a physician as mandating treatment or
one that is so obvious that even a lay person would easily
recognize the necessity for a doctor’s attention.’” Id. (citing
Hill v. Dekalb Reg’l Youth Det. Ctr., 40 F.3d 1176, 1187
(11th Cir. 1994)). In either case, “the medical need must be
one that, if left unattended, pos[es] a substantial risk of
serious harm.” Id. (citation and internal quotations marks
omitted).
Brown, 387 F.3d at 1351. Next, the plaintiff must satisfy the subjective component,
which requires the plaintiff to “allege that the prison official, at a minimum, acted
with a state of mind that constituted deliberate indifference.” Richardson, 598 F.3d
at 737 (describing the three components of deliberate indifference as “(1) subjective
knowledge of a risk of serious harm; (2) disregard of that risk; (3) by conduct that is
more than mere negligence.”) (citing Farrow, 320 F.3d at 1245)).
In Estelle, the Supreme Court established that
“deliberate indifference” entails more than mere
negligence. Estelle, 429 U.S. at 106, Farmer, 511 U.S. at
835. The Supreme Court clarified the “deliberate
indifference” standard in Farmer by holding that a prison
official cannot be found deliberately indifferent under the
Eighth Amendment “unless the 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 (emphasis added). In interpreting Farmer
and Estelle, this Court explained in McElligott [v. Foley,
182 F.3d 1248 (11th Cir. 1999),] that “deliberate
indifference has three components: (1) subjective
knowledge of a risk of serious harm; (2) disregard of that
risk; (3) by conduct that is more than mere negligence.”
McElligott, 182 F.3d at 1255; Taylor [v. Adams, 221 F.3d
1254, 1258 (11th Cir. 2000)] (stating that defendant must
have subjective awareness of an “objectively serious need”
and that his response must constitute “an objectively
insufficient response to that need”).
Farrow, 320 F.3d at 1245-46; see also Patel v. Lanier Cnty. Ga., 969 F.3d 1173, 1188-
89 & n.10 (11th Cir. 2020) (recognizing “a tension within [Eleventh Circuit] precedent
regarding the minimum standard for culpability under the deliberate-indifference
standard,” as some cases have used “more than gross negligence” while others have
used “more than mere negligence”; finding, however, that it may be “a distinction
without a difference” because “no matter how serious the negligence, conduct that
can’t fairly be characterized as reckless won’t meet the Supreme Court’s standard”
(citations omitted)).
i. Deliberate Indifference to Psychological Emergency
Defendant Stormant does not dispute that Plaintiff’s initial declaration that
he was suffering from a psychological emergency constituted an objectively serious
medical need, nor does she dispute that she was aware of Plaintiff’s need for mental
health care. See generally Doc. 25. Instead, Defendant Stormant argues that Plaintiff
fails to allege that she was deliberately indifferent to Plaintiff’s need for mental
health care by conduct that was more than mere negligence. Id. at 4-5. She argues
that Plaintiff acknowledges she completed his mental health assessment after he
declared a psychological emergency and prior to the uses of force. Id. at 5 (citing Doc.
1 at 15). However, according to her, “Plaintiff appears to merely disagree with the
treatment he received” and his desire for a different mode of treatment does not
amount to deliberate indifference. Id. Defendant Stormant further argues that
following her mental health assessment of Plaintiff, FDOC staff instructed her to not
place Plaintiff in an observation cell due to ongoing security considerations, and thus,
any purported injury arising from no observation cell cannot be attributed to her. Id.
at 6.
Taking Plaintiff’s allegations as true, the Court finds Plaintiff fails to state a
claim of deliberate indifference related to Defendant Stormant’s response to
Plaintiff’s need for mental health care. In his Response, Plaintiff alleges Defendant
Stormant evaluated his psychological emergency, but that he “disagree[d] with the
treatment methods used by Defendant,” and challenges her diagnosis that he was
experiencing a “behavioral problem.” Doc. 27 at 2-3. These admissions demonstrate
that Plaintiff did receive some amount of mental health care, and that he is merely
disagreeing with its type and quantity. See Melton v. Abston, 841 F.3d 1207, 1224
(11th Cir. 2016) (“‘[A] simple difference in medical opinion between the prison’s
medical staff and the inmate as to the latter’s diagnosis or course of treatment’ does
not support a claim of deliberate indifference.” (quoting Harris v. Thigpen, 941 F.2d
1495, 1505 (11th Cir. 1991)). Moreover, “[w]here a prisoner has received some medical
attention and the dispute is over the adequacy of the treatment, federal courts are
generally reluctant to second guess medical judgments and to constitutionalize claims
which sound in state tort law.” Harris v. Thigpen, 941 F.2d 1495, 1507 (11th Cir.
1991) (quotation and citation omitted)); see Adams v. Poag, 61 F.3d 1537, 1545 (11th
Cir. 1995) (“[T]he question of whether governmental actors should have employed
additional diagnostic techniques or forms of treatment ‘is a classic example of a
matter for medical judgment’ and therefore not an appropriate basis for grounding
liability under the Eighth Amendment.” (quoting Estelle, 429 U.S. at 107)); Hamm v.
DeKalb Cnty., 774 F.2d 1567, 1575 (11th Cir. 1985) (“Although [the inmate] may have
desired different modes of treatment, the care the jail provided did not amount to
deliberate indifference.”). Further, to the extent Plaintiff alleges that he would have
never been sprayed with chemical agents nor suffered injuries from the uses of force
had he been placed in an observation cell (see id. at 3), such assertions are speculative
and too attenuated to support this deliberate indifference claim. As such, Defendant
Stormant’s Motion is due to be granted as to this Eighth Amendment claim.
ii. Deliberate Indifference to Physical Injuries After Uses of Force
Defendant Stormant also does not argue that Plaintiff presented a serious
medical need following the use of chemical agents or the use of force by the cell
extraction team. See generally Doc. 25. Rather, she again asserts that she was not
deliberately indifferent to this serious medical need by conduct that was more than
negligence. Id. at 5-6. She claims that she “treated him following the use-of-force,
which included assessing him for both effects of the chemical agents and physical
injuries and cleaning his wounds.” Id. at 5. However, according to Defendant
Stormant, “Plaintiff appears to merely disagree with the treatment he received.” Id.
at 5. Further, Defendant Stormant argues that “even accepting Plaintiff’s allegations
as true, Defendant’s purported deliberate indifference arose from her observance of
security-based instructions from FDOC staff.” Id. at 6. Specifically, she avers that
“[f]ollowing the uses-of-force, Defendant treated Plaintiff for his injuries but FDOC
staff transported him to another cell.” Id.
Plaintiff alleges he was seen by Defendant Stormant for a “post use of force
evaluation,” but at Defendant Carter’s request, Defendant Stormant prematurely
stopped the evaluation and refused medical treatment, and then she allowed Plaintiff
to be sent back to his cell despite his obvious head injuries. Doc. 1 at 22. He asserts
that he was later found lying on the floor of his cell, unresponsive, and drenched in
blood. Id. He was then taken back to medical before being sent to an outside hospital
for emergency treatment. Id. at 22-23. Plaintiff also attaches to his Complaint
Defendant Stormant’s “Post-Use-of-Force Exam” medical record outlining the head
injuries (Doc. 1-2 at 3); however, Plaintiff argues Defendant Stormant fabricated the
medical record after another doctor criticized her decision to send Plaintiff back to
his cell without first treating his head injuries. Doc. 1 at 23. He further alleges that
as a result of Defendant Stormant’s deliberate indifference, he suffered additional
dizziness, headaches, the head laceration grew in size requiring stitches, and the
additional blood from the laceration made it difficult for Plaintiff to see. Id. at 23-24.
At this stage, taking Plaintiff’s allegations as true, as the Court must, Plaintiff
has sufficiently alleged that following the uses of force, Defendant Stormant
disregarded Plaintiff’s need for medical treatment by conduct that is more than
negligence. Plaintiff also sufficiently alleges that he suffered additional physical
injuries as a result of Defendant Stormant’s alleged deliberate indifference. As such,
Defendant Stormant’s Motion is due to be denied as to this Eighth Amendment claim.
B. Qualified Immunity
Defendant Stormant argues that she is entitled to qualified immunity because
she was acting within her discretionary authority and Plaintiff fails to sufficiently
allege a claim against her. Therefore, according to Defendant Stormant, the
individual capacity claims against her should be dismissed with prejudice.
“The defense of qualified immunity completely protects
government officials performing discretionary functions
from suit in their individual capacities unless their
conduct violates ‘clearly established statutory or
constitutional rights of which a reasonable person would
have known.’’ Gonzalez v. Reno, 325 F.3d 1228, 1233 (11th
Cir. 2003) (quoting Hope v. Pelzer, 536 U.S. 730, 739
(2002)) . . . . Once it has been determined that the official
was acting within his discretionary duties, the burden
shifts to the plaintiff to show (1) that the official violated
a constitutional right and (2) that the right was clearly
established at the time of the alleged violation. Caldwell
v. Warden, FCI Talladega, 748 F.3d 1090, 1099 (11th Cir.
2014). Our inquiry “can begin with either prong.” Morris
v. Town of Lexington, 748 F.3d 1316, 1322 (11th Cir.
2014).
Marbury v. Warden, 936 F.3d 1227, 1232-33 (11th Cir. 2019) (internal citations
modified). As previously found, Plaintiff has sufficiently alleged that Defendant
Stormant violated his Eighth Amendment rights by failing to provide adequate
medical treatment following the uses of force. Deliberate indifference to a serious
medical need of a prisoner is a violation of such rights. See Estelle, 429 U.S. at 104
(1976) (“deliberate indifference to serious medical needs of prisoners constitutes the
‘unnecessary and wanton infliction of pain,’ proscribed by the Eighth Amendment.”).
Accordingly, Defendant Stormant is not entitled to qualified immunity for that claim
at the pleading stage.
As to Plaintiff’s claim that Defendant Stormant was deliberately indifferent to
his psychological emergency, this Court has found that Plaintiff has failed to
sufficient state an Eighth Amendment claim. Therefore, Defendant Stormant is
entitled to qualified immunity for that claim, and thus, it will be dismissed with
prejudice.
C. Eleventh Amendment Immunity
Defendant Stormant argues that Plaintiff’s claim for monetary damages
against her in her official capacity should be dismissed, because she is entitled to
Eleventh Amendment immunity. Doc. 25 at 8. The Court agrees that such claims are
barred by the Eleventh Amendment. See, e.g., Hayes v. Sec’y, Fla. Dep’t of Children
& Families, 563 F. App’x 701, 703 (11th Cir. 2014) (“The Eleventh Amendment also
prohibits suits against state officials where the state is the real party in interest, such
that a plaintiff could not sue to have a state officer pay funds directly from the state
treasury for the wrongful acts of the state.”). As such, Defendant’s Motion is due to
be granted to the extent that Plaintiff requests monetary damages from Defendant
Stormant in her official capacity.
Accordingly, it is
ORDERED:
1. Defendant Stormant’s Motion to Dismiss (Doc. 25) is GRANTED in
part and DENIED in part. The Motion is GRANTED to the extent Plaintiff’s
Eighth Amendment claim regarding his psychological emergency is DISMISSED
with prejudice. Further, all claims for monetary damages against Defendant
Stormant in her official capacity only are DISMISSED with prejudice. The Motion
(Doc. 25) is otherwise DENIED.
2. Defendant Stormant shall file an answer to the Complaint by February
10, 2021. After Defendant Stormant files her answer, the Court will set further
deadlines by separate order.
3. The parties are encouraged to discuss the possibility of settlement and
notify the Court if their efforts are successful. In doing so, Plaintiff and Defendants
are encouraged to maintain a realistic approach in making and/or considering any
settlement offers.
DONE AND ORDERED at Jacksonville, Florida, this 12th day of January,
2021.
BRIAN J. DAVIS
United States District Judge
Jax-7
C: Maximo Gomez, #M11644
Counsel of Record
15