# Connell v. Centurion Medical Health Care Providers

> District Court, M.D. Florida · October 19, 2023

URL: https://www.frixlaw.com/law-library/cases/10114234

## Case

- **Court:** District Court, M.D. Florida
- **Decided:** October 19, 2023
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10114234

## How later opinions describe it (automated extraction)

- explaining that defendants bear the burden of showing a failure to exhaust
- holding that a prison official’s threats of retaliation can render grievance process unavailable if: “(1) the threat actually did deter the plaintiff inmate from lodging a grievance or pursuing a particular part of the process; and (2
- stating that “it is the prison’s requirements, and not the PLRA, that define the boundaries of proper exhaustion”
- noting that a prisoner must exhaust administrative remedies before challenging the conditions of confinement, and concluding that the PLRA demands “proper exhaustion”

## Opinion text

UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
JACKSONVILLE DIVISION

TIMOTHY ALAN CONNELL,

Plaintiff,

v. Case No. 3:22-cv-269-BJD-PDB

CENTURION MEDICAL, et al.,

Defendants.

ORDER
I. Status
Plaintiff, Timothy Alan Connell, an inmate in the custody of the Florida
Department of Corrections, initiated this action in the Southern District of
Florida by filing a pro se Civil Rights Complaint (Doc. 1) under 42 U.S.C. §
1983 on February 28, 2022.1 In the Complaint, Plaintiff names three
Defendants – Centurion Medical Health Care (Centurion); Dade Correctional
Institution Captain Thomas Coopman; and Florida State Prison (FSP) Medical
Director Gonzales Espino. Id. On March 9, 2022, the Honorable Raag Singhal,
United States District Judge, dismissed without prejudice Plaintiff’s claims

1 Because the Complaint does not contain a prison date stamp, the Court
considers the filed date as the date of the certificate of service. Doc. 1 at 23.
against Coopman2 and transferred to this Court the action and remaining
claims against Defendants Centurion and Espino. See Doc. 3. Plaintiff alleges

that Centurion and Espino have not provided adequate medical care for his
severe ear injury, and he seeks injunctive relief and monetary damages. Doc.
1 at 4.
Before the Court are several motions. Both Defendants have moved to

dismiss. See Doc. 29 (Centurion Mot.); Doc. 46 (Espino Mot.). And in
compliance with the Court’s directive (Doc. 52), Defendants supplemented
their motions to dismiss with a summary printout of Plaintiff’s grievance
appeals (Doc. 55). Plaintiff filed several responses opposing the motions to

dismiss (Docs. 34, 43, 47, 48, 49, 51, 59, 64); and he filed an opposition to
Defendants’ supplement (Doc. 56). Plaintiff also filed a Motion for Leave to file
Amended Complaint (Doc. 41); a Motion to Supplement Motion for Leave to file
Amended Complaint (Doc. 42); and a “Motion to Request Stay of Ruling on

Defendants’ Motions to Dismiss to Allow Plaintiff to Properly Exhaust All
Administrative Remedies Available Due to Exceptional/Extraordinary
Circumstances that Prevented Plaintiff from Exhausting” (Doc. 65). Finally,

2 The claims against Defendant Coopman were dismissed without prejudice to
Plaintiff refiling a new complaint against Defendant Coopman only challenging the
events which took place in the Southern District of Florida. See Doc. 3.
Defendants filed a “Motion to Consolidate Related Cases Under Local Rule
1.07.” See Doc. 54. The motions are ripe for review.

II. Plaintiff’s Complaint3
Plaintiff alleges that on July 29, 2019, while housed at Dade Correctional
Institution, Captain Thomas Coopman used excessive physical force on him,
resulting in Plaintiff suffering a severe ear injury. Doc. 1 at 9-10. Medical

evaluated Plaintiff after the use of force, noticed his ear was bleeding,
prescribed antibiotics, and ordered a follow-up in ten to fourteen days. Id. at
13. On September 14, 2019, medical again evaluated Plaintiff and
recommended that he be evaluated by an ear, nose, and throat specialist. Id.

at 14. According to Plaintiff, however, on September 25, 2019, before Plaintiff
met with a specialist, Plaintiff was transferred to FSP. Id.
Plaintiff alleges that when he arrived at FSP, his ear was leaking brown
and green fluid, so he submitted a sick-call request. Id. According to Plaintiff,

Defendant Espino then evaluated Plaintiff and, in direct conflict to past
medical advice, refused to send Plaintiff to an ear, nose, and throat specialist.
Id. at 15. According to Plaintiff, Espino also “falsified medical records, reports
and documents stating no drainage, no perforation, both ear[s] intact and

3 Because this Order only pertains to Plaintiff’s allegations against Centurion
and Espino, the Court focuses its summary on the allegations involving these
Defendants.
noted that Plaintiff would squeeze nose and blow air out of his ear which was
false.” Id. Plaintiff asserts that Espino later evaluated Plaintiff and denied

Plaintiff’s ear injury existed. Id. at 16.
Plaintiff argues that due to his continued ear pain, he submitted several
additional sick-call requests and grievances asking to see a specialist, but
medical denied those requests. Id. at 16-17. Plaintiff asserts that Espino

eventually documented that Plaintiff had a noticeable ear issue and prescribed
“Neomycin hydrocortisone sterile optic solution ear drops” and instructed
Plaintiff to administer two drops in the affected ear two-to-three-times a day.
Id. at 17. According to Plaintiff, however, Espino “knew or should have known

that this medicine was prohibited and harmful to Plaintiff’s injury.” Id.
Notably, Plaintiff asserts that when he administered the ear drops, he
experienced excruciating pain, so he stopped treatment. Id. Plaintiff alleges
that he then noticed that the pharmacy instructions explicitly state, “Do not

prescribe to patients with a ruptured perforated tympanic membrane trauma.”
Id. at 17-18. According to Plaintiff, he has yet to receive adequate medical care
for his ear injury. He argues that Espino’s actions in denying him care and
prescribing medication that exacerbated his injury amounted to deliberate

indifference to his serious medical need in violation of his rights under the
Eighth Amendment.
Plaintiff also seemingly alleges that Espino eventually recommended
that Plaintiff see an ear, nose, and throat specialist. But, according to Plaintiff,

Defendant Centurion has a custom, policy, and practice of intentionally
denying ear, nose, and throat specialist evaluations to inmates like Plaintiff.
Id. at 18. He claims this policy was the moving force behind medical’s refusal
to treat his ear injury. Id. Notably, he claims he “has been referred to an ear

doctor 4x (four times),” but Centurion has denied all those referrals. Id. at 3.
Plaintiff argues Centurion’s policy and practice of denying ear specialist care
amounts to an Eighth Amendment violation.
According to Plaintiff, because of Defendants’ deliberate indifference, he

suffers from chronic ear pain, his hearing in his left ear has diminished, and
he experiences nightmares of abuse and suffers from emotional trauma. Id. at
3. As relief, Plaintiff seeks monetary damages and a “preliminary and
permanent injunction for Plaintiff to see an ear specialist.” Id. at 4.

III. Defendants’ Motions to Dismiss
In their motions, Defendants argue the Court should dismiss the claims
against them because: (1) Plaintiff is a three-strikes litigant, as defined in the
Prison Litigation Reform Act (PLRA), and 28 U.S.C. § 1915(g); (2) Plaintiff

failed to exhaust his administrative remedies; (3) Plaintiff fails to state a
plausible claim for relief; and (4) Plaintiff failed to comply with Florida’s
mandatory presuit conditions before filing a medical malpractice claim. See
generally Centurion Mot.; Espino Mot. Because the Court finds this action is
due to be dismissed without prejudice for Plaintiff’s failure to exhaust his

administrative remedies, the Court need not address Defendants’ other
arguments.
Exhaustion
The PLRA requires that Plaintiff exhaust his available administrative

remedies before pursuing a § 1983 claim about prison conditions. See 42 U.S.C.
§ 1997e(a) (“No action shall be brought with respect to prison conditions under
section 1983 . . . until such administrative remedies as are available are
exhausted.”); see also Woodford v. Ngo, 548 U.S. 81, 92-93 (2006) (noting that

a prisoner must exhaust administrative remedies before challenging the
conditions of confinement, and concluding that the PLRA demands “proper
exhaustion”). But Plaintiff need not “specially plead or demonstrate exhaustion
in [his] complaint[].” See Jones v. Bock, 549 U.S. 199, 216 (2007). Instead, the

United States Supreme Court has recognized that “failure to exhaust is an
affirmative defense under the PLRA[.]” Id.
Exhaustion of available administrative remedies is “a precondition to an
adjudication on the merits.” Bryant v. Rich, 530 F.3d 1368, 1374 (11th Cir.

2008). See also Jones, 549 U.S. at 211. The Supreme Court has instructed that
while “the PLRA exhaustion requirement is not jurisdictional[,]” Woodford,
548 U.S. at 101, “exhaustion is mandatory . . . and unexhausted claims cannot
be brought,” Pavao v. Sims, 679 F. App’x 819, 823 (11th Cir. 2017) (per curiam)
(citing Jones, 549 U.S. at 211). Not only is there a recognized exhaustion

requirement, “the PLRA . . . requires proper exhaustion” as set forth in
applicable administrative rules and policies of the institution. Woodford, 548
U.S. at 93.
Because exhaustion requirements are designed
to deal with parties who do not want to exhaust,
administrative law creates an incentive for these
parties to do what they would otherwise prefer not to
do, namely, to give the agency a fair and full
opportunity to adjudicate their claims.
Administrative law does this by requiring proper
exhaustion of administrative remedies, which “means
using all steps that the agency holds out, and doing so
properly (so that the agency addresses the issues on
the merits).”

Id. at 90 (citation omitted). Indeed, “[p]roper exhaustion demands compliance
with an agency’s deadlines and other critical procedural rules[.]” Id.
In Ross v. Blake, the Supreme Court instructed that “[c]ourts may not
engraft an unwritten ‘special circumstances’ exception onto the PLRA’s
exhaustion requirement. The only limit to § 1997e(a)’s mandate is the one
baked into its text: An inmate need exhaust only such administrative remedies
as are ‘available.’” 136 S. Ct. 1850, 1862 (2016). For an administrative remedy
to be available, the “remedy must be ‘capable of use for the accomplishment of
[its] purpose.’” Turner v. Burnside, 541 F.3d 1077, 1084 (11th Cir. 2008)
(quoting Goebert v. Lee Cnty., 510 F.3d 1312, 1322-23 (11th Cir. 2007)).
Because failure to exhaust administrative remedies is an affirmative
defense, Defendants bear “the burden of proving that [Plaintiff] has failed to

exhaust his available administrative remedies.” Turner, 541 F.3d at 1082. The
Eleventh Circuit has articulated a two-step process that the Court must
employ when examining the issue of exhaustion of administrative remedies.
In Turner v. Burnside we established a two-step
process for resolving motions to dismiss prisoner
lawsuits for failure to exhaust. 541 F.3d at 1082. First,
district courts look to the factual allegations in the
motion to dismiss and those in the prisoner’s response
and accept the prisoner’s view of the facts as true. The
court should dismiss if the facts as stated by the
prisoner show a failure to exhaust. Id. Second, if
dismissal is not warranted on the prisoner’s view of
the facts, the court makes specific findings to resolve
disputes of fact, and should dismiss if, based on those
findings, defendants have shown a failure to exhaust.
Id. at 1082–83; see also id. at 1082 (explaining that
defendants bear the burden of showing a failure to
exhaust).

Whatley v. Warden, Ware State Prison, 802 F.3d 1205, 1209 (11th Cir. 2015).
And “[a] prisoner need not name any particular defendant in a grievance in
order to properly exhaust his claim.” Parzyck v. Prison Health Servs., Inc., 627
F.3d 1215, 1218 (11th Cir. 2010) (citations omitted).
State law “determines what steps are required to exhaust.” Dimanche v.
Brown, 783 F.3d 1204, 1207 (11th Cir. 2015); see also Jones, 549 U.S. at 218
(stating that “it is the prison’s requirements, and not the PLRA, that define
the boundaries of proper exhaustion”). The FDOC provides inmates with a
three-step grievance process for exhausting administrative remedies. As the
Eleventh Circuit has described it:

The grievance procedure applicable to Florida
prisoners is set out in § 33-103 of the Florida
Administrative Code. Section 33-103 contemplates a
three-step sequential grievance procedure: (1)
informal grievance; (2) formal grievance; and then (3)
administrative appeal. Dimanche, 783 F.3d at 1211.
Informal grievances are handled by the staff member
responsible for the particular area of the problem at
the institution; formal grievances are handled by the
warden of the institution; and administrative appeals
are handled by the Office of the Secretary of the
FDOC. See Fla. Admin. Code. §§ 33-103.005–103.007.
To exhaust these remedies, prisoners ordinarily must
complete these steps in order and within the time
limits set forth in § 33-103.011, and must either
receive a response or wait a certain period of time
before proceeding to the next step. See id. § 33-
103.011(4).

Pavao, 679 F. App’x at 824. However, the ordinary three-step procedure does
not always apply. For example, a prisoner may skip the informal grievance
step and immediately file a formal grievance for issues pertaining to various
things, including “medical grievances” or “a formal grievance of a medical
nature.” Fla. Admin. Code r. 33-103.005(1); Fla. Admin. Code r. 33-103.008. If
a prisoner can bypass the informal grievance step, he must typically file the
formal grievance with the warden within 15 days from the date on which the
incident or action being grieved occurred. Fla. Admin. Code r. 33-103.011(1)(b).
A response must be provided to the inmate within 20 days of receipt of the
formal grievance. Fla. Admin. Code r. 33-103.006(6). “If the inmate is
unsatisfied with the resolution of a formal grievance, he may appeal the

grievance to the Office of the Secretary using Form DC1-303 (same form as a
formal grievance).” Jenkins v. Sloan, 826 F. App’x 833, 835 (11th Cir. 2020)
(citing Fla. Admin. Code Ann. R. 33-103.007). The grievance appeal to the
Office of the Secretary must be received within 15 days from the date the

response to the formal grievance is returned to the inmate. Fla. Admin. Code
r. 33-103.11(c).
Here, Defendants argue Plaintiff did not exhaust his administrative
remedies regarding his alleged lack of ear care because he never timely

pursued an administrative appeal. Centurion Mot. at 8-11; Espino Mot. at 18-
22. In support of their arguments, Defendants attach to their motions a
summary printout of Plaintiff’s formal grievances (Doc. 29-3 at 1-4); and three
formal grievances and the warden’s responses to those formal grievances (Doc.

29-4 at 1-7). They also filed a summary printout of Plaintiff’s grievance appeals
filed with the Secretary (Doc. 55-1).
Plaintiff seems to argue that he exhausted all of his “available”
administrative remedies. He filed several grievances he submitted between

July 2019 and present day. Doc. 34 at 4; Doc. 47 at 4. He asserts he filed several
formal medical grievances and when officials denied those grievances, he filed
timely appeals. Doc. 49 at 35. But according to Plaintiff, officials sometimes
“obstructed, impeded, interfered, [] tampered” or “destroyed” his grievance
appeals, rendering his administrative remedies unavailable. Doc. 47 at 21;

Doc. 49 at 35; Doc. 56.
Here, the Court finds that Plaintiff’s allegations, taken as true, preclude
dismissal of this action at the first step of Turner. See Ross, 136 S. Ct. at 1860;
see also Jackson v. Griffin, 762 F. App’x 744, 746 (11th Cir. 2019) (holding

disputes about availability of administrative remedies are questions of fact
that can bar dismissal at Turner’s first step). As such, the Court will proceed
to Turner’s second step and make specific findings to resolve the disputed
factual issues related to exhaustion.

In resolving the disputed factual issues here, the Court finds that
Plaintiff did not complete the administrative process before filing this case.
Defendants do not challenge Plaintiff’s efforts to file formal grievances of a
medical nature directly with the warden after his September 25, 2019, transfer

to FSP. Rather, their exhaustion argument is that after Plaintiff filed those
formal grievances, he did not seek a timely administrative appeal with the
Secretary before filing this action.
The record shows that following his September 2019 transfer to FSP and

before he filed this action on February 28, 2022, Plaintiff filed three formal
medical grievances about his lack of medical care for his ear injury. First,
Plaintiff submitted a formal medical grievance (log # 1910-205-160) on October
21, 2019. Doc. 34-3 at 77. Officials denied the formal grievance (log # 1910-205-
160) on November 4, 2019. Id. at 76. Plaintiff had until November 19, 2019, to

file an appeal, however, the log of Plaintiff’s administrative appeals shows he
did not file an appeal by that deadline. See Doc. 55-1. Second, on July 19, 2021,
Plaintiff filed a formal medical grievance (log # 2107-205-128). Doc. 46-4 at 5.
Officials denied the formal grievance (log # 2107-205-128) on July 24, 2021. Id.

at 4. Plaintiff had until August 8, 2021, to file an appeal with the Secretary,
but the record shows he did not file an appeal by that deadline. See Doc. 55-1.
Plaintiff seems to argue that he tried to file an appeal for those two
formal grievances (log # 1910-205-160 and log # 2107-205-128), but officials

either never responded to his appeal or otherwise hindered his efforts,
rendering his administrative remedies unavailable. See Doc. 65 at 2. But
Plaintiff’s conclusory assertion that his appeal grievances were being ignored
or hindered does not amount to the type of intimidation that would render a

grievance process unavailable. For example, Plaintiff does not allege that
prison officials withheld from him administrative remedy forms. Instead, the
record shows he had access to the necessary form for submitting a grievance
appeal to the Secretary, because he would have used that same form to file his

many formal grievances with the warden. See Jenkins, 826 F. App’x at 836 (“[i]f
an inmate is unsatisfied with the resolution of a formal grievance, he may
appeal the grievance to the Office of the Secretary using Form DC1-303 (same
form as a formal grievance)”). The record also refutes any allegation that prison
officials engaged in threatening or retaliatory behavior that deterred Plaintiff

from filing a grievance appeal with the Secretary. See Turner, 541 F.3d at 1085
(holding that a prison official’s threats of retaliation can render grievance
process unavailable if: “(1) the threat actually did deter the plaintiff inmate
from lodging a grievance or pursuing a particular part of the process; and (2)

the threat is one that would deter a reasonable inmate of ordinary firmness
and fortitude” from participating in the process). Indeed, his administrative
appeals log shows he filed nine grievance appeals between December 2019 and
October 2021, but the Secretary returned all those appeals without action. See

Doc. 55-1 at 2. Further, even if guards intercepted his grievances and failed to
respond, Plaintiff could and should have completed the grievance process by
submitting an appeal when he received no response after twenty days. See
Pavao, 679 F. App’x at 826. He did not do so. See Doc. 55-1.

Third, Plaintiff filed a medical formal grievance (log # 2202-205-205)
about his need for medical care for his ear injury on February 22, 2022. Doc.
46-4 at 7. A few days later, before receiving a response to that grievance,
Plaintiff filed his Complaint on February 28, 2022. Doc. 1 at 23. After filing the

Complaint, the warden denied the formal medical grievance (log # 2202-205-
205) on March 11, 2022. Id. at 6. Plaintiff then completed the administrative
grievance process by filing a timely appeal with the Secretary (log # 22-6-
08669) on March 17, 2022. Doc. 47-1 at 10; Doc. 55-1 at 2. The Secretary denied
the grievance appeal (log # 22-6-08669) on April 8, 2022. Id. at 9. To the extent

that Plaintiff argues that the grievances he filed after he submitted the
Complaint satisfy the exhaustion requirement, he is mistaken. Indeed, “when
a state provides a grievance procedure for its prisoners, . . . an inmate alleging
harm suffered from prison conditions must file a grievance and exhaust the

remedies available under that procedure before pursuing a § 1983 lawsuit.”
Brown v. Sikes, 212 F.3d 1205, 1207 (11th Cir. 2000) (emphasis added). It is
undisputed that he filed his Complaint before he completed the grievance
process; and he did not exhaust his administrative remedies. For these

reasons, the motions to dismiss are due to be granted on this issue.
IV. Motion to Consolidate
On May 2, 2022, Plaintiff initiated a separate action in the Second
Judicial Circuit Court in and for Leon County, Florida, by filing a Complaint

under 42 U.S.C. § 1983. See Connell v. Centurion, et al., No. 3:23-cv-152-BJD-
JBT (M.D. Fla.). Plaintiff named four Defendants – Centurion; Espino;
Coopman; and FSP Physician Assistant Ibe. Id. (Doc. 13). Plaintiff raised
claims identical to those at issue in this case, No. 3:22-cv-269-BJD-PDB.

Defendant Centurion removed the case to the Northern District of Florida on
December 7, 2022. Id. (Doc. 2). On February 6, 2023, the Honorable Allen
Winsor, United States District Judge, dismissed without prejudice Plaintiff’s
claims against Defendant Coopman and transferred the action to this Court.
Id. (Doc. 8).

Defendants Centurion and Espino filed a “Motion to Consolidate Related
Cases Under Local Rule 1.07” (Doc. 54). According to Defendants, the
allegations in this case, No. 3:22-cv-269-BJD-PDB, are virtually identical to
the allegations in No. 3:23-cv-152-BJD-JBT, and thus they ask the Court to

consolidate the cases. Doc. 54 at 4.
Federal Rule of Civil Procedure 42(a) permits the Court to consolidate
actions involving a common question of law or fact, and consolidation is proper
when it serves the purposes of judicial economy and convenience. Young v. City

of Augusta, 59 F.3d 1160, 1169 (11th Cir. 1995). The purpose of consolidation
is to avoid unnecessary cost or delay where the claims and issues contain
common aspects of law or fact. E.E.O.C. v. HBE Corp., 135 F.3d 543, 551 (8th
Cir. 1998). Here, however, because the Court dismisses No. 3:22-cv-269-BJD-

PDB without prejudice for failure to exhaust, consolidation would not help
achieve judicial economy or avoid delay or confusion. Here, consolidation
serves no purpose, and thus Defendants’ request is denied. Case No. 3:23-cv-
152-BJD-JBT will proceed separately.
Accordingly, it is
ORDERED AND ADJUDGED:
1. Defendant Centurion’s Motion to Dismiss (Doc. 29) and Defendant
Espino’s Motion to Dismiss (Doc. 46) are GRANTED to the extent described
herein.
2. Plaintiffs Complaint (Doc. 1) and this case are DISMISSED
without prejudice.
3. Plaintiff's Motion for Leave to file Amended Complaint (Doc. 41);
Motion to Supplement Motion for Leave to file Amended Complaint (Doc. 42);
and Motion to Stay Ruling on Motions to Dismiss (Doc. 65) are DENIED as
moot.
4, Defendants’ Motion to Consolidate (Doc. 54) is DENIED.
5. The Clerk shall enter judgment dismissing this case without
prejudice, terminate any pending motions, and close the file.
DONE AND ORDERED at Jacksonville, Florida, this 19t* day of
October, 2023.

Ba oh |
KM) Armas

United States District Judge

16

Jax-7
C: Timothy Alan Connell, #T11890
Counsel of record

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10114234. Public record. Not legal advice.