to adequately plead Monell liability, allegations “must allow [the court] to draw the reasonable inference that the [defendant] established a policy or practice” which caused the injury
How later courts described this case
- to adequately plead Monell liability, allegations “must allow [the court] to draw the reasonable inference that the [defendant] established a policy or practice” which caused the injury
- medical personnel could not stand idly by for more than ten months while patient’s rheumatoid arthritis worsened
- explaining that a warden does not incur § 1983 liability just by participating in the grievance process
- viable claim where doctor delayed scheduling appointment with specialist and then failed to follow specialist’s advice, while inmate’s condition worsened
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF ILLINOIS
LLOYD LATCHFORD, )
)
Plaintiff, )
)
vs. ) Case No. 23-cv-3099
)
WEXFORD HEALTH SOURCES, et al., )
)
Defendants. )
MERIT REVIEW ORDER – SECOND AMENDED COMPLAINT
Plaintiff, proceeding pro se, filed a Second Amended Complaint under 42 U.S.C. § 1983
alleging Defendants were deliberately indifferent to his serious medical needs in violation of the
Eighth Amendment at Graham Correctional Center (“Graham”) and Taylorville Correctional
Center (“Taylorville”). (Doc. 15).
The case is now before the Court for a merit review of Plaintiff’s claims. The Court must
“screen” Plaintiff’s Second Amended Complaint, and through such process, identify and dismiss
any legally insufficient claim, or the entire action if warranted. 28 U.S.C. § 1915A. A claim is
legally insufficient if it “(1) is frivolous, malicious, or fails to state a claim upon which relief may
be granted; or (2) seeks monetary relief from a defendant who is immune from such relief.” Id.
The Court accepts the factual allegations as true, liberally construing them in Plaintiff’s favor.
Turley v. Rednour, 729 F.3d 645, 649 (7th Cir. 2013). Conclusory statements and labels are
insufficient—the facts alleged must “state a claim for relief that is plausible on its face.” Alexander
v. United States, 721 F.3d 418, 422 (7th Cir. 2013) (citation omitted).
ALLEGATIONS
Plaintiff identifies six Defendants, including Wexford Health Sources (“Wexford”),
Graham’s Healthcare Unit (“HCU”) Administrator Dr. Simmons, Taylorville’s HCU
Administrator K. Hackney, Taylorville’s physician Dr. George Duncan, Correctional Counselor
B. Suey, and Warden Melinda Eddy.
Plaintiff does not name Dr. Timothy Adesanya and Rob Jeffreys as Defendants in his
Second Amended Complaint. Therefore, Defendants Adesanya and Jeffreys are dismissed without
prejudice.
While incarcerated at Graham, Plaintiff was diagnosed with a “bowel
blockage/obstruction” and received a “soap suds enema” on November 15, 2021. (Doc. 15 at p.
2). A colonoscopy was recommended as soon as possible.
Plaintiff was transferred to Taylorville on November 19, 2021.
On November 28, 2021, Plaintiff was treated for constipation and given Milk of Magnesia.
On December 5, 2021, Plaintiff was given a “bomb (stool softener and fiber).” Id. On December
10, 2021, Plaintiff was prescribed a “battery of medication” for constipation. Id. Plaintiff alleges
these treatments were ineffective.
On December 10, 2021, Plaintiff saw Defendant Dr. George Duncan and “told him about
having a bowl blockage removed and the recommendation for a colonoscopy ASAP.” Id.
Defendant Duncan allegedly responded: “I do not care what they said. I will find out what is wrong
for myself.” Id.
Plaintiff states his medical records were not available for Defendant Duncan to review on
December 10, 2021. If the records had been available, Plaintiff states Defendant Duncan would
have been able to send him out for further medical care immediately. Plaintiff claims Defendant
Simmons, the HCU Administrator at Graham, is responsible for the delay in transferring his
medical records to Taylorville. Plaintiff alleges Defendant Wexford was deliberately indifferent
based on the lack of a policy to transfer medical records with an inmate.
Plaintiff was seen by HCU staff and given Milk of Magnesia on December 14, 2021,
December 27, 2021, and January 3, 2022, which Plaintiff claims did not help.
Plaintiff alleges he submitted multiple emergency grievances regarding a bowel blockage.
As a result, Plaintiff alleges Defendant Counselor Suey and Defendant Warden Eddy were aware
on January 4, 2022, that he had not had a bowel movement for about a month and the medical
treatment he received was ineffective. Plaintiff claims that Defendant Suey was deliberately
indifferent for failing to answer an emergency grievance for forty-nine days.
On January 10, 2022, Plaintiff was sent to the Springfield Clinic for an appointment with
Dr. Rahal Nayani, who noted “narrowing in colon and no BM for 9 weeks” and recommended a
colonoscopy. Id. at p. 4. Plaintiff states he went to the HCU many times between January 10, 2022,
and March 8, 2022.
Plaintiff underwent a colonoscopy on March 8, 2022. Plaintiff alleges the pressure on his
colon was so severe that fecal matter exploded all over the room when Dr. Nayani inserted the
endoscope into Plaintiff’s rectum.
Plaintiff alleges that forcing him to wait until March 8, 2022, for a colonoscopy constituted
deliberate indifference. Plaintiff claims that Defendant HCU Administrator K. Hackney and
Defendant Duncan should have reviewed the records from Dr. Nayani and known that not having
a bowel movement for nine weeks could be catastrophic.
ANALYSIS
It is well established that deliberate indifference to a serious medical need is actionable as
a violation of the Eighth Amendment. Hayes v. Snyder, 546 F.3d 516, 522 (7th Cir. 2008). A claim
of deliberate indifference contains both an objective and a subjective component. Farmer v.
Brennan, 511 U.S. 825, 834 (1994). To satisfy the objective component, a prisoner must
demonstrate that his medical condition is “objectively, sufficiently serious.” Id. An objectively
serious medical condition is one that “has been diagnosed by a physician as mandating treatment
or one that is so obvious that even a lay person would perceive the need for a doctor’s attention.”
Hayes, 546 F.3d at 522. To satisfy the subjective component, the inmate must demonstrate that the
prison official acted with a “sufficiently culpable state of mind.” Farmer, 511 U.S. at 834. The
official must know of and disregard an excessive risk to the inmate’s health; “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.” Id. at 837. The prisoner must show that the
defendant engaged in more than negligence and that the defendant’s conduct approached
intentional wrongdoing or criminal recklessness. Holloway v. Delaware Cnty. Sheriff, 700 F.3d
1063, 1073 (7th Cir. 2012) (citing Farmer, 511 U.S. at 837).
Defendant Duncan
Plaintiff alleges Defendant Duncan did not provide effective treatment for his bowel
blockage and disregarded the recommendation for a colonoscopy ASAP during the examination
on December 10, 2021. Plaintiff also alleges that Dr. Nayani recommended a colonoscopy on
January 10, 2022, but Plaintiff waited until March 8, 2022, for a colonoscopy. Based on Plaintiff’s
allegations, the Court finds that he has alleged a plausible Eighth Amendment deliberate
indifference claim against Defendant Duncan. See Arnett v. Webster, 658 F.3d 742, 752 (7th Cir.
2011) (medical personnel could not stand idly by for more than ten months while patient’s
rheumatoid arthritis worsened); Jones v. Simek, 193 F.3d 485, 490 (7th Cir. 1999) (viable claim
where doctor delayed scheduling appointment with specialist and then failed to follow specialist’s
advice, while inmate’s condition worsened).
Defendant Simmons
Plaintiff alleges he was forced to wait until March 8, 2022, for a colonoscopy. He attributes
the delay, in part, to Defendant Simmons, the HCU Administrator at Graham. He claims that
“Defendant Dr. Simmons was the Graham Health Care Administrator. It falls on her shoulders to
make sure all policies are followed by her staff. The medical records not being available for Dr.
Duncan to review on 12-10-21 is on her.” (Doc. 15 at p. 3). Plaintiff has not alleged any facts
which would suggest that Defendant Simmons was responsible for the medical care he received at
Taylorville, nor does he allege that Defendant Simmons treated him at Graham. The only potential
delay attributable to Defendant Simmons was the four days between the recommendation for a
colonoscopy on November 15, 2021, and Plaintiff’s transfer on November 19, 2021. The Court
finds that Plaintiff’s allegations are insufficient to establish an Eighth Amendment deliberate
indifference claims against Defendant Simmons. Therefore, Defendant Simmons is dismissed
without prejudice for failure to state a claim under Federal Rule of Civil Procedure 12(b)(6) and §
1915A.
Defendant Eddy
Plaintiff alleges Defendant Eddy, the Warden at Taylorville, had personal knowledge of
his serious medical needs through multiple emergency grievances and failed to take action. “[I]f a
prisoner is under the care of medical experts, a non-medical prison official will generally be
justified in believing that the prisoner is in capable hands.” Arnett, 658 F.3d at 755 (citing Greeno
v. Daley, 414 F.3d 645, 656 (7th Cir. 2005)); see also Johnson v. Doughty, 433 F.3d 1001, 1011
(7th Cir. 2006). “However, nonmedical officials can be chargeable with … deliberate indifference
where they have a reason to believe (or actual knowledge) that prison doctors or their assistants
are mistreating (or not treating) a prisoner.” Arnett, 658 F.3d at 755 (internal quotations and
citations omitted). A warden cannot be held liable based solely on involvement in the grievance
process. See Thomas v. Knight, 196 F. App'x 424, 429 (7th Cir. 2006) (explaining that a warden
does not incur § 1983 liability just by participating in the grievance process). “If there is ‘no
personal involvement by the warden outside the grievance process,’ that is insufficient to state a
claim against the warden.” Neely v. Randle, No. 12 C 2231, 2013 WL 3321451, at *3 (N.D. Ill.
June 13, 2013) (quoting Gevas v. Mitchell, 492 F. App'x 654, 660 (7th Cir. 2012)). Here, Plaintiff
alleges no further involvement by Defendant Eddy outside of the grievance process. Defendant
Eddy is dismissed without prejudice for failure to state a claim under Federal Rule of Civil
Procedure 12(b)(6) and § 1915A.
Defendant Suey
Plaintiff claims that Defendant Suey’s failure to expedite a grievance deemed an
emergency by Defendant Eddy constituted deliberate indifference to his serious medical needs.
While Plaintiff is critical of the handling of his various grievances, this is not enough to plead
personal liability under § 1983. See Owens v. Hinsley, 635 F.3d 950, 953 (7th Cir. 2011). “[T]he
alleged mishandling of [Plaintiff’s] grievances by persons who otherwise did not cause or
participate in the underlying conduct states no claim.” Id. Furthermore, “[s]imply receiving
correspondence from a prisoner” does not make a prison official liable for the alleged infraction.
Norington v. Daniels, 2011 WL 5101943, at *2–3 (N.D. Ind. Oct. 25, 2011). Defendant Suey is
dismissed without prejudice for failure to state a claim under Federal Rule of Civil Procedure
12(b)(6) and § 1915A.
Defendant Hackney
Plaintiff’s sole allegation against Defendant Hackney, the HCU Administrator at
Taylorville, is that she should have reviewed the records from Dr. Nayani and known that “NO
BM for 9 weeks could be catastrophic.” (Doc. 15 at p. 4). Plaintiff also claims it is Defendant
Hackney’s “job to make sure things are scheduled.” Id. Plaintiff does not indicate what
appointment Defendant Hackney allegedly failed to schedule. The Court finds that the sparse
allegations against Defendant Hackney are insufficient to state an Eighth Amendment deliberate
indifference claim. Defendant Hackney is dismissed without prejudice for failure to state a claim
under Federal Rule of Civil Procedure 12(b)(6) and § 1915A.
Defendant Wexford
Plaintiff does not allege that Wexford’s policy, practice, or custom caused a constitutional
injury. See Monell v. Dep’t of Soc. Servs. of City of New York, 436 U.S. 658 (1978); McCauley v.
City of Chicago, 671 F.3d 611, 618 (7th Cir. 2011) (to adequately plead Monell liability,
allegations “must allow [the court] to draw the reasonable inference that the [defendant]
established a policy or practice” which caused the injury). Rather, he alleges that the lack of a
policy regarding the timely transfer of medical records caused a delay in his medical treatment
when he was transferred from Graham to Taylorville. “But alleging a Monell claim based on the
absence of a policy brings its own challenges. When a plaintiff relies on a gap in policies to support
his claims, ‘he must provide enough evidence...to permit an inference that the [entity] has chosen
an impermissible way of operating.’” Petropoulos v. City of Chicago, 448 F. Supp. 3d 835, 840
(N.D. Ill. 2020) (quoting Calhoun v. Ramsey, 408 F.3d 375, 381 (7th Cir. 2005) (emphasis in
original). “A plaintiff must allege more than a chance slip-up by an individual employee.
Petropoulos, 448 F. Supp. 3d at 840 (citing Carmona v. City of Chicago, 2018 WL 306664, at *2
(N.D. Ill. 2018)).
Here, Plaintiff’s allegations are based solely on his own experience. It is difficult to
sufficiently allege a Monell claim by pointing to only one example, particularly when that example
is the plaintiff's own experience. See Thomas v. Cook Cnty. Sheriff’s Dep’t, 604 F.3d 293, 303 (7
Cir. 2010). “Courts in this District regularly dismiss Monell claims where the plaintiff has failed
to allege instances other than that from which he suffered.” Carmona v. City of Chicago, 2018 WL
306664, at *2 (N.D. Ill. 2018); see also Arita v. Wexford Health Sources, Inc., 2016 WL 6432578,
at *2 (N.D. Ill. 2016) (rejecting Monell claim because plaintiff's own experiences were the only
allegations of misconduct); Taylor v. Wexford Health Sources, Inc., 2016 WL 3227310, at *4 (N.D.
Ill. 2016) (same); Winchester v. Marketti, 2012 WL 2076375, at *4 (N.D. Ill. 2012) (“What is fatal
to the Monell claims, however, is that Plaintiff makes no attempt to plead a pattern of similar
constitutional violations with any degree of factual specificity.”); Jones v. Feinerman, 2011 WL
4501405, at *6 (N.D. Ill. 2011) (dismissing a Monell claim because plaintiff alleged deliberate
indifference that was limited “only to him”). The Court finds that Plaintiff fails to plead a deliberate
indifference claim against Defendant Wexford. Therefore, Defendant Wexford is dismissed
without prejudice for failure to state a claim under Federal Rule of Civil Procedure 12(b)(6) and §
1915A.
IT IS THEREFORE ORDERED:
1) According to the Court's Merit Review of Plaintiff's Second Amended Complaint
under 28 U.S.C. § 1915A, this case shall proceed on the Eighth Amendment deliberate indifference
claim against Defendant Duncan. Additional claims shall not be included in the case above, except
in the Court's discretion on motion by a party for good cause shown under Federal Rule of Civil
Procedure 15.
2) Defendants Wexford, Simmons, Adesanya, Jeffreys, Hackney, Eddy, and Suey are
DISMISSED, without prejudice, for failure to state a claim pursuant to Federal Rule of Civil
Procedure 12(b)(6) and § 1915A.
3) The Clerk is directed to ADD Dr. George Duncan as a Defendant.
4) The Clerk is directed to TERMINATE Wexford, Simmons, Adesanya, and Jeffreys
as Defendants.
5) This case is now in the process of service. The Court advises Plaintiff to wait until
counsel has appeared for Defendant before filing any motions to give Defendant notice and an
opportunity to respond to those motions. Motions filed before Defendant’s counsel has filed an
appearance will generally be denied as premature. Plaintiff need not submit any evidence to the
Court at this time unless otherwise directed by the Court.
6) The Court will attempt service on Defendant by mailing a waiver of service. If
Defendant fails to sign and return a waiver of service to the Clerk within 30 days after the waiver
is sent, the Court will take appropriate steps to effect formal service through the U.S. Marshals
Service on Defendant and will require Defendant to pay the full costs of formal service pursuant
to Federal Rule of Civil Procedure 4(d)(2).
7) Defendant shall file an answer within 60 days of the date the Clerk sends the waiver
of service. A motion to dismiss is not an answer. The answer should include all defenses
appropriate under the Federal Rules. The answer and subsequent pleadings shall be to the issues
and claims stated in this Order. In general, an answer sets forth Defendant’s position. The Court
does not rule on the merits of those positions unless and until Defendant files a motion. Therefore,
no response to the answer is necessary or will be considered. If Defendant has not filed an answer
or appeared through counsel within 90 days of the entry of this Order, Plaintiff may file a motion
requesting the status of service. After Defendant has been served, the Court will enter a scheduling
order setting discovery and dispositive motion deadlines.
8) If Defendant no longer works at the address Plaintiff provided, the entity for whom
Defendant worked while at that address shall submit to the Clerk Defendant’s current work
address, or, if not known, Defendant’s forwarding address. This information shall be used only for
effectuating service. Documentation of Defendant’s forwarding address shall be retained only by
the Clerk and shall not be maintained in the public docket nor disclosed by the Clerk.
9) This District uses electronic filing, which means that after Defendant’s counsel has
filed an appearance, Defendant’s counsel will automatically receive electronic notice of any
motion or other paper filed by Plaintiff with the Clerk. Plaintiff does not need to mail to
Defendant’s counsel copies of motions and other documents that Plaintiff has filed with the Clerk.
However, this does not apply to discovery requests and responses. Discovery requests and
responses are not filed with the Clerk. Plaintiff must mail his discovery requests and responses
directly to Defendant’s counsel. Discovery requests or responses sent to the Clerk will be returned
unfiled unless they are attached to and the subject of a motion to compel. Discovery does not begin
until Defendant’s counsel has filed an appearance and the Court has entered a scheduling order,
which will explain the discovery process in more detail.
10) Counsel for Defendant is hereby granted leave to depose Plaintiff at Plaintiff’s
place of confinement. Counsel for Defendant shall arrange the time for the deposition.
11) Plaintiff shall immediately inform the Court, in writing, of any change in his
mailing address and telephone number. Plaintiff’s failure to notify the Court of a change in mailing
address or phone number will result in dismissal of this lawsuit, with prejudice.
12) Plaintiff shall be provided a copy of all pertinent medical records upon request.
13) Within 10 days of receiving from defense counsel an authorization to release
medical records, Plaintiff is directed to sign and return the authorization to defense counsel. The
Clerk is directed to enter the standard qualified protective order pursuant to the Health Insurance
Portability and Accountability Act.
14) The Clerk is directed to set an internal court deadline 60 days from the entry of this
Order for the Court to check on the status of service and enter scheduling deadlines.
ENTERED: 3/8/2024
s/ James E. Shadid
James E. Shadid
United States District Judge