reversing verdict against Sheriff where causal connection between understaffing and plaintiff’s injury too attenuated
How later courts described this case
- reversing verdict against Sheriff where causal connection between understaffing and plaintiff’s injury too attenuated
- “Illinois sheriffs have final policymaking authority over jail operations.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION
AWAAN WOODS, )
)
Plaintiff, )
)
v. ) No. 1:19-CV-4937
)
JENNIFER LEE, TONYA JACOBS, ) Hon. Marvin E. Aspen
BRYANT CHUA, CECILIA CARDONA, )
ARMOR CORRECTIONAL HEALTH )
SERVICES, INC., and LAKE COUNTY, )
ILLINOIS, )
)
Defendants. )
MEMORANDUM OPINION AND ORDER
MARVIN E. ASPEN, District Judge:
Now before us is Defendant Lake County’s Rule 12(b)(6) Motion to Dismiss Count III1
of Plaintiff Awaan Woods’ Complaint for failure to state a claim upon which relief can be
granted. (Compl. (Dkt. No. 1); Mot. (Dkt. No. 14).) This is the only claim directed against Lake
County. The other two counts are directed at the individual defendants (Count I) and Armor
Correctional Health Services, Inc. (Count II). (Compl. at 5, 7.) Those defendants did not move to
dismiss. For the reasons set forth below, we grant Lake County’s motion to dismiss.
BACKGROUND
For the purposes of a motion to dismiss, we accept all well-pleaded factual allegations as
true and draw all inferences in the plaintiff’s favor. Cole v. Milwaukee Area Tech. Coll. Dist.,
634 F.3d 901, 903 (7th Cir. 2011); Cody v. Harris, 409 F.3d 853, 857 (7th Cir. 2005).
1 Woods’ Complaint labels two claims as “Count I.” (Compl. at 5, 9.) We refer to the second
“Count I” as “Count III” because it is pleaded third. (Compl. at 9.)
Woods alleges that he complained of testicular pain to Armor and its staff while
incarcerated2 by Lake County on July 24, 2017 (Compl. ¶¶ 15–17) but had to wait until July 28,
2017 for a physician to come on-site to provide medical care. (Id. ¶¶ 14–23.) During those four
days, the individual defendants made no attempt to examine or treat Woods’ medical condition
or send him to the onsite infirmary or to an off-site facility for treatment. (Id. ¶¶ 20–21.) Four
days later, July 28, 2017, Woods was sent to Vista East Medical Center for emergency treatment.
(Id. ¶ 4.) Woods claims that he would not have lost his left testicle had the individual defendants
acted consistent with the generally accepted medical and correctional standards of care. (Id. ¶
23.)
Lake County granted Armor the exclusive right to provide medical health services to the
inmates at the Lake County Jail for a period of two years commencing on June 20, 2016.
(Id. ¶ 25.) That contract was for a sum of $2,640,270.00 and provided for a list of staffing
positions and provided for a medical doctor for six hours per week. (Id. ¶¶ 24–26.) Woods
contends that at the time of entering into the contract, Lake County knew or should have known
that medical needs of the inmate population at the Lake County Jail required an on-site medical
doctor for more than six hours a week. (Id. ¶ 27.) Thus, Woods claims that Lake County had
deliberate indifference to Woods’ serious medical condition in violation of the constitution (42
U.S.C. § 1983) by having failed to provide adequate funding to meet the medical needs of
inmates and by requiring Armor staff postpone medical treatment for inmates until the
physician’s regularly scheduled visit once every seven days. (Compl. ¶ 44.) Woods alleges that
2 On July 15, 2017, Woods was arrested by the Waukegan Police Department for retail theft in
alleged violation of 720 ILCS 5/16–25(a)(1). (Compl. ¶ 12.) He was eventually transported to
Lake County Jail on July 17, 2017. (Compl. ¶ 13.) Woods was held there as a pre-trial detainee
until judgment was entered against him on July 26, 2017. (Compl. ¶ 13.)
Lake County’s acts and/or omissions caused him to suffer both physical and psychological
injuries, including but not limited to loss of his left testical, pain, humiliation, and suffering. (Id.
¶ 45.)
LEGAL STANDARD
Lake County’s motion to dismiss for failure to state a claim upon which can be granted is
governed by Federal Rule of Civil Procedure 12(b)(6). A Rule 12(b)(6) motion challenges the
“sufficiency of the complaint.” Berger v. Nat. Collegiate Athletic Assoc., 843 F.3d 285, 289 (7th
Cir. 2016). A complaint must provide a short and plain statement of the claim showing that the
pleader is entitled to relief sufficient to provide defendant with fair notice of the claim and the
basis for it. See Fed. R. Civ. P. 8; see also Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007).
This standard “demands more than an unadorned, the-defendant-unlawfully-harmed-me
accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). While “detailed factual allegations”
are not required, “labels and conclusions, and a formulaic recitation of the elements of a cause of
action will not do.” Twombly, 550 U.S. at 555. The complaint must “contain sufficient factual
matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Iqbal, 556 U.S. at
678 (quoting Twombly, 550 U.S. at 570).3 “‘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.’” Boucher v. Fin. Sys. of Green Bay, Inc., 880 F.3d 362, 366
(7th Cir. 2018) (quoting Iqbal, 556 U.S. at 678). In applying this standard, we accept all well-
3 Contrary to Plaintiff’s suggestion in the response to the motion to dismiss, the plaintiff no
longer can skate by pleading the “bare minimum facts necessary.” (Pl.’s Resp. to Def. Mot. to
Dismiss (“Pl. Resp.”) (Dkt. No. 22.) at 3.) Plaintiff’s citations to Seventh Circuit cases from the
Conley notice pleading era are unhelpful. See Twombly, 550 U.S. at 555.
pleaded facts as true and draw all reasonable inferences in favor of the non-moving party. See
Tobey v. Chibucos, 890 F.3d 634, 646 (7th Cir. 2018).
ANALYSIS
Lake County’s motion to dismiss is premised on two foundational arguments. First, Lake
County argues that Count III must be dismissed for having failed to identify any express policy
that, when enforced, caused Woods to suffer a constitutional deprivation. (Mot. at 5.) Second, it
contends that the Count III should be dismissed because Lake County has no final policy-making
authority over the relevant jail as a matter of law. (Mot. at 14.) We address these points in turn.
A. Policy or Practice
Plaintiffs may recover against municipalities under 42 U.S.C. § 1983 for claims
alleging a "policy or custom" of constitutional violations on the part of the city.
Monell v. Dep’t of Soc. Serv., 436 U.S. 658, 694, 98 S. Ct. 2018, 2037 (1978);
see also Bd. of Cty. Comm’rs v. Brown, 520 U.S. 397, 404, 117 S. Ct. 1382, 1388 (1997).4
Direct liability is only appropriate where the municipality’s deliberate conduct was the “moving
force” behind the constitutional injury the plaintiff alleges. Glisson v. Ind. Dep’t of Corr.,
849 F.3d 372, 384 (7th Cir. 2017) (en banc) (citing Brown, 520 U.S. at 400, 404,
117 S. Ct. at 1386, 1388.) “That a plaintiff has suffered a deprivation of federal rights at the
hands of a municipal employee will not alone permit an inference of municipal culpability and
causation; the plaintiff will simply have shown that the employee acted culpably.” Brown,
4 We note that Plaintiff cites Sledd v. Lindsey for the proposition that a district court should be
weary of jumping the gun to dismiss a Monell claim. 102 F.3d 282 (7th Cir. 1996). This case was
abrogated in light of Twombly and Iqbal. See Bohannon v. City of Milwaukee, 998 F. Supp. 2d
736, 741–42 (E.D. Wisc. 2014) (“Prior to the issuance of the Iqbal and Twombly decisions, it
may very well have been possible to state only ‘boilerplate allegations,’ and survive dismissal . .
. . But, in the time since, the Seventh Circuit has not returned to such a liberal pleading
standard.” (citing McCauley v. City of Chicago, 671 F.3d 611, 615, 617–18 (7th Cir. 2011))).
520 U.S. at 406–07, 117 S. Ct. at 1389 (emphasis in original). “The central question is always
whether an official policy, however expressed (and we have no reason to think that the list in
Monell is exclusive), caused the constitutional deprivation.” Glisson, 849 F.3d at 379. “It does
not matter if the policy was duly enacted or written down, nor does it matter if the policy
counsels aggressive intervention into a particular matter or a hands-off approach.” Id. Continued
adherence to an approach that municipal employees “know or should know has failed to prevent
tortious conduct by employees may establish the conscious disregard for the consequences of
their actions . . . .” Id. at 386 (quoting Brown, 520 U.S. at 407–408, 117 S. Ct. 1382). The policy
requirement is also “certainly met when the appropriate officer or entity promulgates a generally
applicable statement of policy and the subsequent act complained of is simply an implementation
of that policy.” Brown, 520 U.S. at 417, 117 S. Ct. at 1395 (Souter, J., dissenting); Glisson, 849
F.3d at 385 (Sykes, J., dissenting). In the context of inmate healthcare, “[t]here is no magic
number of injuries that must occur before its failure to act can be considered deliberately
indifferent.” Glisson, 849 F.3d at 382. Instead, Glisson suggests:
The key is whether there is a conscious decision not to take action. That can be
proven in a number of ways, including but not limited to repeated actions. A single
memo or decision showing that the choice not to act is deliberate could also be
enough. The critical question under Monell remains this: is the action about which
the plaintiff is complaining one of the institution itself, or is it merely one
undertaken by a subordinate actor?
Id. at 381.
Even if the plaintiff can satisfy the policy or custom element of a Monell claim, “[t]he
plaintiff also must adduce evidence on two additional elements: (1) institutional fault, which in
this context means the municipality's deliberate indifference to a known or obvious risk that its
policy will likely lead to constitutional violations; and (2) causation.” Glisson, 849 F.3d at 383
(Sykes, J., dissenting). In Glisson, the Seventh Circuit pointed to the lack of protocol for
chronically ill inmates in allowing the plaintiff’s Monell claim to survive. Id. at 382 (Wood,
C.J.). In contrast, the court affirmed a jury verdict against Cook County where the plaintiff
established a long pattern of failure to collect medical forms on a daily basis. Thomas v. Cook
Cty. Sheriff’s Dept., 604 F.3d 293, 303–04 (7th Cir. 2010). Finally, the plaintiff must establish
that “County policymakers were ‘deliberately indifferent as to [the] known or obvious
consequences’” of its harmful custom or practice. Id. a 303 (quoting Gable v. City of Chi., 296
F.3d 531, 537 (7th Cir. 2002)). “In other words, they must have been aware of the risk created by
the custom or practice and must have failed to take appropriate steps to protect the plaintiff.” Id.
Unlike Glisson, Plaintiffs do not point to a particular decision or failure that led to
Wood’s injury. Instead, Plaintiffs claim they can plead merely conclusory statements, most of
which appear to lay primary blame on Armor. (Pl. Reply at 7; Compl. ⁋ 40.) Woods’ claim that
Lake County failed to implement policies that facilitated proper treatment are conclusory and do
not evince the kind of pattern established in Thomas. (See id.) Unlike Thomas, where numerous
specific attempts to secure medical care were pleaded, and a pattern of county jail officials
ignored those complaints, here the contractor arguably misunderstood the seriousness of Woods’
injury, or adopted a “sick list” policy that was too slow to respond to emergent medical
situations. See also Thomas, 604 F.3d at 307 (reversing verdict against Sheriff where causal
connection between understaffing and plaintiff’s injury too attenuated). Neither of these theories
of causation implicate Lake County, since the contract between Armor and Lake County gave
Armor flexibility to increase medical staffing as needed. (Def. Reply at 4); Thomas, 604 F.3d at
304. Although Woods implicitly claims the medical policy is too inflexible, he pleads no facts
tending to support this, and in fact attached the Armor-Lake County contract to his pleadings that
suggests Armor did have flexibility in medical staffing decisions. (Pl. Reply Ex. 3 (Dkt. No. 22–
3) at 4–5.) This contract states that “Armor reserves the right to provide temporary additional
health care staffing . . . beyond the positions noted . . .” and gave Armor the right to collect the
cost of these staffing increases from the county. (Id. at 5 ⁋⁋ 1-2.) If Plaintiff has a theory of
causation given the actual terms of the contract, that causal connection is not clear or spelled out
in the complaint. Specifically, Plaintiff would need to show how Lake County’s choice to
delegate staffing to Armor was a deliberate choice to forgo emergent care. These pleadings do
not establish Lake County has a policy of non-treatment or that the County evinced deliberate
indifference to a known risk of harm to prisoners under its care.
B. Legal Responsibility of County vs. Sheriff
Lake County argues it does not control the county jail’s policies, so the Sheriff, not the
county, is the only proper defendant for a Monell claim about jail policies. Woods replies that
Lake County has significant authority over medical claims, including policies for payment on
claims the Plaintiff believes resulted in late treatment here. Woods is correct that Lake County
controls the funding for the jail, but incorrect as to who controls execution of jail policy, which
requires dismissal of Lake County as a defendant.
Illinois law is clear: the sheriff is the warden of the jail of the county, has custody of all
prisoners in the jail, appoints the superintendent of the jail, is responsible for hiring and training
all personnel necessary to operate and maintain the jail and develops all diagnostic,
classification, and rehabilitation programs at the jail. Moy v. Cty. of Cook, 159 Ill.2d 519, 526–
27, 640 N.E.2d 926, 929 (Ill. 1994). Although the County provides funding, it is the Sheriff that
controls the allegations about inadequate staffing, since the County Board is required to
appropriate and provide funds necessary for the costs of the Sheriff in performance of his duties.
Ramirez v. Dart, No. 08 C 6098, 2010 WL 1325618, at *2 (N.D. Ill. Mar. 30, 2010); Riley v. Cty.
of Cook, 682 F. Supp. 2d 856, 860 (N.D. Ill. 2010); DeGenova v. Sheriff of DuPage Cty., 209
F.3d 973, 976 (7th Cir. 2000) (“Illinois sheriffs have final policymaking authority over jail
operations.”). The Sheriff is not subject to the control of the county. Ryan v. Cty. of DuPage, 45
F.3d 1090, 1092 (7th Cir. 1995); Potochney v. Doe, No. 02 C 1484, 2002 WL 31628214, at *2
n.3 (N.D. Ill. Nov. 21, 2002). Nevertheless, “[b]ecause the office of the sheriff is funded by the
county, the county is therefore required to pay a judgment entered against a sheriff’s office in an
official capacity.” Carver v. Sheriff of LaSalle Cty., 203 Ill.2d 497, 499, 787 N.E.2d 127, 129
(Ill. 2003).
As these preceding cases held, Lake County does not have final policymaking authority
over the policies Woods claims caused him unconstitutional harm. Instead, the Sheriff has the
authority to make staffing and training determinations of the kind Woods argues led to his failure
to receive timely medical treatment. (Compl. ⁋ 40.) For example, Woods argues inadequate
staffing, training, and procedures at the Lake County Jail caused medical staff to act in an
untimely manner. (Id. ⁋ 40(c).) These complaints are precisely the sort of jail-related policy
authority Illinois grants its sheriffs. See Moy, 159 Ill.2d at 526–27, 640 N.E.2d at 929.5 Thus,
Lake County is correct that it is not the proper policymaker against whom Woods should level
his complaint. Instead, Woods’ arguments are properly addressed to the Sheriff of Lake County.
5 The Sheriff is not a defendant in this action, therefore Lake County is also not required to
remain a party to this suit in order to indemnify the Sheriff, as has been the case in several other
suits. See Ramirez, 2010 WL 1325618, at *4.
CONCLUSION
As aresult, we grant Defendant Lake County’s motion to dismiss for failure to state a
claim without prejudice. We grant Plaintiff leave to amend his complaint if he so chooses to
plead his Monell claim against Lake County.
Honora □□□ E. Aspof
United States District Judge
Dated: January 27, 2020
Chicago, Illinois