# Lewis v. Stout

> District Court, S.D. Illinois · October 26, 2020

URL: https://www.frixlaw.com/law-library/cases/10152828

## Case

- **Court:** District Court, S.D. Illinois
- **Decided:** October 26, 2020
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

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## Opinion text

.IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS

SYLVESTER LEWIS, )
)
Plaintiff, )
)
vs. ) Case No. 3:18-CV-2209-MAB
)
ANDY STOUT, KEVIN KINK, and )
STEPHEN RITZ, )
)
Defendants. )

MEMORANDUM AND ORDER

BEATTY, Magistrate Judge:
This matter is before the Court on the motion for summary judgment on the issue
of exhaustion filed by Defendant Stephen Ritz, M.D. (Doc. 47). For the reasons set forth
below, the motion is denied.
PROCEDURAL BACKGROUND
Plaintiff Sylvester Lewis is an inmate in the Illinois Department of Corrections. On
December 26, 2018, he filed this lawsuit pursuant to 42 U.S.C. § 1983 for deprivations of
his constitutional rights while at Lawrence Correctional Center (Doc. 1; Doc. 14). More
specifically, he alleged that his cell was infested with bugs and that various prison
officials were deliberately indifferent to his chronic and sustained ear problems, which
included the removal of bugs from his ears on multiple occasions. Following a threshold
review of the complaint pursuant to 28 U.S.C. § 1915A, Plaintiff was permitted to proceed
on the following claims:
Count 1: Eighth Amendment claim against Andy Stout and Warden
Kevin Kink for deliberate indifference to inadequate living
conditions.

Count 2: Eighth Amendment claim against Dr. Stephen Ritz for
deliberate indifference to serious medical needs.

(Doc. 14).

Dr. Ritz filed a motion for summary judgment in February 2020, arguing that there
is only one relevant, fully exhausted grievance but it cannot be used to exhaust as to him
because he was not named or described in the grievance (Docs. 47, 48).1 Plaintiff filed a
response in opposition to the motion for summary judgment (Docs. 73, 74, 75). Dr. Ritz
did not file a reply brief. After reviewing the parties’ briefs, the Court determined there
are no issues of fact and a hearing is not necessary.
LEGAL STANDARDS
Summary Judgment
Summary judgment is proper only if the movant shows that there is no genuine
issue as to any material fact and they are entitled to judgment as a matter of law. FED. R.
CIV. P. 56(a). In making that determination, the court must view the evidence in the light
most favorable to, and draw all reasonable inferences in favor of, the nonmoving party.
Apex Digital, Inc. v. Sears, Roebuck & Co., 735 F.3d 962, 965 (7th Cir. 2013) (citation omitted).
Courts generally cannot resolve factual disputes on a motion for summary judgment.
E.g., Tolan v. Cotton, 572 U.S. 650, 656, 134 S. Ct. 1861, 1866, 188 L. Ed. 2d 895 (2014) (“[A]

1 Defendants Andy Stout and Kevin Kink did not move for summary judgment on the issue of exhaustion.
judge's function at summary judgment is not to weigh the evidence and determine the
truth of the matter but to determine whether there is a genuine issue for trial.”) (internal

quotation marks and citation omitted). However, when the motion for summary
judgment pertains to a prisoner’s failure to exhaust, the Seventh Circuit has instructed
courts to conduct an evidentiary hearing and resolve contested issues of fact regarding a
prisoner’s efforts to exhaust. Wagoner v. Lemmon, 778 F.3d 586, 590 (7th Cir. 2015) (citing
Pavey v. Conley, 544 F.3d 739 (7th Cir. 2008)). Accord Roberts v. Neal, 745 F.3d 232, 234 (7th
Cir. 2014). No hearing is necessary when there is no disputed issue of fact.

Exhaustion
The Prison Litigation Reform Act provides that a prisoner may not bring a lawsuit
about prison conditions unless and until he has exhausted all available administrative
remedies. 42 U.S.C. § 1997e(a); Pavey v. Conley, 663 F.3d 899, 903 (7th Cir. 2011).
Exhaustion is an affirmative defense, which the defendants bear the burden of proving.

Pavey, 663 F.3d at 903 (citations omitted). In order for a prisoner to properly exhaust his
or her administrative remedies, the prisoner must “file complaints and appeals in the
place, and at the time, the prison’s administrative rules require.” Pozo v. McCaughtry, 286
F.3d 1022, 1025 (7th Cir. 2002); see also Woodford v. Ngo, 548 U.S. 81, 90 (2006). See 20 ILL.
ADMIN. CODE § 504.800, et seq. (2017).

As an inmate in the IDOC, Plaintiff was required to follow the three-
step grievance process outlined in the Illinois Administrative Code to exhaust his claims.
20 ILL. ADMIN. CODE § 504.800, et seq. (2017). The regulations first require an inmate to file
his or her grievance with his or her counselor. Id. at § 504.810(a).2 If the counselor is
unable to resolve the grievance, it is sent to the grievance officer, who reports his or her

findings and recommendations in writing to the Chief Administrative Officer (the
warden). Id. at § 504.830(e). The warden then provides the inmate with a written decision
on the grievance. Id. If the inmate is not satisfied with the warden’s decision, he or must
appeal to the Director of the IDOC by sending the grievance to the Administrative
Review Board for a final determination (“ARB”). Id. at § 504.850(a).
The regulations also require, in pertinent part, that the grievance “contain factual

details regarding each aspect of the offender's complaint, including what happened,
when, where and the name of each person who is the subject of or who is otherwise
involved in the complaint.” 20 ILL. ADMIN. CODE § 504.810(c) (2017). If the offender does
not know the names of the individuals involved, he must instead include as much
descriptive information about the individual as possible. Id.

FACTUAL BACKGROUND
The medical records that Plaintiff attached to his complaint show that he was seen
in early March 2018 in the prison healthcare unit (“HCU”) for continuing ear pain and
drainage (Doc. 1, pp. 16, 30). He was diagnosed with a middle ear infection (otitis media)
and earwax impaction and given a ten-day course of antibiotics (Id. at p. 30) Plaintiff’s

ear issues persisted, and he was seen every few weeks over the course of the next three
months and given various treatments, including antibiotics, drops to remove ear wax

2 There are exceptions to this rule, none of which apply here. 20 ILL. ADMIN. CODE § 504.810(a), 504.870
(2017).
buildup, and over-the-counter pain medication and allergy medication (Id. at pp. 34–49).
Dead bugs were removed from his ear(s) on multiple occasions (Id. at pp. 32, 44). On July

17, 2018, a nurse practitioner diagnosed Plaintiff with “complicated otitis media” and
noted that he had been “treated with at least six different antibiotics over the last six
months for ear infections” (Id. at pp. 49, 53). She referred Plaintiff to an ENT, and the
referral request indicated that he had a long history of complicated ear infections and was
at risk for hearing loss if the ear infections continued to occur this frequently (Id. at p. 53).
The referral was reviewed in Collegial Review by Dr. Ritz and denied (Id. at pp. 18, 56).

The referral was represented on July 26th and denied again by Dr. Ritz (Id. at pp. 17, 54).
The referral was denied a third and fourth time by Dr. Ritz on August 2nd and August
9th (Id. at pp. 25, 26, 48, 52).
The only relevant grievance is emergency grievance #09-18-13, which was
submitted in July 2018 (Doc. 48-2).3 4 In this grievance, Plaintiff complained that he was

having an issue with bugs in his cell that got into his ears (Doc. 48-2). He further indicated
that he went to healthcare and had ants removed from his ears in March and May 2018

3 Plaintiff also mentioned that he filed an emergency grievance on March 3, 2018 (#04-18-70) (Doc. 73-1, p.
1). In this grievance, Plaintiff complained about bugs in his cell and asked to be moved to a different cell
(Id.). He did not mention anything about his ears or the medical care he was receiving in the grievance (see
id.). And there is also no indication that this grievance was fully exhausted (see id.). Consequently, this
grievance cannot be used to exhaust as to Dr. Ritz.

4 At the top of the grievance, it appears to be dated July 7th (Id.). The body of the grievance, however,
indicates that the date is July 17th (Id.). Specifically, Plaintiff wrote that he had “to go to healthcare today
for my ear July 7/17/18” (Id.). The medical records attached to the complaint indicate that Plaintiff had a
medical appointment on July 17th, but not July 7th (see Doc. 1). Furthermore, the grievance indicates that
the grievance was received by the warden for emergency review on July 20th (Doc. 48-2). Collectively, the
evidence suggests that the grievance was submitted on July 17th, not the 7th. But the precise date on which
it was submitted is immaterial to the Court’s analysis.
and a “black bug” removed from his ear in June 2018. He stated that he was still having
problems with his ears and had a healthcare appointment that day for his ear. In the

“relief requested” section of the grievance, Plaintiff wrote, “at time my ears still hurt a lot
they are red inside of ears, I need to see a outside ear doctor.”
The warden denied the grievance was an emergency on July 20th (Doc. 48-2).
Plaintiff’s counselor received the grievance on July 25th and denied it on August 14th,
stating “Per HCUA Cunningham, as documented in medical chart, [Plaintiff] has been
seen and treated by licensed Illinois physician within community standards of care. 8-3-

18 MD appt.” (Id.). The grievance officer received the grievance on September 5th and
reviewed it on September 26th, noting the counselor’s response and adding “[a] review
of [Plaintiff’s] Call Pass history indicates [Plaintiff] has been seen by a medical
professional on several occasions since the date of this grievance” (Doc. 48-3). The
grievance officer recommended denying the grievance, which the warden concurred

with on October 2nd (Id.). Plaintiff appealed to the ARB, where his appeal was denied on
November 1, 2018 because the issues was appropriately addressed by the facility
administration and Plaintiff had been seen by healthcare staff for his medical concerns
(Doc. 48-4).
DISCUSSION

It is undisputed that the July 2018 grievance went through every step of the
grievance process and was thus fully exhausted (see Doc. 48-2; Doc. 48-3, Doc. 48-4).
However, Dr. Ritz argues that the grievance cannot be used to exhaust as to him because
the grievance did not name or describe him, did not reference or allude to him by role or
title, and did not describe his actions or attribute any of the objectionable conduct to him
(Doc. 34, p. 6). The Court is unpersuaded by Dr. Ritz’s argument.

Grievances are intended to give prison officials notice of a problem and a chance
to correct it before they are subjected to a lawsuit; grievances are not intended to put an
individual defendant on notice of a claim against him. Jones v. Bock, 549 U.S. 199, 219
(2007) (“We have identified the benefits of exhaustion to include allowing a prison to
address complaints about the program it administers before being subjected to suit . . . .
[E]arly notice to those who might later be sued . . . has not been through to be one of the

leading purposes of the exhaustion requirement.”); Turley v. Rednour, 729 F.3d 645, 649
(7th Cir. 2013) (“The exhaustion requirement’s primary purpose is to alert the state to the
problem and invite corrective action.”) (internal quotation marks and alterations omitted;
citation omitted); Johnson v. Johnson, 385 F.3d 503, 522 (5th Cir. 2004) (“We are mindful
that the primary purpose of a grievance is to alert prison officials to a problem, not to

provide personal notice to a particular official that he may be sued; the grievance is not a
summons and complaint that initiates adversarial litigation.”)
Furthermore, when a case involves a continuing violation, the prisoner “need not
file multiple, successive grievances raising the same issue” because “once a prison has
received notice of, and an opportunity to correct, a problem, the prisoner has satisfied the

purpose of the exhaustion requirement.” Turley, 729 F.3d at 650; Parzyck v. Prison Health
Servs. Inc., 627 F.3d 1215, 1219 (11th Cir. 2010) (prisoner “not required to initiate another
round of the administrative grievance process on the exact same issue each time” a
deprivation occurred).
Here, the July 2018 grievance indicates that Plaintiff was having ongoing issues
with his ears and needed to see an outside ear doctor, which implies that he was seeking

redress for an ongoing failure to provide adequate treatment at the prison. Prison
officials’ responses to the grievance demonstrate that they indeed understood the
grievance to be a complaint about inadequate medical care. The grievance thus put the
prison on notice of Plaintiff’s issues regarding purportedly inadequate medical treatment
for his ears.
Prison officials were also aware that Plaintiff’s problems continued after he filed

his grievance. The counselor’s response on August 14, 2018 indicates that Plaintiff’s
medical records and the Health Care Unit Administrator were consulted in order to
respond to the grievance. Those records showed that Plaintiff had been seen more than a
dozen times in the healthcare unit over the previous five or so months about his ears, he
had been prescribed at least six antibiotics, and he had been repeatedly denied a referral

to an outside ENT. Additionally, the responses by the counselor and the grievance officer
explicitly acknowledge that Plaintiff had received further treatment for his ears after he
filed his July grievance. It therefore stands to reason that prison officials knew the full
course of treatment that had transpired for Plaintiff’s ears and knew which medical
providers were involved, including Dr. Ritz. Under these circumstances, Plaintiff was not

required to file a new grievance every time a new medical provider became involved in
his care because his complaint remained the same—the treatment he was receiving for
his ears was inadequate. As such, the Court finds that the July 2018 grievance was
sufficient to exhaust as to Dr. Ritz and he is not entitled to summary judgment.
CONCLUSION
The motion for summary judgment on the issue of exhaustion filed by Defendant
Stephen Ritz (Doc. 47) is DENIED.

This matter will proceed on Counts 1 and 2 (see supra p. 2). The stay on discovery
on the merits of Plaintiff’s claims (see Doc. 43) is LIFTED, and the parties can proceed
with discovery. A new schedule will be entered by separate order.
IT IS SO ORDERED.
DATED: October 26, 2020
s/ Mark A. Beatty
MARK A. BEATTY
United States Magistrate Judge

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10152828. Public record. Not legal advice.