noting that a supervisor must know about and personally be involved in unconstitutional treatment to be held liable for inadequate care; mere supervisory status does not make a defendant responsible
How later courts described this case
- noting that a supervisor must know about and personally be involved in unconstitutional treatment to be held liable for inadequate care; mere supervisory status does not make a defendant responsible
- indicating that it is appropriate to dismiss a defendant if he is named, but where there is no sufficient allegation of personal involvement
- stating that an action fails to state a claim upon which relief can be granted if it does not plead “enough facts to state a claim that is plausible on its face”
Written by the judges who cited it.
The opinion
THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
CHARLES J. STEVENSON JR., )
N88160, )
)
Plaintiff, )
)
vs. ) Case No. 3:22-cv-02605-GCS
)
MORGAN TAYLOR, )
WARDEN FAVERRE,1 )
DR. TRAN, )
GARY GERST, )
DEBBIE ISSACS, )
)
Defendants. )
MEMORANDUM & ORDER
SISON, Magistrate Judge:
Plaintiff Charles J. Stevenson, Jr., an inmate of the Illinois Department of
Corrections (“IDOC”) currently detained at Big Muddy River Correctional Center, brings
this civil rights action pursuant to 42 U.S.C. § 1983 for alleged deprivations of his
constitutional rights. (Doc. 1). Specifically, Plaintiff alleges that the Defendants have
exhibited deliberate indifference towards his serious dental needs. He seeks monetary
compensation and dental care.
The Complaint (Doc. 1) is now before the Court for preliminary review pursuant
to 28 U.S.C. § 1915A.2 Under Section 1915A, the Court is required to screen prisoner
1 Warden Faverre was listed on the cover page of Plaintiff’s Complaint, but inadvertently was not
added in the CM/ECF System. The Clerk of Court is DIRECTED to ADD Faverre.
2 The Court has jurisdiction to resolve Plaintiff’s motions and to screen his Complaint in light of his
consent to the full jurisdiction of a magistrate judge and the Illinois Department of Corrections’s and
complaints to filter out non-meritorious claims. See 28 U.S.C. § 1915A(a)-(b). Any portion
of a complaint that is legally frivolous, malicious, fails to state a claim upon which relief
may be granted, or asks for money damages from a defendant who by law is immune
from such relief must be dismissed. See 28 U.S.C. § 1915A(b). At this juncture, the factual
allegations of the pro se complaint are to be liberally construed. See Rodriguez v. Plymouth
Ambulance Serv., 577 F.3d 816, 821 (7th Cir. 2009).
THE COMPLAINT
Plaintiff alleges that he has been suffering from excruciating pain in his mouth, for
which he has repeatedly sought, but has not received adequate care. (Doc. 1, p. 6-7).
Although he does not provide many dates in his factual narrative, exhibits to his
complaint suggest that his problems began in July of 2022 when he arrived at Big Muddy
from Graham Correctional Center, and his issues continue to date. Id. at p. 21. He alleges
he went to the dentist for the first time sometime in August. Id. at p. 7. He was examined,
and the dentist commented he would not have any relief until all his teeth were removed;
he was also provided with ibuprofen and antibiotics. Two to three weeks later, the dentist
pulled two teeth and told him the rest would be pulled at a follow-up visit. A month later
at a follow-up, the dentist said he needed to order a special tool to remove his teeth.
At the next appointment, the dentist administered ten syringes of anesthesia, and
pulled two teeth. The needle of the syringe broke multiple times, which frustrated the
dentist. The anesthesia was not working, and Plaintiff was in extreme pain, so the dentist
Wexford’s limited consent to the exercise of magistrate judge jurisdiction as set forth in the Memorandums
of Understanding between the Illinois Department of Corrections and Wexford and this Court.
stopped the procedure and applied stitches. (Doc. 1, p. 8). After returning to his cell,
Plaintiff realized the stitches were unfinished or were coming undone. He returned to the
dental unit and was again stitched up. Upon the second return to his cell, the stitches
came undone again, but the dentist had already left for the day. He felt a sharp pain in
his gum and used his finger to extract the tip of a needle from his gums. Id. at p. 9.
About two weeks later, Plaintiff went to sick call because he was out of pain
medication. The nurse provided “orajel” and ibuprofen and referred him to the
physician’s assistant. The same week Plaintiff saw Defendant P.A. Gary Gerst. Gerst
stated he was not a dentist but proceeded to use a tongue depressor to examine Plaintiff’s
mouth. He hit Plaintiff’s teeth and gums which caused Plaintiff pain. Gerst prescribed
antibiotics and ibuprofen. Plaintiff grieved the incident to Defendant Debbie Issacs (the
healthcare administrator) and the Warden of Operations. (Doc. 1, p. 10). The grievance
was denied because he had a future scheduled dental appointment. The September 29th
appointment was cancelled. Id. at p. 11. When he asked an employee at the healthcare
unit about the cancellation, he was told many people were waiting to get teeth pulled; in
the interim, Plaintiff’s dental diet tray was renewed.
A week or so after the cancelled appointment, Plaintiff was given a pass to see the
dentist because his gums were infected, and his face was swollen. He was given
antibiotics, but no teeth were removed due to his abscessed gums. (Doc. 1, p. 12).
On October 29, Plaintiff reported to the dental unit and encountered other inmates
who had teeth pulled that day. When he personally saw the dentist and assistant, they
asked if he would prefer a puree tray or a soft food diet. (Doc. 1, p. 13). He said he did
not want either because he needed teeth pulled, but they walked away. At dinner time,
he was served six cups of liquid. Id. Plaintiff began to eat less because his teeth were in
such pain that it was not possible to eat. Id. at p. 13-14. He was briefly placed in
segregation on a hunger strike; however, Plaintiff indicated he was not on a hunger strike
but simply could not eat due to pain. Id. at p. 13-16.
Around November 8, 2022, a correctional officer told Plaintiff he could stop
reporting for daily vital checks because he was no longer on a hunger strike. He replied
that he was never on a hunger strike but was simply in such pain he could not eat. (Doc.
1, p. 16). Plaintiff alleges that by this time, he had been in severe pain for six months with
needless delays. He suffers headaches and dry sockets. He has teeth sticking out of his
gums, and it is so painful he has trouble eating, sleeping, or even drinking water. Id. at
p. 17. Plaintiff further alleges he filed a grievance about P.A. Gerst, but he has not received
copies back yet from Springfield. He also alleges that when his property was searched in
relation to the hunger strike, some of his documents disappeared. In closing, he alleges
his situation constitutes deliberate indifference based on his letters, requests, notes, and
grievances about the same.
As relief, he seeks monetary compensation and relief from Wexford’s policy to
deny inmate’s proper medical and dental treatment. He also seeks a fix for his dental
issues. (Doc. 1, p. 19). In support of his complaint, he submitted some grievance
documentation and a letter to an Illinois licensure board about Gerst. He also submitted
supplemental exhibits.
Based on the allegations in the Complaint, the Court designates the following
count:
Claim 1: Eighth Amendment deliberate indifference claim against
Dr. Tran and Gerst concerning the care they provided for
Plaintiff’s dental situation.
The parties and the Court will use these designations in all future pleadings and orders
unless otherwise directed by a judicial officer of this Court. Any claim that is mentioned
in the Complaint but not addressed in this Order is considered dismissed without
prejudice as inadequately pled under Twombly. See, e.g., Bell Atl. Corp. v. Twombly, 550
U.S. 544, 570 (2007)(stating that an action fails to state a claim upon which relief can be
granted if it does not plead “enough facts to state a claim that is plausible on its face”).
DISCUSSION
An Eighth Amendment claim arising from the denial of dental care consists of an
objective and a subjective component. See Berry v. Peterman, 604 F.3d 435, 439–440 (7th
Cir. 2010). A plaintiff must show that he suffered from a serious medical condition (i.e.,
an objective standard) and show that each defendant responded with deliberate
indifference (i.e., a subjective standard). Id.
The allegations in Claim 1 suggest that Plaintiff suffered from extreme dental pain
and repeated infections over the course of six months or more. He alleges that the dentist
did not follow thru on treatments that were commenced and some of the treatments were
unsuccessful or caused significant pain. He also alleges that Gerst caused him pain during
an exam. The Court notes that Plaintiff only referred to the dentist by the generic term
“dentist” in his factual narrative, but he only named one dentist as a defendant, so the
Court interpreted his complaint broadly as if Plaintiff spoke of Dr. Tran in the factual
narrative. Claim 1 is sufficient to proceed against Dr. Tran and Gerst under the Eighth
Amendment.
By contrast, the complaint is insufficient against Defendant Issacs for her role in
the oversight of grievances. A healthcare administrator who is not aware of a specific
patient’s need for care is not generally liable under § 1983. See, e.g., Miller v. Larson, No.
18-2347, 756 Fed. Appx. 606, 610 (7th Cir. Dec. 14, 2018)(finding that claim against
defendant who oversaw the medical staff was properly dismissed because she was not
responsible for individualized patient care and did not know about the danger plaintiff
faced from medical staff). A medical director sued under § 1983 also cannot be held liable
absent personal involvement. See Smith v. Rohana, No. 10-3402, 433 Fed. Appx. 466, 469
(7th Cir. July 20, 2011). See also Minix v. Canarecci, 597 F.3d 824, 834 (7th Cir. 2010)(noting
that a supervisor must know about and personally be involved in unconstitutional
treatment to be held liable for inadequate care; mere supervisory status does not make a
defendant responsible). Plaintiff’s allegations do not suggest that Defendant Issacs
received and willfully ignored his grievances or directly participated in his dental
situation, so the allegations against her are insufficient.
Plaintiff’s allegations against Defendants Taylor and Faverre are also insufficient
because he named them in the caption of the complaint but did not describe their personal
actions in the complaint. To state a valid § 1983 claim, a plaintiff must establish that a
defendant was personally responsible for the deprivation of a constitutional right. See
Gentry v. Duckworth, 65 F.3d 555, 561 (7th Cir. 1995). Here, Plaintiff has not mentioned
these defendants by name in the factual allegations of his complaint. If a defendant is
named in the caption of a case, but no claim is presented against that defendant in the
body text, the claim may be dismissed without prejudice as to that defendant. See, e.g.,
Black v. Lane, 22 F.3d 1395, 1401 n.8 (7th Cir. 1994)(indicating that it is appropriate to
dismiss a defendant if he is named, but where there is no sufficient allegation of personal
involvement). Accordingly, the claims against Defendants Taylor and Faverre are
dismissed without prejudice.
Finally, the Court notes that Plaintiff mentioned Wexford in his demand for relief,
but he does not have a substantive claim against Wexford. Without a claim against
Wexford, Plaintiff cannot seek relief from this party.
MOTION FOR COUNSEL
Plaintiff also moved for recruited counsel. (Doc. 6). When presented with a request
to appoint counsel, the Court must first make the following inquiries: (1) has the indigent
plaintiff made a reasonable attempt to obtain counsel or effectively been precluded from
doing so; and (2) given the difficulty of the case, does the plaintiff appear competent to
litigate it himself. See Pruitt v. Mote, 503 F.3d 647, 654–655 (7th Cir. 2007). Plaintiff
represents that he has contacted attorneys, although he does not provide proof of these
attempts. Nevertheless, the Court is not inclined to appoint counsel on Plaintiff’s behalf
at this time. Plaintiff’s filings demonstrate an ability to advocate effectively. He writes
clearly and presents relevant issues such that he appears competent to litigate this case at
this time. Plaintiff’s motion for recruitment of counsel (Doc. 6) is therefore DENIED
without prejudice. Plaintiff may move for recruited counsel again in the future if
necessary.
DISPOSITION
IT IS HEREBY ORDERED THAT Claim 1 of the Complaint (Doc. 1) survives
initial screening as described above against Dr. Tran and Gary Gerst. The Clerk of Court
is directed to TERMINATE Defendants Morgan Taylor, Warden Faverre, and Debbie
Issacs from this lawsuit because there are no remaining claims against these defendants.
Plaintiff’s Motion for Recruitment of Counsel (Doc. 6) is DENIED without prejudice.
The Clerk of Court is DIRECTED to prepare for Defendants Dr. Tran and Gary
Gerst: (1) Form 5 (Notice of a Lawsuit and Request to Waive Service of a Summons), and
(2) Form 6 (Waiver of Service of Summons). The Clerk is DIRECTED to mail these forms,
a copy of the Complaint (Doc. 1), and this Memorandum and Order to Defendants’ place
of employment as identified by Plaintiff. If Defendant fails to sign and return the Waiver
of Service of Summons (Form 6) to the Clerk within 30 days from the date the forms were
sent, the Clerk shall take appropriate steps to effect formal service on Defendant, and the
Court will require Defendant to pay the full costs of formal service, to the extent
authorized by the Federal Rules of Civil Procedure.
If a Defendant cannot be found at the work address provided by Plaintiff, the
employer shall furnish the Clerk with the Defendant’s current work address, or, if not
known, the Defendant’s last-known address. This information shall be used only for
sending the forms as directed above or for formally effecting service. Any documentation
of the address shall be retained only by the Clerk. Address information shall not be
maintained in the court file or disclosed by the Clerk.
Defendants are ORDERED to timely file an appropriate responsive pleading to
the Complaint and shall not waive filing a reply pursuant to 42 U.S.C. § 1997e(g).
Pursuant to Administrative Order No. 244, Defendants need only respond to the issues
stated in this Merits Review Order.
If judgment is rendered against Plaintiff, and the judgment includes the payment
of costs under Section 1915, Plaintiff will be required to pay the full amount of the costs,
regardless of whether his application to proceed in forma pauperis was granted. See 28
U.S.C. § 1915(f)(2)(A).
Plaintiff is ADVISED that he is under a continuing obligation to inform the Clerk
of Court and each opposing party of any address changes; the Court will not
independently investigate his whereabouts. This shall be done in writing and not later
than 7 days after a transfer or other change of address occurs. Failure to comply with this
order will cause a delay in the transmission of court documents and may result in
dismissal of this action for failure to prosecute. FED. R. CIV. PROC. 41(b).
Based on the allegations in the Complaint, the Clerk of Court is DIRECTED to
enter the standard qualified protective order pursuant to the Health Insurance Portability
and Accountability Act.
IT IS SO ORDERED.
DATED: March 30, 2023.
GILBERT C. SISON
United States Magistrate Judge
NOTICE TO PLAINTIFF
The Court will take the necessary steps to notify the appropriate defendants of
your lawsuit and serve them with a copy of your complaint. After service has been
achieved, the defendants will enter their appearance and file an Answer to the complaint.
It will likely take at least 60 days from the date of this Order to receive the defendants’
Answers, but it is entirely possible that it will take 90 days or more. When all of the
defendants have filed Answers, the Court will enter a Scheduling Order containing
important information on deadlines, discovery, and procedures. Plaintiff is advised to
wait until counsel has appeared for the defendants before filing any motions, to give the
defendants notice and an opportunity to respond to those motions. Motions filed before
defendants’ counsel has filed an appearance will generally be denied as premature.
Plaintiff need not submit any evidence to the Court at his time, unless otherwise directed
by the Court.
The Court wishes to remind the Plaintiff that litigation is often viewed a series of
hurdles that the Plaintiff must clear to get to another hurdle. Initial screening is such a
hurdle, but it is a very low one for the Plaintiff to clear. As noted above, surviving initial
screening only requires the bare statement of a claim that, if proven, could entitle Plaintiff
to some relief. At trial, he will need to prove by a preponderance of evidence that the facts
alleged actually occurred and that those facts satisfy the legal requirements for recovery.
Trial is the highest and most difficult of hurdles for any Plaintiff to clear.
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