"Denying or delaying appropriate treatment to an incarcerated person suffering from avoidable pain can violate the Eighth Amendment."
How later courts described this case
- "Denying or delaying appropriate treatment to an incarcerated person suffering from avoidable pain can violate the Eighth Amendment."
- when "the statute of limitations has run on the pendant claim," when "substantial judicial resources have already been committed," or "when it is absolutely clear how the pendent claims can be decided"
- "Negligence— even gross negligence—is insufficient to meet [deliberate indifference] standard . . .."
- affirming grant of summary judgment for grievance counselor who "took [the plaintiff's] medical complaints seriously and reasonably relied upon the doctors' recommendations in handling [the plaintiff's] condition"
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
INDIANAPOLIS DIVISION
MARK RANSOM, )
)
Plaintiff, )
)
v. ) No. 1:19-cv-04266-JPH-DLP
)
WENDY KNIGHT, et al. )
)
Defendants. )
ORDER ON DEFENDANTS' MOTION FOR SUMMARY JUDGMENT
At all times relevant to the complaint, Mark Ransom was a prisoner of the
Indiana Department of Correction confined at the Correctional Industrial Facility
(CIF). Mr. Ransom alleges that several staff members at CIF were deliberately
indifferent and negligent regarding his medical needs related to his leg
prosthesis. All defendants have moved for summary judgment. Because no
reasonable jury could find based on the undisputed facts that any defendant
was deliberately indifferent to a serious medical need, the defendants' motions
for summary judgment, dkts. [102] and [105], are GRANTED as to Mr. Ransom's
deliberate indifference claims which arise under federal law. With all federal
claims resolved, the Court declines to exercise supplemental jurisdiction over the
remaining state law negligence claims.
I. Standard of Review
Summary judgment must be granted "if the movant shows that there is no
genuine dispute as to any material fact and the movant is entitled to a judgment
as a matter of law." Fed. R. Civ. P. 56(a). Once the moving party has met its
burden, "the burden shifts to the non-moving party to come forward with specific
facts showing that there is a genuine issue for trial." Spierer v. Rossman, 798
F.3d 502, 507 (7th Cir. 2015). A disputed fact is material if it might affect
the outcome of the suit under the governing law. Williams v. Brooks, 809 F.3d
936, 941–42 (7th Cir. 2016). "A genuine dispute as to any material fact exists
'if the evidence is such that a reasonable jury could return a verdict for the
nonmoving party.'" Daugherty v. Page, 906 F.3d 606, 609–10 (7th Cir. 2018)
(quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986)).
The Court views the record in the light most favorable to the non-moving
party and draws all reasonable inferences in that party's favor. Valenti v. Lawson,
889 F.3d 427, 429 (7th Cir. 2018). It cannot weigh evidence or make credibility
determinations on summary judgment because those tasks are left to the
factfinder. Miller v. Gonzalez, 761 F.3d 822, 827 (7th Cir. 2014). The Court may
rely only on admissible evidence. Cairel v. Alderen, 821 F.3d 823, 830
(7th Cir. 2016). Inadmissible evidence must be disregarded. Id.
The Court considers assertions in the parties' statements of facts that are
properly supported by citation to admissible evidence. S.D. Ind. L.R. 56-1(e).
To the extent Mr. Ransom has failed to rebut assertions of fact in the motions
for summary judgment, those facts are "admitted without controversy" so long
as support for them exists in the record. S.D. Ind. L.R. 56-1(f); see S.D. Ind.
L.R. 56-1(b) (party opposing judgment must file response brief and identify
disputed facts); Robinson v. Waterman, 1 F.4th 480, 483 (7th Cir. 2021) (district
court may apply local rules to deem facts unopposed on summary judgment).
Additionally, the Court has no duty to search or consider any part of the record
not specifically cited in the statements of facts. S.D. Ind. L.R. 56-1(h).
II. Undisputed Facts
A. The Parties
Mr. Ransom wears a prosthesis because his right leg is amputated below
the knee. Dkt. 102-2 at 1−2 (Reception Diagnostic Center intake records).
Mr. Ransom was incarcerated at the CIF from June 5 to August 22, 2019.
During that time at CIF, Chris Hufford was the Health Services Administrator
(HSA) and Kate Burdette, Lynette King, and Darlene Shuck were nurses. Nurse
Burdette and Nurse King were each the director of nursing for a period of time
between June 5 and August 22.
Also during this timeframe, Wendy Knight was warden of CIF; Derek
McMullen was the safety hazard manager; Charlie Fox was a major who
supervised custody staff; Robert Stafford was the grievance specialist; and Isaac
Randolph was the grievance manager.
B. Mr. Ransom's Disability and Medical Classifications
Mr. Ransom brought extra prosthetic supplies with him when he entered
the Indiana Department of Correction (IDOC) in May 2019. Dkt. 102-1 at 36
(Ransom Dep. 87:2−10). He was, however, allowed to keep with him only the
sleeve, liner, and sock that he was wearing at intake. Id. Thereafter, Mr. Ransom
would change his sock daily, his sleeve every three months, and his liner every
six months. Id. at 36 (Ransom Dep. 86:22−87:1).
When Mr. Ransom entered the IDOC, a doctor performed an intake
screening and classified his medical status as "G1," meaning that he has a
"stabilized, permanent or chronic physical or medical condition in which:
frequent monitoring/surveillance is not needed." Id. at 23. The doctor classified
Mr. Ransom's disability status as "A," meaning that he has "No Disability" and
"is capable of performing activities of daily living." Id. at 28.
On June 6, 2019, Mr. Ransom's second day at CIF, Nurse Shuck
performed a transfer intake screening. Supervised by a doctor, she confirmed
that Mr. Ransom had a medical classification of "G1" and a disability
classification of "A." Id. at 7, 19.
C. Mr. Ransom's Bunk Assignment
On June 6, a medical provider issued Mr. Ransom a bottom bunk and
bottom range pass to accommodate his limited mobility. Dkt. 102-3 at 4
(Correctional Industrial Facility intake records). However, Mr. Ransom was not
assigned a top bunk until around June 16. Dkt. 102-1 at 10 (Ransom Dep.
34:14−21). Instead of sleeping on the top bunk, he moved his mattress to the
floor for three or four days and then got permission from an officer to sleep in an
unassigned bottom bunk. Id. at 37 (Ransom Dep. 88:15−89:4).
D. Mr. Ransom's Shower Difficulties
Because Mr. Ransom could not shower with his prosthesis, showering was
difficult for him at CIF. Dkt. 102-1 at 37 (Ransom Dep. 91:10−12). Mr. Ransom
reported his difficulties with showering to Nurse King on June 26. Id. at 31
(Ransom Dep. 67:10−11). He also filed a grievance on July 28 indicating that he
was worried about falling while showering. Id. at 70−71 (Ransom Dep. Exh. C).
Mr. Stafford reviewed the grievance and directed Mr. Ransom to discuss the
issue with Mr. McMullen, the safety hazard manager. Id.
On July 31, Nurse Burdette helped get Mr. Ransom a shower chair.
Id. at 75 (Ransom Dep. Exh. E). But on August 1, Mr. Ransom submitted an
informal grievance to Mr. McMullen saying that he was "having [a] hard time
with [the] shower chair." Id. at 81 (Ransom Dep. Exh. G). Mr. McMullen referred
Mr. Ransom back to Nurse Burdette. Id.
On August 9, Mr. Ransom filed a formal grievance demanding a prison
transfer. Id. at 82. Sometime over the next few days, he was issued crutches.
Id. at 84. Mr. Ransom filed a grievance appeal on August 18—four days before
his transfer to another prison—saying that the crutches were no help. Id. at 83.
E. Mr. Ransom's Prosthetic Supplies
On June 24, Mr. Ransom submitted a healthcare request asking for a visit
to discuss supplies for his prosthesis. Dkt. 102-4 at 1 (medical records). He was
scheduled for a visit with Nurse King. Id.
Two days later, Mr. Ransom met with Nurse Burdette and provided more
details about the supplies he needed: three-ply socks, liners, and barrier cream.
Id. He explained to Nurse Burdette "what could potentially happen if the care
[wasn't] provided for [his] leg." Dkt. 102-1 at 31−32 (Ransom Dep. 67:24−68:2).
The same day, Mr. Ransom met with Nurse King. Mr. Ransom believed that
Nurse King "wasn't aware of what was going on" until he informed her at the
meeting. Id. at 31 (Ransom Dep. 65:10−20). She investigated whether the
supplies could be purchased at retail outlets, but Mr. Ransom told her they
would have to come from a special provider. Id. at 11 (Ransom Dep. 39:9−40:3).
On July 1, Mr. Ransom submitted a healthcare request that provided
contact information for his prosthetics supplier. Dkt. 102-4 at 2.
Mr. Ransom submitted another healthcare request on July 15, stating that
he needed supplies "ASAP." Id. at 3. Nurse King wrote back two days later,
explaining that she had contacted the prosthetics supplier but that the company
would not ship supplies without first establishing who was responsible for
payment—Mr. Ransom's private insurance or the Indiana Department of
Correction. Id.
On July 21, Mr. Ransom submitted two healthcare requests, one seeking
to speak with someone about his prosthetic supplies and another to inform
medical staff that it was the Indiana Department of Correction's obligation to pay
for his prosthetic supplies. Id. at 4−5. Nurse King met with him three days later
to discuss. Id. at 5.
On July 26, Nurse King submitted a request to have Mr. Ransom evaluated
for new prosthetic supplies. Id. at 6, 8−10. The prison medical director requested
pictures of Mr. Ransom's existing liner and socks first. Dkt. 102-4 at 14.
On July 28, Mr. Ransom submitted a grievance about delays getting new
prosthetic supplies. Dkt. 102-1 at 74 (Ransom Dep. Exh. E). He asserted that he
was "limited getting around," "at times unable to walk," and "constantly in pain."
Id. Nurse King wrote Mr. Ransom two days later to explain the steps she had
taken and the process going forward. Dkt. 102-4 at 6.
HSA Hufford and Nurse Burdette met with Mr. Ransom on July 31.
Dkt. 102-1 at 75 (Ransom Dep. Exh. E). HSA Hufford took photographs of
Mr. Ransom's existing supplies. Id. at 40 (Ransom Dep. 100:11−101:9).
By August 2, HSA Hufford had ordered barrier cream and socks for Mr. Ransom.
Id. at 75 (Ransom Dep. Exh. E).
By August 5, Mr. Ransom had been approved for an offsite evaluation for
new supplies. Dkt. 102-4 at 15. On August 15, Mr. Ransom saw the specialist,
who ordered new custom liners, socks, and sleeves. Dkt. 102-5 at 13 (additional
medical records). The specialist also highly recommended that Mr. Ransom
receive unscented liquid hand soap to wash his liners. Id.
On August 18, 2019, Mr. Ransom was seen by Nurse Burdette to have his
supplies cleaned. Id. at 11. Mr. Ransom told her it would take 5 hours for his
supplies to dry. Id. When Nurse Burdette told Mr. Ransom he could not wait in
medical for 5 hours, he became belligerent and started swearing at her. Id.
Nurse Burdette then provided Mr. Ransom a container of liquid antiseptic soap
and directed him to clean his own supplies in his cell. Id.
At some point before mid-August, Mr. Ransom asked for and received
crutches to help him get around. Dkt. 102-1 at 33 (Ransom Dep. 72:21−73:10,
75:19−22).
On August 22, Mr. Ransom was transferred to another IDOC facility. On
September 17, he received new prosthetic supplies from the outside clinic.
Dkt. 102-5 at 14.
Mr. Ransom reports that "towards the end of August" he had sores on his
amputated leg and experienced "a lot of discomfort from not having supplies."
Dkt. 102-1 at 45 (Ransom Dep. 121:8−12). He "eliminated the discomfort by not
moving around, by staying in one spot, in hopes that [he] would get supplies so
[he] could continue to walk." Id. (Ransom Dep. 121:20−122:2).
III. Eighth Amendment Claims
The Eighth Amendment's prohibition against cruel and unusual
punishment creates a right to adequate medical care for incarcerated persons.
Howell v. Wexford Health Sources, Inc., 987 F.3d 647, 653 (7th Cir. 2021);
see Estelle v. Gamble, 429 U.S. 97, 103−04 (1976). "To prove a violation of that
right, a plaintiff must prove that a defendant actually knew of a serious health
need and acted with deliberate indifference to the plaintiff's suffering." Howell,
987 F.3d at 653.
The defendants argue they are entitled to summary judgment because
Mr. Ransom was not suffering from a serious medical need. They may be correct
that an amputated limb, without more, does not qualify as a serious medical
need. See Johnson v. Snyder, 444 F.3d 579, 585 (7th Cir. 2006) (where plaintiff's
amputation had healed and he used a prosthesis, it was "not obvious that his
condition constituted a 'serious medical need' in the context of Eighth
Amendment"). But based on the facts presented in this case, a reasonable jury
could find that Mr. Ransom's condition, coupled with the lack of new supplies,
caused him sores and discomfort toward the end of his time at Correctional
Industrial Facility. Dkt. 102-1 at 45 (Ransom Dep. 121:8−12). And even "[a] few
days' delay in addressing a painful but readily treatable condition can support a
claim of deliberate indifference." Bentz v. Ghosh, 718 F. App'x 413, 417 (7th Cir.
2017); see Howell, 987 F.3d at 653 ("Denying or delaying appropriate treatment
to an incarcerated person suffering from avoidable pain can violate the Eighth
Amendment."). For purposes of this motion, the Court assumes that Mr. Ransom
can show that he had a serious health need and turns to the question of
deliberate indifference.
A. Nurse Shuck
Mr. Ransom's allegation against Nurse Shuck is based on her having
classified him as having "No Disability" in early June. Dkt. 102-1 at 30
(Ransom Dep. 61:3−62:3).
The only alternative disability classifications are vision impairment ("B"),
mobility impairment ("C"), and hearing loss ("D"). See dkt. 102-3 at 19.
Classifications "B" and "D" clearly do not apply, leaving "C" as the only plausible
alternative. No reasonable jury could find that Nurse Shuck was deliberately
indifferent for concluding that Mr. Ransom was "capable of performing activities
of daily living" and did not suffer from an "impairment that substantially limit[ed]
[his] gross motor movement (e.g., paraplegia, stroke with hemiplegia)." Id. This
is especially true because Nurse Shuck assigned Mr. Ransom a "G1" medical
status classification, thereby documenting Mr. Ransom's "stabilized, permanent
or chronic physical or medical condition." Id. at 7. Moreover, Mr. Ransom has
not designated evidence from which a jury could find that Nurse Shuck, having
only seen Mr. Ransom once shortly after he arrived at CIF, acted with deliberate
indifference to his suffering. Indeed, Mr. Ransom has not designated evidence
that he experienced any suffering related to his amputated leg until late July
2019. See dkt. 102-1 at 74 (Ransom Dep. Exh. E).
Nurse Shuck is therefore entitled to summary judgment on Mr. Ransom's
Eighth Amendment claim.
B. HSA Hufford, Nurse Burdette, and Nurse King
Mr. Ransom argues that HSA Hufford, Nurse Burdette, and Nurse King
were deliberately indifferent to his serious medical condition when they failed to
promptly obtain extra prosthetic supplies. Dkt. 110 at 2−3. But the undisputed
evidence shows that each of these defendants was responsive to Mr. Ransom and
took reasonable steps to try to get Mr. Ransom's supplies and, once they were
aware of it, to mitigate his pain.
Nurse King and Nurse Burdette learned about Mr. Ransom's need for
supplies between June 24 and June 26, 2019. Dkt. 102-4 at 1. Nurse King
immediately researched retail options, but Mr. Ransom explained that there were
no such options. Dkt. 102-1 at 11 (Ransom Dep. 39:9−40:3). Mr. Ransom gave
her the contact information for his prosthetics supplier on July 1, and Nurse
King contacted the supplier sometime before July 17—the timing is unclear from
the record—but ran into issues with payment. Dkt. 102-4 at 2−3. She then
submitted a request on July 26 to have Mr. Ransom evaluated for new supplies
at an outside clinic, but the medical director wanted more evidence before
approving the request. Id. at 14. Nurse Burdette and HSA Hufford met with
Mr. Ransom on July 31, and HSA Hufford promptly ordered barrier cream and
socks. Dkt. 102-1 at 75 (Ransom Dep. Exh. E). Someone resubmitted the request
for an offsite evaluation, and Mr. Ransom was sent to the outside clinic on
August 15. Dkt. 102-4 at 15; dkt. 102-5 at 13. Nurse Burdette followed the
outside specialist's recommendation and gave Mr. Ransom unscented liquid
hand soap to wash his liners. Dkt. 102-5 at 11, 13.
To be sure, there was a considerable passage of time from when Nurse
King and Nurse Burdette first learned about Mr. Ransom's need for supplies (on
or about June 26, 2019) until he was approved for an offsite evaluation (on or
about August 5, 2019). But there's no designated evidence showing that Nurse
King, Nurse Burdette, or HSA Hufford were aware that the lack of supplies was
causing Mr. Ransom pain until on or after July 28, 2019. See dkt. 102-1 at 74
(Ransom Dep. Exh. E). By then, Nurse King had already put in a request to have
Mr. Ransom evaluated at an offsite clinic. Dkt. 102-4 at 8−10 (request made
July 26, 2019). And when the prison medical director required more evidence
before approving the request, Nurse Burdette and HSA Hufford promptly met
with Mr. Ransom to take pictures of his supplies and re-submitted the request.
Dkt. 102-1 at 75 (Ransom Dep. Exh. E).
In short, no reasonable jury could find that any of these defendants "acted
with deliberate indifference to [Mr. Ransom's] suffering." Howell, 987 F.3d at
653. They took reasonable, albeit at times unfruitful, steps to help get
Mr. Ransom appropriate prosthetic supplies. And even if one could conclude that
one or more of these defendants were negligent in responding to Mr. Ransom's
needs and procuring the supplies he needed, that's not enough for a jury to find
in his favor. King v. Kramer, 680 F.3d 1013, 1018 (7th Cir. 2012) ("Negligence—
even gross negligence—is insufficient to meet [deliberate indifference] standard .
. .."). HSA Hufford, Nurse Burdette, and Nurse King are therefore entitled to
summary judgment on Mr. Ransom's Eighth Amendment claims.
C. Warden Knight, Mr. McMullen, Major Fox, Mr. Randolph, and
Mr. Stafford
Mr. Ransom argues that Warden Knight, Mr. McMullen, Major Fox, and
Mr. Stafford knew about his various difficulties and did nothing about them:
• Warden Knight knew that Mr. Ransom was "unable to stand in the
shower, [had] problems walking up and down stairs, and [had] other
serious medical needs."
• Mr. McMullen knew about "Mr. Ransom being unable to stand . . .
in the shower, his inability to be in a top bunk, and his difficulty
with stairs."
• Major Fox knew about "the actions taken by Indiana Department of
Correction staff."
• "Mr. Stafford was aware of the serious medical needs of
Mr. Ransom."
Dkt. 111 at 2−3 (response to motion for summary judgment).
But the evidence does not support Mr. Ransom's arguments. First, there
is no admissible evidence about Warden Knight's knowledge. Mr. Ransom
testified that his mother told him that she had called Warden Knight and
discussed Mr. Ransom's medical needs. Dkt. 102-1 at 43 (Ransom Dep.
114:10−115:5). Mr. Ransom's testimony about his mother's conversation with
Warden Knight is inadmissible hearsay, and Mr. Ransom does not present a
declaration or affidavit from his mother. Therefore, there is no admissible,
designated evidence of any such conversation having taken place.
There is evidence that Mr. McMullen and Major Fox knew that Mr. Ransom
was having trouble taking showers. But they either tried to help Mr. Ransom or
referred him to medical staff who tried to help. See dkt. 102-1 at 34
(Ransom Dep. 76:4−6); id. at 81−84 (Ransom Dep. Exh. G). And Mr. Ransom
himself testified that he was able to shower, even though it was difficult. Id. at 37
(Ransom Dep. 91:10−12) ("I'm not saying I didn't take a shower there. I'm saying
it was so difficult for me to take a shower there.").
There is also evidence that Mr. Stafford and Mr. Randolph received and
reviewed grievances in August about Mr. Ransom's complaints. But the
undisputed evidence would not allow a jury to find that either Mr. Stafford or
Mr. Randolph ignored Mr. Ransom's condition. Instead, they reviewed his
grievances and reasonably relied upon medical personnel to attend to Mr.
Ransom's medical needs. See dkt. 102-1 at 81−84 (Ransom Dep. Exh. G); see
Johnson v. Doughty, 433 F.3d 1001, 1010−11 (7th Cir. 2006) (affirming grant of
summary judgment for grievance counselor who "took [the plaintiff's] medical
complaints seriously and reasonably relied upon the doctors' recommendations
in handling [the plaintiff's] condition").
Warden Knight, Mr. McMullen, Major Fox, Mr. Randolph, and Mr. Stafford
are all entitled to summary judgment on Mr. Ransom's Eighth Amendment
claims.
IV. State Law Negligence Claims
"When federal claims drop out of the case, leaving only state-law claims,
the district court has broad discretion to decide whether to keep the case or
relinquish supplemental jurisdiction over the state-law claims." RWJ Mgmt. Co.,
Inc. v. BP Prods. N. Am., Inc., 672 F.3d 476, 478 (7th Cir. 2012). And when, as in
this case, "the federal claims are dismissed before trial, there is a presumption
that the court will relinquish jurisdiction over any remaining state law claims."
Dietchweiler by Dietchweiler v. Lucas, 827 F.3d 622, 631 (7th Cir. 2016).
The Seventh Circuit has identified circumstances when the presumption should
be set aside. RWJ Mgmt. Co., 672 F.3d at 480 (when "the statute of limitations
has run on the pendant claim," when "substantial judicial resources have
already been committed," or "when it is absolutely clear how the pendent claims
can be decided"). But none of those apply here. See 28 U.S.C. § 1367(d)
(limitation period tolled for claims over which district court exercised
supplemental jurisdiction); Ind. Code § 34-11-8-1 (allowing plaintiff to continue
action in state court). The Court therefore applies the presumption and
relinquishes supplemental jurisdiction over Mr. Ransom's state law claims.
Those claims are DISMISSED without prejudice.
V. Conclusion
The defendants’ motions for summary judgment, dkts. [102] and [105], are
GRANTED as to all of Mr. Ransom's Eighth Amendment claims. The Court
relinquishes supplemental jurisdiction over Mr. Ransom's state law claims, so
those claims are dismissed without prejudice. Final judgment shall now enter.
SO ORDERED.
Date: 2/10/2022 S| arn Pat nicl \bawlove
James Patrick Hanlon
United States District Judge
4 Southern District of Indiana
Distribution:
MARK RANSOM
12291 Saint Augustine St.
Leopold, IN 47551
Bryan Findley
CASSIDAY SCHADE LLP
bfindley@cassiday.com
Heather Terese Gilbert
CASSIDAY SCHADE LLP
hgilbert@cassiday.com
Nancy Kay Goldburg
INDIANA ATTORNEY GENERAL
nancy.goldburg@atg.in.gov
Adrienne Nicole Pope
INDIANA ATTORNEY GENERAL
adrienne.pope@atg.in.gov
Marilyn A. Young
CASSIDAY SCHADE LLP
myoung@cassiday.com