Opinion

BOYKINS v. WEXFORD HEALTH SOURCES

Court
District Court, S.D. Indiana
Filed
Mar 22, 2022
Cited by
0 cases
Authority
More cited than 21.7%

affirming grant of summary judgment to prison complaint examiner who denied grievance as untimely "because she carried out her job exactly as she was supposed to"

How later courts described this case

  • affirming grant of summary judgment to prison complaint examiner who denied grievance as untimely "because she carried out her job exactly as she was supposed to"
  • finding grievance counselor did not violate the Eighth Amendment where he researched inmate's complaint, learned that medical professionals had seen and diagnosed an inmate with medical condition and determined that surgery was not required
  • "[T]he treatment a prisoner receives in prison and the conditions under which he is confined are subject to scrutiny under the Eighth Amendment."
  • "Even if he recognizes the substantial risk [to an inmate's health or safety], an official is free from liability if he 'responded reasonably to the risk, even if the harm ultimately was not averted.'" (quoting Farmer v. Brennan, 511 U.S. 825, 843 (1994)

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF INDIANA

INDIANAPOLIS DIVISION

DEADRIAN BOYKINS, )

)

Plaintiff, )

)

v. ) No. 1:19-cv-03817-SEB-MPB

)

WEXFORD HEALTH SOURCES, )

CHRISTINA CONYERS, )

DUANE ALSIP, )

MICHAEL KING, )

WEXFORD OF INDIANA, LLC, )

)

Defendants. )

Order Granting Motion for Summary Judgment

Plaintiff De'Adrian Boykins is an insulin-dependent diabetic, and he is currently

incarcerated at Pendleton Correctional Facility. He filed this civil rights action under 42 U.S.C.

§ 1983 alleging that defendants Christina Conyers and Duane Alsip exhibited deliberate

indifference to his serious medical needs by inadequately responding to grievances. These

defendants request judgment as a matter of law. Ms. Conyers and Mr. Alsip reasonably responded

to grievances submitted by Mr. Boykins. Therefore, their motion for summary judgment, dkt. [61],

is granted.

I. Summary Judgment Standard

Parties in a civil dispute may move for summary judgment, which is a way of resolving a

case short of a trial. See Fed. R. Civ. P. 56(a). Summary judgment is appropriate when there is no

genuine dispute as to any of the material facts, and the moving party is entitled to judgment as a

matter of law. Id.; Pack v. Middlebury Comm. Sch., 990 F.3d 1013, 1017 (7th Cir. 2021). A

"genuine dispute" exists when a reasonable factfinder could return a verdict for the nonmoving

party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). "Material facts" are those that

might affect the outcome of the suit. Id.

When reviewing a motion for summary judgment, the Court views the record and draws

all reasonable inferences from it in the light most favorable to the nonmoving party. Khungar v.

Access Cmty. Health Network, 985 F.3d 565, 572-73 (7th Cir. 2021). The Court is only required

to consider the materials cited by the parties, see Fed. R. Civ. P. 56(c)(3); it is not required to

"scour every inch of the record" for evidence that is potentially relevant. Grant v. Trs. of Ind. Univ.,

870 F.3d 562, 573-74 (7th Cir. 2017).

II. Summary Judgment Evidence

Mr. Boykins has been incarcerated at Pendleton Correctional Facility since February 2014,

and the events that form the basis of this action all occurred there. Dkt. 63-1 at 8-9. In this action,

he names Ms. Conyers and Mr. Alsip as defendants and challenges their handling of grievances he

filed concerning the lack of treatment he received for his diabetes.1 Dkt. 36 at 1-3. Ms. Conyers is

the Grievance Coordinator at Pendleton, dkt. 63-2 at ¶ 1, and Mr. Alsip is the Deputy Warden of

Operations, dkt. 63-10 at ¶ 2. Neither Ms. Conyers nor Mr. Alsip is a medical professional. Dkt.

63-2 at ¶ 19; dkt. 63-10 at ¶ 3.

At the age of three, Mr. Boykins was diagnosed with diabetes, dkt. 63-1 at 10, and he

describes himself as a "severe diabetic," dkt. 36 at 2. He suffers from both high and low glucose

levels, and he experiences significant side effects when his glucose spikes or drops. Dkt. 63-1 at

16. Those side effects include dehydration, frequent urination, headaches, nausea, vomiting,

muscle tightness, and difficulty breathing. Id. Mr. Boykins needs insulin to manage his diabetes,

1 Mr. Boykins also named Michael King and Wexford of Indiana, LLC, as defendants. The motion

for summary judgment filed by Ms. Conyers and Mr. Alsip does not implicate the claims against

Mr. King and Wexford, so the Court will not address the allegations against them.

dkt. 63-1 at 10-11, and in June 2019, he was supposed to receive glucose monitoring and insulin

shots three times a day, id. at 14, 24.

In June 2019, Mr. Boykins was moved to restrictive housing at Pendleton for disciplinary

reasons. Dkt. 63-1 at 18, 24. While Mr. Boykins was in restrictive housing, he relied on medical

staff to come to his housing unit and provide the thrice daily glucose monitoring and insulin shots.

Id. at 27-29. Correctional officers and members of the custody staff were not allowed to test his

glucose or give an insulin shot. Id.

Shortly after arriving in restrictive housing, Mr. Boykins did not receive glucose

monitoring or insulin shots at lunchtime. Dkt. 36 at 2; see also dkt. 63-1 at 30. In early July, he

was taken to the medical unit to receive fluids and be monitored because he was dehydrated from

vomiting. Dkt. 63-1 at 31; dkt. 71-1 at 1-8. He alleges that he did not receive midday glucose

monitoring or insulin shots for the duration of his stay in restrictive housing. Dkt. 63-1 at 22-24.

Mr. Boykins wrote three informal grievances about the missed glucose monitoring and

insulin shots in July 2019. Dkt. 63-4; dkt. 71-1 at 19. In each grievance, he stated that he was a

severe diabetic and had not received glucose monitoring or insulin shots as medically directed.

Dkt. 63-4 at 1, 3; dkt. 71-1 at 19.

Ms. Conyers received two of these informal grievances on July 19, 2019. Dkt. 63-2 at ¶ 10.

She emailed the informal grievances to Mr. King, the Health Services Administrator at Pendleton,

the same day and asked him to "please respond [as soon as possible] as this is time sensitive." Id.

at ¶ 11; see also dkt. 63-3. Ms. Conyers did not receive a response from Mr. King. Dkt. 63-2 at

¶ 12.

On August 13, 2019, Ms. Conyers received a formal grievance from Mr. Boykins dated

July 16, 2019. Id. at ¶ 13; see also dkt. 63-5. This formal grievance contained the same information

as the informal grievances. Mr. Boykins explained that he is a "severe insulin-dependent diabetic"

that has a "doctor's order" for thrice daily glucose monitoring and insulin shots. Dkt. 63-5. He

explained that he was not receiving treatment as ordered and had experienced significant side

effects—necessitating IV fluids and medical observation—as a result. Id. He stated that he had

filed informal grievances with medical staff and had not received a response. Id. Ms. Conyers

denied the grievance as untimely and returned it to Mr. Boykins. Dkt. 63-2 at ¶ 14; see also dkt.

63-6.

Mr. Boykins immediately appealed the return of his grievance, stating that he filed his

grievance on July 16, 2019. Dkt. 63-7. Ms. Conyers returned the grievance appeal to Mr. Boykins

because it did not relate to an accepted grievance. Dkt. 63-2 at ¶ 15.

On August 15, 2019, two days after his unsuccessful attempt to appeal his returned

grievance, Mr. Boykins submitted an informal grievance to Ms. Conyers. Dkt. 63-8. He explained

that he submitted the formal grievance on July 17, 2019, and appealed it in August after not

receiving a response. Id. Ms. Conyers responded to the informal grievance on August 21, stating

that she had contacted medical and was awaiting a response. Dkt. 63-2 at ¶ 17; see also dkt. 63-8.

The next day, Ms. Conyers emailed Linda Frye, another Health Services Administrator at

Pendleton, asking for her input on the issue and requesting a response "in a timely manner as this

is time sensitive." Dkt. 63-9; dkt. 63-2 at ¶ 18. Ms. Frye quickly responded and informed Ms.

Conyers of the following: (1) Mr. Boykins was seen by medical staff two days prior; (2) there was

an order for "NPH" insulin twice a day and "regular" insulin three times a day;2 (3) Mr. Boykins

"often does not take" insulin; (4) she could not do anything about missed glucose monitoring; and

(5) medical staff was trying to get Mr. Boykins approved for a different type of insulin that "might

2 There is no explanation of the differences in these two types of insulin.

help the situation." Dkt. 63-9. Ms. Frye also advised that she would "alert nurses to make sure [Mr

Boykins] gets insulin as ordered." Id. It is not clear whether Ms. Conyers communicated with Mr.

Boykins after receiving a response from Ms. Frye.

On August 26, 2019, Mr. Boykins submitted an informal grievance to Mr. Alsip. Dkt. 63-

11; dkt. 63-10 at ¶ 6. He complained that the medical order for thrice daily insulin shots was not

being followed and that it was affecting his health and well-being. Dkt. 63-11. He explained that

his grievances to medical were not successful and that he was experiencing significant side effects

as a result of the missed insulin shots. Id. In response, Mr. Alsip told Mr. Boykins to direct

grievances "to staff committing or failing to provide services." Id.; see also dkt. 63-10 at ¶ 8. Mr.

Alsip also notified a Health Services Administrator about Mr. Boykins's complaints, dkt. 63-10 at

¶ 7, but it is unclear whether Mr. Alsip informed Mr. Boykins of his conversation with the Health

Services Administrator. Mr. Boykins filed this action in early September 2019. Dkt. 2.

Ms. Conyers and Mr. Alsip aver that they cannot administer medical treatment to inmates

at Pendleton and that they rely on "the representations and instructions of trained medical

professionals." Dkt. 63-2 at ¶¶ 20-21; dkt. 63-10 at ¶¶ 4-5. To refute these assertions, Mr. Boykins

has submitted an Indiana Department of Correction Policy that states: "Department personnel must

consider how best to ensure continuity of care for serious medical conditions at the inception,

during, and at the conclusion of confinement." Dkt. 71-1 at 12-17.

III. Analysis

Mr. Boykins argues that Ms. Conyers and Mr. Alsip displayed deliberate indifference to

his serious medical needs when they failed to act on grievances concerning Mr. Boykins's missed

glucose monitoring and insulin shots. Dkt. 36 at 2-3. Ms. Conyers and Mr. Alsip seek summary

judgment arguing: (1) they were not personally involved in the alleged failure to provide treatment;

(2) they reasonably responded to Mr. Boykins's grievances and thus did not violate his rights; and

(3) they are shielded from liability by the doctrine of qualified immunity. Dkt. 62 at 10-18. Mr.

Boykins opposes the request for summary judgment, dkt. 71, and Ms. Conyers and Mr. Alsip did

not reply.

Because Mr. Boykins is a convicted prisoner, his medical treatment is evaluated under

standards established by the Eighth Amendment's proscription against the imposition of cruel and

unusual punishment. See Helling v. McKinney, 509 U.S. 25, 31 (1993) ("[T]he treatment a prisoner

receives in prison and the conditions under which he is confined are subject to scrutiny under the

Eighth Amendment."). The Eighth Amendment "protects prisoners from prison conditions that

cause the wanton and unnecessary infliction of pain." Pyles v. Fahim, 771 F.3d 403, 408 (7th Cir.

2014). "To determine if the Eighth Amendment has been violated in the prison medical context,

[the Court] perform[s] a two-step analysis, first examining whether a plaintiff suffered from an

objectively serious medical condition, and then determining whether the individual defendant was

deliberately indifferent to that condition." Petties v. Carter, 836 F.3d 772, 727-728 (7th Cir. 2016)

(en banc). Ms. Conyers and Mr. Alsip do not dispute that Mr. Boykins's diabetes constitutes a

serious medical condition. Thus, the availability of judgment as a matter of law turns on whether

either Ms. Conyers or Mr. Alsip were deliberately indifferent to Mr. Boykins's diabetes.

"It is well established that for constitutional violations under § 1983, a government official

is only liable for his or her own misconduct." Perez v. Fenoglio, 792 F.3d 768, 781 (7th Cir. 2015)

(cleaned up). A plaintiff may not rely on respondeat superior but instead must "allege that the

defendant, through his or her own conduct, has violated the Constitution." Id.

A constitutional violation based on deliberate indifference "may be found where an official

knows about unconstitutional conduct and facilitates, approves, condones, or turns a blind eye to

it." Id. (cleaned up). An inmate's correspondence to a prison official may provide sufficient

knowledge of a constitutional deprivation. Id. at 781-82. "[O]nce an official is alerted to an

excessive risk to inmate safety or health through [an inmate's] correspondence, refusal or

declination to exercise the authority of his or her office may reflect deliberate disregard." Id. at

782.

But if, upon learning of an inmate's complaints, a prison official reasonably responds to

those complaints, the prison official lacks a "sufficiently culpable state of mind" to be deliberately

indifferent. See Johnson v. Doughty, 433 F.3d 1001, 1010-11 (7th Cir. 2006) (finding grievance

counselor did not violate the Eighth Amendment where he researched inmate's complaint, learned

that medical professionals had seen and diagnosed an inmate with medical condition and

determined that surgery was not required); Burks v. Remisch, 555 F.3d 592, 594-95 (7th Cir. 2009)

(affirming grant of summary judgment to prison complaint examiner who denied grievance as

untimely "because she carried out her job exactly as she was supposed to"); see also Jackson v. Ill.

Medi-Car, Inc., 300 F.3d 760, 765 (7th Cir. 2002) ("Even if he recognizes the substantial risk [to

an inmate's health or safety], an official is free from liability if he 'responded reasonably to the

risk, even if the harm ultimately was not averted.'" (quoting Farmer v. Brennan, 511 U.S. 825, 843

(1994)). Both Ms. Conyers and Mr. Alsip are entitled to judgment as a matter of law because they

reasonably responded to Mr. Boykins's complaints about his medical care.

It is undisputed that Ms. Conyers received Mr. Boykins's informal grievances about the

missed glucose monitoring and insulin shots on July 19, 2019. Dkt. 63-2 at ¶ 10. When she received

these complaints, she promptly reached out to Mr. King, the Health Services Administrator, to find

out more information. Id. at ¶ 11. Although he did not respond to Ms. Conyers's inquiry, dkt. 63-

2 at ¶ 12, Mr. Boykins has presented no evidence that it was unreasonable for Ms. Conyers to fail

to follow-up with Mr. King regarding the complaints. And, any failure to follow-up with Mr. King

was rectified when Ms. Conyers received the formal grievance, appeal, and informal grievance the

next month and reached out to Ms. Frye to address Mr. Boykins's complaints. See dkt. 63-2 at ¶¶

13-18. Much like the grievance counselor in Johnson, 433 F.3d at 1010-11, Ms. Conyers

investigated Mr. Boykins's complaints to ensure that he was receiving appropriate medical care.

Thus, she lacked a sufficiently culpable state of mind to be deliberately indifferent.3 Id. Ms.

Conyers's request for judgment as a matter of law is granted.

The same conclusion is true for Mr. Alsip. When he received Mr. Boykins's informal

grievance in August 2019, he immediately contacted a Health Services Administrator and

discussed Mr. Boykins's complaints. Dkt. 63-10 at ¶ 6-7. While it might have been helpful for Mr.

Alsip to notify Mr. Boykins of this communication, Mr. Alsip's failure to do pass along this

information does not render his response unreasonable. Mr. Alsip exercised the authority of his

office, see Perez, 792 F.3d at 782, by contacting an administrator within the medical unit to notify

them of Mr. Boykins's complaints and ensure that Mr. Boykins received necessary medical

treatment. There is no evidence upon which a reasonable jury could rely to conclude that Mr. Alsip

displayed deliberate indifference to Mr. Boykins's complaints. Mr. Alsip's request for summary

judgment is therefore granted.

Because Mr. Boykins has not established a constitutional violation, the Court need not

address the defendants' qualified immunity defense. See Locke v. Haessig, 788 F.3d 662, 667 (7th

3 Even if Ms. Conyers's failure to follow up with Mr. King when he did not respond to her July

2019 inquiry could support a finding of deliberate indifference, "deliberate indifference entails

something more than mere negligence." Peterson v. Wexford Health Sources, Inc., 986 F.3d 746,

752 (7th Cir. 2021) (cleaned up). Mr. Boykins presents no evidence to show that Ms. Conyers's

failure to follow up was anything other than negligence. Additionally, Mr. Boykins submits no

evidence or argument to defeat Ms. Conyers's defense of qualified immunity.

Cir. 2015 (recognizing first prong of qualified immunity analysis requires determination of

whether defendant violated a constitutional right).

IV. Conclusion

For these reasons, the motion for summary judgment filed by Ms. Conyers and Mr. Alsip,

dkt. [61], is granted. The Eighth Amendment claims against them are dismissed with prejudice.

Because Mr. Boykins's claims against Mr. King and Wexford of Indiana, LLC, remain pending,

see dkt. 94, no partial judgment shall issue at this time.

The clerk is directed to terminate Ms. Conyers and Mr. Alsip as defendants on the docket.

IT IS SO ORDERED.

Date. 3/22/2022 Wd Gaus Baler

SARAH EVANS BARKER, JUDGE

United States District Court

Southern District of Indiana

Distribution:

DEADRIAN BOYKINS

201883

PENDLETON - CF

PENDLETON CORRECTIONAL FACILITY

Electronic Service Participant – Court Only

Douglass R. Bitner

KATZ KORIN CUNNINGHAM, P.C.

dbitner@kkclegal.com

Matthew Jacob Goldsmith

INDIANA ATTORNEY GENERAL

matthew.goldsmith@atg.in.gov

Marley Genele Hancock

CASSIDAY SCHADE LLP

mhancock@cassiday.com

Adam Jay Harvey

OFFICE OF THE INDIANA ATTORNEY GENERAL

adam.harvey@atg.in.gov

Gustavo Angel Jimenez

INDIANA ATTORNEY GENERAL

gustavo.jimenez@atg.in.gov

Molly Michelle McCann

INDIANA ATTORNEY GENERAL

mmccann@taylorlitigation.com

Erika Lauren Steuerwald

KATZ KORIN CUNNINGHAM, P.C.

esteuerwald@kkclegal.com

Robert Lewis Yates

INDIANA ATTORNEY GENERAL

Robert.yates@atg.in.gov

Jarod M. Zimmerman

KATZ KORIN CUNNINGHAM, P.C.

jzimmerman@kkclegal.com

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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