stating that “a state is not a person for purposes of a claim for money damages under § 1983”
How later courts described this case
- stating that “a state is not a person for purposes of a claim for money damages under § 1983”
- stating that a “State is not a person under § 1983”
- “Courts are not bound to accept as true a legal conclusion couched as a factual allegation, and factual allegations must be enough to raise a right to relief above the speculative level”
- stating that federal courts are not required to “assume facts that are not alleged, just because an additional factual allegation would have formed a stronger complaint”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
EASTERN DIVISION
DAMON JOSIAH HOUSTON, )
)
Plaintiff, )
)
v. ) No. 4:19-cv-01901-SRC
)
WILLIAM D. MCKINNEY, et al., )
)
Defendants. )
MEMORANDUM AND ORDER
This matter is before the Court on the motion of plaintiff Damon Josiah Houston for leave
to commence this civil action without prepayment of the required filing fee. (Docket No. 3).
Having reviewed the motion and the financial information submitted in support, the Court has
determined that plaintiff lacks sufficient funds to pay the entire filing fee, and will assess an initial
partial filing fee of $60.31. See 28 U.S.C. § 1915(b)(1). Additionally, for the reasons discussed
below, the Court will dismiss plaintiff’s complaint without prejudice.
28 U.S.C. § 1915(b)(1)
Pursuant to 28 U.S.C. § 1915(b)(1), a prisoner bringing a civil action in forma pauperis is
required to pay the full amount of the filing fee. If the prisoner has insufficient funds in his or her
prison account to pay the entire fee, the Court must assess and, when funds exist, collect an initial
partial filing fee of 20 percent of the greater of (1) the average monthly deposits in the prisoner’s
account, or (2) the average monthly balance in the prisoner’s account for the prior six-month
period. After payment of the initial partial filing fee, the prisoner is required to make monthly
payments of 20 percent of the preceding month’s income credited to the prisoner’s account. 28
U.S.C. § 1915(b)(2). The agency having custody of the prisoner will forward these monthly
payments to the Clerk of the Court each time the amount in the prisoner’s account exceeds $10.00,
until the filing fee is fully paid. Id.
In support of his motion for leave to proceed in forma pauperis, plaintiff has submitted a
copy of his certified inmate account statement. (Docket No. 4). The certified inmate account
statement shows an average monthly deposit of $301.57. The Court will therefore assess an initial
partial filing fee of $60.31, which is 20 percent of plaintiff’s average monthly deposit.
Legal Standard on Initial Review
Under 28 U.S.C. § 1915(e)(2), the Court is required to dismiss a complaint filed in forma
pauperis if it is frivolous, malicious, or fails to state a claim upon which relief can be granted. To
state a claim under 42 U.S.C. § 1983, a plaintiff must demonstrate a plausible claim for relief,
which is more than a “mere possibility of misconduct.” Ashcroft v. Iqbal, 556 U.S. 662, 679 (2009).
“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.” Id. at 678.
Determining whether a complaint states a plausible claim for relief is a context-specific task that
requires the reviewing court to draw upon judicial experience and common sense. Id. at 679. The
court must “accept as true the facts alleged, but not legal conclusions or threadbare recitals of the
elements of a cause of action, supported by mere conclusory statements.” Barton v. Taber, 820
F.3d 958, 964 (8th Cir. 2016). See also Brown v. Green Tree Servicing LLC, 820 F.3d 371, 372-73
(8th Cir. 2016) (stating that court must accept factual allegations in complaint as true, but is not
required to “accept as true any legal conclusion couched as a factual allegation”).
When reviewing a pro se complaint under § 1915(e)(2), the Court must give it the benefit
of a liberal construction. Haines v. Kerner, 404 U.S. 519, 520 (1972). A “liberal construction”
means that if the essence of an allegation is discernible, the district court should construe the
plaintiff’s complaint in a way that permits his or her claim to be considered within the proper legal
framework. Solomon v. Petray, 795 F.3d 777, 787 (8th Cir. 2015). However, even pro se complaints
are required to allege facts which, if true, state a claim for relief as a matter of law. Martin v.
Aubuchon, 623 F.2d 1282, 1286 (8th Cir. 1980). See also Stone v. Harry, 364 F.3d 912, 914-15 (8th
Cir. 2004) (stating that federal courts are not required to “assume facts that are not alleged, just
because an additional factual allegation would have formed a stronger complaint”). In addition,
affording a pro se complaint the benefit of a liberal construction does not mean that procedural
rules in ordinary civil litigation must be interpreted so as to excuse mistakes by those who proceed
without counsel. See McNeil v. United States, 508 U.S. 106, 113 (1993).
The Complaint
Plaintiff is a pro se litigant currently incarcerated at the Potosi Correctional Center (PCC)
in Mineral Point, Missouri. (Docket No. 1 at 2). He brings this action pursuant to 42 U.S.C. § 1983.
Five defendants are listed in the complaint: Dr. William McKinney; Warden Travis Crews;
Corizon Health Care; Dr. Carl Doerhoff; and Grievance Officer R. Savage. (Docket No. 1 at 2-4).
Defendants are sued in both their individual and official capacities.
Plaintiff states that on or about March 12, 2018, while at PCC, a growth known as Giant
Cell Granuloma began forming on his forehead. (Docket No. 1 at 5). The growth caused him severe
migraines. On March 26, 2018, he was seen by Dr. McKinney. (Docket No. 1 at 7). Plaintiff
advised Dr. McKinney of the severe headaches he was experiencing, as well as a swelling behind
both eyelids. According to plaintiff, Dr. McKinney told him that it was “nothing but a cyst,” and
that he would “drain it” if it got any bigger. At that time, Dr. McKinney did not order a biopsy or
send plaintiff to get a CT scan.
On April 17, 2018, plaintiff saw an eye doctor for the swelling in both his eyelids and the
pea-sized growths on his eyelids. The eye doctor told plaintiff that the swelling and growths were
“most likely secondary damage from the abnormal growth on the left side of [his] forehead.”
On April 23, 2018, plaintiff’s headaches were so severe he could not work. He was also
suffering blurry vision. He self-declared to receive medical attention. Plaintiff was sent to
Washington County Memorial Hospital where he received a CT scan.
Two days later, plaintiff saw Dr. McKinney, who measured the growth and noticed that it
had gotten larger. Plaintiff asserts that Dr. McKinney did not “drain it like he stated he would if it
got bigger.” Instead, plaintiff was sent back to his housing unit.
Plaintiff self-declared to medical on both April 28, 2018 and May 6, 2018, complaining
about the growth on his forehead and the pain he was experiencing. On May 7, 2018, he was again
seen by Dr. McKinney. Plaintiff states that Dr. McKinney “ignored [his] complaint about the
pain.” (Docket No. 1 at 8). However, plaintiff acknowledges that Dr. McKinney told plaintiff that
he was “scheduled to see a surgeon.”
On May 10, 2018, he was seen by Dr. Doerhoff through TeleMed. During the examination,
Dr. Doerhoff told plaintiff that he could not see the knot on plaintiff’s head. Dr. Doerhoff also told
plaintiff that the droopiness in his face and his swollen eyelids were not secondary effects of the
knot on his forehead.
On May 23, 2018, plaintiff went to Jefferson City and saw Dr. Doerhoff in his office to
have a biopsy done. Plaintiff also went to the hospital to have an MRI.
On May 29, 2018, plaintiff went to University of Missouri Health Care to be assessed for
surgery and to receive his biopsy results. The biopsy results were not cancerous. (Docket No. 1 at
9). Plaintiff had surgery to remove the growth on June 7, 2018. (Docket No. 1 at 5). The surgery
took place at University of Missouri Health Care. (Docket No. 1 at 9). Following surgery, he was
returned to PCC the same day, though plaintiff notes he does not know why he was not able to
stay overnight.
On March 1, 2019, plaintiff went to SLU Care Medical Group for an assessment of his
eyelids. He was told that he would need to have surgery to help with the droopiness by tightening
the muscles.
As a result of having the Giant Cell Granuloma removed, plaintiff has a long, visible scar
on his forehead. (Docket No. 1 at 11). He also had a piece of his skull removed and replaced by “a
foreign substance.” He states that he suffered nerve damage to the left side of his forehead, and
muscle damage in both his eyelids.
Plaintiff alleges that Dr. McKinney “failed to adequately inquire into the facts necessary
to make a professional judgment and treatment…in a reasonable time frame that would have
prevented the damage” to plaintiff. (Docket No. 1 at 5). Likewise, he claims that Dr. Doerhoff
delayed treatment by failing “to adequately inquire into the facts to make the necessary judgment
for [his] treatment.” (Docket No. 1 at 6). He also states that Corizon “failed to intervene” when his
treatment was delayed by Dr. McKinney and Dr. Doerhoff. (Docket No. 1 at 5).
Plaintiff asserts that Warden Travis Crews “failed to intervene and review [his] IRR and
Grievance in the proper time frame to prevent [his] Due Process [rights] from being violated.”
Similarly, he alleges that Grievance Officer Savage failed to inform Warden Crews that his Due
Process rights were being violated when the response to his IRR, grievance, and grievance appeal
went over the response time provided in the Offender Grievance Procedure. (Docket No. 1 at 5-
6).
Plaintiff is seeking $800,000 in compensation for the damage to his skull; for the damage
to the nerves on the left side of his forehead; for the chronic migraines he now suffers; and due to
the fact that he has to have another surgery to repair secondary damage. (Docket No. 1 at 12).
Discussion
Plaintiff is a pro se litigant who brings this civil action pursuant to 42 U.S.C. § 1983. He
alleges that his constitutional rights were violated in relation to treatment he received for a growth
on his forehead. Having thoroughly reviewed and liberally construed plaintiff’s complaint, and for
the reasons discussed below, this action must be dismissed for failure to state a claim.
A. Corizon Claim
Plaintiff’s claim against Corizon Health Care must be dismissed. A corporation acting
under color of state law, such as Corizon, cannot be liable on a respondeat superior theory. Smith
v. Insley’s Inc., 499 F.3d 875, 880 (8th Cir. 2007). Rather, to support such a claim, the plaintiff
“must show that there was a policy, custom, or official action that inflicted an actionable injury.”
Johnson v. Hamilton, 452 F.3d 967, 973 (8th Cir. 2006). See also Sanders v. Sears, Roebuck & Co.,
984 F.2d 972, 975 (8th Cir. 1993) (stating that a corporation acting under color of state law will
only be held liable where “there is a policy, custom or action by those who represent official policy
that inflicts injury actionable under § 1983”).
Here, plaintiff alleges that Corizon “failed to intervene when [he] was seen by [Dr.
Doerhoff] through TeleMed and when the recommendation from [Dr. McKinney] was entered.
Because of this “delayed” action, plaintiff asserts that he suffered preventable damage to his skull
and eyelid muscles.
There are no facts in the complaint to support the contention that plaintiff was injured due
to a policy, custom, or official action on the part of Corizon. Instead, plaintiff merely presents a
legal conclusion, to wit: that Corizon “failed to intervene.” The Court is not required to accept
such a conclusion as true. Torti v. Hoag, 868 F.3d 666, 671 (8th Cir. 2017) (“Courts are not bound
to accept as true a legal conclusion couched as a factual allegation, and factual allegations must be
enough to raise a right to relief above the speculative level”). Therefore, plaintiff’s claim against
Corizon Health Care must be dismissed.
B. Official Capacity Claim Against Dr. McKinney
Plaintiff’s claim against Dr. McKinney in his official capacity must be dismissed. In an
official capacity claim against an individual, the claim is actually “against the governmental entity
itself.” See White v. Jackson, 865 F.3d 1064, 1075 (8th Cir. 2017). Thus, a “suit against a public
employee in his or her official capacity is merely a suit against the public employer.” Johnson v.
Outboard Marine Corp., 172 F.3d 531, 535 (8th Cir. 1999). See also Brewington v. Keener, 902
F.3d 796, 800 (8th Cir. 2018) (explaining that official capacity suit against sheriff and his deputy
“must be treated as a suit against the County”); Kelly v. City of Omaha, Neb., 813 F.3d 1070, 1075
(8th Cir. 2016) (stating that a “plaintiff who sues public employees in their official, rather than
individual, capacities sues only the public employer”); and Elder-Keep v. Aksamit, 460 F.3d 979,
986 (8th Cir. 2006) (stating that a “suit against a public official in his official capacity is actually a
suit against the entity for which the official is an agent”). In order to prevail on an official capacity
claim, the plaintiff must establish the governmental entity’s liability for the alleged conduct. Kelly,
813 F.3d at 1075.
Plaintiff is alleged to be employed by Corizon Health Care. Thus, an official capacity claim
against Dr. McKinney is actually a claim against Corizon itself. As discussed above, plaintiff has
failed to state a claim against Corizon because he has not presented any facts showing an actionable
injury caused by a Corizon policy, custom, or official action. Therefore, plaintiff’s official capacity
claim against Dr. McKinney must be dismissed.
C. Official Capacity Claim Against Dr. Doerhoff
Plaintiff’s official capacity claim against Dr. Doerhoff must be dismissed. Dr. Doerhoff is
alleged to be employed by CRP-Surgicare. As previously stated, an official capacity claim against
an individual is actually a claim against that individual’s employer. See White, 865 F.3d at 1075.
However, plaintiff has presented no factual allegations against CRP-Surgicare whatsoever, much
less any factual allegations showing that he was injured by a CRP-Surgicare policy, custom, or
official action. See Johnson, 452 F.3d at 973. Therefore, plaintiff has failed to state an official
capacity claim against Dr. Doerhoff.
D. Official Capacity Claims Against Warden Crews and Grievance Officer Savage
Plaintiff’s official capacity claims against Warden Crews and Grievance Officer Savage
must be dismissed. Warden Crews and Grievance Officer Savage are both alleged to be employed
by the Missouri Department of Corrections. Thus, the official capacity claims against them are
actually against the State of Missouri, their employer. See White, 865 F.3d at 1075.
“Section 1983 provides for an action against a ‘person’ for a violation, under color of law,
of another’s civil rights.” McLean v. Gordon, 548 F.3d 613, 618 (8th Cir. 2008). See also Deretich
v. Office of Admin. Hearings, 798 F.2d 1147, 1154 (8th Cir. 1986) (stating that “[§] 1983 provides
a cause of action against persons only”). However, “neither a State nor its officials acting in their
official capacity are ‘persons’ under § 1983.” Will v. Michigan Dep’t of State Police, 491 U.S. 58,
71 (1989). See also Calzone v. Hawley, 866 F.3d 866, 872 (8th Cir. 2017) (stating that a “State is
not a person under § 1983”); and Kruger v. Nebraska, 820 F.3d 295, 301 (8th Cir. 2016) (stating
that “a state is not a person for purposes of a claim for money damages under § 1983”). Because
the State of Missouri is not a § 1983 person, plaintiff’s official capacity claims against state
employees Crews and Savage must be dismissed.
E. Individual Capacity Claims Against Dr. McKinney and Dr. Doerhoff
Plaintiff’s individual capacity claims against Dr. McKinney and Doerhoff for deliberate
indifference to his medical needs must be dismissed. Under the Eighth Amendment, the
government has an obligation to provide medical care to those whom it is punishing by
incarceration. Estelle v. Gamble, 429 U.S. 97, 103 (1976). To demonstrate constitutionally
inadequate medical care, the inmate must show that a prison official’s conduct amounted to
deliberate indifference. Dulany v. Carnahan, 132 F.3d 1234, 1237-38 (8th Cir. 1997).
In order to establish deliberate indifference, a plaintiff must prove that he suffered from an
objectively serious medical need, and that prison officials actually knew of and disregarded that
need. Roberts v. Kopel, 917 F.3d 1039, 1042 (8th Cir. 2019). See also Phillips v. Jasper Cty. Jail,
437 F.3d 791, 795 (8th Cir. 2006). “A serious medical need is one that has been diagnosed by a
physician as requiring treatment, or one that is so obvious that even a layperson would easily
recognize the necessity for a doctor’s attention.” Coleman v. Rahija, 114 F.3d 778, 784 (8th Cir.
1997). Deliberate indifference can include the intentional denial or delay of access to medical care,
or the intentional interference with treatment or prescribed medication. Vaughn v. Lacey, 49 F.3d
1344, 1346 (8th Cir. 1995).
To prevail under this standard, an inmate must demonstrate that a prison health care
provider’s actions were “so inappropriate as to evidence intentional maltreatment or a refusal to
provide essential care.” Jackson v. Buckman, 756 F.3d 1060, 1066 (8th Cir. 2014). As such,
“deliberate indifference requires a highly culpable state of mind approaching actual intent.” Kulkay
v. Roy, 847 F.3d 637, 643 (8th Cir. 2017). Thus, a showing of deliberate indifference requires more
than a mere disagreement with treatment decisions and is greater than gross negligence. Gibson v.
Weber, 433 F.3d 642, 646 (8th Cir. 2006).
Here, plaintiff alleges that Dr. McKinney and Dr. Doerhoff both “failed to adequately
inquire into the facts necessary to make a professional judgment” in order for him to receive
treatment in a “reasonable time frame.” Specifically, plaintiff states that Dr. McKinney
misdiagnosed his Giant Cell Granuloma as a cyst. He further states that Dr. Doerhoff did not
review his medical records before assessing him through TeleMed, and later stated that the growth
on his head was “cancer,” without awaiting the biopsy results.
Plaintiff’s allegations that Dr. McKinney and Dr. Doerhoff failed to properly diagnose him
do not state a deliberate indifference claim. Rather, plaintiff appears to be asserting a claim of
medical malpractice. Medical malpractice, however, is not actionable under the Eighth
Amendment. Popoalii v. Corr. Med. Servs., 512 F.3d 488, 499 (8th Cir. 2008). See also Kulkay,
847 F.3d at 643 (stating that mere negligence or inadvertence does not rise to the level of deliberate
indifference); Gibson, 433 F.3d at 646 (stating that deliberate indifference is greater than gross
negligence); and McRaven v. Sanders, 577 F.3d 974, 982 (8th Cir. 2009) (“Negligent misdiagnosis
does not create a cognizable claim under § 1983”).
Plaintiff has also failed to demonstrate that his treatment was intentionally delayed due to
the actions of Dr. McKinney and Dr. Doerhoff. As noted above, deliberate indifference can include
the intentional denial or delay of access to medical care. See Vaughn, 49 F.3d at 1346. However,
a prison health care provider’s actions must be “so inappropriate as to evidence intentional
maltreatment or a refusal to provide essential care.” Jackson, 756 F.3d at 1066.
Plaintiff’s facts indicate that a little less than three months elapsed between the time a
growth began forming on his forehead until he had the growth removed. Plaintiff does not
demonstrate that this was an unreasonable amount of time. During this period, plaintiff
acknowledges being seen by both doctors and nurses. He also acknowledges receiving a CT scan,
a biopsy, and an MRI. He also had surgery to remove the growth. While he claims that Dr.
McKinney and Dr. Doerhoff were wrong in their professional judgments, he does not establish
that their actions evidenced “intentional maltreatment or a refusal to provide essential care.”
Indeed, plaintiff notes that upon seeing Dr. McKinney on May 7, 2018, Dr. McKinney advised
plaintiff he was scheduled to see a surgeon. Moreover, plaintiff notes that Dr. Doerhoff remotely
assessed plaintiff on May 10, 2018, and saw plaintiff in his office on May 23, 2018, where he
performed a biopsy. These facts do not show that Dr. McKinney or Dr. Doerhoff had the “highly
culpable state of mind approaching actual intent” required to prove deliberate indifference.
Therefore, plaintiff’s individual capacity claims against Dr. McKinney and Dr. Doerhoff must be
dismissed.
F. Individual Capacity Claim Against Warden Crews
Plaintiff’s individual capacity claim against Warden Crews must be dismissed. Vicarious
liability is inapplicable to § 1983 suits. Marsh v. Phelps Cty., 902 F.3d 745, 754 (8th Cir. 2018).
As such, “[g]overnment officials are personally liable only for their own misconduct.” S.M. v.
Krigbaum, 808 F.3d 335, 340 (8th Cir. 2015). Thus, “a supervising officer can be liable for an
inferior officer’s constitutional violation only if he directly participated in the constitutional
violation, or if his failure to train or supervise the offending actor caused the deprivation.” Parrish
v. Ball, 594 F.3d 993, 1001 (8th Cir. 2010). “[A] general responsibility for supervising the
operations of a prison is insufficient to establish the personal involvement required to support
liability.” Camberos v. Branstad, 73 F.3d 174, 176 (8th Cir. 1995).
Here, plaintiff alleges that Warden Crews “failed to intervene and review [his] IRR and
Grievance in the proper time frame to prevent [his] Due Process from being violated.” In particular,
plaintiff accuses Warden Crews of failing to respond in the timeframe provided by the Offender
Grievance Procedure.
An inmate has a liberty interest in the nature of his confinement, but not an interest in the
procedures by which the state believes it can best determine how he should be confined. Kennedy
v. Blankenship, 100 F.3d 640, 643 (1996). As such, “there is no constitutional liberty interest in
having state officers follow state law or prison officials follow prison regulations.” Phillips v.
Norris, 320 F.3d 844, 847 (8th Cir. 2003). A prison grievance procedure is a procedural right only
and does not confer upon an inmate a substantive right. Buckley v. Barlow, 997 F.2d 494, 495 (8th
Cir. 1993). See also Lomholt v. Holder, 287 F.3d 683, 684 (8th Cir. 2002) (agreeing with district
court that “defendants’ denial of [plaintiff’s] grievances did not state a substantive constitutional
claim”); and Fallon v. Coulson, 5 F.3d 531, 1993 WL 349355, at *1 (8th Cir. 1993) (unpublished
opinion) (stating that the failure of defendants “to acknowledge receipt of and respond to plaintiffs’
grievances pursuant to prison procedure did not violate any of plaintiffs’ constitutional rights”).
Plaintiff does not have a liberty interest in Warden Crews timely responding to his IRR or
grievance. It therefore follows that Warden Crews did not violate plaintiff’s constitutional rights
by allegedly failing to provide a timely response. Moreover, as explained above, plaintiff has not
established that his constitutional rights were violated with regard to the medical treatment he
received at PCC. Thus, Warden Crews cannot be liable for failing to intervene. For these reasons,
plaintiff has failed to state an individual capacity claim against Warden Crews.
G. Individual Capacity Claim Against Grievance Officer Savage
Plaintiff’s claim against Grievance Officer Savage in his individual capacity must be
dismissed. Plaintiff alleges that Grievance Officer Savage failed to inform the warden and D.O.N.
Smith that his right to due process was violated when the response to his IRR, grievance, and
grievance appeal went over the timeframe in the Offender Grievance Procedure. He also states that
Grievance Officer Savage should not have made him do a second grievance appeal. As previously
noted, a prison grievance procedure is a procedural right only and does not confer upon an inmate
a substantive right. Buckley, 997 F.2d at 495. Grievance Officer Savage’s purported failure to
follow the prison grievance procedure does not have constitutional implications. Therefore,
plaintiff's individual capacity claim against Grievance Officer Savage must be dismissed.
H. Motion to Appoint Counsel
Plaintiff has filed a motion to appoint counsel. (Docket No. 2). The motion will be denied
as this action is being dismissed for failure to state a claim. See 28 U.S.C. § 1915(e)(2)(B).
Accordingly,
IT IS HEREBY ORDERED that plaintiffs motion for leave to proceed in forma pauperis
(Docket No. 3) is GRANTED.
IT IS FURTHER ORDERED that plaintiff must pay an initial filing fee of $60.31 within
twenty-one (21) days of the date of this Order. Plaintiff is instructed to make his remittance payable
to “Clerk, United States District Court,’ and to include upon it: (1) his name; (2) his prison
registration number; (3) the case number; and (4) the statement that the remittance is for an original
proceeding.
IT IS FURTHER ORDERED that plaintiffs motion for appointment of counsel (Docket
No. 2) is DENIED AS MOOT.
IT IS FURTHER ORDERED that this action is DISMISSED without prejudice for
failure to state a claim. See 28 U.S.C. § 1915(e)(2)(B). A separate order of dismissal will be entered
herewith.
IT IS FURTHER ORDERED that an appeal from this dismissal would not be taken in
good faith.
Dated this 17th day of December, 2019. inet es / c a
STEPHENR.CLARK sss
UNITED STATES DISTRICT JUDGE
13