finding that the plaintiff impermissibly predicated her complaint against defendants on a respondeat superior theory of liability
How later courts described this case
- finding that the plaintiff impermissibly predicated her complaint against defendants on a respondeat superior theory of liability
- “there was no constitutional harm, as [the plaintiff] was provided with adequate medical care.”
- holding that when the burden of persuasion at trial would be on the nonmoving party, “the party moving for summary judgment may satisfy Rule 56” by demonstrating that “the nonmoving party's evidence is insufficient to establish an essential element of [its] claim”
- “[I]t is well established that as long as a physician exercises professional judgment his behavior will not violate a prisoner's constitutional rights”
Written by the judges who cited it.
The opinion
NOT FOR PUBLICATION
IN THE UNITED STATES DISTRICT
COURT FOR THE DISTRICT OF NEW
JERSEY CAMDEN VICINAGE
MARTIN LUTHER ROGERS, :
: Civ. No. 15-7005(RMB-MJS)
Plaintiff :
:
v. : OPINION (Redacted)
:
NJDOC, et al., :
:
Defendants
APPEARANCES:
Charles Harry Landesman,
Esq. LAW, FROELICH &
LANDESMAN
P.O. Box 474
Hillsdale, NJ
07642
On behalf of Plaintiff
Margaret M. Raymond Flood,Esq.
Candice Huber Rienzo, Esq.
NORRIS MCLAUGHLIN, P.A.
400 Crossing Boulevard, 8th Floor
P.O. Box 5933
Bridgewater, NJ
08807
On behalf of Defendants Rutgers University Behavioral
and Correctional Healthcare, Laurie Valentino, Christopher
Simkins, Tina Montgomery, University of Medicine and Dentistry,
and Roni J. Feldman
BUMB, United States District Judge
This matter comes before the Court upon the motion for summary
judgment (Med. Defs’ Mot. for Summ. J., Dkt. No. 179) by Defendants
Rutgers University Behavioral and Correctional Healthcare
(“RUCHC”), Laurie Valentino, Christopher Simkins, Tina
Montgomery, University of Medicine and Dentistry (“UMDNJ”), and
Roni J. Feldman (collectively the “Medical Defendants”). The Court
has also addressed the motion for judgment on the pleadings and for summary
judgment by the New Jersey Department of Corrections Defendants (Dkt. No. 172)
in a companion Opinion and Order. For the reasons discussed below, the
Court will grant summary judgment to the Medical Defendants on
Plaintiff’s federal claims and reserve the issue of supplemental
jurisdiction over Plaintiff’s state law claims pending resolution
of the claims against unserved defendants.
I. PROCEDURAL HISTORY
Plaintiff initiated this action pro se by filing a civil
rights complaint on September 22, 2015. (“Compl.” Dkt. No. 1.) The
Court granted Plaintiff’s application to proceed in forma pauperis
under 28 U.S.C. § 1915(a), dismissed certain claims pursuant to
§ 1915(e)(2)(B), based on immunity and failure to state a claim,
and permitted the remaining claims to proceed. (Opinion and
Order, Dkt. Nos. 5, 6.) After discovery, Plaintiff filed an
amended complaint on March 23, 2018. (“Am. Compl.” Dkt. No. 135.)
On October 11, 2018, Charles H. Landesman, Esq. entered an
appearance as counsel for Plaintiff in this matter. (Letter, Dkt.
No. 124.) After service of the amended complaint on the
defendants, the Medical Defendants filed a motion for summary
judgment on November 5, 2019. (“Med. Defs’ Mot. for Summ. J.”
Dkt. No. 179.) Plaintiff filed his brief in opposition to the
Medical Defendants’ motion for summary judgment on December 31,
2019 (“Pl’s Opp. Brief” Dkt. No. 187), and the Medical Defendants
filed a reply brief on April 6, 2020. (“Med. Defs’ Reply Brief”
Dkt. No. 198.)
II. THE AMENDED COMPLAINT
Plaintiff is a prisoner who was incarcerated at South Woods
State Prison (“SWSP”) and subsequently at Northern State Prison
(“NSP”) in New Jersey when the events giving rise to this action
occurred between 2012 and 2016. (Am. Compl., Dkt. No. 135.)
Plaintiff alleges that the Medical Defendants were deliberately
indifferent to his serious medical needs when they allowed his
ground-floor housing restriction and pain medications to lapse;
improperly discontinued his cholesterol medication; and failed
to provide adequate medical treatment for his head, left eye,
back, and knee injuries. Plaintiff further alleges that he was
excluded from participation in or denied the benefits of the
services, programs, or activities of the New Jersey Department of
Corrections (“NJDOC”) as a direct result of RUCHC’s deliberate
indifference. Plaintiff also brings claims against the Medical
Defendants under the New Jersey Civil Rights Act, N.J.S.A. 10:6-
2 et seq., and negligence claims under the New Jersey Tort Claims
Act, N.J.S.A. 59:1-1 et seq.
III. UNDISPUTED MATERIAL FACTS
The following facts are undisputed by the parties. (See Med.
Defs’ Statement of Undisputed Material Facts (“Med. Defs’ SUMF”),
Dkt. No. 179-1; Pl’s Responsive Statement of Material Facts (“Pl’s
SOMF”), Dkt. No. 187-2; Med. Defs’ Response to Pl’s SOMF, Dkt. No.
198-1.)
•
Between January 18, 2011 and August 13, 2015, Plaintiff, a
convicted and sentenced state prisoner, was incarcerated in
SWSP. (Cert. of Martin Luther Rogers in Supp. of Responsive
Statement (“Second Rogers’ Cert.”), Exs. 1 and 2; Dkt. No.
187-1 at 7-8.) Plaintiff has been incarcerated in NSP since
August 13, 2015. (Cert. of Margaret Raymond-Flood ("Raymond-
Flood Cert.") Ex. A at T1 1:17-15:18; Dkt. No. 179-3.)
•
Plaintiff filed an Amended Complaint in this action against
several defendants, including RUCHC, UMDNJ, Nurse Laurie
Valentino, Nurse Christopher Simkins, Nurse Tina Montgomery
and Nurse Roni J. Feldman. (Am. Compl., Dkt. No. 135.)
•
Between January 2011 and June 30, 2013, UMDNJ was the medical
provider for the NJDOC. (Second Rogers’ Cert., Exs. 3-4; Dkt.
No. 187-1 at 9-10.) On July 1, 2013, RUCHC was the successor
to the healthcare agreement between NJDOC and UMDNJ and became
the medical provider for the NJDOC. Pursuant to the express
statutory provisions of the New Jersey Medical and Health
Sciences Education Restructuring Act, N.J.S.A. 18A:64M-1,
et. seq., the former UMDNJ entity was merged into Rutgers,
the State University of New Jersey ("Rutgers”).1 By virtue
of the statutory merger, Rutgers is defending this action.
•
Nurse Laurie Valentino (“Nurse Valentino”) is a registered
nurse employed by RUCHC. (Med. Defs’ Answer to Am. Compl.
¶26, Dkt. No. 173.)
1 Based on the statutory merger, the Court will refer to
Plaintiff’s claims against UMDNJ as claims against RUCHC. Nurse
Feldman and Plaintiff would discuss his medical issues, and Nurse
Feldman renewed medications and medical restrictions based on
Plaintiff’s medical needs. (Id.)
•
Nurse Christopher Simkins (“Nurse Simkins”) is a registered
nurse who was employed by RUCHC. (Med. Defs’ Answer to Am.
Compl. ¶23, Dkt. No. 173.)
•
Nurse Tina Montgomery (“Nurse Montgomery”) is a registered
nurse employed by RUCHC. (Med. Defs’ Answer to Am. Compl.
¶29, Dkt. No. 173.)
•
Nurse Roni J. Feldman (“Nurse Feldman”) is a licensed
practical nurse who was employed by the UMDNJ. (Med. Defs’
Answer to Am. Compl. ¶22, Dkt. No. 173.)
•
Plaintiff had a ground-floor housing restriction at SWSP
until February 2012. (Raymond-Flood Cert., Ex. A, “Rogers.
Depo. Aug. 25, 2016,” at 29:24-25; Dkt. No. 179-3.)
•
Between January 2011 and February 2012, including various
dates thereafter, Plaintiff had scheduled chronic care
medical appointments with Nurse Feldman at SWSP. (Second
Rogers’ Cert, Exs. 5-11; Dkt. No. 187-1 at 11-17.) In
general, Nurse Feldman and Plaintiff would discuss his
medical issues, and Nurse Feldman renewed medications and
medical restrictions based on Plaintiff’s medical needs.
(Id.)
•
On February 4, 2012, Plaintiff went to “Sick-call” and saw
Nurse Valentino. (Raymond-Flood Cert., Ex. B at D000216,
D000218-D00220; Dkt. No. 177 at 50, 52-54.) Plaintiff
requested to see a doctor regarding renewal of his medical
restrictions and pain medication. (Id.)
•
On February 17, 2012, Plaintiff had a scheduled chronic care
medical visit with Nurse Feldman. (Raymond-Flood Cert, Ex.
B at D000211-D 000216; Dkt. No. 177 at 45-50.)
•
According to the “Health Services Unit Internal Management
Procedure MED.HCR.004, Sharing of Information (Essential)”,
"The nursing/physician staff [at SWSP] shall notify the
correctional staff of any changes in activity level, and
housing unit requirements that the inmate may need as a result
of his/her health status." (Cert. of Martin Luther Rogers
in Supp. of Responsive Statement of Material Facts, (“First
Rogers Cert.”) Exs. 66-68; Dkt. No. 180-4 at 5-7.)
•
From February 2012 until January 10, 2015, Plaintiff remained
in a ground-floor cell at SWSP, #1049 D. (Second Rogers Cert.,
Exs. 1-2; Dkt. No. 187-1 at 7-8.)
•
In September 2014, Plaintiff began taking college classes
in the Scholarship and Transformative Education in Prisons
(“NJSTEP”) program at SWSP. (First Rogers Cert., Exs. 3-4;
Dkt. No. 180-2 at 16-17.)
•
On January 10, 2015, Plaintiff was transferred from his
ground-floor cell to a second-floor cell in a new housing
unit that housed prisoners enrolled in NJSTEP. (Am. Compl.
¶¶3, 32-33, Dkt. No. 135.) An unidentified NJDOC officer
informed Plaintiff that his medical restriction for ground-
floor housing had expired. Prior to that time, Plaintiff
was unaware that his ground-floor restriction had expired.
(First Rogers Cert. ¶8, Dkt. No. 180-2 at 2.)
•
On January 13, 2015, Plaintiff requested and was granted a
renewed ground-floor housing medical restriction but he was
not transferred to the ground-floor. (Raymond-Flood Cert.,
Ex. B, D000078; Dkt. No. 177 at 44.) On January 16, 2015,
Plaintiff was involved in a physical altercation in his
second-floor cell with another inmate, James Barlow. (Am.
Compl. ¶40, Dkt. No. 135.)
•
On January 16, 2015, a nurse came to Plaintiff in the holding
cell and noted that he had multiple non-life threatening
injuries including slight swelling on the upper forehead;
moderate swelling on the mid-forehead; left eye swelling; and
superficial scrapes. The open areas were cleansed with wound
cleaner and Plaintiff was given Ibuprofen. Plaintiff was
advised to drop a Sick-call slip to see a medical provider
the next morning. (Raymond-Flood Cert., Ex. B, D00076-77;
Dkt. No. 177 at 42-43.)
•
On January 21, 2015, Plaintiff was seen in Sick-call by Nurse
Simkins who examined Plaintiff’s eye and noted “mild
discoloration under the left orbit from old bruising; no pains
on facial palpation; subconjunctival hematoma still
exists.” Nurse Simkins opined that no further treatment was
needed and Plaintiff could apply ice for pain. (Raymond-Flood
Cert., Ex. B at D000072-74; Dkt. No. 177 at 38-40.) This
was the only occasion Plaintiff saw Nurse Simkins for these
injuries. (Raymond-Flood Cert., Rogers Depo. Sept. 9, 2019,
Ex. C at 26:21-24; Dkt. No. 179-3 at 17.)
•
On January 22, 2015, Nurse Montgomery noted in Plaintiff’s
electronic medical chart that Plaintiff had refused his
cholesterol medication, Lipitor. (Raymond-Flood Cert., Ex.
B, D000072; Dkt. No. 177 at 38.) Plaintiff admits that he
refused Lipitor on January 22, 2015. (Raymond-Flood Cert.,
Ex. C at 46:3-6; Dkt. No. 179-3 at 18.)
•
On January 31, 2015, ten days after Plaintiff was seen by
Nurse Simkins, Plaintiff submitted a Sick-call slip to be
evaluated for pain in his left eye. (Raymond-Flood Cert., Ex.
B, D000069; Dkt. No. 177 at 35.)
•
On February 1, 2015, Plaintiff saw a nurse in Sick-call.
The nurse noted that Plaintiff had mild swelling and
bruising to the left orbital region and frontal lobe.
Plaintiff reported pain and discomfort. Plaintiff also said
that he had not asked for his Lipitor to be stopped, and he
wanted it to be renewed. Plaintiff admitted that he had
refused his Lipitor a few times while in detention. The nurse
advised Plaintiff that he would be sent for an x-ray of his
left eye region, and that Plaintiff would subsequently be
scheduled to see another medical provider. (Id. at D000066-
68; Dkt. No. 177 at 33-34.)
•
The x-ray of Plaintiffs left eye orbit was performed on
February 4, 2015, and there was no abnormality. (Id. at
D000065-66; Dkt. No. 177 at 31-32.)
•
On February 19, 2015, Plaintiff completed a Sick-call slip
for head and eye pain. (Id. at D000064, Dkt. No. 177 at 30.)
•
On February 20, 2015, Plaintiff was advised that he had an
appointment with an optometrist for February 24, 2015. (Id.
at D000063; Dkt. No. 177 at 29.)
•
On March 12, 2015, Plaintiff submitted a Sick-call slip for
head pain. (Id. at D00060; Dkt No. 177 at 26.)
•
Plaintiff was seen by Nurse Valentino on March 13, 2015,
who noted that Plaintiff had a small lump above the bridge
of his nose, and his neurological exam was within normal
limits. Plaintiff was advised to take his medication as
prescribed and to rest when his headaches occurred.
(Raymond-Flood Cert., Ex. B, D000057-60; Dkt. No. 177 at
23-26.) During the same visit, Plaintiff requested a chronic
care appointment, telling Nurse Valentino that he had been
taken off the chronic care roster for refusing his
cholesterol medication. (Id.)
•
Nurse Valentino ordered lab work to evaluate whether
Plaintiff should be returned to the chronic care roster. (Id.
at D000056-57; Dkt. No. 177 at 22-23.)
•
Plaintiff’s lab work, including a complete metabolic panel
and lipid panel with cholesterol/HDL ratio, was performed
on March 23, 2015. (Id. at D000053-55; Dkt. No. 177 at 19-
21.)
•
On March 26, 2015, Plaintiff appeared for a Sick-call follow-
up visit. A CT scan of his head was recommended to evaluate
persistent headaches. (Id. at D000052-53; Dkt. No. 177 at 18-
19.)
•
On May 5, 2015, Plaintiff fell and hurt his knee. (Am. Compl.
¶¶ 64-65, Dkt. No. 135.)
•
On May 6, 2015, Nurse Valentino saw Plaintiff, who requested
renewal of his pain medication for his chronic back pain.
Nurse Valentino noted that she would flag a nurse practitioner
to refill Plaintiff’s pain medication. (Raymond-Flood Cert.,
Ex. B, D000049-51; Dkt. No. 177 at 15-17.)
•
On May 8, 2015, Plaintiff’s prescription for Robaxin, a muscle
relaxant, was renewed by Nurse Melissa Curtis. (Id. at
D000048-49; Dkt. No. 177 at 14-15.) Prior to this visit,
325 mg of Acetaminophen (Tylenol) was also on Plaintiff’s
current medication list. (Dkt. No. 177 at 15.) Nurse Curtiss
did not order Tylenol.
•
On June 12, 2015, Plaintiff was scheduled for a Sick-call
visit for complaints of back pain and headaches. (Id. at
D000047-48; Dkt. No. 177 at 13-14.) He was seen the next day.
(Id. at D000046-47; Dkt. No. 177 at 12-13.)
•
On June 25, 2015, Plaintiff was scheduled for a Sick-call
visit for complaints of back pain and headaches. (Id. at
D000045-46; Dkt. No. 177 at 11-12.) He saw Nurse Valentino
the next day. Plaintiff requested Tylenol #3, because Robaxin
was not providing relief. Nurse Valentino said she would
notify the nurse practitioner of Plaintiff’s request. (Id.,
D000043-45; Dkt. No. 177 at 9-11.)
•
Plaintiff was seen by a nurse practitioner on July 1, 2015,
at which time she prescribed Tylenol with Codeine #4.
(Raymond-Flood Cert., Ex. B, D000041-43; Dkt. No. 177 at 7-
9.)
•
On August 13, 2015, Plaintiff was transferred to Northern
State Prison. (Am. Compl. ¶84, Dkt. No. 135.)
•
On March 16, 2016, Plaintiff requested his blood work results.
(Raymond-Flood Cert., Ex. B, D000005; Dkt. No. 177 at 6.)
•
On March 25, 2016, Plaintiff was seen by a nurse practitioner
for a Sick-call visit, at which time his pain medication
was renewed. (Id. at D00000l-4; Dkt. No. 177 at 2-5.)
IV. DISCUSSION
A. Summary Judgment Standard of Review
Summary Judgment is proper where the moving party “shows that
there is no genuine dispute as to any material fact,” and the
moving party is entitled to judgment as a matter of law. Fed. R.
Civ. P. 56(a); Daubert v. NRA Group, LLC, 861 F.3d 382, 388 (3d
Cir. 2017). The burden then shifts to the nonmovant to show, beyond
the pleadings, “‘that there is a genuine issue for trial.” Id.
at 391 (quoting Celotex Corp. v. Catrett, 447 U.S. 317, 324
1986) (emphasis in Daubert)). “At the summary judgment stage,
facts must be viewed in the light most favorable to the nonmoving
party only if there is a ‘genuine’ dispute as to those facts.”
Scott v. Harris, 550 U.S. 372, 380 (2007) (citing Fed. Rule Civ.
Proc. 56(c)). “‘[A] dispute about a material fact is ‘genuine’
if the evidence is sufficient to permit a reasonable jury to
return a verdict for the non-moving party.’” Pearson v. Prison
Health Serv., 850 F.3d 526, 534 (3d Cir. 2017) (quoting Lamont
v. New Jersey, 637 F.3d 177, 181 (3d Cir. 2011)).
B. Statute of Limitations
The Medical Defendants contend that Plaintiff’s § 1983 Eighth
Amendment claims for failing to renew Plaintiff’s ground-floor
housing restriction in February 2012 should be dismissed based
on the two-year statute of limitations. (Med. Defs’ Brief at 5,
Dkt. 179-2.) In opposition, Plaintiff invokes New Jersey’s
discovery rule, alleging that he did not discover the violation
of his rights until he was transferred to a second floor cell.
(Pl’s Opp. Brief, Dkt. No. 187 at 9-10.) In reply, the Medical
Defendants submit that Plaintiff knew the medical restriction
had lapsed in February 2012, and cannot now claim that he was
unaware the restriction was not renewed. (Med. Defs’ Reply Brief,
Dkt. No. 198 at 2.)
In New Jersey, there is a two-year statute of limitations for
constitutional tort claims under § 1983. Dique v. New Jersey State
Police, 603 F.3d 181, 185 (3d Cir. 2010). To analyze a statute
of limitations defense under § 1983, courts first look to federal
law, which governs when a cause of action accrues. Id. at 185–86
(3d Cir. 2010) (quoting Wallace v. Kato, 549 U.S. 384, 388 (2007.))
A “‘tort cause of action accrues, and the statute of limitations
commences to run, when the wrongful act or omission results in
damages.’” Id. (quoting Wallace, 549 U.S. at 391 (quoting 1 Calvin
Corman, Limitation of Actions § 7.4.1 (1991)). Thus, accrual of
the claim is the first step in the statute of limitations
analysis, and accrual is when the wrongful act results in
damages. Plaintiff’s claims did not accrue until he was
transferred to a second-floor cell. Until then there was no
“wrongful act” as Defendants did not act on the lapsed order.
The damages alleged are the consequences of having to climb
stairs while suffering from a back disorder. The discovery rule,
which serves to postpone accrual of the statute of limitations
when the plaintiff was unaware of the injury, is irrelevant here
because his claims against Nurse Feldman and RUCHC did not accrue
until January 10, 2015, when Defendants failed to abide by the
restriction, and Plaintiff filed his complaint within the two-
year statute of limitations. See Dique, 603 F.3d at 185
(describing accrual of § 1983). Therefore, the Court will
address the merits of these claims.
C. Standard of Law, Eighth Amendment Claims under § 1983
“Prison officials violate the Eighth Amendment when they act
deliberately indifferent to a prisoner's serious medical needs by
‘intentionally denying or delaying access to medical care...’”
Pearson v. Prison Health Serv., 850 F.3d 526, 534 (3d Cir. 2017)
(quoting Estelle v. Gamble, 429 U.S. 97, 104-05 (1976)). To
establish an Eighth Amendment claim for inadequate medical care in
prison “a plaintiff must make (1) a subjective showing that “the
defendants were deliberately indifferent to [his or her] medical
needs’ and (2) an objective showing that ‘those needs were
serious.’” Id. (quoting Rouse v. Plantier, 182 F.3d 192, 197 (3d
Cir. 1999)). A medical need is serious “if it has been diagnosed
by a physician as requiring treatment.” Id. at 534 (quoting
Atkinson v. Taylor, 316 F.3d 257, 266 (3d Cir. 2003). Deliberate
indifference may exist
where (1) prison authorities deny reasonable
requests for medical treatment, (2)
knowledge of the need for medical care is
accompanied by the intentional refusal to
provide it, (3) necessary medical treatment
is delayed for non-medical reasons, and (4)
prison authorities prevent an inmate from
receiving recommended treatment for serious
medical needs.
Id. at 538 (quoting Monmouth Cty. Corr. Inst. v. Lanzaro, 834 F.2d
326, 347 (3d. Cir. 1987)). Expert testimony may be required, in
some instances, to establish whether a medical need is serious or
whether a medical provider who provided inadequate medical care
did so with deliberate indifference. Pearson, 850 F.3d at 535.
1. Eighth Amendment claim against Nurse Feldman
In Count 6 of the Amended Complaint, Plaintiff alleges that
Nurse Feldman was deliberately indifferent to his chronic back
pain because she failed to renew Plaintiff’s ground-floor housing
restriction at SWSP. (Am. Compl., ¶95, Dkt. No. 135.) The Medical
Defendants argue that Nurse Feldman is entitled to summary judgment
because (1) Plaintiff knew that if his ground-floor restriction
lapsed, he could ask for a renewal; (2) in February 2012, Plaintiff
requested a renewal of his lower bunk restriction but did not
ask to renew his ground-floor restriction; (3) the ground-floor
restriction was not permanent, so the medical providers were under
no obligation to renew it; and (4) when Plaintiff was moved to a
second-floor cell in January 2015, his request for a ground-floor
restriction was granted on the day he requested renewal. (Med.
Defs’ Brief at 19, Dkt. No. 179-2.) Furthermore, the Medical
Defendants submit that Nurse Feldman is entitled to summary
judgment because Plaintiff has not established that he had a
serious medical need, he has not established deliberate
indifference by Nurse Feldman, and he has not obtained medical
expert testimony that Nurse Feldman deviated from the professional
standard of care. (Id., Dkt. No. 179-2 at 17-19.)
In opposition to summary judgment for Nurse Feldman,
Plaintiff contends his back disorder is a serious medical need.
(Pl’s Opp. Brief at 9-10, Dkt. No. 187.) Plaintiff also asserts
a disputed issue of fact. He claims that on February 17, 2012,
he requested that Nurse Feldman renew his ground-floor housing
restriction, and Nurse Feldman told him not to worry about it
because the officers knew about his restriction. (Pl’s Opp. Brief
at 10, Dkt. No. 187.) Plaintiff acknowledges that he remained in
a ground-floor cell from February 2012 until January 10, 2015.
(Second Rogers Cert. ¶19, Dkt. No. 187-1, Ex. 2.) On January 11,
2015, after he was transferred to another cell, Plaintiff was
advised that his ground-floor housing restriction had lapsed.
(Id., ¶¶10-11.) During the time Plaintiff was briefly housed on
the second-floor, he was injured by another inmate. (Pl’s Opp.
Brief at 10, Dkt. No. 187.) Additionally, Plaintiff allegedly
suffered pain in his leg and back when climbing stairs. (Id.)
Plaintiff contends that Nurse Feldman was deliberately indifferent
by failing to keep his ground-floor housing restriction up to date.
(Id. at 10-11.) Plaintiff argues that medical expert testimony
is not required to establish breach of the professional standard
of care because it is within a lay person’s common sense to
understand that Nurse Feldman failed to provide him with adequate
medical care by not renewing his ground-floor housing restriction
for his back disorder.
In reply, the Medical Defendants contend that, according to
the medical records, Plaintiff only requested that Nurse Feldman
renew his lower bunk restriction, and that she did so. (Med. Defs.
Reply Brief, Dkt No. 198 at 4-5.) Further, the Medical Defendants
submit that Nurse Feldman was under no obligation to renew the
ground-floor housing restriction because it was not a permanent
restriction. (Id.) Finally, the Medical Defendants claim Plaintiff
requires expert testimony to establish a deviation from the
accepted standard of care, the common knowledge exception is
inapplicable. (Id.)
a. Serious medical need
The Third Circuit has defined a “serious medical need,” as
a condition diagnosed by a medical provider that requires
treatment, a standard that Plaintiff has met by establishing that
he was prescribed a ground-floor housing restriction and pain
medication for chronic back pain from a back disorder. Plaintiff
alleges that Nurse Feldman denied his request for renewal of his
ground-floor housing restriction for a non-medical reason, that
staff already knew about the restriction. Survival of this claim
against Nurse Feldman turns on two issues, the need for medical
expert testimony to establish deviation from the standard of care,
and whether there is a genuine issue of disputed fact as to
deliberate indifference to his need for a ground-floor housing
restriction.
b. Disagreement with medical treatment
Plaintiff’s claim is that Nurse Feldman refused to renew
his ground-floor housing restriction, not that he did not
receive any treatment for his back disorder. The Third Circuit
has explained
[b]ecause “mere disagreement as to the proper
medical treatment” does not “support a claim
of an eighth amendment violation,” Monmouth
Cty. Corr. Inst. v. Lanzaro, 834 F.2d 326,
346 (3d. Cir. 1987), when medical care is
provided, we presume that the treatment of a
prisoner is proper absent evidence that it
violates professional standards of care. See
Brown v. Borough of Chambersburg, 903 F.2d
274, 278 (3d Cir. 1990) (“[I]t is well
established that as long as a physician
exercises professional judgment his behavior
will not violate a prisoner's constitutional
rights”).
…[T]he mere receipt of inadequate medical
care does not itself amount to deliberate
indifference—the defendant must also act
with the requisite state of mind when
providing that inadequate care. Durmer [v.
O’Carroll, 991 F.2d [64,] 69 n.13 [3d Cir.
1993] (noting
a plaintiff can only proceed to trial when
there is a genuine issue of fact regarding
both the adequacy of medical care and the
defendant's intent). This observation is
critical because it makes clear that there
are two very distinct subcomponents to the
deliberate indifference prong of an adequacy
of care claim. The first is the adequacy of
the medical care—an objective inquiry where
expert testimony could be helpful to the jury.
The second is the individual defendant's
state of mind—a subjective inquiry that can
be proven circumstantially without expert
testimony.
Based upon these observations, we think that
medical expert testimony may be necessary to
establish deliberate indifference in an
adequacy of care claim where, as laymen, the
jury would not be in a position to determine
that the particular treatment or diagnosis
fell below a professional standard of care.
As is the case with evaluating whether the
prisoner is suffering from a serious medical
need, evaluating whether medical treatment
is adequate presents an objective question
typically beyond the competence of a non-
medical professional. Likewise, it makes
sense to require a prisoner to offer
extrinsic proof regarding the quality of
medical care in adequacy of care cases when,
to defeat our presumption that the medical
care provided to him or her was adequate, the
prisoner must show that the medical official
did not exercise professional judgment. See,
e.g., Celotex Corp. v. Catrett, 477 U.S. 317,
331,
106 S.Ct. 2548, 91 L.Ed.2d 265 (1986) (holding
that when the burden of persuasion at trial
would be on the nonmoving party, “the party
moving for summary judgment may satisfy Rule
56” by demonstrating that “the nonmoving
party's evidence is insufficient to
establish an essential element of [its]
claim”); Durmer, 991 F.2d at 67 (“[P]rison
authorities are accorded considerable
latitude in the diagnosis and treatment of
prisoners.”); Brown, 903 F.2d at 278 (“[A]s
long as a physician exercises professional
judgment his behavior will not violate a
prisoner's constitutional rights.”)
Pearson, 850 F.3d at 535-36.
c. The professional standard of care
Assuming Nurse Feldman gave a nonmedical reason for not
renewing Plaintiff’s ground-floor housing restriction, she did not
act with deliberate indifference if Plaintiff cannot show that the
professional standard of care required renewal of the restriction.
Plaintiff was diagnosed with “back disorder,” a very non-specific
condition that does not lend itself to interpretation by
a layperson. (Raymond-Flood Cert., Ex. B, D000211-220; Dkt. No.
177 at 45-53.) During his Sick-call visit on February 4, 2012,
Plaintiff asked Nurse Valentino for a medication renewal, lower
bunk restriction renewal, and, according to Plaintiff but not
recorded in the medical record, he asked for a ground-floor housing
restriction renewal. (D000218-19, Dkt. No. 177 at 51-52.) At that
time, Plaintiff was taking Tylenol with codeine for pain. (Id.)
Nurse Valentino made note of his requests for medication and lower
bunk renewals, and also noted that he had no other complaints.
(Id.)
When Nurse Feldman saw Plaintiff on February 17, 2012, it was
for a “Cardiac HTN Follow-Up Visit.” (Id. at D000212; Dkt. No. 177
at 46.) Nurse Feldman performed a musculoskeletal examination
and noted that Plaintiff walked with a cane but did not put
weight on it. (Id. at D000213; Dkt. No. 177 at 47.) There were
no abnormalities of his spine, and he had normal range of motion
and strength in both legs. (Id.) Plaintiff was not in any distress
during the examination. (Raymond-Flood Cert., Ex. B, at D000212;
Dkt. No. 177 at 46.) There was no order given for a ground-floor
housing restriction, but there were restrictions for work,
recreation and lower-bunk housing. (Raymond-Flood Cert., Ex. B,
D000216, Dkt. No. 177 at 50.)
Moreover, the evidence demonstrates that upon the expiration
of the ground-floor restriction, renewal was not guaranteed.
Therefore, it is incumbent on Plaintiff to demonstrate that the
professional standard of care in treating Plaintiff’s back
disorder required Nurse Feldman to renew Plaintiff’s ground-floor
restriction. It is not enough to demonstrate that the usual
practice at SWSP had been to automatically renew the restriction.
Nurse Feldman’s deliberate indifference to a serious medical need
is determined by her knowledge that renewal of Plaintiff’s
ground-floor restriction was necessary to prevent his pain and
suffering or further injury to his back. Thus, it is significant
that when she examined Plaintiff, she noted that he did not place
weight on his cane when he walked, he did not appear to be in
pain, and his musculoskeletal examination yielded normal results.
Under the circumstances, it is not obvious to a layperson that
Plaintiff required renewal of his ground-floor restriction to
avoid pain and suffering or further injury to his back. Thus,
medical expert testimony is necessary to establish that Nurse
Feldman was deliberately indifferent by failing to renew the
restriction. Plaintiff has presented no evidence whatsoever, including
that the professional standard of care required renewal of a
ground-floor housing restriction, to show that Defendant Feldman
deviated from the standard of care. Therefore, the Court will
grant summary judgment to Nurse Feldman on Count 1 of the Amended
Complaint.
d. Deliberate indifference
In addition, Plaintiff has not established a genuine issue
of disputed fact as to deliberate indifference by Nurse Feldman,
whom he alleges responded to his request for renewal of the ground-
floor restriction by telling him not to worry because custody staff
were aware of the restriction. Implicit in this alleged statement
by Nurse Feldman is that she believed, albeit erroneously,
Plaintiff’s ground-floor housing would continue, so it was
unnecessary to provide a medical renewal. Plaintiff has not
presented evidence indicating Nurse Feldman knew Plaintiff would
be transferred out of his ground-floor cell and that climbing
stairs would aggravate his back condition before the restriction
could be renewed. In fact, Plaintiff was not transferred out of
his ground-floor cell for nearly three years, and in 2015, his
cell transfer was instigated by his participation in a program
provided in a different housing area, whereupon staff discovered
the housing restriction had expired. Also relevant to the issue
of Nurse Feldman’s state of mind is that when Plaintiff requested
renewal of the restriction from the medical staff on January 13,
2015, the renewal was provided immediately. The evidence in the
record would not permit a jury to find, as Plaintiff alleges, that
Nurse Feldman was deliberately indifferent by not providing a
medical renewal of his ground-floor housing restriction in
February 2012. Thus, the Court will grant summary judgment to Nurse
Feldman on the Eighth Amendment claim under § 1983 in Count 6 of
the Amended Complaint.
2. Eighth Amendment claim against Nurse Simkins
The Medical Defendants seek summary judgment for Nurse
Simkins on Count 9 of the Amended Complaint. (Med. Defs’ Brief
at 20-21, Dkt. No. 179-2.) Plaintiff alleges that Nurse Simkins
was deliberately indifferent to his need for medical care for
injuries to his left eye, head, and back. (Am. Compl. ¶98, Dkt.
No. 135.) The facts, undisputed except where otherwise indicated,
are as follows. On January 21, 2015, five days after Plaintiff
was assaulted by another inmate, Plaintiff saw Nurse Simkins in
response to his Sick-call request. (Raymond-Flood Cert., Ex. B,
D000072-74; Dkt. No. 177 at 38-40.) Plaintiff disputes Nurse
Simkins’ notation in the medical chart that Plaintiff reported
he was not in pain and his vision was fine. (Raymond-Flood Cert.,
Ex. B, D000072-74; Dkt. No. 177 at 38-40.) Nurse Simkins examined
Plaintiff’s left eye and recommended icing for soreness. (Id.)
Plaintiff disputes Nurse Simkins’ notation that Plaintiff agreed
with the treatment plan. (Id.)
It is, however, undisputed that Plaintiff requested medical
treatment again on January 31, 2015, and he was seen the next
day for his complaint of left eye pain. (Id. at D000066-69; Dkt.
No. 177 at 32-35.) Plaintiff’s left eye orbit appeared normal on
x-ray. (Id. at D000065; Dkt. No. 177 at 31.) On February 19,
2015, Plaintiff requested another medical appointment for head
and eye pain. (Id. at D000064; Dkt. No. 177 at 30.) In Sick-call
the following day, Nurse Mildred Johanson notified him that he
was scheduled for an appointment with an optometrist. (Id. at
D00063; Dkt. No. 177 at 29.)
The Medical Defendants contend that Plaintiff’s eye and head
injuries, suffered during an altercation with another inmate, were
not serious medical needs because the injuries did not cause him
to suffer a life-long handicap or permanent loss. (Med. Defs’ Brief
at 13-15; Dkt. No. 179-2.) Further, they argue Plaintiff cannot
establish deliberate indifference by Nurse Simkins because
Plaintiff was provided with appropriate examinations, diagnostic
testing, and prescription pain medication for his complaints.
(Med. Defs’ Brief at 13-15; Dkt. No. 179-2.)
Plaintiff opposes summary judgment for Nurse Simkins. He
alleges that he did not tell Nurse Simkins he was not in pain, but
rather that the pain medication was not helping, and Nurse Simkins’
response was that Plaintiff was already on pain medication. (Pl’s
Opp. Brief at 11, Dkt. No. 187-2.) Plaintiff did not have another
medical visit for twelve days; therefore, he attributes his pain
and suffering for twelve days to Nurse Simkins’ refusal to provide
additional treatment. (Id.)
In reply, the Medical Defendants state that after Nurse
Simkins evaluated Plaintiff, he did not submit a request for Sick-
call until ten (10) days later, January 31, 2015. (Med. Defs’ Reply
Brief, Dkt. No. 198 at 5-6.) Plaintiff was evaluated on February
1, 2015, and x-ray of his left eye orbit revealed no abnormality.
(Id.) If Plaintiff required medical treatment during the ten-day
span after he saw Nurse Simkins, the Medical Defendants maintain
that he could have submitted another Sick-call slip. (Id.) Further,
any disagreement Plaintiff had with Nurse Simkins’ professional
assessment of his medical needs is not deliberate indifference,
the Medical Defendants contend. (Id.)
It is well settled that negligence “in diagnosing or treating
a medical condition does not state a valid [Eighth Amendment]
claim[.]” Estelle, 429 U.S. at 106. Deliberate indifference
requires a mental state that is “more than ordinary lack of due
care for the prisoner's interests or safety.” Whitley v. Albers,
475 U.S. 312, 319 (1986). It is undisputed that Nurse Simpkins
evaluated Plaintiffs’ complaints, Plaintiff was prescribed pain
medication,2 and Nurse Simkins told Plaintiff to use ice if he
was sore. Though Plaintiff disagrees that using ice for his pain was an
adequate treatment plan when his pain medication was not improving his
symptoms, the record does not establish that Nurse Simkins denied or delayed
necessary medical care to Plaintiff for non- medical reasons. Moreover,
Nurse Simkins did not prevent Plaintiff from seeking follow-up
care sooner if ice did not relieve his pain. See Ryle v. Fuh, 820
F. App'x 121, 123 (3d Cir. 2020) (mere disagreement with
treatment plan does not constitute deliberate indifference). On
this record, a reasonable jury could not find that Nurse Simkins
acted with deliberate indifference to Plaintiff’s left eye, head
2 The fact that Plaintiff was prescribed pain medication for
treatment indicates that he had a serious medical need for purposes
of an Eighth Amendment claim. See Monmouth Cty. Corr. Institutional
Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir. 1987) (“A medical
need is serious, in satisfaction of the second prong of the Estelle
test, if it is one that has been diagnosed by a physician as
requiring treatment[.]” (internal quotations omitted).
and back pain. Accordingly, the Court will grant summary judgment
to Nurse Simkins on the Eighth Amendment claim under § 1983 in
Count 9 of the Amended Complaint.
3. Eighth Amendment claim against Nurse Montgomery
Plaintiff alleges in Count 10 of the Amended Complaint that
Nurse Montgomery was deliberately indifferent to his need for
treatment of hypercholesterolemia because when he refused to take
Lipitor on January 21, 2015, she noted his refusal in his medical
chart. (Med. Defs’ Brief at 21-22, Dkt. No. 179-2.) While Plaintiff
admits that he refused to take his Lipitor on January 21, 2015,
his refusal resulted in discontinuation of the medication one week
later, which he alleges demonstrates deliberate indifference to
his serious medical needs. (Id.) The Medical Defendants assert
that Nurse Montgomery was not deliberately indifferent simply by
recording Plaintiff’s refusal to take Lipitor in his chart,
therefore, Nurse Montgomery should have summary judgment.
Plaintiff responds that Nurse Montgomery misrepresented his
refusal to take the medication, because she did not explain that
he was upset after being assaulted by another inmate. (Pl’s Opp.
Brief at 12, Dkt. No. 187, citing Rogers’ Depo. Aug. 25, 2016 at
44:23-25; 45:1-10, Dkt. No. 172-3 at 32.) When his cholesterol
medication was discontinued, Plaintiff was discharged from the
chronic care clinic. (Pl’s Opp. Brief at 12, Dkt. No. 187.)
Plaintiff alleges that his cholesterol levels remained high, as
confirmed by lab reports. (Pl’s Opp. Brief at 12, Dkt. No. 187.)
He claims the lack of medication caused him to suffer dizziness
and headaches, and he fell twice, suffering a knee injury. (Id.)
It is undisputed that Plaintiff refused the cholesterol
medication, Lipitor, on January 22, 2015, and Nurse Montgomery
recorded this in his medical chart. (Raymond-Flood Cert., Ex. B,
D000072; Dkt. No. 177 at 38.) Nurse Montgomery did not discontinue
Plaintiff’s cholesterol medication after this incident, nor is
there evidence that she recommended discontinuing it. The record
shows that she simply noted Plaintiff’s refusal. In fact, the
medical records show that on January 28, 2015, Nurse Judith Bender
discontinued Plaintiff’s Lipitor and his place in the chronic care
roster, noting in his chart that his last lipid panel was within
normal limits. (Raymond-Flood Cert., Ex. B, D000070; Dkt. No.
177 at 36.) Based on these records, a reasonable jury could not
find Nurse Montgomery was deliberately indifferent to Plaintiff’s
need for Lipitor, and she is entitled to summary judgment on
Plaintiff’s Eighth Amendment claim under § 1983 in Count 10 of
the Amended Complaint.
4. Eighth Amendment claims against Nurse Valentino
The Medical Defendants seek summary judgment for Nurse
Valentino on Plaintiff’s Eighth Amendment claims in Counts 12 and
13 of the Amended Complaint. (Med. Defs’ Brief at 22, Dkt. No.
179-2.) Plaintiff alleges Nurse Valentino failed to refer him
to a doctor for renewal of his ground-floor housing restriction,
for cholesterol and pain medications, and for injuries to his head
and knee. (Am. Compl. ¶¶101-102, Dkt. No. 135.) To the contrary,
the Medical Defendants submit that Nurse Valentino referred
Plaintiff to a doctor or nurse practitioner upon his request,
and that Plaintiff received evaluation and treatment for his
medical complaints. (Med. Defs’ Brief at 22, Dkt. No. 179-2.)
a. Renewal of ground-floor restriction
Accepting as true Plaintiff’s allegation that he told Nurse
Valentino, on February 4, 2012, that he wanted a renewal of his
ground-floor housing restriction, there is nothing in the record
to suggest that Nurse Valentino intentionally left this request
out of her notes when she wrote that Plaintiff had requested
renewal of his medication and lower-bunk restriction. (Raymond-
Flood Cert., Ex. B, D000218-19; Dkt. No. 177 at 51-52.) Even if
her failure to note Plaintiff’s request for renewal of his housing
restriction violated the professional standard of care, without
more, negligence does not give rise to an Eighth Amendment
violation. Estelle, 429 U.S. at 106.
b. March 13, 2015 medical visit
Plaintiff also alleges that during his visit with Nurse
Valentino on March 13, 2015, he asked to see a doctor about his
head pain and about the discontinuation of his cholesterol
medication. The medical chart for this visit shows that Nurse
Valentino noted Plaintiff’s specific complaints, examined him and
found that he was neurologically intact, and recommended that
Plaintiff continue to take his medication as prescribed, rest when
headaches occurred, and that he should return to medical if his
symptoms did not improve. (Raymond-Flood Cert., Ex. B, D000057-
59; Dkt. No. 177 at 23-25.) Finally, she noted that Plaintiff
requested a chronic care visit, and that she informed a nurse
practitioner of his request. (Id.) According to Plaintiff’s
medical chart, on March 13, 2015, Nurse Practitioner Lisa Renee
Mills wrote “hx of hyperlipidemia. pt. was refusing meds. so he
was taken out of ccc. now wants to reconsider. will order labs
to evaluate need.” (Raymond-Flood Cert., Ex. B, D000056; Dkt. No.
177 at 22.) A reasonable jury could not find deliberate
indifference by Nurse Valentino because she evaluated his
complaints on March 13, 2015, and referred him for a chronic care
visit with a nurse practitioner.
c. May 6, 2015 medical visit
Plaintiff also alleges deliberate indifference by Nurse
Valentino in response to his complaints of head, back and knee
pain on May 6, 2015. He claims that he requested refill of his
pain medication, but it was not refilled until July 1, 2015. Nurse
Valentino, however, recorded Plaintiff’s request for medication
renewal, specifically for Robaxin and Tylenol, in his medical
chart. (Raymond-Flood Cert., D000050-51; Dkt. No. 177 at 16-17.)
She also recorded his complaints of back pain, joint pain, joint
swelling and stiffness, and wrote “will flag NP for pain med
refill.” (Id.) When Nurse Practitioner Melissa Curtis transcribed
the order for refill of Plaintiff’s medications on May 8, 2015,
she ordered Robaxin but not Tylenol, which Nurse Valentino had
specifically requested. (Raymond-Flood Cert., D000049, Dkt. No.
177 at 15.) On June 26, 2015, Plaintiff’s Robaxin had been renewed
but he continued to complain of headache and back pain, and
requested Tylenol #3 [with codeine] not the regular Tylenol [325mg
Acetaminophen] which he had been prescribed earlier. (Id. at
D000044; Dkt. No. 177 at 10.) Nurse Valentino referred his request
for Tylenol with codeine to a nurse practitioner. (Id.) On July
1, 2015, the order for Plaintiff to receive Tylenol #3 was
transcribed by Nurse Practitioner Lisa Renee Mills. (Id. at
D000043, Dkt. No. 177 at 9.) Based on this record, no reasonable
juror could find that Nurse Valentino was deliberately
indifferent to Plaintiff’s medical needs by failing to refer him
to a doctor or a nurse practitioner who could prescribe
medication, and the Court will grant summary judgment for Nurse
Valentino on the Eighth Amendment claims under § 1983 in Counts
12 and 13 of the Amended Complaint.
5. Eighth Amendment Claim based on RUCHC’s Health
Service Request form policy
The Medical Defendants seek summary judgment for RUCHC on
Count 1 of the Amended Complaint. Plaintiff alleges that RUCHC’s
policy or custom of requiring inmates to submit multiple Health
Service Request forms before examination by a doctor violates
the Eighth Amendment. (Med. Defs’ Brief at 23-24, Dkt. No. 179-
2.) The Medical Defendants argue that Plaintiff was scheduled
for medical visits within 24 hours whenever he submitted Sick-
call request slips.
In opposition to summary judgment on Count 1 of the Amended
Complaint, Plaintiff alleges “the Internal Management Procedures
between Rutgers and NJDOC require inmates to be seen by a physician
or nurse practitioner within 24-hours for non-emergent health
issues.” (Pl’s Opp. Brief at 15-16, Dkt. No. 187.) Based on several
medical appointment cancellations, February 24, February 27, March
3, and March 10, 2015,3 Plaintiff seeks to hold RUCHC responsible
for failing to enforce this policy. (Pl’s Opp. Brief at 15-16,
Dkt. No. 187.)
In reply, the Medical Defendants explain that the policy
Plaintiff refers to is for Sick-call procedures, but the cancelled
appointments that Plaintiff complains of were not scheduled based
on Sick-call slips submitted by Plaintiff. Therefore, the
cancelled appointments do not constitute a violation of the policy
requiring a nurse practitioner or physician to see an inmate for
3 The parties dispute whether Plaintiff or the medical provider
canceled Plaintiff’s medical appointment on March 10, 2015.
a nonemergency health issue in Sick-call within 24-hours. (Med.
Defs. Reply Brief, Dkt No. 198 at 6-8, citing Med. Def’s SUMF ¶¶10,
19, 24-25, 27-28, 30-31, 35, 39-42, 46-47.)
The parties do not dispute that RUCHC is a state actor subject
to liability under 42 U.S.C. § 1983. To hold RUCHC liable,
plaintiff “must provide evidence that there was a relevant [RUCHC]
policy or custom, and that the policy caused the constitutional
violation [Plaintiff] allege[s].” Natale v. Camden Cty. Corr.
Facility, 318 F.3d 575, 584 (3d Cir. 2003). The policy cited by
Plaintiff provides that the MR-007 Health Service Request form
will be used to request non-emergent healthcare. (Pl’s Ex. 31,
Dkt. No. 187-1 at 37-41.) The inmate must place the form in the
Sick-call box, which is picked up daily. (Id.) The inmate will
be seen by a medical provider within 24-hours of receipt of the
form. (Id.) This is the procedure for Sick-call. (Id.)
Plaintiff has not established a violation of this policy, as
the records indicate his cancelled appointments were not scheduled
pursuant to the Sick-call procedures. (Raymond-Flood Cert., Ex. B,
D000061-63; Dkt. No. 177 at 27-29.) Furthermore, Plaintiff has
failed to provide any other evidence of deliberate indifference by
RUCHC in the cancellation and rescheduling of these appointments.
The fact of these cancellations alone does not establish deliberate
indifference by RUCHC to Plaintiff’s serious medical needs. See
Palakovic v. Wetzel, 854 F.3d 209, 232 (3d Cir. 2017) (“To state
a claim against a private corporation providing medical services
under contract with a state prison system, a plaintiff must allege
a policy or custom that resulted in the alleged constitutional
violations at issue”) (citing Natale v. Camden Cty. Corr. Facility,
318 F.3d 575, 584 (3d Cir. 2003)). Therefore, the Court will grant
summary judgment to RUCHC on the Eighth Amendment claim under §
1983 in Count 1 of the Amended Complaint.
6. Eighth Amendment claims Against RUCHC regarding
renewal of medication, record-keeping, follow-up
on orders and denial/or delay in providing
prescribed treatment
The Medical Defendants seek summary judgment for RUCHC on
Counts 2 and 8 of the Amended Complaint. In Count 2, Plaintiff
alleges RUCHC had policies concerning renewal of medications,
keeping medical records, and following up on CT scan orders that
violated the Eighth Amendment. (Am. Compl. ¶91; Dkt. No. 135.)
In Count 8, Plaintiff alleges RUCHC either denied or delayed
Plaintiff from receiving a CT scan, physical therapy, cholesterol
and pain medication, and treatment for his knee. (Id., ¶97.)
These claims were dismissed from the original complaint for
failure to state a claim, and the same claims were realleged in
the Amended Complaint without significant alteration. (Med. Defs’
Brief at 24-25, Dkt. No. 179-2.)
In support of Counts 2 and 8, Plaintiff points to evidence
that a CT scan was ordered to evaluate his headaches, and when
Plaintiff filed his brief in opposition to summary judgment, the
scan had not been done. (Pl’s Opp. Brief, Dkt. No. 187 at 16,
citing Raymond-Flood Cert., Ex. B at D000053; Dkt. No. 177 at 19.)
He also relies on the “health care policy on high blood
cholesterol, regarding both the delay in renewing his cholesterol
medication, including the improper discontinuation of said
medication.” (Pl’s Opp. Brief, Dkt. No. 187 at 22.) In reply,
the Medical Defendants contend that Plaintiff failed to explain
how the clinical guidelines for high blood cholesterol violate
the Eighth Amendment, and that Plaintiff does not rely on any
policy for his claims regarding medical record keeping or
following up on CT scan orders. (Med. Defs’ Reply Brief, Dkt. No.
198 at 8.)
Plaintiff’s claim based on delay in the provision of a CT
scan ordered by an RUCHC employee, in the absence of evidence that
an RUCHC policy caused the delay or that a pattern and practice
of such delays was known by RUCHC, cannot withstand summary
judgment because there is no respondeat superior liability for
employers under § 1983. See Chavarriaga v. New Jersey Dep't of
Corr., 806 F.3d 210, 223 (3d Cir. 2015) (finding that the
plaintiff impermissibly predicated her complaint against
defendants on a respondeat superior theory of liability).
Plaintiff’s claim that an RUCHC employee temporarily
discontinued his cholesterol medication, despite his lab results
allegedly indicating a continued need for the medication, also
relies on respondeat superior liability against RUCHC. Plaintiff
did not submit evidence that an RUCHC policy caused the temporary
discontinuation of his cholesterol medication or that RUCHC knew
of a pattern or practice of its employees discontinuing properly
prescribed medications. More to the point, Plaintiff overlooks the
fact that when Lipitor was discontinued, Nurse Judith Bender noted
that Plaintiff’s lipid panel was within normal limits, calling
into doubt any basis for an Eighth Amendment claim against an
employee of RUCHC based on discontinuation of Lipitor. (Raymond-
Flood Cert., Ex. B, D000070; Dkt. No. 177 at 36.)
Likewise, Plaintiff has not submitted evidence of an RUCHC
policy or practice that caused employees to violate Plaintiff’s
constitutional rights through inadequate medical record-keeping.
By all accounts, the medical records submitted in support of
summary judgment are quite detailed. (See generally, Dkt. No. 177).
An unconstitutional “custom is demonstrated by showing ‘practice
is so well settled and widespread that the policymaking officials
have either actual or constructive knowledge of it’”) (quoting
Silva v. Worden, 130 F.3d 26, 31 (1st Cir. 1997)). The Court will
grant summary judgment to RUCHC on the Eighth Amendment claims
under § 1983 in Counts 2 and 8 of the Amended Complaint for failure
to demonstrate a policy or custom of deliberate indifference to
Plaintiff’s serious medical needs.
7. Eighth Amendment Claim against RUCHC for failure
to renew ground-floor housing restriction
The Medical Defendants seek summary judgment for RUCHC on
Plaintiff’s Eighth Amendment claim in Counts 3, 4 and 5, that it
had a policy or custom which caused its employees failed to renew
his ground-floor housing restriction. (Med. Defs’ Brief at 25-
26, Dkt. No. 179-2.) Plaintiff testified that he immediately
advised NJDOC officers of the renewal of his ground-floor housing
restriction on January 13 or 14, 2015, but they did not immediately
transfer him to a ground-floor cell. (Med. Defs’ Brief, Dkt. No.
179-2 at 26, citing Med. Defs’ SUMF ¶14,4 Dkt. No. 179-1.) The
Medical Defendants submit there is no evidence that delay in the
cell transfer was caused by a policy of RUCHC.
In opposition to summary judgment on these claims, Plaintiff
states:
The Internal Management Procedure between
Rutgers and NJDOC provides, in relevant part,
the following:
The nursing and physician staff shall
notify the correctional staff of any
4 Paragraph 14 of the Med. Defs’ SUMF refers to a medical record
showing that Plaintiff requested a ground-floor housing
restriction renewal from the medical department on January 13,
2015, and Paragraph 15 of the Med. Defs’ SUMF states that Plaintiff
informed NJDOC officers of his renewed ground-floor restriction on
January 13 or 14, 2015, referring to Paragraph 39 of the Amended
Complaint. Pl’s Opp. Brief at 17-18, Dkt. No. 187.) Plaintiff
alleges staff failed to adhere to this policy because his ground-
floor housing restriction was renewed on January 13 or 14, 2015,
but he was not immediately transferred to a ground-floor cell.
(Id.)
physical limitations and/or requirements
the inmate may have. The
nursing/physician staff shall notify the
correctional staff of any changes in
activity level, and housing unit
requirements that the inmate may need as
a result of his/her health status.
It also appears that Plaintiff seeks to hold RUCHC liable for Nurse
Feldman’s failure to renew his ground-floor housing restriction in
2012. As discussed above, Plaintiff has not established that Nurse
Feldman was deliberately indifferent to Plaintiff’s need for a
ground-floor restriction renewal in 2012. Therefore, Feldman’s
employer was not deliberately indifferent when there was no
constitutional violation by its employee. See e.g. Tsakonas v.
Cicchi, 308 F. App'x 628, 632 (3d Cir. 2009) (“there was no
constitutional harm, as [the plaintiff] was provided with adequate
medical care.”) Moreover, RUCHC had no obligation to prevent a
medical restriction from lapsing if the restriction had an
expiration date.
As to the renewal of the ground-floor housing restriction
in January 2015, Plaintiff alleges custody staff were immediately
notified when his ground-floor housing restriction was renewed
on or about January 13, 2015. Based on the undisputed fact that
medical staff immediately communicated the renewed housing
restriction to custody staff, no reasonable juror could find the
internal management procedure described above caused staff to fail
to immediately transfer Plaintiff to a ground-floor cell. In other
words, something other than this policy caused the delay. The Court
will grant summary judgment to RUCHC on the Eighth Amendment claims
under § 1983 claims in Counts 3, 4 and 5 of the Amended Complaint.
8. Eighth Amendment failure to protect claim against
RUCHC
The Medical Defendants contend that RUCHC should have summary
judgment on Plaintiff’s Eighth Amendment failure to protect claim
in Count 7 of the Amended Complaint because Plaintiff provides
no factual basis to support his claim that RUCHC knew Inmate
Barlow had a history of assaults and posed an immediate risk of
harm to Plaintiff but failed to protect him. (Med. Defs’ Brief,
Dkt. No. 179-2 at 27-28.) Plaintiff did not oppose summary
judgment on his failure to protect claim against RUCHC. (Pl’s Opp.
Brief, Dkt. No. 187.) The Court will grant summary judgment to
RUCHC on the Eighth Amendment claim under § 1983 in Count 7 of
the Amended Complaint because Plaintiff failed to proffer any
evidence in support of this claim. See Federal Rule of Evidence
56(e)(3).
D. Plaintiff’s Claims under Title II of the Americans with
Disabilities Act Against RUCHC and Nurse Feldman
The Medical Defendants seek summary judgment for Nurse
Feldman and RUCHC on Plaintiff’s claims under Title II of the ADA.
(Med. Defs’ Brief at 28-29, Dkt. No. 179-2.) In Counts 3, 4 and
5 of the Amended Complaint, Plaintiff alleges RUCHC had a policy
or custom that caused his ground-floor housing restriction to
lapse, and that Nurse Feldman allowed the restriction to lapse,
in violation of Title II of the ADA. (Am. Compl., Dkt. No. 135.)
Plaintiff opposes summary judgment for RUCHC, arguing that he is
an individual with a disability of a back disorder; his housing
on the second-floor at SWSP caused him to suffer excruciating
pain and limited his access to recreational activities, showers,
and phones on the first floor, and he we was unable to participate
in the NJSTEP program for the entire year of 2015. (Pl’s Opp.
Brief at 25, Dkt. No. 187.) In reply, the Medical Defendants
contend that Plaintiff did not set forth evidence in support of
his claim that he lost participation in the NJSTEP program for
the year of 2015, that his back disorder is not a qualifying
disability, and that he failed to allege his limited access to
activities, showers and phones on the first floor violated Title
II of the ADA. (Med. Defs’ Reply Brief, Dkt. No. 198 at 9.)
Title II of the ADA, 42 U.S.C. § 12132 provides: “no qualified
individual with a disability shall, by reason of such disability,
be excluded from participation in or be denied the benefits of the
services, programs, or activities of a public entity, or be
subjected to discrimination by any such entity.” A public entity
is defined as “any State or local government; any department,
agency, special purpose district, or other instrumentality of a
State or States or local government; and the National Railroad
Passenger Corporation, and any other commuter authority.” 42
U.S.C. § 12131(1)(A-C). A person sued in his or her individual
capacity is not a “public entity” who may be sued under Title II
of the ADA. Matthews v. Pennsylvania Dep't of Corr., 613 F. App'x
163, 170 (3d Cir. 2015). Further, the Third Circuit, in dismissing
a claim against a private contractor who provided medical services
to the Pennsylvania Department of Corrections, held “a private
corporation is not a public entity merely because it contracts
with a public entity to provide some service.” Id. at 170 (3d Cir.
2015) (citing Edison v. Douberly, 604 F.3d 1307, 1310 (11th
Cir.2010); see also Green v. City of New York, 465 F.3d 65, 79 (2d
Cir.2006) (holding that a private hospital performing government
services by contract is not an “instrumentality” of the
government); Cox v. Jackson, 579 F.Supp.2d 831, 852 (E.D. Mich.
2008) (holding that a private medical provider with a contract
to serve a prison was not a government entity)). Therefore, Nurse
Feldman and RUCHC are entitled to summary judgment on the Title
II, ADA claim in Counts 3, 4 and 5 of the Amended Complaint.
Moreover, the Court dismissed Plaintiff’s claim for
injunctive relief in his original complaint as moot because
Plaintiff’s ground-floor housing restriction was renewed and he
was returned to a ground-floor cell. (Opinion, Dkt. No. 5 at 45-
46.) Plaintiff realleged his claim for injunctive relief in the
amended complaint, but he did not allege that he was housed in a
ground-floor cell after January 29, 2015. Because Plaintiff’s
claim for injunctive relief is moot, he must establish deliberate
indifference to state a claim for compensatory damages under Title
II of the ADA. “[C]laims for compensatory damages under … § 202
of the ADA also require a finding of intentional
discrimination[,]” which is met by showing deliberate
indifference. S.H. ex rel. Durrell v. Lower Merion Sch. Dist.,
729 F.3d 248, 261, 263 (3d Cir. 2013). The “definition of
deliberate indifference in the … ADA context is consistent with
our standard of deliberate indifference in the context of § 1983
suits by prison inmates.” Id. at 263. For the reasons discussed
above, Plaintiff has not submitted evidence established that
NJDOC, through its employees, were deliberately indifferent to
Plaintiff’s inability to access services and programs on the
ground-floor of the prison for the several days that he was housed
in a second-floor cell. Therefore, Plaintiff’s ADA claim also
fails on the merits.
E. John and Jane Doe Defendants
Plaintiff named John Does 1-5 and Jane Does 1-5, employees
of RUCHC, NJDOC or UMDNJ, as defendants in the amended complaint,
filed on March 23, 2018. (Am. Compl. ¶30; Dkt. No. 135.) After
completion of discovery and expiration of the statute of
limitations for any claims that accrued as of March 23, 2016,
two years before the amended complaint was filed, Plaintiff never
substituted the true identity of any Doe Defendant. “If reasonable
discovery does not unveil the proper identities, … the John Doe
defendants must be dismissed.” Blakeslee v. Clinton Cty., 336 F.
App'x 248, 250 (3d Cir. 2009). Therefore, the Court will dismiss
the claims against the Doe Defendants. See Fed. R. Civ. P. 21 (“On
motion or on its own, the court may at any time, on just terms,
add or drop a party.”)
F. Unserved Defendants
The docket in this matter indicates Plaintiff has failed to
serve the Amended Complaint on Defendants Lisa Renee Mills, Judith
Bender, and Monica Tsakiris. Federal Rule of Civil Procedure 4(m)
states: “[i]f a defendant is not served within 90 days after the
complaint is filed, the court--on motion or on its own after
notice to the plaintiff--must dismiss the action without prejudice
against that defendant….”
The claims against Lisa Renee Mills and Monica Tsakiris were
dismissed without prejudice upon screening the original complaint
on January 12, 2016 (Order, Dkt. No. 6 at 3), and Plaintiff
realleged claims against them in the Amended Complaint on March
23, 2018. It appears from the docket that Plaintiff made no
attempts to serve the Amended Complaint on Lisa Renee Mills or
Monica Tsakiris, and thus abandoned his claims against these
defendants. Further, Judith Bender was a newly added defendant
to the Amended Complaint, and on March 5, 2019, Magistrate Judge
Schneider ordered counsel for RUCHC to provide Plaintiff with
Bender’s last known address. (Order, Dkt. No. 143.) The summons
was returned unexecuted as to Bender on May 3, 2019, because she
no longer resided at her last known address. (Dkt. No. 150.)
After discovery closed, the Medical Defendants brought this
motion for summary judgment on November 5, 2019, without any
further attempts by Plaintiff to serve Bender with the Amended
Complaint, suggesting that Plaintiff likewise abandoned his
claim(s) against her after failing to serve her at her last known
address. Plaintiff has the very heavy burden to show good cause
for not serving Mills, Tsakiris and Bender with the Amended
Complaint three years after it was filed. Plaintiff must show
good cause within fourteen days of the date of this Opinion and
accompanying Order or the Court will dismiss the claims against
these Defendants without prejudice.
G. Supplemental Jurisdiction Over Plaintiff’s State Law
Claims
If the Court dismisses the claims against the unserved
defendants upon Plaintiff’s failure to show good cause under
Federal Rule of Civil Procedure 4(m), no federal claims will
remain and the Court will decline to exercise supplemental
jurisdiction over Plaintiff’s state law claims pursuant to
Federal Rule of Civil Procedure 28 U.S.C. § 1367(c)(3). It is in
the interests of justice to decline supplemental jurisdiction
because Plaintiff’s state law claims raise issues within the
particular expertise of state courts concerning notice and expert
affidavit requirements of the New Jersey Tort Claims Act.
Moreover, litigants are experiencing delays in proceedings before
this Court, which has been in a state of judicial emergency with
judicial vacancies since February 2015.5
V. CONCLUSION
For the reasons discussed above, the Court grants the Medical
Defendants’ motion for summary judgment on Plaintiff’s § 1983 and
Title II, ADA claims.
An appropriate order follows.
DATE: March 18, 2021
s/Renée Marie Bumb
RENÉE MARIE BUMB
United States District Judge
5 See Judicial Vacancies, available at
https://www.uscourts.gov/judges-judgeships/judicial-
vacancies/judicial-emergencies (last visited March 9,
2021).