# TAYLOR v. COUNTY OF CHESTER

> District Court, E.D. Pennsylvania · November 6, 2023

URL: https://www.frixlaw.com/law-library/cases/10406198

## Case

- **Court:** District Court, E.D. Pennsylvania
- **Decided:** November 6, 2023
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10406198

## How later opinions describe it (automated extraction)

- applying Monell to claims against medical contractor
- observing that “the lack of routine teeth cleaning” did not establish deliberate indifference to serious medical needs

## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF PENNSYLVANIA

SHAWN D. TAYLOR, :
Plaintiff, :
:
v. : CIVIL ACTION NO. 23-CV-4031
:
COUNTY OF CHESTER, et al. :
Defendants. :

MEMORANDUM
BARTLE III, J. NOVEMBER 6, 2023
Plaintiff Shawn D. Taylor, a pretrial detainee currently incarcerated at the Chester County
Prison (“CCP”),1 filed this civil rights action pursuant to 42 U.S.C. § 1983 based on the
conditions in which he is confined. Taylor seeks to proceed in forma pauperis. For the
following reasons, the Court will grant Taylor leave to proceed in forma pauperis and dismiss his
Complaint in part pursuant to 28 U.S.C. § 1915(e)(2)(B)(ii). Because some of Taylor’s claims
will be dismissed without prejudice, he will be granted the option of proceeding only on the
claims the Court concludes pass statutory screening or filing an amended complaint to attempt to
cure the defects discussed below.
I. FACTUAL ALLEGATIONS
Taylor named the following Defendants in his Complaint: (1) the County of Chester; (2)
Prime Care Medical, Inc.; (3) Warden Ronald Phillips; and (4) Deputy Warden Roberts.
(Compl. at 2.)2 He sued Warden Phillips and Deputy Warden Roberts in their individual and

1 Although Taylor is convicted, he is classified as a pretrial detainee because he has not yet been
sentenced. See Stevenson v. Carroll, 495 F.3d 62, 67 (3d Cir. 2007).

2 The Court adopts the pagination supplied by the CM/ECF docketing system.
official capacities. (Id. at 4.) Taylor indicates that the events and conditions giving rise to his
claims began on July 14, 2023, when he was initially incarcerated at CCP following his
conviction,3 and have been ongoing through the present. (Id. at 7, 10.)
Taylor alleges that upon his admission to CCP on July 14, 2023, he was interviewed by
an “intake nurse” and had his prescriptions transferred from a local pharmacy, including

prescriptions for Dulera and Albuterol, both inhalers his physician prescribed for asthma. (Id. at
11; see also id. at 14 (“My Dulera inhaler was prescribed by my physician years ago.”); id. at 25
(explaining in a grievance that Taylor has been prescribed Dulera and Albuterol for asthma).)
Taylor was initially housed in “Med Bay” in a cell that “appeared to be a single cell converted
into a multiple person cell.” (Id. at 11.) He and his cell mate were told to strip naked and “put
on what is commonly called the ‘turtle suit.’” (Id.) The velcro on the suits was allegedly worn
to the point that the suits “would not stay on,” so Taylor and his cell mate were “both basically
naked.” (Id.) Taylor alleges that his cell mate later told him that guards encouraged him to “take
his frustrations out on [Taylor] for having to wear the turtle suit.” (Id.)

Taylor was housed on “Med Bay” until approximately July 20, 2023, for a total of about
six days. (Id.) During that time, he was allegedly “denied access to preventative and corrective
care for asthma” because he was “not permitted access to [his] prescribed inhalers or any asthma
treatment.” (Id. at 12.) Approximately three days into his stay, Taylor began having asthma
attacks but still was not able to access his inhalers. (Id.) He was told to “take some pills twice a
day,” which he did, although it is not clear whether this was intended as his treatment for asthma
or whether this allegation pertains to another issue. (Id.)

3 See Commonwealth v. Taylor, CP-15-CR-0002497-2021 (Chester C.P.).
The Complaint describes several other conditions on Med Bay. Taylor claims that he
overheard guards threatening someone in the cell next to his. (Id.) He also alleges that his cell
lacked running water, such that the toilet would not flush and he could not wash his hands; that
he “occasionally” had access to toilet paper; that he was denied access to a telephone; that there
was no natural light in his cell; that the artificial light in his cell stayed on all day and night; and

that he was not allowed outside. (Id. at 12-13.) Taylor further contends that he was “required to
sleep on the floor and less than a foot from the toilet that did not flush,” and that he only had one
shower during his six-day stay in Med Bay. (Id. at 13.) Additionally, Taylor’s lawyers
attempted to visit him on July 19, but were not able to do so because he was on “lock status,” so
Taylor had to connect with them by phone instead. (Id.)
On approximately July 20, Taylor was moved to a cell on R-Block, which he shared with
his former cell mate from Med Bay. (Id.) Medication calls occurred three times daily on the
unit, but although Taylor asked for his asthma medications and “was constantly informing the
nurse at medication calls that [he] was prescribed Dulera for asthma,” he did not receive his

inhalers. (Id.) During a medical appointment, a nurse told him, “we do NOT provide
preventative inhalers.” (Id.) However, a Dulera inhaler that Taylor’s family provided upon his
admission to CCP “finally showed up during a visit to one of the medication calls”
approximately two weeks after it had been dropped off. (Id. at 14.) Taylor alleges that the
inhaler he received from his family “has now been used up,” leaving him without care for his
asthma because “Prime Care and the County of Chester have a blanket policy to not provide
preventative asthma inhalers or treatment.” (Id.) In the meantime, Taylor alleges that he has
continued to “endure asthma attacks” and that his “constant requests” for care, sick call slips, and
grievances were ignored. (Id. at 13-15.) According to Taylor, he was told by a nurse to “hit the
‘call button’” in his cell if he needed “rescue asthma treatment.” (Id. at 15.) However, when he
did so on July 27, 2023, he was allegedly ignored. (Id.) He also claims that Prime Care
“ignores” his “sick calls” and cannot bring him to the medical department due to “severe
understaffing.” (Id.)
Taylor further alleges that he was denied care for a toenail that fell off while he was

incarcerated on R-Block. (Id.) He saw a “nurse in medical” regarding the toenail but “was told
[he] won’t be treated since Chester County Prison is only a temporary prison for inmates.” (Id.)
The nurse also told Taylor that he could “get a pill to cure [the] toenail fungal infection if [he]
left Chester County Prison.” (Id.) Taylor alleges that he has experienced pain from the toenail
while wearing the “old and ripped shoes” provided to him. (Id.)
Additionally, Taylor claims to have been denied treatment for cavities. He alleges that he
began experiencing tooth pain and sensitivity while housed on R-Block and that he was told by
the dentist that “the only option was to pull the tooth” because “there are no options at Chester
County Prison for cavity fillings or a root canal even if that is the correct treatment.” (Id. at 16.)

He was also denied a “teeth cleaning,” allegedly for “non-medical reasons.” (Id.) As a result of
his dental issues, Taylor alleges that he continues to experience pain and discomfort when eating
and drinking. (Id.) He further notes that inmates are not permitted to have dental floss, are only
given a small amount of toothpaste on intake, and are expected to buy dental and other hygiene
products. (Id. at 15-16.)
Finally, Taylor claims he was ignored for ten days despite submitting two medical slips
for “stomach issues and chronic diarrhea.” (Id. at 16.) It appears he saw a nurse at some point,
and the Complaint implies that he was treated at that time, although the specifics are unclear.
(Id.) Taylor “believe[s] [he] lost 10 pounds during this time.” (Id.)
Taylor also describes events and conditions related to a lock down that occurred during
his incarceration at CCP. In that regard, Taylor alleges that, although R-Block is not a high
security block, he was “on lock down” for approximately twelve days because another inmate
escaped. (Id.) During that time, inmates were required to eat in their cells. (Id.) Taylor claims
that being inside during this period impacted his mental health and breathing because the “air

quality inside [his] cell can get really bad especially as an asthmatic.” (Id.) According to Taylor,
the escape was not surprising because the cell block doors do not always lock. (Id. at 16-17.) He
notes that his cell door “routinely [had] locking issues” and that on one occasion, the issue could
not be fixed by maintenance, and he was moved to a different cell for a period of time. (Id. at
17.) According to Taylor, the issues regarding the cell doors impacted his “safety from other
prisoners in R-Block” because he has observed three “bloody fights” in less than three months.
(Id.)
Based on those allegations, Taylor asserts claims for violations of his First Amendment
right to “freedom of speech,” his Eighth Amendment rights, and his Fourteenth Amendment

rights attributable to the Defendants’ policies and customs. (Compl. at 5.) He contends that the
County of Chester, Warden Phillips, and Deputy Warden Roberts “continued to use policy,
procedure and customs” violating these rights in four respects. (Id. at 7.) First, Taylor alleges
that he was “refused access to complain, voice or griev[e] his concerns over medical, security
and injures,” which he attributes to a “custom and procedure” to “ignore, refuse or punish” him
when he attempted to raise an issue, including by improperly placing him in suicide protocol and
not permitting him to meet with his attorney. (Id.; see also id. at 18 (alleging Taylor was placed
in “medical observation classification when he was not suicidal nor homicidal as punishment due
to charges and [his] attempt to use his right to freedom of speech and access to complain and find
remedy”).) Second, Taylor alleges that he has been refused access to preventative and corrective
care for his teeth, specifically with regard to his cavities, because the “county approved a custom
of only granting teeth to be pulled even when cavity repairs are needed.” (Id. at 8.) Third,
Taylor alleges that he was refused access to prescribed asthma treatment due to Defendants’
“policy of (no) breathing treatments throughout the day,” amounting to deliberate indifference to

his medical needs. (Id.; see also id. at 14 (alleging that CCP “was deliberately indifferent to
[Taylor’s] asthma since [he] was denied access to preventative care” and that “Prime Care and
the County of Chester remain deliberately indifferent to [his] serious medical needs by refusing
preventative care despite knowing [he has] asthma and require[s] Dulera to breathe.”).) Fourth,
Taylor alleges that he “has been subject to all the malicious evil behavior by defendants as they
continue to cause harmful procedures, customs of harassment and mentally painful treatment” by
failing to train their officers and “forcing undertrained officers to work 16 hr shifts with no
administrative control or backup support.” (Id. at 8-9.) Taylor further alleges that Defendants
Prime Care Medical and Deputy Warden Roberts “adopted, used policy, procedures to avoid

medical treatments” for dental care and asthma, which resulted in deliberate indifference to his
serious medical needs. (Id. at 9.) Finally, Taylor contends that all of the Defendants “knowingly
ignored and followed a procedure well known and accepted” at CCP to “‘fail to act’ or protect
[him] from all the malicious evil behavior” alleged in the Complaint. (Id. at 10.)
As a result of these alleged constitutional violations, Taylor has experienced pain and
suffering due to multiple cavities, as well as breathing problems and asthma attacks. (Id. at 18.)
He seeks damages and assorted injunctive relief. (Id. at 19-20.)
II. STANDARD OF REVIEW
The Court will grant Taylor leave to proceed in forma pauperis because it appears that he
is incapable of paying the fees to commence this civil action.4 Accordingly, 28 U.S.C. §
1915(e)(2)(B)(ii) requires the Court to dismiss the Complaint if it fails to state a claim. Whether
a complaint fails to state a claim under § 1915(e)(2)(B)(ii) is governed by the same standard

applicable to motions to dismiss under Federal Rule of Civil Procedure 12(b)(6), see Tourscher
v. McCullough, 184 F.3d 236, 240 (3d Cir. 1999), which requires the Court to determine whether
the complaint contains “sufficient factual matter, accepted as true, to state a claim to relief that is
plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quotations omitted); Talley v.
Wetzel, 15 F.4th 275, 286 n.7 (3d Cir. 2021). “At this early stage of the litigation,’ ‘[the Court
will] accept the facts alleged in [the pro se] complaint as true,’ ‘draw[] all reasonable inferences
in [the plaintiff’s] favor,’ and ‘ask only whether [that] complaint, liberally construed, . . .
contains facts sufficient to state a plausible [] claim.’” Shorter v. United States, 12 F.4th 366,
374 (3d Cir. 2021) (quoting Perez v. Fenoglio, 792 F.3d 768, 774, 782 (7th Cir. 2015)).

Conclusory allegations do not suffice. Iqbal, 556 U.S. at 678. As Taylor is proceeding pro se,
the Court construes his allegations liberally. Vogt v. Wetzel, 8 F.4th 182, 185 (3d Cir. 2021)
(citing Mala v. Crown Bay Marina, Inc., 704 F.3d 239, 244-45 (3d Cir. 2013)).
III. DISCUSSION
Taylor asserts his constitutional claims pursuant to § 1983, the vehicle by which federal
constitutional claims may be brought in federal court. “To state a claim under § 1983, a plaintiff
must allege the violation of a right secured by the Constitution and laws of the United States, and

4 Because Taylor is a prisoner, he must still pay the $350 filing fee in installments as mandated
by the Prison Litigation Reform Act.
must show that the alleged deprivation was committed by a person acting under color of state
law.” West v. Atkins, 487 U.S. 42, 48 (1988).
A. Claims Against Chester County and Prime Care
To plead a § 1983 claim against a municipality, such as Chester County, or a medical
contractor who provides medical services at a county prison, such as Prime Care, a plaintiff must

allege that the municipality’s policy or custom caused the violation of his constitutional rights.
See Monell v. Dep’t of Soc. Servs. of City of N.Y., 436 U.S. 658, 694 (1978); see also Natale v.
Camden Cnty. Corr. Facility, 318 F.3d 575, 583 (3d Cir. 2003) (applying Monell to claims
against medical contractor). “To satisfy the pleading standard, [the plaintiff] must . . . specify
what exactly that custom or policy was.” McTernan v. City of York, PA, 564 F.3d 636, 658 (3d
Cir. 2009). “‘Policy is made when a decisionmaker possess[ing] final authority to establish
municipal policy with respect to the action issues an official proclamation, policy, or edict.’”
Estate of Roman v. City of Newark, 914 F.3d 789, 798 (3d Cir. 2019) (quoting Andrews v. City of
Philadelphia, 895 F.2d 1469, 1480 (3d Cir. 1990)). “‘Custom, on the other hand, can be proven

by showing that a given course of conduct, although not specifically endorsed or authorized by
law, is so well-settled and permanent as virtually to constitute law.’” Id. (quoting Bielevicz v.
Dubinon, 915 F.2d 845, 850 (3d Cir. 1990)).
It is not enough, however, to allege the existence of a policy or custom. “A plaintiff must
also allege that the policy or custom was the ‘proximate cause’ of his injuries.” Id. (citing
Kneipp v. Tedder, 95 F.3d 1199, 1213 (3d Cir. 1996)). This can be done “by demonstrating an
‘affirmative link’ between the policy or custom and the particular constitutional violation”
alleged. Id. (quoting Bielevicz, 915 F.2d at 850). For a custom to be the proximate cause of an
injury, a plaintiff must establish that the defendant “had knowledge of similar unlawful conduct
in the past, failed to take precautions against future violations, and that its failure, at least in part,
led to [the plaintiffs’] injury.” Id. (internal quotations and alterations omitted). In other words,
“[c]ustom requires proof of knowledge and acquiescence by [a municipal] decisionmaker.”
McTernan, 564 F.3d at 658; see also Baker v. Monroe Twp., 50 F.3d 1186, 1191 (3d Cir. 1995)
(to establish municipal liability, the plaintiffs “must show that a policymaker for the Township

authorized policies that led to the violations or permitted practices that were so permanent and
well settled as to establish acquiescence”).
A plaintiff may also state a basis for municipal liability by “alleging failure-to-
supervise, train, or discipline . . . [and alleging facts showing] that said failure amounts to
deliberate indifference to the constitutional rights of those affected.” Forrest v. Parry, 930 F.3d
93, 106 (3d Cir. 2019). “This consists of a showing as to whether (1) municipal policymakers
know that employees will confront a particular situation, (2) the situation involves a difficult
choice or a history of employees mishandling, and (3) the wrong choice by an employee will
frequently cause deprivation of constitutional rights.” Id. “Ordinarily, this requires a plaintiff to

identify a pattern of similar constitutional violations by untrained employees that puts municipal
decisionmakers on notice that a new program is necessary.” Johnson v. City of Philadelphia,
975 F.3d 394, 403 (3d Cir. 2020) (internal quotations omitted). “Otherwise, the plaintiff needs to
show that failure to provide the identified training would likely result in the violation of
constitutional rights — i.e., to show that the need for more or different training was so obvious.”
Id. (internal quotations and alterations omitted). “Additionally, the identified deficiency in a
[municipality’s] training program must be closely related to the ultimate injury; or in other
words, the deficiency in training must have actually caused the constitutional violation.”
Thomas v. Cumberland Cnty., 749 F.3d 217, 222 (3d Cir. 2014) (internal quotations and
alterations omitted). “[T]he causation inquiry focuses on whether the injury could have been
avoided had the employee been trained under a program that was not deficient in the identified
respect.” Id. at 226.
At times in his Complaint, Taylor imprecisely attempts to equate all the conditions of
which he complains with broad policies or customs of Chester County. He asserts there was a

general custom at CCP to “‘fail to act’ or protect . . . from all the malicious evil behavior”
alleged in the Complaint. (Compl. at 10.) Taylor similarly contends that he “has been subject to
all the malicious evil behavior by defendants as they continue to cause harmful procedures,
customs of harassment and mentally painful treatment” by failing to train officers and “forcing
undertrained officers to work 16 hr shifts with no administrative control or backup support.” (Id.
at 8-9.) These allegations are pled in a generalized manner and appear to be predicated almost
entirely on Taylor’s own experiences, which are insufficient bases for a plausible Monell claim.
See Phillips v. Northampton Co., P.A., 687 F. App’x 129, 132 (3d Cir. 2017) (per curiam)
(affirming dismissal of complaint where “[o]ther than some wholly conclusory and highly

generalized assertions about unspecified patterns of misconduct, [plaintiff] pleaded no facts to
support the existence of any policy, custom, or practice beyond those involving his own
[experiences].”); Groman v. Twp. of Manalapan, 47 F.3d 628, 637 (3d Cir. 1995) (noting that
“vague assertions” of a policy or custom are insufficient to impose liability). Further,
generalized allegations of insufficient staffing or training fail to state a claim where, as in this
case, the Complaint does not allege a specific pattern of constitutional violations by untrained
employees or other conduct from which deliberate indifference could be inferred in a manner
attributable to Chester County or Prime Care. See Brown v. Delaware Cnty. Prison Bd. of
Inspectors, 741 F. App’x 135, 138 (3d Cir. 2018) (per curiam) (“Brown’s vague and conclusory
allegation that the defendants had a policy or custom of ‘fail[ing] to provide an adequate level of
security staffing,’ is insufficient to state a claim”). Taylor’s allegation that he was “refused
access to complain, voice or griev[e] his concerns over medical, security and injures,” which he
attributes to a “custom and procedure” to “ignore, refuse or punish” him when concerns are
voiced, is similarly too conclusory and unsupported to state a claim.5 See Benson v. Delaware

Cnty., No. 21-2854, 2022 WL 784475, at *4 (E.D. Pa. Mar. 15, 2022) (dismissing Monell claim
as “too conclusory” where inmate alleged that, “as a part of [Defendants’] policy or custom, they
‘encouraged’ Correctional Officers at George Hill ‘to ignore grievances regarding pending
assaults’” without sufficient factual allegations about underlying incidents). Additionally, this
allegation appears to be predicated on Taylor’s improper amalgamation of various different
experiences he had into a generalized assertion of a custom. It is more akin to “unadorned, the-
defendant-unlawfully-harmed-me accusation[s]” that are insufficient to state a plausible claim.
Iqbal, 556 U.S. at 678.
In contrast, Taylor has asserted two specific policies that he attributes to Chester County

and Prime Care that have directly impacted his specific medical needs. First, he alleges that
Chester County and Prime Care approved and/or maintained a policy pursuant to which inmates
with dental issues would only be offered the option of pulling a tooth, regardless of the relevant
standard of care. (Compl. at 8, 9.) Second, Taylor alleges that Chester County and Prime Care
essentially have a policy pursuant to which they do not permit inhalers for asthma as a matter of

5 Furthermore, to the extent Taylor is alleging a constitutional violation based on how his
grievances were handled or inadequacies in the prison grievance system, such claims are not
plausible because “prisoners do not have a constitutional right to prison grievance procedures.”
Gerholt v. Wetzel, 858 F. App’x 32, 34 (3d Cir. 2021) (per curiam) (citing Massey v. Helman,
259 F.3d 641, 647 (7th Cir. 2001) and Flick v. Alba, 932 F.2d 728, 729 (8th Cir. 1991) (per
curiam)).
course, either on a preventative basis or as a matter of treatment. (Id. at 9.) Taylor alleges that
as a result of these policies, he experienced deliberate indifference to his serious medical needs
because he was not provided proper treatment for his cavities, and was denied access to his
prescribed inhalers, despite having asthma attacks.
To state a Fourteenth Amendment claim based on the failure to provide medical care, a

pretrial detainee must allege facts indicating that prison officials were deliberately indifferent to
his serious medical needs.6 See Farmer v. Brennan, 511 U.S. 825, 835 (1994); Moore v. Luffey,
767 F. App’x 335, 340 n.2 (3d Cir. 2019) (holding that the standard under the Eighth
Amendment and Fourteenth Amendment for claims related to a prisoner’s medical needs is
essentially the same for purposes of the analysis). A prison official is not deliberately indifferent
“unless the official knows of and disregards an excessive risk to inmate health or safety; the
official must both be aware of facts from which the inference could be drawn that a substantial
risk of serious harm exists, and he must also draw the inference.” Farmer, 511 U.S. at 837.
Deliberate indifference is properly alleged “where the prison official (1) knows of a prisoner’s

need for medical treatment but intentionally refuses to provide it; (2) delays necessary medical
treatment based on a non-medical reason; or (3) prevents a prisoner from receiving needed or
recommended medical treatment.” Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir. 1999).
“A medical need is serious, . . . if it is one that has been diagnosed by a physician as
requiring treatment or one that is so obvious that a lay person would easily recognize the

6 “[T]he Eighth Amendment’s Cruel and Unusual Punishments Clause does not apply until after
sentence and conviction.” Hubbard v. Taylor, 399 F.3d 150, 164 (3d Cir. 2005) (internal
quotations omitted). Since Taylor has not yet been sentenced, (see Compl. at 6; supra n.1), he is
classified as a pretrial detainee whose claims are governed by the Due Process Clause of the
Fourteenth Amendment. Id. at 166 (holding that the Due Process Clause of the Fourteenth
Amendment governs claims brought by pretrial detainees). To the extent Taylor asserts claims
under the Eighth Amendment, those claims are dismissed.
necessity for a doctor’s attention.” Monmouth Cnty. Corr. Institutional Inmates v. Lanzaro, 834
F.2d 326, 347 (3d Cir. 1987) (internal quotations omitted). Allegations of medical malpractice
and mere disagreement regarding proper medical treatment are insufficient to establish a
constitutional violation. See Spruill v. Gillis, 372 F.3d 218, 235 (3d Cir. 2004). “Where a
prisoner has received some amount of medical treatment, it is difficult to establish deliberate

indifference, because prison officials are afforded considerable latitude in the diagnosis and
treatment of prisoners.” Hayes v. Gilmore, 802 F. App’x 84, 88 (3d Cir. 2020) (per curiam).
At this early stage of the litigation, Taylor has alleged serious medical needs in the form
of his cavities, which caused him pain and sensitivity, and interfered with his ability to eat and
drink, and in the form of his asthma, which affected his ability to breathe and for which he was
prescribed treatment by a doctor.7 See Board v. Farnham, 394 F.3d 469, 480 (7th Cir. 2005)

7 To the extent Taylor alleges that he was not provided a “teeth cleaning” as a matter of
preventative dental care, he has not described a serious medical need, so any constitutional
claims based on this allegation are not plausible. See Vaughn v. Cambria Cnty. Prison, 709 F.
App’x 152, 155 (3d Cir. 2017) (per curiam) (“dental health care claim” would be futile to
amend); see also Hallett v. Morgan, 296 F.3d 732, 746 (9th Cir. 2002) (observing that “the lack
of routine teeth cleaning” did not establish deliberate indifference to serious medical needs);
Rogers v. Cochran, No. 20-185, 2021 WL 1877385, at *11 (N.D. Tex. Apr. 19, 2021), report
and recommendation adopted, 2021 WL 1872584 (N.D. Tex. May 10, 2021) (“Rogers’s desire
for routine dental cleanings, without more, does not constitute a serious medical need.” (citing
cases)). It is also not clear that Taylor’s toenail constituted a serious medical need, see, e.g., Van
De Gejachte v. McGowan, No. 12-620, 2012 WL 2411860, at *10 (M.D. Pa. June 4, 2012),
report and recommendation adopted, 2012 WL 2409675 (M.D. Pa. June 26, 2012) (collecting
cases holding that minor toenail infections or injuries were not serious medical needs), but even
assuming it did, he has not sufficiently tied the events related to treatment of his toenail to a
specific policy or custom of Chester County or Prime Care. Taylor also has not sufficiently tied
allegations related to treatment of his “stomach issues and chronic diarrhea,” (Compl. at 16), to a
specific policy or custom in a manner sufficient to proceed against either Chester County or
Prime Care. See generally Sims v. Wexford Health Sources, 635 F. App’x 16, 20 (3d Cir. 2015)
(per curiam) (summarily affirming dismissal of Monell claims against prison medical contractor
where plaintiff’s “complaint stated that Wexford had an open practice, policy, or custom of
deliberate indifference in order to save money” and “[h]is statement of facts merely repeated
this”).
(observing that several courts have “held that dental pain accompanied by various degrees of
attenuated medical harm may constitute an objectively serious medical need” and citing cases);
Oke v. Biggins, No. 18-214, 2019 WL 6702142, at *3 (W.D. Pa. Nov. 15, 2019), report and
recommendation adopted, No. 18-214, 2019 WL 6701455 (W.D. Pa. Dec. 9, 2019) (plaintiff
alleged a serious medical need when he described cavity that went untreated for at least 28 days,

“caused him to experience severe pain in his face, jaw, and neck,” and “interfered with his ability
to eat, drink, and sleep”); see also Lee v. Young, 533 F.3d 505, 510 (7th Cir. 2008) (“As a
general matter, asthma can be, and frequently is, a serious medical condition, depending on the
severity of the attacks.” (internal quotations omitted)). As to his cavities, Taylor alleges he was
told by the dentist that the only option was to pull his tooth because, as a matter of policy, there
are no options for fillings or a root canal “even if that is the correct treatment.” (Compl. at 16.)
Liberally construing this allegation, the Court understands Taylor to allege that he was denied
medically appropriate dental treatment because of a blanket policy that limits treatment for
cavities to pulling teeth. See generally Pearson v. Prison Health Serv., 850 F.3d 526, 538 (3d

Cir. 2017) (deliberate indifference can be found where prison officials “prevent an inmate from
receiving recommended treatment for serious medical needs”).
Regarding his asthma, Taylor alleges that he was denied access to his physician-
prescribed inhalers, Dulera and Albuterol, pursuant to a policy of Chester County and Prime
Care that prevents inmates from using inhalers for asthma as a matter of prevention and/or
treatment. As a result, Taylor alleges that his breathing worsened and he began suffering asthma
attacks three days after his admission to CCP. Nevertheless, he alleges that he still could not
access an inhaler, perhaps with the exception of a period of time when it appears he was
permitted to use the inhaler his family provided for him.8 Taylor alleges that he was informed of
the relevant policy during a medical appointment with a nurse. He was allegedly told on another
occasion that he was essentially limited to pressing the “call button” if he needed “rescue asthma
treatment,” but he claims that he did not receive treatment when he did so upon suffering an
asthma attack.9 He also claims that many of his requests for treatment were ignored and that he

had difficulty accessing medical care. At the screening stage, these allegations, construed
liberally and read favorably to Taylor, are sufficient to raise an inference that Taylor was denied
prescribed medical treatment for a serious medical need due to a blanket policy prohibiting use
of inhalers for asthma. See Board, 394 F.3d at 485 (“[R]efusing an asthma patient his inhaler
when he is complaining of severe breathing problems could constitute a deprivation of a pretrial
detainee’s constitutional rights”).
In sum, the Court concludes that Taylor has alleged sufficient factual matter to proceed
on his claims against Chester County and Prime Care regarding the alleged policies that
impacted treatment of his cavities and asthma. However, his other allegations against these

Defendants are insufficient to state a plausible claim. Accordingly, Taylor’s remaining claims
against these Defendants will be dismissed.

8 It is unclear how Taylor was able to use the inhaler his family dropped off despite the alleged
policy at CCP preventing inmates from using such inhalers.

9 Contra Iseley v. Dragovich, 90 F. App’x 577, 580 (3d Cir. 2004) (per curiam) (affirming grant
of summary judgment where “the District Court held that Iseley’s Eighth Amendment rights
were not violated by the implementation of a policy that effectively prohibited him from keeping
his asthma inhaler in his cell while he was housed in the RHU at SCI–Mahanoy. At the time, no
inmate in the RHU was allowed to self-medicate without the specific recommendation from a
medical professional. In the case of inhalers, in particular, the prison sought to prevent inmates
from using them to hide contraband. The District Court found that Iseley, a mild asthmatic in
1999, could obtain his inhaler from the officer on the pod simply by pushing the intercom button
in his cell.”).
B. Claims Against Warden Phillips and Deputy Warden Roberts10
In a § 1983 action, the personal involvement of each defendant in the alleged
constitutional violation is a required element, and, therefore, a plaintiff must allege how each
defendant was involved in the events and occurrences giving rise to the claims. See Rode v.
Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1998). “Suits against high-level government

officials must satisfy the general requirements for supervisory liability.” Wharton v. Danberg,
854 F.3d 234, 243 (3d Cir. 2017). There are “two general ways in which a supervisor-defendant
may be liable for unconstitutional acts undertaken by subordinates.” Barkes v. First Corr. Med.,
Inc., 766 F.3d 307, 316 (3d Cir. 2014), reversed on other grounds by Taylor v. Barkes, 575 U.S.
822 (2015). First, a supervisor may be liable if he or she “‘with deliberate indifference to the
consequences, established and maintained a policy, practice or custom which directly caused
[the] constitutional harm.” Id. (quoting A.M. ex rel. J.M.K. v. Luzerne Cnty. Juvenile Det. Ctr.,
372 F.3d 572, 586 (3d Cir. 2004) (alteration in original)). “Second, a supervisor may be
personally liable under § 1983 if he or she participated in violating the plaintiff’s rights, directed

10 Taylor sued Warden Phillips and Deputy Warden Roberts in their individual and official
capacities. Suing an officer or employee in his official capacity is essentially a means of
pleading claims against an entity of which the officer or employee is an agent. See Kentucky v.
Graham, 473 U.S. 159, 165-66 (1985). Accordingly, the Court will dismiss Taylor’s official
capacity claims as duplicative of his claims against Chester County, which is also named as a
Defendant in this case. See Stanek v. St. Charles Cmty. Unit Sch. Dist. No. 303, 783 F.3d 634,
644 (7th Cir. 2015) (“The district court correctly dismissed these defendants in their official
capacity because the Staneks also sued the District.”); Cuvo v. De Biasi, 169 F. App’x 688, 693
(3d Cir. 2006) (“Because Cuvo is suing Palmer Township, the suit against the officers in their
official capacities is redundant.”); Love-Lane v. Martin, 355 F.3d 766, 783 (4th Cir. 2004) (“The
district court correctly held that the § 1983 claim against Martin in his official capacity as
Superintendent is essentially a claim against the Board and thus should be dismissed as
duplicative.”). The remainder of the Court’s analysis as to these Defendants will focus on the
claims raised against them in their individual capacity.
others to violate them, or, as the person in charge, had knowledge of and acquiesced in the
subordinate’s unconstitutional conduct.” Id.
Taylor’s claims against Warden Phillips and Deputy Warden Roberts are premised on
generalized allegations that are insufficient to support a plausible claim. Throughout his
Complaint, Taylor accuses these Defendants of failing to act to address numerous conditions he

claims to have experienced at CCP. (See, e.g., Compl. at 9 (alleging a failure to act or protect
Taylor “from all the malicious evil behavior claimed herein”).). “Allegations of participation or
actual knowledge and acquiescence, however, must be made with appropriate particularity.”
Rode, 845 F.2d at 1207. The Complaint fails to provide any factual specificity as to Warden
Phillips and Deputy Warden Roberts’s involvement in any of the constitutional violations
alleged, their authorization or imposition of the policies in question, or their awareness of the
relevant events, customs, or policies.11 Rather, it appears they have been named as Defendants
because of their high-ranking positions at CCP, which is an insufficient basis upon which to hold
them liable under § 1983. See Robinson v. Delbalso, No. 22-2378, 2022 WL 17248100, at *2

(3d Cir. Nov. 28, 2022) (“His conclusory statements that defendants Delbalso, Mason, and White
‘created a policy or custom under which unconstitutional practices occurred’ are insufficient to
allege personal involvement.” (quoting Parkell v. Danberg, 833 F.3d 313, 331 (3d Cir. 2016)

11 It is particularly unclear how Warden Phillips and Deputy Warden Roberts would be liable for
the alleged constitutional violations predicated on lack of or inadequate medical care at CCP.
See Spruill, 372 F.3d at 236 (“[A]bsent a reason to believe (or actual knowledge) that prison
doctors or their assistants are mistreating (or not treating) a prisoner, a non-medical prison
official . . . will not be chargeable with . . . deliberate indifference.”); see also Diaz v. Warden
Lewisburg USP, 630 F. App’x 148, 151 (3d Cir. 2015) (per curiam) (prison officials who were
administrators and who “are not themselves physicians” were not liable for deliberate
indifference where plaintiff could not establish that their “involvement in the matter consisted of
anything more than, at most, receiving letters from Diaz expressing his dissatisfaction with the
medical care he was receiving”).
(“To presume that [unconstitutional] practices arose from [an official’s] policies merely because
of his position . . . is to rely on respondeat superior.”))); Evancho v. Fisher, 423 F.3d 347, 354
(3d Cir. 2005) (explaining that “merely hypothesiz[ing] that [a defendant] may have been
somehow involved simply because of his position as the head of the [relevant office]” does not
support an inference of personal involvement). Further, to the extent these Defendants were

named because they handled any of Taylor’s grievances and/or were on the receiving end of
some of his generalized complaints, which is unclear, such allegations are insufficient to
establish the requisite personal involvement. See Brooks v. Beard, 167 F. App’x 923, 925 (3d
Cir. 2006) (per curiam) (defendants’ alleged inappropriate responses to plaintiff’s “later-filed
grievances” were insufficient to establish those defendants’ personal involvement in underlying
wrongs); Burk v. Crowe, No. 19-5792, 2020 WL 42758, at *4 (E.D. Pa. Jan. 3, 2020) (plaintiff’s
“general allegation that he ‘wrote to’ Crowe, Cassidy, Budd, and Lagana ‘when this happen[ed]’
is too vague and undeveloped to state a plausible basis for liability against these individuals”).
In sum, Taylor has not alleged any basis from which it could be inferred that Warden

Phillips and Deputy Warden Roberts were personally involved in any of the alleged
constitutional violations described in Taylor’s Complaint. The Court will therefore dismiss the
claims against these Defendants.
IV. CONCLUSION
For the foregoing reasons, the Court will grant Taylor leave to proceed in forma pauperis
and dismiss his Complaint in part without prejudice. Taylor’s Fourteenth Amendment claims for
deliberate indifference against Chester County and Prime Care based on their alleged policies
pertaining to dental treatment and asthma, as described further above, are ready to proceed to
service under Federal Rule of Civil Procedure 4 and 28 U.S.C. § 1915(d). The remainder of
Taylor’s claims are dismissed without prejudice. Considering Taylor’s pro se status, prior to
directing service, the Court will give Taylor the option of filing an amended complaint in the
event he can address the defects the Court has noted. In the alternative, Taylor may advise the
Court that he seeks to proceed only on his claims that pass statutory screening.
An appropriate Order follows, which provides Taylor further guidance on his options for

proceeding.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10406198. Public record. Not legal advice.