finding medical negligence claim against physician employed by city agency was barred by the PSTCA
How later courts described this case
- finding medical negligence claim against physician employed by city agency was barred by the PSTCA
- finding administrator of county-owned health care facility was an independent contractor not entitled to PTSCA immunity
- dismissing official-capacity claims against county prison officials where county was also named as a defendant
- discussing IPP sentencing, a “sentencing option . . . between probation and incarceration”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF PENNSYLVANIA
PAMELA CUPP, individually and
on behalf of the ESTATE OF
ASHLEY CUPP, deceased, et al., CIVIL ACTION NO. 3:20-cv-001784
Plaintiffs, (SAPORITO, M.J.)
v.
COUNTY OF LYCOMING, et al.,
Defendants.
MEMORANDUM
This federal civil rights action arises out of the death of Ashley
Cupp on February 22, 2019. At the time of her death, Cupp was
incarcerated at Lycoming County Prison. She was a pretrial detainee,
awaiting a probation revocation hearing.
This original complaint in this action was filed on September 30,
2020, by the decedent’s mother, Pamela Cupp, appearing through
counsel. She brings this action in her personal capacity, in her role as
administrator of the decedent’s estate, and in her role as guardian of the
decedent’s two minor children, Z.B. and L.C. The plaintiff filed an
amended complaint on December 21, 2020. (Doc. 17.)
The seven-count amended complaint names seventeen defendants.
These include the County of Lycoming and sixteen individual defendants
employed by it at Lycoming County Prison: (1) Brad Shoemaker, warden
of the prison; (2) Ryan Barnes, deputy warden; (3) Christopher Ebner,
deputy warden; (4) Monica Laird, corrections officer; (5) Lacey Swaine,
corrections officer; (6) Maggie Marshall, corrections officer; (7) Jerrica
Mull, corrections officer; (8) Dr. William, Keenan, Jr., a physician and
medical director of the prison; (9) Dr. Janice Schifferli, a physician; (10)
Maelynne Murphy, licensed practical nurse; (11) Erin Dvorscak, licensed
practical nurse; (12) Andrea Hoover, licensed practical nurse; (13) Kim
Poorman, licensed practical nurse; (14) Iesha Glover, licensed practical
nurse; (15) Nicole Dawson, licensed practical nurse; and (16) Tara
Savage, licensed practical nurse. The amended complaint names each of
the individual defendants in both official and personal capacities.
The amended complaint alleges that the decedent was denied
adequate medical care while incarcerated at Lycoming County Prison,
resulting in her death on February 22, 2019. Based on this, the plaintiff
brings multiple § 1983 claims against the defendants on alternative legal
theories, and she brings a supplemental state-law medical negligence
claim against the two physician defendants. Sorting themselves into two
separately represented groups, the defendants have moved to dismiss the
amended complaint for failure to state a claim upon which relief can be
granted. (Doc. 35; Doc. 38.) Both motions are fully briefed and ripe for
decision. (Doc. 39; Doc. 43; Doc. 46; Doc. 49; Doc. 50; Doc. 51.)
I. FACTUAL BACKGROUND
In February 2018, the decedent, Ashley Cupp, pleaded guilty to
third-degree retail theft, for which she was sentenced to serve a period of
3 to 11 months in jail, to be followed by a consecutive 25-month period
under the supervision of a county intermediate punishment program
(“IPP”). Commonwealth v. Cupp, Docket No. CP-41-CR-0000234-2018
(Lycoming Cty. (Pa.) C.C.P.).1 See generally 42 Pa. Cons. Stat. Ann.
§ 9804; Commonwealth v. Wegley, 829 A.2d 1148, 1152–53 (Pa. 2003)
(discussing IPP sentencing, a “sentencing option . . . between probation
and incarceration”).
In September 2018, for reasons that are not alleged in the amended
1 In addition to the allegations of the amended complaint, we have
considered the publicly available docket record of the decedent’s state
court criminal proceedings. A district court, of course, may properly take
judicial notice of state court records, as well as its own. See Fed. R. Evid.
201; Sands v. McCormick, 502 F.3d 263, 268 (3d Cir. 2007); Ernst v. Child
& Youth Servs. of Chester Cty., 108 F.3d 486, 498–99 (3d Cir. 1997);
Pennsylvania v. Brown, 373 F.2d 771, 778 (3d Cir. 1967).
complaint or evident from the state court records, a bench warrant was
issued for Cupp’s arrest. See Commonwealth v. Cupp, Docket No. CP-41-
CR-0000234-2018 (Lycoming Cty. (Pa.) C.C.P.). On or about October 25,
2018, Cupp was taken into custody and incarcerated at Lycoming County
Prison as a pretrial detainee, pending a probation violation hearing. See
id. On February 22, 2019, while in custody, Cupp died due to
complications of a cardiac condition.
Upon entering Lycoming County Prison in October 2018, Cupp was
screened for medical and mental health conditions. She suffered from
serious and known medical conditions, including an aortic valve
replacement, cardiomyopathy, bipolar disorder, depression, anxiety,
post-traumatic stress disorder, and opioid dependence. In particular, she
had ongoing heart-related symptoms, and she had been prescribed
various daily medications by her cardiologist. She also had a known
history of significant and serious mental health conditions and suicide
attempts.
Although Cupp requested her medications, including in particular
those prescribed by her cardiologist, she did not receive them consistently
at Lycoming County Prison. Throughout her incarceration there, Cupp
complained of and requested medical care for various medical problems,
including swollen and painful legs, red lines on her legs, numbness in her
legs and body, difficulty breathing, chest pain, nausea, general malaise,
and high blood pressure. While incarcerated, she was observed by
unidentified inmates, jail staff, and medical staff as having significant
physical problems, including swelling, difficulty walking, falling, crying
out in pain, crying out for help, having ice-cold legs, being drenched in
sweat, difficulty breathing, gasping for air, extreme difficulty standing,
inability to get up to eat, inability to get up to shower, and inability to
get up to use the restroom. Cupp repeatedly requested medical assistance
while incarcerated, both verbally and in writing, and both directly and
indirectly through other inmates, but she was not provided with any
assistance by jail or medical staff. She complained that her medications
were not working and were making her feel funny. Cupp’s frequent cries
of pain and for help were ignored by unspecified defendants.
Cupp’s physical condition deteriorated such that other inmates
found it necessary to assist her by helping her get to the shower, picking
her up after falls, helping her to get dressed, brushing her hair, rubbing
her back, retrieving items for her, getting her water, helping her elevate
her painfully swollen legs, helping her submit medical requests, showing
jail staff the red lines on her legs, telling the jail staff that she was having
trouble breathing, asking jail staff to feel her ice-cold legs, placing rags
soaked in hot water on her legs, and obtaining cloths soaked in cold water
for her head. Due to feeling unwell, being in pain, and being too weak to
get out of her bed, Cupp ate little while incarcerated.
At the time she entered the Lycoming County Prison, Cupp was
detoxing. Despite knowledge that she was detoxing, unspecified
defendants failed to properly place her in a detoxification protocol.
Despite her history of mental health conditions and a known history of
suicide attempts, she was not referred for mental health evaluation or
treatment, and she did not receive any psychiatric care or medication.
Despite her serious medical conditions, Cupp was temporarily
transferred several times to other county prisons, purportedly due to
overcrowding at Lycoming County Prison. Despite her serious medical
conditions, Cupp was placed in the general population while at Lycoming
County Prison. Despite her serious medical conditions, Cupp was
assigned a top bunk and placed on the upper tier of cells at Lycoming
County Prison, requiring her to use stairs to access other locations,
including the restroom and shower.
In the days before her death, Cupp was scheduled for the extraction
of multiple teeth, but her dental treatment provider refused to perform
the extractions until her medical problems—specifically her cardiac
issues—were evaluated and treated. Despite being aware of Cupp’s
continuing cardiac issues and the dental treatment provider’s concerns,
unspecified defendants failed to provide necessary medical treatment.
Despite her serious medical conditions and obviously declining
health, Cupp was not sent for medical treatment outside the prison.
Despite her serious medical conditions and obviously declining health,
Cupp was not provided with necessary medications. She was not
counseled regarding the taking of her medications, nor were her
medications reviewed to determine whether they should be adjusted.
Throughout the night of her death, Cupp screamed and cried out
for help, she complained of not feeling well and being in pain, and she
was gasping for air. No one from the jail’s correctional or medical staff
responded to Cupp’s cries for help. Her demise was not discovered until
she failed to respond for morning head count on February 22, 2019.
II. LEGAL STANDARD
Rule 12(b)(6) of the Federal Rules of Civil Procedure authorizes a
defendant to move to dismiss for “failure to state a claim upon which
relief can be granted.” Fed. R. Civ. P. 12(b)(6). “Under Rule 12(b)(6), a
motion to dismiss may be granted only if, accepting all well-pleaded
allegations in the complaint as true and viewing them in the light most
favorable to the plaintiff, a court finds the plaintiff’s claims lack facial
plausibility.” Warren Gen. Hosp. v. Amgen Inc., 643 F.3d 77, 84 (3d Cir.
2011) (citing Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555–56
(2007)). In deciding the motion, the Court may consider the facts alleged
on the face of the complaint, as well as “documents incorporated into the
complaint by reference, and matters of which a court may take judicial
notice.” Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308, 322
(2007). Although the Court must accept the fact allegations in the
complaint as true, it is not compelled to accept “unsupported conclusions
and unwarranted inferences, or a legal conclusion couched as a factual
allegation.” Morrow v. Balaski, 719 F.3d 160, 165 (3d Cir. 2013) (quoting
Baraka v. McGreevey, 481 F.3d 187, 195 (3d Cir. 2007)). Nor is it required
to credit factual allegations contradicted by indisputably authentic
documents on which the complaint relies or matters of public record of
which we may take judicial notice. In re Washington Mut. Inc., 741 Fed.
App’x 88, 91 n.3 (3d Cir. 2018); Sourovelis v. City of Philadelphia, 246 F.
Supp. 3d 1058, 1075 (E.D. Pa. 2017); Banks v. Cty. of Allegheny, 568 F.
Supp. 2d 579, 588–89 (W.D. Pa. 2008).
III. DISCUSSION
The plaintiff has brought this federal civil rights action primarily
under 42 U.S.C. § 1983. Section 1983 provides in pertinent part:
Every person who, under color of any statute,
ordinance, regulation, custom or usage, of any State or
Territory or the District of Columbia, subjects, or
causes to be subjected, any citizen of the United States
or other person within the jurisdiction thereof to the
deprivation of any rights, privileges, or immunities
secured by the Constitution and laws, shall be liable to
the party injured in an action at law, suit in equity, or
other proper proceeding for redress . . . .
42 U.S.C. § 1983. Section 1983 does not create substantive rights, but
instead provides remedies for rights established elsewhere. City of
Oklahoma v. Tuttle, 471 U.S. 808, 816 (1985). To establish a § 1983 claim,
the plaintiff must establish that the defendant, acting under color of state
law, deprived the plaintiff of a right secured by the United States
Constitution. Mark v. Borough of Hatboro, 51 F.3d 1137, 1141 (3d Cir.
1995). To avoid dismissal for failure to state a claim, a civil rights
complaint must state the conduct, time, place, and persons responsible
for the alleged civil rights violations. Evancho v. Fisher, 423 F.3d 347,
353 (3d Cir. 2005).
Here, the plaintiff has asserted federal civil rights claims under
several alternative theories of liability. In Count I, she claims that
unspecified defendants were deliberately indifferent to the decedent’s
serious medical needs while incarcerated, in violation of the decedent’s
Fourteenth Amendment substantive due process rights,2 and in Count II,
she seeks to impose municipal liability on the County and supervisory
liability on Shoemaker, Barnes, Ebner, and Keenan for that same
2 The parties dispute whether this action involves the decedent’s
rights under the substantive due process clause of the Fourteenth
Amendment or under the cruel and unusual punishment clause of the
Eighth Amendment. The plaintiff has relied on the Fourteenth
Amendment, while the defendants argue that, as a probation violator,
the decedent’s rights arose out of the Eighth Amendment instead. But
until a hearing is held and parole is actually revoked, “a parole violator
is no different from a pretrial detainee who is merely awaiting trial and
who, until conviction and sentencing, cannot commence service of a term
of imprisonment.” United States v. Dobson, 585 F.2d 55, 59 (3d Cir. 1978);
see also Rosario v. Strawn, Civil Action No. 19-1040, 2020 WL 6730975,
at *6 (W.D. Pa. July 29, 2020). Thus, the decedent had the status of a
pretrial detainee—not a convicted inmate—at the time of the underlying
events, and the plaintiff has properly pleaded violations of her
substantive due process rights under the Fourteenth Amendment.
conduct by their employees or subordinates.3 In Count III, she claims
that unspecified defendants failed to intervene to protect the decedent
from the deliberate indifference of other, unspecified defendants to the
decedent’s serious medical needs, in violation of the decedent’s
Fourteenth Amendment substantive due process rights, and in Count IV,
she seeks to impose municipal liability on the County and supervisory
liability on Shoemaker, Barnes, Ebner, and Keenan for that same
conduct by their employees or subordinates. In Count V, she claims that
unspecified defendants failed to protect the decedent from her own
suicidal action, in violation of the decedent’s Fourteenth Amendment
substantive due process rights, and in Count VI,4 she seeks to impose
municipal liability on the County and supervisory liability on
Shoemaker, Barnes, Ebner, and Keenan for that same conduct by their
employees or subordinates.5
3 In Counts II, IV, and VI, the plaintiff has alleged that the warden,
both deputy wardens, and the medical director were “chief policymakers”
for the jail, against whom she asserts § 1983 supervisory liability claims.
4 Count VI is mislabeled in the amended complaint as a second
“Count IV.”
5 The amended complaint includes a Count VII as well—mislabeled
as a second “Count V”—asserting state-law medical negligence claims
against the two physician defendants, Dr. Keenan and Dr. Schifferli.
A. Official Capacity Claims
The amended complaint names all of the sixteen individual
defendants in both official and personal capacities. It names their
employer, the County of Lycoming, as a defendant to all counts as well.
But “[o]fficial capacity actions are redundant where the entity for which
the individuals worked is named.” Highhouse v. Wayne Highlands Sch.
Dist., 205 F. Supp. 3d 639, 646 (M.D. Pa. 2016) (dismissing official
capacity claims against municipal officials as redundant when
municipality was also named as a defendant). “As long as the government
entity receives notice and an opportunity to respond, an official-capacity
suit is, in all respects other than name, to be treated as a suit against the
entity.” Kentucky v. Graham, 473 U.S. 159, 165–66 (1985).
Accordingly, the plaintiff’s claims against all sixteen individual
defendants in their official capacity will be dismissed as redundant
because their employer—Lycoming County—is also named in the
amended complaint, pursuant to the Court’s inherent authority to control
its docket and avoid duplicative claims. See Dewees v. Haste, 620 F. Supp.
2d 625, 630 (M.D. Pa. 2009) (dismissing official-capacity claims against
county prison officials where county was also named as a defendant); see
also Janowski v. City of N. Wildwood, 259 F. Supp. 3d 113, 131–32
(D.N.J. 2017); Korth v. Hoover, 190 F. Supp. 3d 394, 402–03 (M.D. Pa.
2016); Satterfield v. Borough of Schuylkill Haven, 12 F. Supp. 2d 423,
431–32 (E.D. Pa. 1998).
B. Individual Defendants
The amended complaint brings personal-capacity § 1983 damages
claims against sixteen different individual defendants. The amended
complaint identifies each of these sixteen individual defendants by name
and job title. Four of the defendants—Shoemaker, Barnes, Ebner, and
Keenan—are identified as “chief policymakers” in the three municipal
liability counts.6 The amended complaint alleges the factual
circumstances giving rise to the plaintiff’s federal civil rights claims,
mostly in the passive tense, but it ascribes no conduct whatsoever to any
of the individual named defendants. All allegedly wrongful conduct is
attributed only generally to “Defendants,” “prison employees,” “medical
providers,” “jail or medical staff,” and “no one.”
“This type of pleading fails to satisfy Rule 8 ‘because it does not
6 Dr. Keenan is also alleged to be the “medical director in charge of
maintaining the health care system in the Lycoming County Prison” in
the medical negligence count.
place Defendants on notice of the claims against each of them.’” Mills v.
Ethicon, Inc., 406 F. Supp. 3d 363, 386 (D.N.J. 2019); see also Caristo v.
Blairsville-Saltsburg Sch. Dist., 370 F. Supp. 3d 554, 569 n.21 (W.D. Pa.
2019) (“Without separately alleging the conduct of each Defendant,
Defendants are not on notice of their conduct.”). See generally Prater v.
Am. Heritage Fed. Credit Union, 351 F. Supp. 3d 912, 916 (E.D. Pa. 2019)
(“Rule 8 requires that pleadings provide enough information to put a
defendant on sufficient notice to prepare their defense and also ensure
that the Court is sufficiently informed to determine the issue.”) (internal
quotation marks omitted). Group pleading such as this, lumping sixteen
defendants together without setting forth what each particular
defendant is alleged to have done, is impermissibly vague. See Mills, 406
F. Supp. 3d at 386–87. “Alleging that ‘Defendants’ undertook certain
illegal acts—without more—injects an inherently speculative nature into
the pleadings, forcing both the Defendants and the Court to guess who
did what to whom when. Such speculation is anathema to contemporary
pleading standards.” Id. at 387.
Moreover, this vague pleading fails to state a § 1983 claim upon
which relief can be granted. It is well established that “[c]ivil rights
claims cannot be premised on a theory of respondeat superior. Rather,
each named defendant must be shown, via the complaint’s allegations, to
have been personally involved in the events or occurrences which
underlie a claim.” Millbrook v. United States, 8 F. Supp. 3d 601, 613 (M.D.
Pa. 2014) (citation omitted) (emphasis added). As previously explained
by the Third Circuit:
A defendant in a civil rights action must have personal
involvement in the alleged wrongs . . . . [P]ersonal
involvement can be shown through allegations of
personal direction or of actual knowledge and
acquiescence. Allegations of participation or actual
knowledge and acquiescence, however, must be made
with appropriate particularity.
Rode v. Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1988). Although a
supervisor cannot encourage constitutional violations, a supervisor has
“no affirmative constitutional duty to train, supervise or discipline so as
to prevent such conduct.” Chinchello v. Fenton, 805 F.2d 126, 133 (3d Cir.
1986).
Here, there are no specific allegations regarding the conduct of any
individual defendant. Absent any specific allegations of personal
involvement by these defendants, the plaintiff has failed to state a
plausible § 1983 claim against any of them. See Simonton v. Ryland-
Tanner, 836 Fed. App’x 81, 84 (3d Cir. 2020) (per curiam); Evancho, 423
F.3d at 353; see also Caristo, 370 F. Supp. 3d at 569 n.21 (“Plaintiff must
plead facts demonstrating the specific personal involvement of each
Individual Defendant as to any Constitutional deprivations she alleges.
Group pleading as to such matters will not suffice.”).
Accordingly, the plaintiff’s claims against all sixteen individual
defendants in their personal capacity will be dismissed as impermissibly
vague, pursuant to Rule 8(a) of the Federal Rules of Civil Procedure, and
for failure to state a claim upon which relief can be granted, pursuant to
Rule 12(b)(6) of the Federal Rules of Civil Procedure.
C. Municipal Liability: Denial of Adequate Medical Care
Count II of the amended complaint seeks to hold Lycoming County
liable for the allegedly unconstitutional conduct of its employees or
agents in connection with the death of Ashley Cupp.
“On its face, § 1983 makes liable ‘every person’ who deprives
another of civil rights under color of state law.” Burns v. Reid, 500 U.S.
478, 497 (1991) (Scalia, J., concurring in part and dissenting in part). In
Monell v. Department of Social Services, 436 U.S. 658 (1978), the
Supreme Court of the United States established that municipalities and
other local governmental units are included among those “persons”
subject to liability under § 1983. Id. at 690. Lycoming County is such a
municipality subject to liability as a “person” under § 1983. See id. at 694;
Mulholland v. Gov’t Cty. of Berks, 706 F.3d 227, 237 (3d Cir. 2013).
But “[u]nder Monell, a municipality cannot be subjected to liability
solely because injuries were inflicted by its agents or employees.” Jiminez
v. All American Rathskeller, Inc., 503 F.3d 247, 249 (3d Cir. 2007).
Rather, a municipality can be liable under § 1983 only if the conduct
alleged to be unconstitutional either “implements or executes a policy
statement, ordinance, regulation, or decision officially adopted and
promulgated by that body’s officers” or is “visited pursuant to
governmental ‘custom’ even though such a custom has not received
formal approval through the body’s official decision-making channels.”
Monell, 436 U.S. at 690–91. “[I]t is when execution of a government’s
policy or custom, whether made by its lawmakers or by those whose
edicts or acts may fairly be said to represent official policy, inflicts the
injury that the government as an entity is responsible under § 1983.”
Jiminez, 503 F.3d at 249. “A plaintiff must identify the challenged policy,
attribute it to the [municipality] itself, and show a causal link between
execution of the policy and the injury suffered.” Losch v. Borough of
Parkesburg, 736 F.2d 903, 910 (3d Cir. 1984).
As the Third Circuit has explained:
There are three situations where acts of a government
employee may be deemed to be the result of a policy or
custom of the governmental entity for whom the
employee works, thereby rendering the entity liable
under § 1983. The first is where the appropriate officer
or entity promulgates a generally applicable statement
of policy and the subsequent act complained of is
simply an implementation of that policy. The second
occurs where no rule has been announced as policy but
federal law has been violated by an act of the
policymaker itself. Finally, a policy or custom may also
exist where the policymaker has failed to act
affirmatively at all, though the need to take some
action to control the agents of the government is so
obvious, and the inadequacy of existing practice so
likely to result in the violation of constitutional rights,
that the policymaker can reasonably be said to have
been deliberately indifferent to the need.
Natale v. Camden Cty. Corr. Facility, 318 F.3d 575, 584 (3d Cir. 2003)
(citations, internal quotation marks, and brackets omitted).
Here, the amended complaint has alleged the third type of
municipal liability—a complete failure by the County to impose any
policy at all with regard to the immediate medical treatment and
medication needs of inmates with serious medical conditions. The
allegations of the amended complaint skate perilously close to being
conclusory. See, e.g., Yoast v. Pottstown Borough, 437 F. Supp. 3d 403,
441 (2020) (“Yoast’s . . . allegation that PrimeCare does not have a policy
‘to address the medical needs of inmates with serious medical conditions’
is a conclusory allegation which the Court does not credit.”). But based
on the facts alleged with respect to the utter failure of jail and medical
staff to respond Cupp’s entreaties for medical care over the course of
months, despite her allegedly well known serious medical needs, we find
the allegations sufficient to support a plausible Monell claim against the
County under this third category identified in Natale. See Kitchen v.
Clinton Cty., No. 3:19-CV-1936, 2020 WL 3052864, at *4–*5 (M.D. Pa.
June 8, 2020).
Accordingly, with respect to Count II of the amended complaint,
asserting a municipal liability claim against Lycoming County based on
the deliberate indifference of its employees or agents to the decedent’s
serious medical needs, the County’s motion to dismiss will be denied.
D. Municipal Liability: Failure to Intervene
The municipal liability claim asserted in Count IV of the amended
complaint is identical to the municipal liability claim asserted in Count
II; other than its heading, Count IV is a verbatim reproduction of Count
II. “As a matter of judicial economy, courts should dismiss a claim if it is
duplicative of another claim in the same suit.” Wultz v. Islamic Republic
of Iran, 755 F. Supp. 2d 1, 81 (D.D.C. 2010). “Duplicative claims are those
that stem from identical allegations, that are decided under identical
legal standards, and for which identical relief is available.” Id. Because
Count IV “does not present any legal or factual theories that are not
already subsumed in” Count II, we will dismiss Count IV as duplicative.
Rodriguez v. Lab. Corp. of Am. Holdings, 13 F. Supp. 3d 121, 128 (D.D.C.
2014).
Accordingly, Count IV of the amended complaint will be dismissed
as duplicative, pursuant to the Court’s inherent authority to control its
docket and avoid duplicative claims.
E. Municipal Liability: Failure to Protect from Suicide
Count VI of the amended complaint asserts a municipal liability
claim against Lycoming County based on the deliberate indifference of
its employees or agents to the particular vulnerability to suicide of the
decedent. See generally Colburn v. Upper Darby Twp., 946 F.2d 1017,
1023 (3d Cir. 1991) (outlining elements of a prison suicide § 1983 claim).
But, while the decedent may have had a history that included prior
suicide attempts, there is no allegation in the amended complaint that
she committed or attempted to commit suicide during the period of
incarceration at issue in this case. In the absence of the allegation of an
attempt to commit suicide or any injury whatsoever to the decedent that
resulted from the alleged conduct of the County and its employees with
respect to her particular vulnerability to suicide, we find the plaintiff has
failed to state a plausible claim of deliberate indifference to serious
medical needs based on the decedent’s particular vulnerability to suicide.
See Stribling v. Brock, Case No. 15-cv-03336-YGR (PR), 2017 WL 950803,
at *12–*13 (N.D. Cal. Mar. 10, 2017) (granting summary judgment where
inmate made no attempt to commit suicide).
Accordingly, Count VI of the amended complaint will be dismissed
for failure to state a claim upon which relief can be granted, pursuant to
Rule 12(b)(6) of the Federal Rules of Civil Procedure.
F. State-Law Medical Negligence Claim
In Count VII of the amended complaint, the plaintiff asserts
medical negligence claims against Dr. Keenan and Dr. Schifferli, both of
whom are alleged to be County employees.7 As municipal employees,
these defendants are immune from medical negligence claims under the
Pennsylvania Political Subdivision Tort Claims Act (“PSTCA”), 42 Pa.
Cons. Stat. Ann. § 8541 et seq. See Giandonato v. Montgomery Cty., No.
Civ. A. 97-CV-0419, 1998 WL 314694, at *6 (E.D. Pa. May 22, 1998)
(finding physician contracted to provide psychiatric services to inmates
at county jail was immune from medical malpractice claims under the
PSTCA); Daniel v. City of Philadelphia, Civ. A. No. 88-6849, 1989 WL
45752, at *2 (E.D. Pa. May 1, 1989) (“Local governments and their
employees are immune from claims of medical malpractice under [the
7 In her brief in opposition, the plaintiff requests leave to amend
this claim, pointing to a margin note in the physician defendants’ brief in
which they stated that they are not county employees, but rather provide
medical services to inmates under a contract with the county. We note
that whether the physicians are considered “employees” who fall within
the scope of PTSCA immunity or “independent contractors” who do not
appears to be a fact-intensive question. Compare Giandonato v.
Montgomery Cty., No. Civ. A. 97-CV-0419, 1998 WL 314694, at *6 (E.D.
Pa. May 22, 1998) (finding physician who provided psychiatric services
to inmates at county jail under contract was entitled to PTSCA
immunity), with Helsel v. Complete Care Servs., L.P., 797 A.2d 1051,
1054–58 (Pa. Commw. Ct. 2002) (finding administrator of county-owned
health care facility was an independent contractor not entitled to PTSCA
immunity). We have granted leave to amend more generally below, but
in response to the plaintiff’s express request, we note that amendment of
this claim does not appear to be futile.
PSTCA].”); Henagan v. Katz, 509 A.2d 1387, 1388 (Pa. Commw. Ct. 1986)
(finding medical negligence claim against physician employed by city
agency was barred by the PSTCA).
Accordingly, Count VII of the amended complaint will be dismissed
for failure to state a claim upon which relief can be granted, pursuant to
Rule 12(b)(6) of the Federal Rules of Civil Procedure.
G. Leave to Amend
The Third Circuit has instructed that, if a civil rights complaint is
vulnerable to dismissal for failure to state a claim, the district court must
permit a curative amendment, unless an amendment would be
inequitable or futile, Grayson v. Mayview State Hosp., 293 F.3d 103, 108
(3d Cir. 2002). This instruction applies equally to pro se plaintiffs and
those represented by counsel. Alston v. Parker, 363 F.3d 229, 235 (3d Cir.
2004). In her briefs, the plaintiff has requested leave to amend if claims
are dismissed, and it does not appear to us that amendment would be
futile. Therefore, the amended complaint will be dismissed with leave to
amend.
IV. CONCLUSION
For the foregoing reasons, the defendants’ motions to dismiss will
be granted in part and denied in part. All official-capacity claims against
the individual defendants and Count IV of the amended complaint will
be dismissed as duplicative. All personal-capacity § 1983 claims against
the individual defendants will be dismissed as impermissibly vague and
for failure to state a claim upon which relief can be granted. Counts VI
and VII of the complaint will be dismissed for failure to state a claim
upon which relief can be granted. The plaintiff will be granted leave to
file an amended complaint.
An appropriate order follows.
Dated: September 30, 2021 s/Joseph F. Saporito, Jr.
JOSEPH F. SAPORITO, JR.
United States Magistrate Judge