explaining that leave to amend may be denied when a plaintiff has repeatedly failed to cure deficiencies through previous amendments allowed
How later courts described this case
- explaining that leave to amend may be denied when a plaintiff has repeatedly failed to cure deficiencies through previous amendments allowed
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
TODD ALAN BROWN, No. 4:22-CV-01153
Plaintiff, (Chief Judge Brann)
v.
OFFICER WEB, et al.,
Defendants.
MEMORANDUM OPINION
NOVEMBER 29, 2022
Plaintiff Todd Alan Brown is currently in pretrial detention in the State
Correctional Institution, Huntingdon (SCI Huntingdon) in Huntingdon,
Pennsylvania. Prior to being transferred SCI Huntingdon, he was detained for a
short time at the State Correctional Institution, Smithfield (SCI Smithfield), also
located in Huntingdon, Pennsylvania. Brown filed the instant pro se Section 19831
action concerning allegedly deficient medical care he received at SCI Smithfield.
Following dismissal of his complaint without prejudice, Brown filed an amended
complaint, which is presently before the Court for screening as required by 28
U.S.C. § 1915A.
1 42 U.S.C. § 1983. Section 1983 creates a private cause of action to redress constitutional
wrongs committed by state officials. The statute is not a source of substantive rights; it serves
as a mechanism for vindicating rights otherwise protected by federal law. See Gonzaga Univ.
I. STANDARDS OF REVIEW
Courts are statutorily obligated to review, “as soon as practicable,” pro se
prisoner complaints targeting governmental entities, officers, or employees.2 One
basis for dismissal at the screening stage is if the complaint “fails to state a claim
upon which relief may be granted[.]”3 This language closely tracks Federal Rule
of Civil Procedure 12(b)(6). Accordingly, courts apply the same standard to
screening a pro se prisoner complaint for sufficiency under Section 1915A(b)(1) as
they utilize when resolving a motion to dismiss under Rule 12(b)(6).4
In deciding a Rule 12(b)(6) motion to dismiss, courts should not inquire
“whether a plaintiff will ultimately prevail but whether the claimant is entitled to
offer evidence to support the claims.”5 The court must accept as true the factual
allegations in the complaint and draw all reasonable inferences from them in the
light most favorable to the plaintiff.6 In addition to the facts alleged on the face of
the complaint, the court may also consider “exhibits attached to the complaint,
matters of public record, as well as undisputedly authentic documents” attached to
2 See 28 U.S.C. § 1915A(a). Section 1915A screening of amended complaints is likewise
required. See Fields v. Venable, 674 F. App’x 225, 228 (3d Cir. 2016) (nonprecedential)
(noting that district court “fulfill[ed] its duty to screen” pro se prisoner’s amended complaint).
3 Id. § 1915A(b)(1).
4 See Grayson v. Mayview State Hosp., 293 F.3d 103, 109-10 & n.11 (3d Cir. 2002); O’Brien
v. U.S. Fed. Gov’t, 763 F. App’x 157, 159 & n.5 (3d Cir. 2019) (per curiam) (nonprecedential);
cf. Allah v. Seiverling, 229 F.3d 220, 223 (3d Cir. 2000).
5 Scheuer v. Rhodes, 416 U.S. 232, 236 (1974); see Nami v. Fauver, 82 F.3d 63, 66 (3d Cir.
1996).
a defendant’s motion to dismiss if the plaintiff’s claims are based upon these
documents.7
When the sufficiency of a complaint is challenged, the court must conduct a
three-step inquiry.8 At step one, the court must “tak[e] note of the elements [the]
plaintiff must plead to state a claim.”9 Second, the court should distinguish well-
pleaded factual allegations—which must be taken as true—from mere legal
conclusions, which “are not entitled to the assumption of truth” and may be
disregarded.10 Finally, the court must review the presumed-truthful allegations
“and then determine whether they plausibly give rise to an entitlement to relief.”11
Deciding plausibility is a “context-specific task that requires the reviewing court to
draw on its judicial experience and common sense.”12
Because Brown proceeds pro se, his pleadings are to be liberally construed
and his amended complaint, “however inartfully pleaded, must be held to less
stringent standards than formal pleadings drafted by lawyers[.]”13 This is
particularly true when the pro se litigant, like Brown, is incarcerated.14
7 Mayer v. Belichick, 605 F.3d 223, 230 (3d Cir. 2010) (citing Pension Benefit Guar. Corp.
v. White Consol. Indus., 998 F.2d 1192, 1196 (3d Cir. 1993)).
8 Connelly v. Lane Const. Corp., 809 F.3d 780, 787 (3d Cir. 2016) (internal citations and
quotation marks omitted) (footnote omitted).
9 Id. (quoting Ashcroft v. Iqbal, 556 U.S. 662, 675 (2009) (alterations in original)).
10 Id. (quoting Iqbal, 556 U.S. at 679).
11 Id. (quoting Iqbal, 556 U.S. at 679).
12 Iqbal, 556 U.S. at 681.
13 Erickson v. Pardus, 551 U.S. 89, 94 (2007) (citations omitted).
II. DISCUSSION
In his original complaint, Brown alleged that he was transferred to SCI
Smithfield on February 3, 2022, and that during February and March 2022 he
received deficient medical care at that facility.15 He claims that he arrived at SCI
Smithfield with a serious injury to his finger for which he had previously
undergone medical pin placement, and that during his time at SCI Smithfield “they
fail[ed] to treat” him.16
Brown appears to be raising a claim in his amended complaint under the
Fourteenth Amendment17 for deliberate indifference to serious medical needs.
However, it does not appear that the United States Court of Appeals for the Third
Circuit has established or adhered to a different standard with respect to Fourteenth
Amendment pretrial detainee medical indifference claims versus those raised by
incarcerated individuals under the Eighth Amendment.18 Accordingly, the Court
15 Doc. 1 at 4.
16 Id.
17 Because Brown is a pretrial detainee, his claims implicate the Fourteenth Amendment, not the
Eighth. See Jacobs v. Cumberland County, 8 F.4th 187, 193-94 (3d Cir. 2021); Thomas v.
Cumberland County, 749 F.3d 217, 223 n.4 (3d Cir. 2014).
18 This remains so even following the Supreme Court of the United States’ decision in Kingsley
v. Hendrickson, 576 U.S. 389 (2015), which established a different standard for pretrial
detainee excessive force claims. See Moore v. Luffey, 757 F. App’x 335, 340 & n.2 (3d Cir.
2019) (nonprecedential) (rejecting plaintiff’s argument to apply Kingsley’s holding to
Fourteenth Amendment medical care claim and instead analyzing under Eighth Amendment
jurisprudence); see also Parker v. Butler County, 832 F. App’x 777, 780 & n.1 (3d Cir. 2020)
(nonprecedential) (applying Eighth Amendment standard to pretrial detainee medical care
claim while acknowledging Fourteenth Amendment is source of right); Miller v. Steele-Smith,
713 F. App’x 74, 76 n.1, 78 (3d Cir. 2017) (nonprecedential) (same); Goode v. Giorla, 643 F.
App’x 127, 129 & n.3 (3d Cir. 2016) (nonprecedential) (same); Edwards v. Northampton
County, 663 F. App’x 132, 136-37 (3d Cir. 2016) (nonprecedential) (citing Natale v. Camden
will apply existing Eighth Amendment jurisprudence to Brown’s Fourteenth
Amendment medical indifference claims.
In the context of prison medical care, the Eighth Amendment “requires
prison officials to provide basic medical treatment to those whom it has
incarcerated.”19 To state an Eighth Amendment deliberate indifference claim
regarding inadequate medical care, a plaintiff must plausibly plead “(i) a serious
medical need, and (ii) acts or omissions by prison officials that indicate deliberate
indifference to that need.”20 A serious medical need 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 necessity for a doctor’s attention.”21
Deliberate indifference by prison officials may be evidenced by intentional
refusal to provide care known to be medically necessary, delayed provision of
medical treatment for non-medical reasons, denial of prescribed medical treatment,
or denial of reasonable requests for treatment resulting in suffering or risk of
injury.22 Deliberate indifference to serious medical needs is an exacting standard,
requiring a showing of “unnecessary and wanton infliction of pain.”23 Claims
sounding in mere medical negligence will not suffice.24
19 Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir. 1999).
20 Natale v. Camden Cnty. Corr. Facility, 318 F.3d 575, 582 (3d Cir. 2003).
21 Monmouth Cnty. Corr. Inst. Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir. 1987).
22 See Durmer v. O’Carroll, 991 F.2d 64, 68 & n.11 (3d Cir. 1993) (quoting Lanzaro, 834 F.2d
at 346).
23 Estelle v. Gamble, 429 U.S. 97, 104 (1976) (citation omitted).
Brown’s amended complaint is disjointed and difficult to follow. He
appears to assert that an unidentified nurse and “head nurse” at SCI Smithfield
failed to provide adequate medical care for his finger. He admits that he was given
some treatment by the nursing staff, but claims that they were “confused” or did
not know what they were doing.25 He then alleges that his finger became infected
because the nursing staff refused to clean his finger or change the dressing daily as
ordered by a prior treating doctor or physician’s assistant.26 He additionally
alleges that he was refused medical treatment after his finger became noticeably
infected.27 He maintains that he was suffering “chronic” and “intense” pain but
was essentially ignored by the nurse and head nurse.28
Brown’s allegations, taken as true, are sufficient to state a Section 1983
claim of deliberate indifference to serious medical needs. Although Brown has not
identified the subject nurse or head nurse by name, a “Jane Doe” designation29 may
be utilized until these defendants can be properly identified. The other defendants
named in the original complaint—Officer Web, Officer Fortney, the Deputy
Superintendent of SCI Smithfield, and the Superintendent of SCI Smithfield—will
25 Doc. 13 at 5.
26 Id. at 6, 7-8. In his original complaint, Brown states that a “PA” prescribed pain medication
and ordered that his finger be “buddy taped” and that his dressing be changed daily. See Doc.
1 at 4. In his amended complaint, Brown claims that it was a “prison doctor” who ordered the
daily follow-up care. See Doc. 13 at 3.
27 Doc. 13 at 5.
28 Id. at 8, 10.
29 Brown alleges that the nurse involved was female but does not specify the gender of the head
be dismissed with prejudice because Brown again fails to include any allegations
in his amended complaint against these Defendants that would implicate a
constitutional violation.30 In fact, of these four prison officials, Brown only
mentions Officer Fortney, but the scant allegations concerning Fortney do not
come close to stating a claim for medical deliberate indifference.31
III. CONCLUSION
Based on the foregoing, the Court will permit Brown’s Fourteenth
Amendment claim for deliberate indifference to serious medical needs to proceed
against the unidentified “nurse” and “head nurse” at SCI Smithfield. An
appropriate Order follows.
BY THE COURT:
s/ Matthew W. Brann
Matthew W. Brann
Chief United States District Judge
30 See Foman v. Davis, 371 U.S. 178, 182 (1962) (explaining that leave to amend may be denied
when a plaintiff has repeatedly failed to cure deficiencies through previous amendments
allowed).
31 See Doc. 13 at 2, 8 (identifying Fortney as a witness); id. at 3 (alleging that Fortney showed