collecting cases for the proposition that prison officials do not violate the Eighth Amendment by housing inmates with cellmates who have tested positive for HIV or AIDS
How later courts described this case
- collecting cases for the proposition that prison officials do not violate the Eighth Amendment by housing inmates with cellmates who have tested positive for HIV or AIDS
- concluding that prison officials did not violate the Eighth Amendment by failing to segregate inmates who tested positive for HIV or AIDS from other inmates
- noting that disagreement as to the adequacy of treatment provided to plaintiff is not sufficient to establish deliberate indifference
- noting that past suicide attempts may establish plaintiff’s particular vulnerability to suicide and serious medical need for mental health treatment
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
PATRICK HORAN, : CIVIL ACTION NO. 1:22-CV-1166
:
Plaintiff : (Judge Conner)
:
v. :
:
THADDEUS GROSS, et al., :
:
Defendants :
MEMORANDUM
This is a prisoner civil rights case filed pursuant to 42 U.S.C. § 1983. Plaintiff,
Patrick Horan, alleges violations of his civil rights arising from his transfer to the
Camp Hill State Correctional Institution (“SCI-Camp Hill”), revocation of his single-
cell status, prison officials’ purported denial of mental health care, prison officials’
deliberate indifference to Horan’s medical needs, and retaliation by prison officials
for his filing of grievances and complaints. Defendants have moved for partial
dismissal through two separate motions. The motion filed by defendant Wanga will
be denied. The motion filed by defendants Gross, Cyrus, Fells, Harry, Jedrzejek,
Murray, and Butler (“DOC defendants”) will be granted in part and denied in part.
I. Factual Background & Procedural History
Horan filed this case in the Cumberland County Court of Common Pleas on
June 23, 2022. (Doc. 1-1). Defendants removed the case to this district on July 27,
2022. (Doc. 1). According to the complaint, Horan was transferred to SCI-Camp
Hill in March 2020 following the closure of SCI-Retreat. (Doc. 1-1 at 5). Horan was
purportedly given a “Z-Code”—a housing classification that allowed him to not have
a cellmate—while he was in SCI-Retreat. (Id.) Upon his transfer to SCI-Camp Hill
his Z-Code was revoked. (Id.) He was housed in SCI-Retreat’s residential
treatment unit prior to the transfer, but was assigned to general population upon
his arrival at SCI-Camp Hill. (Id.)
On April 1, 2020, Horan met with defendant Gross, a psychologist employed
by the prison, and explained that he was not supposed to be housed in SCI-Camp
Hill or general population because his sentencing order required that he be housed
in a secure mental health facility with constant psychiatric care due to the fact that
he pled guilty but mentally ill (“GBMI”). (Id. at 6). Horan filed a request to be
transferred out of the prison. (Id.) Defendant Cyrus, a counselor in SCI-Camp Hill,
purportedly stated he could not be transferred until he had been housed there for
two years. (Id. at 7).
On July 28, 2020, Horan met with Gross at his cell door. (Id.) Cyrus
purportedly interrupted this meeting to inform Horan that his Z-Code had been
revoked. (Id.) Horan filed a grievance on August 2, 2020, complaining that his Z-
Code was revoked despite no staff member assessing how this would affect his
mental health. (Id.) Prison staff denied the grievance based on Horan’s purported
failure to inform staff of his mental health status. (Id.) Horan met with Gross on
August 11, 2020, to discuss the denial and told him he had “taken a whole bottle of
pills and slit [his] wrists.” (Id.) Horan allegedly showed Gross the wounds he
suffered as a result of the self-harm. (Id.) Gross purportedly did nothing in
response. (Id.)
Horan met with Cyrus on September 8, 2020 and with Gross on October 6,
2020 to discuss his mental health. (Id.) On October 21, 2020, he met with Gross to
discuss the constant headaches he was experiencing and his difficulty breathing
while exercising. (Id.) On October 28, 2020, he met with non-party psychologist Ms.
Bowser for an evaluation. (Id. at 8). On November 5, 2020, he met with Gross and
Bowser to discuss his alleged lack of mental health treatment, his housing concerns,
and his headaches and respiratory problems. (Id.) On January 4, 2021, he met with
Gross to discuss his health concerns. (Id.)
The complaint alleges that Horan has had several cellmates since the
removal of his Z-Code. On November 12, 2020, an inmate named Tyrell Bowens
moved into his cell. (Id.) Bowens had previously been confined in the prison’s
Behavioral Modification Unit after purportedly stabbing his cellmate. (Id.) Horan
and Bowens met with prison staff the following day to state they were not
compatible as cellmates. (Id.) Bowens was transferred out of the cell. (Id.) Horan
was subsequently given Matthew Ricketts as a cellmate until January 19, 2021,
when prison staff allegedly transferred him out of the cell in response to Horan
helping him file a grievance regarding the prison’s refusal to place him in a sex
offender program. (Id.) On January 20, 2021, Kyle Sarginger was moved into
Horan’s cell. (Id.) The complaint avers that Sarginger suffers from Hepatitis C.
(Id.) Horan and Sarginger allegedly remained cellmates until February 9, 2021,
when Sarginger was moved out of the cell. (Id.) Jeff McLelland, who had recently
been housed in the infirmary with a suspected COVID-19 infection, was transferred
to the cell the same day. (Id. at 9). Horan and McLelland immediately got into an
argument about McLelland smoking e-cigarettes in the cell. (Id.)
Horan purportedly met with Gross on February 10, 2021, to discuss concerns
that prison staff were putting him in danger by giving him cellmates without
assessing their compatibility. (Id.) On February 25, 2021, approximately 90 inmates
were removed from Horan’s housing block after testing positive for COVID-19. (Id.)
McLelland was exhibiting symptoms of COVID-19 at this time, but did not test
positive for the virus. (Id.) The next day, both Horan and McLelland allegedly
became sick with COVID-19. (Id.)
On March 1, 2021, Horan met with defendant Gross about unspecified threats
made by McLelland. (Id.) On March 2, 2021, Horan met with defendant Wanga, a
psychiatrist in the prison, about threats by McLelland and Horan’s belief that he
was supposed to be housed in a secure mental health facility. (Id.) On March 18,
2021, Horan met with Gross, Wanga, and “Nurse”1 about the threats by McLelland.
(Id.) On March 24, 2021, McLelland allegedly threatened Horan in an unspecified
manner. (Id.) Horan reported the threat to Sgt. Boone, who arranged to have
McLelland transferred out of Horan’s cell. (Id.) Gross allegedly acknowledged on
March 25, 2021 that he “dropped the ball” with respect to the threats made by
McLelland. (Id.) On March 29, 2021, an inmate named Corey Clingerman was
moved into Horan’s cell. (Id. at 10).
1 It is unclear from the complaint whether this is a reference to an individual
named “Nurse” or an unnamed nurse, but we assume the latter.
On April 16, 2021, Horan received an initial review response to a grievance he
filed regarding McLelland’s purported threats. (Id.) The response stated that
Horan had never informed Gross of the threats made by McLelland. (Id.) Horan
spoke with Gross, who confirmed that Horan had informed him about the threats
on March 1, 2021 and March 18, 2021. (Id.)
On April 26, 2021, Horan told an unnamed nurse he was experiencing chest
pain resulting from COVID-19. (Id.) The nurse allegedly told him the chest pain
was not due to COVID-19, but Horan responded that the symptoms had persisted
since his COVID-19 infection began on February 26, 2021. (Id.)
On June 21, 2021, Horan met with a physician’s assistant named Karen to
discuss “relentless body pain” and respiratory problems that Horan attributed to
COVID-19. (Id.) Karen prescribed him Celebrex to treat the symptoms. (Id.) On
June 30, 2021, Horan met with Cyrus for an annual review. (Id.) Cyrus purportedly
spoke “abusively” towards Horan because Horan would not sign paperwork
confirming that he refused a work assignment. (Id.) On July 6, 2021, Horan met
with a physician’s assistant named Amy, who prescribed him Prednisone and said
that Horan’s arthritis pain could be attributed to his chronic Lyme disease that was
exacerbated by COVID-19. (Id.) On July 8, 2021, Horan met with Wanga, Gross,
and four other prison employees to discuss his mental health, his requested
transfer, and his problems with Cyrus. (Id.) On July 14, 2021, Horan met with a
physician’s assistant named Justin to discuss severe headaches, hand numbness,
muscle cramps, and pain he was experiencing. (Id.) On July 19, 2021, Horan met
with Gross to discuss his problems with Cyrus and the medical issues he ascribed to
COVID-19. (Id.) On July 27, 2021, Horan again met with physician’s assistant Amy
and told her he was experiencing severe pain, shakes, and difficulty conducting
normal movements or functions. (Id.) Amy prescribed him Prednisone and
Doxycycline and informed him that he was scheduled to see a doctor. (Id.)
On August 3, 2021, Horan was given a new cellmate named Greg Hake. (Id.)
The next day, Counselor Misiti allegedly told Horan that if he did not consent to be
vaccinated against COVID-19 he would be moved to I-Block and isolated and his
pay for employment would be reduced from $2.52 per day to $0.72 per day. (Id. at
11). Horan met with physician’s assistant Karen on August 5, 2021, who prescribed
him bottom bunk status due to being “crippled from COVID.” (Id.) On the same
day, Horan was purportedly compelled to be vaccinated against COVID-19 despite
his objections to the vaccine and his statement that he had underlying immune
deficiencies due to chronic Lyme disease. (Id.)
On August 11, 2021, Horan met with Wanga to discuss his mental health
progress, the stress he was experiencing due to alleged lack of mental health
treatment at SCI-Camp Hill, and the worsening of his mental health due to his
housing situation. (Id.) On August 17, 2021, Horan met with Dr. Voorstad to discuss
his ongoing concerns with Lyme disease and COVID-19. (Id.) Horan told Dr.
Voorstad that he was experiencing pain in his hips, neck, shoulders, and hands and
that he was having difficulty functioning. (Id.) Voorstad submitted a request for
Horan to be seen by a rheumatologist. (Id.)
On August 24, 2021, Horan met with Gross to discuss his stress, his medical
issues, and the problems he was experiencing with Cyrus. (Id.) On September 4,
2021, Horan took the day off from work because he was in extreme pain, but the
medical department allegedly refused to see him. (Id.) He met with physician’s
assistant Karen on September 7, 2021, and described his extreme pain, cramping,
and difficulty functioning. (Id.) Karen increased his prescribed dose of Celebrex.
(Id.) On September 21, 2021, Horan met with physician’s assistants Amy and
Ramirez and told them he was experiencing extreme pain and difficulty
functioning. (Id.) They prescribed him Mobic and gave him a medical pass for a
new mattress. (Id.) Horan gave the medical pass to his unit manager the next day,
who allegedly refused to give him a new mattress. (Id.) On September 27, 2021,
Horan had a sick call with physician’s assistant Justin, who purportedly told him
there was nothing else the medical department could do to treat his extreme pain
and difficulty functioning. (Id.) On October 1, 2021, Dr. Voorstad canceled an
appointment with Horan. (Id. at 12). On October 4, 2021, Horan had a sick call with
physician’s assistant Ramirez to report that something “snapped” in his right thigh
while he was working in the prison’s butcher shop on September 28, 2021. (Id.)
Horan reported he was in constant pain and that he was having difficulty sitting
and standing. (Id.)
On October 4, 2021, Horan also met with deputy warden Nicklow about his
alleged difficulty getting medical care. (Id.) Nicklow told Horan he would “take
care of it.” (Id.) On October 6, 2021, Horan met with Dr. Voorstad and told him he
was experiencing pain from his thigh injury, chills in his back, and swelling in his
hands. (Id.) Voorstad told him he was scheduled to see a specialist. (Id.)
On October 18, 2021, Horan had a sick call with physician’s assistant Karen
and told her he was having trouble at work because standing caused him pain. (Id.)
He also told her he was experiencing pain in his shoulder, difficulty getting on and
off the toilet, and difficulty putting on socks. (Id.) Karen stated a doctor would have
to approve a request for “work lay-ins” and discussed Fibromyalgia and an
increased dose of “Noratrophaline”2 with Horan. (Id.) On October 19, 2021, Horan
met with Gross and told him that his constant pain was having a negative effect on
his mental health and exacerbating his depression. (Id.)
On October 27, 2021, Horan spoke with defendant Murray about the medical
issues that were making it difficult to work. (Id.) Murray allegedly told him he
needed to “get something from Medical” in order to not come to work or risk being
cited for misconduct. (Id.) Horan met with Karen the next day, who put him on
medical lay-in until November 2, 2021. (Id.) His medical lay-in was subsequently
extended to December 3, 2021. (Id.)
On November 12, 2021, Horan met with Gross, Cyrus, and “Nurse.” (Id.) He
complained about the purported lack of mental health treatment at SCI-Camp Hill,
his need for a transfer to another prison, and the medical issues and pain he was
experiencing. (Id.) On December 5, 2021, Horan met with Dr. Newton to discuss
his mental health and the purported lack of treatment he was receiving. (Id.)
2 The court has been unable to identify any medication by this specific name
through independent research.
On December 6, 2021, Horan met with physician’s assistant Ramirez and
stated he was experiencing chest pain when he sneezed or coughed. (Id. at 13).
Ramirez extended his medical lay-in. (Id.) On December 13, 2021, Horan was
transported to Pinnacle Rheumatology where he was seen by Dr. Jajoria. (Id.)
Jajoria determined that Horan had problems with his joints and muscles,
performed bloodwork, and prescribed Horan medication. (Id.)
On December 17, 2021, physician’s assistant Justin cleared Horan to return to
work and increased his prescription of Cymbalta. (Id.) On January 3, 2022,
defendant Butler escorted Horan out of the butcher shop and told him that he was
no longer employed there. (Id.) Horan asked why, and Butler allegedly stated, “I
don’t have to give you a reason.” (Id.) The same day, Horan’s former coworker in
the butcher shop, Anthony Forsythe, purportedly told him that Butler did not want
Horan working there because Horan had filed a grievance against him. (Id.)
On January 3, 2022, Horan had a sick call with physician’s assistant Karen,
who diagnosed him with rheumatoid arthritis. (Id.) Horan told her he was
experiencing lung pain if he coughed or sneezed, difficulty breathing, numbness
and chills in his back, stabbing pain, and constant headaches. (Id.) Karen ordered
chest x-rays and prescribed him Prednisone. (Id.) The same day, Horan met with
Gross and told him about his medical treatment, his employment situation, and
problems he was having with his cellmate, Bradley Cook. (Id.) Gross allegedly
stated that Horan and Cook should never have been celled together. (Id.)
On January 4, 2022, Horan spoke with Butler’s supervisor, Davis, who told
Butler to reinstate Horan to his job in the butcher shop. (Id.) Butler allegedly told
Horan he “better not” file any more grievances against Butler. (Id.) On January 10,
2022, Horan filed a grievance alleging that his pay was $77.26 short. (Id.) On
January 13, 2022, Horan agreed to drop his grievance after correctional officer
Jedrzejek stated Horan would get back pay and that Butler would be reprimanded.
(Id.) On January 14, 2022, Horan met with Dr. Voorstad, who said that Horan still
had “medical issues” and that he needed to be seen by Dr. Jajaria again. (Id.)
On January 26, 2022, Butler purportedly threatened to fire Horan and said
“some people are lucky they are in prison” while pointing his finger at Horan and
pretending to shoot him in the face. (Id. at 14). Butler also purportedly said that he
knew Horan had sent a letter to the prison’s Prison Rape Elimination Act (“PREA”)
coordinator regarding alleged misconduct by Butler. (Id.) Horan filed a grievance
against Butler for this incident on January 28, 2022, but the grievance was denied.
(Id.) On January 31, 2022, Horan filed an incident report against Butler. (Id.) Ten
minutes later, Butler allegedly fired him from the butcher shop. (Id.) Horan filed a
grievance about the firing, which was denied. (Id.) Horan wrote a letter to the
PREA coordinator on February 3, 2022, complaining that he was being retaliated
against and told Gross about the alleged retaliation on February 10, 2022. (Id.)
On February 14, 2022, Horan was allegedly removed from his food service job
in the prison. (Id.) Sgt. Myers purportedly told Horan that he would be cited for
misconduct for threatening another inmate named Richard Weber, despite Horan’s
unit manager allegedly confirming that Horan had not threatened Weber. (Id.)
Horan was moved to a different housing block after this interaction. (Id.) Horan
grieved his removal from the food service position on February 18, 2022. (Id.) On
February 22, 2022, Horan met with Unit Manager Fells, who allegedly stated there
were no grounds for Horan to be dismissed from his position. (Id.)
On February 25, 2022, Gross came to Horan’s cell. (Id.) Horan told him he
had been trying to see him for ten days since he was moved. (Id.) Gross allegedly
stated that he was not aware that Horan had been moved and that it was
“ridiculous” no one had checked on him given his status as an inmate who pleaded
GBMI. (Id.) Horan told Gross he was not comfortable having a cellmate. (Id.)
On March 3, 2022, Horan met with Dr. Jajoria. (Id. at 15). Jajoria diagnosed
him with rheumatoid arthritis and prescribed Prednisone. (Id.) Horan told him he
was experiencing constant headaches, pain, dizziness, lightheadedness, and pain in
his chest if he sneezed or coughed. (Id.)
On March 7, 2022, Horan met with Nurse Behe for a psychological evaluation.
(Id.) Horan told her that Camp Hill was not meeting his treatment needs because
he was not housed in a secure mental health facility under constant psychiatric
care. (Id.) Horan told her about his lack of sleep and anxiety and stated he did not
want to have a cellmate and that he wished to be transferred. (Id.) Behe allegedly
stated that she would put in a request for Horan to have a psychiatric referral. (Id.)
Later that day, Horan was given a new cellmate, Paul McLothlin. (Id.)
On March 10, 2022, Horan met with Wanga, Fells, Cyrus, and “Nurse.” (Id.)
Horan stated that he was not receiving adequate mental health treatment and that
his sentence was not being honored and requested a transfer to SCI-Mahanoy. (Id.)
On March 14, 2022, he met with Fells and Cyrus, who allegedly informed him that
he had been fired from his food services position based on a negative work report
that was written a month after the alleged incident involving Weber. (Id.)
On April 1, 2022, Cyrus purportedly told Horan that his request for a transfer
to SCI-Mahanoy was denied because SCI-Camp Hill was now considered part of
Region 1, the region in which Horan was allegedly supposed to be housed according
to his sentencing order. (Id.) Horan spoke about the denial of the transfer request
with Gross on April 18, 2022. (Id.) Horan and Gross additionally spoke about
threats Horan had purportedly received from McLothlin. (Id. at 16). On April 21,
2022, McLothlin was paroled from the prison, at which point Horan discovered that
Horan had stolen $60 worth of personal property from him. (Id.) Horan spoke with
Gross about the theft on April 27, 2022. (Id.) Horan told him that he wished to no
longer have a cellmate and that having cellmates caused him anxiety. (Id.) Horan
was given another cellmate, Douglas Gettemy, later that day. (Id.)
On May 1, 2022, Horan spoke with Cyrus and Fells about the alleged theft of
property by McLothlin. (Id.) Both individuals purportedly told him that he could
not prove that the theft occurred. (Id.) On May 6, 2022, McLothlin3 allegedly
threatened Horan in the sallyport of the housing unit. (Id.) On June 2, 2022, Cyrus
informed Horan that his request for a vocational transfer to the auto mechanics
program was denied because prison officials believed he was being “manipulative.”
(Id.) On June 15, 2022, Horan met with Behe to discuss his concerns with having a
3 It is not clear from the complaint why McLothlin was there in light of the
allegation that he was paroled approximately two weeks before this date.
cellmate. (Id. at 17). Horan purportedly told Behe that he “wish[ed] to be dead”
because he could not take the treatment from prison staff any longer. (Id.) Horan
allegedly sent a request to Fells for a single cell. (Id.) Later that day, Fells
purportedly came to Horan’s cell and said that psychiatric staff could not get him a
Z-Code. (Id.) Fells then allegedly stated, “You’re an inmate. You don’t get a
choice. I will put whoever the hell I want in with you!” (Id.)
The complaint asserts claims for violation of the First, Eighth, and
Fourteenth Amendments and violation of the Pennsylvania Constitution. (Id. at 17-
18). It is unclear what specific claims Horan asserts, but we liberally construe seven
claims for relief: (1) that Horan’s placement in SCI-Camp Hill and the revocation of
his Z-Code constituted cruel and unusual punishment in violation of the Eighth
Amendment and violated his right to due process under the Fourteenth
Amendment; (2) that the lack of mental health care provided to Horan constituted
deliberate indifference in violation of the Eighth Amendment; (3) that Gross was
deliberately indifferent to the risk that Horan would commit suicide; (4) that the
lack of medical care provided to Horan constituted deliberate indifference in
violation of the Eighth Amendment; (5) that placement of Horan with cellmates
constituted deliberate indifference to the risk that the cellmates would harm Horan;
(6) that defendants Butler, Murray, and Jedrzejek retaliated against Horan in
violation of the First Amendment; and (7) that defendant Harry is liable for her
subordinates’ actions under a supervisory liability theory. (See id.) Horan seeks
damages and injunctive relief. (Id. at 18).
DOC defendants moved to dismiss the complaint in part on August 3, 2022.
(Doc. 4). Defendant Wanga moved to dismiss on August 25, 2022. (Doc. 11).
Defendants collectively seek dismissal of all claims except Horan’s retaliation claim
against defendants Butler, Murray, and Jedrzejek for failure to state a claim upon
which relief may be granted. (See Docs. 12, 18). Wanga additionally argues that the
complaint should be dismissed for failure to exhaust administrative remedies. (Doc.
18 at 4-6). DOC defendants argue that any claims that survive the motions to
dismiss should be severed into separate lawsuits because they are misjoined in
violation of Federal Rule of Civil Procedure 20. (See Doc. 12 at 6 n.2). Briefing on
the motions is complete and they are ripe for review. (Docs. 12, 18, 20, 23-25). We
consider defendants’ arguments below.
II. Legal Standard
Rule 12(b)(6) of the Federal Rules of Civil Procedure provides for the
dismissal of complaints that fail to state a claim upon which relief may be granted.
FED. R. CIV. P. 12(b)(6). When ruling on a motion to dismiss under Rule 12(b)(6), the
court must “accept all factual allegations as true, construe the complaint in the light
most favorable to the plaintiff, and determine whether, under any reasonable
reading of the complaint, the plaintiff may be entitled to relief.” Phillips v. County
of Allegheny, 515 F.3d 224, 233 (3d Cir. 2008) (quoting Pinker v. Roche Holdings,
Ltd., 292 F.3d 361, 374 n.7 (3d Cir. 2002)). In addition to reviewing the facts
contained in the complaint, the court may also consider “exhibits attached to the
complaint, matters of public record, [and] undisputedly authentic documents if the
complainant’s claims are based upon these documents.” Mayer v. Belichick, 605
F.3d 223, 230 (3d Cir. 2010) (citing Pension Benefit Guar. Corp. v. White Consol.
Indus., Inc., 998 F.2d 1192, 1196 (3d Cir. 1993)).
Federal notice and pleading rules require the complaint to provide “the
defendant fair notice of what the . . . claim is and the grounds upon which it rests.”
Phillips, 515 F.3d at 232 (alteration in original) (quoting Bell Atl. Corp. v. Twombly,
550 U.S. 544, 555 (2007)). To test the sufficiency of the complaint, the court conducts
a three-step inquiry. See Santiago v. Warminster Township, 629 F.3d 121, 130-31
(3d Cir. 2010). In the first step, “the court must ‘tak[e] note of the elements a
plaintiff must plead to state a claim.’” Id. at 130 (alteration in original) (quoting
Ashcroft v. Iqbal, 556 U.S. 662, 675 (2009)). Next, the factual and legal elements of a
claim must be separated; well-pleaded facts are accepted as true, while mere legal
conclusions may be disregarded. Id. at 131-32; see Fowler v. UPMC Shadyside, 578
F.3d 203, 210-11 (3d Cir. 2009). Once the court isolates the well-pleaded factual
allegations, it must determine whether they are sufficient to show a “plausible claim
for relief.” Iqbal, 556 U.S. at 679 (citing Twombly, 550 U.S. at 556); Twombly, 550
U.S. at 556. A claim is facially plausible when the plaintiff pleads facts “that allow[]
the court to draw the reasonable inference that the defendant is liable for the
misconduct alleged.” Iqbal, 556 U.S. at 678.
Courts must liberally construe complaints brought by pro se litigants. Sause
v. Bauer, 585 U.S. __, 138 S. Ct. 2561, 2563 (2018). Pro se complaints, “however
inartfully pleaded, must be held to less stringent standards than formal pleadings
drafted by lawyers.” Erickson v. Pardus, 551 U.S. 89, 94 (2007) (quoting Estelle v.
Gamble, 429 U.S. 97, 106 (1976)).
III. Discussion
A. Horan’s Claims
Horan brings his constitutional claims under 42 U.S.C. § 1983. Section 1983
creates a private cause of action to redress constitutional wrongs committed by
state officials. 42 U.S.C. § 1983. The statute is not a source of substantive rights, but
serves as a mechanism for vindicating rights otherwise protected by federal law.
See Gonzaga Univ. v. Doe, 536 U.S. 273, 284-85 (2002); Kneipp v. Tedder, 95 F.3d
1199, 1204 (3d Cir. 1996). To state a Section 1983 claim, plaintiffs must show a
deprivation of a “right secured by the Constitution and the laws of the United
States . . . by a person acting under color of state law.” Kneipp, 95 F.3d at 1204
(quoting Mark v. Borough of Hatboro, 51 F.3d 1137, 1141 (3d Cir. 1995)).
We first address the claim that Horan’s placement in SCI-Camp Hill and the
revocation of his Z-Code violated his rights under the Eighth and Fourteenth
Amendments. This claim will be dismissed. Prisoners do not have constitutional
rights to placement in a particular prison, Olin v. Wakinekona, 461 U.S. 238, 244-46
(1983), or placement in a single cell. Rhode v. Chapman, 337, 345-49 (1981); see also
Hodges v. Wilson, 341 F. App’x 846, 849 (3d Cir. 2009) (nonprecedential)4 (holding
that revocation of prisoner’s Z-Code did not violate constitution because there is no
constitutional right to single-cell status).
4 The court acknowledges that nonprecedential decisions are not binding
upon federal district courts. Citations to nonprecedential decisions reflect that the
court has carefully considered and is persuaded by the panel’s ratio decidendi.
The complaint also fails to state a claim upon which relief may be granted to
the extent it alleges deliberate indifference to the risk of harm by Horan’s cellmates.
Claims of deliberate indifference to a risk of harm require plaintiff to show (1) he
was incarcerated under conditions posing a substantial risk of serious harm, (2) the
defendant was deliberately indifferent to that risk, and (3) the defendant’s
deliberate indifference caused the plaintiff harm. Bistrian v. Levi, 696 F.3d 352, 366
(3d Cir. 2012) (quoting Farmer v. Brennan, 511 U.S. 825, 833 (1994)), abrogated in
nonrelevant part as recognized by Mack v. Yost, 968 F.3d 311, 319 n.7 (3d Cir. 2020).
The first element is an objective inquiry of whether the official “knowingly and
unreasonably disregarded an objectively intolerable risk of harm.” Beers-Capitol v.
Wetzel, 256 F.3d 120, 132 (3d Cir. 2001). The second element is subjective: “the
prison official-defendant must actually have known or been aware of the excessive
risk to inmate safety.” Bistrian, 696 F.3d at 367 (quoting Beers-Capitol, 256 F.3d at
125).
Horan’s complaint does not allege that any of his cellmates posed a
substantial risk of serious harm to him. First, the complaint alleges that Bowen
stabbed a cellmate before he became Horan’s cellmate, but there is no allegation of
any risk that Bowen would assault Horan specifically. By itself the risk that an
inmate with a history of violence will attack another inmate for some unknown
reason is too speculative to support an Eighth Amendment claim. See id at 371
(“Thus, according to Bistrian, the risk of the harm that occurred was the risk that
an inmate with a history of violence might attack another inmate for an unknown
reason. We cannot conclude on these allegations that prison officials were
deliberately indifferent to such a speculative risk.”); see also Blackstone v.
Thompson, 568 F. App’x 82, 84 (3d Cir. 2014) (“The risk that an inmate with some
history of violence might attack another inmate for an unknown reason, however, is
too speculative to give rise to an Eighth Amendment claim.”). Moreover, Bowen
was removed from Horan’s cell after one day, (see Doc. 1-1 at 8), so any risk to
Horan’s safety that may have been present was ameliorated by Bowen’s prompt
transfer to another cell.
Second, the complaint alleges that Sarginger had Hepatitis C, but there is no
allegation that sharing a cell with Sarginger led to an increased risk that Horan
would contract the disease. The fact that Sarginger had the disease is not sufficient
to state an Eighth Amendment claim. Cf. Goss v. Sullivan, 839 F. Supp. 1532, 1536-
37 (D. Wyo. 1993) (collecting cases for the proposition that prison officials do not
violate the Eighth Amendment by housing inmates with cellmates who have tested
positive for HIV or AIDS); Feigley v. Fulcomer, 720 F. Supp. 475, 482 (M.D. Pa. 1989)
(concluding that prison officials did not violate the Eighth Amendment by failing to
segregate inmates who tested positive for HIV or AIDS from other inmates).
Third, the allegation that McLelland had recently been quarantined for a
suspected COVID-19 infection prior to moving into Horan’s cell is not sufficient to
state an Eighth Amendment claim. It is not alleged that McLelland was actually
infected with COVID-19 at the time he was moved into the cell or that prison
officials were aware of such an infection. To the contrary, the complaint alleges
that Horan and McLelland tested positive for COVID-19 on the same day, February
26, 2021, sixteen days after McLelland was moved into the cell. (See Doc. 1-1 at 9).
The allegation that McLelland tested positive for COVID-19 while sharing a cell
with Horan is not by itself sufficient to allege deliberate indifference. See, e.g.,
Zuber v. Sorber, No. 22-CV-3661, 2023 WL 144437, at *4 (E.D. Pa. Jan. 9, 2023)
(concluding that plaintiff’s allegation that his cellmate had COVID-19 was not
sufficient to allege that prison officials were deliberately indifferent to plaintiff’s
health and safety).
Fourth, Horan’s vague allegations of “threats” by McLelland and McLothlin,
(see Doc. 1-1 at 9-10, 16), are not sufficient to support a deliberate indifference
claim. Horan does not allege the specific threats made by McLelland or McLothlin,
the context in which the threats were made, any supporting facts that would
indicate the threats were credible, or any supporting facts that would indicate that
the threats put Horan in substantial risk of serious harm. Absent such supporting
allegations, his conclusory assertions that he was threatened by McLelland and
McLothlin are not sufficient to state a deliberate indifference claim upon which
relief may be granted.
Fifth, Horan’s allegation that McLothlin stole $60 of personal property from
him also cannot support a deliberate indifference claim. Deliberate indifference to
theft of an inmate’s personal property by other inmates does not violate the Eighth
Amendment. See, e.g., Hunter v. Sherman, 49 F. App’x 611, 612 (6th Cir. 2002); Wa-
Gino v. Ariz. Dep’t of Corrs., 94 F.3d 654 (9th Cir. 1996); Brown v. Dep’t of Pub.
Safety & Corr. Servs., 383 F. Supp. 3d 519, 548 (D. Md. 2019).
Finally, the complaint does not allege any facts with respect to cellmates
Ricketts, Hake, Cook, or Gettemy beyond the fact that they were Horan’s cellmates
and that he had unspecified “problems” with Cook. (See Doc. 1-1 at 8, 10, 13, 16).
Hence, because the complaint fails to allege that any of Horan’s cellmates posed a
substantial risk of serious harm to him, we will dismiss the complaint to the extent
it asserts a claim for deliberate indifference to the risk of harm by cellmates.
Horan’s claims arising from purportedly inadequate mental health care and
medical care are governed by the deliberate indifference to a serious medical need
standard. Inmates of Allegheny Cnty. Jail v. Pierce, 612 F.2d 754, 763 (3d Cir. 1979).
To state a claim for deliberate indifference, a plaintiff must allege “(i) a serious
medical need, and (ii) acts or omissions by prison officials that indicate deliberate
indifference to that need.” Natale v. Camden Cty. Corr. Facility, 318 F.3d 575, 582
(3d Cir. 2003) (citing Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir. 1999)). 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 recognize the necessity for a
doctor’s attention.” Monmouth Cnty. Corr. Institutional Inmates v. Lanzaro, 834
F.2d 326, 347 (3d Cir. 1987). In addition, “if unnecessary and wanton infliction of
pain results as a consequence of denial or delay in the provision of adequate
medical care, the medical need is of the serious nature contemplated by the eighth
amendment.” Id. (citation omitted). A prison official acts with deliberate
indifference to an inmate’s serious medical needs when he “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.
Negligence by defendants is not sufficient to establish deliberate indifference
to a serious medical need. Id. at 835. “Where a prisoner has received some medical
attention and the dispute is over the adequacy of the treatment, federal courts are
generally reluctant to second guess medical judgments and to constitutionalize
claims which sound in state tort law.” Palakovic v. Wetzel, 854 F.3d 209, 228 (3d Cir.
2017) (quoting United States ex rel. Walker v. Fayette County, 599 F.2d 573, 575 n.2
(3d Cir. 1979)). It is not appropriate for courts to second-guess the “propriety or
adequacy of a particular course of treatment;” such decisions remain questions “of
sound professional judgment” that are not considered deliberate indifference. Id.
(quoting Pierce, 612 F.2d at 762).
Based on his own factual allegations in the operative complaint, Horan does
not assert a plausible deliberate indifference claim for failure to provide medical
care. The complaint reflects that defendants diligently treated all his symptoms
and sought to diagnose causes for the symptoms. According to the complaint,
medical professionals employed in the prison provided treatment for Horan’s
symptoms on April 26, 2021, June 21, 2021, July 6, 2021, July 14, 2021, July 27, 2021,
August 17, 2021, September 7, 2021, September 21, 2021, September 27, 2021,
October 4, 2021, October 6, 2021, October 18, 2021, October 28, 2021, December 6,
2021, January 3, 2022, January 14, 2022, and March 3, 2022. (Doc. 1-1 at 10-15).
Medical personnel also prescribed Horan several medications to treat his
symptoms, including Celebrex, Prednisone, Doxycycline, and Mobic; assigned him
bottom bunk status; ordered him to receive a new mattress; vaccinated him against
COVID-19; sent him to appointments with an outside rheumatologist on two
separate occasions; gave him excused absences from his job for more than a month;
and diagnosed rheumatoid arthritis, Lyme disease, and COVID-19 as likely causes
for his symptoms. (Id. at 10-13). Horan may disagree with defendants’ decisions or
believe that he should be receiving more care than he is receiving, but that is not
sufficient for the deliberate indifference claim to proceed. See Palakovic, 854 F.3d
at 228 (noting that disagreement as to the adequacy of treatment provided to
plaintiff is not sufficient to establish deliberate indifference).
The complaint does, however, state a claim for deliberate indifference based
on the purportedly insufficient mental health care provided to Horan. Horan’s
suicidal ideations and attempted suicide are sufficient to allege a serious medical
need. See id. at 222-23 (noting that past suicide attempts may establish plaintiff’s
particular vulnerability to suicide and serious medical need for mental health
treatment). Although the complaint shows that mental health professionals5 met
with Horan to discuss his mental health on numerous occasions between April 2020
and June 2022, Horan alleges that these meetings were little more than pro forma
interactions conducted at the side of his cell, often within earshot of his cellmate.
(See Doc. 1-1 at 6-17). We find this sufficient to allege deliberate indifference to
Horan’s serious medical need for mental health care. See Sides v. Wetzel, No. 2:20-
5 Defendant Cyrus was a party to several of these meetings, and we construe
the complaint to fairly allege that Cyrus was acting as a mental health professional
during said meetings. (See Doc. 1-1 at 7). Defendants dispute the contention that
Cyrus is a mental health professional. (See Doc. 12 at 14). But we must accept
plaintiff’s allegations of fact as true for purposes of resolving the motions to dismiss.
See Santiago, 629 F.3d at 131-32.
CV-1168, 2021 WL 8017811 (W.D. Pa. Nov. 21, 2021), report and recommendation
adopted, Sides v. Wetzel, No. 2:20-CV-1168, 2022 WL 1091915, at *1 (W.D. Pa. Apr.
12, 2022) (finding allegation that prison officials conducted only short visits at cell
door sufficient to allege deliberate indifference to serious medical need in light of
plaintiff having suicidal and homicidal thoughts, hearing voices in his head, and
attempting suicide).6
The complaint also states a claim against Gross for deliberate indifference to
the risk that Horan would commit suicide. To establish deliberate indifference to
risk of suicide, plaintiff must show (1) that he had a particular vulnerability to
6 Horan argues that Sides and Dooley v. Wetzel, 957 F.3d 366 (3d Cir. 2020),
entitle him to more mental health treatment than he is currently receiving because:
(1) he has been diagnosed with a serious mental illness and (2) he entered a plea of
GBMI. (See Doc. 20 at 11-12; Doc. 25 at 8). Horan misapprehends the holdings of
Dooley and Sides.
In Dooley, the plaintiff alleged that because he pleaded GBMI in his
underlying criminal trial he was entitled to greater mental health care. Dooley, 957
F.3d at 370. The district court dismissed the complaint without leave to amend as
frivolous, but the court of appeals affirmed in part and vacated in part, holding that
the complaint failed to state a claim, but that amendment could cure the
complaint’s defects. Id. at 373-76. Dooley thus stands for the well-established
proposition that the district court should permit leave to amend before dismissing a
civil rights claim for failure to state a claim upon which relief may be granted; it
does not establish a constitutional minimum amount of mental health care that
must be provided to inmates.
In Sides, the plaintiff alleged that short visits from a prison psychologist at
his cell door were constitutionally inadequate and the court denied the defendant’s
motion to dismiss for failure to state a claim upon which relief may be granted.
Sides, 2021 WL 8017811, at *2, 10-11. Sides does not establish a per se rule requiring
prison officials to provide a certain level of mental health care for inmates who have
been diagnosed as mentally ill; it simply finds that the plaintiff’s allegations were
sufficient to state a deliberate indifference claim upon which relief could be
granted.
suicide, meaning that there was a strong likelihood he would attempt suicide rather
than a mere possibility; (2) that defendant knew or should have known of plaintiff’s
particular vulnerability to suicide; and (3) that defendant acted with reckless or
deliberate indifference to plaintiff’s vulnerability to suicide. Palakovic, 854 F.3d at
223-24. Knowledge of a plaintiff’s particular vulnerability to suicide may be shown
by, for example, evidence that defendant knew that plaintiff had a history of suicide
attempts. Id. at 222-23. Horan alleges that he told Gross he had “taken a whole
bottle of pills and slit [his] wrists,” that he showed Gross the wounds he suffered,
and that Gross did nothing in response. (Doc. 1-1 at 7). We find this sufficient to
allege that Gross was aware of Horan’s particular vulnerability to suicide based on a
past suicide attempt and that Gross was deliberately indifferent to the particular
vulnerability. See Palakovic, 854 F.3d at 222-24.
Horan’s claims against defendants Harry and Fells will be dismissed, as
Horan has failed to allege their personal involvement. A defendant cannot be liable
for a violation of a plaintiff’s civil rights unless the defendant was personally
involved in the violation. Jutrowski v. Twp. of Riverdale, 904 F.3d 280, 289 (3d Cir.
2018). The defendant’s personal involvement cannot be based solely on a theory of
respondeat superior. Rode v. Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1988).
Rather, for a supervisor to be liable for the actions of a subordinate, there must be
allegations of personal direction or actual knowledge and acquiescence. Id. A
defendant’s review and denial of a prisoner’s grievance is not sufficient to establish
the defendant’s personal involvement in an underlying violation of the prisoner’s
constitutional rights. Dooley, 957 F.3d at 374. The complaint does not allege that
Harry was personally involved in any of the alleged violations of Horan’s civil rights.
Rather, it appears that Horan’s claims against Harry are based solely on her role as
superintendent and her denial of Horan’s grievances, neither of which is sufficient
to allege personal involvement. See id.; Rode, 845 F.2d at 1207. Similarly, the only
allegation of Fells’s personal involvement is that she attended a meeting on March
10, 2022 with Horan and mental health professionals who were involved in his
treatment. (See Doc. 1-1 at 15). It is not alleged that Fells provided mental health
treatment to Horan or that she directed the other defendants to provide deficient
mental health treatment to Horan. Hence, we will dismiss the claims against Harry
and Fells for lack of personal involvement.
Finally, we will dismiss Horan’s claims for violations of the Pennsylvania
Constitution. Pennsylvania law does not recognize a cause of action allowing a
plaintiff to recover money damages for violation of the Pennsylvania Constitution.
Mt. Airy #1, LLC v. Pa. Dep’t of Revenue and Elieen McNulty, 154 A.3d 268, 280
n.11 (Pa. 2016).
B. Exhaustion of Administrative Remedies
Defendant Wanga argues that all claims against him should be dismissed for
failure to exhaust administrative remedies. (Doc. 18 at 4-6). Wanga represents that
Horan has only filed one grievance that pertain to his claims against Wanga and
that he did not complete the prison’s administrative appeal process with respect to
this grievance. (Id. at 5). Horan responds that the prison did not comply with its
own rules for timely returning his grievance to him and that contrary to Wanga’s
assertion, Horan filed nine additional grievances that implicate Wanga. (Doc. 25 at
4-5). Wanga has not responded to Horan’s argument.
Under the Prison Litigation Reform Act (“PLRA”), prisoners complaining
about the conditions of their confinement must exhaust available administrative
remedies before they may file suit in federal court. 42 U.S.C. § 1997e(a). The PLRA
requires proper exhaustion, meaning plaintiffs must administratively grieve their
claims in accordance with the procedural rules of the prison in which they are
incarcerated. Downey v. Pa. Dep’t of Corr., 968 F.3d 299, 305 (3d Cir. 2020) (citing
Woodford v. Ngo, 548 U.S. 81, 88 (2006)). Failure to exhaust administrative
remedies is an affirmative defense that defendants must plead and prove; it is not a
pleading requirement for plaintiffs. Jones v. Bock, 549 U.S. 199, 216 (2007). The
defense may be raised in a motion to dismiss. Brown v. Croak, 312 F.3d 109 (3d Cir.
2002).
We find that defendant Wanga has not met his burden to establish that
Horan’s complaint should be dismissed for failure to exhaust administrative
remedies. Wanga represents that Horan only brought one grievance against him
and that he failed to exhaust that grievance, (doc. 18 at 4-6), while Horan represents
that the grievance process was unavailable to him and that he filed nine additional
grievances against Wanga that Wanga failed to mention. (Doc. 25 at 4-5). Hence,
there are questions of fact as to whether Horan exhausted administrative remedies
that cannot be resolved at this stage of litigation.
C. Leave to Amend
Before dismissing a civil rights complaint for failure to state a claim upon
which relief may be granted, a district court must permit a curative amendment
unless the amendment would be inequitable or futile. Phillips, 515 F.3d at 245. We
find that amendment would be futile to the extent Horan alleges that his placement
in SCI-Camp Hill or the revocation of his Z-Code violated his constitutional rights
because those claims fail as a matter of law. For the same reason, we find that
amendment would be futile as to Horan’s claims that defendants violated the
Pennsylvania Constitution. But we will grant leave to amend as to the other
dismissed claims because those claims are factually, rather than legally, deficient.
D. Joinder
DOC defendants argue that because some claims have been allowed to
proceed or have been dismissed without prejudice, the claims should be severed
into separate lawsuits because they are misjoined in violation of Federal Rule of
Civil Procedure 20. (Doc. 12 at 6 n.2). Under Rule 20, claims against multiple
defendants may be joined in the same action only if:
(A) any right to relief is asserted against them jointly, severally, or in
the alternative with respect to or arising out of the same transaction,
occurrence, or series of transactions or occurrences; and
(B) any question of law or fact common to all defendants will arise in
the action.
See Fed. R. Civ. P. 20(a)(2). The decision of whether to sever misjoined claims is left
to the discretion of the district court, DirecTV, Inc. v. Leto, 467 F.3d 842, 844 (3d Cir.
2006), and claims may be severed “at any time.” FED. R. CIV. P. 21. In deciding
whether severance is appropriate, the court may consider, inter alia, “promotion of
the expeditious resolution of the litigation.” Russell v. Chesapeake Appalachia,
L.L.C., 305 F.R.D. 78, 81 (M.D. Pa. 2015).
The court will decline to sever Horan’s claims at this time. In light of the
court’s analysis of the merits of defendants’ motions to dismiss, the case is currently
proceeding only as to plaintiff’s retaliation claim, his deliberate indifference claim
arising from allegedly deficient mental health treatment, and his deliberate
indifference to risk of suicide claim. Given the uncertainty as to whether plaintiff
will amend his complaint and whether the pleading defects identified by the court
will be remedied by amendment, the court finds that denial of the request to sever
is appropriate at this time to promote the expeditious resolution of the litigation.
See Russell, 305 F.R.D. at 81. If future proceedings demonstrate the necessity of
severance, the court will sever plaintiff’s claims as necessary.
IV. Conclusion
We will grant in part and deny in part DOC defendants’ motion to dismiss
(Doc. 4), deny defendant Wanga’s motion to dismiss (Doc. 11), and grant plaintiff
leave to amend. An appropriate order shall issue.
/S/ CHRISTOPHER C. CONNER
Christopher C. Conner
United States District Judge
Middle District of Pennsylvania
Dated: February 7, 2023