holding local governments can be sued under § 1983 for constitutional deprivations made pursuant to custom or policy
How later courts described this case
- holding local governments can be sued under § 1983 for constitutional deprivations made pursuant to custom or policy
- providing that “a complaint must allege that the defendants were personally involved in the alleged deprivation of federal rights” to state a claim upon which relief may be granted
- stating that “Section 1983 does not itself create any constitutional rights; it creates a right of action for the vindication of constitutional guarantees found elsewhere”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF TENNESSEE
AT KNOXVILLE
BENNY CHRIS LOWE, )
) Case No. 3:20-cv-416
Plaintiff, )
) Judge Travis R. McDonough
v. )
) Magistrate Judge H. Bruce Guyton
ANDERSON COUNTY, TENNESSEE, )
and RIDGEVIEW MENTAL HEALTH, )
)
Defendants.
MEMORANDUM AND ORDER
Plaintiff, a prisoner proceeding pro se in a civil rights action for violation of 42 U.S.C. §
1983, has filed an amended complaint that is before the Court for screening in compliance with
the Prison Litigation Reform Act (“PLRA”) (Doc. 6).
I. SCREENING STANDARD
Under the PLRA, district courts must screen prisoner complaints and sua sponte dismiss
any claims that are frivolous or malicious, fail to state a claim for relief, or are against a
defendant who is immune. See, e.g., 28 U.S.C. §§ 1915(e)(2)(B) and 1915A; Benson v. O’Brian,
179 F.3d 1014 (6th Cir. 1999). The dismissal standard articulated by the Supreme Court in
Ashcroft v. Iqbal, 556 U.S. 662 (2009) and in Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007)
“governs dismissals for failure state a claim under [28 U.S.C. §§ 1915(e)(2)(B) and 1915A]
because the relevant statutory language tracks the language in Rule 12(b)(6)” of the Federal
Rules of Civil Procedure. Hill v. Lappin, 630 F.3d 468, 470-71 (6th Cir. 2010). Thus, to survive
an initial review under the PLRA, a complaint “must contain sufficient factual matter, accepted
as true, to ‘state a claim to relief that is plausible on its face.’” Iqbal, 556 U.S. at 678 (quoting
Twombly, 550 U.S. at 570).
Courts liberally construe pro se pleadings filed in civil rights cases and hold them to a
less stringent standard than formal pleadings drafted by lawyers. Haines v. Kerner, 404 U.S.
519, 520 (1972). However, allegations that give rise to a mere possibility that a plaintiff might
later establish undisclosed facts supporting recovery are not well-pled and do not state a
plausible claim. Twombly, 550 U.S. at 555, 570. Further, formulaic and conclusory recitations
of the elements of a claim which are not supported by specific facts are insufficient to state a
plausible claim for relief. Iqbal, 556 U.S. at 681.
In order to state a claim under 42 U.S.C. § 1983, a plaintiff must establish that he was
deprived of a federal right by a person acting under color of state law. Braley v. City of Pontiac,
906 F.2d 220, 223 (6th Cir. 1990) (stating that “Section 1983 does not itself create any
constitutional rights; it creates a right of action for the vindication of constitutional guarantees
found elsewhere”).
II. ALLEGATIONS OF AMENDED COMPLAINT
At all times relevant to this action, Plaintiff was an inmate housed at the Anderson
County Detention Facility (“ACDF”). (Doc. 6). On August 30, 2020, Plaintiff submitted a
written medical request asking that he be placed on the “list to see the dentist” because he had a
tooth that needed to be pulled. (Doc. 5, at 2; Doc. 6, at 3.) Nurse Artz answered the request with
a notation that Plaintiff had been added “to the dental list.” (Doc. 5, at 2; Doc. 6, at 3.)
Thereafter, Plaintiff filed grievances on September 6, 2020; September 13, 2020; September 22,
2020; and September 25, 2020 complaining that he had not yet seen the dentist. (Doc. 5, at 1, 3-
5.) Nurse Artz answered Plaintiff’s first three grievances and advised Plaintiff that he was on the
list to see the dentist. (Doc. 5, at 1, 3-4; Doc. 6, at 3.) On September 22, 2020 and September 25,
2020, Plaintiff was additionally advised that he should place a sick call request if he was having
new symptoms or pain. (Doc. 5, at 4-5.) On September 25, 2020, Lt. Fenton responded to the
grievance Plaintiff filed that day, advising Plaintiff that he was on the dentist’s list and that
Nurse Artz would visit him to evaluate his tooth. (Id. at 5.) Nurse Artz came to evaluate Plaintiff
on September 30, 2020, and she gave him ibuprofen for pain but did not provide Plaintiff with
antibiotics. (Doc. 6, at 4.) Plaintiff asks the Court to hold Anderson County “accountable” for
the alleged denial of his right to dental care. (Id. at 5.)
III. ANALYSIS
A. Absence of Factual Allegations
Initially, the Court notes that it ordered Plaintiff to file an amended complaint after
advising him of deficiencies in his initial complaint, and that the amended complaint would serve
as the operative pleading in this case. (See Doc. 4, at 3.) Despite the Court’s instructions,
Plaintiff’s amended complaint contains no allegations of wrongdoing by Ridgeview Mental
Health or Amber Alle. As such, these Defendants will be DISMISSED. See, e.g., Frazier v.
Michigan, 41 F. App’x 762, 764 (6th Cir. 2002) (providing that “a complaint must allege that the
defendants were personally involved in the alleged deprivation of federal rights” to state a claim
upon which relief may be granted).
B. Grievances
Plaintiff lodges a complaint that Defendants Artz and Fenton responded to his grievances
in an unsatisfactory matter. However, the Court notes that inmates have no constitutional right
to a grievance procedure, and they therefore have no interest in having any such grievances
satisfactorily resolved. LaFlame v. Montgomery Cnty. Sheriff’s Dep’t, 3 F. App’x 346, 348 (6th
Cir. 2001) (citing Antonelli v. Sheahan, 81 F.3d 1422, 1430 (7th Cir. 1996)). Moreover, Lt.
Fenton cannot be held liable for failing to take further action in response to Plaintiff’s
grievances, as “[t]he ‘denial of administrative grievances or the failure to act’ by prison officials
does not subject supervisors to liability under § 1983.” Grinter v. Knight, 532 F.3d 567, 576 (6th
Cir. 2008) (quoting Shehee v. Luttrell, 199 F.3d 295, 300 (6th Cir. 1999)). Therefore, Defendant
Lt. Fenton will be DISMISSED from this action, and any claim against Defendant Artz with
regard to her grievance responses will be DISMISSED.
C. Dental Care
The Eighth Amendment obligates prison authorities to provide medical care to
incarcerated individuals. Estelle v. Gamble, 429 U.S. 102, 103-04 (1976). This provision is
violated when a prison official is deliberately indifferent to the serious medical needs of a
prisoner. Id. at 104-05; Comstock v. McCrary, 273 F.3d 693, 702 (6th Cir. 2001). A prisoner
claiming the deprivation of adequate medical care must meet both an objective and subjective
component. Farmer v. Brennan, 511 U.S. 825, 834 (1994). That is, Plaintiff must allege that (1)
the medical need is sufficiently serious (the objective component) by demonstrating that he is
incarcerated under conditions posing a substantial risk of harm; and (2) the official acted with
“deliberate indifference” (the subjective component) in that the official was “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.” Id. at 834-837.
In the Sixth Circuit, “[d]ental needs fall into the category ‘of serious medical needs’
because ‘[d]ental care is one of the most important needs of inmates.’” Flanory v. Bonn, 604
F.3d 249, 253 (6th Cir. 2010) (quoting McCarthy v. Place, 313 F. App’x 810, 814 (6th Cir.
2008)). Whether a plaintiff has stated a cognizable claim for inadequate dental care “can be
based on various factors, such as the pain suffered by the plaintiff, the deterioration of the teeth
due to a lack of treatment, or the inability to engage in normal activities.” Id. (quoting Chance v.
Armstrong, 143 F.3d 698, 703 (2nd Cir. 1998)).
1. Nurse Artz
Plaintiff complains that Defendant Artz failed to treat him with antibiotics. However, a
prisoner cannot state a claim of deliberate indifference merely by suggesting that he should have
been afforded an alternate or additional treatment. See Estelle, 429 U.S. at 107 (holding
prisoner’s difference of opinion regarding diagnosis or treatment does not rise to level of Eighth
Amendment violation). Moreover, Plaintiff concedes that Defendant Nurse Artz placed him on
the waiting list to see the dentist, she evaluated his ailing tooth, and she provided him with pain
medication. (See, e.g., Docs. 5 and 6.) Therefore, Plaintiff has not alleged any facts from which
this Court could plausibly infer that Defendant Nurse Artz was deliberately indifferent to his
serious dental needs, and she will be DISMISSED from this action.
2. Anderson County
Plaintiff also alleges that Defendant Anderson County, Tennessee (“Anderson County”)
is liable for denial of dental treatment alleged in the amended complaint. However, for
Anderson County to be responsible, Plaintiff must identify some county policy or custom that
caused his injuries. See Monell v. Dep’t of Soc. Servs. of New York, 436 U.S. 658, 690-91 (1978)
(holding local governments can be sued under § 1983 for constitutional deprivations made
pursuant to custom or policy). The Supreme Court has held:
Locating a “policy” ensures that a municipality is held liable only for those
deprivations resulting from the decisions of its duly constituted legislative body or
of those officials whose acts may fairly be said to be those of the municipality.
Similarly, an act performed pursuant to a “custom” that has not been formally
approved by an appropriate decisionmaker may fairly subject a municipality to
liability on the theory that the relevant practice is so widespread as to have the force
of law.
Bd. of County Commr’s v. Brown, 520 U.S. 397, 403-04 (1997) (citation and internal citation
omitted).
Plaintiff alleges that he first requested dental treatment on August 30, 2020, and that he
still had not been treated by the dentist as of September 30, 2020. (See, generally, Doc. 6.)
Liberally construing Plaintiff’s complaint in his favor, the Court finds Plaintiff has plausibly
alleged that Anderson County’s practice and/or custom of not having a dentist available to render
emergency treatment is tantamount to deliberate indifference to Plaintiff’s serious dental needs.
Accordingly, the Court will allow Plaintiff’s claim for the denial of dental treatment to
PROCEED against Defendant Anderson County.
IV. CONCLUSION
For the reasons set forth above:
1. Plaintiff’s claim that Defendant Anderson County violated his Eighth Amendment
right to adequate dental treatment will PROCEED;
2. The Clerk is DIRECTED to send Plaintiff a service packet (a blank summons and
USM 285 form) for Defendant Anderson County;
3. Plaintiff is ORDERED to complete the service packet and return it to the Clerk’s
Office within twenty-one days of entry of this memorandum and order. At that
time, the summons will be signed and sealed by the Clerk and forwarded to the U.S.
Marshal for service pursuant to Fed. R. Civ. P. 4;
4. Plaintiff is NOTIFIED that failure to return the completed service packet within
the time required will result in dismissal of this action for want of prosecution
and/or failure to follow Court orders;
5. Defendant Anderson County shall answer or otherwise respond to the complaint
within twenty-one days from the date on which it is served;
6. If Defendant Anderson County fails to timely respond to the complaint, any such
failure may result in entry of judgment by default;
7. All other claims and Defendants are DISMISSED; and
8. Plaintiff is ORDERED to immediately inform the Court and Defendants or their
counsel of record of any address changes in writing. Pursuant to Local Rule 83.13,
it is the duty of a pro se party to promptly notify the Clerk and the other parties to
the proceedings of any change in his or her address, to monitor the progress of the
case, and to prosecute or defend the action diligently. E.D. Tenn. L.R. 83.13.
Failure to provide a correct address to this Court within fourteen days of any change
in address may result in the dismissal of this action.
SO ORDERED.
/s/ Travis R. McDonough
TRAVIS R. MCDONOUGH
UNITED STATES DISTRICT JUDGE