“State governments and entities that can be considered arms of the state are immune from suits for money damages under the Eleventh Amendment.”
How later courts described this case
- “State governments and entities that can be considered arms of the state are immune from suits for money damages under the Eleventh Amendment.”
- finding that when defendants delay attending to a serious medical need for non-medical reasons, “their conduct in causing the delay creates the constitutional infirmity,” as “the delay alone in providing medical care creates a substantial risk of serious harm”
- finding objective component met where inmate “did not suffer from a long- term and well monitored illness, but rather exhibited obvious manifestations of pain and injury” including prior complaints of “sharp and severe” stomach pain and vomiting
- distinguishing Speers v. County of Berrien, 196 F. App’x 390, 398–99 (6th Cir. 2006
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT FOR THE
MIDDLE DISTRICT OF TENNESSEE
NASHVILLE DIVISION
SIMANU MAGEO, JR., )
)
Plaintiff, )
)
v. ) NO. 3:21-cv-00216
)
TONY MAYS, et al., ) JUDGE RICHARDSON
)
Defendants. )
MEMORANDUM OPINION
Before the Court is a pro se Complaint for alleged violation of civil rights (Doc. No. 1)
filed pursuant to 42 U.S.C. § 1983 by Plaintiff Simanu Mageo, Jr., an inmate of the Riverbend
Maximum Security Institution (RMSI) in Nashville, Tennessee. With his Complaint, Plaintiff also
filed a motion to appoint counsel (Doc. No. 2) and an application to proceed in forma pauperis
(IFP). (Doc. No. 3.)
The case is now before the Court for ruling on the IFP application and motion for counsel,
and for an initial review of the Complaint pursuant to the Prison Litigation Reform Act (PLRA),
28 U.S.C. §§ 1915(e)(2) and 1915A, and 42 U.S.C. § 1997e.
APPLICATION TO PROCEED IFP
Under the PLRA, 28 U.S.C. § 1915(a), a prisoner bringing a civil action may apply for
permission to file suit without prepaying the filing fee required by 28 U.S.C. § 1914(a). Because
it is apparent from Plaintiff’s IFP application that he lacks the funds to pay the entire filing fee in
advance, that application (Doc. No. 3) will be granted by separate Order.
INITIAL REVIEW OF THE COMPLAINT
I. PLRA SCREENING STANDARD
Pursuant to 28 U.S.C. § 1915(e)(2)(B), the Court must dismiss any IFP complaint that is
facially frivolous or malicious, fails to state a claim upon which relief may be granted, or seeks
monetary relief against a defendant who is immune from such relief. Similarly, Section 1915A
provides that the Court shall conduct an initial review of any prisoner complaint against a
governmental entity, officer, or employee, and shall dismiss the complaint or any portion thereof
if the defects listed in Section 1915(e)(2)(B) are identified. Under both statutes, this initial review
of whether the complaint states a claim upon which relief may be granted asks whether it contains
“sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face,”
such that it would survive a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6). Hill
v. Lappin, 630 F.3d 468, 470–71 (6th Cir. 2010) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678
(2009)).
“A claim has facial plausibility when the plaintiff pleads factual content that allows the
court to draw the reasonable inference that the defendant is liable for the misconduct alleged.”
Iqbal, 556 U.S. at 678. Applying this standard, the Court must view the complaint in the light most
favorable to Plaintiff and, again, must take all well-pleaded factual allegations as true. Tackett v.
M & G Polymers, USA, LLC, 561 F.3d 478, 488 (6th Cir. 2009) (citing Gunasekera v. Irwin, 551
F.3d 461, 466 (6th Cir. 2009) (citations omitted)). Furthermore, pro se pleadings must be liberally
construed and “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)). However,
pro se litigants are not exempt from the requirements of the Federal Rules of Civil Procedure,
Wells v. Brown, 891 F.2d 591, 594 (6th Cir. 1989), nor can the Court “create a claim which [a
plaintiff] has not spelled out in his pleading.” Brown v. Matauszak, 415 F. App’x 608, 613 (6th
Cir. 2011) (quoting Clark v. Nat’l Travelers Life Ins. Co., 518 F.2d 1167, 1169 (6th Cir. 1975)).
II. SECTION 1983 STANDARD
Plaintiff seeks to vindicate alleged violations of his rights under 42 U.S.C. § 1983. Section
1983 creates a cause of action against any person who, acting under color of state law, deprives an
individual of any right, privilege or immunity secured by the Constitution or federal laws.
Wurzelbacher v. Jones-Kelley, 675 F.3d 580, 583 (6th Cir. 2012). Thus, to state a Section 1983
claim, Plaintiff must allege two elements: (1) a deprivation of rights secured by the Constitution
or laws of the United States, and (2) that the deprivation was caused by a person acting under color
of state law. Carl v. Muskegon Cnty., 763 F.3d 592, 595 (6th Cir. 2014).
III. ANALYSIS
Plaintiff alleges that, sometime between 7:30 and 9:30 a.m. on May 21, 2020, he “was
aching with serious chest pain [and] collapsed to the floor” of his cell. (Doc. No. 1 at 4, 10.) It
appears that the inmate in the next cell alerted a guard, Sgt. Charles Stevens, who failed to respond,
but that Corporal Mark Gomez and Nurse Courtney Hudson subsequently responded to Plaintiff’s
cell. (Id. at 4–5, 10–11.) Gomez and Hudson “left a [‘]medical needed[’] post” but did not send
Plaintiff for immediate medical attention. (Id. at 4, 10–11.) Plaintiff heard Nurse Hudson say,
“[H]e’s alive I can see him breathing, he’s playing,” but Plaintiff could not respond because of the
serious pain he was experiencing. (Id. at 5, 11.) He alleges that he previously “passed out” in the
recreation yard at RMSI due to chest pains, as recorded in his “medical record chart.” (Id.) Gomez
and Hudson are alleged to have exhibited deliberate indifference by failing to “respond in a
reasonable manner” to the sight of Plaintiff lying on the floor of his cell. (Id. at 4–5, 11.) He was
left to lie on the floor “for over at least one and [a] half (1-1/2) to two (2) hours” before other
inmates alerted an unidentified guard that he needed “real medical assistance.” (Id. at 5, 11.)
Plaintiff was then sent to the RMSI infirmary, where the doctor examined him and sent him to
Centennial Hospital for evaluation of his chest pain. There is no allegation of any further symptoms
or diagnosis following Plaintiff’s visit to the hospital.
Plaintiff seeks compensatory and punitive damages due to Defendants’ deliberate
indifference to “the pain [he] ha[d] to suffer without knowing what’s wrong with Plaintiff.” (Id. at
5–6, 11–12.) He alleges that he filed a grievance against Stevens, Gomez, and Hudson for violating
his Eighth and Fourteenth Amendment rights by deliberately ignoring his medical needs. (Id. at 5,
11.) He sues these Defendants in their individual and official capacities, while also naming the
RMSI Warden, Tony Mays, and its Health Administrator, Melissa Adams, in their individual and
official capacities for “failure to train, failure to supervise, and failure to protect Plaintiff” from
the deliberate indifference of Stevens, Gomez, and Hudson. (Id. at 4–5.)
Plaintiff’s Eighth Amendment medical-care claim requires a plausible allegation of
deliberate indifference to a serious medical need. Darrah v. Krisher, 865 F.3d 361, 367 (6th Cir.
2017). Deliberate-indifference claims have both an objective and subjective component. The
objective component requires that Plaintiff’s chest pain and resulting collapse in his cell present a
sufficiently serious medical need, see Rhinehart v. Scutt, 894 F.3d 721, 737 (6th Cir. 2018)––i.e.,
“one that has been diagnosed by a physician as mandating treatment or one that is so obvious that
even a lay person would easily recognize the necessity for a doctor’s attention.” Harrison v. Ash,
539 F.3d 510, 518 (6th Cir. 2008) (citation and quotation marks omitted). The subjective
component requires that Defendants understood yet consciously disregarded his need for medical
treatment. See Rhinehart, 894 F.3d at 738. Deliberate indifference thus entails conduct that
“amounted to more than ordinary negligence or medical malpractice.” Atkins v. Parker, 972 F.3d
734, 739 (6th Cir. 2020) (citing Farmer v. Brennan, 511 U.S. 825, 835 (1994)). It has been
described as “something approaching a total unconcern for [the inmate’s] welfare in the face of
serious risks, or a conscious, culpable refusal to prevent harm.” Slone v. Lincoln Cnty., Ky., 242 F.
Supp. 3d 579, 591 (E.D. Ky. 2017) (quoting Duane v. Lane, 959 F.2d 673, 677 (7th Cir. 1992)).
Here, assuming the truth of Plaintiff’s allegations as the Court must at this initial stage, his
collapse and inability to respond to inquiry due to extreme chest pain establishes a need for medical
treatment that, at least for purposes of initial review, would be sufficiently obvious to a lay person
to satisfy the objective component of his claim. Cf. Blackmore v. Kalamazoo Cnty., 390 F.3d 890,
897 (6th Cir. 2004) (finding objective component met where inmate “did not suffer from a long-
term and well monitored illness, but rather exhibited obvious manifestations of pain and injury”
including prior complaints of “sharp and severe” stomach pain and vomiting). Moreover, the
allegation that Defendants Gomez and Hudson withheld immediate medical attention despite their
recognition that some response was needed, based on the observation that Plaintiff was breathing
and must therefore be “playing,” is sufficient at this point to establish a colorable claim to their
subjective culpability. See id. at 899 (finding that when defendants delay attending to a serious
medical need for non-medical reasons, “their conduct in causing the delay creates the
constitutional infirmity,” as “the delay alone in providing medical care creates a substantial risk of
serious harm”); see also Reeves v. Wallington, No. 06-10326, 2007 WL 1016979, at *12 (E.D.
Mich. Mar. 29, 2007) (“The test for deliberate indifference is whether there exists a ‘substantial
risk of serious harm,’ not whether it actually occurred. … When [shortness of breath and chest
pain] result in a trip to the emergency room–even if only to verify no permanent physical damage–
they have left the reservation of ‘de minimis’ and they have entered the domain where a jury could
find them to constitute actionable injury.”). This Eighth Amendment claim against Defendants
Gomez and Hudson in their individual capacity will be allowed to proceed for further development.
However, Plaintiff fails to state a colorable claim against Defendants Stevens, Mays, and
Adams in their individual capacity, or against any Defendant in their official capacity. Plaintiff’s
only allegation against Stevens is that he received and ignored a neighboring inmate’s report that
Plaintiff had collapsed in his cell (Doc. No. 1 at 4), during the same time frame in which
Defendants Gomez and Hudson responded to Plaintiff’s cell. This bare allegation does not support
a claim that Stevens––who did not observe Plaintiff collapsed in his cell––had any “obligation
under the Eighth Amendment to check on [Plaintiff] without . . . delay,” or that Stevens’s failure
to immediately respond to the inmate’s report otherwise breached a constitutional duty owed to
Plaintiff. Goode v. Berlanga, 646 F. App’x 427, 431 (6th Cir. 2016) (distinguishing Speers v.
County of Berrien, 196 F. App’x 390, 398–99 (6th Cir. 2006), where “guards, upon learning that
Speers was foaming at the mouth and observing him collapsed in his cell, should have contacted
medical personnel in response to Speers’s condition or tried to engage Speers verbally or enter his
cell,” rather than taking no action after another inmate asked them to check on Speers)). The
individual-capacity claim against Stevens will therefore be dismissed.
Plaintiff’s only individual-capacity allegation against Warden Mays and Health
Administrator Adams is that they failed to properly train or supervise Gomez and Hudson,
respectively, for whose actions Mays and Adams are allegedly responsible. (Doc. No.1 at 3–4.)
But “[Section] 1983 liability must be based on more than respondeat superior, or the right to
control employees,” and so “a supervisory official’s failure to supervise, control or train the
offending individual is not actionable unless the supervisor ‘either encouraged the specific incident
of misconduct or in some other way directly participated in it.’” Shehee v. Luttrell, 199 F.3d 295,
300 (6th Cir. 1999) (quoting Hays v. Jefferson County, Ky., 668 F.2d 869, 874 (6th Cir. 1982)).
“At a minimum a plaintiff must show that the official at least implicitly authorized, approved, or
knowingly acquiesced in the unconstitutional conduct of the offending officers.” Id. Plaintiff does
not allege that Mays or Adams participated in any way in his treatment by their subordinates on
May 21, 2020. The individual-capacity claims against them will be dismissed.
The official-capacity claims against Defendants Mays, Stevens, and Gomez must be
dismissed. “[I]ndividuals sued in their official capacities stand in the shoes of the entity they
represent,” Alkire v. Irving, 330 F.3d 802, 810 (6th Cir. 2003), and the State of Tennessee—which
employs these individuals as officials at RMSI—is, under the Eleventh Amendment, immune from
suit for damages. Id. at 814 (“State governments and entities that can be considered arms of the
state are immune from suits for money damages under the Eleventh Amendment.”); see also
Skinner v. Govorchin, 463 F.3d 518, 524 (6th Cir. 2006) (“[T]he Tenth and Eleventh Amendments
bar suits in federal court when the action is ‘in essence one for the recovery of money from the
state [and] the state is the real, substantial party in interest,’ which invariably will be the case when
the claimant sues a state employee in his official capacity.”) (quoting Edelman v. Jordan, 415 U.S.
651, 663 (1974)).
Finally, the official-capacity claims against Hudson and Adams are tantamount to claims
against their corporate employer, Centurion (see Doc. No. 1 at 6), and Section 1983 liability only
attaches to private corporations providing healthcare to state prisoners if the alleged harm is
causally related to the execution of a policy or custom of the corporation. See Starcher v. Corr.
Med. Sys., Inc., 7 F. App’x 459, 465 (6th Cir. 2001); Eads v. Tennessee, No. 1:18-cv-00042, 2018
WL 4283030, at *8 (M.D. Tenn. Sept. 7, 2018) (“It is clear that a private entity which contracts
with the state to perform a traditional state function such as providing medical services to prison
inmates may be sued under § 1983 as one acting under color of state law,” and that such an entity
“can be held responsible for an alleged constitutional deprivation only if there is a direct causal
link between a policy or custom of the [entity] and the alleged constitutional violation.” (citations
omitted)). No such corporate policy is identified in the Complaint, nor are Hudson and Adams
alleged to have acted or failed to act in accordance with any custom of Centurion.
Accordingly, Plaintiff will not be allowed to proceed with his official-capacity claims
against any Defendant.
MOTION TO APPOINT COUNSEL
Plaintiff has filed a Motion to Appoint Counsel. (Doc. No. 2.) An indigent plaintiff in a
civil action, unlike a criminal defendant, has no constitutional right to the appointment of counsel;
rather, the appointment of counsel in such cases is a privilege “justified only in exceptional
circumstances.” Miles v. Michigan Dep't of Corr., No. 19-2218, 2020 WL 6121438, at *4 (6th Cir.
Aug. 20, 2020) (citing Lanier v. Bryant, 332 F.3d 999, 1006 (6th Cir. 2003), and Lavado v.
Keohane, 992 F.2d 601, 606-07 (6th Cir. 1993)). As no such circumstances are yet readily
apparent, the Motion to Appoint Counsel will be denied without prejudice to renewal if
circumstances warrant after service of process is accomplished.
CONCLUSION
As explained above, the Complaint states a nonfrivolous Eighth Amendment claim against
Defendants Gomez and Hudson that will proceed for further development. Defendants Mays,
Adams, and Stevens will be dismissed from this action.
An appropriate Order will enter.
CL Ruel
UNITED STATES DISTRICT JUDGE