noting that under the Eighth Amendment test, violation of a policy is relevant
How later courts described this case
- noting that under the Eighth Amendment test, violation of a policy is relevant
- noting that a failure to treat an inmate’s known symptoms is deliberate indifference
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF NORTH CAROLINA
TIFFANY ADELE KING, as )
Administratrix of the Estate of Maurice )
Antoine King, )
)
Plaintiff, )
)
v. ) 1:21-CV-383
)
CHARLES S. BLACKWOOD, in his )
official capacity as Sheriff of Orange )
County, et al., )
)
Defendants. )
MEMORANDUM OPINION AND ORDER
Catherine C. Eagles, Chief District Judge.
In 2020, Maurice King was in federal custody at the Orange County jail. After he
pled guilty but before he was sentenced, inmates assaulted and killed him. The
administratrix of his estate sued the Sheriff and detention officers for violation of his
constitutional rights. After discovery, the defendants moved for summary judgment.
The Court previously resolved the motions as to all claims and defendants except
for one aspect of the § 1983 deliberate indifference claim against defendants Berry and
Linster: whether they are entitled to qualified immunity for their actions and inactions
from the time Mr. Berry first failed to look into Mr. King’s cell while performing a
security check after the assault through the time Mr. Berry finally entered Mr. King’s cell
to check on him. Because the evidence creates disputed questions of material fact, this
claim will proceed to trial.
I. Deliberate Indifference and Qualified Immunity
As summarized by the Magistrate Judge and adopted in the Court’s earlier
summary judgment order, the Fourteenth Amendment applies to the deliberate
indifference claims against Mr. Berry and Mr. Linster, Doc. 124 at 18; Doc. 132 at 4, and
the evidence is sufficient to show a Fourteenth Amendment violation on this point. Doc.
124 at 36–40; Doc. 132 at 2.
Qualified immunity shields government officials from liability unless the official
violated a “clearly established statutory or constitutional right[] of which a reasonable
person would have known.” King v. Riley, 76 F.4th 259, 264–65 (4th Cir. 2023) (quoting
Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982)); accord Ashcroft v. al-Kidd, 563 U.S.
731, 735 (2011). As the Magistrate Judge stated without objection, in 2020, the
defendants would have reasonably believed that the Eighth Amendment applied to the
conduct at issue. Doc. 124 at 19. So, despite the applicability of the Fourteenth
Amendment to the merits of the § 1983 claims, qualified immunity is evaluated under the
Eighth Amendment standard because that was the law at the time of the events at issue.
“Prison officials violate the Eighth Amendment’s cruel-and-unusual-punishment
clause when they are deliberately indifferent to a substantial risk to an inmate’s safety or
medical needs.” Riley, 76 F.4th at 264; see also Farmer v. Brennan, 511 U.S. 825, 828,
837 (1994). An Eighth Amendment violation requires a showing that the defendant
subjectively knew of and disregarded “an objectively serious condition, medical need, or
risk of harm.” De’lonta v. Johnson, 708 F.3d 520, 525 (4th Cir. 2013) (cleaned up).
Subjective knowledge of a risk can be shown by an official’s “refus[al] to verify
underlying facts that he strongly suspected to be true” or “to confirm inferences of risk
that he strongly suspected to exist.” Farmer, 511 U.S. at 843 n.8. In other words,
“contrived obliviousness to a medical need” can constitute subjective knowledge. Brice
v. Va. Beach Corr. Ctr., 58 F.3d 101, 106 (4th Cir. 1995).1
As the Magistrate Judge stated without objection, qualified immunity here turns on
whether a reasonable official in the defendants’ shoes would have understood that he was
violating both the objective and subjective standard. Doc. 124 at 19, 30 n.22 (citing
Mays v. Sprinkle, 992 F.3d 295, 301–02 (4th Cir. 2021)). So, the first issue for the Court
is whether there is a disputed question of material fact as to whether Mr. Berry and Mr.
Linster had subjective knowledge that Mr. King had an objectively serious medical need
and that their response was inadequate. If so, the second issue is whether a reasonable
officer objectively would have known that their failure to act was an Eighth Amendment
violation. As is always appropriate at summary judgment, the evidence is viewed in the
light most favorable to the non-moving party, here, the plaintiff. Bandy v. City of Salem,
59 F.4th 705, 709 (4th Cir. 2023).
II. Defendants’ Subjective Knowledge of Mr. King’s Need
“A plaintiff can meet the subjective knowledge requirement through direct
evidence of a prison official’s actual knowledge or circumstantial evidence tending to
1 See also Anderson v. Kingsley, 877 F.3d 539, 544–45 (4th Cir. 2017) (quoting a criminal
law treatise and noting that deliberate indifference is equivalent to criminal recklessness which
“may consist of intentional failure to take care in disregard of the probable harmful consequences
to [another] or of [another’s] right to care. What must be intended is the conduct, not the
resulting harm.”).
establish such knowledge,” Scinto v. Stansberry, 841 F.3d 219, 226 (4th Cir. 2016), and,
of course, the requirement can be met by a combination of the two. Mr. Berry and Mr.
Linster, unsurprisingly, do not admit that they had subjective knowledge of Mr. King’s
serious medical need and the inadequacy of their response. But there is enough evidence
to allow a jury to so find, viewing the evidence in the light most favorable to the plaintiff
and resolving all factual disputes in her favor.
During the relevant time, Mr. Berry and Mr. Linster knew Mr. King was in a high-
security segregation pod with violent inmates and a high risk of inmate-on-inmate
violence. Doc. 104 at ¶ 10; Doc. 105 at ¶ 10; see Doc. 124 at 37. They knew it was
important for detainee safety to look into cells on a regular basis and to keep an eye on
the pod through video monitors in the control room. Doc. 107-2 at 62, 100–101; Doc.
107-35 at 47, 57.2 They knew detainees had a constitutional right to be supervised in
order to protect them from known risks of assault and a constitutional right to have
emergency medical needs met with a timely response. Doc. 107-24 at 90–91. They
knew Mr. King had asthma and serious mental health issues. Doc. 107-5 at 216; see Doc.
124 at 9 n.10.3 They knew they had repeatedly failed to look into Mr. King’s cell during
their rounds despite clear policy requiring them to do so. See Doc. 124 at 7–8, 37–38; see
2 Citations use the pagination appended by the CM/ECF system, not any internal pagination
that may be included in exhibits.
3 The Magistrate Judge stated that “there is no evidence” that Mr. Berry and Mr. Linster
“even knew of Mr. King’s . . . medical history,” Doc. 124 at 21, but that conclusion does not
view the evidence in the light most favorable to the plaintiff. The Sheriff testified that detention
officers knew of Mr. King’s health issues from his booking report. Doc. 107-5 at 216.
also Short v. Hartman, 87 F.4th 593, 613 (4th Cir. 2023) (noting that under the Eighth
Amendment test, violation of a policy is relevant). They knew they were not monitoring
the pod common area through windows or video cameras, again in violation of policy. 4
See Doc 124 at 38–39. Rather, they were “cutting up” in the control room. Doc. 107-51
at 122–23.
On Mr. Linster’s second round during the relevant time, he heard a concerning
sound from Mr. King’s cell. See Doc. 124 at 8. Even though he knew he had not looked
into Mr. King’s cell on his previous round, even though he knew he was required to look
into Mr. King’s cell regardless of whether he heard concerning sounds, and even though
he knew that he and Mr. Berry had not been observing the pod at all in between rounds,
he did not look into Mr. King’s cell after hearing the sound. See id. at 8, 37–38.5
Instead, Mr. Linster returned to the control room and mentioned the concerning
sound to Mr. Berry. See id. at 8. The two turned on the audio system in Mr. King’s cell
and heard other sounds of distress, described variously as moans, groans, or labored
breathing, see id. at 8–9 & n.9, which caused them additional concern. Doc. 107-36 at
141. They intentionally delayed checking on Mr. King for some twenty minutes in order
to avoid extra paperwork, see Doc. 124 at 39, despite knowing that no one had looked
into Mr. King’s cell or monitored the video for well over an hour. When Mr. Berry
4 If they had looked, they would have seen highly suspicious comings-and-goings in and out
of Mr. King’s cell by inmates known to be violent. See Doc. 124 at 39.
5 If he had looked, he would have seen Mr. King was in distress; this eventually happened
when Mr. Berry finally went into the cell. See Doc. 124 at 9.
finally went to Mr. King’s cell, he first obtained an inhaler from the nurse to take to the
cell, showing that he knew that medical care was needed. See id. at 9.6
In interviews with investigators the next day, both officers stated or at least
implied that after they heard sounds coming from Mr. King’s cell, they suspected he had
been assaulted. Doc. 107-3 at 5:44–5:45 (Berry telling investigators that when he
checked on Mr. King, “It wasn’t nothing to where I could have said somebody hit him in
the face. That was what I was looking for when we went in there, I was looking for some
kind of, like, injuries.”); Doc. 107-37 at 5:45 (Linster telling investigators that in the
control room after turning on the intercom, “I said, ‘Berry, when you make the
round . . . ,’ cause I want to be for sure before, you know, cause I don’t want to make no
mistake, cause I don’t want to accuse nobody of something they ain’t done.”).7
Additionally, Mr. Berry and Mr. Linster both made inconsistent and arguably false
material statements in their reports, interviews, depositions, and declarations, all tending
to indicate they knew they had violated Mr. King’s rights. They each made multiple
contradictory statements about what sounds they heard coming from Mr. King’s cell,
including someone talking to Mr. King, Mr. King asking for soap, labored breathing, and
a moan or groan. See Doc. 124 at 9 n.9. Mr. Linster said in his declaration that he saw
Mr. King sitting on his bed during his first round, despite the video showing that he did
not look in the cell. See id. at 8 n.8. And in his deposition, Mr. Linster said that he saw
6 Mr. Linster told investigators the next day that he knew that Mr. King would need a
wheelchair for transport if he was having an asthma attack. Doc. 107-37 at 5:45.
7 Citations to video exhibits use the timestamp on the video footage.
Mr. King and another inmate each sitting on a different bed in Mr. King’s cell, even
though the cell only had one bed and video showed the other inmate had left the cell. See
id. Also in his deposition, Mr. Linster stated that he told an inmate that he would look in
Mr. King’s cell and that he did so, but he admitted that he did not put this in his report the
day after the incident. Doc. 107-36 at 119–21. Mr. Berry stated multiple times that he
retrieved Mr. King’s inhaler after first checking on him, despite the video showing that he
brought the inhaler on his first visit to Mr. King’s cell. See Doc. 124 at 9 n.10. Mr.
Linster also reported this course of events multiple times. Doc. 105 at ¶ 29 (deposition);
Doc. 107-38 (report); Doc. 107-37 at 5:45 (interview).
All of this evidence, if taken together and credited, would allow a jury to find that
Mr. Berry and Mr. Linster delayed Mr. King’s access to needed medical care, knowing
that they heard concerning sounds from his cell while they were in the pod and the
control room, knowing that they had been ignoring Mr. King for over an hour despite the
known dangers in the pod, knowing that he had asthma and was moaning, and actually
suspecting he had been assaulted. A jury could further infer from Mr. Berry’s admission
of delay to avoid paperwork that their inaction was not “accidental or inadvertent,” see
Anderson v. Kingsley, 877 F.3d 539, 544 (4th Cir. 2017), and from their inconsistent and
arguably false statements after the incident that they knew their response to Mr. King’s
medical need was inadequate.
The Court concludes that this evidence is sufficient to meet the Eighth
Amendment standard for deliberate indifference. A jury could find facts supporting an
inference that these two officers subjectively knew of and disregarded an objectively
serious condition, medical need, or risk of worsening harm to Mr. King. See De’lonta,
708 F.3d at 525; Farmer, 511 U.S. at 843 n.8.
III. A Reasonable Officer’s Knowledge of the Constitutional Violation
The second question is whether the violated right was “clearly established.” See
Riley, 76 F.4th at 264–65 (quoting Harlow, 457 U.S. at 818). “Eighth Amendment cases
exist on a spectrum of intent and harm.” Pfaller v. Amonette, 55 F.4th 436, 446 (4th Cir.
2022). At one end of that spectrum, the “clearly established” prong is unnecessary:
The Fourth Circuit has carved out a class of deliberate-indifference
claims to treat differently. Acknowledging that qualified immunity
does not protect officials who knowingly disregard the law, we have
reasoned that officials who are aware that their conduct is
constitutionally deficient cannot rely on the clearly established prong.
We have said that, sometimes, context makes the violation “obvious”
and case law is thus not needed to establish this awareness. So when
a defendant knows her conduct does not pass constitutional muster,
we do not look to see if she violated clearly established precedent.
Instead, we ask only if her actions violated the Eighth Amendment.
Riley, 76 F.4th at 265 (cleaned up) (summarizing relevant holdings in Pfaller and Thorpe
v. Clarke, 37 F.4th 926 (4th Cir. 2022)). Only if the official “did not know her actions
violated the Eighth Amendment” is she “entitled to the same two-pronged, qualified-
immunity approach as every other government official.” Id.
As discussed supra, there is a genuine dispute as to the officers’ subjective
knowledge, and there is evidence from which a jury could infer that the officers knew
they were violating Mr. King’s rights. If a jury resolves that factual dispute to conclude
that Mr. Berry and Mr. Linster ignored obvious risks to Mr. King’s health for over an
hour and then, upon realizing that he was in urgent need of medical care, continued to
ignore him for twenty minutes to avoid extra paperwork, that would be an obvious
constitutional violation. Under that version of the facts, the officers would not have
needed case law directly on point to tell them that their conduct was unconstitutional, and
the Court would not need to conduct the “clearly established” inquiry to determine that
Mr. Berry and Mr. Linster are not entitled to qualified immunity.
Even if the Court were required to determine that the right violated on these facts
was clearly established, the conclusion is the same. It has long been established that
adequate medical care is a basic condition of humane confinement, Farmer, 511 U.S. at
832, and that a prison official’s “deliberate indifference to serious medical needs of
prisoners constitutes the unnecessary and wanton infliction of pain proscribed by the
Eighth Amendment.” Estelle v. Gamble, 429 U.S. 97, 104 (1976) (cleaned up). The
Fourth Circuit has recently denied qualified immunity for a violation of a prisoner’s
clearly established “right to adequate medical care and freedom from deliberate
indifference to medical needs.” Pfaller, 55 F.4th at 453–54 (quoting Scinto, 841 F.3d at
236);8 accord Tarashuk v. Givens, 53 F.4th 154, 164 (4th Cir. 2022); see also Jehovah v.
Clarke, 798 F.3d 169, 181–82 (4th Cir. 2015) (noting that a failure to treat an inmate’s
known symptoms is deliberate indifference). And, as the Supreme Court and the Fourth
8 In defining this right broadly, the Pfaller court noted that “the Supreme Court has not
demanded the same level of specificity in Eighth Amendment cases” that it has in Fourth
Amendment cases. 55 F.4th at 453. In Riley, the Fourth Circuit held that inmates did not have a
“clearly established right to properly conducted security checks.” 76 F.4th at 265–68. Here, the
alleged misconduct goes well beyond a failure to protect Mr. King from violence by failing to
conduct security checks and well beyond the claim of deliberate indifference to medical needs
alleged in Riley. See id. at 268–69. Riley did not overrule, question, or undermine the holding in
Pfaller, and indeed quoted from it with approval. See id. at 265–66.
Circuit noted decades ago, “contrived obliviousness to a medical need” is deliberate
indifference. Brice, 58 F.3d at 106; Farmer, 511 U.S. at 843 n.8; see discussion supra.
There is a genuine dispute here as to whether Mr. Berry and Mr. Linster were
deliberately indifferent to Mr. King’s medical needs. See discussion supra. So, there 1s
likewise a genuine dispute as to whether they violated Mr. King’s clearly established
rights.
IV. Conclusion
Because there is a genuine dispute of material fact as to whether Mr. Berry and
Mr. Linster knowingly violated the Eighth Amendment, a trial is required. The Court will
deny summary judgment to defendants Berry and Linster as to the § 1983 claim. This
claim will go to trial with its scope limited to deliberate indifference to Mr. King’s
medical needs from the time defendant Berry first failed to look into Mr. King’s cell
while performing a security check after the assault through the time defendant Berry
finally entered Mr. King’s cell to check on him.
Itis ORDERED that the motion for summary judgment, Doc. 87, is DENIED as
to the § 1983 claim against defendants Berry and Linster as narrowed herein.
This the 13th day of February, 2025.
bk be
UNITED STATES DISTRICT JUDGE
10