“Despite our general willingness to construe pro se filings liberally, we still require pro se parties to fundamentally abide by the rules that govern the federal courts. Pro se litigants must properly . . . present summary judgment evidence”
How later courts described this case
- “Despite our general willingness to construe pro se filings liberally, we still require pro se parties to fundamentally abide by the rules that govern the federal courts. Pro se litigants must properly . . . present summary judgment evidence”
- when a defending party establishes that a plaintiff has no cause of action, the defense generally inures also to the benefit of a similarly situated defendant
- the Eighth Amendment “requires that inmates be furnished with the basic human needs, one of which is ‘reasonable safety’”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT February 28, 2025
SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk
HOUSTON DIVISION
KENNETH SOWELL, §
TDCJ #01322390, §
§
Plaintiff, §
VS. § CIVIL ACTION NO. 4:20-4411
§
JEFFERY RICHARDSON, et al., §
§
Defendants. §
MEMORANDUM OPINION AND ORDER
Plaintiff Kenneth Sowell, an inmate in the Texas Department of Criminal Justice–
Correctional Institutions Division (TDCJ), proceeds pro se and in forma pauperis in this
civil rights action. Sowell brings claims related to his medical care and disability.
Defendants Michelle Northcutt, R.N., and TDCJ have filed a motion for summary
judgment (Dkt. 119), and Sowell has responded (Dkt. 133; Dkt. 134).1 The motion is ripe
for decision. Having reviewed the pleadings, the motions and briefing, the applicable
authorities, and all matters of record, summary judgment will be granted for Northcutt and
TDCJ. Sowell’s claims against Captain Paul Hill will be dismissed without prejudice.
The Court’s reasons are explained below.
1 Sowell’s motion to oppose summary judgment (Dkt. 134), which the Court construes as a
motion for leave to file an additional response, will be granted, and Sowell’s arguments in the
motion will be considered.
I. BACKGROUND
Sowell originally sued seven defendants and complained of events from September
through November 2020. See Dkt. 26 (amended complaint); Dkt. 50 (more definite
statement). The Court granted Sowell leave to file a second supplemental complaint (Dkt.
51) bringing claims about events from August through October 2022. See Dkt. 53. After
screening his claims, the Court dismissed three defendants and ordered four defendants to
answer: Warden Jeffery Richardson; Captain Paul Hill; Michelle Northcutt, RN; and TDCJ
(Dkt. 58). The Court later dismissed all claims against Warden Richardson (Dkt. 97).
Northcutt and TDCJ then answered (Dkt. 98) and now move for summary judgment on all
claims (Dkt. 119). The remaining defendant, Captain Hill, separated from employment
with TDCJ on September 30, 2023 (Dkt. 73) and has not been served with process.2
Sowell has a high-grade tear of the anterior cruciate ligament (ACL) in his left knee,
diagnosed in 2019, and states that the tear causes him excruciating pain when walking, as
well as swelling, emotional distress, and mental anguish (Dkt. 50, at 1-2; see Dkt. 1-1 & 1-
2 (medical records)). He claims that on September 15, 2020, because of his torn ACL, a
medical doctor placed a restriction in his record stating that he could not walk over 25 yards
(Dkt. 26, at 12). He further claims that, in spite of the restriction, TDCJ officials forced
him to walk “exceedingly” in excess of the 25-yard limit, which caused unnecessary pain
2 In February 2024, the United States Marshal Service attempted service at Hill’s last-known
address, as supplied to the Court by the Office of the Attorney General (Dkt. 73). Service was
returned unexecuted with a notation that Hill left the residence in November 2023 (Dkt. 91).
Sowell requested that the Marshal Service attempt service again (Dkt. 103; Dkt. 106), but the Court
is unaware of any additional addresses for Hill.
and vulnerability to falls (id. at 9; Dkt. 50, at 1-2). In support of his claims, he submits
numerous sick-call requests (Dkt. 26; Dkt. 29) and grievance records from late 2020 (Dkt.
1-1, at 1-4 (Grievance 2021007195)). The grievance records reflect that, in response to his
complaint that officials were not honoring his walking restriction, the warden stated that
his restriction applied to his work assignment rather than his housing assignment. Sowell
disagrees with the warden’s characterization of the restriction, stating that the restriction
was “not a work restriction but a medical order” that TDCJ officials failed to honor (Dkt.
50, at 11). The relevant events occurred at the Estelle Unit.
Sowell alleges that Northcutt, a registered nurse, violated his Eighth Amendment
rights because she was deliberately indifferent to his severe knee pain. In particular, he
claims that Northcutt failed to have him moved or issue a wheelchair. He alleges that her
refusal to accommodate the restriction against walking more than 25 yards caused him
pain, suffering, distress, and missed activities (Dkt. 50, at 8-9) (discussing events of Sept.
21, 2020; Sept. 27, 2020; Nov. 4, 2020; and Nov. 5, 2020). His supplemental complaint
alleges that Northcutt is liable because, although he submitted sick-call requests to the
Estelle Unit’s medical department in August and September of 2022 complaining of neck
and back pain, he did not see a medical doctor or receive pain medication until September
30, 2022 (Dkt. 51, at 2) (discussing sick-call requests submitted on Aug. 25, 2022; Aug.
26, 2020; Sept. 1, 2022; Sept. 20, 2022; and Sept. 27, 2022)).
Sowell alleges that Captain Hill violated his Eighth Amendment rights because,
after Sowell showed him his 25-yard walking restriction on September 16, 2020, Hill
disregarded the restriction (Dkt. 26, at 12). He claims that Hill failed to have him moved
to a suitable facility to accommodate the restriction and failed to notify other personnel
about the restriction, causing him pain, suffering, and missed activities (Dkt. 50, at 6-7).
Sowell alleges that TDCJ violated his rights under the Americans with Disabilities
Act, 42 U.S.C. § 12101 et seq. (ADA), because officials knew about, but failed to
accommodate, his ACL tear and his 25-yard walking restriction. He also claims that the
lack of accommodation denied him access to services and programs including the library,
the day room, and church services, and that officials’ actions were discriminatory (id. at 4;
Dkt. 51, at 3). He seeks only monetary damages for his ADA claim (Dkt. 26, at 18; Dkt.
50, at 12).
The defendants’ motion provides background information regarding medical
restrictions for TDCJ inmates which, as provided by Policy A-08.4, are assigned when an
inmate arrives at TDCJ and later updated by medical providers as needed (Dkt. 119-3
(Policy A-08.4), at 4-5). An attachment to Policy A-08.4 discusses the restrictions that
medical personnel may place on an inmate’s facility assignment, housing assignment, or
work assignment (id. at 6-10 (Attachment A)). Facility restrictions include assignments to
single-level facilities or those offering extended medical services (id. at 6 (Section I)).
Housing restrictions include “basic housing” restrictions such as single-cell or special
housing assignments, as well as bunk assignments, row assignments, and wheelchair use
(id. at 6-7 (Section II)). Work restrictions include more than 20 different restrictions,
including restrictions to sedentary work, limitations on the number of hours worked, and
limitations or climbing or reaching (id. at 7-9 (Section III)). As relevant to Sowell’s case,
these work restrictions include medical “unassignment” for inmates who should be given
no work assignment (id. at 8 (Section III(B)(1)) and walking restrictions for inmates who
should not exceed a certain number of yards on the job (id. (Section III(B)(8)). The policy
requires that these restrictions, after being determined by medical personnel, be indicated
on a Health Summary for Classification (HSM-18) form for each inmate (id. at 3). The
HSM-18 form then is used by TDCJ’s classification officials to make appropriate facility,
housing, and work assignments for the inmate (id. at 6).
Policy A-08.4 provides that restrictions for facility, housing, and work “must be
based upon orders by a physician, midlevel provider, dentist, or qualified mental health
professional” (id.).3 See Dkt. 119-4, at 5 (TDCJ Administrative Directive 4.17 states that
updates to an inmate’s HSM-18 forms are updated, based on an inmate’s health status, by
“[h]ealth care staff, such as a physician, mid-level practitioner, dentist, or psychologist”).
The defendants submit the affidavit of Bobby Vincent, M.D., Regional Medical
Director for UTMB CMC Correctional Managed Care (UTMB/CMC) (Dkt. 121-2). Dr.
Vincent provides a comprehensive review of Sowell’s medical treatment during the
relevant period, as well as pertinent medical records. His affidavit states that he reviewed
Sowell’s medical records from his incarceration in 2005 through August 20, 2024, as well
as Sowell’s complaint, amended complaint, more definite statement, and supplemental
complaint (id. at 2). The defendants also submit Sowell’s HSM-18 forms reflecting his
facility, housing, and work restrictions from 2020 through 2024 (Dkt. 119-5).
3 By contrast, disciplinary or treatment-plan restrictions may be based on recommendations
of additional providers, including nurses (id.).
Dr. Vincent states that, in the fall of 2020, Sowell received medical treatment from
Northcutt and others regarding his knee pain and his request for renewed or increased
medical restrictions (Dkt. 121-2, at 6-8). Clinic records from September 2020 reflect
objective findings that Sowell was ambulatory with a cane, had a brace on his left knee,
and had no swelling (id. at 6; see id. at 219-222 (Exhibit X)). On September 15, 2020, a
medical doctor adjusted Sowell’s restriction for work assignments, lowering the maximum
walking distance to 25 yards for one year (id. at 6, 12; see id. at 219-222 (Exhibit X)).4
Sowell’s HSM-18 forms for the period from September 15, 2020, through September 15,
2021, reflect no unit restrictions; housing restrictions to lower bunk and ground floor; no
wheelchair restrictions; and work restrictions including a 25-yard walking restriction (Dkt.
119-5, at 5-8).5
On September 27, 2020, Northcutt examined Sowell in response to an additional
sick-call request and noted a full range of motion, normal gait and posture, and that Sowell
ambulated without problems (Dkt. 121-2, at 6-7; id. at 18-26 (Exhibit AA)). Sowell
complained that his current housing assignment was more than 25 yards from the chow
hall. The records reflect that, after Northcutt informed him of other housing options
4 In the records from September 15, 2020, the provider checked boxes for “cuff pass,”
“bottom bunk/row,” “medically unassigned,” and “front cell/no walking greater than 25 yards”
(id. at 221). The records further state, “ADD Section III-8. No Walking > - Yards: 25 # of Days:
365” (id.). This notation appears to correspond to Policy A-08.4, Attachment A, Section III(B)(8),
which covers restrictions for walking over a certain number of yards on the job (see Dkt. 119-3, at
8), and to order a 25-yard walking restriction for 365 days. Dr. Vincent states that that the 25-yard
walking restriction was for work only and expired on Sept. 16, 2021 (Dkt. 121-2, at 9, 12).
5 The HSM-18 forms reflect work restrictions during the period including “W01” and
“W08,” which appear to correspond to medical unassignment and walking restrictions under
Policy A-08.4, Attachment A, Section III(B)(1) & (8). See Dkt. 119-3, at 8.
including inpatient or geriatric housing, Sowell retracted his request for different housing
(id. at 7; id. at 24). Sowell states that these records are inaccurate, that Northcutt did not
inform him of those options, and that he did not retract his request (Dkt. 134, at 6).
On October 15, 2020, an x-ray showed no acute fracture or dislocation but a
probable ligament rupture (Dkt. 121-2, at 7; id. at 27-39 (Exhibit A-B); id. at 40-42 (Exhibit
A-C)). On October 21, 2020, Sowell submitted a new sick-call request complaining of
pain and requesting medication. Northcutt responded the next day, providing him with
copies of his passes and restrictions, telling him that ibuprofen was available from the pill
window, and advising him of a follow-up appointment at Hospital Galveston two weeks
later (id. at 7; id. at 57-58 (Exhibit A-F)).
On November 4, 2020, Sowell submitted another sick-call request in which he
complained of extreme pain caused by walking from his cell to the chow hall, inquired
about the 25-yard walking restriction, and asked about his upcoming appointment (id. at 7;
id. at 59-61 (Exhibit A-G)). Northcutt called Sowell to the clinic on November 5, 2020,
reiterated that his work restriction was in place, reviewed his current orders, and provided
information about his upcoming appointment (id. at 7; id. at 62-63 (Exhibit A-H)).
On November 23, 2020, Sowell saw a specialist at Hospital Galveston and agreed
to undergo reconstructive surgery of his left knee (id. at 7; id. at 43-52 (Exhibit A-D)). His
surgery was scheduled for December 18, 2020, but Sowell did not attend the appointment
because of a dispute over his personal hygiene materials (id. at 9; id. at 66-67 (Exhibit A-
J)). Surgery was rescheduled for January 22, 2021, but Sowell again refused the procedure
(id. at 8; id. at 73-76 (Exhibits A-M & A-N)).
Sowell’s supplemental complaint alleges that Northcutt again violated his rights in
August and September 2022, after he submitted additional sick-call requests for knee pain
(Dkt. 51, at 2-3). TDCJ’s records reflect that Sowell did not attend scheduled appointments
due to unit lockdown or other issues (Dkt. 121-2, at 10; id. at 115-117 (Exhibit B-A); id.
at 118-19 (Exhibit B-B); id. at 120-21 (Exhibit B-C)). On September 23, 2022, in response
to a renewed sick-call request, Northcutt noted that Sowell had missed several
appointments but again rescheduled him (id. at 10; id. at 122-23 (Exhibit B-D)). On
September 30, 2022, a medical provider saw Sowell in the clinic for pain and provided
medications and a referral. The records reflect that, when the provider discussed Sowell’s
failure to attend past therapy appointments, Sowell stated that he had not been informed of
the appointments and that he would amend his federal lawsuit (id. at 10; id. at 124-27
(Exhibit B-E). On October 28, 2022, Sowell again was treated in the clinic for knee pain
and was provided with an expedited referral to a specialist, as well as renewed work
restrictions (id. at 10; id. at 128-30 (Exhibit B-F)).
Dr. Vincent states that Sowell’s records do not reflect that he ever had knee surgery
or any other invasive procedure to correct the ACL tear in his left knee. He avers that
specialists at Hospital Galveston had determined on February 28, 2022, that surgery was
not the best option for Sowell, but rather that he needed rehabilitation services (id. at 10-
11). Based on his exhaustive review of the medical records, Dr. Vincent concludes that
medical personnel provided Sowell a variety of treatments and therapies for his left knee
but that Sowell had refused some treatments, including surgeries, and failed to show for
multiple appointments. Regarding Sowell’s medical restrictions, Dr. Vincent states that
Sowell’s 25-yard walking restriction was a work restriction that did not control his housing
assignment and that Sowell’s condition did not require a wheelchair at any time (id. at 11-
12).
Regarding Northcutt, Dr. Vincent explains that, pursuant to Policy A-08.4,
Attachment A, a nurse such as Northcutt cannot place a restriction on a patient (id. at 11).
He opines that Northcutt rendered appropriate care in September and November 2020 when
she reviewed his history, assessed his condition, documented his complaints and requests,
and issued crutches and a pass. He also states that in August and September 2022, contrary
to Sowell’s allegation that Northcutt ignored his complaints, she or other providers
responded to all of his sick-call requests (id. at 13-14). He concludes that Northcutt
rendered timely and appropriate care:
Based upon my education, training and experience as a physician in both the
community and correctional settings, I believe that the medical care provided
to Mr. Sowell—including all of the care provided by Nurse Northcutt—was
appropriate, timely and performed within the standard of care.
(id. at 14).
II. STANDARD OF REVIEW
A. Summary Judgment
Rule 56 of the Federal Rules of Civil Procedure mandates the entry of summary
judgment “if the movant shows that there is no genuine dispute as to any material fact and
the movant is entitled to judgment as a matter of law.” FED. R. CIV. P. 56(a); see Celotex
Corp. v. Catrett, 477 U.S. 317, 322-23 (1986); Curtis v. Anthony, 710 F.3d 587, 594 (5th
Cir. 2013). Once the movant presents a properly supported motion for summary judgment,
the burden shifts to the nonmovant to show with significant probative evidence the
existence of a genuine issue of material fact. Hamilton v. Segue Software Inc., 232 F.3d
473, 477 (5th Cir. 2000). “A fact is ‘material’ if its resolution in favor of one party might
affect the outcome of the lawsuit under governing law.” Id. “An issue is ‘genuine’ if the
evidence is sufficient for a reasonable jury to return a verdict for the nonmoving party.”
Id. The nonmoving party must present specific facts which show “the existence of a
genuine issue concerning every essential component of its case.” Firman v. Life Ins. Co.
of N. Am., 684 F.3d 533, 538 (5th Cir. 2012) (cleaned up).
In deciding a summary judgment motion, the reviewing court must “construe all
facts and inferences in the light most favorable to the nonmoving party.” Dillon v. Rogers,
596 F.3d 260, 266 (5th Cir. 2010) (cleaned up). A plaintiff’s statements may be sufficient
to demonstrate a genuine issue of material fact. See Bourne v. Gunnels, 921 F.3d 484, 492-
93 (5th Cir. 2019). However, the non-movant cannot avoid summary judgment simply by
presenting “conclusional allegations and denials, speculation, improbable inferences,
unsubstantiated assertions, and legalistic argumentation.” Jones v. Lowndes Cnty., 678
F.3d 344, 348 (5th Cir. 2012) (cleaned up); see Little v. Liquid Air Corp., 37 F.3d 1069,
1075 (5th Cir. 1994) (en banc). Rather, “[s]elf-serving affidavits and declarations, like all
summary judgment evidence, must be made on personal knowledge, set out facts that
would be admissible in evidence, and show that the affiant or declarant is competent to
testify on the matters stated.” Guzman v. Allstate Assurance Co., 18 F.4th 157, 161 (5th
Cir. 2021) (cleaned up) (citing FED. R. CIV. P. 56(c)(4)).
Finally, Rule 56 does not impose upon a court a duty to sift through the record in
search of evidence to support a party’s opposition to summary judgment. Evidence not
referred to in the response to the motion for summary judgment is not properly before the
court, even if it exists in the summary judgment record. Malacara v. Garber, 353 F.3d
393, 405 (5th Cir. 2003).
B. Pro Se Filings
In reviewing the pleadings, the court is mindful of the fact that the plaintiff
proceeds pro se. Complaints filed by pro se litigants are entitled to a liberal construction
and, “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) (cleaned up).
Even under this lenient standard a pro se plaintiff must allege more than “‘labels and
conclusions’ or a ‘formulaic recitation of the elements of a cause of action.’” Ashcroft v.
Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atlantic Corp. v. Twombly, 550 U.S. 544,
555 (2007)). “Threadbare recitals of the elements of a cause of action, supported by mere
conclusory statements, do not suffice.” Id. Regardless of how well-pleaded the factual
allegations may be, they must demonstrate that the plaintiff is entitled to relief under a valid
legal theory. See Neitzke v. Williams, 490 U.S. 319, 327 (1989); Geiger v. Jowers, 404
F.3d 371, 373 (5th Cir. 2005).
Although the plaintiff is proceeding pro se, “the notice afforded by the Rules of
Civil Procedure and the local rules” is considered “sufficient” to advise a pro se party of
his burden in opposing a summary judgment motion. Martin v. Harrison County Jail, 975
F.2d 192, 193 (5th Cir. 1992). Even a pro se plaintiff must specifically refer to evidence
in the summary judgment record in order to place that evidence properly before the court.
Outley v. Luke & Assocs., Inc., 840 F.3d 212, 217 & n.9 (5th Cir. 2016); see E.E.O.C. v.
Simbaki, Ltd., 767 F.3d 475, 484 (5th Cir. 2014) (“Despite our general willingness to
construe pro se filings liberally, we still require pro se parties to fundamentally abide by
the rules that govern the federal courts. Pro se litigants must properly . . . present summary
judgment evidence”) (cleaned up).
III. DISCUSSION
Sowell brings claims against Northcutt and Hill under the Eighth Amendment. His
constitutional claim is cognizable under 42 U.S.C. § 1983, which provides a vehicle for a
claim against a person “acting under color of state law,” such as a prison official, for a
constitutional violation. See Pratt v. Harris Cty., Tex., 822 F.3d 174, 180 (5th Cir. 2016).
He brings claims against TDCJ under the ADA.
A. Exhaustion of Administrative Remedies
As a preliminary matter, the defendants argue that Sowell did not exhaust his
administrative remedies for some of his claims. See 42 U.S.C. § 1997e(a); Ross v. Blake,
136 S. Ct. 1850 (2016); Jones v. Bock, 549 U.S. 199 (2007); Johnson v. Johnson, 385 F.3d
503, 515 (5th Cir. 2004). Sowell argues strenuously that he fully exhausted all claims and
that some records presented by the defendants are inaccurate (Dkt. 132; Dkt. 134; see Dkt.
90; Dkt. 107). The Court does not rely on exhaustion because, for the reasons stated below,
Sowell’s claims must be dismissed on other grounds. See Nottingham v. Richardson, 499
F. App’x 368, 374 (5th Cir. 2012) (citing Dillon, 596 F.3d at 271).
B. Eighth Amendment Claims
Sowell alleges that Northcutt violated his rights in 2020 and 2022 in connection
with his medical care. Because the plaintiff was, at all relevant times, a convicted felon in
state prison, his claims regarding denial of adequate medical care are governed by the
Eighth Amendment prohibition against “cruel and unusual” conditions of confinement.
Rhodes v. Chapman, 452 U.S. 337, 346 (1981); see Helling v. McKinney, 509 U.S. 25, 33
(1993) (the Eighth Amendment “requires that inmates be furnished with the basic human
needs, one of which is ‘reasonable safety’”).
To state a claim under the Eighth Amendment, a plaintiff must allege that the
defendant exhibited “deliberate indifference” to his serious medical needs. Farmer v.
Brennan, 511 U.S. 825, 834 (1994); Cleveland v. Bell, 938 F.3d 672, 676 (5th Cir. 2019);
Gobert v. Caldwell, 463 F.3d 339, 345-46 (5th Cir. 2006). An inmate can demonstrate a
constitutional violation “by showing that a prison official refused to treat him, ignored his
complaints, intentionally treated him incorrectly, or engaged in any similar conduct that
would clearly evince a wanton disregard for any serious medical needs.” Thompson v. Tex.
Dep’t of Crim. Just., 67 F.4th 275, 280 (5th Cir. 2023) (cleaned up). A plaintiff must show
that the defendant was aware of facts from which the inference could be drawn of a
substantial risk of serious harm; that the defendant subjectively drew the inference that the
risk existed; and that the defendant disregarded the risk. Cleveland, 938 F.3d at 676.
Deliberate indifference is an “extremely high standard.” Domino v. Tex. Dep’t of
Crim. Justice, 239 F.3d 752, 756 (5th Cir. 2001). It requires “more than an allegation of
mere negligence, but less than an allegation of purpose or knowledge.” Hinojosa v.
Livingston, 807 F.3d 657, 665 (5th Cir. 2015). A significant risk that the official “should
have perceived but did not” is insufficient for a constitutional violation. Cleveland, 938
F.3d at 676. Deliberate indifference is not shown when “medical records indicate that the
plaintiff was afforded extensive medical care by prison officials,” even when the plaintiff
alleges that doctors “refus[ed] to accommodate his requests in the manner he desired.”
Brauner v. Coody, 793 F.3d 493, 500 (5th Cir. 2015) (cleaned up). “Medical records of
sick calls, examinations, diagnoses, and medications may rebut an inmate’s allegations of
deliberate indifference.” Gobert, 463 F.3d at 346 n. 24 (cleaned up). Moreover, a delay
in medical care can constitute a constitutional violation only if there has been deliberate
indifference that results in substantial harm. Delaughter v. Woodall, 909 F.3d 130, 136 (5th
Cir. 2018).
In this case, Sowell alleges that Northcutt acted with deliberate indifference in the
fall of 2020 when she disregarded his 25-yard walking restriction and his request for a
wheelchair or a different housing assignment, despite her knowledge of his extreme pain
and his inability to put pressure on his knee (Dkt. 50, at 8-9; Dkt. 134, at 3-6). He also
alleges that she was deliberately indifferent in 2022 because he submitted five sick-call
requests to the Estelle medical clinic between August 25 and September 27, 2022,
requesting treatment for pain, but was not seen until September 30, 2022 (Dkt. 51, at 2-3).
The medical records, including those submitted by Sowell, demonstrate that Sowell
received frequent medical care in September-November 2020 and August-October 2022,
including regular care for his left knee. Some of this treatment was rendered by Northcutt,
who examined him, assessed his condition, issued crutches, confirmed his medical
restrictions, assisted with medication, and rescheduled and reminded him of his
appointments. To the extent Sowell disagrees with the treatment Northcutt provided, or
her responses to his sick-call requests, his disagreement is inadequate to demonstrate
deliberate indifference where, as here, the records show that he was afforded extensive
medical care. See Brauner, 793 F.3d at 500; Gobert, 463 F.3d at 346 n. 24. Moreover, to
the extent Sowell bases his claim on an alleged delay in care, his sick-call requests directed
to the Estelle medical department are insufficient to demonstrate a genuine issue of fact
regarding Northcutt’s deliberate indifference. See Delaughter, 909 F.3d at 136. To the
contrary, Northcutt and other providers responded to all of Sowell’s requests within days
(Dkt. 121-2, at 115-23).
Additionally, TDCJ’s records show that Sowell had no facility or housing restriction
during the relevant period, other than lower bunk and ground floor restrictions, but had a
one-year work restriction against walking over 25 yards (Dkt. 121-2, at 6, 12; id. at 219-
22; Dkt. 119-5, at 5-8). Sowell’s bare assertion that the 25-yard restriction was “a medical
order” (Dkt. 50, at 11), and thus that Northcutt or others should have applied the restriction
to his housing assignment, is conclusory and insufficient to demonstrate a genuine issue of
fact given the uncontroverted evidence that the restriction applied to work assignments
only. See Jones, 678 F.3d at 348. Additionally, to the extent Sowell argues that Northcutt
should have ordered a new housing restriction, the summary-judgment reflects that, as a
registered nurse, she was not authorized to fulfill such a request. See Dkt. 121-2, at 11
(restrictions can be assigned only by a physician or a mid-level provider; nursing staff
“cannot place a restriction on a patient”).
Summary judgment will be granted for Northcutt.
C. ADA Claims
Sowell sues TDCJ for failure to accommodate his disability under the ADA. He
seeks compensatory damages and has clarified that he does not seek injunctive relief (Dkt.
50, at 12). TDCJ concedes that Sowell’s ACL tear is a “qualifying disability” under the
statute (Dkt. 119, at 25).
To succeed on a failure-to-accommodate claim, a plaintiff must prove: “(1) he is a
qualified individual with a disability; (2) the disability and its consequential limitations
were known by the covered entity; and (3) the entity failed to make reasonable
accommodations.” Ball v. LeBlanc, 792 F.3d 584, 596 n.9 (5th Cir. 2015). To recover
compensatory damages, he must show “intentional discrimination,” which requires more
than deliberate indifference. Cadena v. El Paso Cnty., 946 F.3d 717, 723-24 (5th Cir.
2020); Miraglia v. Bd. of Supervisors of La. State Museum, 901 F.3d 565, 574 (5th Cir.
2018).
Sowell alleges that TDCJ failed to accommodate his 25-yard walking restriction
when officials did not provide him with a wheelchair or a housing assignment that was
within 25 yards of the chow hall and other unit locations (Dkt. 133, at 2; Dkt. 134, at 7-9).
He claims that the lack of accommodation caused him excruciating pain when walking to
receive TDCJ’s programs and services, or caused him not to receive the programs and
services (Dkt. 133, at 2). He argues that TDCJ was aware of his complaints because of his
multiple grievances (Dkt. 134, at 8). However, Sowell’s records reflect that his 25-yard
walking restriction was for work, not housing, and Sowell does not demonstrate a genuine
issue of material fact as to whether TDCJ officials failed to accommodate any medical
restrictions reflected on his HSM-18 forms. To the extent Sowell argues that medical
personnel should have authorized additional restrictions for his housing assignments, this
argument cannot suffice to show ADA violations by TDCJ.6 Sowell does not demonstrate
a genuine issue of fact as to whether TDCJ failed to make reasonable accommodations for
his disability whether intentionally discriminated against him. Summary judgment
therefore will be granted for TDCJ and Sowell’s claim for compensatory damages will be
dismissed.
D. Captain Hill
Captain Hill, who has separated from TDCJ, has not been served with process. The
United States Marshal Service’s attempt to serve Hill at his last-known address was
unsuccessful, and the unexecuted return of service states that Hill left the residence in
November 2023 (Dkt. 91). The Court has no additional information about Hill’s location.
Sowell’s claims against Captain Hill are similar to his claims against Northcutt and
TDCJ. He claims that, after he spoke to Hill regarding his 25-yard walking restriction, Hill
did not arrange for Sowell’s reassignment to another facility. In other words, his claim
6 As stated above, medical restrictions are ordered by medical personnel, who complete the
classification (HSM-18) forms, and are not ordered by TDCJ officials. See Dkt. 119-3 (Policy A-
08.4); Dkt. 121-2, at 11-12. TDCJ follows and complies with the restrictions listed on an HSM-
18 form, but does not authorize medical restrictions. See Vasquez v. Kwarteng, No. 2:20-CV-
00098, 2022 WL 20209909, at *13 (S.D. Tex. Aug. 24, 2022) (“while TDCJ is responsible for
housing inmates in accordance with any medical restriction, TDCJ is not responsible for
authorizing the health-related [restriction] in the first place”); Buchanan v. Harris, No. CV H-19-
4571, 2023 WL 2504764, at *12 (S.D. Tex. Mar. 13, 2023), aff'd, No. 23-20128, 2024 WL
1927651 (5th Cir. May 2, 2024) (correctional personnel are entitled to rely on medical providers).
against Captain Hill is based on his allegation that his 25-yard walking restriction should
have been applied to his housing or facility assignments, in addition to his work
assignment. See Dkt. 26, at 12-13; Dkt. 50, at 6-7. As explained above, the uncontradicted
summary-judgment evidence shows that Sowell’s 25-yard walking restriction did not apply
to his facility or housing assignments, and Dr. Vincent avers that no such restriction was
medically necessary. Therefore, his claim against Captain Hill would lack merit. See
Lewis v. Lynn, 236 F.3d 766, 768 (5th Cir. 2001) (when a defending party establishes that
a plaintiff has no cause of action, the defense generally inures also to the benefit of a
similarly situated defendant).
Because Hill has not been served with process, Sowell’s claims against him will be
dismissed without prejudice for lack of personal jurisdiction. See Gonzales v. Reilley, 2023
WL 7443213, *4 (5th Cir. Nov. 9, 2023) (citing Maiz v. Virani, 311 F.3d 334, 340 (5th Cir.
2022)). Sowell’s motion for service on Hill (Dkt. 103) will be denied as moot. His motion
for entry of default against Hill (Dkt. 116) will be denied. See FED. R. CIV. P. 55; Lewis,
236 F.3d at 767.
E. Other pending motions
Sowell’s motion for production of documents includes requests for medical records,
TDCJ policies relevant to his claims, and grievances (Dkt. 99). Many of these documents
subsequently were produced in the summary-judgment briefing, as detailed above. To the
extent not produced, Sowell’s motion does not demonstrate that the requested documents
would be relevant to the dispositive issues in this case. Therefore, his motion will be
denied as moot.
Sowell’s motion to enter land (Dkt. 101), which requests leave to measure and
photograph distances between various locations on the Estelle Unit, will be denied as
moot.
IV. CONCLUSION
For the reasons stated above the Court now ORDERS as follows:
1. Sowell’s motion to oppose summary judgment (Dkt. 134), which the Court
construes as a motion for leave to file an additional response, is GRANTED.
2. The defendants’ motion for summary judgment (Dkt. 119) is GRANTED.
All of Sowell’s claims against Northcutt and TDCJ are DISMISSED with
prejudice.
3. Sowell’s claims against Hill are DISMISSED without prejudice. His
motions for service on Hill (Dkt. 103) and for entry of default (Dkt. 116) are
DENIED as moot.
4. Sowell’s motion for production of documents (Dkt. 99) and motion to enter
land (Dkt. 101) are DENIED as moot.
5. All other pending motions, if any, are DENIED as moot.
The Clerk will provide a copy of this order to the parties.
SIGNED at Houston, Texas, on February 28 , 2025.
UNITED STATES DISTRICT JUDGE
19/19