stating that the relevant inquiry is whether defendants “actually knew about the plaintiff’s condition, not whether a reasonable official should have known”
How later courts described this case
- stating that the relevant inquiry is whether defendants “actually knew about the plaintiff’s condition, not whether a reasonable official should have known”
- applying municipal liability to private corporations performing governmental functions
- an action fails to state a claim upon which relief can be granted if it does not plead “enough facts to state a claim to relief that is plausible on its face”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
ADAM LUJANO,
Plaintiff,
v. Case No. 25-cv-399-NJR
JEREMIAH BROWN, DIRECTOR
CUNNINGHAM, JOHN/JANE DOE
DOCTOR, SERGEANT MELLENDORI,
JOHN DOE CORRECTIONAL
OFFICER, LATOYA HUGHES, and
WEXFORD,
Defendants.
MEMORANDUM AND ORDER
ROSENSTENGEL, Chief Judge:
Plaintiff Adam Lujano, an inmate of the Illinois Department of Corrections who is
currently incarcerated at Lawrence Correctional Center, brings this action for
deprivations of his constitutional rights pursuant to 42 U.S.C. § 1983. Lujano’s original
complaint, alleging deliberate indifference in the treatment of his stomach ailment, was
dismissed for failure to state a claim (See Docs. 1, 13). Lujano was granted leave to file an
amended pleading. In his Amended Complaint (Doc. 17), Lujano again alleges that the
defendants were deliberately indifferent in treating his stomach ailment.
This case is now before the Court for preliminary review of the Amended
Complaint pursuant to 28 U.S.C. § 1915A. Under Section 1915A, the Court is required to
screen prisoner complaints to filter out non-meritorious claims. See 28 U.S.C. § 1915A(a).
Any portion of a complaint that is legally frivolous, malicious, fails to state a claim upon
which relief may be granted, or asks for money damages from a defendant who by law
is immune from such relief must be dismissed. 28 U.S.C. § 1915A(b).
The Amended Complaint
In December 2023, while on a writ to a facility in Wisconsin, Lujano was
transported to the emergency room (Doc. 17, p. 3). On December 28, 2023, a physician
assistant at the hospital told Lujano that he needed to see a gastroenterologist as soon as
possible. Although not entirely clear from his allegations, it appears Lujano remained in
Wisconsin for several months. Upon his return to Pinckneyville Correctional Center in
late 2024, medical staff scheduled him for a gastroenterology appointment for some time
in early 2025.1 But on December 13, 2024, he was transferred to Lawrence Correctional
Center (Id.).
At Lawrence, Lujano wrote the doctor over 20 times about his diverticulitis. He
informed the doctor of his severe pain when he ate and blood in his stool (Id.). He started
to experience the pain and blood the day before his transfer and continues to experience
the symptoms intermittently (Id.). In January 2025, he saw nurses who submitted a
request that he see the doctor (Id.). On or about March 26, 2025, Lujano saw a female
doctor and told her about his need to see a gastroenterologist based on the prior findings
of the emergency room nurse practitioner (Id.). The Jane Doe Doctor stated that she would
not send him to a gastroenterologist, even after he gave her a copy of the records
1 The exact date of the appointment is also not clear because he notes both March 25, 2025, and
January 8, 2025 (Doc. 17, p. 3).
suggesting that he be scheduled for a referral (Id. at pp. 3-4). Lujano also asked for a
special diet tray for his diverticulitis, but she also refused that request (Id. at p. 4). Despite
Lujano having a previous order for a referral to a gastroenterologist, the unknown doctor
refused to schedule an appointment (Id.). The Jane Doe doctor also failed to take a blood
test to determine Lujano’s blood count (Id. at p. 5).
On December 23, 2024, Lujano told Sergeant Mellendori that there was blood in
the toilet and he was in a lot of pain (Doc. 17, p. 4). Mellendori directed Lujano to submit
a sick call request slip, even after Lujano informed him that it was an emergency (Id.).
Lujano argues that Mellendori’s actions violated prior protocols requiring the medical
illness be treated in a timely fashion (Id.). Lujano alleges that his bleeding constituted a
medical emergency (Id. at p. 5).
Preliminary Dismissals
Although Lujano identifies Warden Jeremiah Brown, Medical Director
Cunningham, Latoya Hughes, and John Doe #1 correctional counselor in the case caption,
he fails to include any allegations against them in his statement of claim. These high-
ranking officials cannot be liable simply because of their positions of authority because
the doctrine of respondeat superior (or supervisory liability) does not apply to actions filed
under Section 1983. See Kinslow v. Pullara, 538 F.3d 687, 692 (7th Cir. 2008). Nor are there
any allegations to suggest these officials were aware of Lujano’s need for care or acted
with deliberate indifference in providing him care. See Qian v. Kautz, 168 F.3d 949, 955
(7th Cir. 1999) (stating that the relevant inquiry is whether defendants “actually knew
about the plaintiff’s condition, not whether a reasonable official should have known”).
Any potential claim against these individuals is DISMISSED without prejudice.
Lujano also alleges that Mellendori delayed his medical care and violated the
prison’s rules in delaying his care. A delay in treatment can amount to deliberate
indifference if the “delay exacerbated the injury or unnecessarily prolonged an inmate’s
pain.” See Gomez v. Randle, 680 F.3d 859, 865 (7th Cir. 2012). But Lujano fails to allege how
long his care was delayed by Mellendori, nor does he indicate how his symptoms
progressed after speaking to Mellendori. He only notes that he spoke to Mellendori on
one occasion about blood in his stool, and Mellendori directed him to file a sick call
request. Nothing in the statement of claim suggests the length of the delay in receiving
care, and he has not alleged that any delay exacerbated his condition. Thus, any claim
against Mellendori is DISMISSED without prejudice.
Finally, Lujano fails to state a claim against Wexford. The corporation can only be
liable for deliberate indifference if it had a policy or practice that caused the constitutional
violation. Iskander v. Vill. of Forest Park, 690 F.2d 126, 128 (7th Cir. 1982) (applying
municipal liability to private corporations performing governmental functions);
McCormick v. City of Chicago, 230 F.3d 319, 324 (7th Cir. 2000). Lujano fails to point to any
policy that led to the denial of care in this case. Thus, any claim against Wexford is also
DISMISSED without prejudice.
Discussion
Based on the allegations in the Amended Complaint, the Court designates the
following count:
Count 1: Eighth Amendment deliberate indifference claim against
Jane Doe Doctor for failing to properly treat Lujano’s
stomach ailments.
The parties and the Court will use these designations in all future pleadings and orders,
unless otherwise directed by a judicial officer of this Court. Any other claim that is
mentioned in the Amended Complaint but not addressed in this Order should be
considered dismissed without prejudice as inadequately pled under the Twombly
pleading standard.2
At this stage, Lujano states a viable claim for deliberate indifference against Jane
Doe Doctor. He alleges that she refused to reschedule his appointment with the
gastroenterologist despite the recommendations from the emergency room and prior
referral from Pinckneyville. To aid Lujano is identifying the Jane Doe Doctor, the Court
ADDS Warden Jeremiah Brown, in his official capacity only, for the sole purpose of
responding to discovery aimed at identifying the unknown doctor.
Disposition
For the reasons stated above, Count 1 shall proceed against Jane Doe Doctor.
Warden Jeremiah Brown is ADDED to the case, in his official capacity only, to help
identify the Jane Doe Doctor. All other claims and defendants are DISMISSED without
prejudice.
2 See Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007) (an action fails to state a claim upon
which relief can be granted if it does not plead “enough facts to state a claim to relief that is
plausible on its face”).
The Clerk of Court shall prepare for Jeremiah Brown (official capacity only):
(1) Form 5 (Notice of a Lawsuit and Request to Waive Service of a Summons) and
(2) Form 6 (Waiver of Service of Summons). The Clerk is DIRECTED to mail these forms,
a copy of the Amended Complaint, and this Memorandum and Order to Defendant
Brown’s place of employment. If Defendant fails to sign and return the Waiver of Service
of Summons (Form 6) to the Clerk within 30 days from the date the forms were sent, the
Clerk shall take appropriate steps to effect formal service on him, and the Court will
require that Defendant to pay the full costs of formal service, to the extent authorized by
the Federal Rules of Civil Procedure.
Because Warden Brown is in the case only to respond to discovery aimed at
identifying the Jane Doe Doctor, he does not need to file an Answer. After counsel has
entered his appearance for Brown, the Court will enter a scheduling order for discovery
regarding the Jane Doe.
Because Lujano’s claims involve his medical care, the Clerk of Court is DIRECTED
to enter the Court’s standard HIPAA Qualified Protective Order.
If judgment is rendered against Lujano, and the judgment includes the payment
of costs under Section 1915, he will be required to pay the full amount of the costs,
regardless of whether his application to proceed in forma pauperis is granted. See 28 U.S.C.
§ 1915(f)(2)(A).
Finally, Lujano is ADVISED that he is under a continuing obligation to keep the
Clerk of Court and each opposing party informed of any change in his address; the Court
will not independently investigate his whereabouts. This shall be done in writing and not
later than 14 days after a transfer or other change in address occurs. Failure to comply
with this order will cause a delay in the transmission of court documents and may result
in dismissal of this action for want of prosecution. See FED. R. Civ. P. 41(b).
IT IS SO ORDERED.
DATED: October 21, 2025 Tl (
NANCY J. ROSENSTENGEL
Chief U.S. District Judge
Notice to Plaintiff
The Court will take the necessary steps to notify the defendant of your lawsuit and
serve him with a copy of your Amended Complaint. After service has been achieved, the
defendant will enter an appearance. The Court will then enter a scheduling order for
discovery regarding the John Doe. Plaintiff is advised to wait until counsel has appeared
for the defendant before filing any motions. Motions filed before the defendant's counsel
has filed an appearance will generally be denied as premature. Plaintiff need not submit
any evidence to the Court at this time, unless specifically directed to do so.