MACK

IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF PENNSYLVANIA

KHALID K. MACK, :

Plaintiff, :

:

v. : CIVIL ACTION NO. 25-CV-2344

:

LAURA WILLIAMS, et al. :

Defendants. :

MEMORANDUM

HENRY, J. NOVEMBER 5, 2025

Plaintiff Khalid K. Mack, a pretrial detainee incarcerated at the George W. Hill

Correctional Facility (“GWHCF”), filed this civil action pursuant to 42 U.S.C. § 1983 based on

allegations that staff was deliberately indifferent to his medical needs. For the following reasons,

the Court will permit Mack to proceed at this time on his deliberate indifference to medical needs

claim only and will dismiss all other claims. Mack will be granted the option of proceeding only

on the claim that passes statutory screening or filing an amended complaint to attempt to correct

the deficiencies noted by the Court in the claims that are dismissed.

I. FACTUAL ALLEGATIONS1

Mack’s allegations are brief. Mack alleges that since July 24, 2024, he’s been denied

“proper medical care” by staff at GWHCF. (Compl. at 5-6.) He asserts an Eighth Amendment

claim against the following Defendants: (1) Laura Williams, identified in the Complaint as the

1 The factual allegations set forth in this Memorandum are taken from Mack’s Complaint. (ECF

No. 2.) The Court adopts the pagination supplied by the CM/ECF docketing system. Grammar,

spelling, and punctuation errors in quotes from Cottle’s submissions are cleaned up where

necessary.

Warden of GWHCF;2 (2) Wellpath; (3) Kelly A. Mullan, identified as a “Medical PA;” (4)

Nedd, identified as “C.I.D. Investigations;” and (5) Susan Sendall, identified as a Grievance

Coordinator. (Id. at 2-4.) Warden Williams and Nedd are sued in their official capacities only

while PA Mullan is sued in her official and individual capacities. (Id.)

Mack contends that despite being recommended for a fine needle aspiration of a thyroid

nodule, PA Mullan “never scheduled an appointment.” (Id. at 6.) He asserts that “Nedd from

C.I.D. Investigations” told him that he had an appointment scheduled for the week of April 28,

2025. (Id.) Mack also alleges that a “mid level nurse” named Jeff called PA Mullan “sometime

in December 2024” and PA Mullan “once again confirmed an appointment was made.” (Id.)

Mack alleges that he’s “been neglected medically” and “Wellpath [has] failed to monitor [his]

condition.” (Id.) He contends that the nodule on his thyroid “has been growing” and he has yet

to be diagnosed because he never received “a fine needle aspiration as recommended by Trident

Care.” (Id.) Based on the foregoing allegations, Mack seeks $1,000,000 in compensatory and

punitive damages. (Id.)

Mack attaches medical records and grievance forms to his Complaint. (ECF No. 2-1.) A

January 24, 2024, ultrasound report from Trident Care notes that a follow-up scan of a nodule

appearing on the right side of the thyroid gland is recommended. (Id. at 1.) It appears from the

medical records that a repeat thyroid ultrasound was ordered by PA Mullan and conducted on

July 24, 2024. (Id. at 2.) The July 24, 2024, ultrasound report indicates that Mack’s right lobe

2 While Mack alleges that at the time of the events in question, Williams was the Warden of

GWHCF, the position appears to be currently vacant. See https://delcopa.gov/prison/leadership-

and-staff (last visited October 3, 2025).

thyroid nodule was mildly larger and suspicious for neoplasm,3 and a fine-needle aspiration was

recommended. (Id. at 2.) Also attached to the Complaint is a copy of a Step 1 Grievance Form,

No. 24-09-011, indicating that it was submitted for decision on September 26, 2024. (ECF No.

2-1 at 3.) Mack indicates in the grievance that he “was supposed to go to [an] outside hospital”

for an appointment at the end of August, but he was told that “Wellpath couldn’t find a doctor.”

(Id.) In response to the grievance, Mack was informed that his “outside appointment is

scheduled.” (Id.) Also attached to the Complaint is a Step 2 Grievance Form, submitted on

March 11, 2025, wherein Mack states that he has not yet been seen for an appointment. (Id. at

4.) Grievance Coordinator Sendall responded that while the grievance was filed “past the

deadline,” she sent copies of his grievances “to the Health Services Supervisor for review.” (Id.)

A Request for Information form dated March 27, 2025, is also attached as an exhibit. (Id. at 5-

6.) In response to Mack’s request that was directed to the Warden, Sendall again advised that

while his Step 2 grievance was past the deadline for appeal, both of his grievances were sent to

the “Health Service Supervisor for review.” (Id. at 5-6.)

II. STANDARD OF REVIEW

Because Mack is proceeding in forma pauperis (see ECF No. 6), his Complaint is subject

to screening pursuant to 28 U.S.C. § 1915(e)(2)(B)(ii), which requires the Court to dismiss the

Complaint if it fails to state a claim. Whether a complaint fails to state a claim under §

1915(e)(2)(B)(ii) is governed by the same standard applicable to motions to dismiss under

Federal Rule of Civil Procedure 12(b)(6), see Tourscher v. McCullough, 184 F.3d 236, 240 (3d

3 According to the American Cancer Society website, a neoplasm is an abnormal growth of cells

that occurs when the body’s normal process of making and replacing cells doesn’t work as it

should. See American Cancer Society, https://www.cancer.org/cancer/understanding-

cancer/what-is-cancer/neoplasms-and-tumors.html (last visited October 3, 2025).

Cir. 1999), which requires the Court to determine whether the complaint contains “sufficient

factual matter, accepted as true, to state a claim to relief that is plausible on its face.” Ashcroft v.

Iqbal, 556 U.S. 662, 678 (2009) (quotations omitted); Talley v. Wetzel, 15 F.4th 275, 286 n.7 (3d

Cir. 2021). At the screening stage, the Court accepts the facts alleged in the pro se complaint as

true, draws all reasonable inferences in the plaintiff’s favor, and considers whether the

complaint, liberally construed, contains facts sufficient to state a plausible claim. Shorter v.

United States, 12 F.4th 366, 374 (3d Cir. 2021), abrogation on other grounds recognized by

Fisher v. Hollingsworth, 115 F.4th 197 (3d Cir. 2024). Conclusory allegations do not suffice.

Iqbal, 556 U.S. at 678. Because Mack is proceeding pro se, the Court construes his allegations

liberally. Vogt v. Wetzel, 8 F.4th 182, 185 (3d Cir. 2021) (citing Mala v. Crown Bay Marina,

Inc., 704 F.3d 239, 244-45 (3d Cir. 2013)).

III. DISCUSSION

Mack brings this civil action pursuant to 42 U.S.C. § 1983, the vehicle by which federal

constitutional claims may be brought in federal court. “To state a claim under § 1983, a plaintiff

must allege the violation of a right secured by the Constitution and laws of the United States, and

must show that the alleged deprivation was committed by a person acting under color of state

law.” West v. Atkins, 487 U.S. 42, 48 (1988). Liberally construing the allegations of the

Complaint, it appears that Mack contends that the staff at GWHCF were deliberately indifferent

to his serious medical needs by denying him recommended treatment. As it appears that Mack

was confined as a pretrial detainee at the time of the events in question, the Fourteenth

Amendment, rather than the Eighth Amendment, governs his claims.4

4 Mack asserts in his Complaint that he was a pretrial detainee at the time of the events in

question. (Compl. at 5.) A review of public records demonstrates that Mack has since pled

guilty to the charges of possession of a firearm and driving under the influence of a controlled

A. Lack of Personal Involvement

Mack names the following GWHCF employees as Defendants: Warden Williams, Susan

Sendall, a grievance coordinator, and Nedd from “C.I.D. investigations.” (Compl. at 2-4.) There

are no allegations anywhere in the Complaint about how Warden Williams or Sendall were

involved in the incidents Mack describes. With respect to Nedd, the only factual allegation is

that Nedd spoke with Mack, telling him that an appointment was scheduled for the week of April

28, 2025. (Id. at 6.) This allegation is insufficient to allege how Nedd was personally involved

in causing Mack to suffer a constitutional injury.

In a § 1983 action, the personal involvement of each defendant in the alleged

constitutional violation is a required element, and, therefore, a plaintiff must allege how each

defendant was involved in the events and occurrences giving rise to the claims. See Rode v.

Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1988); see also Jutrowski v. Twp. of Riverdale, 904

F.3d 280, 290 (3d Cir. 2018) (“Each Government official, his or her title notwithstanding, is only

liable for his or her own misconduct.”) (quoting Iqbal, 556 U.S. at 677) (emphasis in original);

Dooley v. Wetzel, 957 F.3d 366, 374 (3d Cir. 2020) (“Personal involvement requires particular

‘allegations of personal direction or of actual knowledge and acquiescence.’”) (quoting Rode,

845 F.2d at 1207). See Iqbal, 556 U.S. at 676 (explaining that “[b]ecause vicarious liability is

inapplicable to . . . § 1983 suits, a plaintiff must plead that each Government-official defendant,

through the official’s own individual actions, has violated the Constitution”). Mack’s claims

against Defendants Williams, Sendall, and Nedd will be dismissed without prejudice.

Moreover, to the extent Mack asserts claims against Williams because she was the

substance. See Commonwealth v. Mack, CP-23-CR-0001786-2024 (C.P. Delaware). According

to an inmate search conducted on the Pennsylvania Department of Corrections’ website, Mack is

currently incarcerated at SCI Camp Hill. The Court will screen Mack’s Complaint accepting that

he was a pretrial detainee at GWHCF when the events occurred.

Warden at GWHCF, those claims are not plausible. “Suits against high-level government

officials must satisfy the general requirements for supervisory liability.” Wharton v. Danberg,

854 F.3d 234, 243 (3d Cir. 2017). There are “two general ways in which a supervisor-defendant

may be liable for unconstitutional acts undertaken by subordinates.” Barkes v. First Corr. Med.,

Inc., 766 F.3d 307, 316 (3d Cir. 2014), reversed on other grounds by Taylor v. Barkes, 575 U.S.

822 (2015). First, a supervisor may be liable if he or she “‘with deliberate indifference to the

consequences, established and maintained a policy, practice or custom which directly caused

[the] constitutional harm.” Id. (quoting A.M. ex rel. J.M.K. v. Luzerne Cnty. Juvenile Det. Ctr.,

372 F.3d 572, 586 (3d Cir. 2004) (alteration in original)). “Second, a supervisor may be

personally liable under § 1983 if he or she participated in violating the plaintiff’s rights, directed

others to violate them, or, as the person in charge, had knowledge of and acquiesced in the

subordinate’s unconstitutional conduct.” Chavarriaga v. N.J. Dep’t of Corr., 806 F.3d 210, 227

(3d Cir. 2015); Robinson v. Delbalso, No. 22-2378, 2022 WL 17248100, at *2 (3d. Cir. Nov. 28,

2022) (per curiam). Because Mack does not allege any facts from which the Court can infer that

Williams is liable for any constitutional injuries, his claims against her are not plausible.

Finally, to the extent that Mack names Sendall based on her role as the grievance

coordinator for GWHCF, any such claims are not plausible. Claims based on the handling of

prison grievances fail because “prisoners do not have a constitutional right to prison grievance

procedures.” Gerholt v. Wetzel, 858 F. App’x 32, 34 (3d Cir. 2021) (per curiam) (citing Massey

v. Helman, 259 F.3d 641, 647 (7th Cir. 2001) and Flick v. Alba, 932 F.2d 728, 729 (8th Cir.

1991) (per curiam)). Accordingly, allegations predicated on failures of the grievance process or

improper handling of or response to grievances do not give rise to a constitutional claim. See

Woods v. First Corr. Med. Inc., 446 F. App’x 400, 403 (3d Cir. 2011) (per curiam) (“We agree

with the District Court that because a prisoner has no free-standing constitutional right to an

effective grievance process, Woods cannot maintain a constitutional claim against Lucas based

upon his perception that she ignored and/or failed to properly investigate his grievances.”

(internal citation omitted)); Burnside v. Moser, 138 F. App’x 414, 416 (3d Cir. 2005) (per

curiam) (explaining that “[i]nmates do not have a constitutionally protected right to the prison

grievance process” and that “a state grievance procedure does not confer any substantive

constitutional right upon prison inmates” (internal quotations and citations omitted)).

B. Claims Against Wellpath

Mack asserts an official capacity claim against Wellpath, a private company providing

medical services to inmates at GWHCF. (Compl. at 2, 6.) A private corporation like Wellpath

that is under contract to provide medical services at a jail or prison may be liable under § 1983 in

certain circumstances. The United States Court of Appeals for the Third Circuit has held that “a

private health company providing services to inmates ‘cannot be held responsible for the acts of

its employees under a theory of respondeat superior or vicarious liability.’” Sims v. Wexford

Health Sources, 635 F. App’x 16, 20 (3d Cir. 2015) (quoting Natale v. Camden Cnty. Corr.

Facility, 318 F.3d 575, 583 (3d Cir. 2003) (applying Monell v. Dept. of Social Servs., 436 U.S.

658, 694 (1978) to claims against medical contractor)). Rather, to hold a prison medical provider

like Wellpath liable for a constitutional violation under § 1983, a plaintiff must allege the

provider had “a relevant . . . policy or custom, and that the policy caused the constitutional

violation [he] allege[s].” Natale, 318 F.3d 575, 583-84 (citing Bd. of the Cnty. Comm’rs of

Bryan Cnty., Oklahoma v. Brown, 520 U.S. 397, 404 (1997)).5

5 “‘Policy is made when a decisionmaker possess[ing] final authority to establish municipal

policy with respect to the action issues an official proclamation, policy, or edict.’” Estate of

Roman v. City of Newark, 914 F.3d 789, 798 (3d Cir. 2019) (quoting Andrews v. City of

“To satisfy the pleading standard, [the plaintiff] must . . . specify what exactly that

custom or policy was.” McTernan v. City of York, PA, 564 F.3d 636, 658 (3d Cir. 2009).

(quoting Andrews v. City of Philadelphia, 895 F.2d 1469, 1480 (3d Cir. 1990)). It is not enough,

however, to allege the existence of a policy or custom. “A plaintiff must also allege that the

policy or custom was the ‘proximate cause’ of his injuries.” Est. of Roman, 914 F.3d at 798 (3d

Cir. 2019) (citing Kneipp v. Tedder, 95 F.3d 1199, 1213 (3d Cir. 1996)). Allegations that simply

paraphrase these standards are too vague and generalized to support a plausible claim. See, e.g.,

Szerensci v. Shimshock, No. 20-1296, 2021 WL 4480172, at *7 (W.D. Pa. Sept. 30, 2021)

(“Plaintiffs’ conclusory allegation, which generally paraphrases the relevant standard, is

insufficient to state a claim for § 1983 liability under Monell.”) (citing cases); see also Brown v.

Delaware Cnty. Prison Bd. of Inspectors, 741 F. App’x 135, 138 (3d Cir. 2018) (per curiam)

(“Brown’s vague and conclusory allegation that the defendants had a policy or custom of

‘fail[ing] to provide an adequate level of security staffing,’ is insufficient to state a claim.”).

Mack has not tied his allegations of deliberate indifference to a custom or policy of

Wellpath. In fact, he has not referenced any policy or custom by Wellpath in his Complaint.

Philadelphia, 895 F.2d 1469, 1480 (3d Cir. 1990)). “‘Custom, on the other hand, can be proven

by showing that a given course of conduct, although not specifically endorsed or authorized by

law, is so well-settled and permanent as virtually to constitute law.’” Id. (quoting Bielevicz v.

Dubinon, 915 F.2d 845, 850 (3d Cir. 1990)).

A plaintiff may also state a basis for liability against an entity like Wellpath by “alleging

failure-to-supervise, train, or discipline . . . [and alleging facts showing] that said failure amounts

to deliberate indifference to the constitutional rights of those affected.” Forrest v. Parry, 930

F.3d 93, 106 (3d Cir. 2019). In the context of a contract medical provider, the provider’s “failure

to train or supervise must amount to a policy or custom in disregard of an obvious risk that its

employees or agents would commit constitutional violations.” Ponzini v. PrimeCare Med., Inc.,

269 F. Supp. 3d 444, 526 (M.D. Pa. 2017), aff’d in part, vacated in part on other grounds sub

nom. Ponzini v. Monroe Cnty., 789 F. App’x 313 (3d Cir. 2019). Mack has not alleged that he

was injured due to a failure to supervise, train, or discipline.

Accordingly, the allegations are insufficient to allege a plausible claim against Wellpath.6

Lomax v. City of Philadelphia, No. 13-1078, 2017 WL 1177095, at *3 (E.D. Pa. Mar. 29, 2017)

(“Because [defendant] is a private company contracted by a prison to provide health care for

inmates, . . . it can only be held liable for constitutional violations if it has a custom or policy

exhibiting deliberate indifference to a prisoner’s serious medical needs.” (citations and

quotations omitted)).

C. Official Capacity Claims Against Kelly Mullan

Mack asserts both official and individual capacity claims against Kelly Mullan, a

Physician Assistant at GWHCF. (Compl. at 3.) To the extent Mack intended to pursue claims

against PA Mullan in her official capacity, this claim fails. Claims against municipal and county

officials named in their official capacity are indistinguishable from claims against the entity that

employs them, here Delaware County. See Kentucky v. Graham, 473 U.S. 159, 165-66 (1985)

(“Official-capacity suits . . . ‘generally represent only another way of pleading an action against

an entity of which an officer is an agent.’”) (quoting Monell v. N.Y.C. Dept. of Soc. Servs., 436

U.S. 658, 690, n. 55 (1978)). “[A]n official-capacity suit is, in all respects other than name, to be

treated as a suit against the entity.” Id. As with his claim against Wellpath, nothing in the

Complaint alleges that the conduct of which Mack complains was the result of a county policy or

6 While the claim against Wellpath will be dismissed without prejudice, the Court notes that any

liability against Wellpath in this Court is uncertain in light Wellpath’s discharge from liability by

the United States Bankruptcy Court for the Southern District of Texas, Houston Division, for

claims that arose prior to November 11, 2024. See In Re Wellpath Holdings, Inc., No. 24-90533

(Bankr. S.D. Tx.) (Bankr. Doc. Nos. 2596, 2679, 2680) ); see also 11 U.S.C. § 524(a)(2) (“A

discharge in a [Chapter 11 bankruptcy] case . . . operates as an injunction against the

commencement or continuation of an action, the employment of process, or an act, to collect,

recover or offset any such debt as a personal liability of the debtor, whether or not discharge of

such debt is waived.”).

custom. Accordingly, he has failed to articulate a plausible municipal liability claim against

Delaware County.

D. Medical Deliberate Indifference Claims

All that remains is Mack’s individual capacity claim against PA Mullan based on her

alleged failure to follow up with recommended treatment. To state a Fourteenth Amendment

claim based on the failure to provide medical care, which is what Mack alleges here, a pretrial

detainee must allege facts reflecting that prison officials were deliberately indifferent to his

serious medical needs. See Farmer v. Brennan, 511 U.S. 825, 835 (1994); Moore v. Luffey, 767

F. App’x 335, 340 n.2 (3d Cir. 2019) (holding that the standard under the Eighth Amendment

and Fourteenth Amendment for claims related to a prisoner’s medical needs is essentially the

same for purposes of the analysis). “A medical need is serious, . . . if it is one that has been

diagnosed by a physician as requiring treatment or one that is so obvious that a lay person would

easily recognize the necessity for a doctor’s attention.” Monmouth Cnty. Corr. Institutional

Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir. 1987) (internal quotations omitted).

A prison official is not deliberately indifferent “unless the official knows of and

disregards an excessive risk to inmate health or safety; the official must both be 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.” Farmer, 511 U.S. at 837. In the context of correctional medical

care, deliberate indifference is properly alleged “where the prison official (1) knows of a

prisoner’s need for medical treatment but intentionally refuses to provide it; (2) delays necessary

medical treatment based on a non-medical reason; or (3) prevents a prisoner from receiving

needed or recommended medical treatment.” Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir.

1999). At the screening stage, Mack’s allegation that he has been denied a recommended

follow-up appointment for a fine needle aspiration for at least nine months raises a plausible

inference that PA Mullen was deliberately indifferent to a serious medical need. See generally

Pearson v. Prison Health Serv., 850 F.3d 526, 538 (3d Cir. 2017) (deliberate indifference can be

found where prison officials “prevent an inmate from receiving recommended treatment for

serious medical needs” ).

IV. CONCLUSION

As set forth more fully above, Mack’s claim of deliberate indifference to his medical

needs against PA Mullan will proceed. However, Mack’s official capacity claims and his claims

against Warden Williams, Wellpath, Nedd, and Susan Sendall will be dismissed without

prejudice pursuant to 28 U.S.C. § 1915(e)(2)(B)(ii) for failure to state a claim. Considering

Mack’s pro se status, he will be granted the option of filing an amended complaint to attempt to

cure the defects in those claims. In the alternative, Mack may advise the Court that he seeks to

proceed only on the claim against PA Mullan. An appropriate Order follows.