explaining that “conclusory allegations, unwarranted deductions of facts or legal conclusions masquerading as facts will not prevent dismissal” (original alteration omitted)
How later courts described this case
- explaining that “conclusory allegations, unwarranted deductions of facts or legal conclusions masquerading as facts will not prevent dismissal” (original alteration omitted)
- “Without an underlying violation of Brandon Gish’s constitutional rights, [Sheriff] Thomas cannot be liable in his individual or official capacity for a failure to train . . . and Pike County cannot be liable on the ground that its policy caused a constitutional violation.”
- “As we held in Daniels, the protections of the Due Process Clause, whether procedural or substantive, are just not triggered by lack of due care by prison officials.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
JACKSONVILLE DIVISION
HOWARD CARL MCLEES,
Plaintiff,
v. Case No. 3:25-cv-766-MMH-SJH
CENTURION OF FLORIDA, LLC,
et al.,
Defendants.
_________________________________
ORDER
Plaintiff Howard Carl McLees, an inmate in the custody of the Florida
Department of Corrections (FDC), initiated this action on July 2, 2025, by filing
a pro se Complaint for Violation of Civil Rights (Doc. 1) with a supporting
memorandum (Doc. 1-1) and appendix (Doc. 1-2). In the Complaint, McLees
names as Defendants: Centurion of Florida, LLC; Union County Attorney;
Union County; Suwannee County; FDC Secretary Ricky Dixon; Dr. Waddah
Salman; James Neizer; and Dr. A. Gonzalez. Doc. 1-1 at 3–12. He asserts that
Defendants were deliberately indifferent to his serious medical needs in
violation of the Eighth Amendment. Id. at 1–2.
Specifically, McLees alleges that on February 5, 2025, he was
transported to HCA Florida Memorial Hospital where Defendant Salman
performed a heart catheterization. Id. at 17. He asserts that during the
procedure, a wire caught on the edge of a stent. Id. After several attempts to
remove the wire, Defendant Salman determined it could not be removed and
finished the procedure. Id. at 17–18. McLees states that a few days later, he
began to experience chest pain, and Defendant Centurion’s medical staff
informed him that “its [sic] his body rejecting a foreign object.” Id. at 18.
McLees further alleges that Defendant Salman prescribed him Brilinta;
however, once the prescription expired, Defendant Centurion, “based on [its]
custom [and] practices . . . deliberately delay[ed] the refills.” Id.
The Prison Litigation Reform Act (PLRA) requires the Court to dismiss
this case at any time if the Court determines that the action is frivolous,
malicious, fails to state a claim upon which relief can be granted or seeks
monetary relief against a defendant who is immune from such relief.1 See 28
U.S.C. §§ 1915(e)(2)(B); 1915A. “A claim is frivolous if it is without arguable
merit either in law or fact.” Bilal v. Driver, 251 F.3d 1346, 1349 (11th Cir. 2001)
(citing Battle v. Cent. State Hosp., 898 F.2d 126, 129 (11th Cir. 1990)). A
complaint filed in forma pauperis which fails to state a claim under Federal
Rule of Civil Procedure 12(b)(6) is not automatically frivolous. Neitzke v.
1 McLees requests to proceed as a pauper. See Motion (Doc. 3).
2
Williams, 490 U.S. 319, 328 (1989). Section 1915(e)(2)(B)(i) dismissals should
only be ordered when the legal theories are “indisputably meritless,” id. at 327,
or when the claims rely on factual allegations which are “clearly baseless.”
Denton v. Hernandez, 504 U.S. 25, 32 (1992). “Frivolous claims include claims
‘describing fantastic or delusional scenarios, claims with which federal district
judges are all too familiar.’” Bilal, 251 F.3d at 1349 (quoting Neitzke, 490 U.S.
at 328). Additionally, a claim may be dismissed as frivolous when it appears
that a plaintiff has little or no chance of success. Id. As to whether a complaint
“fails to state a claim on which relief may be granted,” the language of the
PLRA mirrors the language of Rule 12(b)(6), Federal Rules of Civil Procedure,
and therefore courts apply the same standard in both contexts.2 Mitchell v.
Farcass, 112 F.3d 1483, 1490 (11th Cir. 1997); see also Alba v. Montford, 517
F.3d 1249, 1252 (11th Cir. 2008).
To state a claim under 42 U.S.C. § 1983, a plaintiff must allege that (1)
the defendant deprived him of a right secured under the United States
Constitution or federal law, and (2) such deprivation occurred under color of
state law. Salvato v. Miley, 790 F.3d 1286, 1295 (11th Cir. 2015); Bingham v.
2 “To survive a motion to dismiss, a complaint must contain 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) (citing Bell Atl. Corp. v. Twombly, 550 U.S.
544, 570 (2007)).
3
Thomas, 654 F.3d 1171, 1175 (11th Cir. 2011) (per curiam); Richardson v.
Johnson, 598 F.3d 734, 737 (11th Cir. 2010) (per curiam). Moreover, under
Eleventh Circuit precedent, to prevail in a § 1983 action, a plaintiff must show
“an affirmative causal connection between the official’s acts or omissions and
the alleged constitutional deprivation.” Zatler v. Wainwright, 802 F.2d 397,
401 (11th Cir. 1986) (citation omitted); Porter v. White, 483 F.3d 1294, 1306
n.10 (11th Cir. 2007).
Under the Federal Rules of Civil Procedure, a complaint need only
contain “a short and plain statement of the claim showing that the pleader is
entitled to relief.” Fed. R. Civ. P. (8)(a)(2). In addition, all reasonable inferences
should be drawn in favor of the plaintiff. See Randall v. Scott, 610 F.3d 701,
705 (11th Cir. 2010). Nonetheless, the plaintiff still must meet some minimal
pleading requirements. Jackson v. BellSouth Telecomms., 372 F.3d 1250,
1262–63 (11th Cir. 2004). Indeed, while “[s]pecific facts are not necessary[,]”
the complaint should “‘give the defendant fair notice of what the . . . claim is
and the grounds upon which it rests.’” Erickson v. Pardus, 551 U.S. 89, 93
(2007) (per curiam) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555
(2007)). Further, the plaintiff must allege “enough facts to state a claim to relief
that is plausible on its face.” Twombly, 550 U.S. at 570. “A claim has facial
4
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.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). While not required to
include detailed factual allegations, a complaint must allege “more than an
unadorned, the-defendant-unlawfully-harmed-me accusation.” Id.
A “plaintiff’s obligation to provide the grounds of his entitlement to relief
requires more than labels and conclusions, and a formulaic recitation of the
elements of a cause of action will not do[.]” Twombly, 550 U.S. at 555 (internal
quotations omitted); see also Jackson, 372 F.3d at 1262 (explaining that
“conclusory allegations, unwarranted deductions of facts or legal conclusions
masquerading as facts will not prevent dismissal” (original alteration
omitted)). Indeed, “the tenet that a court must accept as true all of the
allegations contained in a complaint is inapplicable to legal
conclusions[,]”which simply “are not entitled to [an] assumption of truth.”
Iqbal, 556 U.S. at 678, 680. In the absence of well-pled facts suggesting a
federal constitutional deprivation or violation of a federal right, a plaintiff
cannot sustain a cause of action against the defendant.
In assessing the Complaint, the Court must read McLees’s pro se
allegations in a liberal fashion. Haines v. Kerner, 404 U.S. 519 (1972). And,
5
while “[p]ro se pleadings are held to a less stringent standard than pleadings
drafted by attorneys and will, therefore, be liberally construed,” Tannenbaum
v. United States, 148 F.3d 1262, 1263 (11th Cir. 1998), “‘this leniency does not
give the court a license to serve as de facto counsel for a party or to rewrite an
otherwise deficient pleading in order to sustain an action.’” Campbell v. Air
Jamaica Ltd., 760 F.3d 1165, 1168–69 (11th Cir. 2014) (quoting GJR Invs., Inc.
v. Cnty. of Escambia, 132 F.3d 1359, 1369 (11th Cir. 1998) (citations omitted),
overruled in part on other grounds as recognized in Randall, 610 F.3d at 709).
The Eighth Amendment “imposes duties on [prison] officials, who must
provide humane conditions of confinement; prison officials must ensure that
inmates receive adequate food, clothing, shelter, and medical care, and must
‘take reasonable measures to guarantee the safety of the inmates.’” Farmer v.
Brennan, 511 U.S. 825, 832 (1994) (quoting Hudson v. Palmer, 468 U.S. 517,
526–27 (1984)). To establish an Eighth Amendment violation, a prisoner must
satisfy both an objective and subjective inquiry regarding a prison official’s
conduct. Swain v. Junior, 961 F.3d 1276, 1285 (11th Cir. 2020) (citing Farmer,
511 U.S. at 834). As it relates to medical care, “the Supreme Court has held
that prison officials violate the bar on cruel and unusual punishments when
they display ‘deliberate indifference to serious medical needs of prisoners.’”
6
Keohane v. Fla. Dep’t of Corr. Sec’y, 952 F.3d 1257, 1265 (11th Cir. 2020)
(quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). Specifically, the Eleventh
Circuit has instructed that to establish liability on an Eighth Amendment
deliberate indifference claim, the plaintiff must show:
First . . . as a threshold matter, that he suffered
a deprivation that was, “objectively, ‘sufficiently
serious.’” [Farmer, 511 U.S. at 834].
Second, . . . that the defendant acted with
“subjective recklessness as used in the criminal law,”
id. at 839, and to do so he must show that the
defendant was actually, subjectively aware that his
own conduct caused a substantial risk of serious harm
to the plaintiff—with the caveat, again, that even if
the defendant “actually knew of a substantial risk to
inmate health or safety,” he “cannot be found liable
under the Cruel and Unusual Punishments Clause” if
he “responded reasonably to the risk.” Id. at 844–45.
Wade v. McDade, 106 F.4th 1251, 1261 (11th Cir. 2024) (enumeration and
emphasis omitted);3 see Stalley v. Cumbie, 124 F.4th 1273, 1283 (11th Cir.
3 For decades, the Eleventh Circuit has described a “more than mere
negligence” or “more than gross negligence” standard in determining whether an
official acted with deliberate indifference to an inmate’s serious medical need. Wade,
106 F.4th at 1255. In Wade, the Eleventh Circuit determined that those standards
conflicted with the Supreme Court’s decision in Farmer and clarified that courts in
this circuit should apply the “subjective recklessness” standard “as used in the
criminal law.” Id. at 1253. The Court notes that the Honorable Adalberto Jordan
wrote a concurrence to the majority’s opinion in Wade, finding that to the extent prior
Eleventh Circuit deliberate indifference cases are not inconsistent with Wade, “they
should continue to be cited as binding precedent.” Id. at 1265 (Jordan, J., concurring).
7
2024) (recognizing that to prevail on a deliberate indifference claim, a plaintiff
must show that he suffered “an objectively serious medical need,” and that the
defendant acted with deliberate indifference to that need, meaning that the
defendant “(1) had subjective knowledge of a risk of serious harm, (2)
disregarded that risk, and (3) engaged in conduct that amounts to subjective
recklessness” (internal quotations and citations omitted)).
“As applied in the prison context, the deliberate-indifference standard
sets an appropriately high bar.” Swain, 961 F.3d at 1285. Importantly, medical
treatment gives rise to a constitutional violation “only when it is so grossly
incompetent, inadequate, or excessive as to shock the conscience or to be
intolerable to fundamental fairness.” Hoffer v. Sec’y, Fla. Dep’t of Corr., 973
F.3d 1263, 1271 (11th Cir. 2020) (quotations omitted). Indeed, the law is well
settled that the Constitution is not implicated by the negligent acts of
corrections officials and medical personnel. Daniels v. Williams, 474 U.S. 327,
330–31 (1986); Davidson v. Cannon, 474 U.S. 344, 348 (1986) (“As we held in
Daniels, the protections of the Due Process Clause, whether procedural or
substantive, are just not triggered by lack of due care by prison officials.”).
Thus, a complaint that a medical provider has been negligent “in diagnosing
or treating a medical condition does not state a valid claim of medical
8
mistreatment under the Eighth Amendment.” Bingham v. Thomas, 654 F.3d
1171, 1176 (11th Cir. 2011) (quotations and citation omitted).
Here, McLees’s Complaint is due to be dismissed pursuant to the Court’s
screening obligation. His allegations center on what is, at most, an alleged
negligent medical action during surgery: Defendant Salman snagged a wire on
a stent. However, “[a]ccidents, mistakes, negligence, and medical malpractice
are not ‘constitutional violation[s] merely because the victim is a prisoner.’”
Harris v. Coweta Cnty., 21 F.3d 388, 393 (11th Cir. 1994) (quoting Estelle, 429
U.S. at 106). McLees fails to allege facts permitting the reasonable inference
that Defendant Salman actually knew McLees faced a substantial risk of
serious harm but disregarded that risk. Indeed, McLees alleges that when the
wire caught on the stent, Defendant Salman attempted to ameliorate the
situation. See Doc. 1-2 at 5–7. Defendant Salman ultimately noted that
although the wire remained inside the stent, it did not pose a threat to
McLees’s health. See id. at 48. Accepting these allegations as true, the actions
underlying McLees’s deliberate indifference claim against Defendant Salman
constitutes, at most, negligence, which “does not state a valid claim of medical
mistreatment under the Eighth Amendment.” Estelle, 429 U.S. at 106.
9
Also, McLees’s claim concerning Defendant Centurion’s delay in refilling
his medication similarly fails. In the Complaint, McLees alleges that Centurion
officials deliberately delayed his refill by thirty days. But McLees neither
identifies the Centurion officials responsible for the delay, nor alleges that he
suffered an injury from the delay. His conclusory allegations, by themselves,
do not state a claim for relief.
Insofar as McLees alleges the remaining Defendants—Centurion, Union
County Attorney, Union County, Suwannee County, Dixon, Neizer, and
Gonzalez—implemented an unconstitutional policy or is liable based on
supervisory status, McLees is not entitled to relief. McLees does not
sufficiently allege an underlying constitutional deprivation. Therefore, his
claim fails as a matter of law. See Gish v. Thomas, 516 F.3d 952, 955 (11th Cir.
2008) (“Without an underlying violation of Brandon Gish’s constitutional
rights, [Sheriff] Thomas cannot be liable in his individual or official capacity
for a failure to train . . . and Pike County cannot be liable on the ground that
its policy caused a constitutional violation.”).
Therefore, it is now ORDERED:
1. This case is DISMISSED without prejudice.
10
2. The Clerk shall enter judgment dismissing this case without
prejudice, terminate any pending motions, and close the case.
DONE AND ORDERED at Jacksonville, Florida, this 20th day of
November, 2025.
MARCIA MORALES HOWARD
United States District Judge
Jax-9 11/19
C: Howard Carl McLees, #669352
11