“[Section] 1983 excludes from its reach merely private conduct, no matter how discriminatory or wrongful.”
How later courts described this case
- “[Section] 1983 excludes from its reach merely private conduct, no matter how discriminatory or wrongful.”
- “Medical malpractice does not become a constitutional violation merely because the victim is a prisoner.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
FORT MYERS DIVISION
OBRIAN HAWKS
by next fried D’Mica Rozetta,
Plaintiff,
v. Case No. 2:26-cv-102-KCD-NPM
GEO GROUP, INC., JOHN DOE AND
JANE DOE, JOHN DOE OR JANE DOE,
JOHN DOE OR JANE DOE, JANE DOE,
JANE DOE, FLORIDA DEPARTMENT
OF CORRECTIONS, and MEDICAL
CONTRACTORS AND HOSPITAL
ENTITIES,
Defendants.
ORDER
On January 20, 2026, D’Mica Rozetta filed a 42 U.S.C. § 1983 civil rights
complaint as the purported “next friend” of Plaintiff Obrian Hawks. Hawks is
incarcerated at the Moore Haven Correctional Facility in Glades County,
Florida. (Doc. 1.) Along with the complaint, Rozetta filed a motion for
recognition of next friend status. (Doc. 2.) On February 4, 2026, she filed a
motion for emergency injunctive medical relief asking the Court to order the
defendants to provide Hawks with better medical care, “including urgent
evaluation and treatment by a qualified oral and maxillofacial surgeon[.]” (Doc.
7 at 1.) The Court now denies Rozetta’s “next friend” status and dismisses the
complaint without prejudice for lack of standing.
I. Discussion
A. Rozetta does not have standing to bring this action.
Under Article III of the United States Constitution, a federal court
cannot consider the merits of a legal claim unless the person seeking to invoke
the jurisdiction of the court establishes the requisite standing to sue. Whitmore
v. Arkansas, 495 U.S. 149, 154 (1990). A litigant demonstrates standing by
showing that he or she has suffered an injury in fact that is fairly traceable to
the challenged action and is redressable by a favorable judicial decision. Steel
Co. v. Citizens for a Better Env't, 523 U.S. 83, 103 (1998). Rozetta has no
standing on her own in this action.
However, “next friend” standing “has long been an accepted basis for
jurisdiction in certain circumstances.” Whitmore, 495 U.S. at 162. “Most
frequently, ‘next friends’ appear in court on behalf of detained prisoners who
are unable, usually because of mental incompetence or inaccessibility, to seek
relief themselves.” Id. But “‘next friend’ standing is by no means granted
automatically to whomever seeks to pursue an action on behalf of another.” Id.
To qualify for “next friend” standing, they must “provide an adequate
explanation—such as inaccessibility, mental incompetence, or other
disability—why the real party in interest cannot appear on his own behalf to
prosecute the action,” must be “truly dedicated to the best interests of the
person on whose behalf he seeks to litigate,” and “must have some significant
relationship with the real party in interest.” Id. at 163-64. “The burden is on
the ‘next friend’ to clearly establish the propriety of his status and thereby
justify the jurisdiction of the court.” Id. at 164.
Rosetta asserts that Hawks was struck in the face by a baseball bat
during a recreation activity at the prison on December 17, 2025 and suffered a
fractured jaw, facial lacerations, bleeding, and dental trauma. (Doc. 1 at 2.)
He was transported to a hospital on the same day and received surgery on
December 19, 2025. (Id.) Hawks’ jaw was immobilized to stabilize his fracture.
(Id.) On December 20, 2025, Hawks developed a fever, elevated blood pressure,
and severe pain. (Id.) The nurses at the hospital “repeatedly allowed IV fluids
to run dry and failed to monitor Hawks’ condition.” (Id.) He was returned to
Moore Haven on December 21, 2025, “despite clear signs of infection.” (Id.)
At the prison, Hawks continued to suffer fever, difficulty swallowing,
shortness of breath, and severe pain. (Id.) He was admitted to the facility’s
infirmary from December 26–29, 2025 where he received treatment in the form
of IV antibiotics and steroids. (Id.) On January 15, 2026, Hawks was
transported for a post-operative visit with the surgeon, but he (or Rozetta) was
unhappy with the care provided because Hawks did not receive “post-operative
instructions, a treatment plan, dietary guidance, or follow-up scheduling, and
no nutritional protocol was ordered or explained to him.” (Doc. 7 at 1.) Hawks
remains confined with his jaw immobilized. He experiences difficulty
swallowing, inadequate nutrition, pain, and an elevated risk of infection and
airway obstruction. (Doc. 7 at 2.)1
Rozetta is Hawks’ sister, so the Court assumes that she is dedicated to
his best interests. But other than stating that Hawks is a prisoner and has
suffered a mandibular fracture, Rozetta does not provide an adequate
explanation for why he cannot appear on his own behalf to prosecute this civil
rights action and has not otherwise shown she is entitled to next friend
status. Prisoners file dozens of pro se actions in the Fort Myers Division of the
Middle District of Florida every year, and the fact of their incarceration does
not entitle them to have a non-lawyer file pleadings on their behalf. And while
it is clear that Hawks suffered a serious and painful injury, he is not
incompetent and is presumably able to prosecute his own civil rights action.
He admits that he has filed medical grievances with the prison, and it is clear
that he has been able to communicate the details of his injury and treatment
to Rozetta. Rozetta does not have standing to proceed as Hawks’ “next friend,”
and the Court will dismiss the complaint and this action for lack of jurisdiction.
1 Because Rozetta alleged that Hawks was receiving inadequate nutrition and expressed
concern about the prison’s provision of medical care, the Clerk of Court sent a copy of
Rozetta’s motion for temporary restraining order (Doc. 7) to the Warden at Moore Haven
Institution to alert the facility of Rozetta’s concerns.
To the extent Hawks wishes to file a pro se complaint, he should be aware
that the facts, as alleged in Rozetta’s complaint, do not state a claim on which
relief may be granted.
B. Hendry Medical Center, Palm Beach Hospital, and their
employees are not state actors.
To prevail on a § 1983 claim, the plaintiff must show that: (1) the
defendants deprived him of a right secured by the Constitution or federal law;
and (2) the deprivation occurred under color of state law. Arrington v. Cobb
Cty., 139 F.3d 865, 872 (11th cir. 1998). A person acts “under color of state law”
for purposes of § 1983 when he acts with authority possessed by reason of his
employment with the state. West v. Atkins, 487 U.S. 42, 49 (1988).
Rozetta names emergency room physicians, hospital charge nurses,
Hendry Regional Medical Center, and Palm Beach Hospital as defendants. She
does not allege facts suggesting that either hospital or its employees are state
actors. A private doctor’s and private hospital’s treatment of a patient who
happens to be a prisoner, without more, does not create liability under the
Eighth Amendment. See American Mfrs. Mut. Ins. Co. v. Sullivan, 526 U.S. 40,
50 (1999) (“[Section] 1983 excludes from its reach merely private conduct, no
matter how discriminatory or wrongful.”).
Moreover, Rozetta does not allege facts suggesting that the hospitals or
their employees deprived Hawks of a constitutional right. Rather, she suggests
that Hawks is being inadequately treated due to incompetence. But to the
extent she attempts to state a claim against these defendants for negligence or
medical malpractice, neither claim is actionable under § 1983. See Estelle v.
Gamble, 429 U.S. 97, 106 (1976) (“Medical malpractice does not become a
constitutional violation merely because the victim is a prisoner.”).
Accordingly, to the extent Hawks alleges a state-law claim for medical
malpractice or negligence, it should be filed in state court.
C. Hawks has not stated a deliberate indifference claim.
The Eighth Amendment's Cruel and Unusual Punishments Clause
prohibits government officials from exhibiting “deliberate indifference” to the
serious medical needs of prisoners. Wade v. McDade, 106 F.4th 1251, 1255
(11th Cir. 2024); Estelle, 429 U.S. at 104–05. In 2024, the Eleventh Circuit
clarified the standard for establishing liability on an Eighth Amendment
deliberate-indifference claim. Wade, 106 F.4th at 1261–62. The plaintiff must
first show that “he suffered a deprivation that was, objectively, sufficiently
serious.” Id. at 1262.2 Next, the plaintiff must demonstrate that the defendant
acted with “subjective recklessness as used in the criminal law.” Id. This means
that the plaintiff must establish “that the defendant was actually, subjectively
2 Unless otherwise indicated, all internal quotation marks, citations, and alterations have
been omitted in this and subsequent citations.
aware that his own conduct caused a substantial risk of serious harm to the
plaintiff.” Id.
Not every claim of inadequate medical treatment states a cognizable
claim under the federal constitution. Wade, 106 F.4th at 1262. “Medical
treatment violates the [E]ighth [A]mendment only when it is so grossly
incompetent, inadequate, or excessive as to shock the conscience or to be
intolerable to fundamental fairness.” Harris v. Thigpen, 941 F.2d 1495, 1505
(11th Cir. 1991). And “[w]here a prisoner has received . . . medical attention
and the dispute is over the adequacy of the treatment, federal courts are
generally reluctant to second guess medical judgments and to constitutionalize
claims that sound in tort law.” Hamm v. DeKalb County, 774 F.2d 1567, 1575
(11th Cir. 1985). In short, a prisoner cannot establish a constitutional violation
simply because he “may have desired different modes of treatment” than that
which was provided to him. Id. Such course of treatment claims, by definition,
involve the “exercise of professional judgment” and are not actionable. Estelle,
429 U.S. at 104 n.10.
Even if the Court finds that Hawks’ facial injuries are an objectively
serious medical need, the vague and conclusory allegations in the complaint do
not articulate how any defendant was deliberately indifferent to that need. The
prison transported Hawks to the hospital on the same day he was injured, and
he received surgery. He was also taken to the prison’s infirmary and treated
for three days when he showed signs of infection. He was returned to the
hospital for follow-up care. In other words, Hawks received medical treatment
for his injury. While Rozetta wanted the hospitals, doctors, nurses, and prison
to do more, disagreement with the course of treatment is a matter for medical
judgment that does not give rise to an actionable claim of deliberate
indifference. Estelle, 429 U.S. at 106-07.
II. Conclusion
Rozetta has no standing to bring this action on her brother’s behalf, and
the complaint must be dismissed for lack of jurisdiction. Moreover, the
complaint does not state a constitutional claim. If Hawks believe that he can
file a complaint that comports with this order and states a constitutional claim,
he must file his complaint on a court-approved form in a new action,
accompanied by either the statutory filing fee or an Application to Proceed In
Forma Pauperis.
Accordingly, it is now ORDERED:
1. D’Mica Rozetta’s motion for next friend standing (Doc. 2) is
DENIED, and this action is DISMISSED without prejudice.
2. The Clerk of Court is directed to terminate any pending motions
and close this case.
3. The Clerk is also directed to send a copy of the Court’s preprinted
42 U.S.C. § 1983 complaint form and an application to proceed in
forma pauperis to Obrian Hawks at Moore Haven Correctional
Facility.
ENTERED in Fort Myers, Florida on February 6, 2026.
Kyle C. Dudek
United States District Judge