1 WO MH 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8 9 Sara L. Bosworth, No. CV 21-00081-PHX-MTL (ESW) 10 Plaintiff, 11 v. ORDER 12 Centurion LLC, et al., 13 Defendants.
14 15 Plaintiff Sara L. Bosworth, who is confined in the Arizona State Prison Complex 16 (ASPC)-Perryville and represented by counsel, has filed a civil rights Complaint pursuant 17 to 42 U.S.C. § 1983 and 28 U.S.C. § 1367 (Doc. 1). The Court will dismiss the Complaint 18 with leave to amend. 19 I. Statutory Screening of Prisoner Complaints 20 The Court is required to screen complaints brought by prisoners seeking relief 21 against a governmental entity or an officer or an employee of a governmental entity. 28 22 U.S.C. § 1915A(a). The Court must dismiss a complaint or portion thereof if a plaintiff 23 has raised claims that are legally frivolous or malicious, that fail to state a claim upon which 24 relief may be granted, or that seek monetary relief from a defendant who is immune from 25 such relief. 28 U.S.C. § 1915A(b)(1)–(2). 26 . . . . 27 . . . . 28 . . . . 1 II. Complaint 2 Plaintiff is suing Centurion LLC (“Centurion”) and two employees or agents of 3 Centurion: Dr. Steven Ibrahim and Nurse Patricia Davis.1 Plaintiff seeks compensatory 4 and punitive damages, along with costs and attorney’s fees. 5 Plaintiff alleges that on January 15, 2020, she injured her left foot and ankle while 6 playing volleyball at ASPC-Perryville. (Doc. 1 at 3.) Plaintiff requested a medical 7 evaluation the same day. (Id.) Plaintiff was x-rayed on January 16, 2020, but was not 8 evaluated until January 21, 2020, when she saw Defendant Ibrahim. (Id.) During that five- 9 day period, Plaintiff received no pain medication. (Id.) Defendant Ibrahim examined 10 Plaintiff, informed her that she had suffered a fracture, and ordered a splint and a follow- 11 up x-ray that was supposed to be performed in two weeks. (Id. at 4.) 12 On February 9, 2020, Plaintiff filed a Health Needs Request (HNR) regarding 13 persistent pain. (Id.) Plaintiff also expressed concern about the delay in her follow-up x- 14 ray. (Id.) 15 Plaintiff’s follow-up x-ray, which was not performed until February 13, 2020, 16 revealed “displacement of the previously well-aligned fracture” and indicated that 17 Plaintiff’s injury had worsened. (Id.) Defendant Ibrahim reviewed Plaintiff’s x-ray on 18 February 17, 2020, and determined that an orthopedic consultation was necessary. (Id.) 19 At some point between February 17 and May 19, 2020, Plaintiff filed an HNR regarding 20 pain she was experiencing. (Id.) Plaintiff also saw Defendant Davis twice during this 21 period; Davis “noted that no response to the previous consultation request had been 22 entered.” (Id.) 23 On May 19, 2020, Plaintiff was evaluated by a podiatrist at Banner Orthopedic. (Id.) 24 The podiatrist indicated that surgery could be necessary. (Id. at 4-5.) On July 15, 2020, 25 an x-ray showed that Plaintiff’s left fifth metatarsal was still unhealed. (Id. at 5.) Plaintiff 26 has not been reevaluated by an “appropriate” medical professional since that time. (Id.)
27 1 Plaintiff has also named multiple Doe Defendants identified as “John and Jane 28 Does I-X” and “Black and White Corporations I-X.” She does not allege any facts against these Defendants. 1 Based on the foregoing allegations, Plaintiff asserts two claims for relief—an Eighth 2 Amendment medical-care claim2 arising under 42 U.S.C. §1983 (Count One) and a medical 3 malpractice claim arising under state law (Count Two). (Id.) Plaintiff claims in Count One 4 that Defendant Ibrahim acted with deliberate indifference when he failed to properly assess, 5 evaluate, or treat her and that Defendant Centurion “was aware of the risk of injury to 6 [Plaintiff] from its agent’s actions and acted with deliberate indifference to a serious 7 medical need.” (Id.) In Count Two, Plaintiff asserts that Defendants Ibrahim and Davis 8 negligently failed to identify, diagnose, and treat her fifth metatarsal fracture, likely 9 compromising her ability to walk, run, and participate in activities of daily living and 10 potentially necessitating further treatment. 11 III. Section 1983 Claim 12 To prevail in a § 1983 claim, a plaintiff must show that (1) acts by the defendants 13 (2) under color of state law (3) deprived her of federal rights, privileges or immunities and 14 (4) caused her damage. Thornton v. City of St. Helens, 425 F.3d 1158, 1163-64 (9th Cir. 15 2005) (quoting Shoshone-Bannock Tribes v. Idaho Fish & Game Comm’n, 42 F.3d 1278, 16 1284 (9th Cir. 1994)). In addition, a plaintiff must allege that she suffered a specific injury 17 as a result of the conduct of a particular defendant and she must allege an affirmative link 18 between the injury and the conduct of that defendant. Rizzo v. Goode, 423 U.S. 362, 371- 19 72, 377 (1976). 20 Not every claim by a prisoner relating to inadequate medical treatment states a 21 violation of the Eighth Amendment. To state a § 1983 medical claim, a plaintiff must show 22 (1) a “serious medical need” by demonstrating that failure to treat the condition could result 23 in further significant injury or the unnecessary and wanton infliction of pain and (2) the 24 25
26 2 Although Plaintiff characterizes this claim as arising under both the Eighth and Fourteenth Amendments, it is the Eighth Amendment’s ban on cruel and unusual 27 punishment, not the Due Process Clause, that protects convicted prisoners from unlawful conditions of confinement. Farmer v. Brennan, 511 U.S. 825, 832 (1994) (noting that 28 Eighth Amendment imposes duties on prison officials to ensure that prisoners receive adequate food, clothing, shelter, and medical care). 1 defendant’s response was deliberately indifferent. Jett v. Penner, 439 F.3d 1091, 1096 (9th 2 Cir. 2006). 3 “Deliberate indifference is a high legal standard.” Toguchi v. Chung, 391 F.3d 4 1051, 1060 (9th Cir. 2004). To act with deliberate indifference, a prison official must both 5 know of and disregard an excessive risk to inmate health; “the official must both be aware 6 of facts from which the inference could be drawn that a substantial risk of serious harm 7 exists, and he must also draw the inference.” Farmer v. Brennan, 511 U.S. 825, 837 (1994). 8 Deliberate indifference in the medical context may be shown by a purposeful act or failure 9 to respond to a prisoner’s pain or possible medical need and harm caused by the 10 indifference. Jett, 439 F.3d at 1096. Deliberate indifference may also be shown when a 11 prison official intentionally denies, delays, or interferes with medical treatment or by the 12 way prison doctors respond to the prisoner’s medical needs. Estelle v. Gamble, 429 U.S. 13 97, 104-05 (1976); Jett, 439 F.3d at 1096. 14 Deliberate indifference is a higher standard than negligence or lack of ordinary due 15 care for the prisoner’s safety. Farmer, 511 U.S. at 835.
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1 WO MH 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8 9 Sara L. Bosworth, No. CV 21-00081-PHX-MTL (ESW) 10 Plaintiff, 11 v. ORDER 12 Centurion LLC, et al., 13 Defendants.
14 15 Plaintiff Sara L. Bosworth, who is confined in the Arizona State Prison Complex 16 (ASPC)-Perryville and represented by counsel, has filed a civil rights Complaint pursuant 17 to 42 U.S.C. § 1983 and 28 U.S.C. § 1367 (Doc. 1). The Court will dismiss the Complaint 18 with leave to amend. 19 I. Statutory Screening of Prisoner Complaints 20 The Court is required to screen complaints brought by prisoners seeking relief 21 against a governmental entity or an officer or an employee of a governmental entity. 28 22 U.S.C. § 1915A(a). The Court must dismiss a complaint or portion thereof if a plaintiff 23 has raised claims that are legally frivolous or malicious, that fail to state a claim upon which 24 relief may be granted, or that seek monetary relief from a defendant who is immune from 25 such relief. 28 U.S.C. § 1915A(b)(1)–(2). 26 . . . . 27 . . . . 28 . . . . 1 II. Complaint 2 Plaintiff is suing Centurion LLC (“Centurion”) and two employees or agents of 3 Centurion: Dr. Steven Ibrahim and Nurse Patricia Davis.1 Plaintiff seeks compensatory 4 and punitive damages, along with costs and attorney’s fees. 5 Plaintiff alleges that on January 15, 2020, she injured her left foot and ankle while 6 playing volleyball at ASPC-Perryville. (Doc. 1 at 3.) Plaintiff requested a medical 7 evaluation the same day. (Id.) Plaintiff was x-rayed on January 16, 2020, but was not 8 evaluated until January 21, 2020, when she saw Defendant Ibrahim. (Id.) During that five- 9 day period, Plaintiff received no pain medication. (Id.) Defendant Ibrahim examined 10 Plaintiff, informed her that she had suffered a fracture, and ordered a splint and a follow- 11 up x-ray that was supposed to be performed in two weeks. (Id. at 4.) 12 On February 9, 2020, Plaintiff filed a Health Needs Request (HNR) regarding 13 persistent pain. (Id.) Plaintiff also expressed concern about the delay in her follow-up x- 14 ray. (Id.) 15 Plaintiff’s follow-up x-ray, which was not performed until February 13, 2020, 16 revealed “displacement of the previously well-aligned fracture” and indicated that 17 Plaintiff’s injury had worsened. (Id.) Defendant Ibrahim reviewed Plaintiff’s x-ray on 18 February 17, 2020, and determined that an orthopedic consultation was necessary. (Id.) 19 At some point between February 17 and May 19, 2020, Plaintiff filed an HNR regarding 20 pain she was experiencing. (Id.) Plaintiff also saw Defendant Davis twice during this 21 period; Davis “noted that no response to the previous consultation request had been 22 entered.” (Id.) 23 On May 19, 2020, Plaintiff was evaluated by a podiatrist at Banner Orthopedic. (Id.) 24 The podiatrist indicated that surgery could be necessary. (Id. at 4-5.) On July 15, 2020, 25 an x-ray showed that Plaintiff’s left fifth metatarsal was still unhealed. (Id. at 5.) Plaintiff 26 has not been reevaluated by an “appropriate” medical professional since that time. (Id.)
27 1 Plaintiff has also named multiple Doe Defendants identified as “John and Jane 28 Does I-X” and “Black and White Corporations I-X.” She does not allege any facts against these Defendants. 1 Based on the foregoing allegations, Plaintiff asserts two claims for relief—an Eighth 2 Amendment medical-care claim2 arising under 42 U.S.C. §1983 (Count One) and a medical 3 malpractice claim arising under state law (Count Two). (Id.) Plaintiff claims in Count One 4 that Defendant Ibrahim acted with deliberate indifference when he failed to properly assess, 5 evaluate, or treat her and that Defendant Centurion “was aware of the risk of injury to 6 [Plaintiff] from its agent’s actions and acted with deliberate indifference to a serious 7 medical need.” (Id.) In Count Two, Plaintiff asserts that Defendants Ibrahim and Davis 8 negligently failed to identify, diagnose, and treat her fifth metatarsal fracture, likely 9 compromising her ability to walk, run, and participate in activities of daily living and 10 potentially necessitating further treatment. 11 III. Section 1983 Claim 12 To prevail in a § 1983 claim, a plaintiff must show that (1) acts by the defendants 13 (2) under color of state law (3) deprived her of federal rights, privileges or immunities and 14 (4) caused her damage. Thornton v. City of St. Helens, 425 F.3d 1158, 1163-64 (9th Cir. 15 2005) (quoting Shoshone-Bannock Tribes v. Idaho Fish & Game Comm’n, 42 F.3d 1278, 16 1284 (9th Cir. 1994)). In addition, a plaintiff must allege that she suffered a specific injury 17 as a result of the conduct of a particular defendant and she must allege an affirmative link 18 between the injury and the conduct of that defendant. Rizzo v. Goode, 423 U.S. 362, 371- 19 72, 377 (1976). 20 Not every claim by a prisoner relating to inadequate medical treatment states a 21 violation of the Eighth Amendment. To state a § 1983 medical claim, a plaintiff must show 22 (1) a “serious medical need” by demonstrating that failure to treat the condition could result 23 in further significant injury or the unnecessary and wanton infliction of pain and (2) the 24 25
26 2 Although Plaintiff characterizes this claim as arising under both the Eighth and Fourteenth Amendments, it is the Eighth Amendment’s ban on cruel and unusual 27 punishment, not the Due Process Clause, that protects convicted prisoners from unlawful conditions of confinement. Farmer v. Brennan, 511 U.S. 825, 832 (1994) (noting that 28 Eighth Amendment imposes duties on prison officials to ensure that prisoners receive adequate food, clothing, shelter, and medical care). 1 defendant’s response was deliberately indifferent. Jett v. Penner, 439 F.3d 1091, 1096 (9th 2 Cir. 2006). 3 “Deliberate indifference is a high legal standard.” Toguchi v. Chung, 391 F.3d 4 1051, 1060 (9th Cir. 2004). To act with deliberate indifference, a prison official must both 5 know of and disregard an excessive risk to inmate health; “the official must both be aware 6 of facts from which the inference could be drawn that a substantial risk of serious harm 7 exists, and he must also draw the inference.” Farmer v. Brennan, 511 U.S. 825, 837 (1994). 8 Deliberate indifference in the medical context may be shown by a purposeful act or failure 9 to respond to a prisoner’s pain or possible medical need and harm caused by the 10 indifference. Jett, 439 F.3d at 1096. Deliberate indifference may also be shown when a 11 prison official intentionally denies, delays, or interferes with medical treatment or by the 12 way prison doctors respond to the prisoner’s medical needs. Estelle v. Gamble, 429 U.S. 13 97, 104-05 (1976); Jett, 439 F.3d at 1096. 14 Deliberate indifference is a higher standard than negligence or lack of ordinary due 15 care for the prisoner’s safety. Farmer, 511 U.S. at 835. “Neither negligence nor gross 16 negligence will constitute deliberate indifference.” Clement v. Cal. Dep’t of Corr., 220 F. 17 Supp. 2d 1098, 1105 (N.D. Cal. 2002); see also Broughton v. Cutter Labs., 622 F.2d 458, 18 460 (9th Cir. 1980) (mere claims of “indifference,” “negligence,” or “medical malpractice” 19 do not support a claim under § 1983). “A difference of opinion does not amount to 20 deliberate indifference to [a plaintiff’s] serious medical needs.” Sanchez v. Vild, 891 F.2d 21 240, 242 (9th Cir. 1989). A mere delay in medical care, without more, is insufficient to 22 state a claim against prison officials for deliberate indifference. See Shapley v. Nev. Bd. of 23 State Prison Comm’rs, 766 F.2d 404, 407 (9th Cir. 1985). The indifference must be 24 substantial. The action must rise to a level of “unnecessary and wanton infliction of pain.” 25 Estelle, 429 U.S. at 105. 26 A. Defendant Centurion 27 To state a claim under § 1983 against a private entity performing a traditional public 28 function, such as providing medical care to prisoners, a plaintiff must allege facts to support 1 that her constitutional rights were violated as a result of a policy, decision, or custom 2 promulgated or endorsed by the private entity. See Tsao v. Desert Palace, Inc., 698 F.3d 3 1128, 1138-39 (9th Cir. 2012); Buckner v. Toro, 116 F.3d 450, 452 (11th Cir. 1997) (per 4 curiam). A plaintiff must allege the specific policy or custom and how it violated her 5 constitutional rights. A private entity is not liable merely because it employs persons who 6 allegedly violated a plaintiff’ s constitutional rights. See Tsao, 698 F.3d at 1139; Buckner, 7 116 F.3d at 452. 8 Plaintiff does not allege that any of the conduct described in Count One was the 9 result of a specific policy or custom of Defendant Centurion. Accordingly, Plaintiff has 10 failed to state a § 1983 claim against Centurion, and this Defendant will be dismissed. 11 B. Defendant Ibrahim 12 Plaintiff’s allegations are insufficient to show that Defendant Ibrahim was 13 deliberately indifferent to a substantial risk of harm. Plaintiff does not allege any facts to 14 suggest that this Defendant was responsible for the six-day delay of her initial evaluation, 15 the nine-day delay of her follow-up x-ray, or the three-month delay of her orthopedic 16 consultation. Plaintiff’s allegations are too vague and conclusory to show that these delays 17 are attributable to even negligent conduct on the part of Defendant Ibrahim, and an Eighth 18 Amendment medical-care claim requires more than just negligent conduct. 19 To the extent Plaintiff’s Eighth Amendment claim is premised on any failure to 20 obtain pain medication, she has not alleged any facts to show that Defendant Ibrahim was 21 personally aware of Plaintiff’s pain. Nor has she alleged facts to show that Defendant 22 Ibrahim responded to this information with deliberate indifference by, for example, 23 refusing to supply Plaintiff medication. Accordingly, Plaintiff has failed to state a § 1983 24 claim against Defendant Ibrahim, and this claim will be dismissed without prejudice. 25 IV. Medical Malpractice Claim 26 In light of the Court’s decision to dismiss Plaintiff’s federal claim, the Court 27 declines to exercise supplemental jurisdiction at this time over the state-law negligence 28 claim asserted in Count Two. See Ove v. Gwinn, 264 F.3d 817, 826 (9th Cir. 2001) (“A 1 | court may decline to exercise supplemental jurisdiction over related state-law claims once 2| it has ‘dismissed all claims over which it has original jurisdiction.’”’) (quoting 28 U.S.C. § 1367(c)(3)); Gini v. Las Vegas Metro. Police Dep’t, 40 F.3d 1041, 1046 (9th Cir. 1994) (when federal law claims are eliminated before trial, the court generally should decline 5 | jurisdiction over state law claims and dismiss them without prejudice). 6| V. Leave to Amend 7 For the foregoing reasons, Plaintiff’s Complaint will be dismissed for failure to state 8 | aclaim upon which relief may be granted. Within 30 days, Plaintiff may submit a first 9 | amended complaint to cure the deficiencies outlined above. 10| ITIS ORDERED: 11 (1) The Complaint (Doc. 1) is dismissed for failure to state a claim. Plaintiff 12 | has 30 days from the date this Order is filed to file a first amended complaint in compliance 13 | with this Order. 14 (2) — If Plaintiff fails to file an amended complaint within 30 days, the Clerk of 15 | Court must, without further notice, enter a judgment of dismissal of this action and deny any pending unrelated motions as moot. 17 Dated this 16th day of February, 2021. 18 Wichad T. gibuade Michael T. Liburdi 21 United States District Judge 22 23 24 25 26 27 28