Buoniconti v. City of Philadelphia

148 F. Supp. 3d 425, 2015 U.S. Dist. LEXIS 163435, 2015 WL 8007438

• Court: District Court, E.D. Pennsylvania
• Decided: December 7, 2015
• Docket: CIVIL ACTION No. 15-3787
• Status: Published

Opinion

MEMORANDUM

EDUARDO C. ROBRENO, District Judge.

Table of Contents

I. INTRODUCTION.. .430

II. FACTUAL BACKGROUND.. .431

III. PROCEDURAL HISTORY.. .432

IV. LEGAL STANDARD... 433

V. DISCUSSION.. .433

A.Count 1: Eighth Amendment Denial of Medical Care Against All Individual Defendants ... . 434 ,

1.The Elements of Plaintiffs- Eighth Amendment Claim... .434.

2.The Plausibility of the Claim.. .435

B. Counts 4 and 7: Eighth Amendment Denial of Medical Care and Monell Claim Against Defendant City of Philadelphia. . .436

1. The Elements of Plaintiff’s Monell Claim.. .436

2. Municipal Policymakers.. .437

3. Municipal Policy or Custom... 437

a. Alleged Failure to Provide Sufficient Medical Care;.. 438

b. Alleged Failure to Train or Supervise Officials Regarding Emergency Medical Treatment.. .440

c. Alleged Failure to Investigate the Assault.. .441

d. Alleged Failure to Train or Supervise Officials as to Protection for Inmates ...442

C. Count 8: Supervisory Liability Against Defendants Giorla and Goodman. . .443

1. The Elements of Plaintiffs Claim.. .443

2. The Plausibility of the Claim.. .444 -

■D. Count 9: Eighth Amendment Against Defendant Osborne.. .445

1. The Elements of Plaintiffs Claim.. .445

2. The Plausibility of the Claim.. .445

3. Qualified Immunity.. .446

E. Leave to Amend. ■ .447

VI.CONCLUSION.. .447

I. INTRODUCTION

Plaintiff Christopher Buoniconti brings this action pursuant to 42 U.S.C. § 1983 and Pennsylvania state law, seeking damages against the City , of Philadelphia; Louis Giorla, as Commissioner of the Philadelphia Prison System; Juanita Goodman, as the Warden of the Philadelphia Prison System for the Alternative and Special Detention Division; Captain Cynthia Osborne, as a Captain and senior, officer within the Philadelphia Prison System; and John Does 1-2, employed by the Philadelphia Prison System as corrections officers, medical providers and/or social workers (collectively, the “City Defendants”). Am. Compl. ¶¶ 6-10, ECF No. 3. Plaintiff also brings suit against Corizon Health, Inc., t/a Prison Health Services, Inc., a corporation contracted by the City of Philadelphia to provide inmates with 'medical services, and John Does 3-4, employed by Defendant Corizon Health, Inc., as nurses, doctors and/or medical providers (collectively, the “Health Provider Defendants”). Id. ¶¶ 11-12.

Although Plaintiff pursues a potpourri of theories, both as to each Defendant and as to Defendant City of Philadelphia under Monell v. Department of Social Services, 436 U.S. 658, 98 S.Ct. 2018, 56 L.Ed.2d 611 (1978), the crux of the matter here appears to be Plaintiff s claim that the City Defendants failed to protect Plaintiff from violence by other inmates and that once violence occurred, they failed to provide him with adequate medical care in violation of his constitutional rights.

The City Defendants moved to dismiss Plaintiffs Amended Complaint for failure to state a claim as to Counts 1, 4, 7, .8, and 9.¹ ECF No. 2. Because, as more fully set forth below, the allegations in the Amended Complaint do not satisfy the standards for claiming a constitutional violation as laid out by the Supreme Court in Bell Atl. Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007) and Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009), the motion will- be granted.

II. FACTUAL BACKGROUND

Plaintiff s Amended Complaint sets forth the following allegations, which the Court will accept as true for purposes of Defendants’ Motion to Dismiss. On July 22, 2013, Plaintiff was an inmate at 600 University Avenue in Philadelphia, Pennsylvania (“the Facility”), a detention center that houses inmates qualifying for work release. Am. Compl. ¶ 22. Inmates at the Facility are permitted to . leave the grounds for work, but then must return after completing work. Id. ¶ 23. Plaintiff alleges that on or about July 23, 2013, around 5:30 p.m., Plaintiff was assaulted and brutally beaten by two fellow inmates while he was sleeping in his room at the Facility. Id. ¶ 25. Plaintiffs -roommate discovered him unconscious and bleeding, and immediately reported his condition to Sergeant Bledsloe and Sergeant Ferguson. Id. ¶¶ 26-27.

The sergeants ordered two corrections officers to transport Plaintiff to an emergency room at a local hospital. Id. ¶ 28. Despite there being three emergency rooms located within a ten-minute drive from the Facility,² id. ¶¶ 29-30, Plaintiff was transported to Curran-Fromhold Correctional Facility (“CFCF”) — part of the Philadelphia Prison System — which is located approximately thirty minutes away from the Facility, id. ¶ 31. Upon arrival at CFCF, a nurse and doctor evaluated Plaintiff. Id. ¶ 32. At approximately 2:00 a.m. on July 24, 2013, the doctor at CFCF ordered that Plaintiff be transported to the “Frankford-Torresdale Hospital Emergency Room.” Id.

Between the time Plaintiff was injured and the time he was transported, to the hospital, approximately eight hours elapsed, during which Plaintiff was hemorrhaging. Id. ¶ 38. Once at Frankford Hospital, Plaintiff was diagnosed with internal bleeding, a ruptured spleen, fractured ribs on his right side, and a concussion. Id. ¶ 37. Emergency surgery stopped the internal bleeding. Id. ¶ 38. Plaintiff underwent various treatments and procedures, including an IR embolization. Id. Plaintiff also suffered injuries to his testicles, a hemoperitoneuni, a left apical pneumotho-rax, injuries to his nerves and nervous system, contusions, lacerations, and sprains and strains to his face and body, as well as various other injuries. Id. ¶ 54. Plaintiff remained at Frankford-Torres-dale Hospital for approximately five days before he was released to the Infirmary of the Philadelphia Prison System. Id. ¶ 39. As a result of the assault, Plaintiff suffered permanent injuries and a five-inch scar to his groin. Id. ¶ 40. Plaintiff avers that he was not provided proper emergency medical treatment, “as exemplified by [his] mul-ti-hour debacle to see a medical professional at Frankford Hospital, instead of the University of Pennsylvania Emergency Room located four minutes from 600 University Avenue.” Id. ¶ 113.

According to Plaintiff, his assault was captured on video at the Facility, but Defendant Osborne “failed to report the crime and/or investigate the assault and battery.” Id. ¶ 49. Plaintiff also alleges that there were prior accounts or complaints of harm to inmates, id. ¶ 51, and that Plaintiffs assailants “should have been placed into [the] Alternative and Special Detention program because of their known prior violent acts and propensity for violence,” id. ¶ 52. Plaintiff further alleges that neither assailant should have had access to Plaintiffs room, id. ¶ 41, and Defendants failed to properly guard the hallways, id. ¶ 42.

III. PROCEDURAL HISTORY

On July 8, 2015, Plaintiff commenced this action in federal court, asserting the following nine counts:

Count I Eighth Amendment Denial of Medical Care Against All Defendants

Count II Eighth Amendment Denial of Medical Care Against Defendants John Doe Nurse & Doctpr

Count III Eighth Amendment Denial of Medical Care' Against Defendant Corizon Health, Inc.

Count IV Eighth Amendment Denial of Medical' Care Against Defendant City of Philadelphia

Count V Medical Negligence Claim Against Defendants John Doe Nurse & Doctor

Count VI Medical Negligence Claim Against Defendants John Doe , Doctors

Count VII Monell Claim Against City of Philadelphia

Count VIII ' Supervisory Liability Against Defendants Giorla & Goodman

Count IX Eighth Amendment Against Defendant Osborne

Compl. ¶¶ 40-67, ECF No. 1.

On August 19,2015, the City Defendants filed a motion to dismiss. ECF No. 2. In response, Plaintiff filed an Amended Complaint- on September 1, 2015. ECF No. 3.

Then, the City Defendants filed their Second Motion to Dismiss on September 11, 2015, ECF No. 4, and the Health Provider Defendants filed an Answer on October 1, 2015, ECF No. 5. Also on October 1, 2015, Plaintiff responded to the Second Motion to Dismiss. ECF No. 7. After a hearing on the City Defendants’ Second Motion to Dismiss, held on November 6, 2015, the motion is now ripe for disposition,

IY. LEGAL STANDARD

A party may move to dismiss a complaint for failure to state a claim upon which, relief can be granted. Fed. R. Civ. P. 12(b)(6). When considering such a motion, the Court must “accept as true all allegations in the complaint and all reasonable inferences that can be drawn therefrom, and view them in the light most favorable to the non-moving party.” De-Benedictis v. Merrill Lynch & Co., 492 F.3d 209, 215 (3d Cir.2007). To withstand a motion to dismiss,- the complaint’s “[fjactual allegations must be enough to raise a right to relief above the speculative level.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). This “requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do.” Id. Although a plaintiff is entitled to all reasonable inferences from the facts alleged, a plaintiffs legal conclusions are not entitled to deference, and the Court is “not bound to accept as true a legal conclusion couched as a factual allegation.” Papa-san v. Allain, 478 U.S. 265, 286, 106 S.Ct. 2932, 92 L.Ed.2d 209 (1986).

The pleadings must contain sufficient factual allegations so as to state a facially plausible claim for relief. See, e.g., Gelman v. State Farm Mut. Auto. Ins. Co., 583 F.3d 187, 190 (3d Cir.2009). “A claim has facial 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, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009).³ In deciding a Rule 12(b)(6) motion, the Court limits its inquiry to the facts alleged in the complaint and its attachments, matters of public record, and undis-putedly authentic documents if the complainant’s claims are based upon these documents. See Jordan v. Fox, Rothschild, O’Brien & Frankel, 20 F.3d 1250, 1261 (3d Cir.1994); Pension Benefit Guar. Corp. v. White Consol. Indus., Inc., 998 F.2d 1192, 1196 (3d Cir.1993).

V. DISCUSSION

Defendants move to dismiss Counts 1, 4, 7, 8, and 9 of Plaintiffs Amended Complaint for failure to state a claim under 42 U.S.C. § 1983.⁴ See generally Defs.’ Mot., EOF No. 4. Each count will be discussed in turn.

A. Count 1; Eighth Amendment Denial of Medical Care Against All Individual Defendants

Defendants first contend that Plaintiff fails to state a claim in Count. 1 of his Amended Complaint. Defs.’ Mot. 4. In Count 1, Plaintiff asserts that each Defendant⁵ failed to provide medical care to Plaintiff, thereby constituting deliberate indifference to Plaintiffs serious medical needs. Am. Compl. ¶ 56.

Defendants argue that Plaintiff fails to “indicate that Commissioner Giorla, Warden Goodman, or Captain Osborne were aware of his medical needs at the time of his injury” and also fails to “plausibly suggest that they were somehow deliberately indifferent to such needs.” Defs.’ Mot. 4. In response, Plaintiff contends he “has sufficiently ple[]d [Cjount [Ojne of his Complaint with regard to Defendants’ deliberate indifference to the injuries to Plaintiff after the brutal attack.” Pl.’s Resp. 4, ECF No. 7.

1. The Elements of Plaintiffs , Eighth Amendment Claim

Under the Eighth Amendment to the United States Constitution, “[ejxces-sive bail shall not be required, nor excessive fines imposed, nor cruel and unusual punishment inflicted.” U.S. Const, amend. VIII. “The Cruel and Unusual Punishments Clause ‘was- designed to protect those convicted of crimes.’ ” Whitley v. Albers, 475 U.S. 312, 318, 106 S.Ct. 1078, 89 L.Ed.2d 251 (1986) (quoting Ingraham v. Wright, 430 U.S. 651, 664, 97 S.Ct. 1401, 51 L.Ed.2d 711 (1977)). “The unnecessary and wanton infliction of pain... constitutes cruel and unusual punishment forbidden by the Eighth Amendment.” Hope v. Pelzer, 536 U.S. 730, 737, 122 S.Ct. 2508, 153 L.Ed.2d 666 (2002) (internal quotation marks omitted) (quoting, Whitley, 475 U.S. at 319, 106 S.Ct. 1078). “An express intent to inflict unnecessary pain is not required,” but “conduct that does not purport to be a punishment at all must involve more than ordinary lack of due care for the prisoner’s interests or safety.” Whitley, 475 U.S. at 819, 106 S.Ct. 1078.

To establish that prison conditions amount to cruel and unusual punishment, a plaintiff must satisfy a two-part test. Farmer v, Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994). First, Plaintiff must show that the conditions to which he has been subjected are “sufficiently serious,” amounting to denial of “the minimal civilized measure of life’s necessities.” Id. This is an objective inquiry. Id. To determine whether conditions are “sufficiently serious,” the. court asks whether the conditions contravene “the evolving standards of decency that mark the progress of a maturing society.” Estelle v. Gamble, 429 U.S. 97, 102, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976).

Second, the plaintiff must show that “the officials involved acted with ‘deliberate indifference’ to the inmates’ health or safety.” Hope, 536 U.S. at 738, 122 S.Ct. 2508. This is a subjective inquiry, and deliberate indifference may be inferred “from the fact that the risk of harm is obvious.” Id. This notion of deliberate indifference is consistent with “recklessness as the term is defined in criminal law.” Nicini v. Morra, 212 F.3d 798, 811 (3d Cir.2000).

It is insufficient for an official- to simply be “aware of facts from which the inference can be drawn that a substantial risk of serious harm exists.” Farmer, 511 U.S. at 837, 114 S.Ct. 1970. As the Supreme Court has explained,

a prison official cannot be found liable under the Eighth Amendment ... 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.

Id. (discussing an Eighth Amendment claim based on conditiohs of confinement).

2. The Plausibility of the. Claim

Plaintiff pleads sufficient facts to satisfy the first part of the two-part test. The Amended Complaint contains allegations that the delay in medical care to which Plaintiff was subjected -was' sufficiently serious. Between the time he was found injured in his cell and the time he was treated at the emergency room, Plaintiff was internally hemorrhaging and suffering from a ruptured spleen, fractured ribs, and a concussion. Am. Compl. ¶¶ 61-62. A significant delay in providing medical care to a prisoner in need of emergency treatment- contravenes “evolving standards of decency.” Farmer, 511 U.S. at 833, 114 S.Ct. 1970.

However,- Plaintiff does not allege sufficient facts to satisfy the second prong of the two-part test. Plaintiff alleges that “Defendants knew or should have known of Plaintiffs injury between the assault and being found in his room by Plaintiffs roommate.” Id. ¶ 64. Plaintiff also alleges that “[t]he failure of Defendants to provide medical care to Plaintiff constitutes deliberate indifference to the Plaintiffs serious medical needs in violation of the Eighth Amendment’s prohibition of cruel and unusual punishment.” Jd. ¶ 56, But such allegations are merely “naked assertions .devoid of further factual enhancement” and “[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements.” Iqbal, 556 U.S. at 678, 129 S.Ct. 1937 (internal quotation marks omitted).

, Considering the remaining factual allegations entitled - to the presumption of truth, Plaintiff fails to allege specific acts or omissions by Defendants Giorla, Goodman, or, Osborne that evidence deliberate indifference to Plaintiffs health or safety. See Farmer, 511 U.S. at 837, 114 S.Ct. 1970. There are no facts pleaded to indicate that Defendants Giorla, Goodman, or Osborne had knowledge or reason to know of Plaintiffs injuries or their severity before Plaintiffs roommate found him and reported his injuries. Without more, the Court.is unable to “draw the reasonable inference. that [Defendants are] liable for the misconduct alleged.” Santiago v. Warminster Township, 629 F.3d 121, 132 (3d Cir.2010). Therefore, Plaintiffs allegations do not reach “the high bar for deliberate indifference,” Hankey v. Wexford Health Sources, Inc., 383 Fed.Appx. 165, 170 (3d Cir.2010) (nonprecedential), and Plaintiff fails to state an Eighth Amendment claim against the individual Defendants for failure to provide adequate medical care.

B. Counts 4 and 7: Eighth Amendment Denial of Medical Care and Monell Claim Against Defendant City of Phila- delphia⁶

Defendants next move to dismiss Counts 4 and 7 of Plaintiffs Amended Complaint for failure to state a claim. Defs.’ Mot. 5-8. In Count 4, Plaintiff asserts that the City failed to provide medical care to Plaintiff, thereby constituting deliberate indifference to Plaintiffs serious medical needs in violation of the Eighth Amendment'.⁷ Am. Compl. ¶ 86. In Count 7, Plaintiff alleges that the City failed to train and adequately supervise its officials. Id. ¶¶ 104, 106, 113-14. Plaintiff further alleges that the City maintained policies and/or customs to provide inadequate and unreasonable responses to serious injuries sustained by inmates. Id. ¶ 105.

Because Counts 4 and 7, as pleaded, overlap to a degree, the Court will construe them as containing the following claims: (1) failure to provide sufficient emergency medical care, id. ¶¶ 86, 105; (2) failure to adequately train or supervise officials regarding emergency medical care for inmates, id. ¶ 113; (3) failure to investigate the assault, id. ¶¶ 107, 109, 112; and (4) failure to' adequately train or supervise officials regarding protection for inmates, id. ¶¶ 104,106.

1. The Elements of Plaintiffs Monell Claim

“There is no respondeat superior theory of municipal liability, so a city may not be held vicariously liable under § 1983 for the actions of its agents.” Sanford v. Stiles, 456 F.3d 298, 314 (3d Cir.2006) (citing Monell, 436 U.S. at 691, 98 S.Ct. 2018). Instead, “[a] local government may be sued under § 1983 only for acts implementing an official policy, practice or custom.” Losch v. Borough of Parkesburg, Pa., 736 F.2d 903, 910 (3d Cir.1984) (citing Monell, 436 U.S. at 690-91, 98 S.Ct. 2018).

Under Monell, a plaintiff must establish that: (1) the municipality had a policy or custom that deprived the plaintiff of his constitutional rights; (2) the municipality acted deliberately and was the moving force behind the deprivation; and (3) the plaintiffs injuries were caused by the identified policy or custom. 436 U.S. at 692-94, 98 S.Ct. 2018.

2. Municipal Policymakers

Defendants argue that, as a threshold matter, Plaintiff fails to plead any facts regarding a municipal policymaker’s conduct. Defs.’ Mot. 5. In response, Plaintiff alleges that the policymakers for the purposes of his Monell claim are Defendants Goodman and Giorla, who established the Philadelphia Prison System policies or customs which ultimately lead to Plaintiffs injuries. Pl.’s Resp. 5-6.

To satisfy the first element of a Monell claim, “a plaintiff must show that an official who has the power to make policy is responsible for either the affirmative proclamation of a policy or acquiescence in a well-settled custom.” Bielevicz v. Dubinon, 915 F.2d 845, 850 (3d Cir.1990) (citing Andrews v. City of Philadelphia, 895 F.2d 1469, 1480 (3d Cir.1990)). To determine whether an official is a policymaker, a court must ask whether, as a matter of state law, the official is responsible for making policy in the particular area of municipal business in question. Hill v. Borough of Kutztown, 455 F.3d 225, 245-46 (3d Cir.2006). Then, the court must ask whether the official’s authority to make the policy is “final and unreviewable.” Id.

Here, Plaintiff claims that Defendant Giorla, as commissioner of the Philadelphia Prison System, and Defendant Goodman, as a warden, “were employed and authorized by Defendant City of Philadelphia to exercise his or her discretion to make decisions, -take action or inaction, adopt policies, permit practices or utilize procedures within each respective role, without oversight or with meaningful review.” Am. Compl. ¶ 19.

Under Pennsylvania law, the Prison Board is the authorized policymaker for jails or county prisons for the purposes of making policy decisions regarding “the safekeeping, discipline and employment of inmates.” 61 Pa. Cons. Stat. § 1731(a)(3); see also id. § 1732(a) (requiring “the approval of a majority of all members of the board”).

However, while Plaintiff makes the con-clusory allegation that Defendants Giorla and Goodman had final, unreviewable discretion in some areas of prison policymaking, the Court finds no facts in the Amended Complaint that support his conclusion. See, e.g., Cortlessa v. Cty. of Chester, No. 04-1039, 2006 WL 1490145, at *8 (E.D.Pa. May 24, 2006) (“The mere fact that Warden Masters, as part of his duties, supervised prison officers is, by itself, insufficient to confer ‘policymaker’ status.”).

Given the absence of facts alleged by Plaintiff, the Court cannot draw the inference that Defendants Giorla and Goodman acted as final policymakers with respect to the Facility and its alleged policies. As such, municipal liability cannot be predicated upon , their actions. Therefore, Plaintiffs claims will be dismissed for failure to plead facts regarding a municipal policymaker’s conduct.

3. Municipal Policy or Custom

Additionally, to survive Defendants’ motion to dismiss, Plaintiff must have set forth sufficient facts indicating a policy or custom of the City. “Policy is made when a ‘decisionmaker possessing] final authority to establish municipal policy with respect to the action’ issues an official proclamation, policy, or edict.” Andrews, 895 F.2d at 1480 (quoting Pembaur v. City of Cincinnati, 475 U.S. 469, 481, 106 S.Ct. 1292, 89 L.Ed.2d 452 (1986)), superseded in part by statute, Civil Rights Act of 1991, Pub. L. No. 102-166, 105 Stat. 1072 (1991). A custom exists where there is a “course of conduct, although not specifically endorsed or authorized by law” that has become “so well-settled and permanent as virtually to constitute law.” Bielevicz, 915 . In any event, “vague assertions” of policy or custom are not sufficient to impose liability. Groman v. Township of Manalapan, 47 F.3d 628, 637 (3d Cir.1995); see also City of Oklahoma City v. Tuttle, 471 U.S. 808, 822, 105 S.Ct. 2427, 85 L.Ed.2d 791 (1985) (explaining' that the policy upon which a plaintiff relies cannot be “nebulous” or “removed from the constitutional violation”).

“There are three situations where acts of a government employee may be deemed to be the result of a policy or custom of the governmental entity for whom the employee works, thereby rendering the entity liable under § 1983.” Natale v. Camden Cty. Corr, Facility, 318 F.3d 575, 584 (3d Cir.2007).

First, and most straightforwardly, a-policy or custom may be inferred from the acts or omissions of an officer-employee where “the appropriate officer or entity promulgates a generally applicable statement of policy and the subsequent act complained of is simply an implementation of that policy.” Id. at 584 (quoting Bd. of Cty. Comm’rs of Bryan Cty., Okla. v. Brown, 520 U.S. 397, 417, 117 S.Ct. 1382, 137 L.Ed.2d 626 (1997)). Second, a policy or custom may be inferred where “no rule has been announced as policy but federal law has been violated by an act- of the policymaker itself.” Id.- Third, a policy or custom may be inferred where “the policymaker has failed to act affirmatively at all,” but “the need to take some action to control the agents of the government is so obvious, and the inadequacy of existing practice so likely to result in the violation of constitutional rights, that the policymaker can reasonably be said to have been deliberately indifferent to the need.” Id. (citations omitted).

Each basis for Plaintiffs claim against the City must be scrutinized for the existence of a policy or custom, because it is an element of the claim that Plaintiff must sufficiently plead to withstand Defendants’ motion. Monell, 436 U.S. at 694, 98 S.Ct. 2018.

a. Alleged Failure to Provide Sufficient Medical Care

Plaintiff first seeks to state a claim against the City for failure to provide sufficient emergency medical care in violation of the Eighth Amendment. Am. Compl. ¶¶ 85-96, 105, 110. But Plaintiff fails to allege the existence of a policy or custom. Natale, 318 F.3d at 584. Plaintiff alleges that,

[a]s a result of the aforementioned policies, practices and procedures of Defendants in conjunction with the established custom of Defendant City of Philadelphia, Plaintiff was left without medical attention, was intentionally left to suffer internal injuries and was made to endure significant injuries for a period of eight hours before proper medical treatment was made available.

Am. Compl. ¶ 95. Plaintiff states that there were three emergency rooms less than ten minutes from the Facility when Sergeants Bledsloe and Ferguson ordered two corrections officers to transport Plaintiff to an emergency room at- a local hospital. Id. ¶¶ 29, 30. But Plaintiff was transported to CFCF, nearly thirty minutes from thé Facility. Id. ¶ 31. Plaintiff alleges that as a result of the City’s policies and customs, Plaintiff was “forced to suffer eight hours of pain and internal bleeding until he was treated for his life-threatening injuries.” Id. ¶ 110.

Although Plaintiffs well-pleaded factual allegations regarding his injuries are entitled the presumption of truth, Plaintiff fails to sufficiently plead any facts from which the Court could discern the existence or content of any policy or custom relating to those injuries. The “aforementioned policies, practices and procedures” to which Plaintiff refers, e.g., id. ¶ 74, are not mentioned at all.

Of course, the absence of a policy may provide the basis for a Monell claim if sufficiently pleaded. In Natale v. Camden County Correctional Facility, the Third Circuit determined that a prison with “no policy ensuring that an inmate having need for medication for a serious medical condition would be given that medication during the first 72 hours of incarceration” was a “particularly glaring omission in a program of medical care.” Natale, 318 F.3d at 584-85. The court concluded that a jury could determine the absence of such a policy was “sufficiently obvious to constitute deliberate indifference to those inmates’ medical needs,” and thus the plaintiffs Monell claim should have survived summary judgment. Id. at 585.

Here, Plaintiff’s Amended Complaint, on its face, does not allege the absence of a policy to address an inmate’s emergency medical situation. Rather, Plaintiff continually refers to the City’s “developed and maintained policies and / or customs.” Am. Compl. ¶ 103; see also id. ¶¶ 95, 96, 105, 110, 114. As such, it is the alleged existence of an inadequate policy or custom (and. not the absence of a policy) that forms the basis of Plaintiffs Monell claim. Therefore, Natale is inapplicable here.

Without sufficient facts indicating the existence of an inadequate policy or custom and/or the absence of a policy, Plaintiff does not sufficiently plead a Monell claim for a violation of the Eighth Amendment.⁸ Because Plaintiff did not set forth sufficient facts to satisfy thé first threshold requirement, the Court need hot probe further as to whether the City Defendants acted with deliberate indifference.⁹ Therefore, Plaintiffs claim against the City for failure to provide adequate medical care will be dismissed. .

b. Alleged Failure to Train or Supervise Officials Regarding Emergency Medical Treatment

Plaintiff also seeks to state a claim against the City for failure to adequately train or supervise prison officials regarding emergency medical care for inmates. Am. Compl. ¶ 113.

“In limited circumstances, a local government’s decision not to train certain employees about their legal duty to avoid violating citizens’ rights may rise to the level of an official government policy for purposes of § 1983.” Connick v. Thompson, 563 U.S. 51, 131 S.Ct. 1350, 1359, 179 L.Ed.2d 417 (2011). But a failure to train or supervise “must amount to ‘deliberate indifference to the rights of persons with whom the untrained employees come into contact.’ ” Id. (alternations in original) (quoting Canton v. Harris, 489 U.S. 378, 388, 109 S.Ct. 1197, 103 L.Ed.2d 412 (1989)); see also Carter v. City of Philadelphia, 181 F.3d 339, 357 (3d Cir.1999).

Deliberate indifference for a failure-to-train claim under the Eighth Amendment is a “stringent” standard, “requiring proof that a municipal actor disregarded a known or obvious consequence of his action.” Bryan Cty., 520 U.S. at 410, 117 S.Ct. 1382. To demonstrate deliberate indifference where a plaintiff claims failure to train or supervise, the plaintiff must ordinarily show a “pattern of similar constitutional violations by untrained employees.” Thomas v. Cumberland County, 749 F.3d 217, 223 (3d Cir.2014) (quoting Connick, 131 S.Ct. at 1360).

However, sometimes “the need for training ‘can be said to be so obvious that failure to do so could properly be characterized as deliberate indifference to constitutional rights’ even without a pattern of constitutional violations.” Id. (quoting Canton, 489 U.S. at 390 n. 10, 109 S.Ct. 1197). While “it is possible to establish deliberate indifference based on a single incident] ... this showing is available in a very narrow range of circumstances.” Peters v. Cmty. Educ. Ctrs., Inc., No. 11-850, 2014 WL 981557, at *9 (E.D.Pa. Mar. 13, 2014). “To find deliberate indifference from a single-incident violation,” the risk of injury must be a “highly predictable consequence” of the municipality’s failure to train and supervise its officers. Thomas, 749 F.3d at 225 (quoting Connick, 563 U.S. at 63-64, 131 S.Ct. 1350). “Liability in single-incident cases depends on ‘[t]he likelihood that the situation will recur and the predictability that an officer lacking specific tools to handle that situation will violate citizens’ rights.’.” Id. at 223-24 (quoting Bryan Cty., 520 U.S. at 409, 117 S.Ct. 1382).

If a plaintiff is able -to meet the stringent standard for deliberate indifference, the plaintiff must then demonstrate that the failure to train proximately caused his constitutional injury by identifying a particular' failure in a training program that is “closely related to the ultimate injury.” Canton, 489 U.S. at 391, 109 S.Ct. 1197. Liability attaches only if “the deficiency-in training actually caused the [constitutional injury].” Id. (explaining that the plaintiff must show that the injury would “have been avoided had the employee been trained under a program that was- not deficient in the identified respect”).

The present case does not present a situation where Plaintiff “failed to plead any facts whatsoever.” Tripodi v. North Coventry Township, 616 Fed.Appx. 521, 523 (3d Cir.2015) (per curiam) (nonprecedential). Rather, Plaintiff states that the City failed to adequately supervise and train its officers regarding the need for emergency treatment and the method by which emergency aid is administered to seriously injured inmates, “as exemplified by Plaintiffs multi-hour debacle to see a medical professional at Frankford Hospital, instead of the University of Pennsylvania Emergency Room located four minutes from 600 University Avenue.” Am. Compl. ¶113; see also id. ¶¶ 28-32.

But to plead a failure-to-train claim, Plaintiff still must allege that “the municipality had a policy.” Vargas v. City of Philadelphia, 783 F.3d 962, 974 (3d Cir. 2015). Here, Plaintiff does not indicate the existence or nonexistence of a training program or policy. Without an “identified” deficiency, Canton, 489 U.S. at 391, 109 S.Ct. 1197, Plaintiff has not sufficiently pleaded a failure-to-train claim against the City.

c. Alleged Failure to Investigate the Assault

Plaintiff next seeks to state a claim against the City for failure to investigate the assault after it occurred. Am. Compl. ¶¶ 1Ó7, 109, 112. Plaintiff alleges that as a result of the City’s policies and customs, Defendants Giorla, Goodman, and Osborne were permitted to attempt to cover up the assault against Plaintiff. Id. ¶¶ 109, 112. However, such conclusory statements, without more, fail to adequately allege that the City adopted and maintained a policy, custom, or practice that resulted in a violation of Plaintiffs rights.

While the Eighth Amendment requires prison officials “to protect prisoners from violence at the hands of other prisoners,” Farmer, 511 U.S. at 833, 114 S.Ct. 1970 (internal quotation omitted), Plaintiffs allegations that Defendants concealed or failed to investigate the assault refer to Defendants’ actions or inactions after the event.¹⁰ A -failure-to-protect claim under the Eighth Amendment is, by its very nature, forward looking. Plaintiffs allegations do not indicate that prison officials actually knew or were aware of any excessive risk to Plaintiffs safety prior to Plaintiffs assault. See Bistrian v. Levi, 696 F.3d 352, 367-68 (3d Cir.2012). Therefore, Plaintiff has failed to state a claim against the City on this basis. See Mulholland v. Gov’t Cty. of Berks, Pa., 706 F.3d 227, 238 n. 15 (3d Cir.2013) (“It is well-settled that, if there is no violation in the first place, there can be no derivative municipal claim.”).

d. Alleged Failure to Train or Supervise Officials as to Protection for Inmates

Finally, Plaintiff seeks to state a claim against the City for failure to train or supervise prison officials as to inmate protection. Specifically, Plaintiff alleges that the City failed to supervise, train, retrain, or discipline against the following: (1) recklessness and deliberate indifference in the monitoring and safeguarding of inmatés, Am. Compl. ¶ 104; (2) permitting inmates to access other inmates’ rooms, failing to monitor inmates, and failing to stop inmates from assaulting others, id. ¶ 106; and (3) a code óf silence or complicity of violence within the prison system, id. ¶ 108.

The legal landscape articulated for the purposes of Plaintiffs failure-to-train claim regarding medical care applies here as well. “Where a plaintiff claims that the municipality has not directly inflicted an injury,” but instead failed to train, “rigorous standards of culpability, and causation must be applied to ensure that the municipality is not held liable solely for. the actions of its employee.” Bryan Cty., 520 U.S. at 405, 117 S.Ct. 1382. Plaintiff “would at least need to allege specific facts showing that an unconstitutional policy or custom existed, what it consisted of, and how it affected [him] in [his] particular case.” Tarbox v. Butler Township, No. 14-1346, 2015 WL 6157173, at NO (M.D.Pa. Oct. 19, 2015) (explaining that the plaintiffs conclusory allegations regarding the defendant-township’s failure to train and/or educate police officers were insufficient to invoke Monell liability). On the other hand, “if a concededly valid policy is unconstitutionally applied by a municipal employee, the city is liable if the employee has-not been adequately trained and the constitutional wrong has been caused by that failure to train.” Canton, 489 U.S. at 387, 109 S.Ct. 1197.

Moreover, “a municipality can only be liable under § 1983 where the failure to train demonstrates a ‘deliberate’ or ‘conscious’ choice by the municipality.” Doe v. Luzerne County, 660 F.3d 169, 179 (3d Cir.2011) (citations omitted). “To determine 'whether a municipality’s alleged failure to train, its. employees amounted to a deliberate or-conscious choice, it must be shown that. ‘(1) municipal policymakers know that employees will confront a particular situation; (2) the situation involves a difficult choice or a history of employees mishandling; and (3) the wrong choice by an employee will frequently cause deprivation of constitutional rights.’ ” Id. at 179-80 (citing Carter, 181 F.3d at 357). Finaíly, “the identified deficiency in [the] training program -must be .closely related to the ultimate [constitutional] injury.” Woloszyn v. County of Lawrence, 396 F.3d 314, 325 (3d Cir.2005) (internal quotations omitted) (citations omitted).

Assuming for the limited purposes of this analysis that Defendants Goodman and Giorla are policymakers, it could be plausible that they knew their employees would confront a situation where inmates would become violent with one another. But Plaintiff does not allege a. history of employees mishandling situations of inmate-on-inmate violence.

Plaintiff states that Defendants Goodman and Giorla knew or should have known, “based on prior accounts/complaints,” of Defendant Osborne’s policies and practices,¹¹ which could allegedly result in serious harm to the inmates. Am. Compl. ¶¶ 50, 51. Yet a blanket reference to “prior accounts [and] complaints,” id. is “not sufficient to create a pattern of violations,” Thomas, 749 F.3d at 225. Moreover, “mere recitation of the number of complaints filed” cannot “suffice to prove a policy or custom.” Mariani v. City of Pittsburgh, 624 F.Supp. 506, 511 (W.D.Pa. 1986). While evidence-of regularly occurring fights would be “relevant to whether his injury was a ‘highly predictable consequence’ of the failure to train... for single-incident liability,” Thomas, 749 F.3d at 225, Plaintiff has failed to allege any facts suggesting a specific “risk from a particular glaring omission in a training regiment,” Bryan Cty., 520 U.S. at 410, 117 S.Ct. 1382.

Moreover, there áre not sufficiently pleaded factual allegations to indicate the wrong choice by an employee in implementing a policy that could frequently cause deprivation of constitutional rights, Carter, 181 F.3d at 357, because there is no policy identified by Plaintiff. But even if Plaintiff had pointed to a “wrong. choice” by an employee in a single instance, it would not be sufficient for the Court to infer the City disregarded a known or obvious risk of harm to Plaintiff. The thrust of Monell itself is that a municipality shall not be vicariously liable for the acts of its officials.¹² Monell, 436 U.S. at 692, 98 S.Ct. 2018. Therefore, Plaintiff has failed to state a claim against the City for failure to train, or supervise officials as to protection for inmates.

C. Count 8: Supervisory Liability Against Defendants Giorla and Goodman

Defendants next move to dismiss Count 8 of Plaintiffs Amended Complaint for fail-lire to state a claim. Defs.’ Mot. 8-9. In Count 8, Plaintiff brings a claim of supervisory liability against Defendants Giorla and Goodman. Am. Compl; ¶¶ 115-20. Plaintiff alleges that Giorla and Goodman failed to supervise, train, and discipline “against reckless and deliberate indifference with regard to Captain Osborne’s actions and inactions in falling to monitor and safeguard the inmates.”' Id. ¶ 117. Plaintiff further alleges that it was the policy and / or custom of Giorla and Goodman to fail to supervise, train, re-train, or discipline “against the complicity of Captain Osborne in violating the Constitutional Rights of inmates,” as well as “to acquiesce and allow violent and criminal assaults and batteries to occur” at the Facility. Id. ¶¶ 118-19. Plaintiff alleges that, as a result of Giorla and Goodman’s policies and customs, officers such as Captain Osborne “believed that their actions would not be properly monitored... and that misconduct would not be investigated or sanctioned, but would, be tolerated.” Id. ¶ 120.

1. The Elements of Plaintiffs Claim

As previously stated, failure tó train or supervise employees may, “[i]n limited circumstances ... rise to the level of an official government policy for purposes of § 1983.” Connick, 563 U.S. at 61, 131 S.Ct. 1350. But different standards of liability under § 1983 apply to the City, as a municipality, and Defendants Giorla and Goodman, as supervisors. Cannon v. City and County of Philadelphia, No. 14-5388, 2014 WL 7399037, at *3 (E.D.Pa. Dec. 30, 2014). As to supervisors, there are two avenues of liability:

First, like municipalities, “[i]ndividuals who are policymakers may be liable under § 1983 if it is shown that such defendants, ‘with deliberate indifference to the consequences, established and maintained a policy, practice or custom which directly caused [the] constitutional harm.’” Second, “a supervisor may be personally liable under § 1983 if he or she participated in violating the plaintiffs rights, directed others to violate them, or, as the person in charge, had knowledge of and acquiesced in his subordinates’ violations.”

Cannon, 2014 WL 7399037, at *3 (internal citations omitted). The elements for supervisory liability are “met where the supervisor ‘failed to respond appropriately in the face of an awareness of a pattern of such injuries’ or where ‘the risk of constitutionally cognizable harm is so great and so obvious that the risk and the failure of supervisory officials to respond will alone support’ a finding of deliberate indifference.” Parkell v. Markell, 622 Fed.Appx. 136, 140, No. 14-3989, 2015 WL 4523521, at *3 (3d Cir.2015) (nonprecedential) (quoting Sample v. Diecks, 885 F.2d 1099, 1118 (3d Cir.1989)). The Third Circuit has stated that allegations of supervisory liability amounting to “the [supervisor] told the [supervisee] to do what [he or she] did” are merely “formulaic recitation[s] of the elements of a [supervisory liability] claim.” Santiago, 629 F.3d at 131.

2. The Plausibility of the Claim

Plaintiff has failed to set forth sufficient facts to pursue either avenue for supervisory liability against Defendants Giorla and Goodman.

First, Plaintiff has not alleged facts indicating Defendants Giorla or Goodman, with deliberate indifference, established and maintained a policy or custom that directly caused a constitutional harm. See Cannon, 2014 WL 7399037, at *3. Plaintiff merely states that “Defendant Giorla and Goodman failed to supervise against, train and/or re-train against, and discipline against recklessness and deliberate indifference with regard to Captain Osborne’s actions and inactions in failing to monitor and safeguard the inmates housed” at the Facility.¹³ Am. Comp. ¶ 117.

Plaintiff fails to point to the particular policy or custom that would form the basis of his supervisory liability claim against Defendants Giorla and Goodman, and he does not plead facts sufficient for the Court to make an inference that such a policy or custom exists. See Cannon, 2014 WL 7399037, at *3.

Second, Plaintiff has not alleged facts indicating that Defendants Giorla or Goodman participated in a violation of Plaintiffs rights, directed others to violate them, or acquiesced to a violation. See id. There are no well-pleaded factual allegations to support an inference that Defendants Giorla or Goodman “failed to respond appropriately in the face of an awareness of a pattern of such injuries.” Parkell, 622 Fed. Appx. at 140, 2015 WL 4523521, at *3. Again, Plaintiffs reference to “prior accounts / complaints,” Am. Compl. ¶¶ 50-51, without more, does not establish a pattern. Therefore, because the Complaint contains “no specific factual allegations fleshing out the claims of supervisory liability,” Wood v. Williams, 568 Fed.Appx. 100, 107 (3d Cir.2014) (nonprecedential), the Court will dismiss Count 8 of Plaintiffs Amended Complaint against Defendants Giorla and Goodman.

D. Count 9: Eighth Amendment Against Defendant Osborne

Lastly, Defendants move to dismiss Count 9 of Plaintiffs Amended Complaint. Defs.’ Mot. 9-10. In Count 9, Plaintiff alleges that Defendant Osborne “intentionally and unlawfully violated Plaintiffs Constitutional Rights by subjecting Plaintiff to cruel and unusual punishment” at the Facility. Am. Compl. ¶ 123. Plaintiff states that “[i]t is established law that Defendant Osborne is prohibited from engaging in a cover-up by failing to report the crime and / or investigate the assault and battery of Plaintiff.” Id. ¶ 125.

Defendants argue that Count 9 fails to state a claim because “Plaintiffs only factual allegations against Captain Osborne are that she serves as .the manager of the prison facility where the attack occurred, and. that she failed to report or investigate the attack.” Defs.’ Mot. 9 (citing Am. Compl. ¶¶ 9, 49). Defendants further argue that: (1) the Eighth Amendment does not require a public official to investigate a crime and (2) in any event, Defendant Osborne is afforded qualified immunity. Id at 9-10.

As previously stated, to establish a failure-to-protect claim, a prisoner “must plead facts that show (1) he was incarcerated under conditions posing a.substantial risk of serious harm, (2) the official was deliberately indifferent to that substantial risk, to his health and safety, and (3) the official’s deliberate indifference caused him harm.” Bistrian, 696 F.3d at 367 (citing Farmer, 511 U.S. at 834, 114 S.Ct. 1970).

The allegations in Plaintiffs Amended Complaint involving Defendant Osborne and the purported violation of Plaintiffs Eighth Amendment rights are as follows:

24. Defendant Osborne provided favoritism to African-American inmates, including inmates Karon Reeves and Tyre'k Burnett.

46. Defendant Osborne instituted policies and practices favoring African American inmates and that Karon Reeves or Tyrek Burnett used said policies and practices to effectuate the assault on Plaintiff.

47. Defendant Osborne failed to enforce prison safety guidelines and policies with regard-to inmates being housed at 600 University Avenue.

48. Defendant Osborne engaged in intentional and conspiratorial actions to cover up the actions of Inmates Reeves and Burnett and to hinder the due course of justice.

. 49. Though Reeves and Burnett were caught on video engaged in the assault of Plaintiff, Defendant Osborne engaged in a cover-up and failed to report the crime and/or investigate the assault and battery.

Am. Compl. ¶¶ 24, 46-49.

Even taking these allegations' as true, they are not sufficient to support Plaintiffs Eighth Amendment claim against Defendant Osborne. There is no averment in Plaintiffs Amended Complaint indicating Defendant Osborne was personally aware of any facts suggesting that a substantial risk of serious harm existed for Plaintiff. Cf. Bistrian, 696 F.3d at 368-71 (concluding that the plaintiff stated a plausible failure-to-protect claim where he alleged, among other things, that he had advised prison officials that his assailant had previously threatened him). Plaintiffs fleeting mention of “prior accounts / complaints,” Am. Compl. ¶¶ 50-51, is still insufficient. See Robinson v. City of Philadelphia, No. 15-1574, 2015 WL 5965003, at *12 (E.D.Pa. Oct. 13, 2015) (explaining that the defendant’s status as prison commissioner “does not equate to. factual support for Plaintiffs assertion that prior complaints about situations similar to that described by Plaintiff had been made” or that the defendant “was aware of them”); see also Beers-Capitol v. Whetzel, 256 F.3d 120, 133 (3d Cir.2001) (“[T]he official must actually be aware of the existence of the excessive risk; it is not sufficient that the official should have been aware.”).

Plaintiff states that neither of his assailants “should have been placed into [the] Alternative and Special Detention program because of their known prior violent acts and propensity for violence.” Am. Compl. ¶ 52. But the Third Circuit has explained that allegations stating that “the risk of harm that occurred was the risk that an inmate with a history of violence might attack another inmate for an unknown reason” are too speculative to give rise to an inference of deliberate indifference. Bistrian, 696 F.3d at 371. As such, the Court cannot reasonably infer from the well-pleaded factual allegations in Plaintiffs Amended Complaint that Defendant Osborne failed to protect Plaintiff in light of a known or obvious consequence of his actions or inactions.

3. Qualified Immunity

The .City Defendants also argue that Count 9 against Defendant Osborne should be dismissed on grounds of qualified immunity. “[W]hen a public official’s actions give rise to a § 1983 claim, the privilege of qualified immunity can serve as a shield from civil suit in certain circumstances.” Williams v. Bitner, 455 F.3d 186, 190 (3d Cir.2006). “The primary purpose of affording public officials the privilege of qualified immunity is to protect them from undue interference with their duties and from potentially disabling threats of liability.” Id. (quoting Elder v. Holloway, 510 U.S. 510, 514, 114 S.Ct. 1019, 127 L,Ed.2d 344 (1994)). The Supreme Court has consistently “stressed the importance of resolving [qualified] immunity questions at the earliest possible stage of the litigation.” Hunter v. Bryant, 502 U.S. 224, 227, 112 S.Ct. 534, 116 L.Ed.2d 589 (1991); see also Miller v. Clinton County, 544 F.3d 542, 547 (3d Cir.2008) (explaining that “any claim of qualified immunity must be' resolved at the earliest possible stage of the litigation”).

Here, Defendant Osborne is a captain within the Philadelphia Prison System and was the senior officer in charge at the Facility at all relevant times. Am. Compl. ¶~ 9. As a public official, Defendant Osborne would be entitled to qualified immunity. Hynson v. City of Chester, 827 F.2d 932, 934 (3d Cir.1987) (“Prison officials aré entitled to qualified immunity from monetary liability if they are acting reasonably in the good faith fulfillment of their responsibilities.”).

Of course, qualified immunity only shields officials “insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known.” Harlow v. Fitzgerald, 457 U.S. 800, 818, 102 S.Ct. 2727, 73 L.Ed.2d 396 (1982). Thus, to overcome the defense of qualified immunity, a plaintiff must allege facts showing that the defendant’s conduct (1) “violated a statutory or constitutional right,” and (2) “that the right was ‘clearly established’ at the time of the challenged conduct.” Ashcroft v. Al-Kidd, 563 U.S. 731, 131 S.Ct. 2074, 2080, 179 L.Ed.2d 1149 (2011).

Here, Plaintiff has not set forth sufficient facts to overcome the defense of qualified immunity. Plaintiffs allegations refer to Defendant Osborne’s failure to investigate the assault against Plaintiff after it occurred. Am. Compl. ¶¶ 24, 46. -But this alone does not indicate that Defendant Osborne violated the Eighth Amendment. Moreover, Plaintiff has not claimed Defendant Osborne’s conduct violated a different statutory or constitutional right, nor has he pled any facts to that end. Therefore, Plaintiff has not answered “the initial question in a section 1983 action [of] Whether the plaintiff has alleged a deprivation of a constitutional right at all.’” Estate of Smith v. Marasco, 318 F.3d 497, 505-06 (3d Cir.2003) (quoting Donahue v. Gavin, 280 F.3d 371, 378 (3d Cir.2002)). Therefore, because Plaintiff has not set forth factual allegations suggesting. Defendant Osborne violated a clearly established right, Defendant Osborne’s conduct is cloaked with the mantle of qualified immunity.

E. Leave to Amend

Generally, a court should freely grant leave to amend the complaint when justice so requires “unless it would be inequitable or futile.” Grayson v. Mayview State Hosp., 293 F.3d 103, 108 (3d Cir. 2002). Here, Plaintiff amehded his complaint once as of right. ECF No. 3. “Neither inequity nor futility of amendment is present” and there is no indication that Plaintiff “lacks good faith or proper motives.” Id. Therefore, the Court will permit Plaintiff leave to amend his complaint to cure the deficiencies as to Counts 1, 4, 7, 8, and 9.

VI. CONCLUSION

For. the foregoing reasons, the Court will grant Defendants’ motion and dismiss Counts 1, 4, 7, 8, and 9 of Plaintiff’s Amended Complaint with leave to amend. Count 1 against all of the individual Defendants is dismissed because. Plaintiff did not sufficiently plead the deliberate indifference element of his Eighth Amendment claim. Counts 4 and 7 against the City are dismissed because Plaintiff fails to identify the policy or custom on which he relies. Count 8 for supervisory liability is dismissed because Plaintiff fails to point to a policy or custom implemented by Defendants Giorla' or Goodman, and Plaintiff fails to allege facts indicating Defendants Giorla or Goodman participated "in a violation of Plaintiff’s rights. Count 9 against Defendant Osborne is dismissed because Plaintiff did not sufficiently plead a violation of any constitutional or statutory right, and Defendant Osborne’s conduct, as currently pleaded, is entitled to qualified immunity. An ■ appropriate order, follows.

1 . The Health Provider Defendants have not joined in the Motion to Dismiss.

2 . Plaintiff lists "Penn Presbyterian Emergency Room," "Üniversity of Pennsylvania Emergency Room,” and "Thomas Jefferson Emergency Room." Am. Compl. ¶ 90.

3 . The chronicle of the pleading standard under Federal Rule of Civil Procedure 8 is particularly relevant here. In Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007), the Supreme Court rejected the pleading standard previously set forth in Conley v. Gibson, 355 U.S. 41, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957). The Court explained that a plaintiff must plead “enough facts to state a claim for relief that is plausible on its face.” Twombly, 550 U.S. at 570, 127 S.Ct. 1955, The Court instructed that “before proceeding to discovery, a complaint must allege facts suggestive of illegal conduct.” Id. at 563 n. 8, 127 S.Ct. 1955. Then, in Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009), the Court specifically addressed the pleading standard in the contéxt of a § 1983 suit. The Court stated that Rule 8 "does not require ‘detailed factual allegations,’ but- it demands more than an unadorned, the-defendant-unlawfully-harmed-me accusation.” Id. at 678, 129 S.Ct. 1937. In other words, Rule 8 "does not unlock the doors of discovery for a plaintiff armed with nothing more than conclusions.” Id. at 678-79, 129 S.Ct. 1937. "Where a complaint pleads facts that are ‘merely consistent with’ a defendant’s liability, it ‘stop's short of the line between possibility and plausibility of ‘entitlement to relief.’.” Id. at 678, 129 S.Ct. 1937 (quoting Twombly, 550 U.S. at 557, 127 S.Ct. 1955).

4 . Plaintiff also makes reference to 42 U.S.C. § 1985 in his jurisdictional statement. Am. Compl. ¶ 2. But Plaintiff does not refer to the § 1985 cause of action at any other point in his pleadings. To the extent the Amended Complaint is sprinkled with conspiracy-based language, e,g„ id. ¶¶ 46, 48, the Court will dismiss without prejudice any § 1985 cause of action for failure to state a claim upon which relief can be granted. See Bryson v. Brand Insulations, Inc., 621 F.2d 556, 559 (3d Cir.1980) ("The district court may on its own initiative enter an order dismissing the action provided that the complaint afford a sufficient basis for the court's action.”).

Section 1985(3) “permits an action to be brought by one injured by a conspiracy formed ‘for the purpose of depriving, either directly or indirectly, any person or class of persons of the equal protection of the laws, or of equal privileges and immunities under the laws.’ " Farber v. City of Paterson, 440 F.3d 131, 134 (3d Cir.2006). To state a claim under 42 U.S.C. § 1985(3), a plaintiff must allege: "(1) a conspiracy; (2) for the purpose of depriving, either directly or indirectly, any person or class of persons of the equal protection of the laws, or of equal privileges and immunities under the laws; and (3) an act in furtherance of the conspiracy; (4) whereby a person is injured in his person or property or deprived of any right or privilege of a citizen of the United States.” Id.

Although Plaintiff states "Defendant Osborne instituted policies and practices favoring African American inmates,” Am. Compl. ¶ 46, Plaintiff has not set out sufficient facts to show that a racial or otherwise class-b.ased discriminatory animus lay behind the Defendants’ alleged actions. See Schneller ex rel. Schneller v. Crozer Chester Med. Ctr., 387 Fed.Appx. 289, 294 (3d Cir.2010) (nonprece-dential). Moreover, Plaintiff has not indicated the right or privilege of which he was allegedlydeprived by the supposed conspiracy. Therefore, Plaintiff’s claim' for conspiracy against Defendants must be dismissed.

5 . To the extent Count 1 alleges violations by the City of Philadelphia, see Defs.’ Mot. 5 n.2, these allegations will be addressed alongside Counts 4 and 7, in which the Court analyzes the claims against,the City in light of Monell v.Department of Social Services, 436 U.S. 658, 98 S.Ct. 2018, 56 L.Ed.2d 611 (1978).

6 . Although Plaintiff does not title or describe Count 4 as a Monell claim, Defendants address Counts 4 and 7 together in their Motion to Dismiss because both Counts bring claims against the City of Philadelphia based on a policy or custom. Defs.’s Mot. 5.

7 . As such, Plaintiffs allegations in Count 4 largely mirror those in Count 1, but specifically name Defendant City of Philadelphia.

8 . In fact, it remains unclear whether Plaintiff alleges that he was transported to CFCF pursuant to a municipal policy or an independent choice by the correctional officer. Or, alternatively, whether Plaintiff intended to allege there was no policy at all or the correctional officer.simply chose to disregard an existing policy.

9 . However, with regard to deliberate action, it should be noted that, like in . Natale, the failure to establish a policy that addresses the emergency medical needs of inmates could create a risk that is sufficiently obvious for the court to infer deliberate indifference to those inmates’ medical needs. Natale, 318 F.3d at 585. Nevertheless, Plaintiff has not pled facts from which the Court can infer that the City failed to establish a policy.

This theory of liability highlights the difference between alleging a municipality’s deliberate-indifference and alleging an individual officer’s deliberate indifference in his or her official capacity. The difference may, at times, seem to create an anomalous result. The "policy or custom” standard for a Monell claim creates a wider umbrella from which the Court may infer deliberate indifference because the policy or custom itself may be inferred from the acts or omissions of an officer. Natale, 318 F.3d at 584. On the other hand, to state a claim against an individual defendant, as Plaintiff attempts to do in Count 1, the plaintiff must show that the official was personally involved and acted with deliberate indifference to the plaintiff’s health or safety — without the benefit of an inferential step. Hope, 536 U.S. at 738, 122 S.Ct. 2508. Hopefully the Third Circuit will address this apparent anomaly in due time.

In any event, Plaintiff has also failed to plead facts indicating that such deliberate indifference, were it to exist, was the "moving force” behind the alleged violation. See Eichelman v. Lancaster County, 510 F. Supp. 2d 377, 396 (E.D.Pa.2007) (citing Simmons v. City of Philadelphia, 947 F.2d 1042, 1062-63 (3d Cir.1991)) (explaining that a plaintiff may show that a defective policy or custom was the "moving force” behind the violation by indicating that "alternatives for preventing this type of harm were known and available to policymakers but. that the policymakers either deliberately chose not to pursue them or acquiesced in, a longstanding policy or custom of inaction.in tfiis regard”).

Finally, in terms of causation, even if the Court were to draw an inference in Plaintiff’s favor that there was an inadequate policy or custom as to emergency care for inmates, Plaintiff must also allege facts sufficient to indicate that his injury was caused 'by the identified policy or custom. Bell v. City of Philadelphia, 629 Fed.Appx. 214, 216-17, Nos. 14-4753, 15-1004, 2015 WL 6387436, at *2 (3d Cir. Oct. 22, 2015) (nonprecedential). Specifically, this means Plaintiff "bears the burden of proving that such policy or custom was the proximate cause of the injuries suffered.” Watson v. Abington Township, 478 F.3d 144, 156 (3d Cir.2007). “[I]f occurrence of the specific violation was made reasonably probable by permitted continuance of the custom,” then a "sufficiently close causal link” exists. Bielevicz, 915 F.2d at 851.

Plaintiff has not alleged any facts allowing the Court to infer there was "a specific and obvious problem with a procedure employed by the defendants] that gave rise to a likelihood of constitutional deprivation.” Simonds v. Delaware County, No. 13-7565, 2015 WL 1954364, at *5 (E.D.Pa. Apr. 30, 2015) (discussing Natale and Berg v. County of Allegheny, 219, F.3d 261, 277 (3d Cir.2000)). Based on the- factual allegations in the complaint, the Court would have to make another inferential leap that Plaintiff's pain and the severity of his injuries were made reasonably probable by an unidentified, inadequate policy or the permitted continuance of an unidentified custom relating to emergency medical care for severely injured inmates.

10 . To the extent these allegations seek to state a conspiracy claim under § 1985, as previously stated supra note 4, the Court will dismiss the claim.

11 , Plaintiff does not actually identify Defendant Osborne’s policies and practices:

12 . Otherwise, “ 'failure to train’ would become a talismanic incantation producing municipal liability '[i]n virtually every instance where a person has had his or her constitutional rights violated by a city employee’— which is what Monell rejects.” Connick, 563 U.S. at 74, 131 S.Ct. 1350 (Scalia, J., concurring) (quoting Canton, 489 U.S. at 392, 109 S.Ct. 1197).

13 . Similar conclusory statements are made in paragraphs 118-20 of the Amended Complaint.