Dirk Christianson v. McLean County

CourtCourt of Appeals for the Eighth Circuit
DecidedMay 28, 2026
Docket25-2010
StatusPublished

This text of Dirk Christianson v. McLean County (Dirk Christianson v. McLean County) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dirk Christianson v. McLean County, (8th Cir. 2026).

Opinion

United States Court of Appeals For the Eighth Circuit ___________________________

No. 25-2010 ___________________________

Dirk Alan Christianson

Plaintiff - Appellant

v.

McLean County, a Political Subdivision of the State of North Dakota; Underwood Clinic, P.C., doing business as Washburn Clinic; Jerry Kerzmann, individually, and as Sheriff of McLean County; Kerri Benning, FNP-C, individually, and as Health Care Authority; Ashley Brossart, RN, individually, and as Contract Nurse; John Doe, 1-4, individually, and as McLean County Correctional Officers; John Doe, 5-8, individually, and as McLean County Detention Center Medical Staff

Defendants - Appellees ____________

Appeal from United States District Court for the District of North Dakota - Western ____________

Submitted: February 10, 2026 Filed: May 28, 2026 ____________

Before COLLOTON, Chief Judge, BENTON and KELLY, Circuit Judges. ____________

BENTON, Circuit Judge.

While in custody, Dirk Alan Christianson’s leg became infected and was amputated above the knee. Invoking 42 U.S.C. § 1983, he sued McLean County, its Sheriff, and the jail nurse (collectively, the County Defendants); eight unnamed John Does; and a family nurse practitioner. He also sued Washburn Clinic and the family nurse practitioner for medical malpractice under North Dakota state law.

The district court 1 granted a motion to dismiss the Monell claims and the medical malpractice claims. The district court then granted summary judgment on the deliberate indifference claims in favor of the sheriff, the jail nurse, the family nurse practitioner, and the John Doe defendants. The district court denied an amendment to the complaint to add specific John Does as defendants. Christianson appeals. Having jurisdiction under 28 U.S.C. § 1291, this court affirms.

Christianson was incarcerated at McLean County Detention Center (MCDC) from December 22, 2018, to April 6, 2019. While there, he requested medical attention seven times. Nine times, he received medical care at outside facilities. On April 2, Christianson showed signs of a high fever. The next day, MCDC staff reported his fever to jail nurse Ashley A. Brossart. She instructed MCDC staff to call Washburn Clinic to evaluate him. For his fever, MCDC staff gave Christianson Tylenol, checked his vitals, and transported him that same day to Washburn Clinic to see Kerri Benning, a family nurse practitioner.

Before his appointment, Nurse Benning reviewed Christianson’s medical history and lab work from a previous visit to Washburn Clinic and discussed it with the nurse that had treated him.

Christianson no longer had a fever when he arrived at the Clinic on April 3. Nurse Benning continued assessing him for the reported fever. She checked him for cold and flu symptoms, stomach issues, and asked whether other MCDC inmates were sick. Nurse Benning ordered urine and flu tests. Both tests were negative. She checked Christianson’s legs and extremities (he had previously suffered severe

1 The Honorable Daniel L. Hovland, United States District Judge for the District of North Dakota. -2- edema). Concluding Christianson could be at the beginning of a viral process, she ordered him to continue taking Tylenol, rest, hydrate, and to return if his condition worsened or did not improve. Noting that his blood should be rechecked in five days, Nurse Benning told him that his blood would be checked sooner if his symptoms worsened or did not improve. She testified that further lab work was not necessary at this April 3 visit since he did not have a fever, and the reported fever began less than 24 hours earlier.

Nurse Benning also addressed Christianson’s lowered blood pressure and weight loss, adjusting his medications accordingly. Based on her assessment, Nurse Benning stated he appeared to be improving. Christianson said he was feeling better; Nurse Benning believed her treatment was reasonable. Her diagnosis was that Christianson was over diuresed. She ordered his Lasix dosage lowered. She faxed instructions to MCDC staff, stating that if his condition worsened or did not improve, he would need follow-up.

Christianson’s fever returned over the next two days. On April 4 and 5, he received ibuprofen, Tylenol, and a cold pack for his fever. MCDC staff monitored his temperature, blood pressure, and heart rate. Christianson said he was “doing all right.” On April 6, he complained of leg pain; however, he attended recreational time, reportedly acting normally. Later that day, he complained that his knee hurt, but did not request medical care for it. Even later that afternoon, MCDC staff noticed Christianson crawling on the floor and babbling in his cell. MCDC staff immediately requested an ambulance to transport Christianson to the Emergency Department at Sanford Health.

At Sanford, doctors diagnosed Christianson with severe sepsis with multisystem organ failure, acute renal failure, left knee cellulitis, possible septic joint, and encephalopathy. The doctors performed two irrigation and debridement surgeries on his knee on April 7. On April 8, Christianson was diagnosed with necrotizing fasciitis in his left leg. His leg was amputated above the knee on April 9. -3- I.

As a Monell claim under 42 U.S.C. § 1983, Christianson sued McLean County and Sheriff Jerry R. Kerzmann in his official capacity. The district court dismissed, ruling the factual allegations contained in the complaint failed to state a claim upon which relief could be granted. See Fed. R. Civ. P. 12(b)(6). This court reviews de novo the grant of a motion to dismiss. Mitchell v. Kirchmeier, 28 F.4th 888, 895 (8th Cir. 2022).

Under Monell, McLean County and Sheriff Kerzmann “can be found liable under § 1983 only where the municipality itself causes the constitutional violation at issue.” City of Canton v. Harris, 489 U.S. 378, 385 (1989), citing Monell v. Dep’t of Soc. Servs. of City of New York, 436 U.S. 658, 691 (1978). “A plaintiff may establish municipal liability under § 1983 by proving that his or her constitutional rights were violated by an ‘action pursuant to official municipal policy’ or misconduct so pervasive among non-policymaking employees of the municipality ‘as to constitute a “custom or usage” with the force of law.’” Ware v. Jackson Cnty., 150 F.3d 873, 880 (8th Cir. 1998), quoting Monell, 436 U.S. at 691.

Christianson does not argue that an official policy violated his rights. Rather, he focuses on the absence of policies allowing misconduct so pervasive as to constitute a “custom or usage” with the force of law. He must also allege sufficient facts showing that this custom or usage violated his constitutional rights. Mitchell v. St. Louis Cnty., 160 F. 4th 950, 964 (8th Cir. 2025). “[Christianson] must allege: (1) The existence of a continuing, widespread, persistent pattern of unconstitutional misconduct by [McLean County and Sheriff Kerzmann]; (2) Deliberate indifference to or tacit authorization of such conduct by [McLean County’s] policymaking officials after notice to the officials of that misconduct; and (3) That [Christianson] was injured by acts pursuant to [McLean County’s] custom.” Id.

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Dirk Christianson v. McLean County, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dirk-christianson-v-mclean-county-ca8-2026.