Estate of Cindy Lou Hill v. Naphcare Inc

District Court, E.D. Washington·Decided May 9, 2022·No. 2:20-cv-00410·Unknown

Opinion

FILED IN THE U.S. DISTRICT COURT EASTERN DISTRICT OF WASHINGTON May 09, 2022 SEAN F. MCAVOY, CLERK ESTATE OF CINDY LOU HILL, by No. 2:20-cv-00410-MKD and through its personal representative, Joseph A. Grube, and CYNTHIA ORDER GRANTING PLAINTIFFS’ METSKER, individually, MOTION FOR DEFAULT JUDGMENT AGAINST SPOKANE Plaintiffs, COUNTY AND DENYING AS MOOT SPOKANE COUNTY’S vs. MOTION FOR SUMMARY NAPHCARE, INC., an Alabama corporation; HANNA GUBITZ, ECF Nos. 28, 37 individually; and SPOKANE COUNTY, a political subdivision of the State of Washington, Defendants.

Before the Court are Plaintiffs’ Rule 37(e) Motion for Default Judgment and Other Sanctions Against Defendant Spokane County for Spoliation of Evidence, ECF No. 28, and Defendant Spokane County’s Motion for Summary Judgment, ECF No. 37. This case involves the death of Cindy Lou Hill, who died after spending approximately four days at the Spokane County Jail. At issue is Defendant Spokane County’s spoliation of six hours of relevant jail surveillance video. The Court finds Spokane County spoliated the video evidence with an intent to avoid

its litigation obligations. The Court finds default judgment is the only spoliation sanction that addresses the substantial risk of prejudice to Plaintiffs without prejudicing the remaining defendants who are not responsible for the spoliation.

Accordingly, the Court grants Plaintiffs’ Motion for Default Judgment and denies as moot Spokane County’s Motion for Summary Judgment. A. Ms. Hill’s Booking and Transfer to Medical Watch

Ms. Hill was arrested on August 21, 2018 for possession of a controlled substance and taken to the Spokane County Jail. ECF No. 1 at 7-8; ECF No. 38 at 1. Throughout Ms. Hill’s detention, Spokane County contracted with Defendant

NaphCare, Inc., a private correctional healthcare company, to provide medical services to individuals confined at the jail. ECF No. 1 at 4; see ECF No. 38. On August 22, 2018, Ms. Hill informed a NaphCare nurse that she was a heroin user and she was thereafter placed on the Clinical Opiate Withdrawal Scale (COWS)

protocol. ECF No. 1 at 8; ECF No. 38 at 1. Her score on the initial COWS assessment was 5, and assessments over the next few days continued to document scores ranging from 5-12, indicating mild to moderate withdrawal symptoms. ECF

No. 45 at 69-101. At 8:45 a.m. on August 25, 2018, Defendant Hanna Gubitz, RN, a registered nurse and NaphCare employee, attempted to perform a COWS assessment on

Ms. Hill. ECF No. 45 at 77. Ms. Hill was laying partially dressed on the floor of her cell; her cellmate told Nurse Gubitz that Ms. Hill was experiencing severe abdominal pain. ECF No. 45 at 77. Ms. Hill was in distress and could not move to

the edge of her cell to be evaluated; instead, her cellmate had to place her on a blanket and drag her to the cell door where she laid screaming in pain. ECF No. 45 at 77. Nurse Gubitz could not conduct a full abdominal assessment because of Ms. Hill’s pain and documented the encounter as follows:

Patient laying on the floor on arrival to cell wearing pants but no shirt. Patient indicated she did want to be checked but stated she was too sick to move. Notified patient we could not enter the cell without an additional officer. Patient’s roommate rolled her in a blanket and dragged her to the cell door where she lay next to the toilet screaming. Patient’s cellmate indicated patient was having severe abdominal pain and it was most likely her appendix. Patient curled in fetal position on floor, barely allowed this RN to check vitals. Patient allowed minimal assessment of abdomen. No bruising, swelling, redness, or masses noted on visual assessment or palpation. Patient screamed even louder before this RN even touched abdomen shouting that this RN was hurting her. Patient would not answer questions about what her pain was on a scale of 1-10, when it started, or what it felt like. She stated it was on her right lower abdomen but screamed in pain on gentle palpation of entire abdomen and back. Patient taken to 2W via wheelchair for medical watch. ECF No. 45 at 77. Nurse Gubitz directed Ms. Hill to be transferred to a section of the jail called “2 West”— referred to in the above documentation as “2W”—to be subject to

“medical watch.” ECF No. 45 at 77; ECF No. 29-2 at 27; ECF No. 38 at 1. “Medical watch” in the Spokane County Jail consists of corrections officers conducting periodic checks on the inmate or detainee and documenting their

observations on a “Medical Watch General Observation” form that is posted outside the individual’s cell. ECF No. 45 at 156-58, 162-65; ECF No. 38 at 2. The medical watch form lists “examples of important changes to report to medical,” which include the following: nausea/vomiting; unequal pupil size; unable to

answer simple questions (i.e. where are you/who are you?); weakness to one side of the body; difficult to wake; change in speech; increased drowsiness; unsteady while walking; difficulty breathing; seizure like activity; facial droop; severe

headache; worsening chest pain; worsening abdominal pain; and other. ECF No. 29-4 at 2.1 The medical watch form also contains a code list, which includes the

1 Plaintiffs challenge the “medical watch” practice employed by Spokane County and NaphCare. Plaintiffs contend both entities are liable in negligence and under Monell v. Dep’t of Soc. Servs. of City of New York, 436 U.S. 658 (1978), for maintaining unconstitutional practices, including “relying on untrained jail guards

to medically monitor seriously ill inmates.” ECF No. 43; ECF No. 75 at 18. following: A=Awake; B=Reading; C=Court; E=Eating; G=Talking with officer; H=Toilet/Shower; J=Telephone Call; K=Standing at Door; L=Yelling/Screaming;

M=Mental Health/Medication/Medical; P=Pacing; S=Sleeping; T=Talking to Self; U=Upset/Crying; and V=Visit. ECF No. 29-4 at 2. At 9:10 a.m., Ms. Hill was transferred via wheelchair to cell 2W27, a 2 West

cell used for medical watch. See ECF No. 29-2 at 23-24; ECF No. 41-2. According to the “Medical Watch General Observation” log, Nurse Gubitz initiated Ms. Hill’s medical watch at 9:30 a.m. and directed corrections officers to check on Ms. Hill every 30 minutes. ECF No. 29-4 at 2. The log documented that

corrections officers visited Ms. Hill’s cell at the following times and made the following code notations: 10:15 (S), 11:09 (A), 11:23 (S), 12:07 (S), 12:40 (S), 13:10 (S), 13:43 (A), 13:58 (S), 14:30 (S), 15:00 (A), and 15:20 (A). ECF No. 29-

4 at 2. The observational entry for 11:09 contains a narrative notation: “refused lunch.” There are no observational entries after 15:20 (3:20 p.m.).2 However, video surveillance from the camera showing the hallway outside cell 2W27 (“2W27 hallway camera”) shows that a corrections officer visited Ms. Hill’s cell at

4:07 p.m. and again at 4:26-4:29 p.m., at which time the officer placed a meal in

2 There is a final entry on the medical watch form that does not reflect a time or a code, only the following narrative: “was taken to Hospital.” ECF No. 45 at 130. the meal slot of Ms. Hill’s cell. See ECF No. 41-2. Corrections conducted the next check at 5:24 p.m., at which time Ms. Hill was found unresponsive. ECF No.

1 at 13-14; ECF No. 38 at 3. B. Ms. Hill’s Death Ms. Hill was transported to the hospital and pronounced dead. ECF No. 38

at 3. The Spokane County Medical Examiner determined Ms. Hill’s death was caused by acute bacterial peritonitis due to ruptured duodenal-liver adhesions with perforation of duodenum. ECF No. 33 at 31. In simplified terms, Ms. Hill suffered a ruptured intestine that caused gastric contents to leak into her abdomen.

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