Harrison v. Unity Health Care Inc.

District Court, District of Columbia·Decided September 14, 2022·No. Civil Action No. 2016-1829·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

NATHANIEL HARRISON, Plaintiff,

v. Civil Action No. 16-1829 (CKK)

CORECIVIC, Defendant.

MEMORANDUM OPINION

(September 14, 2022)

While incarcerated at the Central Treatment Facility (“CTF”) in Washington, D.C., Plaintiff Nathaniel Harrison voluntarily ingested a pill prescribed to another inmate and developed a painful erection. Plaintiff claims that he repeatedly complained of severe pain to the on-duty correctional officer, who failed to timely or completely relay his condition to the appropriate medical personnel, which delayed his access to medical treatment. Plaintiff contends that this delay resulted in permanent impotence.

Pending before the Court is a [89] Motion for Summary Judgment filed by Defendant CoreCivic, which operated CTF at the time of the incident. Upon consideration of the pleadings, 1 the relevant legal authorities, and the record as a whole, the Court concludes that no genuine disputes of material fact remain and so shall GRANT Defendant’s Motion for Summary Judgment.

1 The Court’s consideration has focused on the following documents and their attachments and/or exhibits:

x Defendant CoreCivic’s Motion for Summary Judgment (“Def.’s Mot.”), ECF No. 89;

x Plaintiff’s Opposition to Defendant CoreCivic’s Motion for Summary Judgment (“Pl.’s Opp’n”), ECF No. 94; and

x Defendant CoreCivic’s Reply in Support of Motion for Summary Judgment (“Def.’s Reply”), ECF No. 95.

In an exercise of its discretion, the Court finds that holding oral argument in this action would not be of assistance in rendering a decision. See LCvR 7(f).

I. BACKGROUND

A. Factual Background In presenting the facts pertinent to resolving the present motion, this Court “assume[s] that facts identified by the moving party in its statement of material facts are admitted, unless such a fact is controverted in the statement of genuine issues filed in opposition to the motion.” LCvR 7(h)(1). Although CoreCivic has filed a [89-1] Statement of Facts in Support of Motion for Summary Judgment (“Def.’s Stmt.”), Plaintiff has not filed a responsive statement, in violation of Local Civil Rule 7(h)(1) (requiring an opposition to a motion for summary judgment to be “accompanied by a separate concise statement of genuine issues setting forth all material facts as to which it is contended there exists a genuine issue necessary to be litigated, which shall include references to the parts of the record relied on to support the statement”). The Court advised the parties that it “strictly adheres to the dictates of Local Civil Rule 7(h), which requires . . . [t]he party opposing the motion [for summary judgment] to submit a statement enumerating all material facts which the party contends are genuinely disputed and thus require trial.” Scheduling & Procedures Order at 1, ECF No. 88 (emphasis in original). It further directed that the responding party’s statement must “respond to each paragraph” of the moving party’s statement “with a correspondingly numbered paragraph, indicating whether that paragraph is admitted or denied[.]” Id. at 2. And the Court warned that it “may assume that facts identified by the moving part in its statement of material facts are admitted, unless such facts are controverted” in the opposing party’s responsive statement. Id. (emphasis in original); see also LCvR 7(h)(1) (“In determining a motion for summary judgment, the Court may assume that facts identified by the moving party in its statement of material facts are admitted, unless such a fact is controverted in the statement of genuine issues filed in opposition to the motion.”). Based on Plaintiff’s failure to comply with

these directives, it would be appropriate for the Court to consider all of the facts contained in Defendant’s Statement to be admitted. However, the Court has carefully reviewed Plaintiff’s responsive pleading and the entire record, and will note where Plaintiff offers facts contravening those presented by Defendant—to the extent that Plaintiff has cited an appropriate portion of the record in support of facts presented.

1. CTF Operations under CoreCivic As of September 2013, Plaintiff was a detainee of the District of Columbia Department of Corrections (“DOC”), assigned to the Correctional Treatment Facility (“CTF”). Def.’s Stmt. ¶ 1. At the time, CTF was owned and operated by CoreCivic, pursuant to a correctional services agreement with the District of Columbia, which expired as of January 2017. Id. ¶¶ 1, 10, 11. CoreCivic was “responsible for providing custody and security for all inmates housed at CTF.” Id. ¶ 13. CoreCivic did not provide healthcare to inmates at CTF. Id. ¶¶ 5, 14. Rather, Unity Health Care (“Unity”) provided healthcare to CTF inmates pursuant to a separate contract with DOC. Id. ¶¶ 58, 61. Unity was responsible for providing 24-hour emergency care to inmates. Id. ¶ 87. Upon intake at CTF, inmates were informed that CoreCivic did not “contract or manage healthcare.” Id. ¶ 64. CoreCivic’s employees did not have the authority to approve or disapprove an inmate’s request to be seen by Unity’s medical personnel; decisions about whether inmates would “be seen by and/or transported to medical” were “solely within the discretion of [Unity].” Id. ¶¶ 6, 71.

If a CTF inmate relayed a medical complaint directly to a correctional officer, the officer was required to call medical (operated by Unity) and relay the inmate’s request to visit medical, including “all information obtained from the inmate.” Id. ¶ 80. Unity would then determine whether the inmate needed immediate medical care or whether he would be required to complete

a Sick Call Request form. Id. ¶ 81. Unity would notify the correctional officer whether the inmate should be brought to medical immediately. Id. ¶ 82.

If an emergency medical situation occurred when an inmate was secured in his cell, the inmate would “knock on his cell door” or “flag down an officer” during rounds to obtain the correctional officer’s attention. Id. ¶ 88. The same process would be followed: the correctional officer would call Unity to relay the information obtained from the inmate and would wait for direction from Unity as to whether the inmate would need to be transported to Unity or would be required to complete a Sick Call Request form. Id. ¶ 90. The correctional officer was required to “relay and provide to Unity nurse’s station all necessary information” including the “location of the injured or ill inmate, type of illness, and whether the inmate was conscious” to “enable the nurse to determine whether the inmate’s medical condition did in fact require immediate medical attention.” Id. ¶ 91. Unity was responsible for determining whether the inmate’s condition was actually emergent; CoreCivic did not have authority to make this decision. Id. ¶¶ 93, 94. If Unity determined that the reported condition was not an emergency, then the inmate would be scheduled for a medical care appointment or directed to complete a Sick Call Request form. Id. ¶ 97.

However, if Unity determined that the inmate required immediate medical attention, Unity would inform CoreCivic personnel whether the inmate should be brought to medical immediately and whether medical transport would be sent to the housing unit. Id. ¶¶ 96, 99. The nurse for Unity would initiate any response by the Medical Emergency Response Team (“MERT”) to the housing unit and would notify CoreCivic’s command center. Id. ¶¶ 99, 100. CoreCivic’s command center would then contact the shift supervisor and request that the supervisor immediately report to the site of the emergency. Id. ¶¶ 99, 101.

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Harrison v. Unity Health Care Inc., (D.D.C. 2022).

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