Haverstick v. NHSP

2016 DNH 050
CourtDistrict Court, D. New Hampshire
DecidedMarch 10, 2016
Docket15-cv-094-PB
StatusPublished

This text of 2016 DNH 050 (Haverstick v. NHSP) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Haverstick v. NHSP, 2016 DNH 050 (D.N.H. 2016).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Davian L. Haverstick

v. Civil No. 15-cv-094-PB Opinion No. 2016 DNH 050 New Hampshire State Prison Warden Richard Gerry et al.1

O R D E R

Plaintiff, Davian L. Haverstick, an inmate in the New

Hampshire State Prison (“NHSP”), brings this action pursuant to

42 U.S.C. § 1983 against current and former NHSP and New

Hampshire Department of Corrections (“DOC”) officials, in their

individual and official capacities. Haverstick alleges that

defendants have violated his Eighth Amendment rights through

their deliberate indifference to his serious medical and dental

needs, and that they have violated his equal protection rights

by refusing to provide him with dentures. Haverstick seeks

damages and injunctive relief, and has specifically requested

that the court issue a preliminary injunction, requiring the

NHSP Dental Department to provide him with a complete set of

dentures.

1Construed liberally, the complaint names as defendants former New Hampshire State Prison (“NHSP”) Warden Richard Gerry, former NHSP Health Services Director Helen Hanks, New Hampshire Department of Corrections (“DOC”) Commissioner William Wrenn, and DOC Commissioner’s Office representative Christopher Kench, in both their individual and official capacities. Before the court is defendants’ motion for summary judgment

(doc. no. 9) on all claims, through which they object to

Haverstick’s request for a preliminary injunction. Haverstick

objects to defendants’ motion for summary judgment. See Obj.

(doc. no. 12); Suppl. Obj. (doc. no. 23). Also pending is

Haverstick’s discovery motion (doc. no. 24), which this court

took under advisement, see Feb. 19, 2016, Order (doc. no. 25).

Defendants have not objected to that motion.

For reasons stated below, defendants’ motion for summary

judgment (doc. no. 9) is granted in part and denied in part, and

Haverstick’s request for a preliminary injunction is denied. As

set forth in the Conclusion of this Order, the parties are

directed to respond to the February 19, 2016, Order (doc. no.

25) by March 25, 2016.

Background

Haverstick entered the NHSP in May 2014. Dransite Decl.,

May 6, 2015, ¶ 2 (doc. no. 9-2). All incoming NHSP inmates

undergo a dental intake examination. Id. Haverstick’s dental

intake examination, conducted on May 12, 2014, revealed that he

entered the prison fully edentulous — meaning that he had no

teeth. Id.; DOC Dental Chart (doc. no 9-3). Haverstick’s

dental chart from the May 12 evaluation revealed that, other

than having no teeth, his oral hygiene was “good.” DOC Dental

Chart (doc. no 9-3). The dental chart noted that Haverstick’s

2 teeth had been missing since 2011, and that he expressed a

desire for dentures. Id.

The DOC written policy concerning dentures and dental care

is found in Policy and Procedure Directive (“PPD”) 6.28 and

6.11. PPD 6.28 states that DOC “[d]ental treatment includes the

range of services that in the supervising dentist’s judgment are

necessary for proper mastication and maintaining the

inmate’s/patient’s health status.” PPD 6.28 ¶ IV(A)(5) (doc.

no. 9-7). For dental prosthetics, such as dentures, a medical

“practitioner will determine when a prosthetic device is

indicated,” based on criteria including the level of functional

impairment, the benefits and side effects of the proposed

prosthesis, and the length of the inmate’s sentence that

remains. PPD 6.11 ¶ IV(A)-(B) (doc. no. 9-8). “Decisions will

be made on a case by case basis,” and if prosthetics are

approved, “[p]ractitioners will approve the least costly

prosthetic device that will accomplish restoration of the basic

functioning determined to be necessary.” Id. at ¶ IV(C)-(D).

However, “[c]osmetic services will not be provided, nor will any

device not necessary for accomplishment of ordinary living

tasks[,] nor will devices . . . which will only marginally

improve abilities.” Id. at ¶ IV(E).

Haverstick was told during his dental intake examination

that inmates are not eligible for dentures unless it is

3 medically necessary. Dransite Decl., May 6, 2015, ¶ 3 (doc. no.

9-2). Several months later, on November 5, 2014, Haverstick

submitted an inmate request slip “requesting an appointment to

be seen by a dentist” in order to receive dentures, as he had no

teeth and reported having had issues “eating certain things

because of my gums.” Inmate Req. Slip (doc. no. 9-9). On

November 14, 2014, a NHSP dental staff member replied to

Haverstick’s request, stating that Haverstick had been “told [at

his] dental intake that [he] did not qualify for dentures.” Id.

On November 15, 2014, Haverstick filed a grievance claiming

that his gums had been bleeding and, without dentures, he was

“not able to chew any food properly.” Grievance Form, Nov. 15,

2014 (doc. no. 9-10). Helen Hanks, who was the DOC Director of

Medical and Forensic Services at that time, replied that

Haverstick had been referred for “a dietary consultation to

assess [Haverstick’s] nutritional status to determine if [he]

qualif[ied] [for dentures] under the [DOC] policy.” Id. She

also noted that the dietician might offer an altered diet to

assist Haverstick with chewing. Id.

On November 21, 2014, at Dr. Dransite’s orders, Haverstick

underwent a nutritional assessment by Timothy Popovich, a

nutrition consultant for NHSP. Popovich Decl. ¶ 2 (doc. no. 9-

13); Dransite Decl., May 6, 2015, ¶ 3 (doc. no. 9-2).

Popovich’s assessment confirmed that Haverstick was edentulous,

4 but he showed no signs of malnutrition. Popovich Decl. ¶ 3

(doc. no. 9-13). During the assessment, Haverstick reported

that he had difficulty chewing and had lacked teeth for about

ten years, but was able to eat “OK.” Id. ¶¶ 3, 5; DOC Nutr.

Assess. (doc. no. 9-15). Haverstick denied problems “with

swallowing, constipation, diarrhea, nausea, vomiting, or

appetite.” Popovich Decl. ¶ 5 (doc. no. 9-13). Haverstick also

rejected being placed on a “chopped”2 diet. Id. Popovich

concluded that Haverstick was an “obese male in no acute

distress” and displayed no signs of malnutrition. DOC Nutr.

Assess, (doc. no. 9-15). As part of the assessment, Popovich

reviewed Haverstick’s NHSP food purchases. Popovich Decl. ¶ 6

(doc. no. 9-13). Popovich found that Haverstick, prior to the

assessment, had purchased whole or spear pickles and sausages.

Id.; DOC Nutr. Assess. (doc. no. 9-15). Popovich has explained

that these foods cannot be “cut into pieces before consuming

them” because “inmates have no access to knives.” Popovich

Decl. ¶ 6 (doc. no. 9-13). Therefore, Popovich concluded, and

reported to Dr. Dransite, Haverstick had “no medical need for

dentures or any other dental prosthesis.” Id. ¶ 7.

2At NHSP, a “chopped” diet “consists of all of the same food an inmate is served as part of a normal inmate diet, but cut into 1/4-inch sized pieces.” Popovich Decl. ¶ 5 (doc. no. 9- 13). 5 Based in part on Popovich’s assessment and on Dr.

Dransite’s opinion that Haverstick had no medical need for

dentures or dental prosthetics, in December 2014, Dr. Dransite

rejected Haverstick’s request for dentures. Dransite Decl., May

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