HOUSER v. TERRA

District Court, E.D. Pennsylvania·Decided October 3, 2025·No. 2:25-cv-01875·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

DARIEN HOUSER : CIVIL ACTION : v. : NO. 25-1875 : ANTHONY LETIZIO, : SUPERINTENDENT J. TERRA, : JOSEPH WALSH, CHCA HUNER, : DEPUTY SIPPLE, DEPUTY : HENSLEY, JANE/JOHN DOE, : JANE/JOHN DOE BUREAU OF : HEALTH CARE SERVICES FINAL : DECISION MAKERS :

MEMORANDUM KEARNEY, J. October 3, 2025 An incarcerated person allegedly suffering from 2004 knee damage and hospitalization now sues his Facility’s officials and medical providers for inadequate medical care at largely unpleaded times. We screened and then dismissed his complaint approximately three months ago with leave to amend. He now amended and added two more state actors. He does not specifically identify dates or specifically identify the state actors in several allegations, but we liberally construe some of his broad allegations of denial of medical care and allow them to proceed subject to defenses under the two-year statute of limitations against all the named state actors except the medical doctor. He still does not state a claim against the medical doctor. We must dismiss the claims against the medical doctor. But we are mindful of his custodial status and present difficulty in reviewing mail. We grant him several weeks to consider and file a second amended Complaint to plead claims against the medical doctor and grant him leave (if he wishes) to plead conduct (with approximate dates of challenged conduct) against each specific state actor occurring since April 7, 2023 before we proceed into service upon the state actors. I. Pro se alleged facts The incarcerated Darien Houser returns pro se with an amended Complaint asserting an Eighth Amendment denial of medical care claim against officials and medical providers at SCI- Phoenix.1 He alleges the state actors failed to provide adequate pain medication and reconstructive surgery for his left knee while incarcerated. He alleges damage to his knee beginning over twenty

years ago. He attaches medical records from a March 2004 hospital admission documenting a gunshot wound to his knee relating to an incident with police. Mr. Houser alleges the condition of his knee has deteriorated in the twenty years since his 2004 injury and requires surgery, pain management, a wheelchair, and knee and leg braces.2 We review the facts as to each state actor: • Superintendent Terra is the Facility’s “final decisionmaker” including the Facility grievance system and has personal knowledge of Mr. Houser’s medical complaint, pain, need for medical devices and surgery, “personally seen” Mr. Houser’s legs, and discussed the need for surgery and “constant pain.”3

• Health Care Administrator Huner oversees the Facility’s medical department, responded to Mr. Houser’s grievances, refused or failed to act on Mr. Houser’s serious medical condition needing pain management, a wheelchair, and knee braces, and “personally addressed” Mr. Houser’s need for pain management and medical equipment.4

• Deputy Sipple and Deputy Hensley are “in charge of” Facility management and medical department management and have both “seen and have personal knowledge” of Mr. Houser’s “deformity,” his constant pain, and need for surgery, leg braces, and need for a wheelchair ultimately given to him in July 2025.5

• Physician Assistant Walsh, at an unpleaded time, treated Mr. Houser during sick call assessments and denied him adequate, appropriate, and effective pain medication, and called Mr. Houser “a junkie” when refilling pain medication, and on one unidentified occasion refused to provide treatment and instead called Correction Officers to remove Mr. Houser from the medical area.6

• Dr. Letizio received Mr. Houser’s medical records but denied him a wheelchair in late 2023. Mr. Houser concedes someone provided him a wheelchair in July 2025.7 • Jane/John Doe Defendant “decisionmakers” from the Bureau of Health Care Services who review Mr. Houser’s grievances did not review the grievances or acquiesced to the Facility’s medical staff and Superintendent Terra’s earlier responses to Mr. Houser’s requests for medical care.8

• Mr. Houser alleges “[a]ll defendants” are liable for the denial of medical care because they have personal knowledge of his pain and his increasingly worsening condition in Winter 2024, denied him a wheelchair to traverse the Facility, and denied his requests to be moved to a different section of the Facility to be closer to the medical area and family visiting room.9

II. Analysis Congress requires us to now screen an amended complaint in a civil action brought by an incarcerated person “seek[ing] redress from a governmental entity or officer or employee of a governmental entity.”10 Congress directs our screening “shall identify cognizable claims” or dismiss all or part of a complaint if it “(1) is frivolous, malicious, or fails to state a claim upon which relief may be granted; or (2) seeks monetary relief against a defendant who is immune from such relief.”11 We may also screen an incarcerated person’s complaint under section 1915(e)(2)(B) requiring us to dismiss an action at any time if we determine it “(i) is frivolous or malicious; (ii) fails to state a claim on which relief may be granted; or (iii) seeks monetary relief against a defendant who is immune from such relief.”12 When considering whether to dismiss a complaint for failure to state a claim under section 1915A(b)(1) and section 1915(e)(2)(B)(ii), we apply the same standard applicable to motions to dismiss under Federal Rule of Civil Procedure 12(b)(6).13 Rule 12(b)(6) requires Mr. Houser to plead enough facts to state a claim for relief plausible on its face.14 As we explained to Mr. Houser three months ago, he must allege (1) a person acting under color of state law committed the complained-of conduct; and (2) the conduct deprived him of rights, privileges, or immunities secured by the Constitution or laws of the United States to plausibly state a claim under section 1983.15 Facility officials violate the Eighth Amendment when they are deliberately indifferent to an incarcerated person’s serious medical needs by “intentionally denying or delaying access to medical care or interfering with the treatment once prescribed.”16 To state a claim for the failure to provide medical care, Mr. Houser must allege facts showing Facility officials were deliberately indifferent to his serious medical needs.17 A Facility official is not “deliberately indifferent” for purposes of an Eighth Amendment

claim “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.”18 Deliberate indifference may take the form of the response by medical personnel to an incarcerated person’s medical needs, or the intentional denial or delay of access to medical care, or intentional interference with treatment once prescribed.19 Deliberate indifference is a subjective standard consistent with recklessness.20 Our Court of Appeals finds deliberate indifference in inadequate medical care cases where objective evidence of a serious need for care is ignored and where “necessary medical treatment is delayed for non-medical reasons.”21

We also explained Pennsylvania’s two-year statute of limitations for personal injury actions applies to Mr. Houser’s civil rights claims.22 We told Mr. Houser we will use April 7, 2025—the date he mailed his original Complaint—for the two-year statute of limitations unless he alleges (and later supports with sworn statements) facts to support exhaustion of his administrative remedies under the Prison Litigation Reform Act tolling the two-year period. We explained Mr.

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