Jerome Keon Gardley v. Wexford Health Services, et al.

CourtDistrict Court, W.D. Pennsylvania
DecidedMarch 27, 2026
Docket1:23-cv-00321
StatusUnknown

This text of Jerome Keon Gardley v. Wexford Health Services, et al. (Jerome Keon Gardley v. Wexford Health Services, et al.) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jerome Keon Gardley v. Wexford Health Services, et al., (W.D. Pa. 2026).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA ERIE DIVISION

) ~ JEROME KEON GARDLEY, 1:23-CV-00821-RAL

Plaintiff ) “mm ) RICHARD A. LANZILLO vs ) Chief United States Magistrate Judge □ ) WEXFORD HEALTH SERVICES, et ) OPINION ON DEFENDANTS’ al S,et MOTION TO DISMISS ) Defendants ECF NO. 39

I. Introduction Plaintiff Jerome Keon Gardley initiated this pro se civil rights action pursuant to 42 U.S.C. § 1983. In his complaint, Gardley asserts that medical and dental professionals at the Erie County Prison violated his constitutional rights as secured by the Fourteenth Amendment to the United States Constitution by failing to provide him with adequate dental care while he was a pretrial detainee at the prison. KCF No. 7. Gardley’s Complaint also asserts dental malpractice claims. As Defendants, Gardley has named Joseph Kohler, D.M.D., Physician’s Assistant (PA) Kang Li, an unidentified John Doe physician at the Millcreek Community Hospital, and Wexford Health Services (Wexford), a private entity contracted to provide medical services to inmates at the Erie County Prison. Id. §§ 4-7. Gardley seeks compensatory and punitive damages and declaratory relief. Id. 9] 47-54.

Presently pending is a motion to dismiss filed by Defendants Li, Kohler, and Wexford.! ECF No. 39. Plaintiff having filed a response, see ECF No. 47, this matter is ripe for adjudication.?

Il. Factual Background

The following factual averments are accepted as true for purposes of this motion. On August 2, 2028, Gardley was booked into the Erie County Prison as a pre-trial detainee. ECF No. 7 § 13. On August 10, 2023, he emailed the prison’s medical department complaining about mouth pain and requesting a tooth extraction and pain pills. Id. §/ 14. Medical responded the following day by placing Gardley on the schedule for a dental examination. Id. Gardley was seen by a dentist at some point during the next three days. Id. { 15. While the outcome of that appointment is unclear, Gardley emailed medical again on August 15, 2023, complaining of pain and swelling in his neck and jaw. Id. A nurse responded by referencing Gardley’s recent dental appointment and noting that a plan of care had been discussed. Jd. Gardley requested antibiotics but was given ibuprofen and a cold compress. Id.

! The John Doe physician has not been identified or served and, as such, has not filed a responsive pleading. However, because Gardley is proceeding in forma pauperis, his claims against the unidentified Defendant are subject to the screening provisions in 28 U.S.C. § 1915¢e). ? The parties have consented to the jurisdiction of the undersigned United States Magistrate Judge to conduct all proceedings in this case, including the entry of final judgment, as authorized by 28 U.S.C. § 636.

On August 28, 2023, Gardley was taken to Dr. Kohler for a tooth extraction. Id. § 19. Dr. Kohler extracted three teeth but did not provide Gardley with antibiotics despite that “his gums and jaw were actively infected.” Id. Approximately one month later, Gardley complained of continuing mouth pain and a small red dot on his cheek. Id. { 21. He was “added to the dental schedule and provider schedule” but “a misdiagnosis occurred and plaintiff contracted MRSA? which was discovered after a blood test was given.” Id. On October 7, 2028, Gardley visited a nurse complaining of a perceived spider bite on his cheek. Id. {| 22. The nurse agreed that Gardley’s wound looked like a spider bite. Jd. The following day, Gardley requested antibiotics because of severe pain and swelling around his jaw and neck near the area where his teeth had been extracted. Id. 23. He was again seen by a nurse, but the outcome of that visit is not described. Jd. Later that day, another provider ordered medical to provide Gardley with “ice for 48 hours.” Id. § 25. On October 11, 2028, an unidentified medical provider ordered a ten-day course of clindamycin, an antibiotic. Id. { 28. Later that day, Gardley visited Dr. Kohlman to address his ongoing dental issues. Id. { 29. Dr. Kohlman requested a second opinion from PA Li before ordering amoxicillin, another antibiotic, and sending Gardley to the emergency room at Millcreek Community Hospital for further evaluation. Jd. After performing a CT scan, hospital staff diagnosed Gardley with “a very severe abscess in his mouth.” Jd. An emergency room physician recommended

3 MRSA, or Methicillin-resistant Staphylococcus aureus, is a type of staph infection that can be resistant to common antibiotics. See https://www.cdc.gov/mrsa/about/index.html (visited 3/17/26).

cephalexin, another antibiotic, and returned Gardley to the Erie County Prison. Jd. { 30. On October 12, 2023, Gardley visited Li as a follow-up to his emergency room visit. Id. § 31. Licancelled his previous order for clindamycin, Dr. Kohler’s order for amoxicillin, and the emergency room physician’s order for cephalexin. Jd. Instead, Li prescribed yet another antibiotic, Bactrim. Jd. Later that day, blood work confirmed Gardley’s MRSA diagnosis. Id. { 32. III. Standard of Review A motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6) tests the legal sufficiency of the complaint. Kost v. Kozakiewicz, 1 F.3d 176, 183 (8d Cir. 1993). In deciding a motion to dismiss, the court is not opining on whether the plaintiff will be likely to prevail on the merits; rather, the plaintiff must only present factual allegations sufficient “to raise a right to relief above the speculative level.” Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 556 (2007) (citing 5 C. Wright & A. Miller, Federal Practice and Procedure § 1216, pp. 235-236 (3d ed. 2004)). See also Ashcroft v. Iqbal, 556 U.S. 662 (2009)). A complaint should only be dismissecl pursuant to Rule 12 (b)(6) if it fails to allege “enough facts to state a claim to relief that is plausible on its face.” Twombly, 550 U.S. at 570. In making this determination, the court must accept as true all well-pled factual allegations in the complaint and views them in a light most favorable to the plaintiff. U.S. Axpress Lines Ltd. v. Higgins, 281 F.3d 388, 388 (8d Cir. 2002).

While a complaint does not need detailed factual allegations to survive a motion to dismiss, a complaint must provide more than labels and conclusions. Twombly, 550 U.S. at 555. A “formulaic recitation of the elements of a cause of action will not do.” Jd. (citing Papasan v. Allain, 478 U.S. 265, 286 (1986)). Moreover, a court need not accept inferences drawn by a plaintiff if they are unsupported by the facts as set forth in the complaint. See California Pub. Employee Ret. Sys. v. The Chubb Corp., 394 F.3d 126, 143 (8d Cir. 2004) (citing Morse v. Lower Merion Sch. Dist., 132 F.3d 902, 906 (3d Cir. 1997)). Nor must the Court accept legal conclusions disguised as factual allegations. Twombly, 550 U.S. at 555 (citing Papasan, 478 U.S. at 286). See also McTernan v. City of York, Pennsylvania, 577 F.3d 521, 531 (8d Cir.

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Bluebook (online)
Jerome Keon Gardley v. Wexford Health Services, et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/jerome-keon-gardley-v-wexford-health-services-et-al-pawd-2026.