Johnny Timpson v. Anderson County Disabilities

CourtCourt of Appeals for the Fourth Circuit
DecidedApril 7, 2022
Docket20-1163
StatusPublished

This text of Johnny Timpson v. Anderson County Disabilities (Johnny Timpson v. Anderson County Disabilities) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnny Timpson v. Anderson County Disabilities, (4th Cir. 2022).

Opinion

USCA4 Appeal: 20-1163 Doc: 117 Filed: 04/07/2022 Pg: 1 of 31

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 20-1163

JOHNNY TIMPSON, by and through his Conservator, Sandra Timpson; SANDRA TIMPSON, in her individual capacity,

Plaintiffs – Appellants,

v.

ANDERSON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD; MICHELLE RICKETSON, Chairman of The Anderson County Disabilities and Special Needs Board; DALE THOMPSON, former Executive Director of The Anderson County Disabilities and Special Needs Board; JERREL LYNN KING, current Director of The Anderson County Disabilities and Special Needs Board; SOUTH CAROLINA DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS, DDSN; GARY C. LEMEL, Chairman, DDSN Commission; BEVERLY BUSCEMI, former Director of the South Carolina Department of Disabilities and Special Needs, in her individual capacity; SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES; CHRISTIAN SOURA, former Director of the South Carolina Department of Health and Human Services, in his individual capacity; GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD; ROBERT M. ARIAIL, Chairman of the Board of Thrive Upstate, formerly known as the Greenville County Disabilities and Special Needs Board; TYLER REX, Director of Thrive Upstate; THRIVE UPSTATE; HENRY DARGAN MCMASTER, Governor of the State of South Carolina in his official capacity; MARY POOLE, Director of the South Carolina Department of Disabilities and Special Needs; JOSHUA BAKER, Director of the South Carolina Department of Health and Human Services; NIKKI HALEY, in her individual capacity,

Defendants – Appellees,

and

UNKNOWN ACTORS, at the Anderson Disabilities and Special Needs Board; UNKNOWN ACTORS, at the Greenville County Disabilities and Special Needs Board and/or Thrive Upstate, USCA4 Appeal: 20-1163 Doc: 117 Filed: 04/07/2022 Pg: 2 of 31

Defendants.

Appeal from the United States District Court for the District of South Carolina, at Greenville. Donald C. Coggins, Jr., District Judge. (6:16-cv-01174-DCC)

Argued: January 25, 2022 Decided: April 7, 2022

Before MOTZ, AGEE, and WYNN, Circuit Judges.

Affirmed in part, vacated in part, and remanded by published opinion. Judge Agee wrote the opinion in which Judge Motz and Judge Wynn joined.

ARGUED: Patricia L. Harrison, Cleveland, South Carolina, for Appellants. Patrick John Frawley, DAVIS FRAWLEY, LLC, Lexington, South Carolina, for Appellees. ON BRIEF: Robert C. Childs, III, Greenville, South Carolina, for Appellants. William H. Davidson, II, Kenneth P. Woodington, DAVIDSON, WREN & DEMASTERS, P.A., Columbia, South Carolina, for Appellees South Carolina Department of Disabilities and Special Needs, Lemel, and Buscemi. Damon C. Wlodarczyk, RILEY, POPE & LANEY, LLP, Columbia, South Carolina, for Appellees South Carolina Department of Health and Human Services and Soura. James W. Logan, Jr., LOGAN & JOLLY, LLP, Anderson, South Carolina, for Appellee Henry McMaster, Governor of the State of South Carolina. Knox L. Haynsworth, III, BROWN, MASSEY, EVANS, MCLEOD & HAYNSWORTH, LLC, Greenville, South Carolina, for Appellees Thrive Upstate, formerly the Greenville County Disabilities & Special Needs Board, Arial, and Rex. Karl S. Bowers, Jr., BOWERS LAW OFFICE, LLC, Columbia, South Carolina, for Appellee Nikki Haley.

2 USCA4 Appeal: 20-1163 Doc: 117 Filed: 04/07/2022 Pg: 3 of 31

AGEE, Circuit Judge:

Johnny and Sandra Timpson (the “Timpsons”) appeal from various preliminary

orders of the district court and the entry of directed verdicts on several of their claims. For

the following reasons, we affirm the district court’s judgment in part, vacate it in part, and

remand for further proceedings consistent with this opinion.

I.

A.

Before turning to the Timpsons’ allegations, we first summarize the pertinent

regulatory framework. Medicaid, established as part of the Social Security Act in 1965, “is

a cooperative federal-state public assistance program that makes federal funds available to

states electing to furnish medical services to certain impoverished individuals.” Mowbray

v. Kozlowski, 914 F.2d 593, 595 (4th Cir. 1990). The state agency responsible for

administering and supervising Medicaid in South Carolina is the South Carolina

Department of Health and Human Services (“DHHS”). 1 DHHS, in turn, contracts with the

South Carolina Department of Disabilities and Special Needs (“DDSN”) 2—a seven-

member commission appointed by the Governor 3—to operate the state’s treatment and

training programs for individuals with intellectual and related disabilities. Relevant here,

1 Christian Soura was DHHS’s Director during the relevant timeframe of 2014 to 2017, at which point current Director Joshua Baker succeeded him. 2 Beverly Buscemi was DDSN’s Director from 2009 to 2017. 3 Nikki Haley was the Governor of South Carolina from 2011 to 2017 and later served as the United States Ambassador to the United Nations from 2017 to 2018. Henry McMaster has served as Governor since 2017. 3 USCA4 Appeal: 20-1163 Doc: 117 Filed: 04/07/2022 Pg: 4 of 31

DDSN contracts with the Anderson County Disabilities and Special Needs Board (the

“Board”) 4 to “offer[] an array of services to Medicaid-eligible clients.” J.A. 2427. DDSN

funds the Board, which follows DHHS’s and DDSN’s policies and procedures.

Although many Medicaid benefits are available only to those in intermediate care

facilities (“ICF”), Congress has established a waiver program that allows states to provide

home- and community-based services to eligible persons. The Medicaid program requires

states to inform individuals who qualify for ICF services “of the[se] feasible alternatives,

if available under the waiver.” 42 U.S.C. § 1396n(c)(2)(C).

B.

Johnny Timpson (“Johnny”) was born with severe intellectual disabilities and

cerebral palsy. 5 In 1968, when Johnny was ten years old, DDSN placed him in an ICF

called the Whitten Center, where he remained for almost thirty years. In response to a 1997

Department of Justice investigation reporting systemic abuse and neglect at the facility,

DDSN moved Johnny to a separate system of Board-operated group homes, including Tiny

Greer.

While under the Board’s care, Johnny exhibited troubling behaviors. He set fires,

threatened suicide, and engaged in sexually deviant conduct and elopements. Johnny was

hospitalized in 2002 after starting a fire and received sex education courses from 2010 to

4 Dale Thompson was the Board’s Director when Johnny Timpson lived at the Tiny Greer group home (“Tiny Greer”)—where he alleges he was mistreated. Thompson resigned in 2015 and has since worked for Thrive Upstate (“Thrive”), formerly known as the Greenville County Disabilities and Special Needs Board. 5 A psychologist has estimated that Johnny “operates on a grade equivalent similar to that of a pre-school student.” J.A. 1758. 4 USCA4 Appeal: 20-1163 Doc: 117 Filed: 04/07/2022 Pg: 5 of 31

2013, despite his limited mental capacity. According to the Timpsons, even though Johnny

had regular contact and visits with his family, the Board did not notify them about any of

these events.

On May 11, 2013, staff at Tiny Greer discovered burns on Johnny’s wrists. The

Board notified Sandra Timpson (“Sandra”), one of Johnny’s sisters, but insisted that the

injuries were “minor.” J.A. 6141. Sandra believed Johnny had second-degree burns based

on photographs a staff member sent her. So she drove to Tiny Greer to speak with him.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Wheat v. Pfizer, Inc.
31 F.3d 340 (Fifth Circuit, 1994)
Monell v. New York City Dept. of Social Servs.
436 U.S. 658 (Supreme Court, 1978)
Wilson v. Garcia
471 U.S. 261 (Supreme Court, 1985)
Will v. Michigan Department of State Police
491 U.S. 58 (Supreme Court, 1989)
Blessing v. Freestone
520 U.S. 329 (Supreme Court, 1997)
United States v. James C. Dunkel
927 F.2d 955 (Seventh Circuit, 1991)
Halpern v. Wake Forest University Health Sciences
669 F.3d 454 (Fourth Circuit, 2012)
Wolsky v. Medical College Of Hampton Roads
1 F.3d 222 (Fourth Circuit, 1993)
United States v. Jerry A. Moore
27 F.3d 969 (Fourth Circuit, 1994)
Felix A. Olivieri v. Matt L. Rodriguez
122 F.3d 406 (Seventh Circuit, 1997)
Rodriguez-Machado v. Shinseki
700 F.3d 48 (First Circuit, 2012)
Henry Pashby v. Albert Delia
709 F.3d 307 (Fourth Circuit, 2013)
Etheredge v. Richland School District One
534 S.E.2d 275 (Supreme Court of South Carolina, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
Johnny Timpson v. Anderson County Disabilities, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnny-timpson-v-anderson-county-disabilities-ca4-2022.