Loya v. Wexford Health Sources Inc.

District Court, D. Maryland·Decided October 2, 2020·No. 1:20-cv-01946·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

RICHARD LOYA Plaintiff

Civil Action No. ELH-20-1946 v. WEXFORD HEALTH SOURCES, INC. Defendant.

MEMORANDUM This case concerns the provision of medical care to plaintiff Richard Loya while he was incarcerated in the Maryland Correctional Institution-J (“MCIJ”) in Jessup, Maryland. As discussed, infra, this case is related to a suit filed in June 2019, docketed as GJH-19-1646 (“Loya I”). It is also related to a suit filed on April 16, 2020, ELH-20-1171 (“Loya II”). On April 16, 2020, Mr. Loya, through counsel, filed suit in the Circuit Court for Anne Arundel County against Wexford Health Sources, Inc. (“Wexford”), alleging “Medical Negligence” (Count I) and “Maryland Declaration of Rights/Deliberate Indifference to serious medical needs” (Count II). The case, Loya II, was docketed as ELH-20-1171. Id., ECF 1-3. Wexford removed the case to this Court on May 8, 2020, pursuant to 28 U.S.C. §§ 1332, 1441, and 1446. Id., ECF 1 (“Notice of Removal”). On the same date, Wexford moved to dismiss the Complaint for failure to state a claim, pursuant to Fed. R. Civ. P. 12(b)(6). Id., ECF 2. Plaintiff opposed the motion. Id., ECF 12. And, Wexford replied. Id., ECF 13. Thereafter, on June 30, 2020, plaintiff raised identical claims in a suit initiated in this Court. ELH-20-1946 (“Loya III”), ECF 1 (the “Complaint”).1 After briefing concluded in Loya II, the

1 Jurisdiction is predicated on 28 U.S.C. § 1332. ECF 1, ¶ 2. Plaintiff posits that the amount in controversy exceeds $75,000, but he does not identify the domicile of the parties. However, Wexford does not assert a lack of diversity of citizenship. parties jointly moved to consolidate Loya II and Loya III. See Loya II, ECF 16; Loya III, ECF 6. By Order of July 24, 2020, the Court consolidated the cases, designated Loya III as the lead case, and administratively closed Loya II. See Loya II, ECF 17; Loya III, ECF 8. Thereafter, Wexford filed a “Partial Motion to Dismiss,” pursuant to Fed. R. Civ. P.

12(b)(6) and the doctrine of res judicata. Loya III, ECF 9. In particular, Wexford seeks to dismiss Count II. The motion is supported by a memorandum of law. Id., ECF 9-1 (collectively, the “Motion”). In addition, Wexford has submitted several exhibits, which consist of pleadings and rulings from case Loya I. ECF 9-2 to ECF 9-4. Plaintiff opposes the Motion. Id., ECF 15. Defendant has not replied, see docket, and the time to do so has expired. No hearing is necessary to resolve the Motion. See Local Rule 105.6. For the reasons that follow, I shall grant the Motion. I. Background2 A. Factual Background Mr. Loya is incarcerated at MCIJ, a correctional facility operated by the Maryland

Department of Public Safety and Correctional Services (“DPSCS”). Loya III, ECF 1, ¶ 10. Wexford, a Florida corporation headquartered in Pittsburgh, Pennsylvania, provides medical services to inmates at DPSCS facilities, including MCIJ, pursuant to a contract. Id. ¶ 11. On June 19, 2016, plaintiff was suffering from abdominal pain. Id. ¶ 12. He was evaluated by Registered Nurse Michael Smith, an employee of Wexford. Id. Mr. Loya complained of abdominal pain that he considered to be a ten on a scale of one to ten. Id. Plaintiff claims that no

2 Given the posture of the case, I must assume the truth of all factual allegations in the Complaint. See Fusaro v. Cogan, 930 F.3d 241, 248 (4th Cir. 2019). However, the Court can “take judicial notice of ‘matters of public record’ and other information that, under Federal Rule of Evidence 201, constitute ‘adjudicative facts.’” Goldfarb v. Mayor & City Council of Baltimore, 791 F.3d 500, 508 (4th Cir. 2015). treatment was rendered during this visit. Id. He alleges that RN Smith should have ordered “blood work, urinalysis and possible CT scan of the abdomen.” Id. Less than four hours later, Mr. Loya returned to the infirmary and was seen by Physician’s Assistant Jewaher Abubaker, another employee of Wexford. Id. ¶ 13. Mr. Loya indicated that his

abdominal pain had begun at least a week earlier, he had not had a bowel movement in several days, and he “had associated vomiting with constipation.” Id. Dr. Barnes, another employee of Wexford, was consulted on plaintiff’s case during this visit. Id.3 Dr. Barnes suggested observing plaintiff in the dispensary, obtaining basic STAT labs, and providing plaintiff with intravenous fluids, magnesium citrate, and an enema to help with the constipation. Id. Plaintiff continued to suffer from severe abdominal pain, constipation, and vomiting. Id. He contends that a “minimum of blood work and imaging studies” should have been done “as the standard of care to rule out any acute abdominal pathology,” and asserts that the failure to do so constituted a breach of the standard of care. Id. Two days later, on June 21, 2016, Mr. Loya returned to the infirmary and was seen by

Registered Nurse Practitioner Brenda Taft-Hall for right lower quadrant pain and constipation. Id. ¶ 14. Mr. Loya “continued to complain of lower abdominal pain and anorexia.” Id. After the exam, plaintiff was sent to Bon Secours Hospital in Baltimore for further evaluation and treatment. Id. At the hospital, Mr. Loya was diagnosed with “a ruptured appendix, free air in the abdomen, and suspected abdominal abscess.” Id. ¶ 15. Immediately thereafter, Mr. Loya “was rushed” to the Operating Room for “an emergent exploratory laparotomy.” Id. Mr. Loya subsequently developed residual post-operation abdominal abscesses and continued to complain of abdominal pain. Id. ¶ 16. He returned to MCIJ on July 13, 2016. Id.

3 The Complaint does not provide the first name of Dr. Barnes. B. Procedural History As mentioned, this case is related to Loya I, filed in federal court by plaintiff in June 2019, and docketed as GJH-19-1646. In Loya I, plaintiff filed suit against Wexford, Michael Smith, R.N., Jewaher Abubaker, P.A., and Brenda Taft-Hall, RNP. Plaintiff asserted a claim of medical

negligence in Count I and in Count II he asserted a claim of deliberate indifference to a serious medical condition, in violation of the Eighth Amendment and the Maryland Declaration of Rights. Id. Defendants moved to dismiss Count II, pursuant to Fed. R. Civ. P. 12(b)(6), for failure to state a claim upon which relief can be granted. See Loya I, ECF 8. By Memorandum Opinion and Order of March 9, 2020, Judge Hazel granted the motion to dismiss. See Loya I, ECF 12; ECF 13. With respect to plaintiff’s Eighth Amendment claim, Judge Hazel ruled that “any failure to properly diagnose or treat Plaintiff” by any of the individual defendants “can amount only to a medical negligence claim of the type alleged in Count I of the Complaint, not a constitutional violation as alleged in Count II.” Id., ECF 12 at 6-7. Further, he explained that the allegations against Wexford failed because “the doctrine of respondeat superior does not apply to § 1983

claims,” and thus Wexford “cannot be vicariously liable for the allegedly unconstitutional conduct of its employees.” Id. at 6.

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