McCleary v. QCHC of Tennessee, PLLC

District Court, E.D. Tennessee·Decided September 29, 2025·No. 3:23-cv-00385·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT KNOXVILLE

OMARII MCCLEARY, ) ) Plaintiff, ) ) Case No. 3:23-cv-385 v. ) ) Judge Curtis L. Collier QCHC OF TENNESSEE, PLLC, et al., ) Magistrate Judge Debra C. Poplin ) Defendants. )

M E M O R A N D U M

Before the Court are two motions for summary judgment. One is a motion for summary judgment by Defendants QCHC of Tennessee, PLLC (“QCHC”)1 and Johnny Bates, MD, Holly Cantrell, Pamela Hollingshead, Ladonna Hubbard, Julie Johnston (misnamed in the Complaint as “Nurse Julie”), and Donald Kern, MD (“Medical Defendants”). (Doc. 151.) The second is a motion for partial summary judgment by Plaintiff Omarii McCleary against QCHC. (Doc. 148.) I. BACKGROUND This case stems from the death of Plaintiff’s Decedent, Joshua McCleary, while he was a pretrial detainee at Monroe County Jail from October 28, 2022, through October 31, 2022. (Doc. 177 at 5, 11.) Mr. McCleary was detained (Doc. 169 at 5), filled out a form that stated he was a diabetic (Doc. 148-4 at 1), and then did not receive his insulin for four days (148-14 at 1). He was transported to Sweetwater Hospital on October 31, 2022, and eventually passed away from diabetic

1 Plaintiff filed this action against QCHC of Tennessee, PPLC, QCHC, Inc., and QCHC Management Services Company, Inc.. Throughout this litigation, Plaintiff has not differentiated between the Defendants nor alleged any distinct theories of liability. (Doc. 187 at 1, n.1.) Plaintiff alleges that “Defendants share common managers, common owners, and common control over the policies and personnel decisions and medical services they provide.” (Doc. 1 at 4.) Therefore, this opinion treats them as a single entity. ketoacidosis three days later. (Doc. 148-17 at 1.) QCHC and Medical Defendants move for summary judgment (Doc. 151.) Plaintiff moves for summary judgment against QCHC only. (Doc. 148.) A. Facts Relevant to QCHC’s Liability The facts relevant to QCHC’s liability are as follows.

Monroe County, Tennessee (the “County”) entered into a contract with QCHC for the provision of healthcare services. (Doc 153-3.) The County desired to contract with QCHC to provide these services “pursuant to [its] obligations under the Constitution of the United States of America, the Constitution of the State of Tennessee, any applicable statutes, judicial orders or decisions, and any other applicable sources of law.” (Id.) (emphasis omitted.) QCHC agreed to provide primary healthcare services for all those committed to the custody of the jail and to provide staffing coverage to the jail as necessary. (Id. at 2.) When Mr. McCleary arrived at Monroe County Jail for booking on Friday, October 28, 2022, Senior Officer Brent Plemons filled out an intake form, which reported that Mr. McCleary

had diabetes and was taking medication. (Doc. 148-4 at 1.) What was supposed to happen next with that form is unclear. QCHC had a written policy that physical assessments should be completed “as soon as practicable,” but “in no event longer than 14 days from intake.” (Doc. 153- 3 at 2.) There was no further written policy on what nurses should do with those intake forms. (See Doc. 153-11.) According to Nurse Pamela Hollingshead, the practice was to check the intake boxes daily for new forms and then categorize the physical assessments by those inmates who needed to be seen within twenty-four hours and those inmates who could wait several days. (Doc. 153-12 at 57.) According to Nurse Ashley Brown, there was no such practice, and nurses went to check the intake boxes for forms whenever there was a lull in work. (Doc. 153-2 at 8, 9.) She testified that correctional officers who filled out those intake forms were to contact the nurses if there was an inmate who needed immediate medical attention. (Id.) Officer Colby Williams stated that there was no such policy. (Doc. 148-7 at 7.) It is further disputed what level of training the nurses were given on these intake forms and

on the continuity of medication. Nurse Brown stated that there was no shadowing or training when she began her contract with QCHC. (Doc. 153-2 at 20.) She stated that she assumed she was told to check the inbox for intakes from time to time. (Id.) But Nurse Hollingshead stated that she was trained to check the inbox daily. (Doc. 153-12 at 54–56.) It is also disputed what kind of medical staffing was available during nights and on the weekends. QCHC’s contract stated that there would be primary medical services available on a twenty-four hour a day, seven day per week basis. (Doc. 148-1 at 37; Doc. 148-11 at 6, 10; Doc. 148-13 at 13.) The contract also stated that the facility would provide twenty-four-hour emergency medical, dental, and mental-health services, and that there is a practitioner on call. (Doc. 153-11

at 12.) But Nurse Hollingshead stated that there was never twenty-four-hour coverage, and that she would offer to be on-call at nights “out of the goodness of [her] heart,” despite not being paid for such work. (Doc. 148-11 at 7.) Nurse Brown stated that she maintained a phone for emergency contacts in the evening. (Doc. 153-2 at 16.) On the night of October 30, 2022, through the morning of October 31, 2022, there was no medical staff member on site. (Doc. 148-7.) B. Facts Relevant to Medical Defendants’ Liability QCHC also employed several doctors and nurses. Plaintiff has abandoned his claims against Defendants Ladonna Hubbard, Sherry Richesin, Julie Johnston, and Holly Cantrell. (Doc. 175 at 9.) He also abandons his official-capacity claims against Dr. Bates and Dr. Kern. (Doc. 175 at 15.) Left are individual capacity claims against Dr. Bates, Dr. Kern, and Nurse Hollingshead. Because only Medical Defendants, and not Plaintiff as to Plaintiff’s claims against Medical Defendants, move for summary judgment, all facts as to Medical Defendants are presented in the light most favorable to Plaintiff. See Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986).

Dr. Bates is the CEO and founder of QCHC of Tennessee. (Doc. 153-9 at 1, ¶¶ 4–5.) He is a medical doctor who also saw patients at the Monroe County Jail and other facilities. (Id.) He did not work at the jail, interact with Mr. McCleary, or receive any telephone calls related to Mr. McCleary. (Id. ¶¶ 6–9.) Dr. Kern is a Medical Director for QCHC. (Doc. 153-10 at 2, ¶ 5.) He traveled to jails that contracted with QCHC, evaluated patients, reviewed medical charts, and oversaw QCHC’s Nurse Practitioners. (Id.) The officers did not have the phone number of either doctor. (Doc. 148-5 at 11.) Neither Dr. Bates nor Dr. Kern knew about Mr. McCleary’s death until after he passed away. (Doc. 153-9 at 2, ¶ 10; Doc. 153-10 at 2, ¶ 10.)

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