Nesbitt v. Wellpath

CourtDistrict Court, D. Massachusetts
DecidedMarch 2, 2022
Docket1:20-cv-12126
StatusUnknown

This text of Nesbitt v. Wellpath (Nesbitt v. Wellpath) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nesbitt v. Wellpath, (D. Mass. 2022).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

_______________________________________ ) RALPH NESBITT, ) ) Plaintiff, ) ) v. ) ) Civil Action No. WELLPATH and EMILY B. HOLMES, ) 20-12126-FDS ) Defendants. ) _______________________________________)

MEMORANDUM AND ORDER ON DEFENDANTS’ MOTION TO DISMISS AND PLAINTIFF’S MOTION TO AMEND SAYLOR, C.J. This is a dispute filed by Ralph Nesbitt, a pro se plaintiff and former inmate at Old Colony Correctional Center, concerning alleged delay of medical treatment.1 He has sued Wellpath, a provider of health-care services at the Correctional Center, and Emily B. Holmes, the Unit Director/Health Services Administrator who processed his inmate grievance form. The complaint asserts claims under 42 U.S.C. § 1983, Article 26 of the Massachusetts Declaration of Rights, and the Massachusetts Tort Claims Act. Wellpath and Holmes have moved to dismiss the complaint for failure to state a claim upon which relief can be granted under Fed. R. Civ. P. 12(b)(6). Nesbitt subsequently filed a motion to amend the complaint. For the reasons set forth below, the motion to dismiss will be granted and the motion to amend will be denied.

1 It appears that Nesbitt was later transferred to the Massachusetts Correctional Institution at Concord, as reflected in plaintiff’s notice of change of address. (Docket No. 16). I. Background A. Factual Background The facts are set forth as alleged in the complaint and its attachments.2 At all times relevant to this dispute, Ralph Nesbitt was an inmate in custody at the Old Colony Correctional Center (“OCCC”), a facility administered by the Massachusetts Department of Correction. (Compl. 22).

Wellpath is a health-care company that provides medical services at the Correctional Center. (See id. at 21). Emily B. Holmes is the Unit Director/Health Services Administrator who processed Nesbitt’s inmate grievance form. (Id. at 23). Between October 26 and November 4, 2020, Nesbitt submitted four sick call request forms, or “sick slips,” requesting medical treatment. (Id. at 17-20).3 On October 26, he filed a sick slip complaining that his footwear did not “properly accommodate[]” his feet, causing discomfort. (Id. at 20). On October 27, he filed a sick slip complaining about an infection causing “itching skin” and “changes in skin color” on his leg. (Id. at 18). On October 31, he filed another sick slip, stating that his leg had a rash and “bacteria infected skin,” and requesting to see a nurse. (Id. at 19). On November 4, he submitted a fourth sick slip, repeating his

complaint that he had a rash on his leg causing itching. (Id. at 17). He also stated that there was “deliberate indifference, infliction of pain, [and] delay of treating leg infection.” (Id.). On November 5, Nesbitt was seen by a nurse in response to the four sick slips. (See id. at

2 For motions to dismiss under Fed. R. Civ. P. 12(b)(6), courts are generally limited to “the complaint, documents attached to it, and documents expressly incorporated into it.” Foley v. Wells Fargo Bank, N.A., 772 F.3d 63, 71-72 (1st Cir. 2014). 3 For present purposes, the Court will refer to the dates that Nesbitt signed the sick slips. Each sick slip also features a box for “Date/Time Received,” but those dates are often different and inconsistent. (See Compl. 14- 20). In any event, any differences between the date signed and date received do not affect the merits. 17-20). The nurse conducted an assessment including examination of his complaints of thigh and groin itching and discoloration. (Id. at 19). The nurse’s notes indicated a treatment regimen of “miconazole, hydrocortisone, triamcinolone x 2 weeks.” (Id.). Also on November 5, Nesbitt filed an inmate grievance form complaining of “deliberate indifference to serious medical needs” and “denial of treatments that could eliminate pain and

suffering” related to the leg rash. (Id. at 23). That same day, Holmes issued a partial approval of his grievance. (Id.). In her decision, she explained that Nesbitt had met with a medical provider on October 21, at which time the provider noted that his rash had resolved. (Id.).4 She also wrote that he had “not submitted any recent sick slips related to an itchy skin rash.” (Id.). Nesbitt characterized Holmes’s decision as “false and a lie.” (Id.). On November 7, Nesbitt filed a Patient Medical Grievance and Appeal Form with Wellpath, appealing the partial approval of his original grievance. (Id. at 21). He claimed that his medical needs were met with “deliberate indifference” after filing four sick slips related to his skin condition. (Id.). He requested monetary compensation as a remedy. (Id.).5

On November 11, Nesbitt filed another sick slip complaining of the infection on the inside of his leg causing itching and a rash. (Id. at 14). A nurse’s note states “patient scheduled [with] provider 11/13/2020.” (Id.). On November 13, he filed another sick slip complaining of the same problem. (Id. at 15). It is unclear whether he met with a provider on November 13. On November 19, Lisa Black Sholudko, a grievance appeals coordinator with the Health

4 Specifically, Holmes’s decision states, “I have partially-approved your grievance request for treatment of your skin rash after confirming that you met with your provider on 10/21/2020 for a Chronic Disease visit and your provider noted that your rash had resolved and you expressed no complaints related to a skin condition.” (Compl. 23). It is not clear from the record whether plaintiff was seen by a provider on October 21, 2020, or if this is a typographical error in the decision. 5 This appeal appears to have been postmarked on November 12. (Compl. 22). Services Administrator, issued a decision on Nesbitt’s appeal. (Id. at 22). Sholudko first noted that on November 5, the date he filed his initial grievance with Wellpath, he was seen by a nurse for the sick slips concerning his skin condition. (Id.). She stated that Holmes’s decision on November 5 was based on a review of Nesbitt’s medical record. (Id.). She further stated that Holmes would not have seen the sick slips filed between October 26 and November 4, because

sick slips are not scanned into the medical record until a patient has been seen, usually on the next business day. (Id.). She further noted that Nesbitt had seen a medical provider and received treatment for his skin condition. (Id.). She also stated that the provider saw him three days after starting treatment, and that the provider saw improvement in his skin condition. (Id.). She noted that the provider scheduled a follow-up within the next two weeks to confirm that the treatment continued to be effective. (Id.). Finally, she explained that the grievance and appeals process could not address his request for monetary compensation, and that she had forwarded his request to Wellpath’s legal department. (Id.). B. Procedural Background On November 27, 2020, Nesbitt filed a pro se complaint. On February 16, 2021, he filed

an amended complaint. Although it is unclear, the amended complaint appears to allege claims under 42 U.S.C. § 1983, asserting a violation of the Eighth Amendment; Article 26 of the Massachusetts Declaration of Rights; and the Massachusetts Tort Claims Act. Wellpath and Holmes have now moved to dismiss the complaint under Fed. R. Civ. P. 12(b)(6) for failure to state a claim upon which relief can be granted.

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Nesbitt v. Wellpath, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nesbitt-v-wellpath-mad-2022.