Nyka O'Connor v. Barry Reddish

Court of Appeals for the Eleventh Circuit·Decided January 9, 2026·No. 23-12175·Unpublished

Opinion

USCA11 Case: 23-12175 Document: 77-1 Date Filed: 01/09/2026 Page: 1 of 21

NOT FOR PUBLICATION

In the

United States Court of Appeals For the Eleventh Circuit

No. 23-12175

Non-Argument Calendar

NYKA O’CONNOR, Plaintiff-Appellant,

versus

BARRY REDDISH, officially and/or individually, jointly and severally, JULIE L. JONES, officially and/or individually, jointly and severally, GANZALO ESPINO, officially and/or individually, jointly and severally, ROBINSON, MARK S. INCH, officially and/or individually, jointly and severally, Defendants-Appellees,

CENTURION HEALTH, officially and/or individually, jointly and severally, et al.,

2 Opinion of the Court 23-12175

Defendants.

Appeal from the United States District Court for the Middle District of Florida D.C. Docket No. 3:17-cv-01007-BJD-JBT

Before JILL PRYOR, NEWSOM, and BRANCH, Circuit Judges. PER CURIAM:

State prisoner Nyka O’Connor, proceeding pro se, filed a 42 U.S.C. § 1983 suit against ten defendants alleging violations of his constitutional rights under the First and Eighth Amendments, as well as the Religious Land Use and Institutionalized Persons Act (“RLUIPA”). The district court disposed of all of O’Connor’s claims in stages—after a preliminary screening, after motions to dismiss, sua sponte, and on summary judgment. O’Connor appeals some of these adverse decisions. As to the claims that the district court dismissed, we agree with the court that all fail to state a claim. And as to the claims at summary judgment, we agree that the defendant is entitled to judgment as a matter of law. We accordingly affirm the district court in full.

I

To begin, O’Connor argues that the district court erred in dismissing or granting summary judgment against him on each of his Eighth Amendment deliberate-indifference claims. We first discuss the standards governing Eighth Amendment deliberate-

23-12175 Opinion of the Court 3

indifference claims generally, and then turn to O’Connor’s individual claims against various defendants.

The Eighth Amendment governs the conditions under which prisoners are confined and the treatment that they receive in prison. Farmer v. Brennan, 511 U.S. 825, 832 (1994). Accordingly, the Eighth Amendment imposes duties on prison officials, who “must ensure that inmates receive adequate food, clothing, shelter, and medical care.” Id.

“[D]eliberate indifference to serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain, proscribed by the Eighth Amendment.” Estelle v. Gamble, 429 U.S. 97, 104 (1976) (quotation marks and citation omitted). To establish a claim of deliberate indifference, a plaintiff must first, as a threshold matter, show that he suffered an “objectively, sufficiently serious ” deprivation. Wade v. McDade, 106 F.4th 1251, 1262 (11th Cir. 2024) (en banc) (quotation marks omitted). Second, the plaintiff must show “that the defendant acted with subjective recklessness as used in the criminal law,” showing “that the defendant was actually , subjectively aware that his own conduct caused a substantial risk of serious harm to the plaintiff.” Id. And finally, even if the defendant actually knew about a substantial risk to the inmate, he cannot be held liable under the Eighth Amendment if he reasonably responded to that risk. Id.

As to an inmate’s diet, prisons must provide basic life necessities , which includes adequate food. Farmer, 511 U.S. at 832. However , “[a] well-balanced meal, containing sufficient nutritional

4 Opinion of the Court 23-12175

value to preserve health, is all that is required.” Hamm v. DeKalb Cty., 774 F.2d 1567, 1575 (11th Cir. 1985).

A

O’Connor first argues that the district court erred in granting summary judgment to Dr. Espino on each of his Eighth Amendment claims against him.

We review de novo a district court’s grant of summary judgment . Stanley v. City of Sanford, 83 F.4th 1333, 1337 (11th Cir. 2023).

“Summary judgment is proper if the movant shows that there is no genuine dispute about any material fact and the movant is entitled to judgment as a matter of law.” Id. “We view the summary judgment record in the light most favorable to the non-moving party, and we draw all reasonable inferences in favor of the nonmoving party.” Id. In addition, we must credit the specific facts pleaded in a pro se plaintiff’s sworn complaint when considering his opposition to summary judgment. Sconiers v. Lockhart, 946 F.3d 1256, 1262 (11th Cir. 2020).

O’Connor contends that four actions taken by Espino rose to the level of deliberate indifference. The first three involved the denial of gastrointestinal medications. On May 8, 2017, Espino saw O’Connor, who was on the fifth day of a hunger strike. Espino declined to renew the medications that had been discontinued while O’Connor refused to eat. After O’Connor ended his hunger strike that same day, Espino didn’t restart his medications for two

USCA11 Case: 23-12175 Document: 77-1 Date Filed: 01/09/2026 Page: 5 of 21

23-12175 Opinion of the Court 5

days. And at an appointment on June 14, Espino refused to prescribe O’Connor the specific medications that he requested. 1 Even if Espino’s decision not to administer medications created a substantial risk of serious harm—which itself is quite doubtful —O’Connor has presented no evidence that Espino was subjectively aware of that risk. See Wade, 106 F.4th at 1262. In a sworn declaration, Espino explained that, based on his evaluation of O’Connor and his medical opinion, O’Connor didn’t suffer from any gastrointestinal conditions that necessitated medication. Espino also stated that he provided all care to O’Connor that he thought was medically necessary. O’Connor has offered no evidence that rebuts Espino’s statements or shows that Espino knowingly failed to treat a significant medical need. He instead emphasizes that “Espino made a BAD JUDGEMENT.” Appellant’s Br. at 14. While that might suffice for a tort claim, “deliberate indifference is not a constitutionalized version of common-law negligence .” Hoffer v. Sec’y, Fla. Dep’t of Corr., 973 F.3d 1263, 1271 (11th Cir. 2020). The district court, therefore, appropriately granted Espino summary judgment on the medication-based deliberate indifference claim.

1 In his complaint, O’Connor also alleged that Espino acted with deliberate

indifference during that the June 14 appointment by failing to order the ultrasound that O’Connor sought. Because O’Connor failed to brief this claim on appeal, he has forfeited it. See Sapuppo v. Allstate Floridian Ins. Co., 739 F.3d 678, 680 (11th Cir. 2014).

6 Opinion of the Court 23-12175

The fourth action that O’Connor asserts was deliberately indifferent relates to his therapeutic diet. Espino refused to prescribe a bespoke diet and terminated O’Connor’s existing therapeutic diet, which O’Connor contends violated his Eighth Amendment rights. O’Connor states that he was entitled to a non-standard therapeutic diet, such as a combined fat-intolerance and vegan diet, that would have accommodated both his health and religious needs.

But as with the medication-based deliberate-indifference claim, there’s no record evidence that Espino was subjectively aware that terminating O’Connor’s diet or refusing his request for a non-standard therapeutic diet would subject him to a substantial risk of serious harm. In his declaration, Espino stated that he believed that O’Connor’s gastrointestinal issues had resolved and the specialized diet was no longer medical necessary. O’Connor musters no evidence that casts doubt on this statement.

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