RUBENSTEIN v. PRIME CARE MEDICAL INC

District Court, E.D. Pennsylvania·Decided August 5, 2025·No. 2:23-cv-05134·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA __________________________________________

STEPHEN M. RUBENSTEIN : Plaintiff, : : v. : Civil No. 2:23-cv-05134-JMG : COUNTY OF CHESTER, et al., : Defendants. : __________________________________________

MEMORANDUM OPINION

GALLAGHER, J. July 30, 2025

I. INTRODUCTION

Plaintiff Stephen Rubenstein (“Plaintiff”) filed a lawsuit alleging violations of his constitutional rights under 42 U.S.C. § 1983 (“Section 1983”) while he was incarcerated in Chester County Prison (the “Prison”). Before the Court is a Motion for Summary Judgment filed by PrimeCare Medical Inc. (“PrimeCare”), Karen Murphy, RN, and Martin Zarkoski, DMD (collectively referred to as the “PrimeCare Defendants”). Plaintiff raised two claims against the PrimeCare Defendants: (1) that Murphy and Zarkoski acted deliberately indifferent to his medical needs, and (2) that PrimeCare is liable under Monell for implementing a policy and/or custom which violated his constitutional rights. The Court finds that there are no genuine issues of material fact that need to be resolved at a trial. Accordingly, the Court will grant the PrimeCare Defendant’s Motion for Summary Judgment. II. PROCEDURAL HISTORY Plaintiff filed his Complaint, proceeding pro se, against the County of Chester and the PrimeCare Defendants. ECF No. 2. In his Complaint, Plaintiff asserts that Defendants Murphy and Zarkoski acted deliberately indifferent towards his dental and breathing issues. Id. at 6, ¶ A. He further asserts that both the County of Chester and PrimeCare maintained practices that violated his constitutional rights under Monell. Id. For these violations, Plaintiff seeks both monetary and injunctive relief. Id. at 7. This Complaint was filed on December 26, 2023, along with a Motion for Leave to Proceed in forma pauperis. ECF No. 1.

On January 8, 2024, Plaintiff filed a Motion to Show the Cause for a Preliminary Injunction and a Temporary Restraining Order (“Motion for PI/TRO”). See ECF No. 5. On January 12, 2024, the Court granted Plaintiff’s Motion for Leave to Proceed in forma pauperis. The Complaint was deemed filed in the same order. See ECF No. 12. Defendant Chester County subsequently answered Plaintiff’s Complaint on February 1, 2024, see ECF No. 22, and the PrimeCare Defendants filed their answer on March 12, 2024, see ECF No. 25. The Court set multiple dates to hold a hearing on Plaintiff’s Motion for PI/TRO, see ECF Nos. 26, 31, and 33. The hearing was ultimately scheduled for April 24, 2024, see ECF 33, however, Plaintiff was transferred from Chester County Prison to SCI Smithfield on April 18, 2024, See ECF No. 34. This transfer rendered Plaintiff’s claim for injunctive relief moot, see ECF No. 45 (citing Sutton v. Rasheed, 323 F.3d

236, 248 (3d Cir. 2003); Coward v. Thomas, Civ. A. No. 23-2429, 2024 WL 1494421, at *2 n.29 (E.D. Pa. Apr. 5, 2024)). The County of Chester filed a Motion for Summary Judgment on June 17, 2024, see ECF No. 43, and the Court granted the County’s Motion on March 10, 2025, see ECF No. 46. The PrimeCare Defendants filed the instant Motion for Summary Judgment on June 12, 2025, to which the Plaintiff has not filed a response. ECF No. 50. The PrimeCare Defendants have also filed a Statement of Undisputed Facts (“Statement of Facts”) accompanying their Motion for Summary Judgment. ECF No. 50-2. Plaintiff has not filed a competing set of facts in response, and therefore, the Court is permitted to consider the PrimeCare Defendant’s set of facts as undisputed. See Huff v. Dresher Hill Health & Rehabilitation Center, 2023 WL4139022 at *1 (E.D. Pa. June 22, 2023) (citing Fed. R. Civ. P. 56(e)(2)). The Court will still review the allegations set forth in the Plaintiff’s Complaint for contextual purposes. III. FACTUAL HISTORY Plaintiff was incarcerated at Chester County Prison from May 13, 2023, to April 17, 2024.

ECF No. 43-2 at ¶ 1. In his Complaint, Plaintiff alleges that the Prison’s medical staff failed to provide appropriate dental care and treatment for his asthma. ECF No. 2. Further, Plaintiff alleged that the Prison maintained policies and procedures that denied him access to medical care and violated his rights under the Fourteenth Amendment. Id. at 6, ¶ A. Additionally, he asserts that Karen Murphy and Martin Zarkoski refused to treat both his dental issues and asthma, which caused him prolonged pain and suffering. Id. Finally, he alleges that he filed multiple grievances regarding the PrimeCare Defendants’ failure to provide him with adequate treatment, and that these grievances were ignored. Id at 8, ¶ 1. PrimeCare contracts with Chester County to provide medical, dental, and mental health services to inmates at Chester County Prison. ECF No. 50-2, ¶ 3. The Prison has received national

accreditation from the National Commission on Correctional Health Care (“NCCHC”), an organization that establishes health standards for prisons throughout the country. Id. at ¶ 4, 6. The accreditation process requires that the Prison meet certain threshold standards of medical care. Id. at ¶ 6. This accreditation process is “rigorous” and is awarded to less than 10% of prisons nationwide. Id. at ¶ 10. As it relates to the present matter, PrimeCare’s policies and procedures governing the provision of medical, dental, and mental health services are all compliant with NCCHC standards. Id. at ¶ 11. On May 13, 2023, Megan Mac Minn, a medical assistant, conducted an initial screening assessment on Plaintiff. ECF No. 50-2, ¶ 17. Mac Minn noted that Plaintiff has asthma and performed a peak flow test, which found that his air flow levels were “Good.” Id at ¶ 18. In this same assessment, Mac Minn performed a dental screen and reported that Plaintiff’s gum condition was “fair,” his upper teeth condition was “poor” (decay, missing, broken), and his lower teeth condition was “fair.” Id. at ¶ 19.

On May 15, 2023, Plaintiff was seen by Gabriella Checchi, a physician’s assistant, for a more thorough examination. ECF No. 50-2, ¶ 20. After this examination, Checchi prescribed albuterol to Plaintiff to treat his asthma and referred him for a dental evaluation. Id. at ¶ 22-23. On May 16, 2023, Plaintiff was seen by Coe Kummer, LPN, for complaints of shortness of breath and wheezing. ECF No. 50-2, ¶ 26. Nurse Kummer determined that Plaintiff’s airways were clear, and all of his vitals were within normal limits. Id. at ¶ 27-29. On May 18, 2023, Plaintiff was seen by Dr. Martin Zarkoski for complaints of a right upper toothache. ECF No. 50-2, ¶ 33. During this evaluation, Zarkoski noted deep decay of teeth eight and nine. It was recommended that Plaintiff have these teeth extracted, but Plaintiff refused. Id. at ¶ 36. Zarkoski further prescribed amoxicillin for the infected teeth and ibuprofen for his pain. Id.

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