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IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA __________________________________________ CURTIS PERRY, : Plaintiff, : : v. : Civil No. 2:20-cv-02542-JMG : WELL-PATH, et al., : Defendants. : __________________________________________ MEMORANDUM GALLAGHER, J. May 24, 2023 Pro se Plaintiff Curtis Perry, a prisoner incarcerated at SCI-Phoenix, filed a Third Amended Complaint under 42 U.S.C. § 1983 on August 10, 2022. Following the Courtâs dismissal of two previous amended complaints, Perry named as Defendants in the Third Amended Complaint: Deputy Superintendent Mandy Sipple; Correctional Health Care Administrator Brittany Huner, Director of Bureau of Pennsylvania Department of Corrections (DOC) Health Care Services Joseph J. Silva, the Pennsylvania DOC (collectively, âCommonwealth Defendantsâ); as well as Correct Care Solutions (âCCSâ) and the Estate of Dr. Stephen D. Wiener (collectively, âMedical Defendantsâ). The Commonwealth Defendants moved to dismiss Perryâs Third Amended Complaint on October 26, 2022. On November 8, 2022, the Medical Defendants filed a Notice of Intention to Enter Judgment for Failure to File a Written Statement from an Appropriate Licensed Professional under Pennsylvania Rule of Civil Procedure 1042.12. The Court then granted Perryâs requests for extensions of time to file a response to both the Commonwealth Defendantsâ Motion to Dismiss and the Medical Defendantsâ request for a Certificate of Merit under the Pennsylvania Rule. Perry then moved to file a supplement to the Third Amended Complaint and/or a Fourth Amended Complaint on January 3, 2023. Upon Perryâs failure to provide a certificate of merit, the Medical Defendants moved to dismiss Perryâs Third Amended Complaint on January 4, 2023. For the following reasons, Perryâs Motion for Leave to File a Fourth Amended Complaint, ECF No. 49, is denied; and Perryâs Second Motion for an Extension of Time to File a Reply to Defendantsâ Motion to Dismiss, ECF No. 46, is denied as moot. Also, the Commonwealth Defendantsâ Motion to Dismiss, ECF No. 38, is granted and Perryâs claims against the Commonwealth Defendants are dismissed with prejudice. The Medical Defendantsâ Motion for Entry of Judgment of Non Pros, ECF No. 54, is also denied. And lastly, the Medical Defendantsâ Motion to Dismiss, ECF No. 48, is granted; Perryâs claims against CCS are dismissed with prejudice, but Perryâs claims against Dr. Wienerâs Estate are dismissed without prejudice. 1. FACTUAL BACKGROUND a. The Caseâs Early History Curtis Perry, a prisoner incarcerated at SCI-Phoenix, filed a Complaint pursuant to 42 U.S.C. § 1983 on May 29, 2020.1 Named as Defendants in the original Complaint were Well- Path,2, the SCI-Phoenix Medical Director, SCI-Phoenix Correctional Health Care Administrator, Pennsylvania Department of Corrections employees Joseph J. Silva (identified as Director of the Bureau of Health Care Services), Stephen St. Vincent (identified as Director of Policy/Planning), David A. Thomas Jr. (identified as the SCI-Phoenix Correctional Facility Maintenance Manager), Major Gina Clark, and âMr. Piersonâ (identified only as âHVACâ3). See ECF No. 11 at 1. 1 See ECF No. 2. Perry dated his Complaint February 19, 2020. Due to the delays caused by the COVID-19 pandemic, his Complaint was not filed May 29, 2020. 2 Well-Path is a company Perry alleged had been contracted to provide medical services at SCI- Phoenix, the SCI-Phoenix Medical Department. 3 Perry did not identify what this acronym meant. Defendant Pierson was not otherwise mentioned in the body of the original Complaint. In a Memorandum and Order filed on July 16, 2020, the Court dismissed the original Complaint in part with prejudice and in part without prejudice pursuant to 28 U.S.C. § 1915(e)(2)(B) and granted Perry leave to file an amended complaint. On October 9, 2020, Perry then filed an Amended Complaint in which he named only Well-Path as the Defendant.4 In a Memorandum and Order filed on November 20, 2020, the Court again dismissed Perryâs Amended Complaint without prejudice and provided Perry will have an opportunity to cure the defects the Court identified in his original Complaint. See ECF Nos. 11, 12. Perry filed a Second Amended Complaint on December 18, 2020.5 The Court then dismissed Perryâs Second Amended Complaint in part and directed the balance of the claims to be served for a response. See ECF No. 15. On April 16, 2021, the Court granted Perryâs Motion to Appoint Counsel. See ECF No. 18. Accordingly, the Court then referred the present action to the districtâs Prisoner Civil Rights Panel to attempt to obtain counsel for Perry. See id. After the passing of over a year without an attorney from the panel accepting Perryâs case, the Court found it necessary to remove Perryâs case from the panel to make progress toward the resolution of this matter. ECF No. 47. 4 ECF No. 11 at 2 n. 3. Perry identified only âWell-Path, et al.â in the caption of the Amended Complaint. Id. Because Perry named no other Defendant in the Amended Complaint, the Court construed the Amended Complaint as asserting only claims against Well-Path. Id. 5 ECF No. 13. Perry also filed an additional Amended Complaint on January 13, 2021 at ECF No. 14. The Court considered Perryâs January 13, 2021 Pleading to be a supplement to the Second Amended Complaint. ECF No. 15 at 2 n.2. b. Perryâs Third Amended Complaint On August 10, 2022, Perry filed a Third Amended Complaint against Defendants Deputy Superintendent Mandy Sipple; Correctional Health Care Administrator Brittany Huner; Director of Bureau of Pennsylvania DOC Health Care Services Joseph J. Silva; Pennsylvania DOC; Correct Care Solutions; and the estate of Dr. Stephen D. Wiener, who Perry alleges was a medical doctor who treated inmates at SCI-Phoenix.6 Similar to the allegations in the original and second amended complaint, Perry again alleges Defendants violated his Eighth Amendment rights by deliberate indifference to Perryâs medical issues after he was exposed to toxic fumes. ECF No. 30 ¶1; see also ECF No. 11 at 2. Specifically, Perry now alleges âextreme damage to his physical and mental well-being due to deliberate indifference, gross negligence, and willful and wanton conduct of the Defendants, individually and collectively, in connection with medical treatment he received or failed to receive while . . . incarcerated at [Pennsylvania DOC] SCI-Phoenix.â ECF No. 30 ¶1. Perry alleges he became âvery sick with walking pneumonia and closed lungâ after exposure to toxic fumes in his cell. ECF No. 30 ¶¶22, 23. Perry repeatedly requested medical care in relation to chest pains and breathing problems. Id. ¶24. Perry alleged he received breathing treatments at the prison that âdidnât provide any relief for the pain and suffering he endured.â Id. ¶15. Dr. Wiener, a medical doctor treating inmates at SCI-Phoenix, then referred Perry to an outside medical provider contracted by Pennsylvania DOC; the outside provider then reported their findings and medical treatment back to Dr. Wiener.7 Despite this notice, Perry alleges he 6 See ECF No. 30. Perry alleges Dr. Wiener has passed away since the events described in Perryâs Third Amended Complaint. See ECF No. 30 ¶12; see also ECF No. 49 ¶10. Thus Perry brings claims against Dr. Wienerâs Estate. 7 Id. ¶¶ 12, 28. Perry attached the outside providerâs findings with the filing of his Third Amended Complaint. Id. at 10-13. âcontinue[d] to suffer heart disease and l[u]ng diseaseâ due to denial of or insufficient medical treatment. Id. ¶33. More specifically, Perry alleges âthe entire medical staff and overseers of such failed to provide [him] medical careâ recommended by the outside provider.8 On November 29, 2021, Perry alleges he then received care from the Einstein Hospital in Montgomery County, PA for heart and lung problems. Id. ¶36. At the hospital, doctors installed a defibrillator in Plaintiffâs chest and provided care for lung disease. Id. ¶38. Perry is currently housed in SCI-Phoenixâs infirmary. Id. ¶39. Perry alleges Defendants failed to provide him with adequate medical care. More specifically, Perry alleges âthe medical program at SCI-Phoenix lacks sufficient policies and procedures to ensure adequate medical care is provided to inmates.â Id. ¶2. And, despite Defendants receiving notice of Perryâs diagnosed conditions, Defendants âcontinued to deny [Perry] access to simple diagnostic and palliative treatments, without reason or cause, leading to the degeneration of Plaintiffâs basic bodily functions.â Id. ¶2. And Perry also alleges the medical staff and Deputy Superintendent at SCI-Phoenix âwillfully ignoredâ Perryâs requests for medical attention. Id. ¶6. Defendantsâ treatment âdeviated from accepted standards of medical careâ and âwas so deficient that it rose to the level of a deliberate indifference to his medical needs.â Id. Ultimately, Defendantsâ mistreatment and/or lack of treatment caused him to âsuffer[] extreme pain and complications from his conditions that would not have occurred with proper care.â Id. ¶4. Perry thus seeks compensatory and punitive damages for his injuries. Id. ¶41. 8 Id. ¶34. Perry also alleges Dr. Stephen D. Wiener received âa very important email message by Power Connect Actionable Finding System, on January 15, 2021 . . . relating to Plaintiffâs health problems.â Id. ¶35. c. Additional Motions On October 26, 2022, the Commonwealth Defendants moved to dismiss Perryâs Third Amended Complaint. See ECF No. 38. The Commonwealth Defendants contend Perryâs claims in the Third Amended Complaint should be dismissed because the claims are 1) similar in substance to claims previously dismissed, (2) âdevoid of any allegations of personal involvement by the individual defendants in the wrongs Plaintiff alleges,â id. at 4, and (3) barred as against the DOC because they are barred by immunity under the Eleventh Amendment, id. at 5. Perry did not respond in opposition to the Commonwealth Defendantsâ Motion to Dismiss. Then, on November 8, 2022, the Medical Defendants filed a notice of their intention to enter a judgment against Plaintiff. ECF No. 41. The Medical Defendants contended they would enter a judgment after thirty (30) days of the date of filing if Perry failed to provide a written statement from an appropriate licensed professional as required by Pennsylvania Rule of Civil Procedure 1042.3(e). Id. at 1. On November 14, 2022, Plaintiff then moved for an extension of time to respond to the Commonwealth Defendantsâ motion to dismiss. ECF No. 42. Plaintiff later moved for an extension for filing a certification of merit. ECF No. 43. The Court granted both of Plaintiffsâ motions for an extension in part and set deadlines in January of 2023. ECF No. 44. On December 21, 2022, Plaintiff filed a second motion for an extension of time to reply to the Commonwealth Defendantsâ motion to dismiss. ECF No. 46. On January 3, 2023, Perry moved for leave to file a ââThird Amendedâ Complaint Supplementâ to âfix the âThirdâ Amended Complaint.â ECF No. 49. Perryâs proffered amended complaint and/or supplement seeks to âonly name as defendant the Estate of Dr. Stephen D. Wiener, all others removed.â Id. at 4. And the substance of Perryâs claims concerned the alleged improper medical treatment provided by Dr. Wiener. See generally id. The Medical Defendants moved in opposition of Perryâs Motion for Leave to File an Amended Complaint. See ECF No. 51. The Medical Defendants contend the motion should be denied because (1) it would be Plaintiffâs fourth amended complaint, (2) a notice of intent for failure to submit a certificate of merit and expert report and a motion to dismiss the third Amended Complaint are pending, and (3) Perry improperly attaches a supplement complaint to be incorporated into the pending Third Amended Complaint. ECF No. 51 at 1. The Commonwealth Defendants did not oppose Perryâs motion for leave to file a supplement to the Third Amended Complaint. On January 4, 2023, the Medical Defendants also moved to dismiss Perryâs Third Amended Complaint. ECF No. 48. The Medical Defendants submit Perryâs Third Amended Complaint should be dismissed because (1) Perry fails to state a cause of action against the Medical Defendants based on deliberate indifference to a serious medical need, (2) CCS cannot be held liable under respondent superior for the actions of its employees, and (3) Perry canât maintain an action based on medical negligence/professional liability. See generally id. Perry opposes the Medical Defendantsâ Motion to Dismiss. See ECF No. 52. Perryâs response in opposition provides reasoning in support of his pending motion to amend the complaint, including good cause shown by the âimportance of the necessary amendmentâ to bring claims against Dr. Wienerâs estate. Id. at 4. Perry also contends the Court should not require his filing of the Pennsylvaniaâs certificate of merit under persuasive case law from various federal appellate courts outside of the Third Circuit. Id. at 5. Perry then provides reasoning his proffered fourth amended âfinalâ complaint, focusing on Dr. Wienerâs alleged deliberate indifference, should survive Defendantsâ motions to dismiss.9 9 Id. at 6. The Court notes Perry does not oppose the Medical Defendantsâ Motion to Dismiss on the basis of timeliness. Then, on February 8, 2023, the Medical Defendants filed a Motion for Entry of Judgment Non Pros for Perryâs failure to file a certificate of merit under Pennsylvania Rule of Civil Procedure 1042.7. ECF No. 54. The Medical Defendants contend, as a result of Perryâs failure to file a certificate of merit as required under Pennsylvania Rule of Civil Procedure 1042.3(e), â[a] [j]udgment should be entered as to all claims involving Correct Care Solutions, LLC and the Estate of Stephen Wiener, DO . . . .â Id. at 2. In response to Perryâs motion in opposition to the Medical Defendantsâ motion to dismiss, the Medical Defendants submitted a reply brief without first seeking leave of the Court. In their Reply, the Medical Defendants submit Perry raises medical malpractice/professional negligence claims in his Third Amended Complaint, which necessitate a certificate of merit. ECF No. 53 at 1-3. The Medical Defendants also submit Perryâs factual allegations do not amount to deliberate indifference. Id. at 3. Both Perry and the Medical Defendants then provided brief sur-replies without leave of the Court. Nevertheless, the Court will consider the arguments raised in these briefings.10 In sum, the following motions are present in front of the Court: (1) Perryâs Second Motion for an Extension of Time to File a Reply to Defendantsâ Motion to Dismiss, ECF No. 46; (2) Perryâs Motion for Leave to File a Fourth Amended Complaint, ECF No. 49; (3) the Commonwealth Defendantsâ Motion to Dismiss, ECF No. 38; (4) the Medical Defendantsâ Motion for Entry of Judgment of Non Pros, ECF No. 54; and (5) the Medical Defendantsâ Motion to Dismiss, ECF No. 48. 10 Both Perry and the Medical Defendantsâ claims in their proffered sur-replies are similar in substance to their previous motions concerning Pennsylvaniaâs rule requiring a Certificate of Merit. See generally ECF Nos. 55, 56. 2. LEGAL STANDARD a. Motion for Leave to File an Amended Complaint Rule 15(a) of the Federal Rules of Civil Procedure permits amendment of pleadings with leave of court, and directs that courts âshould freely give leave when justice so requires.ââ Harris v. Steadman, 160 F. Supp. 3d 814, 816â17 (E.D. Pa. 2016) (citing FED. R. CIV. P. 15(a)). âLeave should be granted unless: (1) an amendment would be futile or there has been undue delay in the amendment; (2) the court finds bad faith or dilatory motive by the moving party; (3) an amendment would cause prejudice to the non-moving party; or (4) the moving party has demonstrated repeated failure to cure deficiency by amendments previously allowed.â Id. (citing Long v. Wilson, 393 F.3d 390, 400 (3d Cir.2004) (internal citations omitted)). âA pleading will be deemed futile if, as amended, it fails to state a claim upon which relief may be granted.â See In re Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1434 (3d Cir. 1997); Jablonski v. Pan Am. World Airways, Inc., 863 F.2d 289, 292 (3d Cir. 1988) (internal quotation omitted)). âIn assessing futility, a court applies the standard of legal sufficiency set forth under Rule 12(b)(6) of the Federal Rules of Civil Procedure.â Id. (internal citation omitted). District courts âenjoy[] significant latitude in deciding whether to grant leave to amend.â U.S. ex rel. Gagne v. City of Worcester, 565 F.3d 40, 48 (1st Cir. 2009) (citing ACA Fin. Guar. Corp. v. Advest, Inc., 512 F.3d 46, 55 (1st Cir.2008) (internal quotation omitted)). b. Legal and Procedural Requirements under Pennsylvania Rule of Civil Procedure 1042.3(e) Pennsylvania Rule of Civil Procedure Rule 1042.3(a) provides â[i]n any action based upon an allegation that a licensed professional deviated from an acceptable professional standard . . . [,] the plaintiff if not represented[] shall file with the complaint or within sixty days of filing of the complaint, a certificate of merit signed by [an] attorney or party . . . .â 231 Pa. Code Rule 1042.3(a). The certificate of merit âmust attest that there is a reasonable probability that the medical or other professional care described in the complaint fell outside of acceptable professional standards.â Trainor v. Wellpath, No. 1:20-CV-00225-RAL, 2023 WL 2603196, at *22 (W.D. Pa. Mar. 22, 2023). A plaintiff may also submit a certificate of merit signed by an attorney or party providing âexpert testimony of an appropriate licensed professional is unnecessary for prosecution of the claim.â 231 Pa. Code Rule 1042.3(a)(3). The U.S. Court of Appeals for the Third Circuit has found âRule 1042.3 [of the Pennsylvania Rules of Civil Procedure] is substantive law that applies to professional malpractice claims based on Pennsylvania law that are asserted in federal court.â Trainor, 2023 WL 2603196, at *22 (citing Liggon-Redding v. Estate of Sugarman, 659 F.3d 258, 262-64 (3d Cir. 2011) (citing Erie R.R. v. Thompkins, 304 U.S. 64 (1983)). âThus, for purposes of a motion to dismiss or motion for summary judgment, Rule 1042.3 is applied as âcontrolling, substantive state law.ââ Id. (quoting Scaramuzza v. Sciolla, 345 F. Supp. 2d 508, 509-10 (E.D. Pa. 2004)). And the requirements of Rule 1042.3 apply to litigants who are currently imprisoned. See id. â[A] plaintiff's failure to comply with Rule 1042.3 requires dismissal of any malpractice claim.â Id. (quoting Bennett v. PrimeCare Medical Inc., 2018 WL 6072126, at *10 (M.D. Pa. Sept. 14, 2018)). c. Motion to Dismiss The Medical Defendants and Commonwealth Defendants in this case move to dismiss Perryâs Third Amended Complaint for âfailure to state a claim upon which relief can be granted.â FED. R. CIV. P. 12(b)(6). âTo survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to âstate a claim to relief that is plausible on its face.ââ Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A claim is facially plausible âwhen the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.â Id. (citing Twombly, 550 U.S. at 556). âAlthough the plausibility standard does not impose a probability requirement, it does require a pleading to show more than a sheer possibility that a defendant has acted unlawfully.â Connelly v. Lane Const. Corp., 809 F.3d 780, 786 (3d Cir. 2016) (internal quotation marks and citations omitted). In other words, âthere must be some showing sufficient to justify moving the case beyond the pleadings to the next stage of litigation.â Phillips v. Cnty. of Allegheny, 515 F.3d 224, 234â35 (3d Cir. 2008). Federal courts within the Third Circuit deploy a three-step analysis when faced with motions to dismiss. First, the Court identifies âthe elements [the] plaintiff must plead to state a claim.â Connelly, 809 F.3d at 787 (quoting Iqbal, 556 U.S. at 675). Next, the Court identifies âallegations that, because they are no more than conclusions, are not entitled to the assumption of truth.â Id. (quoting Iqbal, 556 U.S. at 679). Finally, the Court assumes the veracity of well- pleaded factual allegations, âand then determine[s] whether they plausibly give rise to an entitlement to relief.â Id. (quoting Iqbal, 556 U.S. at 679). For purposes of this analysis, the Court âaccept[s] all factual allegations as true, [and] construe[s] the complaint in the light most favorable to the plaintiff.â Warren Gen. Hosp. v. Amgen, Inc., 643 F.3d 77, 84 (3d Cir. 2011). Furthermore, â[o]n a motion to dismiss, the district court must read a pro se plaintiffâs allegations liberally and apply a less stringent standard to the pleadings of a pro se plaintiff than to a Complaint drafted by counsel.â Perlberger v. Caplan & Luber, LLP, 152 F. Supp. 2d 650, 653 (E.D. Pa. 2001) (citing Haines v. Kerner, 404 U.S. 519, 520-21 (1972); Gibbs v. Roman, 116 F.3d 83, 86 n. 6 (3d Cir. 1997)). âYet even in the case of pro se litigants this leniency does not give a court license to serve as a de facto counsel for a party, or to rewrite an otherwise deficient pleading in order to sustain an action.â Gipson v. Sec'y, U.S. Dep't of the Treasury, 675 F. App'x 960, 962 (11th Cir. 2017) (quoting Campbell v. Air Jamaica Ltd., 760 F.3d 1165, 1168-69 (11th Cir. 2014)). 3. DISCUSSION a. Second Motion for an Extension of Time to File a Reply to Commonwealth Defendantsâ Motion to Dismiss Perryâs Third Amended Complaint On December 12, 2022, the Court granted Perry extensions of time to file a response in opposition to the Commonwealth Defendantsâ Motion to Dismiss, as well as to provide a certificate of merit and/or a response in opposition to the Medical Defendantsâ Notice of Intent to Enter Judgment. See ECF No. 44. The Court provided Perry an extension through January 9, 2022 to file a response to the motion to dismiss and through January 23, 2023 to file a certificate of merit. Id. Nine days following the Courtâs granting of extensions, Perry filed a second motion for an extension of time to file a reply to the Commonwealth Defendantsâ dismissal of Plaintiffâs Third Amended Complaint on December 21, 2022. ECF No. 46. In his second motion for an extension, Perry sought an additional thirty (30) days to file a response in opposition to the motion to dismiss due to his inability to access the library in his facilities. Id. Perry then moved for leave to file a final amended complaint on January 3, 2023. ECF No. 49. And, on January 4, 2023, the Medical Defendants filed a Motion to Dismiss. ECF No. 48. Perry then filed a response in Opposition to the Medical Defendantsâ Motion to Dismiss on January 25, 2023. ECF No. 52. In his response in opposition to the Medical Defendantsâ Motion to Dismiss, Perry provides he sought to âvoluntary[sic] terminate several named officials that was mistakenly identified as defendants . . . and seek to proceed against . . . Dr. Wiener.â Id. at 3. Perry thus never filed a response in opposition to the Commonwealth Defendantsâ Motion to Dismiss despite the ability and opportunity to do so. Accordingly, Perryâs motion for an extension to respond in opposition of the Commonwealth Defendantsâ Motion to Dismiss is denied as moot. b. Motion for Leave to File an Amended Complaint Perry also moves to file a supplement to the Third Amended Complaint and/or a Fourth Amended Complaint. Perry filed a Third Amended Complaint on August 10, 2022. ECF No. 30. On October 26, 2022, the Commonwealth Defendants moved to dismiss Perryâs Third Amended Complaint. ECF No. 38. The next month, the Medical Defendants filed a notice of intent to enter a judgment due to Perryâs failure to file a certificate of merit under a Pennsylvania Rule of Civil Procedure.11 On January 3, 2023, Perry then moved for leave to âsupplementâ his Third Amended Complaint. See ECF No. 49 at 4. The next day, Defendants CCS and Dr. Wienerâs Estate moved to dismiss Perryâs Third Amended Complaint. ECF No. 48. The Medical Defendants also responded in opposition to Perryâs motion for leave to file an additional amended complaint. ECF No. 51. The Medical Defendants persuasively contend Perryâs proffered amended complaint impermissibly seeks to âsupplementâ his Third Amended Complaint. Id. at 1. The Medical Defendants provide an âamended complaint must be a pleading that stands by itself without reference to the original complaint.â Id. (citing Young v. Keohane, 809 F. Supp. 1185, 1198 (M.D. Pa. 1992)). In contrast, the Federal Rules of Civil Procedure require a supplemental pleading to âset[] out any transaction, occurrence, or event that happened after the date of the pleading to be supplemented.â FED. R. CIV. P. 15(d) (emphasis added). Perryâs proffered amended complaint is not a proper supplemental pleading under the Federal Rules of Civil Procedure because Perry does not provide any recent transaction, occurrence, or event occurring after the factual allegations in his Third Amended Complaint. See generally ECF No. 11 For further discussion concerning the Medical Defendantsâ Notice of Intent to Enter Judgment due to Failure to File a Certificate of Merit and Motion to Enter Judgment, see infra pgs. 17-19. 5-8 (providing factual allegations concerning the same timeline as in Perryâs Third Amended Complaint). Moreover, Perry seeks to voluntarily dismiss all claims as alleged in his Third Amended Complaint but those against one Defendant. See ECF No. 52 at 3; see also ECF No. 49 at 5 (listing only the Estate of Dr. Wiener as a named defendant in Perryâs proffered amended complaint). Thus Perryâs motion to file an amended complaint is not offered as a supplement to the Third Amended Complaint, but rather as a complete Fourth Amended Complaint. The Court will consider the merits of Perryâs request for leave to file an additional amended complaint. Enabling Perry to seek to file a Fourth Amended Complaint may be futile, causes prejudice to the non-moving Parties, and follows a series of repeated attempts to cure deficiencies in amendments previously allowed. âLeave [to file an amended complaint] should be granted unless: (1) an amendment would be futile or there has been undue delay in the amendment; (2) the court finds bad faith or dilatory motive by the moving party; (3) an amendment would cause prejudice to the non-moving party; or (4) the moving party has demonstrated repeated failure to cure deficiency by amendments previously allowed.â Harris v. Steadman, 160 F. Supp. 3d 814, 816â 17 (E.D. Pa. 2016) (citing Long v. Wilson, 393 F.3d 390, 400 (3d Cir.2004) (internal citations omitted)). First, Perryâs proffered Fourth Amended Complaint is likely futile and may lead to undue delay. âA pleading will be deemed futile if, as amended, it fails to state a claim upon which relief may be granted.â Nhu Nguyen v. Elwood Staffing Servs., Inc., No. 1:18-CV-01313, 2019 WL 4256361, at *2 (M.D. Pa. Sept. 9, 2019) (citing In re Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1434 (3d Cir. 1997); Jablonski v. Pan Am. World Airways, Inc., 863 F.2d 289, 292 (3d Cir. 1988) (âAmendment of the complaint is futile if the amendment will not cure the deficiency in the original complaint or if the amended complaint cannot withstand a renewed motion to dismiss.â)). Federal courts âappl[y] the standard of legal sufficiency set forth under Rule 12(b)(6) of the Federal Rules of Civil Procedureâ when assessing the futility of an amended complaint. Id. (citing In re Burlington, 114 F.3d at 1434 (internal citation omitted)). In his proffered Fourth Amended Complaint, Perry seeks to only bring claims against Dr. Wiener for âfail[ure] to provide Plaintiff with adequate reasonable and acceptable care under his professional judgmentâ which, Perry alleges, âamount[s] to deliberate indifference to a possible fatal illness.â ECF No. 49 at 7. Perry brings claims against Dr. Wiener âin his official and individual capacity.â Id. at 8. More specifically, Perry alleges Dr. Wiener provided medical services to Perry, but Perryâs symptoms, including poor breathing, persisted. See generally id. at 5-7. Perry describes instances of inadequate medical services and delayed responses by Dr. Wiener while Perry continued to suffer from lung and heart problems. Id. In sum, Perry contends Dr. Wiener provided a series of medical care that inadequately addressed his medical issues. See generally id. But Perryâs proffered amendments concerning his claims against Dr. Wiener are similar in substance to Perryâs claims in his Third Amended Complaint. Like the Third Amended Complaint, Perry provides factual allegations concerning medical care he receivedâand, allegedly, failed to receiveâthroughout 2019 until 2021. See generally ECF No. 49 at 5-8. Perryâs Fourth Amended Complaint does not seek to add any additional facts concerning Dr. Wienerâs actions. Thus Perryâs proffered amendment is likely futile.12 Additionally, Perryâs proffered amendment concerns a Defendant previously named and on notice in this case. Perryâs Fourth Amendment Complaint seeks to assert claims against only one Defendant already involved in the caseâbut the Commonwealth Defendants moved to dismiss Perryâs claims prior to Perryâs motion to amend the complaint for a fourth time. ECF No. 38. And 12 For further discussion concerning the legal sufficiency of Perryâs Third Amended Complaint claims against Dr. Wienerâs Estate, see infra pgs. 28-31. the Medical Defendants have also moved to dismiss Perryâs Third Amended Complaint. ECF No. 48. Perryâs late attempt to streamline his claimsâthough perhaps made with good intentionsâ may amount to undue delay given the similar substance of the claims and the previous involvement of other Parties in the case. Second, an amendment would cause prejudice to a non-moving party, here, specifically Defendant Dr. Wienerâs Estate. Although the Commonwealth Defendants would otherwise be prejudiced by Perryâs proffered amendments because they had already moved to dismiss the Third Amended Complaint, his request to drop all claims as to the Commonwealth Defendants would likely negate any prejudice. The Medical Defendants have also moved to dismiss Perryâs claims, as well as they have moved to enter judgment against Perry for failure to file a Certificate of Merit. See id.; ECF No. 54. Granting Perryâs Motion for Leave to File a Fourth Amended Complaint would prejudice Defendant Dr. Wiener who has already moved to dismiss Perryâs previous claims against him, which are similar in substance to the proffered amendments. This factor weighs against granting Perry leave to file a Fourth Amended Complaint. And third, Perry has demonstrated repeated failure to cure deficiency by amendments previously allowed. Perryâs proffered amendments, if granted, would amount to a Fourth Amended Complaint filed in this action. Portions of previous complaints have been dismissed with prejudice, while the Court has provided numerous opportunities for Perry to amend particular claims over time. Here, Perryâs proffered amendment against Dr. Wiener is similar in substance to the Third Amended Complaint in front of the Court. Given the Courtâs extensive history of providing leave to file amended complaints in this matter, the Court is not inclined to grant Perry additional leave to file a Fourth Amended Complaint. Therefore, Perry is not granted leave to file his proffered Fourth Amended Complaint/Supplement because these amended claims would likely be futile, cause prejudice to a non-moving party, and follow a series of repeated attempts to cure deficiencies in amendments previously allowed. Accordingly, the Court proceeds to address the merits of Defendantsâ pending motions to dismiss Perryâ Third Amended Complaint, as well as other motions in front of the Court. c. The Medical Defendantsâ Motion for Entry of Judgment of Non Pros In the Medical Defendantsâ Motion to Dismiss, Defendants contend Perry required âa Certificate of Merit and expert report . . . to be attached to the Third Amended Complaintâ due to his claims of medical negligence/professional negligence and in accordance with Pennsylvania Rule of Civil Procedure Rule 1042.3(a). See ECF No. 48 at 5. Accordingly, the Medical Defendants filed a notice of intent to enter judgment for failure to file a written statement, ECF No. 41, and later, a praecipe for entry of judgment of non pros pursuant to Pennsylvania Rule 1042.7, ECF No. 54. The Medical Defendantsâ praecipe for entry of judgment directs the clerk to enter judgment as to the Medical Defendants.13 In response to the Medical Defendantsâ Motion to Dismiss, ECF No. 48, Perry contends he does not âplead, claim nor allege medical malpractice.â14 And Perry later submits â[his] action strictly seek[s][sic] to hold defendant liable under [the] 8th Amend[ment][sic] . . . violation of plaintiffâs right to be free from cruel and unusual 13 ECF No. 54. The Court notes while âthe entry of judgment non pros [occurs] in Pennsylvania courts, federal courts will dismiss without prejudice actions where a certificate of merit has not been filed.â Martinez v. Kubala, No. CIV. 09-00026, 2011 WL 3740285, at *2 (E.D. Pa. Aug. 24, 2011) (internal citations omitted). 14 ECF No. 52 at 4. Perry also focuses much of his response in opposition to Medical Defendantsâ Motion to Dismiss on his claims of deliberate indifference. Id. at 6-7. punishment.â ECF No. 55 at 2. Perry also contends the Court should not be bound by the requirements of Pennsylvania Rule of Civil Procedure Rule 1042.3(a). See ECF No. 52 at 4-5. In Talbert v. Correctional Dental Associates, a federal district court in Pennsylvania considered whether a certificate of merit is necessary in a case involving an inmate suing medical professionals for deliberate indifference. No. CV 18-5112, 2019 WL 5866890, at *1 (E.D. Pa. Nov. 8, 2019). In Talbert, the defendants filed notices of intent to enter judgment of non pros against the plaintiff for failing to provide a certificate of merit under Pennsylvania Rule of Civil Procedure 1042.3. Id. The district court found the âPennsylvania Rule applies if [plaintiff] pleads medical malpractice and professional negligence claims by professionals.â Id. at *2. And thus, â[f]ailure to adduce a certificate of merit may allow a Pennsylvania Prothonotary to enter judgment of non pros on the claim a professional deviated from the standard of care.â Id. The district court then found plaintiff âjudicially admitted he does not plead medical malpractice or professional negligence and limits his case to his Eighth Amendment claim.â Id.; see also id. n. 5 (illustrating the use of judicial admissions when interpreting the claims of pro se plaintiffs). Next, the district court considered âwhether [plaintiff] may proceed on a deliberate indifference claim against prison doctors without a certificate of merit.â Id. Because âthe certificate of merit addresses deviations from the professionalâs standard of care under Pennsylvania negligence lawâ and â. . . not the constitutional standard of deliberate indifference[,]â the court declined to âfind a certificate of merit would affect proof of the constitutional claim.â Id. Thus, ultimately, the court did not require plaintiff to provide a certificate of merit under Rule 1042.3 because his claim was limited to a claim for deliberate indifference. Id. The federal district courtâs finding and reasoning in Talbert is persuasive to this action due to similar underlying facts and claims. Here, Perry brings claims against a medical provider and private medical company. Perry has not provided a certificate of merit. Nevertheless, like the plaintiff in Talbert, Perry has repeatedly provided his sole claims are deliberate indifference claims based in his Eighth Amendment rightsânot medical malpractice claims. See ECF No. 52 at 4; ECF No. 55 at 2. The Court accepts Perryâs judicial admission he is not alleging medical malpractice claims.15 Accordingly, Perry is not required to file a certificate of merit under Rule 1042.3 to bring his constitutional claims of deliberate indifference. The Court thus denies the Medical Defendantsâ Motion to Enter Judgment of Non Pros. d. Motions to Dismiss Perryâs Claims in his Third Amended Complaint Perryâs Third Amended Complaint alleges Defendants violated his Eighth Amendment rights by acting with deliberate indifference âin connection with medical treatment he received or failed to receive while incarcerated at [Pennsylvania] DOC SCI-Phoenix.â ECF No. 30 ¶1. Perry seeks to assert federal constitutional claims under 42 U.S.C. § 1983. Id. ¶10. That section provides in part: Every person who, under color of any statute, ordinance, regulation, custom, or usage, of any State or Territory or the District of Columbia, subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress. 42 U.S.C. § 1983. âTo state a claim under § 1983, a plaintiff must allege the violation of a right secured by the Constitution and laws of the United States, and must show that the alleged 15 See Talbert, 2019 WL 5866890, at *2 n. 5. (citing Higgs v. Attorney General of the United States, 655 F.3d 333, 340 (3d Cir. 2011)). â âJudicial admissionsâ are admissions in pleadings, stipulations, etc. which do not have to be proven in the same litigation.â Id. (quoting Phila. Reinsurance Corp. v. Employers Insurance of Wausau, 61 Fed. Appx. 816, 819 (3d Cir. 2003) (internal citation omitted)). â[J]udicial admissions are binding for the purpose of the case in which the admissions are made.â Id. (citing Phila. Reinsurance Corp., 61 Fed. Appx. at 819). Accordingly, Perry may not argue a medical malpractice claim in this action. deprivation was committed by a person acting under color of state law.â West v. Atkins, 487 U.S. 42, 48 (1988). The Court will address Perryâs allegations as against the Commonwealth Defendantsâ Defendants Mandy Sipple, Britney Huner, Pennsylvania DOC, and Joseph J. Silvaâand the Medical DefendantsâDefendants Correct Care Solutions (âCCSâ) and the Estate of Dr. Stephen Dr. Wienerâ in seriatim. i. Commonwealth Defendantsâ Motion to Dismiss In his Third Amended Complaint, Perry brings deliberate indifference claims against the Pennsylvania DOC, Deputy Superintendent Mandy Sipple; Correctional Health Care Administrator Brittany Huner, and Director of Bureau of Pennsylvania DOC Health Care Services Joseph J. Silva. He brings these claims against Defendants in their personal and official capacities. See ECF No. 30 at 4-5. The Commonwealth Defendants move to dismiss Perryâs claims under Federal Rule of Civil Procedure 12(b)(1) and 12(b)(6). See generally ECF No. 38. The Court notes Perry did not oppose the Commonwealth Defendantsâ Motion to Dismiss. Nevertheless, the Court will address the merits of the Commonwealth Defendantsâ Motion to Dismiss.16 16 âWhere a party has failed to timely respond to a motion to dismiss within 14 days, the Court is authorized to grant the motion as uncontested under the local rules.â Miller v. Goggin, No. CV 22-3329-KSM, 2023 WL 3259468, at *3 (E.D. Pa. May 4, 2023) (citing LOC. R. CIV. P. 7.1(c) (âUnless the Court directs otherwise, any party opposing the motion shall serve a brief in opposition together with such answer or other response that may be appropriate, within fourteen (14) days after service of the motion and supporting brief. In the absence of timely response, the motion may be granted as uncontested except as provided under Fed.R.Civ.P 56.â) (additional internal citation omitted)). Nevertheless, âit is preferred that a district court undertake a merits analysis of the complaint, even if a plaintiff has failed to respond to a motion to dismiss.â Id. (citing Gary v. Pa. Human Relations Comm'n, 497 F. App'x 223, 226 (3d Cir. 2012) (â[M]otions to dismiss should not be granted without an analysis of the merits of the underlying complaint, notwithstanding local rules regarding the granting of unopposed motions.â); Stackhouse v. Mazurkiewicz,, 951 F.2d 29, 30 (â[T]his action should not have been dismissed solely on the basis of the local rule without any analysis of whether the complaint failed to state a claim upon which relief can be granted, as provided in Fed.R.Civ.P. 12(b)(6).â)). Accordingly, the Court considers First, Perryâs claims against the Pennsylvania DOC are barred under the Eleventh Amendment. âIt is well established that lawsuits seeking retrospective relief by private persons against a state, state officials, and state entities are generally prohibited.â Downey v. Pennsylvania Dep't of Corr., 968 F.3d 299, 309 (3d Cir. 2020) (citing Regents of the Univ. of Cal. v. Doe, 519 U.S. 425, 429 (1997); P.R. Aqueduct & Sewer Auth. v. Metcalf & Eddy, Inc., 506 U.S. 139, 146 (1993)). More specifically, â[t]he Eleventh Amendment of the United States Constitution bars claims under Section 1983 against state actors unless the state has waived its sovereign immunity.â Whaley v. Schiliro, 644 F. App'x 185, 188 (3d Cir. 2016). And the U.S Court of Appeals for the Third Circuit has found â[t]he Pennsylvania Department of Corrections is undoubtedly a state instrumentality and its officials are state agents.â Downey, 968 F.3d at 310 (finding the Pennsylvania Department of Corrections and its officers immune from plaintiffâs claims for retroactive relief under the Eleventh Amendment) (citing 71 Pa. Stat. § 61)). So Perryâs claims against Pennsylvania DOC are barred under the Eleventh Amendment.17 Next, to the extent Perry brings claims against Deputy Superintendent Mandy Sipple, Correctional Health Care Administrator Brittany Huner, and Director of Bureau of Pennsylvania DOC Health Care Services Joseph J. Silva in their official capacity as state agency officials of the Pennsylvania DOC, Perryâs claims are also barred. Claims against governmental officials named in their official capacity are indistinguishable from claims against the governmental agency that the merits of Perryâs underlying Third Amended Complaint as it concerns the Commonwealth Defendants. 17 The Court also notes Perryâs claims against the Pennsylvania DOC are also barred because the agency is not a âpersonâ within the meaning of Section 1983. Adams v. Hunsberger, 262 F. App'x 478, 481 (3d Cir. 2008) (finding âthe District Court properly concluded [plaintiffâs Section 1983] claims against the Pennsylvania Department of Corrections were barred, as it is not a âpersonâ within the meaning of 42 U.S.C. § 1983.â) (citing Will v. Michigan Dep't of State Police, 491 U.S. 58, 71 (1989)). employs them. See Kentucky v. Graham, 473 U.S. 159, 165-66 (1985) (âOfficial-capacity suits . . . âgenerally represent only another way of pleading an action against an entity of which an officer is an agent.ââ) (quoting Monell v. N.Y.C. Dept. of Soc. Servs., 436 U.S. 658, 690, n. 55 (1978)). â[A]n official-capacity suit is, in all respects other than name, to be treated as a suit against the entity.â Id. So suits against state officials acting in their official capacities are really suits against the employing government agency, and as such, are also barred by the Eleventh Amendment.18 Accordingly, Perryâs official capacity claims against officials of the Pennsylvania DOC are dismissed with prejudice. Perry also brings claims against Defendants Sipple, Huner, and Silva in their individual capacities. Perry brings deliberate indifference claims against Defendants Sipple, Huner, and Silva as non-medical providers. See ECF No. 30 at 1, 4. Specifically, Perry alleges Defendant Sipple manages the medical department at SCI-Phoenix and thus âoversaw the operations and care of inmatesâ at the facility. Id. at 4. Moreover, Perry avers Defendant Huner acted as a âCorrectional Health Care Administrator at SCI-Phoenix and thus âdirectly and indirectly refused to provide adequate medical care to Plaintiffâ at the facility. Id. And Perry also alleges Defendant Silva Director of Pennsylvania DOCâs Health Care Services âviolated Plaintiffâs Eighth Amendment rights that reached deliberate indifference by failing to provide medical care.â Id. at 5. Nevertheless, Perry also names Dr. Wienerâs Estate as a defendant due to Dr. Wienerâs direct provision of medical services and treatment to Perry. Id. at 4 (âDr. Wiener . . . directly treated and oversaw the treatment of Plaintiff during the relevant time period.â). In his Third Amended 18 A.W. v. Jersey City Pub. Sch., 341 F.3d 234, 238 (3d Cir. 2003); see also Hafer v. Melo, 502 U.S. 21, 25 (1991); Will v. Mich. Depât of State Police, 491 U.S. 58, 70-71 (1989). However, state officials sued in their individual capacities are âpersonsâ within the meaning of Section 1983. See Hafer, 502 U.S. at 31. Thus, the Eleventh Amendment does not bar suits for monetary damages brought under Section 1983 against state officials in their individual capacities. Id. Complaint, Perry only describes treatments provided by Dr. Wiener as âthe supervising doctor.â Id. at 8. Nevertheless, Perry also contends â[t]he entire medical staff and overseers of such failed to provide Plaintiff medical care . . . .â Id. Perryâs allegations do not plausibly show Defendants Sipple, Huner, nor Silva directly provided medical treatment nor services to Perry. In their Motion to Dismiss, the Commonwealth Defendants aver the named Commonwealth Defendants are non-medical providers. ECF No. 38 at 10. And the Commonwealth Defendantsâ administrative roles, as well as Perryâs specification Dr. Wienerâand not the other named Defendantsâprovided his medical care, suggests the Defendants are non-medical providers who work in the medical department of SCI-Phoenix. See ECF No. 30 at 7-9 (providing Perryâs past medical treatments without mention of the Commonwealth Defendants). The Court has previously dismissed with prejudice Perryâs deliberate indifference claims against non-medical provider Defendants at SCI-Phoenix as not plausible. See ECF No. 15 at 8-9 (âAs Perry was being treated by medical personnel at SCI- Phoenix for his breathing problems, he cannot assert plausible claims against non-medical defendants for being allegedly indifferent to his medical needs.â). And the U.S. Court of Appeals has found ânon-medical prison officials are generally justified in relying on the expertise and care of prison medical providers.â Matthews v. Pennsylvania Dep't of Corr., 613 F. App'x 163, 170 (3d Cir. 2015) (citing Spruill v. Gillis, 372 F.3d 218, 236 (3d Cir.2004)). So â[a]bsent a reason to believe (or actual knowledge) that prison doctors . . . are mistreating (or not treating) a prisoner, a non-medical prison official . . . will not be chargeable with the Eighth Amendment scienter requirement of deliberate indifference.â Id. (citing Spruill, 372 F. 3d at 236). Because Perry has not provided factual allegations showing the personal and direct involvement and/or knowledge of Defendants Sipple, Huner, nor Silva as non-medical providers, Perryâs claims against them in their individual capacities are dismissed with prejudice.19 ii. Medical Defendantsâ Motion to Dismiss 1. Claims Against Defendant Correct Care Solutions (âCCSâ) In his Third Amended Complaint, Perry brings claims against Defendant Correct Care Solutions (âCCSâ), who Perry avers maintained a âcontract with the [Pennsylvania DOC] to furnish health care to incarcerated inmates in Pennsylvania.â ECF No. 30 at 5. Perry contends CCS âviolated Plaintiffâs Eighth Amendment rights[] [through] deliberate indifference by way of âpolicy, [p]ractice and/or custom.â Id. at 5. More specifically, Perry alleges the Pennsylvania 19 Even assuming Defendants Sipple, Huner, or Silva provided Perry with medical care, Perryâs claims against them are not sufficiently particular to state a claim. âA defendant in a civil rights action must have personal involvement in the alleged wrongs . . . .â Rode v. Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1988) (citing Parratt v. Taylor, 451 U.S. 527, 537 n. 3 (1981); Hampton v. Holmesburg Prison Officials, 546 F.2d 1077, 1082 (3d Cir.1976)). âPersonal involvement can be shown through allegations of personal direction or of actual knowledge and acquiescence.â Id. But â[a]llegations of participation or actual knowledge and acquiescence, however, must be made with appropriate particularity.â Id. (citing Boykins v. Ambridge Area School District, 621 F.2d 75, 80 (3d Cir.1980) (civil rights complaint adequate where it states time, place, persons responsible); Hall v. Pennsylvania State Police, 570 F.2d 86, 89 (3d Cir.1978) (same)). Commonwealth Defendants correctly aver Perryâs âThird Amended Complaint is devoid of any information as to the role of each of the Commonwealth Defendants in the Constitutional violations alleged.â ECF No. 38 at 10. And â[i]n fact, the Commonwealth Defendants are rarely mentioned by name, and any mention that is made amounts to . . . a threadbare recitation of the legal elements of the claim.â Id. (internal citations omitted). More specifically, Perry alleges Defendant Sipple ârefused Plaintiff medical care as directed by outside provider and supervision of Dr. Wiener,â ECF No. 30 at 4; Defendant Huner âfailed to provide the medical care that the outside medical provider requested for Plaintiff directed by [sic]D[r]. Wiener,â id.; and Defendant Silva âreached deliberate indifference by failing to provide medical care[] [u]pon knowing the recommendation of outside medical provider,â id. at 5. Perryâs allegations against the Commonwealth Defendants are not sufficiently particular and amount to legal conclusions. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (âThreadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.â) (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, (2007) (Although for the purposes of a motion to dismiss we must take all of the factual allegations in the complaint as true, we âare not bound to accept as true a legal conclusion couched as a factual allegationâ) (internal quotation marks omitted)). Accordingly, Perryâs claims against Commonwealth Defendants Sipple, Huner, and Silva are dismissed. DOC had âpolicy, practice and/or customs . . . to maintain control over actions of the Defendant Correct Care Solutions by contract.â ECF No. 30 at 5. Perry further alleges âthe medical program at SCI-Phoenix lacks sufficient policies and procedures to ensure that adequate medical care is provided to inmates, and that the medical staff at the facility is unqualified, adequately trained, under staff[ed][sic] and lacking essential resources to meet the special needs of the individuals incarcerated.â Id. at 2. The Medical Defendants move to dismiss Perryâs claims against CCS and Dr. Wienerâs Estate. Concerning CCS, the Medical Defendants contend Perryâs claims must be dismissed because Perry has not met his burden to show CCS acted with deliberate indifference nor established or maintained a policy or custom which directly caused Perryâs harm. See ECF No. 48 at 10. And moreover, to the extent Perry alleges CCS is liable due to the actions of its employees, particularly Dr. Wiener, the Medical Defendants submit private health companies cannot be held liable for the acts of their employees under respondeat superior. Id. at 12. âThe Eighth Amendment requires that prisoners receive access to basic medical treatment.â Lopez v. Corr. Med. Servs., Inc., 499 F. App'x 142, 145â46 (3d Cir. 2012) (citing Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir.1999)). But â[o]nly âunnecessary and wanton infliction of painâ or âdeliberate indifference to the serious medical needs' of prisoners are sufficiently egregious to rise to the level of a constitutional violation.â Spruill v. Gillis, 372 F.3d 218, 235 (3d Cir. 2004) (quoting White v. Napoleon, 897 F.2d 103, 108â09 (3d Cir.1990) (quoting Estelle v. Gamble, 429 U.S. 97, 103 (1976)). âAllegations of medical malpractice are not sufficient to establish a Constitutional violation.â Id. (citing White, 897 F.2d at 108â09 (3d Cir.1990) (citing Estelle, 429 U.S. at 106)). And âmere disagreement as to the proper medical treatment is also insufficient.â Id. (quoting Monmouth County Correctional Institutional Inmates v. Lanzaro, 834 F.2d 326, 346 (3d Cir.1987) (internal citation omitted). A plaintiff alleging deliberate indifference claims âmust identify âacts or omissions [on the part of the defendants] sufficiently harmful to evidence deliberate indifference to [a plaintiffâs] serious medical needs.â Lopez, 499 F. App'x at 146 (quoting Estelle, 429 U.S. at 106). So âa defendant exhibits such deliberate indifference if [they] âknow[] of and disregard[] an excessive risk to inmate health or safety.ââ Id. at 145â46 (quoting Natale v. Camden Cnty. Corr. Facility, 318 F.3d 575, 582 (3d Cir.2002) (citation omitted). Private corporations, such as those providing medical care for inmates, âcannot be vicariously liable for the acts of its staff under [Section] 1983.â Miller v. City of Phila., No. CIV. A. 96-3578, 1996 WL 683827, at *4 (E.D. Pa. Nov. 25, 1996); see also Lopez, 499 F. App'x at 147 (finding a corporation responsible for arranging the medical care of state inmates âcannot be held responsible for the acts of its employees under a theory of respondeat superior in a [Section] 1983 actionâ) (citing Natale, 318 F.3d at 583-84). So private corporate defendants âcan only be held liable on the basis of some policy it had that caused the alleged violation of [a plaintiffâs] Eighth Amendment rights.â Lopez, 499 F. App'x at 147 (citing Natale, 318 F.3d at 583-84). Here, Perry must allege CCS, a private corporation, maintained a policy leading to the alleged violation of Perryâs rights because CCS cannot be held vicariously liable for the actions of its employees. Miller, 1996 WL 683827, at *4 (finding private corporations, such as those providing medical care for inmates, âcannot be vicariously liable for the acts of its staff under [Section] 1983â). Thus Perry avers CCS âlacks sufficient polices and procedures to ensure that adequate medical care is provided to inmatesâ and to adequately train and provide the resources for its medical staff to meet the needs of incarcerated individuals. ECF No. 30 at 2. Perry further alleges the Pennsylvania DOC had âpolicy, practice and/or customs . . . to maintain control over actions of the Defendant Correct Care Solutions by contract.â Id. at 5. Perryâs factual allegations concerning policies and procedures at CCS are generalized statements that fail to identify any particular CCS policy or manner of conduct leading to Perryâs injuries in this case. âConclusory allegations about a general lack of policies . . . is insufficient.â Keener v. Hribal, 351 F. Supp. 3d 956, 977 (W.D. Pa. 2018) (citing D.M. by Sottosanti-Mack v. Easton Area Sch. Dist., No. CV 17-1553, 2017 WL 6557560, at *8 (E.D. Pa. Dec. 22, 2017)). And â[a] complaint must include specific factual allegations referencing the conduct, time, place, and persons responsible for any official municipal policy or custom.â Id. (quoting Kelty v. City of Philadelphia, No. CV 16-0306, 2016 WL 8716437, at *4 (E.D. Pa. June 10, 2016) (internal citation omitted)). Here, Perry does not allege specific facts concerning CCSâs policies nor unofficial conduct beyond vague conclusory assertions. And the Court is not bound to consider Perryâs legal conclusions concerning the inadequacy of CCSâs policies. See Iqbal, 556 U.S. at 678; see also D.M., 2017 WL 6557560, at *8 (âConclusory allegations are insufficient to survive a motion to dismiss.â) (quoting McTernan v. City of York, 564 F.3d 636, 658-59 (3d Cir. 2009) (internal quotation omitted)). Moreover, Perryâs allegations seem to aver Pennsylvania DOCânot CCSâ is responsible for any relevant policies and procedures in this matter.20 Thus, Perryâs threadbare and generalized factual assertions do not âplausibly give rise to an entitlement to reliefâ concerning Perryâs deliberate indifference claim against CCS. Connelly, 809 F.3d at 787 (quoting Iqbal, 556 U.S. at 679). Accordingly, Perryâs claims against CCS are dismissed with prejudice. 20 See ECF No. 30 ¶17 (alleging âit was policy, practice and/or customs of the Pennsylvania DOC to maintain control over actions of the Defendant Correct Care Solutions by contractâ). Perryâs allegation the Pennsylvania DOC established CCSâs policies as a contractor is further bolstered by the Medical Defendantsâ contention âCCS follows the policy, practice, and customs of the [Pennsylvania] DOC.â ECF No. 48 at 12. 2. Claims Against Defendant Dr. Wienerâs Estate Perry also brings claims against Defendant the Estate of Dr. Stephen Wiener, âan adult individual and medical doctor who[][sic] treated inmates at SCI-Phoenixâ and âacted . . . as an agent and employee of the [Pennsylvania DOC] and Correct Care Solutions.â ECF No. 30 at 4. Concerning Defendant Dr. Wienerâs Estate, Perry alleges Dr. Wiener, as his medical provider, ârefused Plaintiff medical care as directed by outside medical provider.â Id. at 4. Perry further contends Dr. Wiener repeatedly ignored Perryâs requests for treatment âwith deliberate indifference to [Perryâs] extreme pain.â Id. at 2. Dr. Wiener also allegedly âcontinu[ally] . . . den[ied] Plaintiff access to simple diagnostic and palliative treatments, without reason or cause, leading to the degeneration of Plaintiffâs basic bodily functions.â Id. More specifically, Perry alleges he repeatedly requestedâand eventually receivedâ medical services throughout the start of 2019, which included breathing treatments that did not adequately provide relief, and services from an outside medical provider at the direction of Dr. Wiener. Id. at 6-7. Perry contends the outside provider provided findings of Perryâs various medical issues including diseases to Dr. Wiener on January 18, 2021, but Dr. Wiener failed to provide medical care in response. Id. at 8. Perry ultimately received medical care at a hospital on November 29, 2021. Id. So, broadly speaking, Perry alleges Dr. Wienerâs failure to provide timely and adequate medical care led to the worsening of Perryâs health conditions. See generally id. at 6-8. The Medical Defendants move to dismiss Perryâs claims against Dr. Wienerâs Estate. See ECF No. 48 at 7-9. The Medical Defendants contend Perryâs claims against Dr. Wienerâs Estate should be dismissed because Perryâs factual averments do not satisfy the deliberate indifference standard. See id. âIn order to state a cognizable claim, a prisoner must allege acts or omissions sufficiently harmful to evidence deliberate indifference to serious medical needs.â Estelle, 429 U.S. 97 at 106. âA defendant exhibits such deliberate indifference if he âknows of and disregards an excessive risk to inmate health or safety.ââ Lopez, 499 F. App'x at 146 (quoting Natale, 318 F.3d at 582 (citation omitted)). âMere medical malpractice, negligence, and courses of treatment inconsistent with the desires of the prisoner, though, do not constitute deliberate indifference to serious medical needs.â Id. (citing Spruill, 372 F.3d at 235). The U.S. Court of Appeals for the Third Circuit has âfound deliberate indifference to a prisoner's serious medical needs only where a prison official knows of a prisoner's need for medical treatment but intentionally refuses to provide it, delays necessary medical treatment for a non-medical reason, or prevents a prisoner from receiving needed medical treatment.â Id. (citing Rouse, 182 F.3d at 197). Here, Perryâs claims are not sufficient to show Dr. Wienerâs deliberate indifference to Perryâs serious medical needs. Perry makes conclusory statements Dr. Wiener deliberately failed to provide timely and adequate medical information. Perry also alleges facts showing various medical care he requested and received. See ECF No. 30 at 6 (requesting medical care in early 2019, as well as undergoing an âoutside hospital tripâ and an âoncology telemed [appointment with] Dr. Miceliâ); id. at 7 (providing Perry âwas given breathing treatmentsâ although Perry alleges the treatments did not improve his pain and amount to misdiagnoses); id. (contending Dr. Wiener sent Perry to an outside health provider who provided findings to Dr. Wiener). Although Perry considers these treatments inadequate, his mere disagreement with his treatment is not a sufficient basis for deliberate indifference claim. See Lopez, 499 F. App'x at 146. So Perryâs deliberate indifference claim seems to be focused on Perryâs allegations Dr. Wiener failed to timely provide medical care to Perry following Perryâs trip to an outside provider for medical treatment in January of 2021. Id. at 8. Perry alleges the outside provider sent findings to Dr. Wiener concerning Perryâs diagnoses and recommendations for continued care. ECF No. 30 at 7-8; see also id. at 10-13 (Perryâs medical report from outside provider containing diagnoses and recommended care). The outside providers recommendations include statements such as âpulmonology consult is recommended[,]â âcontinued attention is needed on subsequent imaging[,]â and ârecommend renal ultrasound for further evaluation.â Id. at 11-12. Perry later received care at a hospital in November of 2021. Id. at 8. Perry does not provide any additional facts concerning Dr. Wienerâs allegedly deliberate failure to provide care following Perryâs treatment with an outside medical provider. Perryâs pled facts do not show Dr. Wienerâs âdeliberate indifference to . . . [Perryâs] serious medical needsâ by way of Dr. Wiener âknow[ing] of . . . [Perryâs] need for medical treatment but intentionally refus[ing] to provide [medical treatment], delay[ing] necessary medical treatment for a non-medical reason, or prevent[ing] a prisoner from receiving needed medical treatment.â Lopez, 499 F. App'x at 146 (citing Rouse, 182 F.3d at 197). Perry had been receiving medical treatments from Dr. Wiener, who then directed Perry to receive treatment from an outside provider. Following his external treatment, Perry does not provide sufficient facts showing Dr. Wiener intentionally refused to provide medical treatment Perry needed. Findings from the outside medical provider showed various diagnoses and recommendations for Dr. Wienerâs continued treatment. See ECF No. 30 at 10-13. Perry alleges Dr. Wiener failed to provide medical care in response; Perry did not receive medical care until his trip to the hospital in 2021. Id. at 8. Although Dr. Wienerâs failure to provide immediate medical care following Perryâs visit to an outside provider may suggest negligence or medical malpractice, these allegations alone are not sufficient to establish a deliberate indifference claim. See Lopez, 499 F. App'x at 146. Nevertheless, Perry may provide more detailed facts showing Dr. Wiener acted with deliberate indifference concerning Perryâs âserious medical needs . . . [because he] knows of a prisoner's need for medical treatment but intentionally refuses to provide it, delays necessary medical treatment for a non-medical reason, or prevents a prisoner from receiving needed medical treatment.â Id. (citing Rouse, 182 F.3d at 197). Accordingly, Perryâs deliberate indifference claims as against Dr. Wienerâs Estate are dismissed without prejudice. 4. CONCLUSION For the foregoing reasons, Perryâs Motion for Leave to File a Fourth Amended Complaint, ECF No. 49, is denied, and Perryâs Second Motion for an Extension of Time to File a Reply to Defendantsâ Motion to Dismiss, ECF No. 46, is denied as moot. Next, Perry does not state plausible claims of deliberate indifference concerning Defendants Deputy Superintendent Mandy Sipple; Correctional Health Care Administrator Brittany Huner; Director of Bureau of Pennsylvania DOC Health Care Services Joseph J. Silva; nor the Pennsylvania DOC. Thus the Court grants the Commonwealth Defendantsâ Motion to Dismiss, ECF No. 38, and Perryâs claims against the Commonwealth Defendants are dismissed with prejudice. Also, the Court finds Perry is not required to file a certificate of merit under Rule 1042.3 to bring his constitutional claims of deliberate indifference. Accordingly, the Court denies the Medical Defendants Motion to Enter Judgment of Non Pros, ECF No. 54. Lastly, Perry does not state plausible claims of deliberate indifference concerning CCS nor Dr. Wienerâs Estate. Accordingly, the Medical Defendantsâ Motion to Dismiss, ECF No. 48, is granted. Perryâs claims against CCS will be dismissed with prejudice, but Perryâs claims against Dr. Wienerâs Estate are dismissed without prejudice. An appropriate Order follows. BY THE COURT: /s/ John M. Gallagher JOHN M. GALLAGHER United States District Court Judge
Case Information
- Court
- E.D. Pa.
- Decision Date
- May 24, 2023
- Status
- Precedential