NOT RECOMMENDED FOR PUBLICATION 

File Name: 17a0542n.06 

No. 17-3327 

UNITED STATES COURT OF APPEALS 

FOR THE SIXTH CIRCUIT

STEVE FLETCHER, 

 Plaintiff-Appellant, 

v. 

U.S. RENAL CARE, 

 Defendant-Appellee. 

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ON APPEAL FROM THE 

UNITED STATES DISTRICT 

COURT FOR THE SOUTHERN 

DISTRICT OF OHIO 

BEFORE: KEITH, ROGERS, and McKEAGUE, Circuit Judges. 

 ROGERS, Circuit Judge. Steve Fletcher claims that while working as a registered nurse 

at U.S. Renal Care, he was forced to endure a campaign of discriminatory scrutiny and 

mistreatment by an African-American manager, because he is white. In this suit, Fletcher alleges 

that a racially discriminatory and retaliatory campaign led to his constructive discharge, in 

violation of both federal and Ohio law. The district court, however, properly granted summary 

judgment against him. There is not sufficient evidence to raise a genuine issue of material fact 

that Fletcher was in fact constructively discharged, or that his complaints to management were 

the cause of his discipline. 

In October 2013, after working as a “float” nurse at several of U.S. Renal Care’s 

Cincinnati dialysis clinics, Fletcher accepted a position as a registered nurse in the company’s 

Norwood, Ohio clinic. He soon transferred again to the Kenwood clinic, and appears to have 
Case No. 17-3327, Fletcher v. U.S. Renal Care

2 

worked there without incident until May 2014, when his first supervisor, Anita Johnson, who is 

African-American, was replaced by Devon Nelson, who is also African-American. It was then 

that Fletcher claims the problems central to this suit began. 

Although Fletcher points to a number of incidents, the first sign of trouble appears to 

have come only a month after Nelson arrived at Kenwood, when Fletcher claims that Nelson told 

him that he would no longer be allowed to wear black jeans to work, as he had for several 

months, but would instead have to wear scrubs. Fletcher raised that policy change with Nelson’s 

supervisor, Sabon Shelton, who told him he could continue wearing his jeans until the matter 

could be addressed at an already-scheduled nurses’ meeting. Fletcher also brought his complaint 

to the attention of Andrea Foley, a human-resources manager, writing to her that he believed 

Nelson had “chosen to single out and harass only the Caucasian person[nel],” including Fletcher. 

In response, Foley, who is also white, explained to Fletcher that “[i]t would be unfair to single 

[him] out,” and that if his clinic was determined to be “scrubs only, that [would] go for 

everyone.” 

Two days later, Fletcher again wrote Foley, telling her that he was “not the only one in 

the clinic to see the racism demonstrated by” Nelson, and that another employee, Benjamin 

Ullman, had left U.S. Renal Care, because he was unwilling to put up with Nelson’s “racist 

attitude one more day.” Ullman claims to have complained to human resources about his own 

concerns of “racism,” but received no response. 

Around the same time, Fletcher claims that he had two more encounters with Nelson that, 

he says, suggested Nelson’s racial animus. The first incident came after Nelson accused Fletcher 

of putting a doctor’s order on the wrong patient’s chart—a potentially dangerous mistake. 

Nelson claims to have discussed the charting issue with Fletcher soon after the alleged mistake 
Case No. 17-3327, Fletcher v. U.S. Renal Care

3 

was discovered. According to Fletcher, however, he made no such mistake, which, he alleges, 

Johnson confirmed for him. 

The second incident came not long after the charting concern, when Fletcher cracked a 

tooth, exposing a nerve and leaving him in considerable pain. Instead of “call[ing] off,” Fletcher 

reported to work, and asked Johnson if she would cover for him for an hour so he could see a 

dentist. Johnson agreed, and Fletcher scheduled his appointment. Once Nelson arrived, 

however, she told Fletcher that she could not authorize the time off, but that he should “do what 

[he] need[ed] to do.” Fletcher left anyway, and the next day he again wrote Foley, telling her 

that Nelson “ha[d] become more hostile,” and that “[h]er attitude and singling out ha[d] become 

more frequent and more aggressive.” 

Around that time, Nelson also brought Fletcher’s alleged charting errors to the attention 

of Scott Sasserson, U.S. Renal Care’s chief operating officer, detailing Fletcher’s apparent 

failure in one instance to name the doctor who issued a medical order as well as his placement of 

the patient note on the wrong chart. Sasserson passed those concerns on to Foley, who began 

investigating Fletcher’s performance. During the investigation Foley asked Joanne Zimmerman, 

the company’s vice president of clinical services, to review Fletcher’s charting notes. 

Zimmerman was reportedly “shocked at how lacking [Fletcher’s] written orders” were, and 

suggested that Fletcher be put “on final warning,” which, according to Foley, was standard 

practice whenever a “patient safety issue requir[ed] discipline.” Like Foley, both Sasserson and 

Zimmerman are white. 

Foley, along with Shelton and Sasserson, then decided to discipline Fletcher. Although 

Nelson took no part in the decision, she presented Fletcher with a written counseling form, 

listing the various charting and other errors that had raised safety concerns as well as other acts 
Case No. 17-3327, Fletcher v. U.S. Renal Care

4 

of insubordination, including Fletcher’s continuing to wear jeans and his abruptly leaving work 

to tend to his tooth. In the presence of Sasserson and Shelton, Fletcher ultimately signed the 

form, over Fletcher’s “strong[] disagree[ment],” and without the opportunity to protest the 

infractions. A few days later Fletcher resigned from U.S. Renal Care, stating in his resignation 

notice that “[t]he work place has become hostile and intolerable due to racism, retaliation, and 

other questionable behavior by management.” He was soon replaced by another nurse, Samantha 

Waggoner, who is also white. 

Fletcher then filed this suit, alleging that U.S. Renal Care constructively discharged him 

on account of his race and retaliated against him for complaining about that allegedly 

discriminatory treatment, in violation of Title VII of the Civil Rights Act of 1964 and 42 U.S.C. 

§ 1981, as well as Ohio’s counterpart civil-rights statute. U.S. Renal Care moved for summary 

judgment, and the district court granted it on both of Fletcher’s claims. 

The court first concluded that Fletcher, who had offered no direct evidence of racial 

animus, had failed to make out a prima facie case of reverse discrimination. The district court 

noted that the first prong of the McDonnell-Douglas framework—whether U.S. Renal Care was 

the “unusual employer who discriminates against the majority,” Nelson v. Ball Corp., 656 F. 

App’x 131, 134–35 (6th Cir. 2016)—presented a “close question.” But the court ultimately left 

that question unresolved, concluding that Fletcher’s case would fail regardless of that answer, 

under the third and fourth prongs. 

As to the third prong, the court determined that Fletcher had failed to show that he had 

suffered an adverse employment action, through his alleged constructive discharge. None of the 

circumstances Fletcher cited—his disciplinary warning, his alleged concern that U.S. Renal Care 

would file a false report against him with the State Board of Nursing or that he would be fired, or 
Case No. 17-3327, Fletcher v. U.S. Renal Care

5 

his complaints about Nelson’s supervision—was enough, the court held, to indicate that U.S. 

Renal Care had deliberately set out to make his working conditions intolerable. 

Nor had Fletcher shown that similarly situated employees were treated differently 

because of their race, the court concluded, or that he was replaced by an employee of another 

race, as required by McDonnell-Douglas’s fourth prong. In fact, Fletcher’s replacement was a 

white female nurse, and the only allegedly differential treatment he pointed to—that AfricanAmerican employees were allowed to take longer lunches, that other nurses were allowed to 

wear sweatpants rather than jeans, and that there were managers who made charting errors 

without being similarly disciplined—all involved employees who were not similarly situated. 

Thus, under any of these prongs, the court concluded that Fletcher’s discrimination claim could 

not succeed. 

 Fletcher’s retaliation claim also could not survive summary judgment, the district court 

held, even though the court found that he had satisfied the first three elements of his prima facie

case—that he had engaged in a protected activity known to U.S. Renal Care, and had suffered a 

materially adverse action as a result. The problem, the court held, was with causation. The 

primary evidence of causation that Fletcher offered was temporal: only a few weeks separated 

Fletcher’s complaints and his disciplinary warning. But that was inadequate, the court 

concluded, not only because Nelson had discussed disciplining Fletcher before he had brought 

his concerns to Foley’s attention, but also because other personnel, relying on company policy, 

were responsible for the decision to issue Fletcher the warning, providing an “intervening 

legitimate reason” for his discipline, Green v. Central Ohio Transit Auth., 647 F. App’x 555, 561 

(6th Cir. 2016). Although Fletcher also pointed to comments by Foley allegedly suggesting that 

she thought he complained excessively, the court deemed those comments insufficient to 
Case No. 17-3327, Fletcher v. U.S. Renal Care

6 

establish causation as well. According to the court, the context for those comments instead 

revealed that Foley was only trying to ensure that Fletcher felt that his concerns were understood 

and were being addressed. 

 The district court accordingly granted summary judgment for U.S. Renal Care, and 

Fletcher now appeals. 

 Fletcher first argues that questions of material fact remain on his claim of reverse 

discrimination, warranting reversal. Because Fletcher has come forward with no direct evidence 

of discrimination, he must make out a prima facie case of discrimination under McDonnell 

Douglas, including showing that he suffered a “materially adverse change in the terms or 

conditions” of his employment. Laster v. City of Kalamazoo, 746 F.3d 714, 727 (6th Cir. 2014). 

There is no genuine issue of material fact, however, that Fletcher has done so. Thus, his 

discrimination claim, reviewed de novo, see id., fails at the first stage.1

 

 Fletcher contends that U.S. Renal Care did in fact subject him to a materially adverse 

employment action on account of his race, through constructive discharge. But this claim is not 

sufficiently borne out by the record to withstand summary judgment. In order to establish a 

constructive discharge, Fletcher has to make two showings: (1) that U.S. Renal Care 

“deliberately created intolerable working conditions, as perceived by a reasonable person,” and 

(2) that the company did so to get him to quit. Saroli v. Automation & Modular Components, 

Inc., 405 F.3d 446, 451 (6th Cir. 2005) (quoting Logan v. Denny’s, Inc., 259 F.3d 558, 568-69 

(6th Cir. 2001)). Here, Fletcher points to a number of actions that, he alleges, were deliberately 

taken to make his working conditions intolerable. Those actions include: the allegedly false 

 

1

 Because the Ohio courts analyze discrimination claims brought under Ohio law according to the same standards as 

claims under federal law, see Birch v. Cuyahoga County Probate Court, 392 F.3d 151, 163 (6th Cir. 2004) (citing 

Plumbers & Steamfitters Joint Apprenticeship Comm. v. Ohio Civil Rights Comm’n, 421 N.E.2d 128, 131-32 (Ohio 

1981)), our analysis of Fletcher’s federal claims disposes of his state law claims as well. 
Case No. 17-3327, Fletcher v. U.S. Renal Care

7 

accusations Nelson made about his charting, her declining to authorize his leaving early for the 

dentist and telling him to wear scrubs pursuant to company policy, and the final warning Fletcher 

received for those infractions, among others. But none of this adds up to a showing under either 

prong of a constructive-discharge claim. 

First, even viewing this record in the light most favorable to Fletcher, as we must, see 

Laster, 746 F.3d at 726, none of these actions appears to rise to the sort of “badgering, 

harassment, or humiliation” that we have deemed actionable as constructive discharge, id. at 728. 

The criticisms Fletcher received for his alleged charting errors, as well as the way Nelson 

handled the scrubs-only policy and his request for time off to get his tooth pulled, all concern the 

manner in which the company supervised him and assigned him duties. Generally, however, 

actions like these are “insufficient to establish a constructive discharge as a matter of law,” Smith 

v. Henderson, 376 F.3d 529, 534 (6th Cir. 2004), and Fletcher cites no case suggesting that they 

would be here.2

Fletcher does point to the allegedly “racially hostile environment” at Kenwood as another 

basis for his constructive-discharge theory. But none of the evidence he cites for that claim 

suggests that he or any other white employee was ever badgered, harassed, or humiliated. 

Instead, Fletcher, along with Ullman, appears to allege only that some African-American 

employees were occasionally treated more leniently by their African-American supervisors. But 

that is a far cry from the sort of abusive, racially charged comments that we have found would 

 

2

 Fletcher does cite Jackson v. Quanex Corp., 191 F.3d 647 (6th Cir. 1999), but his reliance on that case is 

misplaced. In Jackson, we held that where a plaintiff comes forward with specific evidence of racism, like coworkers’ frequent and obviously derogatory use of racial hate words, see id. at 653, that evidence would matter in 

determining whether the work environment was objectively hostile, just as evidence that the plaintiff learned of 

those incidents would also matter in determining whether the plaintiff “subjectively perceived” that hostility. Id. at 

661 (emphases added). But here, as explained above, Fletcher has pointed to no such derogatory or abusive 

comments directed against him or anybody else.
Case No. 17-3327, Fletcher v. U.S. Renal Care

8 

create a genuine question of fact as to whether there was an intolerable atmosphere in the 

workplace, such as in Logan, where an African-American employee was forced to endure her 

colleagues’ taunts about “your people,” being told at one point that “[w]e don’t serve ‘grits’ 

here.” 259 F.3d at 572. 

Moreover, even if this sort of differential treatment and heightened scrutiny might create 

a question of fact under the first prong of a constructive-discharge theory, it still would be 

inadequate under the second. Such scrutiny or treatment does not necessarily mean that there 

was an intention to force an employee out. See Laster, 746 F.3d at 728. Nor has Fletcher 

suggested that anybody ever told him that he was going to be fired, or that he should quit. 

Instead, relying on Lee v. Cleveland Clinic Foundation, 676 F. App’x 488 (6th Cir. 2017), 

Fletcher argues that reasonable jurors might find that intent in the way Sasserson chose to deliver 

the final warning to him, without letting Fletcher argue his side. 

Fletcher’s reliance on Lee, however, is misplaced. There the plaintiff had come forward 

with concrete evidence of harassment—other employees had directed “derogatory racial slurs” at 

her, and repeatedly asked her when she would retire—that her employer apparently declined to 

investigate. Lee, 676 F. App’x at 495. Fletcher has pointed to no such evidence here—no racial 

slurs, no questions implying he should leave. Moreover, the record shows that Fletcher had 

serious problems with his charting—indeed, “shocking” ones, according to Zimmerman, another 

white manager—and Fletcher does not appear to dispute that under those circumstances it was 

company practice to issue a final warning. By the time Fletcher was asked to sign the counseling 

form, there was nothing he could have said that would have changed that practice, or that would 

have undone Zimmerman’s recommendation to discipline him. It was therefore only reasonable 
Case No. 17-3327, Fletcher v. U.S. Renal Care

9 

for Sasserson to insist at that meeting that he and Fletcher would have to “agree to disagree” 

about the final warning. That is hardly evidence that Sasserson was trying to force him out. 

 Fletcher tries to resist this conclusion by repeating his belief that working under Nelson 

was “untenable” and that she and others really did want him out, and that a jury reviewing the 

same record might agree with him. But that is speculation, not evidence, and on summary 

judgment, Fletcher, even as the non-moving party, “must be able to show sufficient probative 

evidence [that] would permit a finding in [his] favor on more than mere speculation.” Arendale 

v. City of Memphis, 519 F.3d 587, 601 (6th Cir. 2008) (quoting Lewis v. Philip Morris Inc., 

355 F.3d 515, 533 (6th Cir. 2004)). As explained, such evidence is lacking here. Fletcher has 

consequently failed to show that he was constructively discharged or, as a result, that he was the 

subject of actionable race discrimination. 

 Fletcher’s next claim on appeal—that U.S. Renal Care retaliated against him for his 

complaints about Nelson’s alleged racism—fares no better. Fletcher contends that the district 

court correctly found that he could meet the first three elements of a prima facie case for 

retaliation—that his complaints about Nelson were (1) protected activity (2) that was known to 

the company and (3) led to a materially adverse action, namely, his final warning. See Yazdian 

v. ConMed Endoscopic Techs., Inc., 793 F.3d 634, 649 (6th Cir. 2015). Fletcher argues, 

however, that the district court was mistaken in concluding that he had failed to establish the 

fourth element, showing “a causal connection between the protected activity and the adverse 

employment action.” Id. (citation omitted). Here we need not decide whether the district court 

was right as to the first three elements, because Fletcher’s evidence of causation is too tenuous to 

support a prima facie case of retaliation. This claim, reviewed de novo, see Laster, 746 F.3d at 

726, accordingly fails as well. 
Case No. 17-3327, Fletcher v. U.S. Renal Care

10 

In arguing his case for causation Fletcher relies primarily on a theory of temporal 

proximity, pointing to the few weeks that separated his complaints about Nelson and the 

disciplinary warning that ultimately led him to quit. But even if this close succession of events 

were enough to support a causal inference, as such proximity has in other cases, see, e.g., Mickey 

v. Zeidler Tool & Die Co., 516 F.3d 516, 525-26 (6th Cir. 2008), that inference is rebutted here 

by the intervening concerns about Fletcher’s charting. In Wasek v. Arrow Energy Services, 

682 F.3d 463 (6th Cir. 2012), we explained that even though close temporal proximity can 

support the causal element of a prima facie case of retaliation, an “intervening legitimate reason 

to discipline” an employee can nevertheless defeat that inference. Id. at 472. Here, there was 

just such an intervening reason: Nelson caught what she believed was another potentially 

dangerous charting error by Fletcher, and Fletcher does not appear to dispute that it was Nelson’s 

report about that error that led Sasserson and other managers to independently review his 

performance, culminating in the final warning that company policy required. Like the plaintiff’s 

walking off the job in Wasek, see 682 F.3d at 472, this intervening event provided a similarly 

legitimate reason under the company’s safety policy for the disciplinary warning Fletcher 

received. 

To resist this conclusion, Fletcher argues that the alleged charting error was, in fact, not 

an error, citing Johnson’s agreement to that effect at the time. But it is undisputed that Nelson 

believed that Fletcher made a mistake in his charting, and Fletcher has offered no evidence 

suggesting that that belief belied a retaliatory motive. Indeed, it is hard to see what evidence he 

could offer, given that, at the time, Nelson did not even know that Fletcher had complained about 

her alleged discrimination Whether or not Johnson sided with Fletcher about the charting issue, 

as Fletcher claims, is thus irrelevant to whether Nelson had a legitimate reason to report what she 
Case No. 17-3327, Fletcher v. U.S. Renal Care

11 

saw as a mistake, and equally irrelevant to whether the company reasonably decided on that basis 

to investigate. Once Zimmerman independently confirmed that error, U.S. Renal Care had all 

the reason it needed to discipline Fletcher, dispelling whatever causal inference might have been 

drawn from the proximity of his complaints and his disciplinary warning. 

Fletcher’s two further grounds for finding causation are also unavailing. Fletcher first 

contends that the fact that his counseling form listed all of his prior infractions suggests that he 

was being subjected to heightened scrutiny for his complaints. But we have made clear that the 

“critical” question for purposes of causation is whether “the scrutiny increased” after the 

employee engaged in the protected activity. Hamilton v. GE, 556 F.3d 428, 436 (6th Cir. 2009). 

Here, Fletcher himself concedes that five of the seven incidents mentioned in his counseling 

form came to light before he complained about Nelson, and those incidents were already the 

subject of ongoing concern for both Nelson and Foley before his first complaint. Thus the fact 

that his counseling form listed those incidents—which Foley explained was simply company 

practice anyway—hardly speaks to whether the scrutiny of Fletcher’s performance increased. 

Fletcher further argues that reasonable jurors could find a retaliatory animus in a remark 

made by Foley, suggesting that Fletcher “complained a lot” and was a “frequent flyer.” But the 

complete context of that remark makes clear that Foley’s intent at the time was not retaliatory but 

remedial: she was counseling Nelson in how to manage Fletcher’s concerns given how many of 

them he had, so that he would feel that those concerns had been understood and were being 

addressed. Moreover, that counseling came in response to concerns Nelson had raised about 

Fletcher’s performance on May 20, 2014—several weeks before Fletcher lodged his first 

complaint about Nelson, in early June. As Foley clearly could not have harbored a retaliatory 
Case No. 17-3327, Fletcher v. U.S. Renal Care

12 

animus for a complaint Fletcher had yet to make, he cannot rest his prima facie case of 

retaliation on this basis either. 

The judgment of the district court is affirmed.