FILED

U.S. COURT OF APPEALS

ELEVENTH CIRCUIT

MAY 25, 2011

JOHN LEY

 CLERK

[DO NOT PUBLISH]

 IN THE UNITED STATES COURT OF APPEALS

 FOR THE ELEVENTH CIRCUIT

 ________________________

 No. 10-10977 

Non-Argument Calendar

 ________________________

 D.C. Docket No. 2:08-cv-00026-JES-DNF

CANDY DILLARD, 

individually and as mother 

and next of friend of Reuben Fife, Jr.,

lllllllllllllllllllll Plaintiff - Appellant,

 versus

FLORIDA DEPARTMENT OF JUVENILE JUSTICE,

PRISON HEALTH SERVICES, INC.,

SHERIFF KEVIN RAMBOSK,

lllllllllllllllllllll Defendants - Appellees,

COLLIER COUNTY BCC 

EMS FIRE RESCUE, et al.,

llllllllllllllllllllll Defendants.

________________________

 Appeal from the United States District Court

 for the Middle District of Florida

 ________________________

(May 25, 2011)
Before EDMONDSON, CARNES and PRYOR, Circuit Judges.

PER CURIAM:

While in custody of the Sheriff of Collier County, Florida at the Juvenile

Assessment Center in Naples, Florida, Reuben Fife, Jr. experienced seizures and

was rushed to a nearby hospital. The seizures left him in a semi-vegetative state.1

Candy Dillard, individually and as mother and next friend of her son Fife, brought

suit in state court seeking damages against, among others, the Sheriff in his

official capacity under both 42 U.S.C. § 1983 and Florida tort law for injuries

sustained by Fife while in the Sheriff’s custody. Based on the § 1983 claim

against him, the Sheriff removed the lawsuit to federal court under 28 U.S.C. §

1441(c). The district court granted summary judgment to the Sheriff on the § 1983

and state negligence claims and remanded the remaining state law claims to state

court. 

Dillard contends that the district court failed to look at the evidence in the

light most favorable to her as the non-moving party and that the record contained

evidence sufficient to create genuine issues of material fact about the deliberate

 The district court noted that “[a]pparently, Fife was suffering from acute cocaine 1

toxicity, although there is no indication in the record as to the cause of his seizures.” 

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indifference required to prove her § 1983 claim and the breach of a duty of care 2

required to prove her state law negligence claim. 

“We review de novo a district court’s grant of summary judgment.” 

Alvarez v. Royal Atl. Developers, Inc., 610 F.3d 1253, 1263 (11th Cir. 2010). 

“We will affirm if, after construing the evidence in the light most favorable to the

non-moving party, we find that no genuine issue of material fact exists and the

moving party is entitled to judgment as a matter of law.” Id. at 1263–64. The

moving party must point to the particular portions of the pleadings and the record,

“which it believes demonstrate the absence of a genuine issue of material fact.” 

Norfolk S. Ry. Co. v. Groves, 586 F.3d 1273, 1277 (11th Cir. 2009) (quoting

Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 2553 (1986)). Once

the moving party demonstrates an absence of material fact, the non-moving party

must show the existence of a genuine issue of material fact to avoid summary

judgment. Groves, 586 F.3d at 1277. “An issue of fact is material if, under the

applicable substantive law, it might affect the outcome of the case.” Hickson

Corp. v. N. Crossarm Co.,357 F.3d 1256, 1259 (11th Cir. 2004). 

A.

 The district court did not reach the issue of whether the Sheriff’s custom or policy was 2

the moving force behind his deputies’ allegedly unconstitutional conduct because the court found

no deliberate indifference on the part of the deputies and thus no unconstitutional conduct. 

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Dillard argues that she has pointed to evidence that created a genuine issue

of material fact regarding deliberate indifference. Dillard directs our attention to

the circumstantial evidence showing that Deputy Hicks, the deputy who processed

Fife at the juvenile center, knew that Fife had used cocaine before being detained;

that other deputies who were present at the arrest and knew Fife noticed that his

eyes were “huge” and he was not his usual, outgoing self; and that another

juvenile in Fife’s holding cell, William Colburn, informed Deputy Hicks

approximately 45 minutes before Fife’s seizure episode that Fife was “really

shaking and sweating really bad” to which Hicks responded, “Yeah, he is always

here. He is used to it.” 

To prove deliberate indifference, Dillard had to present evidence that Fife

had a serious medical need, Deputy Hicks was deliberately indifferent to that need,

and Fife’s injury was caused by Deputy Hicks’ deliberate indifference. Goebert v.

Lee County, 510 F.3d 1312, 1326 (11th Cir.2007). To show that Deputy Hicks

was deliberately indifferent to Fife’s serious medical need, Dillard had to prove

“(1) subjective knowledge of a risk of serious harm; (2) disregard of that risk; (3)

by conduct that is more than gross negligence.” Townsend v. Jefferson County,

601 F.3d 1152, 1158 (11th Cir. 2010) (alterations omitted) (quoting Bozeman v.

Orum, 422 F.3d 1265, 1272 (11th Cir.2005)). 

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Even if we assume that the circumstantial evidence that Dillard directs our

attention to created genuine issues of material fact about Deputy Hicks’ subjective

knowledge of some medical risk and a disregard of that risk, Hicks’ conduct was

not more than gross negligence. Fife told Deputy Hicks that he only consumed a

“key” of cocaine—a small amount that would fit on the end of a house key or car

key—about seven hours before being admitted to the juvenile center and more

than nine hours before his seizures began. At no time did Fife request any medical

assistance from Deputy Hicks or anyone else at the juvenile center. Nor did he ask

the other juveniles in the holding cell to seek help for him. In fact, he told his

cellmates not to seek help. Fife also appeared normal and responded appropriately

to questions from several individuals. Those individuals included the deputy who

arrested him and brought him to the juvenile center, and Deputy Hicks who

admitted Fife to the juvenile center, and a nurse who interviewed him at the

juvenile center, and another deputy who tested Fife for drugs at the juvenile center

and knew him personally. Fife also appeared normal to three other juveniles in the

holding cell, including William Colburn, until about 45 minutes before his

seizures began. 

Deputy Hicks, at the time Colburn told him about Fife’s shaking and

sweating, only knew that Fife had used a small amount of cocaine nearly nine

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hours before and had been acting normal up to that point. Given that information,

not acting on Colburn’s isolated comment that Fife was “really shaking and

sweating really bad” was not more than gross negligence. Deputy Hicks did not

deliberately ignore repeated requests from Fife or his cellmates for medical

assistance. No requests were made. 

Deputy Hicks also did not deliberately ignore patently obvious risks to

Fife’s health. Not only is there no evidence that Deputy Hicks was aware that Fife

had ingested an amount of cocaine large enough to put him at serious risk of harm,

but Fife’s own statements gave Hicks every reason to believe that he had only

consumed a small amount and even that had been nine hours before. See Burnette

v. Taylor, 533 F.3d 1325, 1333 (11th Cir. 2008) (“The Constitution does not

require an arresting police officer or jail official to seek medical attention for

every arrestee or inmate who appears to be affected by drugs or alcohol.”). In fact,

once Fife began having seizures and the risk of serious harm became obvious,

Deputy Hicks and others at the juvenile center responded by contacting emergency

medical services and providing care to Fife until the trained medical help arrived. 

Deputy Hicks’ inaction in the short time after Colburn’s isolated comment and

before the seizures began was not the type of conscious disregard that gives rise to

an inference of deliberate indifference. See Goebert, 510 F.3d at 1327–28 (11th

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Cir. 2007) (finding deliberate indifference where a prisoner’s numerous personal

complaints of serious medical need over the course of nearly a week and the jail

doctor’s recommendation to seek outside medical help were ignored by a prison

official ); see also Townsend, 601 F.3d at 1158–59 (finding no deliberate

indifference despite the prisoner’s repeated complaints of her medical needs

because the deputies did not know it was emergency). 

B.

For the state tort claim, the district court granted summary judgment

because Dillard did not “point to any specific facts” in her response to the

Sheriff’s motion, and the district court stated that it is not required “to mine a

summary judgment record searching for nuggets of factual dispute.” Dillard made

a more thorough effort in this Court and in her brief directs us to the same specific

facts for her state law negligence claim that we have already discussed for her §

1983 claim. 

Under Florida law, “corrections officers have a duty to use reasonable care

to insure the safety of inmates during their incarceration.” Ferguson v. Perry, 593

So. 2d 273, 277 (Fla. DCA 5th 1992). That duty entails providing first aid to

detainees where the corrections officer “knows or has reason to know that they are

ill or injured, and to care for them until they can be cared for by others.” Id. But

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Florida law does not require the officer “to take any action until he knows or has

reason to know that the plaintiff is endangered, or is ill or injured.” Id. at 277 n.5. 

The record construed in a light most favorable to plaintiff creates a question

of fact about whether Deputy Hicks had reason to know that Fife was ill or

injured. Deputy Hicks, knowing that Fife had used cocaine earlier in the day,

allegedly brushed aside and did not respond to Colburn’s purported statement that

Fife was “really shaking and sweating really bad.” While ignoring that isolated

comment does not rise to the deliberate indifference necessary to sustain a § 1983

claim, it does create genuine issues of material fact about whether Colburn made

the comment, whether Deputy Hicks heard and ignored it, and whether Deputy

Hicks acted reasonably under the circumstances by not checking on Fife before his

seizures began. Summary judgment was thus improperly granted on the Florida

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state law negligence claim against the Sheriff. 

Of course, reversal of the district court’s judgment on this state law claim

does not entitle Dillard to judgment on that claim. Unsettled issues of fact remain

to be decided. In addition, the district court has discretion on remand to decide

 Unlike § 1983, Florida state law appears to provide a limited waiver of sovereign

3

immunity and permit actions for vicarious liability for a government employee’s negligence

against the employing government agency or subdivision. See Fla. Stat. § 768.28(1); Cook ex

rel. Estate of Tessier v. Sheriff of Monroe County, 402 F.3d 1092, 1119 n.12 (11th Cir. 2005).

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whether to remand this state law claim to state court with the other ones. See 28

U.S.C. § 1367(c)(3) (“The district courts may decline to exercise supplemental

jurisdiction over a claim . . . if . . . the district court has dismissed all claims over

which it has original jurisdiction.”). 

AFFIRMED IN PART AND REVERSED IN PART. 

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