Court Opinion

ID: 2720362
Source: CourtListenerOpinion
Date Created: 2014-08-22 22:00:09.435955+00
Date Added: 2024-06-11T10:02:37.034963
License: Public Domain

United States Court of Appeals
                      For the First Circuit

No. 13-2309

    CATHY PENN, in her capacity as Guardian of Matthew Lalli,

                       Plaintiff, Appellee,

                                v.

   ANGELA ESCORSIO and DANE WINSLOW, individually and in their
     official capacities as Knox County Corrections Officers,

                     Defendants, Appellants,

                               and

KNOX COUNTY; KNOX COUNTY SHERIFF’S DEPARTMENT; KNOX COUNTY JAIL;
DONNA DENNISON, in her official capacity as Knox County Sheriff;
  and JULIE STILKEY, CHRISTOPHER TRUPPA, WARREN HEATH IV, ROBERT
 WOOD, JOHN HINKLEY, KATHY CARVER, WARREN HEATH III, and BRADLEY
    WOLL, individually and in their official capacities as Knox
                    County Corrections Officers,

                           Defendants.

          APPEAL FROM THE UNITED STATES DISTRICT COURT
                    FOR THE DISTRICT OF MAINE
           [Hon. Nancy Torresen, U.S. District Judge]

                              Before
                  Thompson, Baldock,* and Selya,
                         Circuit Judges.

     Peter T. Marchesi, with whom Cassandra S. Shaffer and Wheeler
& Arey, P.A. were on brief, for appellants.
     Nolan L. Reichl, with whom Ralph I. Lancaster, Daniel J.
Stevens, Catherine R. Connors, and Pierce Atwood LLP were on brief,
for appellee.

     *
      Of the Tenth Circuit, sitting by designation.
August 22, 2014
             Baldock, Circuit Judge.      Defendants Dane Winslow and

Angela Escorsio were involved in a series of troubling events that

led to the attempted--and nearly completed--suicide of Matthew

Lalli.   Lalli was at the time a pre-trial detainee being held at

the jail where Defendants work as corrections officers.            Lalli’s

guardian, Plaintiff Cathy Penn, sued Defendants.             Penn claimed,

among other things, deliberate indifference in violation of Lalli’s

Fourteenth Amendment Due Process rights.1 Defendants moved for

summary judgment, arguing they were not deliberately indifferent

and, in any event, were entitled to qualified immunity.                The

district court denied Defendants’ motion.         The court held that,

accepting all facts and drawing all inferences in Penn’s favor, a

reasonable    jury   could   conclude    Defendants   were    deliberately

indifferent because they took essentially no action to forestall a

substantial risk that Lalli would attempt suicide.           The court also

held reasonable officials in Defendants’ positions would have known

they violated Lalli’s clearly established Fourteenth Amendment

rights if a jury indeed concluded that Defendants effectively

failed to take any action to forestall this risk.

     1
        Penn originally sued a host of Defendants including Knox
County, Knox County Sheriff’s Department, Knox County Jail, Knox
County’s Sheriff, and a group of corrections officers including
Defendants Winslow and Escorsio. Penn sought money damages under
42 U.S.C. § 1983 for violations of the Eighth and Fourteenth
Amendments to the United States Constitution, as well as under
state law. Ultimately, the parties settled and stipulated to the
dismissal of all claims except those against Defendants Winslow and
Escorsio.

                                   -3-
            Defendants now appeal, steadfastly asserting qualified

immunity.     But   Defendants’   appeal   relies   heavily    on   factual

arguments despite our holding that “a district court’s pretrial

rejection of a qualified immunity defense is not immediately

appealable to the extent that it turns on either an issue of fact

or an issue perceived by the trial court to be an issue of fact.”

Cady v. Walsh, 753 F.3d 348, 359 (1st Cir. 2014) (emphasis in

original) (internal quotation marks omitted).           In particular,

Defendants concede clearly established law at the time Lalli

attempted suicide dictated officers must take some reasonable

measures to thwart a known, substantial risk that a pre-trial

detainee will attempt suicide.       But the district court found a

reasonable jury could conclude Defendants “effectively failed to

take any action to forestall” this risk as to Lalli.          Based on the

conceded law and the district court’s factual analysis, Defendants

cannot show they are entitled to qualified immunity at the summary

judgment phase of this litigation. Therefore, after winnowing away

the chaff to reveal the very narrow legal question we may answer

under 28 U.S.C. § 1291 and the collateral order doctrine, we

affirm.

                                   I.

            We may exercise jurisdiction over an interlocutory appeal

from a denial of summary judgment on qualified immunity only to the

extent the appeal rests on legal, rather than factual grounds.          We

                                   -4-
thus summarize the facts in the light most favorable to Penn,

taking as unchallenged any inferences the district court drew in

her favor.     Cady, 753 F.3d at 350.2       A more thorough recitation of

these facts can be found in the district court’s order, see Penn v.

Knox Cnty., No. 2:11-cv-00363, 2013 WL 5503671, at *1–13 (D. Me.

Sept. 30, 2013) (unpublished), but the following will suffice for

our purposes.

                           A. Defendant Winslow

              On Saturday, October 3, 2009, Matthew Lalli was arrested

and   taken    to   Knox   County   Jail    (“KCJ”)   for   allegedly   being

intoxicated and committing assault in violation of the terms of his

release.   Lalli’s arraignment on these charges was set for Monday,

October 5.      When Lalli arrived at KCJ, Defendant Winslow was on

duty as KCJ’s shift supervisor.            In accordance with KCJ’s intake

procedures, Officer Stilkey, who was the booking officer under

      2
        Of course, “we need not accept [Penn’s] version of events
if it is ‘blatantly contradicted’ by the evidence.” Medina-Rivera
v. MVM, Inc., 713 F.3d 132, 136 (1st Cir. 2013) (quoting Scott v.
Harris, 550 U.S. 372, 380(2007)). But Defendants nowhere argue the
district court’s factual determinations, as summarized below, are
blatantly contradicted by the record and our review of the record
reveals no blatant contradictions. To be sure, Defendants argue
that many of the district court’s factual findings and inferences
are not supported by the record, but that is a very different
argument--an argument we do not have jurisdiction to review at this
time.   See Cady, 753 F.3d at 359 (“Questions of ‘evidentiary
sufficiency’--i.e., whether the record is capable of supporting a
particular factual finding, rather than a particular legal
conclusion--are not sufficiently distinct to warrant interlocutory
appeal.” (marks and citations omitted)).

                                     -5-
Winslow’s supervision, filled out both a suicide risk assessment

form and a medical screening form for Lalli.           The suicide risk

assessment revealed that Lalli had, among other things, (1) lost

two close friends to suicide, (2) attempted suicide himself two

years prior, and (3) when asked whether he then felt like killing

himself responded “not sure, feels that . . . life is over.”          Under

KCJ’s model suicide risk assessment form, a suicide risk score of

15 or more points qualifies as the highest suicide risk level and

requires KCJ to provide one-on-one observation of the inmate and to

conduct a mental health evaluation within one hour.         When Lalli’s

answers to the suicide assessment and medical screening forms are

applied to this model, his risk of suicide scored at least 20

points.    A final portion of the suicide risk assessment form calls

for the booking officer to indicate with checkmarks which of five

levels of intervention the detainee received ranging from “NO

INTERVENTION/GENERAL POPULATION” to “PLACED ON SUICIDE WATCH STEP

2.”   Neither Stilkey nor Winslow checked off any of these boxes.

            But   Lalli’s   suicide     risk   assessment   and   medical

assessment worried Officer Stilkey.       As a result, after completing

the forms, Stilkey told Defendant Winslow: “[Y]ou need to look at

this.”     After reviewing Lalli’s intake forms, Winslow decided to

place Lalli on “welfare watch,” which required staff to make

separate    log   entries   regarding    Lalli’s   condition   when    they

conducted their fifteen-minute checks of his cell and ensured that

                                   -6-
a mental health care worker would speak with Lalli the next time

one was scheduled to visit the jail. Although KCJ had an available

suicide prevention cell, Cell 127, which could be constantly

monitored from the intake desk, Winslow decided to place Lalli in

Cell 135.   Officers sitting at the intake desk can hear people in

Cell 135 if they make a loud noise, but have no view into Cell 135

itself.   Moreover, Cell 135 is not stripped of objects a detainee

could use to harm himself.       For instance, Cell 135 contains sheets

and bedding which a detainee could potentially fashion into a

makeshift noose--as Lalli did here. Winslow had no further notable

contact with Lalli and Sunday, October 4 was uneventful.

                           B.   Defendant Escorsio

            On the morning of Monday, October 5, Officer Heath, who

was at that time the on-duty intake officer, documented in KCJ’s

intake/release log and in Lalli’s welfare-watch log that: “while

moving inmate Wood, inmate Matthew Lalli told me that he has sole

custody of his daughter and that if he were not allowed to be on

the outside then it would be better if he wasn’t alive at all.”           At

12:07 p.m., KCJ’s intake/release log indicates Defendant Escorsio

took over for Heath as intake officer.

            Between noon and 12:30 p.m., jail staff assembled nine

detainees in the intake area to prepare them for their trip to the

Knox   County   District    Court   for    court   appearances.   The   group

included Lalli and several other inmates who were deposed in

                                     -7-
relation to this suit.       One inmate testified that Lalli began

“really freaking out” before being loaded into a van for transport

to the court--apparently loud enough for Defendant Escorsio to have

heard. Another inmate testified that Lalli made various threats to

hurt himself during the trip from the jail to the courthouse,

saying “if I don't get the hell out of here I’m going to hurt

myself, kill myself.”

            At his arraignment, Lalli told the presiding judge that

“it would be all be over” and that he would “just end it” if he was

denied bail.      The judge nevertheless ordered that Lalli be held

without bail.      After the judge issued the ruling, Lalli became

upset and started crying.     As Lalli returned to the dock area, one

witness testified, he was “screaming hysterically and crying and

threatening suicide.”       This witness recalled that after Lalli

rejoined the other inmates, he said that he “might as well just

kill himself because he [couldn’t] go back to jail” and that he was

“going to lose everything.”      Another inmate in the van testified

that Lalli, loudly and throughout the short trip back to jail,

“kept saying he was going to kill himself.”

            Although none of the transport officers relayed Lalli’s

suicide threats to Defendant Escorsio, the district court found

“one   of   the   inmates   [probably]   did   inform   Escorsio.”   At

approximately 2:52 p.m., a corrections officer strip-searched

Lalli.   Lalli was upset after the search and began to cry.      Hoping

                                   -8-
to calm Lalli down, Escorsio allowed him to make a call from the

phone next to the jail’s intake desk.   As the call began, Escorsio

heard Lalli speak about his daughter and the denial of his bail.

Corporal Woll, who was also nearby, heard Lalli say that he would

rather die if he did not have his daughter.

            At this point, Defendant Escorsio and the other officers

on duty decided Lalli should be moved from Cell 135 to Cell 127,

the vacant suicide prevention cell.     But because a female inmate

occupied Cell 126, which shares a day room with Cell 127, the

officers needed to move some inmates around before putting Lalli in

Cell 127.     Instead of taking any precautions in the interim,

however, at about 3:00 p.m. Escorsio returned Lalli to Cell 135.

She did not put him in a suicide smock, nor did she take away his

bedding.    Escorsio then secured Lalli’s two neighboring inmates in

their cells, allowing only Lalli access to the adjoining day room.

Before she left the area, Escorsio told Lalli to “sit down” and

“shut up” and warned him that she would bring him “up front in the

turtle suit [a.k.a. suicide smock]” if he did not do as told.

            Next, Lalli made a call from the phone in the day room.

Lalli told the person on the other end of the line that he was

going to kill himself. According to the district court, Lalli then

began pacing around the day room, screaming “I’m going to f***ing

kill myself” as loud as if he were “hollering to somebody 75 yards

away.”     After spending about ten to fifteen minutes in the day

                                 -9-
room, Lalli went into Cell 135 and closed the door.     Once inside,

Lalli started kicking his door, throwing things around his cell and

creating a lot of commotion.   Defendant Escorsio conducted another

welfare check on Lalli sometime between 3:15 and 3:25 p.m.       Lalli

stopped making noise after this visit.

          Just before 3:30 p.m., Defendant Escorsio asked Corporal

Woll to perform Lalli’s upcoming welfare-watch check for her.

Before Woll reached Cell 135, however, he noticed a white sheet

hanging from a divider pole.   Woll immediately ordered the door be

opened and called for assistance.      Once inside, he found Lalli’s

body hanging from the divider pole.     Woll and another corrections

officer began performing chest compressions and CPR on Lalli.

Before long, paramedics arrived and removed Lalli from the cell. An

ambulance rushed Lalli to Eastern Maine Medical Center, in Bangor,

Maine, where doctors later diagnosed him with anoxic brain injury

resulting from the suicide attempt.

                   C.   The District Court Order

          In analyzing the deliberate indifference claim against

Defendant Winslow, the district court found, “[a] reasonable jury

could conclude that requiring guards to record their observations

in a welfare watch logbook has no practical effect and serves only

to paper the jail’s file,”   Penn, 2013 WL 5503671 at *18, and that

under “welfare watch” Lalli “was monitored no more than any other

pretrial detainee in the jail’s intake wing.”      Id. at *19.     The

                                -10-
court also pointed out that Winslow put Lalli in one of the least-

observable cells in the intake wing, and no mental health care

worker visited the jail’s premises until Tuesday, October 6, three

days after Lalli arrived at KCJ and a day after Lalli attempted

suicide. The court did note that “Winslow’s involvement in Lalli’s

case was almost two days removed from Lalli’s suicide attempt,” but

pointed out that “this fact alone does not preclude liability”

because    a    reasonable    jury    could   find    that   “[t]he    decisions

[Winslow] made about Lalli’s housing and monitoring regime set a

baseline which affected how everyone else at the jail interacted

with Lalli.”

               Ultimately, the district court determined a reasonable

jury    could     find   Defendant      Winslow      acted   with     deliberate

indifference toward Lalli:

            Taking the facts in the light most favorable to the
       Plaintiff and drawing all inferences in her favor, a
       fact-finder could conclude that Sergeant Winslow took
       essentially no action to reduce the substantial risk that
       Lalli would attempt to kill himself . . . . Under this
       view of the facts, this is not a case where Sergeant
       Winslow merely chose between different “course[s] of
       treatment,” but rather one where he failed to provide any
       meaningful help at all. Accordingly, there is a triable
       issue of fact regarding whether Sergeant Winslow
       “culpably ignore[d]” a substantial risk that Lalli would
       seriously harm himself.

Id. (emphasis added).

               In analyzing the deliberate indifference claim against

Defendant Escorsio, the district court found “[t]here is a genuine

dispute   of     material    fact    regarding    whether    Officer   Escorsio

                                       -11-
realized that Lalli faced a substantial risk of serious harm on the

afternoon of October 5, 2009.”     Id. at *24.    The court also pointed

out that “a reasonable fact-finder could conclude” Escorsio did not

check on Lalli at the mandated 15-minute intervals, and that she

“conducted only a cursory check, ‘holler[ing]’ into Lalli’s cell

from outside that he needed to ‘quiet down’ but never actually

entering his cell or directly observing him.”          Id.    Furthermore,

the court found, “[a] reasonable fact finder could conclude that

Officer Escorsio’s commands to ‘sit down’ and ‘shut up,’ and

threats of a ‘turtle suit’ worsened Lalli’s fragile condition.”

Id.   As such, the court concluded, “[s]ince Officer Escorsio took

essentially no action to protect Lalli after he returned to Cell

135, there is a triable issue regarding whether Officer Escorsio

‘culpably ignor[ed]’ a substantial risk that serious harm would

befall Lalli,” and therefore could be found liable for deliberate

indifference.    Id. (emphasis added).

           As   to   Defendants’   claim   of   qualified    immunity,   the

district court first held that, “[w]ith respect to [Defendants]

Winslow . . . and Escorsio, ‘the facts alleged or shown by the

plaintiff make out a violation of a constitutional right.’” Id. at

*26 (quoting Maldonado v. Fontanes, 568 F.3d 263, 269 (1st Cir.

2009).   The court then addressed whether the right was clearly

established.    The court explained that “as a general matter, a

reasonable official in the Defendants’ position in October of 2009

                                   -12-
would have known that it violates the Fourteenth Amendment to fail

to take reasonable measures to thwart a known, substantial risk

that a pretrial detainee will attempt suicide.”         Id. at *26.   The

court also noted that under clearly established law “a plaintiff

may make out a deliberate indifference claim by showing that an

official    failed   to   communicate    critical   information   about   a

specific, serious risk facing an inmate where it was within the

official’s scope of responsibility to do so.”         Id.   Applying this

law to the summary judgment record, the court held:

     Defendants’ alleged conduct--effectively failing to take
     any action to forestall the risk that Lalli would attempt
     suicide at the moment he did--clearly falls under the
     “general constitutional rule” that it violates the
     Fourteenth Amendment to fail to take reasonable measures
     to thwart a known, substantial risk that a pretrial
     detainee will attempt suicide.

Id. (emphasis in original). Accordingly, the court held Defendants

were not entitled to qualified immunity on the claim of deliberate

indifference at the summary judgment stage.            Defendants timely

appealed.

                                   II.

            Our first task is to establish the contours of our

jurisdiction over this appeal.

     An order denying a motion for summary judgment is
     generally not a final decision within the meaning of [42
     U.S.C.] § 1291 and is thus generally not immediately
     appealable. But that general rule does not apply when
     the summary judgment motion is based on a claim of
     qualified immunity. Qualified immunity is an immunity
     from suit rather than a mere defense to liability. As a
     result, pretrial orders denying qualified immunity

                                  -13-
     generally fall within the collateral order doctrine.
     This is so because such orders conclusively determine
     whether the defendant is entitled to immunity from suit;
     this immunity issue is both important and completely
     separate from the merits of the action, and this question
     could not be effectively reviewed on appeal from a final
     judgment because by that time the immunity from standing
     trial will have been irretrievably lost.

Plumhoff v. Rickard, 134 S. Ct. 2012, 2018–19 (2014) (quotations

and alterations omitted).

          That said, we have long relied on Johnson v. Jones, 515

U.S. 304, 318–20 (1995), for the proposition that: “a ‘district

court’s pretrial rejection of a qualified immunity defense is not

immediately appealable to the extent that it turns on either an

issue of fact or an issue perceived by the trial court to be an

issue of fact.’” Cady, 753 F.3d at 359 (emphasis in original)

(quoting Stella v. Kelley, 63 F.3d 71, 74 (1st Cir. 1995), and

citing Johnson, 515 U.S. at 318-20).

          But   the    Supreme   Court    recently   clarified   that   “the

Johnson order was not immediately appealable because it merely

decided a question of ‘evidence sufficiency,’ i.e., which facts a

party may, or may not, be able to prove at trial.”          Plumhoff, 134

S. Ct. at 2019.       On the other hand, the Court explained, to the

extent officers “contend that their conduct did not violate the

[law] and, in any event, did not violate clearly established law.

. . . they raise legal issues.”          Id.   The Court then made clear

that “deciding legal issues of this sort is a core responsibility

                                   -14-
of appellate courts, and requiring appellate courts to decide such

issues is not an undue burden.”        Id.

            In sum, we “need not consider the correctness of the

plaintiff’s version of the facts,” Mitchell v. Forsyth, 472 U.S.

511, 528 (1985), except, perhaps, to the extent they are “blatantly

contradicted by the record,” Scott, 550 U.S. at 380.3                      But,

assuming    those   plaintiff-friendly       facts   and    inferences         not

blatantly contradicted by the record, we cannot shirk our duty to

decide as a matter of law whether Defendants, on those assumed

facts,   violated   the    law   and   whether   that      law   was    clearly

established such that Defendants are not entitled to qualified

immunity.

            Before we reach this purely legal question, however, we

must peel away the facade by which Defendants persistently portray

as legal arguments what are in reality purely factual disputes.

“Qualified immunity protects public officials from liability for

civil damages insofar as their conduct does not violate clearly

established    statutory    or   constitutional      rights      of    which    a

reasonable person would have known.”          Elliott v. Cheshire Cnty.,

N.H., 940 F.2d 7, 10 (1st Cir. 1991) (marks and citations omitted).

Defendants do indeed assert (1) they did not violate Lalli’s

rights, or at least (2) a reasonable officer in their position

would not have known he was violating Lalli’s clearly established

     3
         See supra note 2.

                                   -15-
rights.     But their arguments to support these assertions are

entirely factual and thus not appropriate for interlocutory appeal.

                                      A.

            Take for example Defendants’ argument that they did not

violate Lalli’s rights by deliberate indifference.            “It is clearly

established . . . that jail officials violate the due process

rights of their detainees if they exhibit a deliberate indifference

to the medical needs of the detainees . . . .”                      Id.      “To

demonstrate deliberate indifference a plaintiff must show (1) a

grave risk of harm, (2) the defendant’s actual or constructive

knowledge   of   that   risk,   and   (3)    his   failure   to   take    easily

available measures to address the risk.”            Camilo-Robles v. Hoyos,

151 F.3d 1, 7 (1st Cir. 1998).

          Deliberate indifference is more than negligence. In
     a suicide case, a finding of deliberate indifference
     requires a strong likelihood, rather than a mere
     possibility, that self-infliction of harm will occur.
     The conduct must encompass acts or omissions so dangerous
     (in respect to health and safety) that a defendant’s
     knowledge of a large risk can be inferred.         When a
     supervisory official is placed on actual notice of a
     prisoner’s need for physical protection or medical care,
     administrative negligence can rise to the level of
     deliberate indifference to or reckless disregard for that
     prisoner’s safety.

Elliott, 940 F.2d at 10.

            Defendants do not dispute the district court’s recitation

of the law as to deliberate indifference.                Rather, Defendant

Winslow argues he was not deliberately indifferent, and therefore

did not violate Lalli’s rights because “the summary judgment record

                                      -16-
does not support finding a genuine issue as to whether Winslow

actually knew of the risk [that Lalli would attempt suicide] or

whether Winslow was deliberately indifferent to that risk.” Defs.’

Br. at 26.      Similarly, Defendant Escorsio argues she “was not

deliberately indifferent to Lalli’s Fourteenth Amendment rights

because she took some action to avert the risk of harm.”             Id. at

50. But these discussions “nowhere develop the argument that, even

drawing all the inferences as the district court concluded a jury

permissibly could, they are entitled to judgment as a matter of

law.” Cady, 753 F.3d at 359-60. Instead, Winslow’s arguments take

issue with the district court’s factual determinations as to his

knowledge of risk and his efforts--or lack thereof--to abate that

risk.4 Similarly, Escorsio’s arguments dispute the court’s factual

finding that she may have taken essentially no action to avert the

risk Lalli would attempt suicide when she returned him to Cell 135.

           As   we   recently   stated   in    Cady,     these   “fact-based

challenge[s] would, of course, not defeat jurisdiction if . . .

advanced in the alternative.     But nowhere in the defendants’ brief

does there appear any developed argument that the defendants are

entitled   to   summary   judgment   even     if   the   district   court’s

     4
       Winslow also raises a causation argument, but this argument
is based on a dispute with the district court’s finding of a
factual issue as to whether “[t]he other corrections officers who
encountered Lalli may have been lulled to complacency by the fact
that the official charged with reviewing Lalli’s intake file
decided he merited only welfare watch treatment.” Defs.’ Br. at 38
(quoting Penn, 2013 WL 5503671, at *19).

                                  -17-
conclusions about the record were correct.”             Id. at 361.   As such,

we have no basis on which to exercise jurisdiction over whether

Defendants violated Lalli’s clearly established rights through

deliberate indifference to the risk that he would attempt suicide.

                                     B.

            Similarly, Defendants’ arguments as to whether officials

in their positions could have reasonably believed their actions

were lawful “do not transform this appeal into one that turns on a

pure issue of law.”     Cady, 753 F.3d at 361.           Indeed, Defendants’

arguments on this point are, again, purely factual.

            For example, the district court stated that “[a]s of

October 3, 2009, it had long been settled law that state jail

officials   violate   the   Due    Process     Clause    of   the   Fourteenth

Amendment when they act with deliberate indifference toward the

risk that pretrial detainees will seriously harm themselves while

in state custody.”    Penn, 2013 WL 5503671, at *26.           The court also

stated that   “an official violates [clearly established law] if he

knows that a pretrial detainee faces a substantial risk of serious

harm but disregards that risk by failing to take reasonable

measures to abate it.”       Id.      Defendants do not dispute these

statements of the law and we will not review them now as Defendants

waived any argument to the contrary.            Indeed, Defendants’ brief

affirmatively asserts the district court’s recitation of clearly

established law is correct.       See, e.g.,    Defs.’ Br. at 44; see also

                                    -18-
Defs.’ Reply at 28 (quoting Rellergert by Rellergert v. Cape

Girardeau Cnty., Mo., 924 F.2d 794, 797 (8th Cir. 1991), for the

proposition that “the law is clearly established that jailers must

take [some] measures to prevent inmate suicides once they know of

the suicide risk, [but] we cannot say that the law is established

with any clarity as to what those measures must be”).

          Instead,   Defendant   Winslow,   for   his   part,   contends

“[t]here is nothing about this broad, general proposition that

would have alerted [him] that” placing Lalli on “welfare watch”

would violate Lalli’s constitutional rights.        Defs.’ Br. at 45.

Winslow thus argues he “is entitled to qualified immunity because

he took some action to abate the risk Lalli presented.”         Id. at 48

(emphasis added).    But this argument is premised on a fundamental

factual dispute:    Winslow believes the record shows he took “some

action” to abate the risk Lalli would attempt suicide by placing

him on “welfare watch,” while the district court found factual

issues from which “[a] reasonable jury could conclude that [placing

Lalli on ‘welfare watch’] did nothing” to reduce the risk of Lalli

attempting suicide between the time he arrived at KCJ and the time

he made his suicide attempt.5       Penn, 2013 WL 5503671, at *18.

     5
       Defendant Winslow repeatedly contends that placing Lalli on
“welfare watch” resulted in his being observed at least twice as
often as an inmate placed in KCJ’s general population.       But he
fails to cite anywhere in the record to establish that, but for his
being placed on “welfare watch,” Lalli would have indeed been
placed in the general population before he attempted suicide.

                                 -19-
Indeed, the district court stated, “[u]nder this view of the facts,

this is not a case where Sergeant Winslow merely chose between

different courses of treatment, but rather one where he failed to

provide any meaningful help at all.”   Id. at *19 (emphasis added)

(internal quotation marks omitted).    Winslow’s argument that he

acted reasonably because he took “some action” is thus a purely

factual dispute with the district court’s factual determinations--a

dispute we have no jurisdiction to pass on at this point in the

litigation.6

          Defendant Escorsio raises essentially the same argument

on this point. She, like Defendant Winslow, reaffirms the district

court’s statement as to the applicable clearly established law.

She then, argues, however, that “[e]xisting case law does not place

correctional officers on notice that taking some action, but not

enough action, to forestall or prevent harm [violates] inmates’

Fourteenth Amendment rights.”   Defs.’ Br. at 60 (emphasis added).

Like Winslow, the thrust of Escorsio’s argument is that she took

“some action” to prevent Lalli from attempting suicide.        She

therefore simply disputes the district court’s factual finding that

     6
        Winslow likewise concedes clearly established law required
him to communicate critical information about any specific serious
risk facing Lalli, but contends that he did communicate this
information by establishing the watch log. Defs.’ Br. at 48. This
argument assumes future officers would read the watch log when the
district court found “[t]here is no evidence that any jail official
was charged with reading or analyzing the welfare watch logbook.”
Penn, 2013 WL 5503671, at *18. Accordingly, this is but another
purely factual argument that we may not resolve at this time.

                                -20-
a reasonable jury could conclude she took “effectively no action”

to prevent or forestall this risk. And, as with Winslow, we cannot

resolve this factual dispute at this point in the litigation.

           Ultimately, Defendants hang their hat on disagreements

with how the district court weighed the evidence as to whether they

in fact took any action that might have actually forestalled a

substantial risk that Lalli would attempt suicide. As important as

this issue may be, we do not have jurisdiction to address it on

interlocutory appeal as it turns on questions of evidentiary

sufficiency.   See Cady, 753 F.3d at 359.

                                  III.

            Having stripped Defendants’ arguments of all factual

disputes, we find relatively straightforward the purely legal

question   whether,   for   summary   judgment   purposes,   Defendants’

conduct “did not violate the [law] and, in any event, did not

violate clearly established law.”        Plumhoff, 134 S. Ct. at 2019.

As to the applicable clearly established law, we accept for

purposes of this appeal Defendants’ concession that “an official

violates [clearly established law] if he knows that a pretrial

detainee faces a substantial risk of serious harm but disregards

that risk by failing to take reasonable measures to abate it.”

Defs.’ Br. at 44 (quoting Penn, 2013 WL 5503671 at *26).         We also

accept Defendant Winslow’s concession that clearly established law

required him to communicate critical information about any specific

                                  -21-
serious risk facing Lalli. Id. at 48 (citing Penn, 2013 WL 5503671

at *26).   As to the applicable facts and inferences, construed in

the light most favorable to Penn, the district court found that a

reasonable jury could conclude Defendants “faced . . . knowledge of

a substantial risk to Lalli,” and “effectively failed to take any

action to forestall the risk that Lalli would attempt suicide at

the moment he did.”        Penn, 2013 WL 5503671 at *26 (emphasis in

original).

             In sum, Defendants concede that clearly established law

dictated they take some action to abate a known risk, whereas the

district   court   found    a   jury    could   conclude   Defendants   took

effectively no action to abate a known risk.               As such, on the

purely legal question of qualified immunity here, we affirm.

Indeed, we find our closing remarks from Camilo-Robles especially

apropos:

     Qualified immunity protects all but the plainly
     incompetent or those who knowingly violate the law. In
     this case, none of the appellants consciously chose to
     violate the law. If the assumed facts indicated that
     they were merely inattentive or careless, then qualified
     immunity would shield them despite the fact that [they]
     violated [an inmates’s] clearly established rights.
     Here, however, indulging reasonable pro-plaintiff
     inferences, the record shows conduct on the appellants’
     part that can best be described as reckless and wanton--
     conduct that is emblematic of . . . plain incompetency .
     . . . The appellants’ behavior is, therefore, outside
     the wide band of mistaken police judgments that the
     qualified immunity doctrine is intended to shield and the
     appellants . . . are not entitled to summary judgment.

Camilo-Robles, 151 F.3d at 15.

                                       -22-
                                      IV.

            Before we close, a caveat.         This opinion should not be

construed   as   holding   Defendants        are   totally    ineligible   for

qualified immunity.     Depending on what Defendants can prove at

trial, they may indeed be entitled to raise qualified immunity as

an affirmative defense.         Compare Plumhoff, 134 S. Ct. at 2019

(“[Q]ualified immunity is ‘an immunity from suit rather than a mere

defense to liability.’” (quoting Pearson v. Callahan, 555 U.S. 223,

231 (2009)), with Ortiz v. Jordan, 131 S. Ct. 884, 889 (2011) (“A

qualified immunity defense . . . does not vanish when a district

court declines to rule on the plea summarily.                The plea remains

available to the defending officials at trial . . . .”), and

Camilo-Robles, 151 F.3d at 9 (“When a defendant fails on a pretrial

qualified   immunity   claim,    he    nonetheless    can    plead   qualified

immunity as an affirmative defense and resurrect the claim at

trial.”).   Rather, we simply hold that, on the clearly established

law conceded by Defendants themselves and the reasonable pro-

plaintiff inferences drawn by the district court below, Defendants

are not entitled to qualified immunity at the summary judgment

phase.

            This appeal is therefore DISMISSED in part for want of

appellate jurisdiction and, to the extent jurisdiction exists, the

judgment below is AFFIRMED. Costs in favor of plaintiff-appellee

Penn.

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