Rombach v. Culpepper

Case: 20-30554 Document: 00515935728 Page: 1 Date Filed: 07/13/2021

United States Court of Appeals
for the Fifth Circuit United States Court of Appeals
Fifth Circuit

FILED
July 13, 2021
No. 20-30554 Lyle W. Cayce
Clerk

Donna Mahl Rombach, on behalf of the minor child, D.A.R.;
Estate of Gregory Rombach,

Plaintiffs—Appellants,

versus

Joe Culpepper, individually and in his official capacity as Chief of
Police, City of Bogalusa, Louisiana; Scott Adams,
individually and in his official capacity as Warden, Bogalusa City
Jail; Wendy O’Quin Perrette, individually and in her official
capacity as Mayor, City of Bogalusa; Unidentified Parties,
individually and in their official capacities; Otis Taylor; Louis
Clark; Lesley Knight; Lisa Erwin; Leonard Powell;
Lashonda Payton; City of Bogalusa,

Defendants—Appellees.

Appeal from the United States District Court
for the Eastern District of Louisiana
USDC No. 2:16-CV-556

Before Clement, Haynes, and Wilson, Circuit Judges.
Per Curiam:*

*
Pursuant to 5th Circuit Rule 47.5, the court has determined that this
opinion should not be published and is not precedent except under the limited
circumstances set forth in 5th Circuit Rule 47.5.4.
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No. 20-30554

This qualified immunity case arises from the death of a state custody
inmate, Gregory Rombach, at the Bogalusa city jail. The Plaintiffs,
Rombach’s minor child and his estate, appeal the district court’s grant of
qualified immunity, and summary judgment, to the Defendants. We affirm
the district court’s dismissal of the Plaintiffs’ 42 U.S.C. § 1983 and municipal
liability claims. We further affirm the dismissal of the Plaintiffs’ state law
claims against the Defendants.
I.
A.
In the early morning hours of July 6, 2015, Bogalusa Police
Department (BPD) officers arrested Rombach for shoplifting from a Walmart
in Bogalusa, Louisiana. He was transported to the city jail where officers
learned that there was an outstanding arrest warrant for his failure to appear
in an unrelated criminal matter. During booking, officers conducted a
cursory medical assessment of Rombach. They discerned no visual signs of
illness, drug withdrawal, or need for immediate medical attention. Rombach
likewise reported no previous or current medical conditions, other than an
allergy to penicillin, and he denied regularly using alcohol or drugs.
That afternoon, Rombach appeared in the Bogalusa city court to
respond to his existing charge for failure to appear in the unrelated criminal
matter. The city court judge found Rombach in contempt and sentenced him
to serve fifteen days in jail or pay a $250.00 fine. The judge also continued
his arraignment for shoplifting until the following week.
At some point on July 6, Rombach admitted to jail personnel that he
was in withdrawal from heroin. In a declaration, Warden Scott Adams
testified that a nearby hospital “routinely explained to the jail facility . . . that
there is no real treatment of withdrawal symptoms and it is sufficient for the
jail to observe the inmate in withdrawal and provide plenty of hydration,

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aspirin, and malox-type [sic] products to assist the inmate.” Officers Louis
Clark and Lisa Erwin echoed Warden Adams’s withdrawal protocol: “The
only thing we give them now is Emetrol, Imodium, and ibuprofen.”
On the morning of July 9, Rombach was found dead in his jail cell. An
autopsy attributed his cause of death to a perforated duodenal ulcer (i.e., a
stomach ulcer). The coroner’s toxicology report indicated that Rombach
tested positive for amphetamine, methamphetamine, and opiates. No foul
play was suspected.
B.
Donna Rombach, on behalf of minor child D.A.R., and Rombach’s
estate sued BPD Chief of Police Joe Culpepper, Warden Scott Adams, Mayor
of Bogalusa Wendy O’Quin Perrette, an unnamed insurance company, and
unknown John and Jane Does “employed with the Bogalusa Police
Department and/or the City of Bogalusa and its jail” under 42 U.S.C. § 1983
and Louisiana state law for alleged violations of Rombach’s right to adequate
medical care. 1 They also sued Chief Culpepper, Warden Adams, and Mayor
O’Quin Perrette in their official capacities for their failure to train the
overseeing correctional officers.
One day later, the Plaintiffs filed an amended complaint to correct
dates alleged in the original complaint. Like the original complaint, the first
amended complaint pinned the Defendants for alleged violations of federal
and state law, both in their individual and official capacities.

1
Hereafter, the “Plaintiffs” include Donna Rombach, on behalf of D.A.R., and
Rombach’s estate. The “Defendants” refer both to Chief Culpepper, Warden Adams, and
Mayor O’Quin Perrette—the original parties—and the six correctional officers and the
City of Bogalusa (“the City”), eventually named in the operative second amended
complaint.

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Following two years of discovery, the initial Defendants moved for
summary judgment, contending they were entitled to qualified immunity on
the Plaintiffs’ individual capacity claims and that the official capacity claims
failed as a matter of law. The same day, the Plaintiffs moved for leave to file
a second amended complaint, seeking to substitute the unknown John and
Jane Does with named BPD correctional officers. The Plaintiffs then
responded in opposition to the motion for summary judgment.
The magistrate judge denied the Plaintiffs’ motion for leave to amend
without prejudice, noting that it could be re-urged if the trial was continued
by the district court. Shortly thereafter, the Plaintiffs filed a motion to
continue. The district court granted a continuance, permitting Plaintiffs
again to seek leave to file a second amended complaint to name the individual
correctional officers.
Given those rulings, the district court also denied the pending
summary judgment motion without prejudice against the unnamed John and
Jane Does. But the court granted summary judgment for Chief Culpepper,
Warden Adams, and Mayor O’Quin Perrette and dismissed the Plaintiffs’
§ 1983 individual capacity claims and related state law claims against those
parties with prejudice. The court denied summary judgment without
prejudice as to the Plaintiffs’ official capacity claims against Culpepper,
Adams, and O’Quin Perrette, finding that these claims were essentially a
municipal liability claim against the City under Monell v. Department of Social
Services of City of New York, 436 U.S. 658 (1978), that depended on the
liability of individual correctional officers who had not yet been named in the
action.
In due course, the Plaintiffs were granted leave to amend and filed
their second amended complaint. As the operative pleading, the second
amended complaint mirrored the first amended complaint, except that it

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replaced the unknown John and Jane Does with six BPD correctional
officers—Otis Taylor, Louis Clark, Lisa Erwin, Lesley Knight, Leonard
Powell, and Lashonda Payton—and added the City as a defendant.
The Plaintiffs’ amended pleading prompted the Defendants to file a
second motion for summary judgment. There, they sought summary
judgment of the Plaintiffs’ § 1983 individual capacity claims against the
individual officers, the § 1983 official capacity claims against Culpepper,
Adams, and O’Quin Perrette (i.e., the Monell claim against the City), the
state law negligence claims alleged against the individual officers, and the
state law respondeat superior claim against the City. The district court
granted the Defendants’ motion, dismissing all remaining claims. The court
found that (1) qualified immunity and state law immunity shielded the
correctional officers from the Plaintiffs’ federal and state law individual
capacity claims, and (2) the Plaintiffs failed to prove that Warden Adams’s
drug withdrawal policy was deficient or that jail personnel violated
Rombach’s constitutional rights, such that Plaintiffs’ Monell claim against
the City lacked merit. The Plaintiffs appealed.
II.
Summary judgment is appropriate if “the movant shows that there is
no genuine dispute as to any material fact and the movant is entitled to
judgment as a matter of law.” Fed. R. Civ. P. 56(a). In applying this
familiar rule, a court “inherently makes two separate findings.” Roque v.
Harvel, 993 F.3d 325, 332 (5th Cir. 2021). First, the court determines
“whether there are genuine fact disputes,” and then, “whether those fact
disputes are material to the outcome of the case.” Id. (emphases added). The
doctrine of qualified immunity “alters the usual summary judgment burden
of proof.” Valderas v. City of Lubbock, 937 F.3d 384, 389 (5th Cir. 2019) (per
curiam), cert. denied, 140 S. Ct. 454 (2019). Once the defense is properly

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invoked, the burden shifts to the plaintiff to rebut it. Vincent v. City of
Sulphur, 805 F.3d 543, 547 (5th Cir. 2015). All facts and inferences are still
construed in the light most favorable to the nonmovant. Poole v. City of
Shreveport, 691 F.3d 624, 627 (5th Cir. 2012).
Because this appeal arises from a final judgment, we review the district
court’s determinations regarding qualified immunity and summary judgment
de novo, applying the “same standard as the district court.” Renfroe v.
Parker, 974 F.3d 594, 599 (5th Cir. 2020) (citations omitted), cert. denied, No.
20-1269, 2021 WL 1520838 (U.S. Apr. 19, 2021). 2 Even where we may
depart from the district court’s reasoning, “[we] may affirm the district court
on any grounds supported by the record and argued in the court below.”
Williams v. Banks, 956 F.3d 808, 811 (5th Cir. 2020) (alteration in original)
(citation omitted).
III.
The Plaintiffs challenge the district court’s entry of summary
judgment on several grounds. First, we address whether the doctrine of
qualified immunity shields the correctional officers from suit in their
individual capacities. After, we transition to the Plaintiffs’ municipal liability
claim against the City (i.e., the official capacity claims against Culpepper,
Adams, and O’Quin Perrette). And we end our discussion by reviewing
dismissal of the Plaintiffs’ state law claims. 3

2
Compare Renfroe, 974 F.3d at 599 (reviewing qualified immunity appeal from final
judgment using “same standard as the district court” (citations omitted)), with Roque, 993
F.3d at 332 (reviewing a qualified immunity interlocutory appeal for challenges to the
materiality of the fact issues but lacking jurisdiction to review the genuineness of the fact
issues), and Melton v. Phillips, 875 F.3d 256, 261 (5th Cir. 2017) (en banc) (same).
3
The Plaintiffs do not appear to challenge the district court’s conclusion that
qualified immunity applies to Chief Culpepper, Warden Adams, and Mayor O’Quin
Perrette in their individual capacities. To the extent that the Plaintiffs do not concede this

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A.
Qualified immunity protects government officials from civil liability if
“their conduct does not violate clearly established statutory or constitutional
rights of which a reasonable person would have known.” Pearson v. Callahan,
555 U.S. 223, 231 (2009) (quoting Harlow v. Fitzgerald, 457 U.S. 800, 818
(1982)). Its aim is to harmonize “the need to hold public officials accountable
when they exercise power irresponsibly” with “the need to shield officials
from harassment, distraction, and liability when they perform their duties
reasonably.” Id. The defense “protects ‘all but the plainly incompetent or
those who knowingly violate the law.’” Mullenix v. Luna, 577 U.S. 7, 11
(2015) (quoting Malley v. Briggs, 475 U.S. 335, 341 (1986)).
Two inquiries ensure its aim. First, a plaintiff must show an actor
violated a constitutional right; second, the plaintiff must prove that the
violated right was clearly established at the time of the alleged misconduct.
Pearson, 555 U.S. at 232; Morrow v. Meachum, 917 F.3d 870, 874 (5th Cir.
2019). “We can decide one question or both” in reviewing a judgment based
on qualified immunity, Morrow, 917 F.3d at 874; in this case, we discuss both
inquiries. 4

issue, the district court properly granted summary judgment as to these claims based on
qualified immunity. We see no evidence in the record sufficient to impute to the officials
the knowledge that Rombach was exposed to a substantial risk of harm. See Gobert v.
Caldwell, 463 F.3d 339, 345–46 (5th Cir. 2006).
4
Before Pearson, the Court in Saucier v. Katz, 533 U.S. 194, 201 (2001) mandated
the two-step inquiry for resolving government officials’ qualified immunity claims. But see
Pearson, 555 U.S. at 236 (“Although we now hold that the Saucier protocol should not be
regarded as mandatory in all cases, we continue to recognize that it is often beneficial.”);
see also Roque, 993 F.3d at 332 (“[W]e have repeatedly emphasized that there is value in
addressing both questions ‘to develop robust case law on the scope of constitutional
rights.’” (quoting Joseph v. Bartlett, 981 F.3d 319, 331 n.40 (5th Cir. 2020))).

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1.
First, we determine whether the Plaintiffs have shown facts that
“make out a violation of a constitutional right.” Pearson, 555 U.S. at 232
(citing Fed. R. Civ. P. 50, 56); see also Hope v. Pelzer, 536 U.S. 730, 736
(2002). Under the Eighth Amendment, “[t]he unnecessary and wanton
infliction of pain . . . constitutes cruel and unusual punishment[.]” Hope, 536
U.S. at 737 (citation omitted). Inadequate inmate medical care may rise to
an Eighth Amendment violation, but for it to do so, a prison official must act
with “deliberate indifference” to the “serious medical needs of prisoners.”
Estelle v. Gamble, 429 U.S. 97, 104 (1976). Since Estelle, the Supreme Court
has clarified that a prison official “must both be aware of facts from which
the inference could be drawn that a substantial risk of serious harm exists,”
and the official “must also draw the inference.” Farmer v. Brennan, 511 U.S.
825, 837 (1994); Petzold v. Rostollan, 946 F.3d 242, 249 (5th Cir. 2019). 5 Re-
stated, a plaintiff must prove “objective exposure to a substantial risk of
serious harm,” Gobert, 463 F.3d at 345,—that is, the existence of a serious
medical need, id. at 349 n.30; the official’s subjective knowledge of his
substantial risk, Farmer, 511 U.S. at 837; and the official “disregard[ed] that
risk by failing to take reasonable measures to abate it.” Id.
In this case, the district court found that “there is no evidence
establishing that any particular jail employee defendant knew that Rombach

5
Because Farmer requires prison officials to have subjective knowledge of a
prisoner’s substantial risk of serious harm, it follows that officials accused of deliberate
indifference may rebut a plaintiff’s claim by showing that “they did not know of the
underlying facts indicating a sufficiently substantial danger and that they were therefore
unaware of a danger, or that they knew the underlying facts but believed (albeit unsoundly)
that the risk to which the facts gave rise was insubstantial or nonexistent.” Farmer, 511
U.S. at 844. “[P]rison officials who act reasonably cannot be found liable under the Cruel
and Unusual Punishments Clause.” Id. at 845.

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may have been suffering from acute heroin withdrawal symptoms—much
less the perforated ulcer that caused his death.” The court continued: “Nor
is there any evidence that any particular jail employee defendant drew the
inference that Rombach had a serious medical need.” Those findings are
supported by the record, and we agree with the district court that the
evidence is insufficient to demonstrate that the denial of medical care in this
case violated the Eighth Amendment. 6
The Plaintiffs assert that the individual officers were cognizant of
Rombach’s “significant symptoms” and nonetheless ignored his requests for
medical attention. The Defendants counter that, although Rombach
eventually notified the correctional officers that he was withdrawing from
heroin, he initially denied using drugs or alcohol, and the officers were
unaware of any resulting substantial risk of serious harm to Rombach. They
likewise were unaware that Rombach was suffering from a perforated ulcer,
which is the ailment determined to have caused his death.
We start with Officers Payton and Powell. 7 Payton worked the night
shift with Officer Clark on July 8. The record evinces that she inspected the

6
A state-custody convicted prisoner’s constitutional rights emanate from the
Eighth Amendment’s guarantee against cruel and unusual punishment, Estelle, 429 U.S. at
104, and a pretrial detainee’s rights arise from the due process guarantees of the Fourteenth
Amendment. Bell v. Wolfish, 441 U.S. 520, 535–37 (1979). Perhaps because Rombach was
imprisoned both as a pretrial detainee (as to the shoplifting charge) and post-conviction
inmate (as to his failure to appear) at the time of his death, it is unclear from the parties’
briefs and the record whether the Plaintiffs seek redress under the Eighth or the Fourteenth
Amendment. Regardless, this court has consistently held, at least in the context of allegedly
inadequate medical care, that the Eighth Amendment’s subjective deliberate indifference
standard applies equally to pretrial detainees traveling under the Fourteenth Amendment.
See, e.g., Aguirre v. City of San Antonio, 995 F.3d 395, 420 (5th Cir. 2021); Hare v. City of
Corinth, 74 F.3d 633, 648–50 (5th Cir. 1996) (en banc).
7
The Plaintiffs’ briefs treat the correctional officers’ actions collectively rather
than individually. The Defendants first noted this mistake in their second motion for
summary judgment. But the district court appears to have done the same in its second

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inmates’ cells at 9:00 p.m. and 10:00 p.m. that night. Yet there is no record
evidence showing that Payton communicated with Rombach during his brief
incarceration, that she specifically knew Rombach was suffering from heroin
withdrawal (or a perforated ulcer), that she refused to treat him, or that she
ignored his complaints. As to Powell, the record details even less. Taking
their allegations as true, the Plaintiffs failed to establish any constitutional
violation by those officers. See Hope, 536 U.S. at 736.
While a closer call, we reach the same conclusion regarding Officers
Taylor, Clark, Erwin, and Knight. In a declaration attached to the Plaintiffs’
response in opposition to the Defendants’ first motion for summary
judgment, another inmate, Christopher Flot, declared that he “personally
heard [Rombach] tell Mr. Otis [Taylor], Mr. L[oui]s [Clark], and Ms.
[Lesley] Knight that he did not feel well and [that] he wanted to go to the
hospital.” Flot further declared, “I personally told Mr. Otis, Mr. L[oui]s,
and Ms. Knight that [Rombach] did not feel well, was not eating[,] and was
vomiting[,] and he needed a doctor.”
In deposition testimony, Flot provided additional details concerning
Rombach’s interactions with jail personnel. He stated that he heard
Rombach tell Clark that “he needed to go to the hospital” on July 7.
According to Flot, Rombach said, “I’m detoxing. I need to go to the hospital
and get some medicine or where they can do something for me.” In response,
Clark allegedly “told [Rombach] he wasn’t going nowhere from [t]here, he

summary judgment order. An officer-by-officer analysis is necessary when determining
whether any officer acted with deliberate indifference to a prisoner’s serious medical needs.
See Taylor v. Riojas, 141 S. Ct. 52, 54 (2020) (per curiam); see also Carroll v. Ellington, 800
F.3d 154, 174 (5th Cir. 2015) (“[W]e examine each individual’s entitlement to qualified
immunity separately . . . .” (internal quotation marks and citation omitted)). Regardless,
conducting such an analysis, we conclude that each officer is entitled to qualified immunity.

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wasn’t going to the doctor, he wasn’t going to do nothing, he was just going
to have to sit up in there and suffer.” Flot testified that Rombach reiterated
his distress to Clark on July 8. In the second instance, Rombach allegedly
stated that he was feeling badly and that he needed medication for
constipation.
Flot’s testimony is at least somewhat corroborated by the record. In
her deposition, Knight testified that she treated Rombach’s constipation with
castor oil because “[Rombach] . . . was going through withdrawals and was
having trouble using the restroom.” Further, Erwin explained that she
moved Rombach to a padded cell because he “kept beating on the door and
hollering due to heroin withdrawals.” Finally, Adams attested that
“Rombach admitted to the jail personnel that he was withdrawing from
heroin.”
Despite this evidence, we are unconvinced that the Plaintiffs have
shown that any of these officers was deliberately indifferent to Rombach’s
medical needs. See Williams, 956 F.3d at 811 (“[D]eliberate indifference
cannot be inferred merely from a negligent or even a grossly negligent
response to a substantial risk of serious harm.” (citations omitted)).
Rombach completed a medical information sheet on the morning he was
arrested. He stated there that he had not “recently been hospitalized or
treated by a doctor”; he did not “regularly use alcohol or street drugs”; he
had no “problems when [he] stop[ped] drinking or using drugs”; and he had
no “other medical problems.” While incarcerated, Rombach separately
spoke to his father, mother, and brother on the phone. On each occasion,
Rombach never conveyed that he needed medical attention or that he had
requested medical care from jail personnel. Further, while the record
indicates that Rombach communicated to Taylor, Clark, Erwin, and Knight
that he was feeling unwell (i.e., not eating, not drinking water, constipated,
and vomiting) due to his drug withdrawal, it is also unrefuted that when

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officers questioned Rombach about his withdrawal symptoms while he was
held in the padded cell, he told them that “he was fine” and he “requested
to go back to his cell.” Finally, Rombach’s autopsy attributed his cause of
death to a perforated stomach ulcer. Notably, it is undisputed that neither
Rombach, nor his family, nor, critically, the jail personnel were aware of this
condition.
Based on this summary judgment record, the correctional officers’
actions do not constitute “deliberate indifference” to Rombach’s “serious
medical needs,” Estelle, 429 U.S. at 104, and thus do not rise to an
“unnecessary and wanton infliction of pain” cognizable under the Eighth
Amendment, Hope, 536 U.S. at 737. Qualified immunity shields them from
suit.
2.
Even if the Plaintiffs’ allegations met the first prong of the qualified
immunity analysis by showing that the officers violated Rombach’s Eighth
Amendment rights, the Plaintiffs would be unable to satisfy the second, that
“the right at issue was ‘clearly established’ at the time of [Defendants’]
alleged misconduct.” Pearson, 555 U.S. at 232 (quoting Saucier, 533 U.S. at
201); see also Petzold, 946 F.3d at 255. A right is “clearly established” if the
contours of that right are so “sufficiently clear” that “a reasonable official
would understand what he is doing violates that right.” Hope, 536 U.S. at 739
(citation omitted); Mullenix, 577 U.S. at 11; see also Brauner v. Coody, 793 F.3d
493, 497 (5th Cir. 2015) (“To determine that an official is not entitled to
qualified immunity, the court must find that every reasonable officer would
have understood that the alleged conduct violated a clearly established
constitutional right.” (emphasis in original) (citation omitted)). The chief
focus of the second element of the test is “to ensure that before they are

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subjected to suit, officers are on notice that their conduct is unlawful.” Hope,
536 U.S. at 739 (citation omitted).
There are two ways a plaintiff may show that an alleged right is clearly
established. First, “the plaintiff may identify a case or body of relevant case
law in which an officer acting under similar circumstances was held to have
violated the Constitution.” Batyukova v. Doege, 994 F.3d 717, 726 (5th Cir.
2021) (cleaned up). “This approach ‘do[es] not require a case directly on
point,’ but ‘existing precedent must have placed the statutory or
constitutional question beyond debate.’” Id. (alteration in original) (quoting
Ashcroft v. al-Kidd, 563 U.S. 731, 741 (2011)). Alternatively, the plaintiff may
demonstrate that “the unlawfulness of the officer’s conduct is sufficiently
clear even though existing precedent does not address similar
circumstances.” Id. (quoting District of Columbia v. Wesby, 138 S. Ct. 577,
590 (2018)). This second approach is reserved for only rare, “obvious”
cases. Brosseau v. Haugen, 543 U.S. 194, 199 (2004).
The Plaintiffs assert that the district court erred by determining that,
even if an inmate’s drug withdrawal “may be” a “serious medical need” in
some cases under clearly established law, Plaintiffs failed to “present[]
adequate summary-judgment evidence that any of the jail employee
[D]efendants were deliberately indifferent to that need.” Plaintiffs contend
that instead, clearly established law required medical treatment for
Rombach’s symptoms. Cf. Gobert, 436 F.3d at 345 n.12 (“A serious medical
need is one for which treatment has been recommended or for which the need
is so apparent that even laymen would recognize that care is required.”
(citation omitted)). In support of their proposition, the Plaintiffs point to
Quatroy v. Jefferson Parish Sheriff’s Office, Nos. 04-451, 04-1425, 2009 WL
1380196 (E.D. La. May 14, 2009), and Thompson v. Upshur County, 245 F.3d
447 (5th Cir. 2001).

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In Quatroy, the district court recognized that the plaintiff’s drug
withdrawal constituted a serious medical need because the symptoms that
caused his death “were obviously serious” (i.e., “multiple seizures,”
“vomit[ing] blood multiple times,” and “defecat[ing] on himself”).
Quatroy, 2009 WL 1380196, at *9. Somewhat similarly, this court held in
Thompson that “delirium tremens” (i.e., severe alcohol withdrawal)
constituted a “serious medical need” under clearly established law. 245 F.3d
at 457–58 (collecting cases).
We are unpersuaded, however, that Quatroy and Thompson compel
this court to presume that drug withdrawal constitutes a serious medical need
in every case. Cf. City & Cnty. of S.F. v. Sheehan, 575 U.S. 600, 613 (2015)
(“Qualified immunity is no immunity at all if ‘clearly established’ law can
simply be defined as the right to be free from unreasonable searches and
seizures.”). In fact, the Supreme Court has counseled this court against
drawing such a general line. See al-Kidd, 563 U.S. at 742 (“We have
repeatedly told courts . . . not to define clearly established law at a high level
of generality.”). Instead, “[t]he dispositive question is whether the violative
nature of particular conduct is clearly established.” Mullenix, 577 U.S. at 12
(emphasis in original) (internal quotation marks and citation omitted).
Notwithstanding, the Plaintiffs contend that the officers’ actions were
objectively unreasonable in light of clearly established law. For support, the
Plaintiffs rely on Thompson and point to Rodrigue v. Grayson, 557 F. App’x
341, 342 (5th Cir. 2014). As noted, the Thompson court evaluated whether
prison officials’ delay and inaction toward an inmate’s severe alcohol
withdrawal violated clearly established law. 245 F.3d at 459. As to one
officer, specifically, the court recounted her awareness and response to
Thompson’s withdrawal symptoms. See id. at 463–64. The main point was
that the officer knew Thompson was severely intoxicated at the time of arrest
(i.e., a 0.348% blood alcohol level); he was also “shaking, sweating profusely,

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and hallucinating” while incarcerated: “Specifically, Thompson saw snakes
coming out of the walls, requested a screwdriver so he could build a house,
and believed he was at a barbeque in Gladewater, Texas.” Id. at 452–454,
463–64. Thompson’s condition caused him to injure himself in his cell. Id.
at 454, 463. Given those facts, this court denied the officer qualified
immunity because “all reasonable jailers would have recognized the
constitutional obligation to summon medical assistance well before
Thompson died[.]” Id. at 464.
In Rodrigue, a non-precedential case, an inmate incarcerated in state
custody lodged five verbal or written requests for emergency medical
services. 557 F. App’x at 342. In his requests, Rodrigue repeatedly
complained of abdominal pain, vomiting, nausea, and constipation-like
symptoms. Id. On each occasion, the nurse employed at the detention center
visited with Rodrigue and treated him with over-the-counter medication. Id.
On the eleventh day, with his pains persisting, the nurse authorized
Rodrigue’s transportation to the local hospital, where Rodrigue was
diagnosed with a “ruptured or perforated appendix.” Id.
Following recovery, Rodrigue filed a civil rights suit against the
attending nurse and a correctional officer. Id. at 342–43. The district court
denied the defendants qualified immunity, and this court affirmed. Id. at 343,
346. In sum, we held that the defendants knew of Rodrigue’s serious medical
condition, yet ignored it: “[T]he continuous and intense nature of
Rodrigue’s complaints of vomiting and abdominal pain were simply
ignored[,]” and “[a]ny reasonable person in [the defendants’] position
would have known that ignoring Rodrigue’s complaints in light of his medical
situation would be a violation of his rights under the Eighth Amendment.”
Id. at 347.

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But Thompson and Rodrigue are easily distinguishable from the present
case. Neither confronts an inmate suffering from heroin withdrawal coupled
with an undiscovered perforated stomach ulcer. The inmates’ conditions in
Thompson and Rodrigue were continuous, acute, and observed. By contrast,
there is no specific evidence showing that any officer witnessed Rombach
vomiting or struggling to eat. Additionally, Rombach was neither
hallucinating, nor seizing, nor injuring himself. Cf. Thompson, 245 F.3d at
452–54. Moreover, the relevant time frame in the present case spanned
roughly seventy-two hours. Cf. Rodrigue, 557 F. App’x at 342. In that time,
it is alleged Rombach verbally requested medical attention twice. However,
the record also includes unrefuted testimony that when officers questioned
Rombach about his drug withdrawal, he replied that “he was fine.” And
Rombach stated on his intake forms that he was not using alcohol or drugs,
he was not in withdrawal, and he did not need medical attention. He also did
not appear intoxicated or under the influence at the time of his arrest, and the
record supports that the officers followed the local hospital’s advice
concerning proper treatment of withdrawal symptoms.
“[W]hen the defendant moves for summary judgment based on
qualified immunity, it is the plaintiff’s burden to demonstrate that all
reasonable officials similarly situated would have then known that the alleged
acts of the defendants violated the United States Constitution.” Thompson,
245 F.3d at 459–60 (citation omitted). Given the materially unrefuted
evidence, we cannot conclude that, in the light of clearly established law,
every reasonable correctional officer would have summoned medical
assistance before Rombach’s death. 8 Therefore, we affirm the district

8
Our conclusion holds irrespective of whether medical assistance for heroin
withdrawal would have (or would not have) discovered Rombach’s perforated stomach
ulcer.

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court’s grant of qualified immunity, and thus summary judgment, in favor of
Taylor, Clark, Knight, Erwin, Powell, and Payton.
B.
The Plaintiffs next challenge the City’s policy for treating inmates in
withdrawal. The district court concluded that the Plaintiffs failed to prove
that the policy was deficient or that an underlying constitutional violation
occurred. We agree and affirm the district court on this issue.
A plaintiff can hold a municipality liable for violating a person’s
constitutional rights under § 1983. See Monell, 436 U.S. at 690. To do so, a
plaintiff must prove three elements: a policymaker; an official policy or
custom; and a violation of constitutional rights whose moving force is the
policy or custom. See Piotrowski v. City of Houston, 237 F.3d 567, 578 (5th Cir.
2001) (citing Monell, 436 U.S. at 694). These elements exist “to prevent a
collapse of the municipal liability inquiry into a respondeat superior
analysis.” Zarnow v. City of Wichita Falls, 614 F.3d 161, 167 (5th Cir. 2010).
Assuming arguendo that the Plaintiffs identified the proper
policymaker (Warden Adams) and demonstrated that the withdrawal
protocol—“over-the-counter med[ications] and water as opposed to
providing access to actual medical care from medical professionals”—was in
fact the jail’s official policy or custom for treating inmates in withdrawal, the
third element nonetheless proves fatal to the Plaintiffs’ Monell claim. “To
hold a municipality accountable for a violation of constitutional rights, a
plaintiff must show: (1) that the municipal employee[s] violated his clearly
established constitutional rights with subjective deliberate indifference; and
(2) that this violation resulted from a municipal policy or custom adopted and
maintained with objective deliberate indifference.” Olabisiomotosho v. City of
Houston, 185 F.3d 521, 528–29 (5th Cir. 1999). As discussed above, the
officers did not violate any clearly established Eighth Amendment rights, and

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the summary judgment evidence fails to establish that the alleged policy was
adopted or maintained with objective indifference. Consequently, the
Plaintiffs’ official capacity claims against the Defendants (i.e., the Monell
claim against the City) fail, and summary judgment was proper.
C.
Finally, Plaintiffs challenge the district court’s dismissal of their state
law negligence claims against Chief Culpepper, Warden Adams, Mayor
O’Quin Perrette, and the six correctional officers. The Plaintiffs also
contend the district court erred by dismissing their state law respondeat
superior claims against the City, Culpepper, Adams, and O’Quin Perrette.
We affirm the district court in all respects.
1.
The Plaintiffs’ state law negligence claims center on the Defendants’
alleged liability under Louisiana Civil Code articles 2315, 2315.1, and 2316.
The district court held that Culpepper, Adams, O’Quin Perrette, and the
individual officers were shielded from the these claims under Louisiana’s
qualified immunity protections. See La. Stat. Ann. § 9:2798.1. We
agree.
The relevant Louisiana statute provides:
A. As used in this Section, “public entity” means and includes
the state and any of its branches, departments, offices,
agencies, boards, commissions, instrumentalities, officers,
officials, employees, and political subdivisions and the
departments, offices, agencies, boards, commissions,
instrumentalities, officers, officials, and employees of such
political subdivisions.
B. Liability shall not be imposed on public entities or their
officers or employees based upon the exercise or performance
or the failure to exercise or perform their policymaking or

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No. 20-30554

discretionary acts when such acts are within the course and
scope of their lawful powers and duties.
C. The provisions of Subsection B of this Section are not
applicable:
(1) To acts or omissions which are not reasonably related to the
legitimate governmental objective for which the policymaking
or discretionary power exists; or
(2) To acts or omissions which constitute criminal, fraudulent,
malicious, intentional, willful, outrageous, reckless, or flagrant
misconduct.
Id. According to the Louisiana Supreme Court, this statute is “clear and
unambiguous,” and it immunizes public entities and their officers and
employees from tort claims based on “policymaking or discretionary acts
when such acts are within the course and scope of . . . lawful powers and
duties.” Gregor v. Argenot Great Cent. Ins. Co., 2002-1138, p. 12 (La.
5/20/03), 851 So. 2d 959, 967; see also Dominique v. Parish, 2019-0452, p. 10
(La. App. 1 Cir. 9/16/20), 313 So. 3d 307, 314 (“Specifically, under [this
statute], public entities, including sheriffs and sheriff’s deputies, are immune
from tort claims based on their policy-making decisions or discretionary acts
carried out within the course and scope of their employment.” (citation
omitted)); cf. La. Stat. Ann. § 9:2798.1(C)(2) (foreclosing immunity for
defendants whose acts or omissions “constitute criminal, fraudulent,
malicious, intentional, willful, outrageous, reckless, or flagrant
misconduct”). Whether the conduct at issue falls within the general
protections of the statute or is proscribed by the statute’s exceptions “is
purely a question of law[] and is within the province of the trial court to
determine at the summary judgment stage.” Simmons v. Hughes, 2019-1389,
p. 13 (La. App. 1 Cir. 11/25/20), No. 2019-CA-1389, 2020 WL 6948991, at
*6 (citations omitted), reh’g denied (Jan. 4, 2021).

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The general rule applies to Culpepper, Adams, and O’Quin Perrette.
The record is devoid of any evidence demonstrating that those officials were
personally involved in any decisions surrounding Rombach’s medical care,
albeit the evidence supports that Adams, as Warden, may have instituted a
medical care policy or custom at the city jail. Adams’s decisions in that
regard, however, fit squarely within the type of discretionary conduct that is
protected by Louisiana’s qualified immunity statute. Further, the Plaintiffs
have failed to present any genuine issue of material fact purporting to show
that the establishment of any jail policy as to inmate medical care originated
from “criminal, fraudulent, malicious, intentional, willful, outrageous,
reckless, or flagrant misconduct.” La. Stat. Ann. § 9:2798.1(C)(2). We
therefore affirm the district court’s dismissal of Plaintiffs’ state law
negligence claims against Culpepper, Adams, and O’Quin Perrette.
Turning to the individual correctional officers, the Plaintiffs assert
that because “medical [c]are is an obligation [under state law] and is not a
discretionary function,” the qualified immunity statute cannot apply. We
disagree. In Aucoin v. Larpenter, a state appellate court recently explained
that, although state law mandates the appointment of a physician or
healthcare provider to provide healthcare services to incarcerated persons,
and state law dictates minimum jail healthcare standards, the care
administered and provided to prisoners “involve[s] discretion.” 2020-0792,
p. 14 (La. App. 1 Cir. 4/16/21), No. 2020-CA-792, 2021 WL 1440202, at *9.
Analogously, although the individual officers in this case were allegedly
guided by at least a de facto policy or custom, the officers’ decisions to provide
(or not to provide) certain care to Rombach were ultimately the result of their
discretion. See id.; see also Dominique, 313 So. 3d at 316 (“There is a
presumption that when government employees exercise discretion given to
them by a statute or regulation, they are doing so based on the same policy
concerns that animate the controlling statute or regulation itself.” (citation

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No. 20-30554

omitted)). It therefore follows that the individual officers are protected by
Louisiana’s qualified immunity statute.
The Plaintiffs next contend that “the testimony of Mr. Flot, in which
he testified Mr. Rombach was told ‘he was just going to have to sit up there
and suffer’ raises questions of fact as to whether the actions of the
[Defendants] were acts or omissions” under Subsection (C)(2). Again, we
disagree. Cf. Simmons, 2020 WL 6948991, at *10 (finding, in the context of
excessive force, no genuine issue of material fact regarding whether the
defendants’ actions constituted misconduct under Subsection (C)(2)
because defendants “gain[ed] knowledge after-the-fact of plaintiff’s diabetic
condition and that a diabetic episode was the likely explanation of his erratic
actions”). As we have discussed, the evidence here does not indicate that
any of the officers’ actions constituted “criminal, fraudulent, malicious,
intentional, willful, outrageous, reckless, or flagrant misconduct” sufficient
to revoke immunity under § 9:2798.1(C)(2). 9 The district court’s summary
judgment on the state law claims against these Defendants is affirmed.
2.
Lastly, the Plaintiffs attempt to utilize the theory of respondeat
superior under Louisiana Civil Code article 2320 to establish liability on the
part of the City, Culpepper, Adams, and O’Quin Perrette for the correctional
officers’ allegedly negligent actions in providing medical care and
maintaining a de facto policy of inadequate treatment. The statute states that
“[m]asters and employers are answerable for the damage occasioned by their

9
Even if Flot’s declaration was sufficient to create a genuine dispute of fact as to
whether any of the officers’ conduct fell outside Louisiana’s qualified immunity
protections, it would create such an issue only for Officer Clark; there is no evidence
connecting the other officers to Clark’s particular statements alleged in Flot’s testimony.

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No. 20-30554

servants and overseers, in the exercise of the functions in which they are
employed.” La. Civ. Code Ann. art. 2320.
In dismissing this claim against Culpepper, Adams, and O’Quin
Perrette, the district court held that “[w]hile vicarious liability under a
respondeat superior theory is potentially viable under state law, the liable
party is the State, not the tortfeasor’s supervisors.” On appeal, the
Plaintiffs’ challenge to the district court’s conclusion consists of nothing
more than conclusory allegations insufficient to defeat summary judgment.
In their briefs, the Plaintiffs do not offer any argument or authority to support
their contention that the district court erred. See Fed. R. App. P.
28(a)(8)(A). We are therefore unpersuaded that the district court erred in
dismissing the respondeat superior claims against Culpepper, Adams, and
O’Quin Perrette.
And because we conclude the claims alleged against the officers fail, it
follows that the Plaintiffs’ respondeat superior claim against the City also
fails. The district court’s dismissal of Plaintiffs’ state law claims is affirmed.
IV.
In sum, we AFFIRM the district court’s dismissal of (1) the
Plaintiffs’ § 1983 claims against Culpepper, Adams, O’Quin Perrette, and
the six correctional officers in their individual capacities; (2) the Plaintiffs’
§ 1983 official capacity claims against Culpepper, Adams, O’Quin Perrette,
and the officers (i.e., the Monell claim against the City); (3) the Plaintiffs’
state law negligence claims against Culpepper, Adams, O’Quin Perrette, and
the officers in their individual capacities; and (4) the Plaintiffs’ state law
respondeat superior claims against Culpepper, Adams, and O’Quin Perrette
in their official capacities, and against the City.
AFFIRMED.

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