Walker D. Bowen v. Warden, Baldwin State Prison , 826 F.3d 1312 ( 2016 )


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  •               Case: 15-11109    Date Filed: 06/22/2016   Page: 1 of 27
    [PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    _______________________
    No. 15-11109
    _______________________
    D.C. Docket No. 5:13-cv-00256-MTT
    WALKER D. BOWEN,
    as administrator of the Estate
    of TERRANCE DESMOND BOWEN,
    Plaintiff-Appellant,
    versus
    WARDEN, BALDWIN STATE PRISON,
    DOUG UNDERWOOD,
    Deputy Warden of Security, Baldwin State Prison,
    CAGER EDWARD DAVIS,
    Correction Officer, Baldwin State Prison,
    Defendants-Appellees,
    ANTHONY BROOKINS,
    Lieutenant, Baldwin State Prison, et al.,
    Defendants.
    _______________________
    Appeal from the United States District Court
    for the Middle District of Georgia
    ________________________
    (June 22, 2016)
    Case: 15-11109       Date Filed: 06/22/2016       Page: 2 of 27
    Before ED CARNES, Chief Judge, JILL PRYOR and RIPPLE, ∗ Circuit Judges.
    RIPPLE, Circuit Judge:
    On March 9, 2010, Terrance Bowen was beaten to death by his cellmate,
    Carl Merkerson, at Baldwin State Prison in Milledgeville, Georgia. The
    administrator of Mr. Bowen’s estate brought this action under 42 U.S.C. § 1983,
    alleging that Mr. Bowen’s Eighth Amendment right to be free from cruel and
    unusual punishment was violated when he was housed in a cell with Merkerson.1
    In his complaint, the administrator named, among others, several prison officials as
    defendants in their individual capacities. After twice allowing the administrator to
    amend his complaint, the district court dismissed the action, holding that it did not
    state Eighth Amendment claims against the prison officials and that, in any event,
    the officials were entitled to qualified immunity. For the reasons set forth in this
    opinion, we reverse the judgment of the district court with respect to two of these
    officials, Deputy Warden Doug Underwood and Corrections Officer Cager Edward
    Davis, and we remand those claims for further proceedings. In all other respects,
    we affirm the judgment of the district court.
    ∗
    Honorable Kenneth F. Ripple, United States Circuit Judge for the Seventh Circuit,
    sitting by designation.
    1
    “The Eighth Amendment’s ban on cruel and unusual punishment is made applicable to
    the states by virtue of the Fourteenth Amendment.” Carter v. Galloway, 
    352 F.3d 1346
    , 1347
    n.1 (11th Cir. 2003) (citing Robinson v. California, 
    370 U.S. 660
    (1962)).
    2
    Case: 15-11109       Date Filed: 06/22/2016        Page: 3 of 27
    I
    BACKGROUND
    A. 2
    After nearly two years of incarceration for murder, Carl Merkerson was
    transferred to Baldwin State Prison on February 18, 2010. At all relevant times,
    Carl Humphrey was the warden of that institution; Doug Underwood was the
    deputy warden of security; and Cager Edward Davis was the supervising
    corrections officer of Unit K-3, the unit in which Mr. Bowen was murdered.
    Collectively, we refer to these three individuals as the “defendant officials.”
    Merkerson was designated, according to prison guidelines, 3 a Level III
    mental health inmate. This designation meant that he exhibited “a tenuous mental
    status that is easily overwhelmed by everyday pressures, demands and frustrations
    resulting in . . . impulsive behavior, poor judgment, a deterioration of emotional
    2
    The following factual allegations are taken from the administrator’s second amended
    complaint; we must accept them as true for the purposes of this appeal. Murphy v. DCI
    Biologicals Orlando, LLC, 
    797 F.3d 1302
    , 1305 (11th Cir. 2015).
    3
    The second amended complaint refers to the two policies at issue—those relating to
    placement and mental health—only as “the Prison’s Placement [G]uidelines” and “[t]he Prison’s
    manual,” respectively, R.83 at ¶¶ 10, 21, but does not give any additional context as to the origin
    or authority of the policies. The defendants, however, refer to the Placement Guidelines as both
    “GDOC guidelines,” R.53-1 at 4, and “Georgia Department of Corrections (GDOC) standard
    operating procedure (SOP) VG40-0001,” R.86-1 at 2. They also refer to the mental health policy
    as the “GDOC mental health policy.” R.86-1 at 12, 16.
    3
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    controls, loosening of associations, delusional thinking and/or hallucinations.”4
    Specifically, Merkerson had suffered for several years from severe chronic
    paranoid schizophrenia. He also experienced auditory hallucinations as well as
    bizarre and violent delusions involving his cellmates. When his mental condition
    decompensated, Merkerson became easily agitated and frustrated and was unable
    to control his impulses or to appreciate the consequences of his actions; he also
    became violent and dangerous. The defendant officials “were aware of
    Mr. Merkerson’s mental illness”5; they “knew that [he] was a Mental Health
    inmate, Level III.”6
    Merkerson initially was housed in Unit H-2, a unit for Level III mental
    health inmates. On February 26, 2010, he assaulted his cellmate, John Williams.
    The resulting disciplinary report characterized Merkerson’s conduct as
    “High-Assault without a weapon.”7 Because of this attack, and due to his status as
    a mental health inmate, the prison’s “Placement Guidelines” required that
    Merkerson be housed alone unless “the demands of a specific situation require[d] a
    4
    R.83 at ¶ 21 (emphases omitted).
    5
    
    Id. at ¶
    90.
    6
    
    Id. at ¶
    22.
    7
    
    Id. at ¶
    ¶ 26–27.
    4
    Case: 15-11109   Date Filed: 06/22/2016   Page: 5 of 27
    placement contrary to the Placement Guideline[s].” 8 The defendant officials
    “knew that Mr. Merkerson, pursuant to the Placement Guideline[s], had to be
    ‘housed’ alone.”9 After the assault, Merkerson was transferred from Unit H-2 to a
    single occupancy cell in Unit K-3, “the lock-down segregation unit for
    disciplinary, protected custody and mental health individuals.”10
    On or around March 2, 2010, Merkerson’s mother called the prison and
    spoke with Merkerson’s mental health counselor, Pat Tyler. She told Tyler that her
    son’s “mental health condition was decompensating,” that “when [his] mental
    health decompensates, [he] becomes violent and dangerous,” and that he “needed
    to be isolated from other inmates, so that he would not hurt anyone.” 11
    Merkerson’s mother was told that Merkerson would be isolated. Deputy Warden
    Underwood and Officer Davis knew Tyler and knew that he was Merkerson’s
    counselor. However, the complaint does not allege specifically that any of the
    defendant officials knew about the phone call from Merkerson’s mother.
    Merkerson remained alone in his cell in Unit K-3 until March 7, 2010, when
    Terrance Bowen, also a mental health inmate, was placed in the cell with him.
    8
    
    Id. at ¶
    ¶ 13–15.
    9
    
    Id. at ¶
    32.
    10
    
    Id. at ¶
    ¶ 28, 35–36.
    11
    
    Id. at ¶
    ¶ 128–30.
    5
    Case: 15-11109     Date Filed: 06/22/2016      Page: 6 of 27
    “There was no specific situation justifying” the housing of Mr. Bowen with
    Merkerson. 12 Mr. Bowen apparently could have been housed in Unit H-2, the unit
    for mental health inmates. 13 Nevertheless, Merkerson and Mr. Bowen were housed
    together in the same cell because Warden Humphrey had “instituted a policy of
    double-celling inmates.” 14
    Merkerson was six inches taller than Mr. Bowen and outweighed him by
    nearly one hundred pounds. The defendant officials knew of this size disparity.
    The cell in which the two men were housed was small, measuring twelve feet by
    eight feet, with solid cinder-block walls and a concrete floor. The cell’s door was
    solid with a small window. The inside of the cell was not visible from the outside
    unless the flap that covered the window, which was kept closed, was lifted. The
    cell also was not equipped with an alarm. Both Deputy Warden Underwood and
    Officer Davis were familiar with the layout of the cell.
    On March 8, 2010, the night before he was murdered, Mr. Bowen asked to
    be removed from the cell “because of Mr. Merkerson,” but the request was denied
    12
    
    Id. at ¶
    46.
    13
    As mentioned earlier, according to the complaint, Unit H-2 is a unit for mental health
    inmates. Unit K-3 is “the lock-down segregation unit for disciplinary, protected custody and
    mental health individuals.” 
    Id. at ¶
    36.
    14
    
    Id. at ¶
    ¶ 145, 149.
    6
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    “because of [Warden] Humphrey’s double-celling policy.” 15 The administrator
    does not allege specifically that Mr. Bowen asked to be moved because Merkerson
    had threatened him or that Mr. Bowen feared for his safety if he remained in the
    cell, nor does the administrator allege that any of the defendant officials knew
    about Mr. Bowen’s request.
    A large population chart in the unit office identified the inmates in each cell,
    stated the crime for which each inmate was incarcerated, stated why each inmate
    was in the unit, and stated whether the inmate was a mental health inmate.
    Attached to the outside of each cell door was a “segregation/isolation checklist,”
    which indicated each inmate’s mental health status, the unit from which they had
    been transferred, and the reason they had been transferred. 16 At 10:47 a.m. on
    March 9, 2010, the morning of Mr. Bowen’s murder, Deputy Warden Underwood
    inspected the cell and saw the two men together inside. Deputy Warden
    Underwood knew from the cell’s checklist that Merkerson was a mental health
    inmate, that he had been convicted of murder and that he was in the cell for
    assaulting another inmate. He had also seen the population chart in the unit office.
    That same morning, Officer Davis, who had also observed Mr. Bowen in the cell
    with Merkerson, signed the checklist outside the cell door. From the checklist,
    15
    
    Id. at ¶
    ¶ 151–54.
    16
    
    Id. at ¶
    ¶ 64–67.
    7
    Case: 15-11109      Date Filed: 06/22/2016      Page: 8 of 27
    Officer Davis knew that Merkerson was a mental health inmate who had been
    transferred to Unit K-3 from Unit H-2 and that he had recently assaulted another
    inmate. Officer Davis also read the population chart in the unit office on the
    morning of Mr. Bowen’s murder.
    Prison officials later discovered Mr. Bowen with his head stuffed in the
    cell’s toilet and his body limp, brutally beaten, and unmoving. Merkerson had his
    hands around Mr. Bowen’s neck and was pressing his knee against Mr. Bowen’s
    back. Mr. Bowen was transported to the Medical Center of Central Georgia, where
    he died a few hours later from injuries caused by the beating.
    B.
    On July 19, 2013, the administrator of Mr. Bowen’s estate brought this
    action under 42 U.S.C. § 1983 in the United States District Court for the Middle
    District of Georgia. The administrator alleged that Mr. Bowen’s Eighth
    Amendment right was violated when he was housed in the cell with Merkerson,
    and he named as individual defendants Warden Humphrey, Deputy Warden
    Underwood, Officer Davis, and Rex Schoolcraft, a psychiatrist contracted by the
    prison.17 On September 13, 2013, Dr. Schoolcraft moved to dismiss the claim
    17
    The initial complaint also named Lieutenant Anthony Brookins as a defendant, but
    Lieutenant Brookins was not included as a defendant in the second amended complaint.
    8
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    against him, and the district court denied the motion.18 In a separate motion to
    dismiss, the defendant officials—Warden Humphrey, Deputy Warden Underwood,
    and Officer Davis—contended that the administrator had failed to state any claims
    under the Eighth Amendment and that they were entitled to qualified immunity.
    The district court then allowed the administrator to conduct limited discovery and
    amend his complaint. The defendant officials again moved to dismiss.
    After a second discovery period, and with leave of the court, the
    administrator filed his second amended complaint, and the defendant officials
    moved to dismiss for a third time, raising the same arguments they had raised in
    their two previous motions. With respect to the Eighth Amendment claims against
    Deputy Warden Underwood and Officer Davis, the defendant officials argued that
    the administrator had not made the necessary showing that either official
    subjectively knew of a serious risk of harm to Mr. Bowen. They also asserted that
    the administrator had failed to state a supervisory claim against Warden
    Humphrey. Finally, the three defendant officials maintained that they were entitled
    to qualified immunity because they were acting within their discretionary authority
    and their conduct was not in violation of clearly established law.
    18
    The administrator’s case against Dr. Schoolcraft is ongoing. Dr. Schoolcraft has since
    moved for summary judgment, and, according to the record before us, the motion is pending
    before the district court.
    9
    Case: 15-11109   Date Filed: 06/22/2016   Page: 10 of 27
    The district court granted the motion and dismissed all of the administrator’s
    claims. In the court’s view, the claims against Deputy Warden Underwood and
    Officer Davis failed because the administrator “ha[d] not sufficiently alleged facts
    to state a plausible claim that either Underwood or Davis was subjectively aware
    that Merkerson posed a substantial risk of serious harm to Bowen.” 19 It held,
    therefore, that both men were entitled to qualified immunity. The court also
    dismissed the administrator’s supervisory claim against Warden Humphrey,
    explaining that the administrator had failed to “allege that Humphrey knew or even
    should have known that his double-celling policy had resulted in constitutional
    violations” and concluding, therefore, that Warden Humphrey also was entitled to
    qualified immunity. 20
    The administrator timely appeals the dismissal of the claims against
    Deputy Warden Underwood and Officer Davis. The administrator does not,
    however, challenge the dismissal of the supervisory claim against Warden
    Humphrey, and so we do not address that claim.
    II
    DISCUSSION
    19
    R.93 at 10.
    20
    
    Id. at 13.
    10
    Case: 15-11109      Date Filed: 06/22/2016    Page: 11 of 27
    We review the district court’s dismissal of the administrator’s claims de
    novo, accepting the allegations in the second amended complaint as true and
    construing them in the light most favorable to the administrator. Murphy v. DCI
    Biologicals Orlando, LLC, 
    797 F.3d 1302
    , 1305 (11th Cir. 2015).
    To survive a motion to dismiss under Federal Rule of Civil Procedure
    12(b)(6), “a complaint must contain sufficient factual matter, accepted as true, to
    ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 
    550 U.S. 544
    , 570 (2007)). It
    is established law in this circuit that “the Twombly-Iqbal plausibility standard”
    applies equally to “[p]leadings for § 1983 cases involving defendants who are able
    to assert qualified immunity as a defense.” Randall v. Scott, 
    610 F.3d 701
    , 707
    n.2, 709 (11th Cir. 2010); see also Hoefling v. City of Miami, 
    811 F.3d 1271
    , 1276
    (11th Cir. 2016) (reaffirming holding of Randall).
    A.
    Deputy Warden Underwood and Officer Davis maintain that they are
    entitled to the protections of qualified immunity. “To receive qualified immunity,
    [a] government official must first prove that he was acting within his discretionary
    authority.” Caldwell v. Warden, FCI Talladega, 
    748 F.3d 1090
    , 1098 (11th Cir.
    2014) (internal quotation marks omitted). The administrator does not dispute that
    the defendant officials have made this showing. Consequently, the burden now
    11
    Case: 15-11109     Date Filed: 06/22/2016    Page: 12 of 27
    rests on the administrator to establish that Deputy Warden Underwood and
    Officer Davis are “not entitled to qualified immunity by showing that the facts
    alleged make out a violation of a constitutional right and that the constitutional
    right was clearly established at the time of [the] conduct.” Perez v. Suszczynski,
    
    809 F.3d 1213
    , 1218 (11th Cir. 2016). We therefore must consider two questions:
    (1) “whether, taken in the light most favorable to the [administrator], the facts
    alleged show [Deputy Warden Underwood and Officer Davis’s] conduct violated a
    constitutional right,” and, (2) if so, “whether the right was clearly established.” 
    Id. (internal quotation
    marks omitted).
    We first consider whether the facts alleged in the second amended complaint
    make out a violation of the Eighth Amendment. “It is undisputed that the
    treatment a prisoner receives in prison and the conditions under which he is
    confined are subject to scrutiny under the Eighth Amendment.” Helling v.
    McKinney, 
    509 U.S. 25
    , 31 (1993). Beyond just restraining prison officials from
    inflicting “cruel and unusual punishments” upon inmates, “[t]he Amendment also
    imposes duties on these officials, who must . . . ‘take reasonable measures to
    guarantee the safety of the inmates.’” Farmer v. Brennan, 
    511 U.S. 825
    , 832
    (1994) (quoting Hudson v. Palmer, 
    468 U.S. 517
    , 526–27 (1984)). To this end, the
    Supreme Court has made clear that “prison officials have a duty . . . to protect
    prisoners from violence at the hands of other prisoners.” 
    Id. at 833
    (alteration in
    12
    Case: 15-11109      Date Filed: 06/22/2016    Page: 13 of 27
    original) (internal quotation marks omitted); see also Zatler v. Wainwright, 
    802 F.2d 397
    , 400 (11th Cir. 1986) (“[I]t is well settled that a prison inmate has a
    constitutional right to be protected . . . from physical assault by other inmates.”).
    Deliberate indifference in the context of a failure to prevent harm has a
    subjective and an objective component, i.e., a plaintiff must show both “that the
    defendant actually (subjectively) kn[ew] that an inmate [faced] a substantial risk of
    serious harm” and “that the defendant disregard[ed] that known risk by failing to
    respond to it in an (objectively) reasonable manner.” 
    Caldwell, 748 F.3d at 1099
    (alterations in original) (internal quotation marks omitted). Not “every injury
    suffered by one prisoner at the hands of another . . . translates into constitutional
    liability for prison officials responsible for the victim’s safety.” 
    Farmer, 511 U.S. at 834
    . Rather, a prison official violates the Eighth Amendment in this context
    only “when a substantial risk of serious harm, of which the official is subjectively
    aware, exists and the official does not respond reasonably to the risk.” 
    Caldwell, 748 F.3d at 1099
    (emphasis omitted) (internal quotation marks omitted).
    Accordingly, to state an Eighth Amendment claim premised on a failure to prevent
    harm, a plaintiff must allege facts showing that: (1) a substantial risk of serious
    harm existed; (2) the defendants were deliberately indifferent to that risk, i.e., they
    both subjectively knew of the risk and also disregarded it by failing to respond in
    13
    Case: 15-11109       Date Filed: 06/22/2016       Page: 14 of 27
    an objectively reasonable manner; and (3) there was a causal connection between
    the defendants’ conduct and the Eighth Amendment violation. See 
    id. In the
    district court, the defendant officials moved three times to dismiss the
    various iterations of the administrator’s complaint, each time asserting that
    Deputy Warden Underwood and Officer Davis were entitled to qualified immunity
    on two grounds: (1) that the administrator had failed to make the necessary
    showing that either was subjectively aware of a substantial risk of harm to
    Mr. Bowen, and (2) that even if he had, preexisting law at the time did not clearly
    establish that their failure to act violated the Eighth Amendment. In their briefs to
    this court, the parties have focused their arguments on the same issues.
    Accordingly, at this point in the proceedings, we will also focus our Eighth
    Amendment inquiry on those issues,21 but we do not mean to imply that the
    defendants may not raise other issues and make additional arguments as the facts
    are developed. See Oladeinde v. City of Birmingham, 
    230 F.3d 1275
    , 1289 (11th
    Cir. 2000) (explaining that defendants are “not precluded from asserting the
    qualified immunity defense throughout the proceedings as the facts develop[]”).
    21
    See Caldwell v. Warden, FCI Talladega, 
    748 F.3d 1090
    , 1100 (11th Cir. 2014)
    (limiting analysis to subjective component of deliberate indifference element where defendants
    did not dispute remaining elements of plaintiff’s claim); Rodriguez v. Sec’y for Dep’t of Corr.,
    
    508 F.3d 611
    , 620 (11th Cir. 2007) (“Because it is not necessary for us to do so, we decline to
    address the objective component of Rodriguez’s Eighth Amendment claim.”).
    14
    Case: 15-11109     Date Filed: 06/22/2016    Page: 15 of 27
    In the district court’s view, the administrator did not plead sufficient facts
    showing that Deputy Warden Underwood and Officer Davis subjectively knew of
    the substantial risk posed to Mr. Bowen by allowing him to be housed in a cell
    with Merkerson. We find ourselves in respectful disagreement with that
    assessment. A prison official possesses actual, subjective knowledge of a
    substantial risk when the official is “both . . . aware of facts from which the
    inference could be drawn that a substantial risk of serious harm exists, and . . . also
    draw[s] the inference.” 
    Farmer, 511 U.S. at 837
    . “Whether a prison official had
    the requisite knowledge of a substantial risk is a question of fact subject to
    demonstration in the usual ways, including inference from circumstantial
    evidence.” 
    Id. at 842.
    The trier of fact may, therefore, “conclude that a prison
    official knew of a substantial risk from the very fact that the risk was obvious.” 
    Id. Nevertheless, it
    is only a heightened degree of culpability that will satisfy the
    subjective knowledge component of the deliberate indifference standard, a
    requirement that “is far more onerous than normal tort-based standards of conduct
    sounding in negligence.” Goodman v. Kimbrough, 
    718 F.3d 1325
    , 1332 (11th Cir.
    2013).
    We begin by setting out fully and precisely what, according to the
    complaint, Deputy Warden Underwood and Officer Davis allegedly knew at the
    time they failed to take action. Setting aside any conclusory legal allegations, the
    15
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    second amended complaint alleges that these two defendants knew: (1) that
    Merkerson had been convicted of murder; (2) that Merkerson was a severe
    paranoid schizophrenic who suffered from auditory hallucinations and violent
    delusions involving his cellmates; (3) that Merkerson could become impulsive and
    dangerous if his mental condition decompensated; (4) that Merkerson was
    designated by the prison as a Level III mental health inmate, meaning he exhibited
    “a tenuous mental status that is easily overwhelmed by everyday pressures,
    demands and frustrations resulting in . . . impulsive behavior, poor judgment, a
    deterioration of emotional controls, loosening of associations, delusional thinking
    and/or hallucinations” 22; (5) that, according to the population chart and the cell
    checklist, Merkerson had been transferred from Unit H-2 to Unit K-3, the
    segregation unit, for assaulting his previous cellmate; (6) that the prison’s
    “Placement Guideline[s]” required mental health inmates who had committed an
    assault to be housed alone23; (7) that Mr. Bowen was being housed in the cell with
    Merkerson in contradiction to the Guidelines’ requirement; (8) that Merkerson was
    significantly larger than Mr. Bowen; and (9) that the cell that the two inmates
    shared was small, not observable from the outside unless the window flap was
    lifted, and not equipped with an alarm.
    22
    R.83 at ¶ 21 (emphases omitted).
    23
    
    Id. at ¶
    32.
    16
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    Deputy Warden Underwood and Officer Davis’s primary contention is that
    these factual allegations show, at most, that they possessed only a generalized
    awareness of Merkerson’s problematic nature, a level of culpability we have held
    insufficient to “satisfy the subjective awareness requirement.” Carter v. Galloway,
    
    352 F.3d 1346
    , 1350 (11th Cir. 2003). In Carter, John Carter was placed, over his
    objection, in a cell with fellow inmate Termayne Barnes, “a close-security, Level 5
    inmate.” 
    Id. at 1348.
    Barnes informed Carter that he intended to fake a hanging in
    order to obtain a transfer, and when Carter refused to assist Barnes in this
    endeavor, Barnes told Carter that he would help him “one way or another.” 
    Id. In addition
    to this verbal exchange, Barnes also “paced the cell like a caged animal”
    and “generally act[ed] in a disorderly manner.” 
    Id. (internal quotation
    marks
    omitted). Carter relayed this information to prison officials in an attempt to be
    removed from the cell he shared with Barnes, but no action was taken. 
    Id. Roughly one
    week later, Barnes stabbed Carter in the stomach with a shank. 
    Id. Carter then
    brought claims against the prison officials alleging that they had
    violated the Eighth Amendment by allowing him to remain in the cell with Barnes,
    and the district court dismissed the claims on summary judgment. 
    Id. On appeal,
    we acknowledged that the prison officials were aware that
    “Barnes was a problem inmate with a well-documented history of prison
    disobedience and had been prone to violence” and that he was “acting crazy” and
    17
    Case: 15-11109       Date Filed: 06/22/2016   Page: 18 of 27
    pacing his cell. 
    Id. at 1349
    (internal quotation marks omitted). Nevertheless, we
    explained that “before [a defendant’s] awareness arises to a sufficient level of
    culpability, there must be much more than mere awareness of [an inmate’s]
    generally problematic nature.” 
    Id. Although the
    prison officials possessed a
    “generalized awareness” of “Barnes’s propensity for being a problematic inmate,”
    without knowledge “of a particularized threat or fear,” we could not conclude that
    the officials actually drew the inference that Barnes posed a substantial risk of
    serious harm to Carter. 
    Id. at 1350.
    We therefore affirmed the district court’s
    grant of summary judgment in favor of the prison officials.
    At this stage of the proceedings, the administrator’s factual allegations,
    taken as true, render his claims materially distinguishable from those in Carter.
    According to the second amended complaint, Deputy Warden Underwood and
    Officer Davis were not merely aware of Merkerson’s “generally problematic
    nature.” 
    Id. at 1349
    . Rather, they knew specifically that he had committed a
    “High-Assault” against his previous cellmate and that the assault had precipitated
    his transfer and segregation in Unit K-3.24 Far from a generalized awareness of
    Merkerson’s propensity to misbehave, this allegation indicates a degree of
    specificity in the risk of harm posed to Mr. Bowen that simply was not present in
    24
    
    Id. at ¶
    ¶ 14, 27–28, 35–36.
    18
    Case: 15-11109     Date Filed: 06/22/2016   Page: 19 of 27
    Carter. See 
    Rodriguez, 508 F.3d at 621
    –22 (distinguishing Carter based on the
    specificity of the information concerning the risk of harm provided by the inmate
    to the defendant prison official); see also 
    Farmer, 511 U.S. at 842
    –43 (noting that
    subjective knowledge may exist where a risk was “expressly noted by prison
    officials in the past, and the circumstances suggest that the defendant-official being
    sued had been exposed to information concerning the risk and thus ‘must have
    known’ about it”). Furthermore, it is clear from the pleadings that Merkerson was
    not merely “acting crazy.” 
    Carter, 352 F.3d at 1349
    . Deputy Warden Underwood
    and Officer Davis allegedly understood the volatile and dangerous nature of
    Merkerson’s mental condition. Both officials knew that Merkerson was a severe
    paranoid schizophrenic who suffered from violent delusions, auditory
    hallucinations, and impulsive tendencies. And if either official harbored any
    doubts concerning the validity of Merkerson’s illness, they should have been
    quelled by the knowledge of his designation as a Level III mental health inmate.
    For these reasons, our decision in Carter involved an appreciably different set of
    circumstances and cannot control our decision today.
    Far more relevant to the present case is Cottone v. Jenne, 
    326 F.3d 1352
    (11th Cir. 2003). In Cottone, Peter Cottone Jr. was arrested and eventually
    “transferred from the Broward County Jail to Unit 1 of the North Broward
    Detention Center, which houses mentally ill inmates.” 
    Id. at 1355.
    Around the
    19
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    same time, Widnel Charles also was arrested. 
    Id. Prior to
    his arrest, Charles had
    been detained “on numerous occasions due to his violent tendencies and a history
    of schizophrenia,” and “[w]hile in the booking area of the Broward County
    Jail . . . , Charles [had] struck another inmate.” 
    Id. at 1355–56.
    Several days later,
    Charles also was transferred to the North Broward Detention Center. 
    Id. at 1356.
    Roughly a month after that, a staff psychiatrist determined that Charles was
    mentally stable, resulting in his placement in Unit 1 with Cottone and another
    inmate. 
    Id. Although Unit
    1 was divided into three separate cells, the cell doors
    were not locked, which allowed the three men to interact. 
    Id. The following
    day,
    “[d]uring a schizophrenic episode, Charles allegedly strangled Cottone with
    shoelaces.” 
    Id. Cottone was
    transported to the North Broward Medical Center
    where he later died. 
    Id. On behalf
    of the estate, Cottone’s father brought claims against the prison
    officials under § 1983, alleging that their “reckless indifference toward a
    substantial risk of serious inmate harm” had violated Cottone’s Eighth Amendment
    right. Id.25 The district court denied the prison officials’ motion to dismiss,
    25
    The factual basis for the claim in Cottone occurred while Cottone was a pretrial
    detainee. “[T]he relevant constitutional guarantee [therefore was] not the Eighth Amendment's
    prohibition against cruel and unusual punishment, but rather the Due Process Clause of the
    Fourteenth Amendment.” Cottone v. Jenne, 
    326 F.3d 1352
    , 1356 n.4 (11th Cir. 2003).
    Nevertheless, we noted that, given the nature of Cottone’s claim, our analysis was the same
    under either Amendment. 
    Id. 20 Case:
    15-11109   Date Filed: 06/22/2016   Page: 21 of 27
    concluding that they were not entitled to qualified immunity, and the officials filed
    an interlocutory appeal. 
    Id. at 1357.
    Affirming the district court’s decision, we
    explained that there was evidence that the prison officials were subjectively aware
    of the substantial risk posed by Charles to other inmates because: (1) they were
    assigned to Unit 1 and therefore “knew they were monitoring mentally ill inmates,
    who were so mentally ill that they had been assessed, classified, and separated for
    housing in Unit 1”; and (2) “they were aware of the substantial risk of serious harm
    that Charles individually posed to other inmates based on his violent,
    schizophrenic outbursts which occurred prior to the murder incident.” 
    Id. at 1358.
    Our decision in Cottone controls the present case. Like the prison officials
    in Cottone, Deputy Warden Underwood and Officer Davis allegedly knew from
    the population chart and the cell checklist that Merkerson, a convicted murderer,
    was designated a Level III mental health inmate who had been transferred to Unit
    K-3, “the lock-down segregation unit for disciplinary, protected custody and
    mental health individuals,” after assaulting his former cellmate.26 They also
    allegedly were aware of the specifics of Merkerson’s severe paranoid
    schizophrenia, his delusions, and his violent impulses. Having personally seen
    Mr. Bowen in the cell with Merkerson prior to the murder, both defendant officials
    26
    R.83 at ¶¶ 28, 36.
    21
    Case: 15-11109      Date Filed: 06/22/2016        Page: 22 of 27
    would have known that such double celling violated the Placement Guidelines’
    requirement that mental health inmates like Merkerson be housed alone.27
    Moreover, unlike in Cottone, there is no indication in the pleadings here that
    Merkerson’s mental stability was ever reassessed. There was no question that he
    was unstable.
    The defendant officials do not discuss Cottone. Instead, they contend that
    dismissal is appropriate because the administrator failed to make direct, explicit
    allegations either (1) that Deputy Warden Underwood or Officer Davis knew that,
    the night before his murder, Mr. Bowen had requested that he be removed from the
    cell “because of Mr. Merkerson,” 28 or (2) that these defendants were aware of
    Merkerson’s mother’s warning the week before to Pat Tyler, the prison mental
    health counselor, that her son’s mental state was decompensating. For several
    reasons, we decline to take such a parsimonious view of the administrator’s
    complaint.
    27
    We recognize that “failure to follow procedures does not, by itself, rise to the level of
    deliberate indifference.” Taylor v. Adams, 
    221 F.3d 1254
    , 1259 (11th Cir. 2000). It may still be
    relevant to the extent that it shows subjective awareness of a substantial risk. See Hott v.
    Hennepin Cty., Minn., 
    260 F.3d 901
    , 906–07 (8th Cir. 2001); Williams v. Benjamin, 
    77 F.3d 756
    ,
    766 & n.5 (4th Cir. 1996). But more than just a failure to follow procedure has been alleged in
    the present case. That allegation is coupled with the allegations that the defendant officials knew
    about Merkerson’s severe and documented mental illness, his violent behavior, and his recent
    assault on a cellmate, and it is those allegations together that form the basis for the claim. At the
    motion to dismiss stage, that is enough.
    28
    R.83 at ¶¶ 151–52.
    22
    Case: 15-11109      Date Filed: 06/22/2016     Page: 23 of 27
    As an initial matter, the Supreme Court has made clear that knowledge of an
    inmate’s specific request to be moved based on a particular threat is not necessary
    to state a failure-to-protect claim under the Eighth Amendment, as subjective
    knowledge may be established “by reliance on any relevant evidence.” 
    Farmer, 511 U.S. at 848
    (explaining that “the failure [of an inmate] to give advance notice
    [of a risk of harm] is not dispositive”); see also Hale v. Tallapoosa Cty., 
    50 F.3d 1579
    , 1583 (11th Cir. 1995) (same). In any event, the absence of these specific
    allegations “does not diminish the reasonable inferences drawn from the”
    considerable factual matter alleged in the second amended complaint. 
    Caldwell, 748 F.3d at 1101
    . According to the administrator, Deputy Warden Underwood and
    Officer Davis knew the troubling details of Merkerson’s severe mental condition;
    they knew of his recent assault against his cellmate; and they knew that, under the
    Placement Guidelines, he should have been housed alone.
    These are not assertions of mere negligence or even gross negligence,29 nor
    are they mere recitations of the legal elements of the administrator’s Eighth
    29
    Cf. Goodman v. Kimbrough, 
    718 F.3d 1325
    , 1334 (11th Cir. 2013) (affirming summary
    judgment against plaintiff where defendants failed to conduct head counts or cell checks and
    deactivated emergency call buttons because such evidence of negligence did “not relieve
    Goodman of the burden of showing that the officers were subjectively aware of the risk”).
    23
    Case: 15-11109       Date Filed: 06/22/2016      Page: 24 of 27
    Amendment claim. 30 On the contrary, the administrator alleges that Deputy
    Warden Underwood and Officer Davis were actually aware of a substantial and
    seemingly conspicuous risk posed to Mr. Bowen by allowing him to remain in the
    small cell with Merkerson. See 
    Farmer, 511 U.S. at 842
    (explaining that
    subjective knowledge can be inferred from circumstantial evidence and “the very
    fact that the risk was obvious”). Even assuming that these defendant officials were
    unaware of Mr. Bowen’s removal request or Merkerson’s mother’s warning, this
    lack of awareness does not serve to negate or even to discount the facts they
    allegedly did know.
    We conclude, therefore, that the administrator has set forth in his second
    amended complaint sufficient facts showing that Deputy Warden Underwood and
    Officer Davis were both “aware of facts from which the inference could be drawn
    that a substantial risk of serious harm exist[ed], and . . . also dr[e]w the inference.”
    
    Id. at 837.
    Because this was the sole disputed element of his claims against these
    defendants, dismissal was inappropriate.
    B.
    Although the administrator has made the necessary showing, on the face of
    the complaint, that Mr. Bowen’s Eighth Amendment right was violated, “qualified
    30
    Cf. Franklin v. Curry, 
    738 F.3d 1246
    , 1251 (11th Cir. 2013) (reversing denial of
    motion to dismiss where plaintiff’s complaint consisted mainly of “conclusory legal allegations”
    lacking factual support).
    24
    Case: 15-11109     Date Filed: 06/22/2016    Page: 25 of 27
    immunity will still attach unless that right was clearly established at the time”
    Deputy Warden Underwood and Officer Davis failed to act. 
    Perez, 809 F.3d at 1221
    . “In determining whether a right is clearly established, the relevant,
    dispositive inquiry is ‘whether it would be clear to a reasonable officer that his
    conduct was unlawful in the situation he confronted.’” 
    Caldwell, 748 F.3d at 1102
    (quoting 
    Cottone, 326 F.3d at 1359
    ). Thus, the “salient question” is whether,
    looking to the decisions of the Supreme Court, the Eleventh Circuit, and the
    Georgia Supreme Court, “the state of the law in” March 2010 gave Deputy Warden
    Underwood and Officer Davis “fair warning” that their conduct was unlawful.
    Hope v. Pelzer, 
    536 U.S. 730
    , 741 (2002); McClish v. Nugent, 
    483 F.3d 1231
    , 1237
    (11th Cir. 2007). We conclude that it did.
    Given the nature of the pleadings before us and the allegations that the
    conduct at issue occurred in 2010, our discussion and reiteration of 2003 Cottone
    circuit precedent in the 2014 decision in Caldwell v. Warden, FCI Talladega, 
    748 F.3d 1090
    (11th Cir. 2014), is dispositive. In Caldwell, addressing the clearly
    established prong of qualified immunity, we explained that our 2003 decision in
    Cottone had “held that the total failure to monitor or supervise a visibly violent,
    mentally unstable, schizophrenic inmate who was housed in a separate unit for
    mentally ill inmates and who posed a substantial risk of serious harm to other
    inmates in that housing unit constituted deliberate indifference” in violation of the
    25
    Case: 15-11109     Date Filed: 06/22/2016    Page: 26 of 27
    Eighth Amendment. 
    Caldwell, 748 F.3d at 1102
    (citing 
    Cottone, 326 F.3d at 1358
    –59). As we have discussed in detail above, the record in this case is
    materially indistinguishable from the circumstances present in Cottone. Deputy
    Warden Underwood and Officer Davis were therefore on notice in March 2010
    that “the law of this Circuit, as expressed in Cottone, clearly established that the
    defendants’ total failure to investigate—or take any other action to mitigate—the
    substantial risk of serious harm that [Merkerson] posed to [Mr. Bowen] constituted
    unconstitutional deliberate indifference to [Mr. Bowen’s] Eighth Amendment
    rights.” 
    Id. at 1103.
    These defendants therefore are not entitled to qualified
    immunity at this stage of the proceedings.
    We emphasize that the claims against Deputy Warden Underwood and
    Officer Davis were dismissed on the pleadings and that in our analysis we have
    taken the administrator’s factual allegations as true and construed them in his
    favor. This case may look very different as it moves beyond the pleadings and the
    record is developed more fully. See 
    Oladeinde, 230 F.3d at 1289
    (explaining that
    the “defendants [are] not precluded from asserting the qualified immunity defense
    throughout the proceedings as the facts develop[]”). Nevertheless, at this stage and
    on the pleadings alone, Deputy Warden Underwood and Officer Davis are not
    entitled to the protections of qualified immunity.
    Conclusion
    26
    Case: 15-11109     Date Filed: 06/22/2016   Page: 27 of 27
    Because we conclude that Deputy Warden Underwood and Officer Davis are
    not entitled to qualified immunity, we reverse the judgment of the district court and
    remand the case for further proceedings. In all other respects, we affirm the
    decision of the district court. The administrator may recover his costs in this court.
    AFFIRMED in part, REVERSED and REMANDED in part.
    27