Ajaj v. United States , 293 F. App'x 575 ( 2008 )


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  •                                                                              FILED
    United States Court of Appeals
    Tenth Circuit
    UNITED STATES COURT OF APPEALS
    September 15, 2008
    TENTH CIRCUIT                      Elisabeth A. Shumaker
    Clerk of Court
    AHMED M. AJAJ,
    Plaintiff-Appellant,
    v.                                                        No. 07-1073
    UNITED STATES OF AMERICA,                     (D.C. No. 03-CV-1959-MSK-PAC)
    ROBERT A. HOOD, JAMES                                     (D. Colo.)
    BURRELL, DAVID DUNCAN, R.
    WILEY, in his official capacity, and
    MICHAEL NALLEY, in his official
    capacity,
    Defendants-Appellees.
    ORDER AND JUDGMENT *
    Before HENRY, Chief Judge, BALDOCK, and BRISCOE, Circuit Judges.
    Plaintiff Ahmed M. Ajaj is a federal prisoner incarcerated at the
    Administrative Maximum United States Penitentiary in Florence, Colorado (ADX).
    In this prisoner civil rights action, brought pursuant to 28 U.S.C. § 1331 and Bivens, 1
    Plaintiff challenges the conditions of his confinement at ADX, as well as the United
    *
    This order and judgment is not binding precedent, except under the doctrines
    of law of the case, res judicata, and collateral estoppel. The Court will, however,
    permit citation of this decision for its persuasive value consistent with Fed. R. App.
    P. 32.1 and 10th Cir. R. 32.1.
    1
    See Bivens v. Six Unknown Named Agents of Federal Bureau of Narcotics,
    
    403 U.S. 388
    (1971).
    States Bureau of Prisons’ (BOP) failure to provide him notice of, or a hearing
    concerning, his transfer to ADX in 2002. See Simmat v. U.S. Bureau of Prisons, 
    413 F.3d 1225
    , 1230-32 (10th Cir. 2005). Plaintiff appeals from the district court’s
    December 22, 2006 Order Granting Qualified Immunity and Dismissing Claims. We
    affirm in part, reverse in part, and remand.
    I.
    Because the district court accurately and thoroughly set forth this case’s
    extensive facts and procedural history, we only set forth this matter’s background to
    the extent necessary to resolve this appeal. See Ajaj v. United States, No. 03-CV-
    1959-MSK-PAC, 
    2006 WL 3797871
    , at *1-5 (D. Colo. Dec. 22, 2006). Plaintiff
    sued all Defendants in their individual and official capacities, alleging, as relevant
    here, four claims. Third Am. Compl. ¶8. First, Plaintiff asserted Defendant United
    States violated the Federal Tort Claims Act (FTCA) in negligently failing to house
    him in a low-altitude and smoke-free environment contrary to medical instructions
    (Claim 1). Second, Plaintiff averred Defendants Hood, Burrell, Wiley, and Nalley
    (the Federal Officers) violated the Eighth Amendment by failing to protect Plaintiff
    from an unreasonable risk of harm by failing to move him to a low altitude, smoke-
    free housing assignment, contrary to prescribed medical instructions (Claim 2).
    Third, Plaintiff claimed that the Federal Officers violated the Eighth Amendment by
    acting with deliberate indifference to Plaintiff’s conditions of confinement at ADX
    (i.e., limitations on his property rights, mail, access to telephones and recreation,
    2
    lock-down 23 hours per day, extreme isolation, imposition of discipline for minor
    offenses, noise, and the indefinite nature of his confinement) (Claim 3(A)). Fourth,
    Plaintiff asserted Defendant Hood deprived him of a liberty interest by transferring
    Plaintiff to ADX without notice or a hearing, and also by continuing to confine him
    there for an indefinite duration without the ability to meaningfully challenge his
    placement (i.e.,without admittance to ADX’s “step-down program”) (Claim 3(B)). 2
    Therein, Plaintiff sought compensatory damages and injunctive relief. Third Am.
    Compl. at 17-18.
    The Federal Officers moved for summary judgment on “all claims.” App. at
    178. The district court subsequently issued an Order Granting Qualified Immunity
    and Dismissing Claims. The Order granted the Federal Officers’ motion in its
    entirety, save Plaintiff’s official capacity claim under Claim 3(B) to the extent it
    sought admittance to ADX’s step down program. Ajaj, 
    2006 WL 3797871
    , at *12
    (stating that the “sole claim remaining for trial is Claim 3(B) (denial of procedural
    due process with regard to ADX step downs) against [the Federal Officers] . . . in
    2
    As the district court explained:
    ADX has a stratified housing system which allows inmates to progress
    through a step-down program from the most restrictive to the least
    restrictive housing assignment . . . . Ordinarily, inmates are
    automatically assessed every six months for purposes of determining
    whether they should progress . . . . [Plaintiff] contends that he has
    repeatedly been denied step downs [despite meeting all of the step down
    criteria as of January 2005] . . . .
    Ajaj, 
    2006 WL 3797871
    , at *5.
    3
    their official capacities.” (emphasis added)). On January 4, 2007, BOP placed
    Plaintiff in ADX’s step-down program. As such, the parties submitted a Fed. R. Civ.
    P. 41(a)(1)(ii) stipulation to dismiss Claim 3(B). 3 Ajaj, No. 03-CV-1959-MSK-PAC,
    Doc. #270, at ¶9 (filed 2/22/07) (agreeing that Plaintiff’s placement in ADX’s step-
    down unit program meant he had obtained “the remedy available pursuant to the . . .
    December 22, 2006 Order . . . under [C]laim 3(B)”). Pursuant to the parties’
    stipulation, the district court dismissed Claim 3(B) without prejudice and directed
    the clerk to close the case. See Ajaj, No. 03-CV-1959-MSK-PAC, Doc. #271, at 1
    (filed 2/23/07). Plaintiff appeals.
    II.
    We review “de novo a district court’s decision regarding qualified immunity.”
    Amundsen v. Jones, 
    533 F.3d 1192
    , 1198 (10th Cir. 2008). Under the summary
    judgment standard, we generally review the evidence in the light most favorable to
    the nonmoving party. See Nelson v. McMullen, 
    207 F.3d 1202
    , 1205 (10th Cir.
    3
    The district court’s February 23, 2007 Order dismissed Claim 3(B) without
    prejudice. On February 20, 2007, Plaintiff filed a Notice of Appeal providing that
    “Plaintiff . . . hereby appeal [sic] . . . from an Order Granting Qualified Immunity
    and Dismissing Claims entered in this action on the 22nd day of December, 2006.”
    Because Claim 3(B) remained viable in the district court, , however, Plaintiff’s
    Notice of Appeal was premature. See Heimann v. Snead, 
    133 F.3d 767
    , 768-69 (10th
    Cir. 1998). Accordingly, we issued a jurisdictional show cause order. The district
    court — at the parties’ request — subsequently dismissed Plaintiff’s Claim 3(B) with
    prejudice. As such, Plaintiff’s February 20, 2007 Notice of Appeal ripened with the
    district court’s entry of its dismissal of Claim 3(B). Ruiz v. McDonnell, 
    299 F.3d 1173
    , 1180 (10th Cir. 2002); Lewis v. B.F. Goodrich Co., 
    850 F.3d 641
    , 645-46
    (10th Cir. 1988) (en banc).
    4
    2000). Yet, when “qualified immunity is raised in a summary judgment motion, . .
    . [this Court applies] special rules to determine whether the motion was properly
    granted or denied.” Reynolds v. Powell, 
    370 F.3d 1028
    , 1030 (10th Cir. 2004)
    (quotations omitted).    Because the Federal Officers raised qualified immunity,
    Plaintiff “bears the initial burden of proving”: (1) the Federal Officers’ conduct
    violated a constitutional right; and (2) this right was clearly established at the time
    the conduct at issue occurred. 
    Amundsen, 533 F.3d at 1198
    . If Plaintiff makes this
    showing, the burden shifts back to the Federal Officers to demonstrate no genuine
    issues of material fact exist and they are entitled to judgment as a matter of law. 
    Id. The Federal
    Officers prevail, however, if Plaintiff fails to carry the initial twofold
    burden. 
    Id. To be
    clear, a “qualified immunity defense is only available to parties
    sued in their individual capacity.” Beedle v. Wilson, 
    422 F.3d 1059
    , 1069 (10th Cir.
    2005); Hammons v. Saffle, 
    348 F.3d 1250
    , 1257 (10th Cir. 2003). Hence, on
    summary judgment, official capacity claims for prospective injunctive relief are
    subject to normal Fed. R. Civ. P. 56(c) standards.
    III.
    Plaintiff first argues that the district court erred in granting summary judgment
    to the Federal Officers on his Eighth Amendment failure to protect claim (Claim 2).
    Claim 2 averred that the Federal Officers failed to act in accordance with prescribed
    medical treatment or exposed Plaintiff to an unreasonable risk of harm by not
    moving him to a low-altitude and smoke-free prison assignment. Plaintiff contends
    5
    that, contrary to the district court’s conclusion, he marshaled sufficient evidence to
    withstand summary judgment. The Federal Officers, however, maintain Plaintiff
    failed to demonstrate their conduct violated Plaintiff’s constitutional rights.
    To establish an Eighth Amendment inadequate medical care claim, Plaintiff
    must establish that the Federal Officers acted with “deliberate indifference to an
    inmate’s serious medical needs.” Mata v. Saiz, 
    427 F.3d 745
    , 751 (10th Cir. 2005);
    see Estelle v. Gamble, 
    429 U.S. 97
    , 103 (1976). Deliberate indifference in the
    Eighth Amendment context encompasses an objective and subjective prong. Namely,
    “the plaintiff must show that he is incarcerated under conditions posing a substantial
    risk of serious harm, the objective component, and that the prison official was
    deliberately indifferent to his safety, the subjective component.”            Smith v.
    Cummings, 
    445 F.3d 1254
    , 1257 (10th Cir. 2006) (quotation omitted). Hence, to
    satisfy the objective prong, Plaintiff must demonstrate that the medical needs he
    avers the Federal Officers neglected are “sufficiently serious” to satisfy the objective
    element.   Self v. Crum, 
    439 F.3d 1227
    , 1231 (10th Cir. 2006).            Meeting the
    subjective prong requires Plaintiff demonstrate “sufficiently culpable” states of mind
    on the Federal Officers’ part. 
    Id. “A medical
    need is serious if it has been diagnosed by a doctor or is one that
    has been diagnosed by a physician as mandating treatment or one that is so obvious
    that even a lay person would easily recognize the necessity for a doctor’s attention.”
    Riddle v. Mondragon, 
    83 F.3d 1197
    , 1202 (10th Cir. 1996) (quotation omitted)
    6
    (“Conduct which, at most, is medical malpractice redressable in state court does not
    represent cruel and unusual punishment.”). Failure to act in accordance with or
    intentional interference with prescribed medical treatment or instructions can give
    rise to an Eighth Amendment claim. 
    Estelle, 429 U.S. at 104-05
    .
    First, Plaintiff has failed to satisfy the objective prong regarding ADX’s
    altitude. Like the district court, our review of the record reveals no evidence that the
    Federal Officers contravened medical instructions by placing and continuing to house
    him at ADX, rather than at a low-altitude prison. A 1998 “Transfer Summary” —
    signed by a psychiatrist and psychologist at BOP’s medical facility in Springfield,
    Missouri, following Plaintiff’s left pneumonectomy — is not to the contrary. That
    record provides: “[Plaintiff] will experience limited exercise capacity at facilities
    more than 2,000 feet above sea level and should be considered for facilities with
    elevations lower than that.” App. at 593 (emphasis added). While the 1998 record
    recommended Plaintiff be considered for a low-altitude housing assignment, the
    physicians in no way indicated that such a placement was medically necessary or
    otherwise required. Hence, Plaintiff’s placement and continued confinement at ADX
    does not contravene medical instructions or pose an unreasonable risk of harm.
    Indeed, Plaintiff’s treating physician at ADX never indicated that Plaintiff’s
    health required a low-altitude housing placement. Although BOP authorized Plaintiff
    to undergo pulmonary function testing by an independent pulmonologist, the
    procedure yielded normal results, indicating that Plaintiff was “adequately
    7
    compensating at [ADX’s] altitude.” App. at 588. Other medical records reveal that
    Plaintiff’s treating physician at ADX considered him to generally be in “excellent
    health.” App. at 579; see also 
    id. at 555-56,
    626-27. Finally, Plaintiff’s own
    medical expert opined in his deposition testimony that he “d[id] not believe
    [Plaintiff] need[ed] to be moved to a lower 
    altitude.” 4 Ohio App. at 729
    (deposition
    testimony of Dr. Dennis Clifford). As such, the Federal Officers are entitled to
    qualified immunity in regard to Plaintiff’s Eighth Amendment claim related to
    ADX’s altitude.
    Second, even assuming without deciding Plaintiff sufficiently evidenced that
    his exposure to second-hand or environmental tobacco smoke (ETS) at ADX, before
    it became a smoke-free facility, was sufficiently serious to meet the objective prong
    of the Eighth Amendment test, qualified immunity in regard to this claim is also
    appropriate. 5 See United States v. Hasan, 
    526 F.3d 653
    , 663 (10th Cir. 2008) (noting
    4
    We note that, in addressing Plaintiff’s physical and mental health, his
    January 25, 2005 BOP Progress Report notes — without any further explanation —
    he has “an altitude restriction.” App. at 695. The district court’s order makes no
    reference to this document. Because (1) neither party mentions or explains the
    significance of this reference, and (2) there is a dearth of evidence that Plaintiff
    required a low-altitude housing assignment, the annotation in the Progress Report
    does not give us pause. See Cooperman v. David, 
    214 F.3d 1162
    , 1164 (10th Cir.
    2000) (“Only disputes over facts that might affect the outcome of the suit under the
    governing law will properly preclude the entry of summary judgment.”).
    5
    We note that the district court found ADX became a smoke-free facility in
    July 2005, while the Federal Officers maintain “ADX became a smoke-free facility”
    in November 2004.” Compare Ajaj, 
    2006 WL 3797871
    , at *4, with Appellees’ Resp.
    Br. at 8. Because this factual discrepancy is not outcome determinative here, we
    (continued...)
    8
    that we may “affirm a district court for any reason supported by the record”).
    Plaintiff simply has not shown the Federal Officers acted with deliberate indifference
    to his requests for a smoke-free environment. Undoubtedly, the record evidences
    medical instructions that Plaintiff should be placed in non-smoking housing. See
    App. at 556, 569-70, 579, 591; see also 
    id. at 729.
    In response to Plaintiff’s
    complaints of smelling ETS in his cell, his treating physician at ADX, Dr. Leyba,
    was unable to confirm or disprove Plaintiff’s symptoms of reactions to ETS. He
    recommended Plaintiff be moved to a non-smoking unit in ADX. 
    Id. Though not
    dispositive, given ADX’s unique role in the federal prison system, we believe the
    fact Dr. Leyba never sought a medical transfer for Plaintiff out of ADX on Plaintiff’s
    behalf notable.
    Further, far from ignoring Plaintiff’s complaints, or the recommendations of
    Dr. Leyba, the Federal Officers responded by investigating Plaintiff’s complaints and
    trying to accommodate his needs, within the high-security ADX setting. App. at 417
    (noting that ADX “is the most secure prison in the federal system” with “unique
    security and control procedures”).     For instance, Defendant Duncan, an ADX
    Associate Warden, testified that he responded to Plaintiff’s complaints by
    coordinating with ADX’s facilities personnel and Plaintiff’s ADX physician. With
    their aid, Defendant Duncan undertook an investigation into whether Plaintiff could
    (...continued)
    decline to resolve it. See 
    Cooperman, 214 F.3d at 1164
    .
    9
    — as he maintained — be exposed to ETS and, if so, how to minimize any such
    exposure. App. at 587. Defendant Duncan testified that the investigation revealed
    that ADX’s air filtration system was such that Plaintiff could be exposed to ETS.
    App. at 587 (explaining that four cells are connected together and that ETS could
    pass between the cells). Accordingly, Duncan stated no inmates who smoked were
    housed in any of the three cells adjoining Plaintiff’s cell.
    Additionally, in early 2003, ADX installed air filters in Plaintiff’s cell.
    Plaintiff’s Unit Manager noted in a memo to Defendant Burrell that Plaintiff told the
    ADX Facilities Manager that, although he continued to complain about ETS, “the
    filter had helped him.” App. at 667. Further, Defendant Hood testified to the best
    of his knowledge Plaintiff was placed “on a range with either no smokers or, if any,
    [Plaintiff was placed] at the far end of the range” where the cells’ configuration
    precluded his exposure to ETS. App. at 650. True, a June 2004 memo from a BOP
    official to an ADX administrator continued to draw attention to this issue. But the
    document reflects that the official’s concern, regarding Plaintiff not having been
    assigned to a smoke-free unit, was driven more by Plaintiff’s litigiousness than by
    concern for his ETS exposure. 
    Id. at 588;
    see generally Self v. Crum, 
    439 F.3d 1227
    ,
    1232 (10th Cir. 2006) (“A claim is . . . actionable only in cases where the need for
    additional treatment . . . is obvious.” (emphasis added)).
    In short, the record adduces no indication the Federal Officers disregarded “a
    known or obvious consequence” of their actions, Bd. of County Comm’rs of Bryan
    10
    County v. Brown, 
    520 U.S. 397
    , 410 (1997), nor “an excessive risk to [Plaintiff’s]
    health or safety.” Farmer v. Brennan, 
    511 U.S. 825
    , 837 (1994); see also 
    Estelle, 429 U.S. at 105-06
    (inadvertence does not satisfy the subjective prong of an Eighth
    Amendment claim regarding federal officers’ conduct); cf. 
    Self, 439 F.3d at 1232
    (subjective deliberate indifference would be demonstrated where “e.g., a patient
    complains of chest pains and the prison official, knowing that medical protocol
    requires referral or minimal diagnostic testing . . . [nevertheless] sends the inmate
    back to his cell.”). As such, Plaintiff cannot satisfy the subjective prong of our
    Eighth Amendment analysis and the Federal Officers are entitled to qualified
    immunity on this claim. See 
    Self, 439 F.3d at 1232
    -33.
    IV.
    Plaintiff also appeals the district court’s sua sponte dismissal of his claim
    under the Federal Tort Claims Act (Claim 1). In support of his position, Plaintiff
    points to medical instructions that stated he “would function better” in a low-altitude
    environment and should be assigned to smoke-free housing. See Appellant’s Br. at
    33. The district court dismissed Claim 1 sua sponte, deeming it premised on the
    same facts as Claim 2. Ajaj, 
    2006 WL 3797871
    , at *12; see 
    also supra
    Part.III.
    Whether the district court made this determination under the motion to dismiss
    standard, or pursuant to the summary judgment standard, is unclear from the district
    court’s cursory ruling. See 
    id. Under the
    FTCA, the law of the place where the allegedly negligent or
    11
    wrongful act occurred “determines the legal basis for liability.” See Gundy v. United
    States, 
    728 F.2d 484
    , 487 (10th Cir. 1984). Here, Colorado law governs and directs
    that, as with any common law negligence claim, “a claimant alleging negligence of
    another party must establish the existence of a duty, a breach of that duty, causation,
    and damages.” Redden v. SCI Colo. Funeral Servs., Inc., 
    38 P.3d 75
    , 80 (Colo.
    2001) (en banc). We have previously stated that while “Colorado courts have not yet
    addressed whether prison officials owe a duty of care to inmates regarding their
    medical needs,” if specifically presented with the question, we believe Colorado law
    would impose a duty of care on prison officials to “protect[] inmates’ health and
    safety.” Kikumura v. Osagie, 
    461 F.3d 1269
    , 1301 (10th Cir. 2006), abrogated on
    other grounds by Bell Atl. Corp. v. Twombly, 
    127 S. Ct. 1955
    (2007); see also
    Restatement (Second) of Torts §!! 314(a)(4) (1965).
    Regarding Plaintiff’s need for a low-altitude placement, as discussed above,
    the record is devoid of medical records recommending such an accommodation. In
    contrast, the record reflects that Plaintiff’s treating physician at ADX clearly
    recommended Plaintiff reside in a smoke-free unit. As a general matter, prison
    administrators do not breach their duty of care when an inmate is placed in an
    environment where that inmate will be exposed to ETS in reasonable quantities. See
    Friedman v. United States, 87 F. App’x 459, 462 (6th Cir. 2003) (finding no
    negligence in prison officials’ failure to prevent inmate’s exposure to ETS where no
    evidence existed that exposure to smoke exacerbated inmate’s pre-existing medical
    12
    condition). But where an inmate possesses an obvious medical need for housing in
    a smoke-free environment, and prison administrators fail to respond to that need, the
    inmate may have a viable negligence claim as a result of the alleged breach of care.
    As such, an FTCA inmate-plaintiff alleging a particular medical need for smoke-free
    housing, like Plaintiff, may potentially demonstrate a breach of the duty of care when
    the United States fails to place that inmate in a completely smoke-free environment.
    Here, Plaintiff alleges the United States breached that duty when he was not
    placed in a completely smoke-free environment, and that this breach was the “direct
    and proximate cause of serious, permanent and continuing injuries to Mr. Ajaj.”
    Third Am. Compl. ¶70; see also 
    id. ¶¶63-64, 66.
    The record reflects ADX personnel
    attempted to discern and minimize Plaintiff’s exposure to ETS. See supra Part. III.
    But the record was only developed in relation to Plaintiff’s other claims (i.e., the
    claims at issue in the Federal Officers’ summary judgment motion), not his FTCA
    claim. Further, whether the district court’s short and vague sua sponte dismissal of
    Claim 1 employed the motion to dismiss standard, or the summary judgment
    standard, remains unclear. In any event, concluding that these alternative steps
    foreclose Plaintiff’s claim, at this juncture, would ignore the basic allegation
    Plaintiff asserts in his FTCA claim regarding ETS, i.e., that regardless of any other
    accommodations the prison administrators made, the United States breached its duty
    of care by not placing Plaintiff in completely smoke-free housing. See Third Am.
    Compl. ¶70.
    13
    The district court may ultimately conclude ADX personnel acted reasonably,
    and find that by investigating Plaintiff’s complaints, placing non-smoking inmates
    in the cells adjoining Plaintiff’s, and installing a special air filter, the United States
    satisfied the duty owed to Plaintiff. But whether anything short of placing Plaintiff
    in a completely smoke-free environment was a breach of Defendants’ duty of care
    may not be adjudged at this early stage of litigation. 6 We therefore conclude
    Plaintiff’s allegations are adequate to warrant further proceedings on Claim 1.
    V.
    Next, Plaintiff appeals the district court’s ruling on his Eighth Amendment
    conditions of confinement claim (Claim 3(A)). Claim 3(A) asserts that the following
    conditions of Plaintiff’s ADX confinement amount to “atypical and significant
    hardships,” as compared to the general population: (1) limitations on his property
    rights, mail, access to telephones, and recreation; (2) lock-down for 23 hours per day
    in extreme isolation; (3) imposition of discipline for minor offenses; (4) noise;
    6
    For clarity’s sake, we note that concluding Plaintiff’s FTCA claim remains
    tenable is entirely consistent with concluding that his Eighth Amendment deliberate
    indifference claim is appropriate for summary judgment. To sustain an Eighth
    Amendment deliberate indifference claim a “plaintiff must show that he is
    incarcerated under conditions posing a substantial risk of serious harm . . . and that
    the prison official was deliberately indifferent to his safety.” See supra Part. III
    (emphasis added) (quoting 
    Smith, 445 F.3d at 1257
    ). We concluded above that ADX
    personnel’s efforts to minimize Plaintiff’s ETS exposure demonstrated they did not
    act with deliberate indifference to Plaintiff’s requests for a smoke-free environment
    (i.e., the second requirement of an Eighth Amendment claim). The FTCA, of course,
    does not implicate any such inquiry into prison officials’ “state of mind.” See
    
    Kikumara, 461 F.3d at 1293
    ; see also 
    id. at 1301.
    14
    (5) lights which remain on in his cell 24 hours per day; and (6) his indefinite
    confinement at ADX.
    “The Eighth Amendment’s prohibition of cruel and unusual punishment
    imposes a duty on prison officials to provide humane conditions of confinement,
    including adequate food, clothing, shelter, sanitation, medical care, and reasonable
    safety from serious bodily harm.” Tafoya v. Salazar, 
    516 F.3d 912
    , 916 (10th Cir.
    2008).     As stated above, Plaintiff bears the burden of showing, first, that his
    conditions of confinement are, objectively, sufficiently serious, and, second, that the
    Federal Officers were deliberately indifferent to his safety. See 
    id. The district
    court granted summary judgment to the Federal Officers, concluding Plaintiff failed
    to show that the conditions of his ADX confinement are sufficiently serious.
    Specifically, the district court noted that, although Plaintiff took issue with numerous
    conditions of his confinement, his summary judgment response referenced record
    evidence only in regard to his limited ability to exercise outdoors and his indefinite
    confinement at ADX. Ajaj, 
    2006 WL 3797871
    , at *9. The district court ultimately
    deemed Plaintiff’s evidence of these conditions inadequate to withstand summary
    judgment. See 
    id. On appeal,
    Plaintiff contends that his deposition testimony, which he
    submitted as an attachment to his summary judgment response, evidenced all the
    conditions of confinement set forth in Claim 3(A). Principally, Plaintiff’s briefing
    underscores his restricted access to outdoor exercise and the indefinite nature of his
    15
    detention at ADX. The Federal Officers respond that the conditions of confinement
    Plaintiff complains of are not, as a matter of law, sufficiently serious to maintain his
    Eighth Amendment claim.
    Undoubtedly:
    It is important to consider the conditions of confinement as a whole
    because several deprivations “in combination” may constitute a
    constitutional violation “when they have a mutually enforcing effect
    that produces the deprivation of a single, identifiable human need such
    as food, warmth, or exercise-for example, a low cell temperature at
    night combined with a failure to issue blankets.”
    Mitchell v. Maynard, 
    80 F.3d 1433
    , 1442 (10th Cir. 1996) (quoting Wilson v. Seiter,
    
    501 U.S. 294
    , 304 (1991)). But equally true is that “[n]othing so amorphous as
    ‘overall conditions’ can rise to the level of cruel and unusual punishment when no
    specific deprivation of a single human need exists.” 
    Wilson, 501 U.S. at 305
    ; accord
    Gillis v. Litscher, 
    468 F.3d 488
    , 493 (7th Cir. 2006) (“Some conditions of
    confinement may establish an Eighth Amendment violation in combination when
    each alone would not do so. This is true when the deprivations have a mutually
    enforcing effect which produces the deprivation of a single, identifiable human need,
    such as food or warmth . . . .”).
    Quite simply, save Plaintiff’s allegations regarding his access to exercise, the
    conditions of confinement he avers do not, even taken together, constitute the sort
    of “significant departure from the healthy habilitative environment the state is
    required to provide its inmates.” See 
    Mitchell, 80 F.3d at 1442
    ; see, e.g., Ramos v.
    16
    Lamm, 
    639 F.2d 559
    , 568 (10th Cir. 1980) (inmate must be provided with
    “reasonably adequate ventilation, sanitation, bedding, hygienic materials, and
    utilities (i.e., hot and cold water, light, heat, plumbing)”). Compare 
    Gillis, 468 F.3d at 493
    (ruling qualified immunity inappropriate on Wisconsin supermax
    inmate/plaintiff’s Eighth Amendment claim where conditions of his confinement
    included:   “denial of shelter, heat, and hygiene items implicated an inmate's
    constitutional rights”), with Third Am. Compl. ¶73, and Ruark v. Solano, 
    928 F.2d 947
    , 949 (10th Cir. 1991) (concluding an inmate’s allegations that his cell was small
    and noisy, that his movement outside his cell was severely restricted, and that he
    enjoyed very limited visitation did not implicate the Eighth Amendment).
    Regarding Plaintiff’s access to exercise, we recognize:
    that some form of regular outdoor exercise is extremely important to the
    psychological and physical well being of inmates, and some courts have
    held a denial of fresh air and exercise to be cruel and unusual
    punishment under certain circumstances.
    Fogle v. Pierson, 
    435 F.3d 1252
    , 1260 (10th Cir. 2006) (quotation omitted); see also
    Housley v. Dodson, 
    41 F.3d 597
    , 599 (10th Cir. 1994) (“Although no precise
    standards have been set forth delineating what constitutes constitutionally sufficient
    opportunities for exercise, the right to some exercise was clearly established at the
    time of Mr. Housley's confinement.”), abrogated on other grounds by Lewis v.
    Casey,
    518 U.S. 343
    (1996); Bailey v. Shillinger, 
    828 F.2d 651
    , 653 (10th Cir. 1987)
    (while restrictive, limiting inmate, who was assigned to high-security segregation
    17
    unit, to one hour per week in outdoor exercise facility, without more, did not rise to
    level of an Eighth Amendment violation).
    Here, Plaintiff asserts he was denied access to outdoor recreation his first year
    at ADX. But this deprivation of outdoor recreation is not sufficiently serious to
    implicate the Eighth Amendment. See 
    Fogle, 435 F.3d at 1260
    (holding that “a
    factfinder might conclude that the risk of harm from three years of deprivation of
    any form of outdoor exercise was obvious and that [prison] officials disregarded that
    risk by keeping Fogle in administrative segregation” (emphasis added)); see also
    
    Bailey, 828 F.2d at 653
    (recognizing that courts have not deemed the denial of fresh
    air and exercise to be a “per se” Eighth Amendment violation).
    Plaintiff also argues that, even after his first year at ADX, he is inconsistently
    afforded outdoor recreation. He asserts outdoor recreation is regularly cancelled due
    to inclement weather or staffing issues. Even assuming such allegations implicate
    the Eighth Amendment, the record clearly reflects that Plaintiff regularly declined
    opportunities to recreate outdoors. App. at 736 , 739-805. As such, Plaintiff failed
    to evidence a constitutional violation and, thus, the Federal Officers are entitled to
    qualified immunity on Claim 3(A).
    VI.
    Lastly, Plaintiff maintains that his procedural due process claims related to his
    2002 transfer to ADX (Claim 3(B)) — the first against Defendant Hood in his
    18
    individual capacity for monetary damages, and the second against Defendants Hood,
    Nalley, and Wiley, in their official capacities for injunctive relief — remain viable. 7
    For the reasons that follow, we conclude that none of Plaintiff’s procedural due
    process claims can withstand summary judgment. 8
    A.
    Plaintiff appeals the district court’s grant of qualified immunity to Defendant
    Hood regarding his 2002 transfer to ADX.           Therein, Plaintiff argues that his
    protected liberty interest in avoiding assignment to ADX was clearly established in
    2002, thus entitling him to some form of legal process before his transfer. See
    7
    The Federal Officers also argue that Plaintiff’s due process claim against
    Defendant Hood must fail because he was not personally involved in Plaintiff’s
    transfer to ADX. Because, as discussed below, we conclude Plaintiff’s due process
    claims fail in any event, we need not reach this issue.
    8
    Because confusion remained regarding the nature, contours, and continued
    viability of Plaintiff’s official capacity due process claim, we ordered the parties to
    clarify their positions on the issue. In their supplemental response, the Federal
    Officers raise — for the first time in this litigation — Ajaj v. Smith, 108 F. App’x
    743 (4th Cir. 2004) (per curiam). The Federal Officers argue that issue preclusion
    or collateral estoppel precludes our consideration of Plaintiff’s due process claims.
    Plaintiff replies that the Federal Officers waived the affirmative defense because they
    failed to timely assert it, noting that he referenced the District of South Carolina
    case’s docket number in his response to the Federal Officers’ request for production
    of documents. A party’s failure to raise the affirmative defense of issue preclusion
    generally waives the issue. See Fed. R. Civ. P. 8(c); see also Pittsburg County Rural
    Water Dist. No. 7 v. City of McAlester, 
    358 F.3d 694
    , 708 n.4 (10th Cir. 2004). We
    have no difficulty concluding here that the Federal Officers waived the res judicata
    issue by — inexplicably — failing to apprise the Court of the Fourth Circuit’s
    decision until the thirteenth hour — i.e., its court-ordered supplemental response
    brief.
    19
    Sandin v. Connor, 
    515 U.S. 472
    , 485-86 (1995). Defendant Hood counters that
    Plaintiff’s transfer to ADX, even assuming ADX affords less amenable and more
    restrictive quarters than those Plaintiff had at FCI Edgefield’s administrative
    segregation unit, does not implicate a liberty interest protected by the Due Process
    Clause. In any event, the Federal Officers maintain such a liberty interest was not
    clearly established in 2002 as evidenced by Wilkinson v. Austin, 
    545 U.S. 209
    (2005), decided over two years after Plaintiff’s 2002 transfer. Plaintiff replies that
    Wilkinson did not change the law, but rather applied the clearly established law of
    Sandin. Because we conclude that any protected liberty interest Plaintiff might have
    in avoiding transfer to ADX was not clearly established in 2002, Defendant Hood is
    entitled to summary judgment.
    “The Fourteenth Amendment’s Due Process Clause protects persons against
    deprivations of life, liberty, or property; and those who seek to invoke its procedural
    protection must establish that one of these interests is at stake.” 
    Wilkinson, 545 U.S. at 221
    . “A liberty interest may arise from the Constitution itself, by reason of
    guarantees implicit in the word “liberty,” or it may arise from an expectation or
    interest created by state laws or policies.” 
    Id. “[T]he Constitution
    itself does not
    give rise to a liberty interest in avoiding transfer to more adverse conditions of
    confinement.” 
    Id. (citing Meachum
    v. Fano, 
    427 U.S. 215
    , 225 (1976)). But “a
    liberty interest in avoiding particular conditions of confinement may arise from state
    policies or regulations, subject to the important limitations set forth in Sandin [v.
    20
    Conner].” 
    Id. Sandin clarified
    that, in determining whether state policies and
    regulations give rise to a liberty interest, courts must focus on the nature of “the
    interests allegedly created by the State.” 
    Sandin, 515 U.S. at 480
    (disavowing the
    approach taken in a series of previous cases in which the Court “wrestled with the
    language of . . . prison guidelines to determine whether mandatory language and
    substantive predicates created an enforceable expectation that the State would
    produce a particular outcome with respect to the prisoner’s conditions of
    confinement”).
    Sandin addressed whether a Hawaii prison inmate had a protected liberty
    interest in avoiding thirty days’ confinement in segregation as punishment for
    disruptive behavior. In considering the issue, the Supreme Court focused on whether
    thirty days in segregation “impose[d] atypical and significant hardship on the inmate
    in relation to the ordinary incidents of prison life.” 
    Sandin, 515 U.S. at 484
    .
    Therein, the Court undertook a “comparison between inmates inside and outside
    disciplinary segregation.” 
    Id. at 486.
    Ultimately, the Sandin Court concluded that
    the thirty days in segregation “did not work a major disruption in his environment,”
    nor did it “inevitably affect the duration of his sentence.” 
    Id. at 486-87.
    As such,
    the Court held that the conditions “did not present the type of atypical, significant
    deprivation in which a State might conceivably create a liberty interest.” 
    Id. at 486
    (noting that at the time of one inmate’s punishment “disciplinary segregation, with
    insignificant exceptions, mirrored those conditions imposed upon inmates in
    21
    administrative segregation and protective custody”). To the contrary, thirty days in
    segregation was “within the range of confinement to be normally expected for one
    serving an indeterminate term of 30 years to life.” 
    Id. at 487.
    Seeking to show his right to process before his transfer to ADX, a supermax
    facility, Plaintiff relies on the Supreme Court’s 2005 Wilkinson decision, which
    considered what process (if any) an inmate is entitled to upon being considered for
    placement at the Ohio State Penitentiary supermax facility (OSP). See 
    Wilkinson, 545 U.S. at 220-22
    (addressing the threshold inquiry of whether the inmates
    established a constitutionally protected liberty interest and concluding that they had,
    but later holding that the inmates received due process). According to Plaintiff, we
    may look to Wilkinson even though it was handed down after his 2002 transfer
    because it simply applied Sandin’s clearly established rule to the supermax context.
    Wilkinson expressly provides otherwise. The Wilkinson court recognized:
    In Sandin’s wake the Courts of Appeals have not reached consistent
    conclusions for identifying the baseline from which to measure what is
    atypical and significant in any particular prison system. This
    divergence indicates the difficulty of locating the appropriate baseline,
    an issue that was not explored at length in the briefs.
    
    Wilkinson, 545 U.S. at 223
    (collecting cases); accord Jordan v. Fed’l Bureau Prisons,
    191 F. App’x 639, 650-51 (10th Cir. 2006) (“[T]he circuit courts are split on which
    baseline comparison” — i.e., whether conditions, duration or restrictions of
    confinement are atypical as compared with other inmates “in the same segregation”
    22
    or the “general prison population” — “to use.”). Indeed, we have acknowledged that
    our own opinions have “inconsistently used comparisons either with inmates in the
    same segregation or those in the general prison population.” Jordan, 191 F. App’x
    at 650 (citation omitted). Furthermore, regardless of the baseline employed, like the
    majority of our sister Courts of Appeal, we have “never held the conditions, duration
    or restrictions of the detentions presented on appeal created a liberty interest . . . .”
    
    Id. at 650-51
    & nn.9-10 (collecting cases). This confusion and divergence evidences
    that Sandin’s rule continues to evolve, even after Wilkinson. Thus, we have no
    qualm in concluding that the law was not clearly established as to whether Plaintiff
    had a protected liberty interest in avoiding transfer to ADX in 2002. See Saucier v.
    Katz, 
    533 U.S. 194
    , 202 (2001) (acknowledging that the “dispositive inquiry” in
    determining whether a right was clearly established “is whether it would be clear to
    a reasonable officer that his conduct was unlawful in the [particular] situation”); see
    also Jiron v. City of Lakewood, 
    392 F.3d 410
    , (10th Cir. 2004) (qualified immunity
    “is designed to ‘protect all but the plainly incompetent or those who knowingly
    violate the law’” (citation omitted)).     Defendant Hood is therefore entitled to
    qualified immunity regarding Plaintiff’s transfer to ADX.
    B.
    Next, Plaintiff maintains he has an extant official capacity claim for injunctive
    relief regarding his initial transfer to ADX. Nothing in the evidence suggests,
    23
    however, that the district court ever ruled on the merits of this claim. See, e.g., Ajaj,
    
    2006 WL 3797871
    , at *9-11 (although in considering Claim 3(B) the district court
    expressly stated Plaintiff “retain[ed] his official capacity claim” against Defendants
    Hood, Nalley, and Wiley, the district court never expressly referenced, analyzed, or
    ruled on Plaintiff’s official capacity claim related to his 2002 transfer to ADX). The
    district court, quite reasonably, may have assumed Plaintiff had abandoned this
    claim. For instance, though the district court granted the Federal Officers leave to
    file a summary judgment motion only as to qualified immunity during a July 2006
    hearing, Plaintiff gave no indication that he maintained an official capacity claim for
    injunctive relief. See App. at 176-77; see generally 
    Simmat, 413 F.3d at 1231
    (“There is no such animal as a Bivens suit against a public official tortfeasor in his
    or her official capacity.”); 
    Beedle, 422 F.3d at 1069
    (“[Qualified immunity] is only
    available to parties sued in their individual capacity.”). Nor did Plaintiff’s summary
    judgment response make substantive arguments in support of, or otherwise make
    clear that he continued to prosecute, an official capacity claim related to his ADX
    transfer under Claim 3(B). See App. 480-504. In any event, and most importantly,
    our review of the record indicates that — despite having ample opportunities to do
    so — Plaintiff has never challenged the district court’s view that its December 22,
    2006 Order disposed of “all claims” save Claim 3(B) as to the step-down program.
    An “issue must be presented to, considered by, and decided by a trial court
    before it can be raised on appeal.” 
    Id. (quotation omitted).
    See Tele-Commc’ns, Inc.
    24
    v. Comm’r of Internal Revenue Serv., 
    104 F.3d 1229
    , 1232-33 (10th Cir. 1997) (“In
    order to preserve the integrity of the appellate structure, we should not be considered
    a ‘second-shot’ forum . . . where secondary, back-up theories may be mounted for
    the first time.”). This principle’s import is particularly pronounced here where the
    claim at issue is one for injunctive relief arising out of the penal context. See
    generally Jones v. Salt Lake County, 
    503 F.3d 1147
    , 1153-54 (10th Cir. 2007)
    (recognizing significant deference to the “informed discretion of corrections
    officials” is warranted when accommodating an inmate’s asserted constitutional right
    will materially affect other inmates or prison staff). Put simply, because Plaintiff
    failed to preserve his official capacity claim for injunctive relief related to his 2002
    transfer to ADX for appeal, we will not address it here for the first time on appeal.
    See 
    Simmat, 413 F.3d at 1240
    . 9
    9
    Although ADX admitted Plaintiff to the step-down program in 2007, he
    appeals the district court’s grant of qualified immunity to Defendant Hood on this
    Bivens claim (Claim 3(B)). Assuming arguendo Plaintiff had any protected liberty
    interest in admittance to the step down program, such a right was not clearly
    established at the time of Defendant Hood’s allegedly wrongful conduct. As
    discussed above, the rule of Sandin continued to evolve even after Wilkinson.
    Defendant Hood is, therefore, entitled to qualified immunity. See 
    Hasan, 526 F.3d at 663
    .
    25
    For the foregoing reasons, the district court’s judgment is AFFIRMED IN
    PART, REVERSED IN PART, and REMANDED for further proceedings as stated
    herein.
    Entered for the Court
    Bobby R. Baldock
    United States Circuit Judge
    26
    HENRY, Chief Judge, concurring:
    I concur in the majority’s disposition of Mr. Ajaj’s conditions of confinement
    claim (Claim 3A) because the record and the pleadings before the district court
    convince me that this deprivation does not violate the Eighth Amendment. As the
    majority explains, review of the record makes clear that the appellant regularly
    declined outdoor exercise opportunities. Also, he was allowed indoor recreation.
    However, I write separately to encourage the government to re-examine its proffered
    view of the exercise issue and, in particular, outdoor exercise.
    On appeal, the government argues, “Ajaj appears to complain chiefly about the
    restrictions on outdoor recreation, alleging he was denied outdoor exercise for the
    first year at ADX, and not consistently allowed since. However, on its face, this fails
    to state a claim.” Aple’s Br. at 25 (emphasis added). The government’s assertion
    that a prisoner, even one in administrative segregation, may not make out an Eighth
    Amendment claim by alleging a one-year deprivation of outdoor exercise is
    challenged by our caselaw. Furthermore, the government’s statement and its terse
    argument were unnecessary under the facts of this case. 1 I agree that, due to Mr.
    Ajaj’s failure to substantiate his claims adequately, the defendants were entitled to
    qualified immunity in this case.    However, a prisoner who has been deprived of
    1
    The government adds, “[T]he record demonstrates that the main reason he
    has had less outdoor exercise is that he has refused it.” Aple’s Br. at 25. This
    opaque reference to the record concludes the government’s short discussion of Mr.
    Ajaj’s alleged deprivation of outdoor exercise.
    outdoor exercise for one year – especially one with health issues whose doctor has
    recommended outdoor exercise – could make out an Eighth Amendment claim under
    the summary judgment standard of review.
    Clearly, the Eighth Amendment “does not mandate comfortable prisons,”
    Barney v. Pulsipher, 
    143 F.3d 1299
    , 1311 (10th Cir. 1998) (quoting Rhodes v.
    Chapman, 
    452 U.S. 337
    , 347 (1981)). However, as a general rule, prisoners are
    entitled to some out-of-cell exercise. In Housley v. Dodson, we held that an inmate
    alleged an Eighth Amendment violation by claiming to have been afforded only
    thirty minutes of out-of-cell exercise over the course of three months. 
    41 F.3d 597
    ,
    599 (10th Cir. 1994), overruled on other grounds by Lewis v. Casey, 
    518 U.S. 343
    (1996). We noted, “[T]here can be no doubt that total denial of exercise for an
    extended period of time would constitute cruel and unusual punishment prohibited
    by the Eighth Amendment.” 
    Id. at 599.
    Housley further explained that “a failure to
    provide inmates (confined for more than a short a very short period . . . ) with the
    opportunity for at least five hours a week of exercise outside the cell raises serious
    constitutional questions.” 
    Id. (internal quotation
    marks omitted).
    Several of our sister circuits have also expressed the view that prisoners are
    entitled to out-of-cell recreation. For example, the Ninth Circuit has noted that
    “exercise has been determined to be one of the basic human necessities protected by
    the Eighth Amendment.” Hearns v. Terhune, 
    413 F.3d 1036
    , 1042 (9th Cir. 2005)
    -2-
    (internal quotation marks omitted). The Seventh Circuit has observed that “exercise
    is no longer considered an optional form of recreation, but is instead a necessary
    requirement for physical and mental well-being.” Delaney v. DeTella, 
    256 F.3d 679
    ,
    683 (7th Cir. 2001) (finding that prison officials were not entitled to qualified
    immunity where an inmate in segregated housing alleged a six-month deprivation of
    out-of-cell exercise). Indeed, “exercise is now regarded in many quarters as an
    indispensable component of preventative medicine.” 
    Id. (emphasis added);
    see also
    Jolly v. Coughlin, 
    76 F.3d 468
    , 480 (2d Cir. 1996) (“We have no difficulty
    concluding that [three-and-half years’ deprivation of out-of-cell exercise] would run
    afoul of the Eighth Amendment.”); Rodgers v. Jabe, 
    43 F.3d 1082
    , 1087 (6th Cir.
    1995) (“[R]estrictions on exercise may violate the Eighth Amendment under some
    circumstances.”); Mitchell v. Rice, 
    954 F.2d 187
    , 192 (4th Cir. 1992) (“[A] total or
    near-total deprivation of exercise or recreational opportunity, without penological
    justification, violates Eighth Amendment guarantees.”); Ruiz v. Estelle, 
    679 F.2d 1115
    , 1152 (5th Cir. 1982) (“Although deprivation of exercise is not per se cruel and
    unusual punishment, in particular circumstances a deprivation may constitute an
    impairment of health forbidden under the [E]ighth [A]mendment.” (internal quotation
    marks omitted)), vacated in part on other grounds by 
    688 F.2d 266
    (5th Cir. 1982).
    Federal Bureau of Prisons (BOP) regulations recognize the importance of
    recreation, both indoor and outdoor. According to BOP regulations, even inmates
    housed in “control units” – i.e., inmates “who are unable to function in a less
    -3-
    restrictive environment,” 28 C.F.R. § 541.40 – must have an “opportunity to receive
    a minimum of seven hours weekly recreation outside of the cell.” 
    Id. at §
    541.46(e).
    The regulations also provide that “staff [in control units] may offer outdoor
    recreation to inmates, weather permitting.” Federal Bureau of Prisons, Program
    Statement No. 5212.07 (Control Unit Programs), at 12 (supplying commentary for
    2 8       C . F . R .   §     5 4 1 . 4 6 ( e ) ( 1 ) ) ,     a v a i l a b l e      a t
    http://www.bop.gov/DataSource/execute/dsPolicyLoc. The American Correctional
    Association’s Standards for Correctional Institutions, a publication referenced in the
    BOP regulations governing the recreation of general population prisoners, 2
    recommends that inmates be provided with ample space for indoor and outdoor
    recreation. See A MERICAN C ORRECTIONAL A SSOCIATION , S TANDARDS          FOR    A DULT
    C ORRECTIONAL I NSTITUTIONS 43, 74 (4th ed. 2003); Federal Bureau of Prisons,
    Program Statement No. p5370-70, Inmate Recreation Programs 3 (June 25, 2008),
    available at http://www.bop.gov/DataSource/execute/dsPolicyLoc (citing AMERICAN
    C ORRECTIONAL A SSOCIATION , S TANDARDS FOR A DULT C ORRECTIONAL I NSTITUTIONS
    2
    The American Correctional Association (ACA) offers accreditation to
    correctional institutions that comply with its standards. According to the Department
    of Justice (DOJ), “[T]he BOP utilizes ACA to obtain an external assessment of its
    ability to meet the basics of corrections.” The United States Department of Justice,
    Strategic Plan 2000 - 2005, Strategic Objective 5.3, Strategies to Achieve the
    O b j e c t i v e ,                        a v a i l a b l e                       a t
    http://www.usdoj.gov/archive/mps/strategic2000_2005/goal5.htm. Further, DOJ
    noted, “BOP will continue to prepare all activated facilities for accreditation with the
    [ACA].” 
    Id. -4- (3d
    ed. 1990)).
    Though BOP regulations do not appear to require outdoor recreation for all
    inmates under all circumstances, our cases demonstrate that a deprivation of outdoor
    exercise may amount to an Eighth Amendment violation, even when an inmate is
    afforded some measure of indoor exercise. This is because, as the majority opinion
    in this case notes:
    There is substantial agreement among the cases in this area that some
    form of regular outdoor exercise is extremely important to the
    psychological and physical well being of inmates, and some courts have
    held a denial of fresh air and exercise to be cruel and unusual
    punishment under certain circumstances.
    Maj. Op., at 17 (quoting Fogle v. Pierson, 
    435 F.3d 1252
    , 1260 (10th Cir. 2006)
    (quoting Bailey v. Shillinger, 
    828 F.2d 651
    , 653 (10th Cir. 1987) (quoting Spain v.
    Procunier, 
    600 F.2d 189
    , 199 (9th Cir. 1979) (Kennedy, J.) (collecting cases))); see
    also Keenan v. Hall, 
    83 F.3d 1083
    , 1089 (9th Cir. 1996) (“Deprivation of outdoor
    exercise violates the Eighth Amendment rights of inmates confined to continuous and
    long-term segregation.”).
    Our cases suggest that the general rule entitling prisoners to outdoor exercise
    may not be violated, absent a strong justification. In Bailey, for example, we
    acknowledged that “a convicted murderer who had murdered another inmate and
    represented a major security risk was entitled to outdoor exercise.” 
    Housley, 41 F.3d at 599
    (emphasis added) (citing 
    Bailey, 828 F.2d at 653
    ). We did not find an Eighth
    -5-
    Amendment violation in Bailey, but we observed that the inmate was permitted to
    exercise in an outdoor facility for one hour per week. 
    Bailey, 828 F.2d at 653
    . In
    fact, we cabined our holding in Bailey, avoiding a suggestion that a more complete
    deprivation would be permissible: “Although this amount of exposure to exercise
    and fresh air is still restrictive, we cannot say, without more, that it fails to satisfy
    the demands of the Eighth Amendment.” 
    Id. (emphasis added).
    In Perkins v. Kansas Dep’t of Corrections, 
    165 F.3d 803
    , 809-10 (10th Cir.
    1999), which the government did not address before this court, we held that a one-
    year deprivation of outdoor exercise did give rise to an Eighth Amendment claim.
    There, a prisoner was “permitted to leave his cell for thirty minutes each day, to take
    a shower . . . [and was not] permitted to exercise outside his cell for over a year.”
    
    Id. at 810
    (emphasis added). While the prisoner had been deprived of all out-of-cell
    exercise, we labeled Mr. Perkins’s argument a “claim for deprivation of outdoor
    exercise.” 
    Id. (emphasis added).
    Relying on then-Judge Kennedy’s discussion of
    fresh air and outdoor exercise in Spain, we found that Mr. Perkins’s alleged
    deprivation of outdoor exercise was sufficient to state an Eighth Amendment claim.
    
    Id. (holding that
    the “district court erred when it held that plaintiff’s allegations
    about the extended deprivation of outdoor exercise showed no excessive risk to his
    well-being”) (internal quotation marks omitted) (emphasis added).
    Similarly in Fogle, we held that a prisoner who had been placed in
    -6-
    administrative segregation after repeated escape attempts articulated an Eighth
    Amendment claim when he alleged he had been “denied all outdoor exercise for the
    three years he was in administrative 
    segregation.” 435 F.3d at 1259-60
    . In that case,
    the prisoner acknowledged that he was “allowed access to a cell with a pull-up bar
    a few times each week.” 
    Id. at 1260
    n.4. However, consistent with Perkins, we
    observed that “the district court erred as a matter of law in concluding that a prisoner
    must allege denial of all exercise, not just outdoor exercise, to present an arguable
    claim” under the Eighth Amendment. 
    Id. at 1260
    (citing 
    Perkins, 165 F.3d at 810
    ).
    While our cases recognize that prisoners are generally entitled to outdoor
    exercise, a denial of outdoor exercise is not an Eighth Amendment violation per se.
    See 
    Bailey, 828 F.2d at 653
    . As we have recognized, “[t]he Eighth Amendment does
    not provide a fixed formula for determining whether the effect of particular
    conditions constitutes cruel and unusual punishment.” 
    Id. (internal quotation
    marks
    omitted). The length of a deprivation of outdoor exercise necessary to trigger an
    Eighth Amendment violation may vary, depending the government’s justifications
    for the deprivation.    See 
    Perkins, 165 F.3d at 810
    n.8 (observing that “what
    constitutes adequate exercise will depend on the circumstances of each case”
    including “penological considerations”); cf. Yousef v. Reno, 
    254 F.3d 1214
    , 1219
    (10th Cir. 2001) (noting that prisoners convicted of terrorist activities may be
    subjected to Special Administrative Measures, “in 120 day increments,” including
    administrative detention and limited contact with others).
    -7-
    Particularly in light of the principle that “what constitutes adequate exercise
    will depend on the circumstances of each case,” 
    Perkins, 165 F.3d at 810
    n.8, the
    government has offered this court surprisingly little factual analysis in this case. The
    government has instead supplied us with the broad assertion that Mr. Ajaj “fail[ed]
    to state a[n Eighth Amendment] claim,” Aple’s Br. at 25, by alleging that he had
    been deprived of outdoor exercise for one year. The government cited two opinions,
    our decision in Bailey and one case from the Fifth Circuit, but neither provides any
    support for the government’s contention. First, Bailey actually supports the position
    that an alleged one-year deprivation of all outdoor exercise could amount to an
    Eighth Amendment claim, as the Bailey court carefully observed that one hour of
    outdoor exercise per week was “restrictive,” even if it was not in violation of the
    Eighth Amendment under those 
    circumstances. 828 F.2d at 653
    . Similarly, in
    Wilkerson v. Maggio, 
    703 F.2d 909
    , 911-12 (5th Cir. 1983), the government’s second
    case, the court held that prison officials were entitled to qualified immunity,
    notwithstanding the prisoner’s contention that he had been denied outdoor recreation
    for approximately five years. However, the court reasoned that Mr. Wilkerson was
    permitted to exercise regularly in a room that was “about thirty yards long” and was
    “lined with windows which permitted fresh air to enter the cell block area.” 
    Id. at 912.
    Unlike Mr. Wilkerson, Mr. Ajaj alleged – although he ultimately did not
    support the claim with particularized factual assertions – that he was denied access
    -8-
    to fresh air and sunlight for one year. 3
    While I disagree with the government’s apparent contention that Mr. Ajaj
    failed to allege an Eighth Amendment violation when he asserted that he was denied
    outdoor exercise for one year, I agree that the defendants are entitled to qualified
    immunity. As the majority correctly observes, the record generated before the
    district court – which the government did not address in depth before this court –
    demonstrates that Mr. Ajaj was offered, but refused, outdoor exercise on several
    occasions during his first year at ADX. The record also suggests, and Mr. Ajaj does
    not dispute, that prison officials afforded him regular solitary indoor exercise
    opportunities (as seems warranted by these facts). Therefore, I join the majority’s
    opinion.
    Nonetheless, as noted above our cases clearly suggest that failure to allow
    adequate exercise (in most cases with an outdoor component) for a period of a year
    raises real constitutional concern. As federal prisons aspire to the standards of the
    ACA and must follow Eighth Amendment jurisprudence, I am perplexed that the
    3
    The government’s opening brief also discussed In re Long Term Segregation
    of Inmates Designated as Five Percenters, 
    174 F.3d 464
    (4th Cir. 1999), which it
    characterized as “the most analogous published decision” addressing an Eighth
    Amendment conditions of confinement claim involving an inmate housed in
    administrative segregation. Aple’s Br. at 24. Although the government did not cite
    this case for the proposition that a one-year deprivation of outdoor exercise could not
    violate the Eighth Amendment, I note that the In re Long Term Segregation court did
    not discuss outdoor recreation; it appears that the prisoners did not raise the issue.
    Rather, the court simply noted that approximately five hours of exercise per week did
    not violate the Eighth Amendment under the facts of that case. See 
    id. at 471-72.
    -9-
    government did not explicitly discuss the facts that allowed it to prevail.
    -10-