Laddy Valentine v. Bryan Collier ( 2020 )


Menu:
  • Case: 20-20525     Document: 00515599060         Page: 1    Date Filed: 10/13/2020
    United States Court of Appeals
    for the Fifth Circuit
    United States Court of Appeals
    Fifth Circuit
    FILED
    October 13, 2020
    No. 20-20525                          Lyle W. Cayce
    Clerk
    Laddy Curtis Valentine; Richard Elvin King,
    Plaintiffs—Appellees,
    versus
    Bryan Collier; Robert Herrera; Texas Department of
    Criminal Justice,
    Defendants—Appellants.
    Appeal from the United States District Court
    for the Southern District of Texas
    USDC No. 4:20-CV-1115
    Before Willett, Ho, and Duncan, Circuit Judges.
    Don R. Willett, Circuit Judge:
    America houses roughly 2.2 million people in crowded correctional
    facilities. Amidst the unprecedented COVID-19 pandemic, prison
    inmates—in close quarters and with no control over their confinement
    conditions—face unique and heightened risks. And elderly inmates,
    unsurprisingly, are particularly vulnerable to outbreaks. Two inmates
    incarcerated at the Wallace Pack Unit, a state-run lockup housing geriatric,
    medically compromised, and mobility-impaired inmates, sued the Texas
    Department of Criminal Justice over its response to the coronavirus. The
    Case: 20-20525      Document: 00515599060          Page: 2    Date Filed: 10/13/2020
    No. 20-20525
    inmates alleged violations of the Eighth Amendment, the Americans with
    Disabilities Act, and the Rehabilitation Act. And as the suit was progressing,
    the virus was spreading, infecting over 500 inmates, 20 of whom have died.
    The pandemic inflicted a dreadful toll at the Pack Unit. Mercifully,
    positive cases of COVID-19 have plummeted sharply, falling from 172 cases
    between June 23–25 to just 4 cases as of September 28. TDCJ’s preventive
    measures are working, belatedly abating what had been a perfect storm. As
    judges, our conscribed role is not to assess whether prison officials could have
    done more to contain the virus—no doubt they could have. Nor is it to
    micromanage prison operations—that is left to the governor-appointed
    Board of Criminal Justice and to the Texas Legislature. TDCJ requests a
    stay of the district court’s permanent injunction pending appeal. Our limited
    role is thus to determine whether TDCJ has made the requisite showing that
    its efforts to combat COVID-19 satisfied the constitutionally required
    minimum. And we must do so within strict procedural bounds mandated by
    Congress. We are forbidden to do more.
    Here, the plaintiff-inmates failed to comply with the exacting
    procedural preconditions imposed by the Prison Litigation Reform Act,
    specifically the PLRA’s mandatory and jurisdictional exhaustion
    requirement. That alone defeats this suit. But even putting aside the inmates’
    failure to exhaust their administrative remedies, their constitutional claim
    fails on the merits. TDCJ’s response, albeit imperfect, did not amount to
    deliberate indifference under the Eighth Amendment. We grant TDCJ’s
    motion to stay the permanent injunction.
    I
    Plaintiffs Laddy Valentine and Richard King are incarcerated at
    TDCJ’s Wallace Pack Unit, a prison for the elderly and infirm in Grimes
    County, Texas. On March 30, 2020, they sued TDCJ, its executive director,
    2
    Case: 20-20525        Document: 00515599060        Page: 3   Date Filed: 10/13/2020
    No. 20-20525
    and the Pack Unit warden on behalf of a putative class of all Pack Unit
    inmates and putative subclasses of high-risk and disabled inmates. The
    complaint alleged that TDCJ’s response to COVID-19 violated the Eighth
    Amendment, the Americans with Disabilities Act, and the Rehabilitation
    Act.
    On April 16, the district court issued a preliminary injunction,
    imposing a detailed protocol on TDCJ to stem the spread of COVID-19 in
    the Pack Unit. The injunction specified the cleaning schedule for prison
    common areas (every 30 minutes from 7 a.m.–10 p.m.), the surfaces to be
    cleaned (tabletops, telephones, door handles, restroom fixtures, television
    controls, books, and gym and sports equipment), and the type of disinfectants
    to be used (bleach-based cleaning agents). It required prison staff to post
    signage, give oral presentations or show videos, conduct question and answer
    sessions, and provide handouts to inform inmates about COVID-19. It also
    mandated the provision of hard-to-come-by items, including hand sanitizer,
    masks, tissues, and toilet paper, and instructed TDCJ to develop a COVID-
    19 testing plan.
    TDCJ timely filed an interlocutory appeal of the preliminary
    injunction. On April 22, a panel of this court stayed the injunction pending
    appeal, reasoning that Plaintiffs were unlikely to succeed because they did
    not comply with the Prison Litigation Reform Act’s administrative
    exhaustion requirement and that, in any event, their Eighth Amendment
    claim was likely to fail on the merits. Valentine v. Collier (Valentine I), 
    956 F.3d 797
    , 806 (5th Cir. 2020). The motions panel also concluded that TDCJ
    would be irreparably injured absent a stay because the injunction interfered
    with its ability to respond to the pandemic’s rapidly changing conditions. 
    Id.
    at 803–04. The Supreme Court declined to vacate the stay. Valentine v.
    Collier (Valentine II), 
    140 S. Ct. 1598
     (2020) (mem.).
    3
    Case: 20-20525     Document: 00515599060           Page: 4   Date Filed: 10/13/2020
    No. 20-20525
    On June 5, a merits panel resolved the interlocutory appeal in a short
    order vacating the injunction on the ground that TDCJ had “substantially
    complied with the measures ordered by the district court.” Valentine v.
    Collier (Valentine III), 
    960 F.3d 707
    , 707 (5th Cir. 2020) (per curiam). In
    three separate concurring opinions, the panel members expressed differing
    views on the merits of the preliminary injunction and how the evolving facts
    affected the nature of the proceeding.
    On remand, the district court certified a general class of all Pack Unit
    inmates and a high-risk subclass of inmates who are vulnerable to severe
    illness or death from COVID-19 due to their advanced age or underlying
    health conditions. Valentine v. Collier (Valentine IV), No. 4:20-CV-1115, 
    2020 WL 3491999
    , at *14 (S.D. Tex. June 27, 2020). The district court later
    certified a mobility-impaired subclass of inmates who use walkers, canes,
    crutches, and wheelchairs. Valentine v. Collier (Valentine V), No. 4:20-CV-
    1115, 
    2020 WL 5797881
    , at *23–26 (S.D. Tex. Sept. 29, 2020).
    An 18-day bench trial began on July 13. On September 29, the district
    court ruled for Plaintiffs on all claims and permanently required TDCJ to
    follow specific procedures to protect Pack Unit inmates from COVID-19.
    See generally 
    id.
     at *29–38. In some ways, the permanent injunction is less
    demanding than the preliminary injunction. For example, it instructs TDCJ
    to “[c]reate a plan to allow for regular cleaning of common surfaces with
    bleach-based cleaning agents” rather than specifying a cleaning schedule,
    requires hand sanitizer only for the mobility-impaired subclass, and dispenses
    with the educational requirements. Id. at *37. But the permanent injunction
    is more demanding when it comes to COVID-19 testing. It requires TDCJ
    to “[c]reate a comprehensive weekly testing program using tests that are
    approved by the FDA for asymptomatic testing and with a turnaround time
    for results of 48 hours or less, and document that plan in writing” and to
    “[c]ontinue weekly testing until the pandemic is brought under control
    4
    Case: 20-20525        Document: 00515599060        Page: 5    Date Filed: 10/13/2020
    No. 20-20525
    within the state of Texas, even if multiple weeks pass with zero positive
    cases,” among other things. Id. at *38. The injunction is set to take effect on
    October 14, 2020. Id.
    TDCJ appealed the same day the district court issued the permanent
    injunction. The district court denied TDCJ’s motion to stay the injunction.
    TDCJ then filed an emergency motion asking us to stay the injunction
    pending appeal and for a temporary administrative stay while that motion was
    under consideration. On October 6, we administratively stayed the
    permanent injunction pending consideration of the emergency motion and
    granted Plaintiffs leave to file a response to TDCJ’s motion. We now decide
    the emergency motion.
    II
    Our authority to stay a district court’s order buys us time to conduct
    careful, considered appellate review. Nken v. Holder, 
    556 U.S. 418
    , 427
    (2009). At the same time, a stay disrupts the usual rule that a district court’s
    judgment becomes effective regardless of appeal. 
    Id.
     Thus an appealing party
    is never entitled to a stay as a matter of right. 
    Id.
     To obtain a stay, TDCJ
    must show that (1) its appeal is likely to succeed on the merits, (2) it will
    suffer irreparable harm absent a stay, (3) a stay will not substantially injure
    Plaintiffs, and (4) the public interest favors a stay. 
    Id. at 426
    . We place the
    greatest weight on the first two factors. Barber v. Bryant, 
    833 F.3d 510
    , 511
    (5th Cir. 2016).
    III
    We first assess TDCJ’s likelihood of success on appeal. Here, we
    consider both Plaintiffs’ compliance with the Prison Litigation Reform Act’s
    exhaustion requirement, and the merits of their Eighth Amendment claim.
    5
    Case: 20-20525      Document: 00515599060           Page: 6      Date Filed: 10/13/2020
    No. 20-20525
    A
    The PLRA’s exhaustion requirement is no-nonsense. Inmates
    seeking to challenge prison conditions must exhaust “such administrative
    remedies as are available” before challenging prison conditions in court. 42
    U.S.C. § 1997e(a). The provision is mandatory, and courts have zero
    discretion to hear unexhausted claims. Jones v. Bock, 
    549 U.S. 199
    , 211
    (2007). Indeed, the Supreme Court has “reject[ed] every attempt to
    deviate” from the PLRA’s rigid exhaustion requirement, most recently in
    Ross v. Blake, where it emphatically held that there is no “special
    circumstances” exception. 
    136 S. Ct. 1850
    , 1855 (2016).
    That said, the PLRA does contain one textual exception to its
    otherwise stringent exhaustion requirement: availability. Inmates who fail to
    exhaust can proceed in court by showing that administrative remedies were
    not “available.” As used in the PLRA, “available” means “‘capable of use’
    to obtain ‘some relief for the action complained of.’” Id. at 1859 (quoting
    Booth v. Churner, 
    532 U.S. 731
    , 738 (2001)). This is a fact-specific inquiry. See
    
    id.
     For example, a grievance process is not available if “it operates as a simple
    dead end—with officers unable or consistently unwilling to provide any relief
    to aggrieved inmates,” if it is “so opaque that it becomes, practically
    speaking, incapable of use,” or if prison administrators prevent access to it
    “through machination, misrepresentation, or intimidation.” 
    Id.
     at 1859–60.
    Whether a grievance process is available does not depend on the relief that
    can be granted; exhaustion is not excused just because inmates cannot obtain
    the precise relief they seek. Booth, 
    532 U.S. at
    741 & n.6.
    Here, the district court concluded that TDCJ’s grievance process
    was unavailable and allowed this suit to proceed despite Plaintiffs’
    undisputed failure to exhaust. Valentine V, 
    2020 WL 5797881
    , at *26–28. In
    staying the preliminary injunction, the previous motions panel observed that
    “Plaintiffs’ suit appears premature” because “according to the standards the
    6
    Case: 20-20525      Document: 00515599060          Page: 7    Date Filed: 10/13/2020
    No. 20-20525
    Supreme Court has given us, TDCJ’s grievance procedure is ‘available,’
    and Plaintiffs were required to exhaust.” Valentine I, 956 F.3d at 804. TDCJ
    asks us to treat this as law of the case. But “the law of the case doctrine
    applies only to issues that were actually decided.” Lindquist v. City of
    Pasadena, 
    669 F.3d 225
    , 238–39 (5th Cir. 2012) (internal quotation omitted).
    And the previous motions panel was tasked only with deciding whether the
    failure to exhaust was likely to bar Plaintiffs’ claims based on the preliminary
    record. On remand, the district court concluded anew that TDCJ’s
    grievance process was not available after an 18-day trial. Valentine V, 
    2020 WL 5797881
    , at *26–28. We are thus reviewing a different decision based on
    a different record. The previous panel’s preliminary ruling is not controlling.
    Univ. of Tex. v. Camenisch, 
    451 U.S. 390
    , 394 (1981). Nonetheless, we reach
    the same conclusion: TDCJ’s grievance procedure is available, and Plaintiffs
    were required to exhaust.
    The district court impermissibly applied a “special circumstances”
    exception, like the one the Supreme Court rejected in Ross, under the guise
    of an availability analysis. Its main rationale was that TDCJ’s grievance
    process is incapable of responding to the rapid spread of COVID-19.
    Valentine V, 
    2020 WL 5797881
    , at *28. In other words, the grievance process
    is not amenable to current circumstances. But under Ross, special
    circumstances—even threats posed by global pandemics—do not matter. 136
    S. Ct. at 1856. We reiterate that the spread of COVID-19 in the Pack Unit is
    an emergency that demands prison officials’ full attention. But as we
    recognized in the aftermath of Hurricane Katrina, emergencies are not
    “license to carve out new exceptions to the PLRA’s exhaustion
    requirement, an area where our authority is constrained.” Dillon v. Rogers,
    
    596 F.3d 260
    , 270 (5th Cir. 2010). The narrow question before us is whether
    TDCJ’s grievance process was available to Plaintiffs as contemplated by the
    PLRA.
    7
    Case: 20-20525      Document: 00515599060           Page: 8    Date Filed: 10/13/2020
    No. 20-20525
    The district court made much of TDCJ’s “acknowledgment that the
    existing grievance process was inadequate in light of COVID-19 and the
    implementation of a new set of procedures.” Valentine V, 
    2020 WL 5797881
    ,
    at *27. But inadequate is not a synonym for unavailable. The statutory
    meaning of “available” in the PLRA is broad: Inmates must exhaust as long
    as some form of relief can be obtained, regardless of what that relief may be.
    Ross, 136 S. Ct. at 1859; Booth, 
    532 U.S. at
    741 & n.6. Adequacy is not a factor.
    The exhaustion provision’s statutory history makes this clear. The precursor
    to the PLRA required exhaustion only where administrative remedies were
    “plain, speedy, and effective.” Ross, 136 S. Ct. at 1858 (quoting Civil Rights
    of Institutionalized Persons Act, Pub. L. No. 96-247, § 7(a), 
    94 Stat. 349
    , 352
    (1980)). Congress removed those conditions from the PLRA in favor of the
    current “invigorated exhaustion provision.” 
    Id.
     (internal quotation omitted).
    Under the old regime, concerns that TDCJ’s grievance process was
    ineffective or “operated too slowly” might have excused exhaustion. See
    Valentine V, 
    2020 WL 5797881
    , at *28. But those concerns are irrelevant
    under today’s PLRA, which “prevent[s] a court from deciding that
    exhaustion would be unjust or inappropriate in a given case.” Ross, 136 S. Ct.
    at 1858. Instead, “all inmates must now exhaust all available remedies.” Id.
    Here, the district court heard evidence that Plaintiffs obtained soap
    and cleaning supplies, COVID-19 testing, and the halt of transfers into the
    Pack Unit, which they requested through the grievance process at various
    points after commencing this litigation. Valentine V, 
    2020 WL 5797881
    , at
    *27. The court discounted that evidence because those changes were not a
    direct response to Plaintiffs’ grievances. Indeed, the court noted “[i]n some
    of these instances, TDCJ changed its policies prior to a grievance being
    filed.” 
    Id.
     (emphasis in original). As an example, the court gave Mr.
    Valentine’s May 10 request for testing, which came one day after TDCJ
    implemented a prison-wide testing plan. From there, the court concluded
    8
    Case: 20-20525       Document: 00515599060          Page: 9    Date Filed: 10/13/2020
    No. 20-20525
    that the grievance process was unresponsive and thus unavailable. 
    Id.
     We do
    not follow the district court’s logic. To the contrary, TDCJ’s conduct shows
    that it was capable of providing “some relief for the action complained of,”
    which is enough to render the grievance process “available” under the
    PLRA. Ross, 136 S. Ct. at 1859 (quoting Booth, 
    532 U.S. at 738
    ).
    The district court suggested that requiring exhaustion in these
    circumstances would violate the Eighth Amendment. Valentine V, 
    2020 WL 5797881
    , at *28; Valentine IV, 
    2020 WL 3491999
    , at *8. We fail to see how
    enforcing a statutory procedure amounts to cruel and unusual punishment,
    and the district court cited no authority for that proposition.
    As the Supreme Court has emphasized, the PLRA’s exhaustion
    requirement was set by Congress, and Congress alone can change it. Ross, 136
    S. Ct. at 1857. Congress has in fact made some adjustments in response to
    COVID-19. For example, the Coronavirus Aid, Relief, and Economic
    Security (CARES) Act relaxed the Federal Rules of Criminal Procedure to
    allow for remote hearings in certain circumstances. Pub. L. No. 116-136,
    § 15002(b), 
    134 Stat. 281
    , 528 (2020). But the CARES Act did not alter the
    PLRA. We thus remain bound by it, even in these unprecedented times. The
    district court lamented that TDCJ’s grievance process was lengthy and
    unlikely to provide necessary COVID-19 relief. By all accounts, the process
    was suboptimal. But it was available, and Plaintiffs were required to exhaust
    it before bringing this suit.
    B
    Plaintiffs’ failure to exhaust their administrative remedies before filing
    suit is fatal. But even if Plaintiffs could surmount the PLRA, their Eighth
    Amendment claim is likely to fail on the merits.
    The Eighth Amendment requires prison officials to provide “humane
    conditions of confinement” with due regard for inmate health and safety.
    9
    Case: 20-20525     Document: 00515599060            Page: 10   Date Filed: 10/13/2020
    No. 20-20525
    Farmer v. Brennan, 
    511 U.S. 825
    , 832, 837 (1994). To show a violation,
    inmates must prove that they were exposed “to a substantial risk of serious
    harm” and “that prison officials acted or failed to act with deliberate
    indifference to that risk.” Carlucci v. Chapa, 
    884 F.3d 534
    , 538 (5th Cir. 2018)
    (quoting Gobert v. Caldwell, 
    463 F.3d 339
    , 345–46 (5th Cir. 2006)). The
    presence of a substantial risk is an objective inquiry. Petzold v. Rostollan, 
    946 F.3d 242
    , 249 (5th Cir. 2019). Deliberate indifference, however, is subjective;
    it requires a showing that prison officials had actual knowledge of a risk and
    disregarded it. 
    Id.
     Knowledge may be inferred from the circumstances,
    particularly where the risk is obvious. Hope v. Pelzer, 
    536 U.S. 730
    , 738
    (2002). In addition, an inmate must “submit evidence that prison officials
    refused to treat him, ignored his complaints, intentionally treated him
    incorrectly, or engaged in any similar conduct that would clearly evince a
    wanton disregard for any serious medical needs.” Gobert, 
    463 F.3d at 346
    (internal quotation omitted). “Deliberate indifference is an extremely high
    standard to meet.” Domino v. TDCJ, 
    239 F.3d 752
    , 756 (5th Cir. 2001).
    The district court articulated the right legal standard but incorrectly
    applied it. At the outset, the court erred by framing its analysis in terms of
    COVID-19’s impact in the Pack Unit. Valentine V, 
    2020 WL 5797881
    , at
    *29. We share the district court’s alarm at the toll of the virus. But the Eighth
    Amendment inquiry concerns TDCJ’s state of mind, not the scope of the
    injury. As the Supreme Court has instructed, “prison officials who actually
    knew of a substantial risk to inmate health or safety may be found free from
    liability if they responded reasonably to the risk, even if the harm ultimately
    was not averted.” Farmer, 
    511 U.S. at 844
     (emphasis added).
    The district court made detailed factual findings about TDCJ’s
    response to COVID-19. Discussions began at the end of February. TDCJ
    suspended all in-person visitation on March 13 and suspended all inmate
    medical copays on March 20. It began manufacturing masks on March 24.
    10
    Case: 20-20525     Document: 00515599060            Page: 11   Date Filed: 10/13/2020
    No. 20-20525
    The state Correctional Managed Health Care Committee issued Policy B-
    14.52, its COVID-19 policy, on March 20 and an updated version on March
    23, incorporating new guidance from the Centers for Disease Control. In
    total, the policy has been updated six times since March 20. It requires social
    distancing and the use of cloth face masks at all times. In the Pack Unit,
    inmates have increased access to soap and toilet paper, and temporary
    handwashing stations were installed in July, during the trial. After an inmate
    died of COVID-19 on April 11—the first known case in the Pack Unit—all
    54 inmates in the decedent’s dorm were tested and returned negative results.
    Since then, the Pack Unit has conducted two “strike team testing” events to
    test all inmates and staff who have not previously tested positive. TDCJ
    devised a long-term testing plan shortly before trial. Under this plan, inmates
    who test positive or who are suspected of being positive are placed in medical
    isolation. Inmates who are brought back to the Pack Unit from off-site
    hospitals are quarantined for 14 days. To inform inmates about the risks of
    COVID-19, TDCJ hung posters and distributed pamphlets in the Pack
    Unit. An educational video has played three times a day since mid-April.
    Instead of addressing whether these actions were reasonable, the
    district court dismissed them “as the most basic steps that TDCJ could have
    taken.” Valentine V, 
    2020 WL 5797881
    , at *30. The court noted that
    “[d]esigning a policy and implementing some of the measures therein does
    not automatically satisfy Defendants’ constitutional obligations, especially in
    the face of an unprecedented public health crisis.” 
    Id.
     But to know whether
    certain measures pass constitutional muster requires analyzing them under
    the constitutional standard, which the district court did not do. And our
    Eighth Amendment precedent in the context of infectious disease, though
    limited, instructs that TDCJ met its constitutional obligations. We have
    twice held that testing and treating inmates who were exposed to tuberculosis
    is enough to establish that prison officials were not deliberately indifferent to
    11
    Case: 20-20525      Document: 00515599060            Page: 12    Date Filed: 10/13/2020
    No. 20-20525
    the risk of disease. Gibbs v. Grimmette, 
    254 F.3d 545
     (5th Cir. 2001); Wallace
    v. Dallas Cty., 
    51 F.3d 1045
     (5th Cir. 1995) (per curiam). Here, even
    recognizing that COVID-19 poses a greater risk than tuberculosis, any
    argument that TDCJ “evince[d] a wanton disregard for any serious medical
    needs” is dispelled by the affirmative steps it took to contain the virus.
    Gobert, 
    463 F.3d at 346
     (internal quotation omitted).
    The bulk of the district court’s opinion focuses on what more TDCJ
    could have done in response to COVID-19. For example, TDCJ failed to
    enforce social distancing in the Pack Unit, particularly in the showers. It did
    not increase the janitorial staff’s access to training or supplies. Staff regularly
    violated the mask policy. Surfaces were not cleaned regularly at the laundry
    exchange, where inmates interacted face-to-face without masks. No hand
    sanitizer was available, and many sinks were broken. No contact tracing plan
    was in effect. The turnaround time for COVID-19 tests was between one
    and two weeks at the start of the pandemic.
    The district court grouped these shortcomings into two categories:
    (1) the lack of a systematic approach, and (2) the failure to abide by basic
    health guidance, which together demonstrated TDCJ’s deliberate
    indifference to the known risk of COVID-19 in the Pack Unit. Valentine V,
    
    2020 WL 5797881
    , at *31. But in reaching that conclusion, the court held
    TDCJ to a higher standard than the Constitution imposes. For example, it
    reasoned that TDCJ’s approach “lacked indicia of effecting long-term
    changes that will be consistently carried out until the pandemic is under
    control” and questioned whether TDCJ was sanitizing the Pack Unit “to
    the minimum extent required to avoid the spread of COVID-19.” Id. at 33.
    The Eighth Amendment does not enact the CDC guidelines. Nor does it
    require TDCJ to implement “long-term changes” or “avoid the spread of
    COVID-19,” and the failure to do so does not “clearly evince a wanton
    12
    Case: 20-20525     Document: 00515599060            Page: 13    Date Filed: 10/13/2020
    No. 20-20525
    disregard for any serious medical needs.” Gobert, 
    463 F.3d at 346
     (internal
    quotation omitted).
    The district court also faulted TDCJ for failing to do the impossible.
    It criticized TDCJ’s use of COVID-19 tests that “were only approved
    under the FDA’s Emergency Use Authorization and had not been approved
    for testing of asymptomatic individuals.” Valentine V, 
    2020 WL 5797881
    , at
    *33. But the evidence shows that the FDA has not fully approved any
    COVID-19 test; all available tests are subject only to emergency-use
    authorizations. And at the time of trial, none of those tests was approved for
    asymptomatic individuals. 1 The district court also lamented that TDCJ
    never considered “using authorized early release as a means to increase social
    distancing,” without addressing that TDCJ has no power to release inmates
    from the Pack Unit. 
    Id.
     “Failing to do the ‘impossible’ doesn’t evince
    indifference, let alone deliberate indifference.” Swain v. Junior, 
    961 F.3d 1276
    , 1287 (11th Cir. 2020).
    To be sure, the district court identified lapses in TDCJ’s response to
    COVID-19. As a matter of policy, TDCJ could have done more to protect
    vulnerable inmates in the Pack Unit. But federal judges are not policymakers.
    “The Constitution charges federal judges with deciding cases and
    controversies, not with running state prisons.” Lewis v. Casey, 
    518 U.S. 343
    ,
    363 (1996) (Thomas, J., concurring). Here, the narrow question before us is
    whether Plaintiffs have proven a constitutional violation. And under
    governing precedent, their burden is “extremely high.” Domino, 
    239 F.3d at
    1
    The FDA issued an emergency-use authorization for asymptomatic testing
    during the trial. Press Release, U.S. Food & Drug Admin., Coronavirus (COVID-19)
    Update: FDA Authorizes First Diagnostic Test for Screening of People Without Known
    or Suspected COVID-19 Infection (July 24, 2020), https://www.fda.gov/news-
    events/fda-newsroom/press-announcements.
    13
    Case: 20-20525       Document: 00515599060           Page: 14   Date Filed: 10/13/2020
    No. 20-20525
    756. The Eighth Amendment does not mandate perfect implementation. See
    Petzold, 946 F.3d at 250. And “prison officials who act reasonably cannot be
    found liable under the Cruel and Unusual Punishments Clause.” Farmer, 
    511 U.S. at 844
    . TDCJ’s measures may have been unsuccessful. But they were
    not unconstitutional.
    C
    We pause briefly to address Plaintiffs’ ADA and Rehabilitation Act
    claim. The district court concluded that TDCJ’s failure to provide hand
    sanitizer denied the mobility-impaired subclass a reasonable accommodation
    necessary for proper hygiene. Valentine V, 
    2020 WL 5797881
    , at *35. Unlike
    our review of Plaintiffs’ Eighth Amendment claim, which involved the
    proper application of a legal standard, the reasonable-accommodation inquiry
    is fact-specific. Given that Plaintiffs’ failure to exhaust forecloses their
    success on this claim, we find it unnecessary to parse an 18-day trial record
    on an expedited motion for temporary relief.
    IV
    Next, we consider whether TDCJ will be irreparably harmed absent
    a stay.
    As the previous motions panel recognized, “it is difficult to imagine
    an activity in which a State has a stronger interest, or one that is more
    intricately bound up with state laws, regulations, and procedures, than the
    administration of its prisons.” Valentine I, 956 F.3d at 803 (quoting Woodford
    v. Ngo, 
    548 U.S. 81
    , 94 (2006)). And TDCJ, of course, is tasked with
    administering Texas’s prisons. 
    Id.
     (citing Tex. Gov’t Code ch. 501). The
    permanent injunction lays claim to TDCJ’s resources, commanding how it
    must allocate its time, funding, and facilities. In doing so, it necessarily
    interferes with TDCJ’s ability to perform its statutory duties. And it hinders
    TDCJ’s flexibility to address the facts on the ground, which, as has been
    14
    Case: 20-20525      Document: 00515599060          Page: 15    Date Filed: 10/13/2020
    No. 20-20525
    repeatedly recognized in this litigation, are ever-changing. See id.; Valentine
    III, 960 F.3d at 707; Valentine IV, 
    2020 WL 3491999
    , at *5. We have found
    irreparable injury where an injunction required a prison “go to the effort and
    expense of furnishing the district court with a plan” to address a problem
    beyond what the Constitution requires. Ruiz v. Estelle, 
    650 F.2d 555
    , 572–73
    (5th Cir. Unit A June 1981). The injunction in this case does that and more.
    V
    Finally, we assess the balance of harms and the public interest.
    Here, the significant decrease in COVID-19 cases in the Pack Unit,
    as documented by the district court, weighs in favor of a stay. Valentine V,
    
    2020 WL 5797881
    , at *7–8. The Pack Unit reported 144 positive cases
    between May 12–14, and 172 positive cases between June 23–25. Though
    testing slowed somewhat, only 1 positive case was reported between August
    10–12, and there were only 4 active cases among inmates as of September 28.
    The district court observed that even now, “COVID-19 has not been fully
    contained.” 
    Id.
     But its incidence has been drastically reduced, all without
    court intervention or oversight. On balance, then, a stay will not substantially
    harm Plaintiffs. The harm to the state and the public interest overlap where,
    as here, the state is the appealing party. Veasey v. Abbott, 
    870 F.3d 387
    , 391
    (5th Cir. 2017) (per curiam); Nken, 
    556 U.S. at 435
    . In any event, the public
    interest favors having politically accountable officials—not federal judges—
    determine how to allocate resources. Swain, 961 F.3d at 1293; see also Lewis,
    
    518 U.S. at 363
     (Thomas, J., concurring) (“Principles of federalism and
    separation of powers dictate that exclusive responsibility for administering
    state prisons resides with the State and its officials.”). TDCJ has thus
    satisfied all four factors.
    15
    Case: 20-20525   Document: 00515599060         Page: 16   Date Filed: 10/13/2020
    No. 20-20525
    VI
    TDCJ’s motion to stay the permanent injunction pending appeal is
    GRANTED.
    16