Penn v. Escorsio , 764 F.3d 102 ( 2014 )


Menu:
  •           United States Court of Appeals
    For the First Circuit
    No. 13-2309
    CATHY PENN, in her capacity as Guardian of Matthew Lalli,
    Plaintiff, Appellee,
    v.
    ANGELA ESCORSIO and DANE WINSLOW, individually and in their
    official capacities as Knox County Corrections Officers,
    Defendants, Appellants,
    and
    KNOX COUNTY; KNOX COUNTY SHERIFF’S DEPARTMENT; KNOX COUNTY JAIL;
    DONNA DENNISON, in her official capacity as Knox County Sheriff;
    and JULIE STILKEY, CHRISTOPHER TRUPPA, WARREN HEATH IV, ROBERT
    WOOD, JOHN HINKLEY, KATHY CARVER, WARREN HEATH III, and BRADLEY
    WOLL, individually and in their official capacities as Knox
    County Corrections Officers,
    Defendants.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MAINE
    [Hon. Nancy Torresen, U.S. District Judge]
    Before
    Thompson, Baldock,* and Selya,
    Circuit Judges.
    Peter T. Marchesi, with whom Cassandra S. Shaffer and Wheeler
    & Arey, P.A. were on brief, for appellants.
    Nolan L. Reichl, with whom Ralph I. Lancaster, Daniel J.
    Stevens, Catherine R. Connors, and Pierce Atwood LLP were on brief,
    for appellee.
    *
    Of the Tenth Circuit, sitting by designation.
    August 22, 2014
    Baldock, Circuit Judge.      Defendants Dane Winslow and
    Angela Escorsio were involved in a series of troubling events that
    led to the attempted--and nearly completed--suicide of Matthew
    Lalli.   Lalli was at the time a pre-trial detainee being held at
    the jail where Defendants work as corrections officers.            Lalli’s
    guardian, Plaintiff Cathy Penn, sued Defendants.             Penn claimed,
    among other things, deliberate indifference in violation of Lalli’s
    Fourteenth Amendment Due Process rights.1 Defendants moved for
    summary judgment, arguing they were not deliberately indifferent
    and, in any event, were entitled to qualified immunity.                The
    district court denied Defendants’ motion.         The court held that,
    accepting all facts and drawing all inferences in Penn’s favor, a
    reasonable    jury   could   conclude    Defendants   were    deliberately
    indifferent because they took essentially no action to forestall a
    substantial risk that Lalli would attempt suicide.           The court also
    held reasonable officials in Defendants’ positions would have known
    they violated Lalli’s clearly established Fourteenth Amendment
    rights if a jury indeed concluded that Defendants effectively
    failed to take any action to forestall this risk.
    1
    Penn originally sued a host of Defendants including Knox
    County, Knox County Sheriff’s Department, Knox County Jail, Knox
    County’s Sheriff, and a group of corrections officers including
    Defendants Winslow and Escorsio. Penn sought money damages under
    
    42 U.S.C. § 1983
     for violations of the Eighth and Fourteenth
    Amendments to the United States Constitution, as well as under
    state law. Ultimately, the parties settled and stipulated to the
    dismissal of all claims except those against Defendants Winslow and
    Escorsio.
    -3-
    Defendants now appeal, steadfastly asserting qualified
    immunity.     But   Defendants’   appeal   relies   heavily    on   factual
    arguments despite our holding that “a district court’s pretrial
    rejection of a qualified immunity defense is not immediately
    appealable to the extent that it turns on either an issue of fact
    or an issue perceived by the trial court to be an issue of fact.”
    Cady v. Walsh, 
    753 F.3d 348
    , 359 (1st Cir. 2014) (emphasis in
    original) (internal quotation marks omitted).           In particular,
    Defendants concede clearly established law at the time Lalli
    attempted suicide dictated officers must take some reasonable
    measures to thwart a known, substantial risk that a pre-trial
    detainee will attempt suicide.       But the district court found a
    reasonable jury could conclude Defendants “effectively failed to
    take any action to forestall” this risk as to Lalli.          Based on the
    conceded law and the district court’s factual analysis, Defendants
    cannot show they are entitled to qualified immunity at the summary
    judgment phase of this litigation. Therefore, after winnowing away
    the chaff to reveal the very narrow legal question we may answer
    under 
    28 U.S.C. § 1291
     and the collateral order doctrine, we
    affirm.
    I.
    We may exercise jurisdiction over an interlocutory appeal
    from a denial of summary judgment on qualified immunity only to the
    extent the appeal rests on legal, rather than factual grounds.          We
    -4-
    thus summarize the facts in the light most favorable to Penn,
    taking as unchallenged any inferences the district court drew in
    her favor.     Cady, 753 F.3d at 350.2       A more thorough recitation of
    these facts can be found in the district court’s order, see Penn v.
    Knox Cnty., No. 2:11-cv-00363, 
    2013 WL 5503671
    , at *1–13 (D. Me.
    Sept. 30, 2013) (unpublished), but the following will suffice for
    our purposes.
    A. Defendant Winslow
    On Saturday, October 3, 2009, Matthew Lalli was arrested
    and   taken    to   Knox   County   Jail    (“KCJ”)   for   allegedly   being
    intoxicated and committing assault in violation of the terms of his
    release.   Lalli’s arraignment on these charges was set for Monday,
    October 5.      When Lalli arrived at KCJ, Defendant Winslow was on
    duty as KCJ’s shift supervisor.            In accordance with KCJ’s intake
    procedures, Officer Stilkey, who was the booking officer under
    2
    Of course, “we need not accept [Penn’s] version of events
    if it is ‘blatantly contradicted’ by the evidence.” Medina-Rivera
    v. MVM, Inc., 
    713 F.3d 132
    , 136 (1st Cir. 2013) (quoting Scott v.
    Harris, 
    550 U.S. 372
    , 380(2007)). But Defendants nowhere argue the
    district court’s factual determinations, as summarized below, are
    blatantly contradicted by the record and our review of the record
    reveals no blatant contradictions. To be sure, Defendants argue
    that many of the district court’s factual findings and inferences
    are not supported by the record, but that is a very different
    argument--an argument we do not have jurisdiction to review at this
    time.   See Cady, 753 F.3d at 359 (“Questions of ‘evidentiary
    sufficiency’--i.e., whether the record is capable of supporting a
    particular factual finding, rather than a particular legal
    conclusion--are not sufficiently distinct to warrant interlocutory
    appeal.” (marks and citations omitted)).
    -5-
    Winslow’s supervision, filled out both a suicide risk assessment
    form and a medical screening form for Lalli.           The suicide risk
    assessment revealed that Lalli had, among other things, (1) lost
    two close friends to suicide, (2) attempted suicide himself two
    years prior, and (3) when asked whether he then felt like killing
    himself responded “not sure, feels that . . . life is over.”          Under
    KCJ’s model suicide risk assessment form, a suicide risk score of
    15 or more points qualifies as the highest suicide risk level and
    requires KCJ to provide one-on-one observation of the inmate and to
    conduct a mental health evaluation within one hour.         When Lalli’s
    answers to the suicide assessment and medical screening forms are
    applied to this model, his risk of suicide scored at least 20
    points.    A final portion of the suicide risk assessment form calls
    for the booking officer to indicate with checkmarks which of five
    levels of intervention the detainee received ranging from “NO
    INTERVENTION/GENERAL POPULATION” to “PLACED ON SUICIDE WATCH STEP
    2.”   Neither Stilkey nor Winslow checked off any of these boxes.
    But   Lalli’s   suicide     risk   assessment   and   medical
    assessment worried Officer Stilkey.       As a result, after completing
    the forms, Stilkey told Defendant Winslow: “[Y]ou need to look at
    this.”     After reviewing Lalli’s intake forms, Winslow decided to
    place Lalli on “welfare watch,” which required staff to make
    separate    log   entries   regarding    Lalli’s   condition   when    they
    conducted their fifteen-minute checks of his cell and ensured that
    -6-
    a mental health care worker would speak with Lalli the next time
    one was scheduled to visit the jail. Although KCJ had an available
    suicide prevention cell, Cell 127, which could be constantly
    monitored from the intake desk, Winslow decided to place Lalli in
    Cell 135.   Officers sitting at the intake desk can hear people in
    Cell 135 if they make a loud noise, but have no view into Cell 135
    itself.   Moreover, Cell 135 is not stripped of objects a detainee
    could use to harm himself.       For instance, Cell 135 contains sheets
    and bedding which a detainee could potentially fashion into a
    makeshift noose--as Lalli did here. Winslow had no further notable
    contact with Lalli and Sunday, October 4 was uneventful.
    B.   Defendant Escorsio
    On the morning of Monday, October 5, Officer Heath, who
    was at that time the on-duty intake officer, documented in KCJ’s
    intake/release log and in Lalli’s welfare-watch log that: “while
    moving inmate Wood, inmate Matthew Lalli told me that he has sole
    custody of his daughter and that if he were not allowed to be on
    the outside then it would be better if he wasn’t alive at all.”           At
    12:07 p.m., KCJ’s intake/release log indicates Defendant Escorsio
    took over for Heath as intake officer.
    Between noon and 12:30 p.m., jail staff assembled nine
    detainees in the intake area to prepare them for their trip to the
    Knox   County   District    Court   for    court   appearances.   The   group
    included Lalli and several other inmates who were deposed in
    -7-
    relation to this suit.       One inmate testified that Lalli began
    “really freaking out” before being loaded into a van for transport
    to the court--apparently loud enough for Defendant Escorsio to have
    heard. Another inmate testified that Lalli made various threats to
    hurt himself during the trip from the jail to the courthouse,
    saying “if I don't get the hell out of here I’m going to hurt
    myself, kill myself.”
    At his arraignment, Lalli told the presiding judge that
    “it would be all be over” and that he would “just end it” if he was
    denied bail.      The judge nevertheless ordered that Lalli be held
    without bail.      After the judge issued the ruling, Lalli became
    upset and started crying.     As Lalli returned to the dock area, one
    witness testified, he was “screaming hysterically and crying and
    threatening suicide.”       This witness recalled that after Lalli
    rejoined the other inmates, he said that he “might as well just
    kill himself because he [couldn’t] go back to jail” and that he was
    “going to lose everything.”      Another inmate in the van testified
    that Lalli, loudly and throughout the short trip back to jail,
    “kept saying he was going to kill himself.”
    Although none of the transport officers relayed Lalli’s
    suicide threats to Defendant Escorsio, the district court found
    “one   of   the   inmates   [probably]   did   inform   Escorsio.”   At
    approximately 2:52 p.m., a corrections officer strip-searched
    Lalli.   Lalli was upset after the search and began to cry.      Hoping
    -8-
    to calm Lalli down, Escorsio allowed him to make a call from the
    phone next to the jail’s intake desk.   As the call began, Escorsio
    heard Lalli speak about his daughter and the denial of his bail.
    Corporal Woll, who was also nearby, heard Lalli say that he would
    rather die if he did not have his daughter.
    At this point, Defendant Escorsio and the other officers
    on duty decided Lalli should be moved from Cell 135 to Cell 127,
    the vacant suicide prevention cell.     But because a female inmate
    occupied Cell 126, which shares a day room with Cell 127, the
    officers needed to move some inmates around before putting Lalli in
    Cell 127.     Instead of taking any precautions in the interim,
    however, at about 3:00 p.m. Escorsio returned Lalli to Cell 135.
    She did not put him in a suicide smock, nor did she take away his
    bedding.    Escorsio then secured Lalli’s two neighboring inmates in
    their cells, allowing only Lalli access to the adjoining day room.
    Before she left the area, Escorsio told Lalli to “sit down” and
    “shut up” and warned him that she would bring him “up front in the
    turtle suit [a.k.a. suicide smock]” if he did not do as told.
    Next, Lalli made a call from the phone in the day room.
    Lalli told the person on the other end of the line that he was
    going to kill himself. According to the district court, Lalli then
    began pacing around the day room, screaming “I’m going to f***ing
    kill myself” as loud as if he were “hollering to somebody 75 yards
    away.”     After spending about ten to fifteen minutes in the day
    -9-
    room, Lalli went into Cell 135 and closed the door.     Once inside,
    Lalli started kicking his door, throwing things around his cell and
    creating a lot of commotion.   Defendant Escorsio conducted another
    welfare check on Lalli sometime between 3:15 and 3:25 p.m.       Lalli
    stopped making noise after this visit.
    Just before 3:30 p.m., Defendant Escorsio asked Corporal
    Woll to perform Lalli’s upcoming welfare-watch check for her.
    Before Woll reached Cell 135, however, he noticed a white sheet
    hanging from a divider pole.   Woll immediately ordered the door be
    opened and called for assistance.      Once inside, he found Lalli’s
    body hanging from the divider pole.     Woll and another corrections
    officer began performing chest compressions and CPR on Lalli.
    Before long, paramedics arrived and removed Lalli from the cell. An
    ambulance rushed Lalli to Eastern Maine Medical Center, in Bangor,
    Maine, where doctors later diagnosed him with anoxic brain injury
    resulting from the suicide attempt.
    C.   The District Court Order
    In analyzing the deliberate indifference claim against
    Defendant Winslow, the district court found, “[a] reasonable jury
    could conclude that requiring guards to record their observations
    in a welfare watch logbook has no practical effect and serves only
    to paper the jail’s file,”   Penn, 
    2013 WL 5503671
     at *18, and that
    under “welfare watch” Lalli “was monitored no more than any other
    pretrial detainee in the jail’s intake wing.”      
    Id. at *19
    .     The
    -10-
    court also pointed out that Winslow put Lalli in one of the least-
    observable cells in the intake wing, and no mental health care
    worker visited the jail’s premises until Tuesday, October 6, three
    days after Lalli arrived at KCJ and a day after Lalli attempted
    suicide. The court did note that “Winslow’s involvement in Lalli’s
    case was almost two days removed from Lalli’s suicide attempt,” but
    pointed out that “this fact alone does not preclude liability”
    because    a    reasonable    jury    could   find    that   “[t]he    decisions
    [Winslow] made about Lalli’s housing and monitoring regime set a
    baseline which affected how everyone else at the jail interacted
    with Lalli.”
    Ultimately, the district court determined a reasonable
    jury    could     find   Defendant      Winslow      acted   with     deliberate
    indifference toward Lalli:
    Taking the facts in the light most favorable to the
    Plaintiff and drawing all inferences in her favor, a
    fact-finder could conclude that Sergeant Winslow took
    essentially no action to reduce the substantial risk that
    Lalli would attempt to kill himself . . . . Under this
    view of the facts, this is not a case where Sergeant
    Winslow merely chose between different “course[s] of
    treatment,” but rather one where he failed to provide any
    meaningful help at all. Accordingly, there is a triable
    issue of fact regarding whether Sergeant Winslow
    “culpably ignore[d]” a substantial risk that Lalli would
    seriously harm himself.
    
    Id.
     (emphasis added).
    In analyzing the deliberate indifference claim against
    Defendant Escorsio, the district court found “[t]here is a genuine
    dispute   of     material    fact    regarding    whether    Officer   Escorsio
    -11-
    realized that Lalli faced a substantial risk of serious harm on the
    afternoon of October 5, 2009.”     
    Id. at *24
    .    The court also pointed
    out that “a reasonable fact-finder could conclude” Escorsio did not
    check on Lalli at the mandated 15-minute intervals, and that she
    “conducted only a cursory check, ‘holler[ing]’ into Lalli’s cell
    from outside that he needed to ‘quiet down’ but never actually
    entering his cell or directly observing him.”          
    Id.
        Furthermore,
    the court found, “[a] reasonable fact finder could conclude that
    Officer Escorsio’s commands to ‘sit down’ and ‘shut up,’ and
    threats of a ‘turtle suit’ worsened Lalli’s fragile condition.”
    
    Id.
       As such, the court concluded, “[s]ince Officer Escorsio took
    essentially no action to protect Lalli after he returned to Cell
    135, there is a triable issue regarding whether Officer Escorsio
    ‘culpably ignor[ed]’ a substantial risk that serious harm would
    befall Lalli,” and therefore could be found liable for deliberate
    indifference.    
    Id.
     (emphasis added).
    As   to   Defendants’   claim   of   qualified    immunity,   the
    district court first held that, “[w]ith respect to [Defendants]
    Winslow . . . and Escorsio, ‘the facts alleged or shown by the
    plaintiff make out a violation of a constitutional right.’” 
    Id. at *26
     (quoting Maldonado v. Fontanes, 
    568 F.3d 263
    , 269 (1st Cir.
    2009).   The court then addressed whether the right was clearly
    established.    The court explained that “as a general matter, a
    reasonable official in the Defendants’ position in October of 2009
    -12-
    would have known that it violates the Fourteenth Amendment to fail
    to take reasonable measures to thwart a known, substantial risk
    that a pretrial detainee will attempt suicide.”         Id. at *26.   The
    court also noted that under clearly established law “a plaintiff
    may make out a deliberate indifference claim by showing that an
    official    failed   to   communicate    critical   information   about   a
    specific, serious risk facing an inmate where it was within the
    official’s scope of responsibility to do so.”         Id.   Applying this
    law to the summary judgment record, the court held:
    Defendants’ alleged conduct--effectively failing to take
    any action to forestall the risk that Lalli would attempt
    suicide at the moment he did--clearly falls under the
    “general constitutional rule” that it violates the
    Fourteenth Amendment to fail to take reasonable measures
    to thwart a known, substantial risk that a pretrial
    detainee will attempt suicide.
    Id. (emphasis in original). Accordingly, the court held Defendants
    were not entitled to qualified immunity on the claim of deliberate
    indifference at the summary judgment stage.            Defendants timely
    appealed.
    II.
    Our first task is to establish the contours of our
    jurisdiction over this appeal.
    An order denying a motion for summary judgment is
    generally not a final decision within the meaning of [42
    U.S.C.] § 1291 and is thus generally not immediately
    appealable. But that general rule does not apply when
    the summary judgment motion is based on a claim of
    qualified immunity. Qualified immunity is an immunity
    from suit rather than a mere defense to liability. As a
    result, pretrial orders denying qualified immunity
    -13-
    generally fall within the collateral order doctrine.
    This is so because such orders conclusively determine
    whether the defendant is entitled to immunity from suit;
    this immunity issue is both important and completely
    separate from the merits of the action, and this question
    could not be effectively reviewed on appeal from a final
    judgment because by that time the immunity from standing
    trial will have been irretrievably lost.
    Plumhoff v. Rickard, 
    134 S. Ct. 2012
    , 2018–19 (2014) (quotations
    and alterations omitted).
    That said, we have long relied on Johnson v. Jones, 
    515 U.S. 304
    , 318–20 (1995), for the proposition that: “a ‘district
    court’s pretrial rejection of a qualified immunity defense is not
    immediately appealable to the extent that it turns on either an
    issue of fact or an issue perceived by the trial court to be an
    issue of fact.’” Cady, 753 F.3d at 359 (emphasis in original)
    (quoting Stella v. Kelley, 
    63 F.3d 71
    , 74 (1st Cir. 1995), and
    citing Johnson, 
    515 U.S. at 318-20
    ).
    But   the    Supreme   Court    recently   clarified   that   “the
    Johnson order was not immediately appealable because it merely
    decided a question of ‘evidence sufficiency,’ i.e., which facts a
    party may, or may not, be able to prove at trial.”          Plumhoff, 
    134 S. Ct. at 2019
    .       On the other hand, the Court explained, to the
    extent officers “contend that their conduct did not violate the
    [law] and, in any event, did not violate clearly established law.
    . . . they raise legal issues.”          
    Id.
       The Court then made clear
    that “deciding legal issues of this sort is a core responsibility
    -14-
    of appellate courts, and requiring appellate courts to decide such
    issues is not an undue burden.”        
    Id.
    In sum, we “need not consider the correctness of the
    plaintiff’s version of the facts,” Mitchell v. Forsyth, 
    472 U.S. 511
    , 528 (1985), except, perhaps, to the extent they are “blatantly
    contradicted by the record,” Scott, 
    550 U.S. at 380
    .3                      But,
    assuming    those   plaintiff-friendly       facts   and    inferences         not
    blatantly contradicted by the record, we cannot shirk our duty to
    decide as a matter of law whether Defendants, on those assumed
    facts,   violated   the    law   and   whether   that      law   was    clearly
    established such that Defendants are not entitled to qualified
    immunity.
    Before we reach this purely legal question, however, we
    must peel away the facade by which Defendants persistently portray
    as legal arguments what are in reality purely factual disputes.
    “Qualified immunity protects public officials from liability for
    civil damages insofar as their conduct does not violate clearly
    established    statutory    or   constitutional      rights      of    which    a
    reasonable person would have known.”          Elliott v. Cheshire Cnty.,
    N.H., 
    940 F.2d 7
    , 10 (1st Cir. 1991) (marks and citations omitted).
    Defendants do indeed assert (1) they did not violate Lalli’s
    rights, or at least (2) a reasonable officer in their position
    would not have known he was violating Lalli’s clearly established
    3
    See supra note 2.
    -15-
    rights.     But their arguments to support these assertions are
    entirely factual and thus not appropriate for interlocutory appeal.
    A.
    Take for example Defendants’ argument that they did not
    violate Lalli’s rights by deliberate indifference.            “It is clearly
    established . . . that jail officials violate the due process
    rights of their detainees if they exhibit a deliberate indifference
    to the medical needs of the detainees . . . .”                      Id.      “To
    demonstrate deliberate indifference a plaintiff must show (1) a
    grave risk of harm, (2) the defendant’s actual or constructive
    knowledge   of   that   risk,   and   (3)    his   failure   to   take    easily
    available measures to address the risk.”            Camilo-Robles v. Hoyos,
    
    151 F.3d 1
    , 7 (1st Cir. 1998).
    Deliberate indifference is more than negligence. In
    a suicide case, a finding of deliberate indifference
    requires a strong likelihood, rather than a mere
    possibility, that self-infliction of harm will occur.
    The conduct must encompass acts or omissions so dangerous
    (in respect to health and safety) that a defendant’s
    knowledge of a large risk can be inferred.         When a
    supervisory official is placed on actual notice of a
    prisoner’s need for physical protection or medical care,
    administrative negligence can rise to the level of
    deliberate indifference to or reckless disregard for that
    prisoner’s safety.
    Elliott, 
    940 F.2d at 10
    .
    Defendants do not dispute the district court’s recitation
    of the law as to deliberate indifference.                Rather, Defendant
    Winslow argues he was not deliberately indifferent, and therefore
    did not violate Lalli’s rights because “the summary judgment record
    -16-
    does not support finding a genuine issue as to whether Winslow
    actually knew of the risk [that Lalli would attempt suicide] or
    whether Winslow was deliberately indifferent to that risk.” Defs.’
    Br. at 26.      Similarly, Defendant Escorsio argues she “was not
    deliberately indifferent to Lalli’s Fourteenth Amendment rights
    because she took some action to avert the risk of harm.”             
    Id. at 50
    . But these discussions “nowhere develop the argument that, even
    drawing all the inferences as the district court concluded a jury
    permissibly could, they are entitled to judgment as a matter of
    law.” Cady, 753 F.3d at 359-60. Instead, Winslow’s arguments take
    issue with the district court’s factual determinations as to his
    knowledge of risk and his efforts--or lack thereof--to abate that
    risk.4 Similarly, Escorsio’s arguments dispute the court’s factual
    finding that she may have taken essentially no action to avert the
    risk Lalli would attempt suicide when she returned him to Cell 135.
    As   we   recently   stated   in    Cady,     these   “fact-based
    challenge[s] would, of course, not defeat jurisdiction if . . .
    advanced in the alternative.     But nowhere in the defendants’ brief
    does there appear any developed argument that the defendants are
    entitled   to   summary   judgment   even     if   the   district   court’s
    4
    Winslow also raises a causation argument, but this argument
    is based on a dispute with the district court’s finding of a
    factual issue as to whether “[t]he other corrections officers who
    encountered Lalli may have been lulled to complacency by the fact
    that the official charged with reviewing Lalli’s intake file
    decided he merited only welfare watch treatment.” Defs.’ Br. at 38
    (quoting Penn, 
    2013 WL 5503671
    , at *19).
    -17-
    conclusions about the record were correct.”             
    Id. at 361
    .   As such,
    we have no basis on which to exercise jurisdiction over whether
    Defendants violated Lalli’s clearly established rights through
    deliberate indifference to the risk that he would attempt suicide.
    B.
    Similarly, Defendants’ arguments as to whether officials
    in their positions could have reasonably believed their actions
    were lawful “do not transform this appeal into one that turns on a
    pure issue of law.”     Cady, 753 F.3d at 361.           Indeed, Defendants’
    arguments on this point are, again, purely factual.
    For example, the district court stated that “[a]s of
    October 3, 2009, it had long been settled law that state jail
    officials   violate   the   Due    Process     Clause    of   the   Fourteenth
    Amendment when they act with deliberate indifference toward the
    risk that pretrial detainees will seriously harm themselves while
    in state custody.”    Penn, 
    2013 WL 5503671
    , at *26.           The court also
    stated that   “an official violates [clearly established law] if he
    knows that a pretrial detainee faces a substantial risk of serious
    harm but disregards that risk by failing to take reasonable
    measures to abate it.”       
    Id.
          Defendants do not dispute these
    statements of the law and we will not review them now as Defendants
    waived any argument to the contrary.            Indeed, Defendants’ brief
    affirmatively asserts the district court’s recitation of clearly
    established law is correct.       See, e.g.,    Defs.’ Br. at 44; see also
    -18-
    Defs.’ Reply at 28 (quoting Rellergert by Rellergert v. Cape
    Girardeau Cnty., Mo., 
    924 F.2d 794
    , 797 (8th Cir. 1991), for the
    proposition that “the law is clearly established that jailers must
    take [some] measures to prevent inmate suicides once they know of
    the suicide risk, [but] we cannot say that the law is established
    with any clarity as to what those measures must be”).
    Instead,   Defendant   Winslow,   for   his   part,   contends
    “[t]here is nothing about this broad, general proposition that
    would have alerted [him] that” placing Lalli on “welfare watch”
    would violate Lalli’s constitutional rights.        Defs.’ Br. at 45.
    Winslow thus argues he “is entitled to qualified immunity because
    he took some action to abate the risk Lalli presented.”         Id. at 48
    (emphasis added).    But this argument is premised on a fundamental
    factual dispute:    Winslow believes the record shows he took “some
    action” to abate the risk Lalli would attempt suicide by placing
    him on “welfare watch,” while the district court found factual
    issues from which “[a] reasonable jury could conclude that [placing
    Lalli on ‘welfare watch’] did nothing” to reduce the risk of Lalli
    attempting suicide between the time he arrived at KCJ and the time
    he made his suicide attempt.5       Penn, 
    2013 WL 5503671
    , at *18.
    5
    Defendant Winslow repeatedly contends that placing Lalli on
    “welfare watch” resulted in his being observed at least twice as
    often as an inmate placed in KCJ’s general population.       But he
    fails to cite anywhere in the record to establish that, but for his
    being placed on “welfare watch,” Lalli would have indeed been
    placed in the general population before he attempted suicide.
    -19-
    Indeed, the district court stated, “[u]nder this view of the facts,
    this is not a case where Sergeant Winslow merely chose between
    different courses of treatment, but rather one where he failed to
    provide any meaningful help at all.”   
    Id. at *19
     (emphasis added)
    (internal quotation marks omitted).    Winslow’s argument that he
    acted reasonably because he took “some action” is thus a purely
    factual dispute with the district court’s factual determinations--a
    dispute we have no jurisdiction to pass on at this point in the
    litigation.6
    Defendant Escorsio raises essentially the same argument
    on this point. She, like Defendant Winslow, reaffirms the district
    court’s statement as to the applicable clearly established law.
    She then, argues, however, that “[e]xisting case law does not place
    correctional officers on notice that taking some action, but not
    enough action, to forestall or prevent harm [violates] inmates’
    Fourteenth Amendment rights.”   Defs.’ Br. at 60 (emphasis added).
    Like Winslow, the thrust of Escorsio’s argument is that she took
    “some action” to prevent Lalli from attempting suicide.        She
    therefore simply disputes the district court’s factual finding that
    6
    Winslow likewise concedes clearly established law required
    him to communicate critical information about any specific serious
    risk facing Lalli, but contends that he did communicate this
    information by establishing the watch log. Defs.’ Br. at 48. This
    argument assumes future officers would read the watch log when the
    district court found “[t]here is no evidence that any jail official
    was charged with reading or analyzing the welfare watch logbook.”
    Penn, 
    2013 WL 5503671
    , at *18. Accordingly, this is but another
    purely factual argument that we may not resolve at this time.
    -20-
    a reasonable jury could conclude she took “effectively no action”
    to prevent or forestall this risk. And, as with Winslow, we cannot
    resolve this factual dispute at this point in the litigation.
    Ultimately, Defendants hang their hat on disagreements
    with how the district court weighed the evidence as to whether they
    in fact took any action that might have actually forestalled a
    substantial risk that Lalli would attempt suicide. As important as
    this issue may be, we do not have jurisdiction to address it on
    interlocutory appeal as it turns on questions of evidentiary
    sufficiency.   See Cady, 753 F.3d at 359.
    III.
    Having stripped Defendants’ arguments of all factual
    disputes, we find relatively straightforward the purely legal
    question   whether,   for   summary   judgment   purposes,   Defendants’
    conduct “did not violate the [law] and, in any event, did not
    violate clearly established law.”        Plumhoff, 
    134 S. Ct. at 2019
    .
    As to the applicable clearly established law, we accept for
    purposes of this appeal Defendants’ concession that “an official
    violates [clearly established law] if he knows that a pretrial
    detainee faces a substantial risk of serious harm but disregards
    that risk by failing to take reasonable measures to abate it.”
    Defs.’ Br. at 44 (quoting Penn, 
    2013 WL 5503671
     at *26).         We also
    accept Defendant Winslow’s concession that clearly established law
    required him to communicate critical information about any specific
    -21-
    serious risk facing Lalli. 
    Id.
     at 48 (citing Penn, 
    2013 WL 5503671
    at *26).   As to the applicable facts and inferences, construed in
    the light most favorable to Penn, the district court found that a
    reasonable jury could conclude Defendants “faced . . . knowledge of
    a substantial risk to Lalli,” and “effectively failed to take any
    action to forestall the risk that Lalli would attempt suicide at
    the moment he did.”        Penn, 
    2013 WL 5503671
     at *26 (emphasis in
    original).
    In sum, Defendants concede that clearly established law
    dictated they take some action to abate a known risk, whereas the
    district   court   found    a   jury    could   conclude   Defendants   took
    effectively no action to abate a known risk.               As such, on the
    purely legal question of qualified immunity here, we affirm.
    Indeed, we find our closing remarks from Camilo-Robles especially
    apropos:
    Qualified immunity protects all but the plainly
    incompetent or those who knowingly violate the law. In
    this case, none of the appellants consciously chose to
    violate the law. If the assumed facts indicated that
    they were merely inattentive or careless, then qualified
    immunity would shield them despite the fact that [they]
    violated [an inmates’s] clearly established rights.
    Here, however, indulging reasonable pro-plaintiff
    inferences, the record shows conduct on the appellants’
    part that can best be described as reckless and wanton--
    conduct that is emblematic of . . . plain incompetency .
    . . . The appellants’ behavior is, therefore, outside
    the wide band of mistaken police judgments that the
    qualified immunity doctrine is intended to shield and the
    appellants . . . are not entitled to summary judgment.
    Camilo-Robles, 
    151 F.3d at 15
    .
    -22-
    IV.
    Before we close, a caveat.         This opinion should not be
    construed   as   holding   Defendants        are   totally    ineligible   for
    qualified immunity.     Depending on what Defendants can prove at
    trial, they may indeed be entitled to raise qualified immunity as
    an affirmative defense.         Compare Plumhoff, 
    134 S. Ct. at 2019
    (“[Q]ualified immunity is ‘an immunity from suit rather than a mere
    defense to liability.’” (quoting Pearson v. Callahan, 
    555 U.S. 223
    ,
    231 (2009)), with Ortiz v. Jordan, 
    131 S. Ct. 884
    , 889 (2011) (“A
    qualified immunity defense . . . does not vanish when a district
    court declines to rule on the plea summarily.                The plea remains
    available to the defending officials at trial . . . .”), and
    Camilo-Robles, 
    151 F.3d at 9
     (“When a defendant fails on a pretrial
    qualified   immunity   claim,    he    nonetheless    can    plead   qualified
    immunity as an affirmative defense and resurrect the claim at
    trial.”).   Rather, we simply hold that, on the clearly established
    law conceded by Defendants themselves and the reasonable pro-
    plaintiff inferences drawn by the district court below, Defendants
    are not entitled to qualified immunity at the summary judgment
    phase.
    This appeal is therefore DISMISSED in part for want of
    appellate jurisdiction and, to the extent jurisdiction exists, the
    judgment below is AFFIRMED. Costs in favor of plaintiff-appellee
    Penn.
    -23-