White v. Kansas Department of Corrections ( 2016 )


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  •                                                              FILED
    United States Court of Appeals
    Tenth Circuit
    November 15, 2016
    UNITED STATES COURT OF APPEALS
    Elisabeth A. Shumaker
    Clerk of Court
    TENTH CIRCUIT
    BOBBY BRUCE WHITE,
    Plaintiff - Appellant,
    No. 16-3098
    v.                                    (D.C. No. 5:14-CV-03004-JTM)
    (D. Kan.)
    KANSAS DEPARTMENT OF
    CORRECTIONS; RAY ROBERTS,
    Secretary of Corrections, Kansas
    Department of Corrections; V.
    BRUNGARDT, Secretary of
    Corrections Designee, Kansas
    Department of Corrections;
    DOUGLAS BURRIS, Secretary of
    Corrections Designee, Kansas
    Department of Corrections; REX
    PRYOR, Warden, Lansing
    Correctional Facility; JAMES
    HEIMGARTNER, Warden, El Dorado
    Correctional Facility; MYRON
    ALFORD, Unit Team Manager,
    Lansing Correctional Facility; FNU
    NANCE, Unit Team Manager, Lansing
    Correctional Facility; FNU
    ANDERSON, Correctional Counselor,
    Lansing Correctional Facility; FNU
    SKIDMORE, Correctional Counselor,
    Lansing Correctional Facility; FNU
    WATSON, Unit Team Manager, El
    Dorado Correctional Facility; FNU
    HISOR, Correctional Counselor,
    Lansing Correctional Facility; FNU
    THOMAS, Correctional Counselor,
    Lansing Correctional Facility;
    JOHN/JANE DOES (1), Officers and
    KDOC Employees; CORRECT CARE
    SOLUTIONS; CORIZON MEDICAL;
    C. HARROL, Chief Medical Officer,
    El Dorado Correctional Facility;
    JOHN/JANE DOES (2), Medical
    Employees, Correct Care Solutions
    and Corizon Medical,
    Defendants - Appellees.
    ORDER AND JUDGMENT *
    Before KELLY, HOLMES, and MORITZ, Circuit Judges.
    I
    Pro se 1 prisoner Bobby Bruce White sued Kansas Secretary of Corrections
    Ray Roberts, the Kansas Department of Corrections (“KDOC”), various
    correctional employees, and the private KDOC medical providers (collectively,
    “Defendants”), asserting claims under 42 U.S.C. § 1983, the Americans with
    *
    This order and judgment is not binding precedent except under the
    doctrines of law of the case, res judicata, and collateral estoppel. It may be cited,
    however, for its persuasive value consistent with Federal Rule of Appellate
    Procedure 32.1 and Tenth Circuit Rule 32.1.
    1
    Because Mr. White appears pro se, we afford his filings a liberal
    construction, but do not act as his advocate. See Yang v. Archuleta, 
    525 F.3d 925
    ,
    927 n.1 (10th Cir. 2008).
    2
    Disabilities Act (“ADA”), 42 U.S.C. § 12132, and the Rehabilitation Act (“RA”),
    29 U.S.C. § 794(a). The district court dismissed Mr. White’s amended complaint
    and denied his motion for injunctive relief—one of a flurry of motions—but
    granted him leave to file a second amended complaint concerning only his claim
    that Defendants failed to provide adequate medical care in the aftermath of
    injuries he sustained during a March 1, 2013 cell extraction.
    Following our affirmance of the district court’s denial of injunctive relief,
    see White v. Kan. Dep’t of Corrs., 617 F. App’x 901 (10th Cir. 2015), Mr. White
    filed a second amended complaint—again, along with a bevy of other filings—in
    which he brought claims for inadequate medical care, denial of access to the
    courts, and retaliation. The district court found each claim fatally flawed, and
    dismissed Mr. White’s second amended complaint—and his overall civil
    action—in its entirety for failure to state any plausible claims for relief. 2 Mr.
    White appeals from this dismissal and the district court’s subsequent final
    judgment.
    2
    Although it is unclear whether the district court based its dismissal of
    Mr. White’s second amended complaint on Federal Rule of Civil Procedure
    12(b)(6), 28 U.S.C. § 1915(e)(2)(B)(ii), or 28 U.S.C. § 1915A(b)(1), our
    disposition of this case would be the same regardless of which one of these bases
    it invoked. See United States v. Sandoval, 
    29 F.3d 537
    , 542 n.6 (10th Cir. 1994)
    (explaining that an appellate court may affirm a district court decision on any
    grounds supported by the record); Peltier v. Fed. Bureau of Prisons, 
    185 F.3d 874
    , at *1 (10th Cir. 1999) (unpublished table decision) (reaching the same
    conclusion in the face of an unclear district court order).
    3
    Exercising jurisdiction pursuant to 28 U.S.C. § 1291, we affirm.
    II
    On January 6, 2014, Mr. White filed a pro se complaint against KDOC and
    various KDOC employees, asserting that these Defendants violated a variety of
    his constitutional rights and the ADA by subjecting him to “inhumane treatment
    and condition[s] of confinement[,]” physical assaults, and denying him necessary
    medical care, among other things. R., Vol. I, at 17–18 (Compl., filed Jan. 6,
    2014). During initial screening pursuant to 28 U.S.C. § 1915A(a), the district
    court found that Mr. White’s pleading failed to identify any specific acts or
    omissions by the named Defendants, and directed him to submit an amended
    complaint that included more particularized factual support for his claims.
    A
    On February 18, 2014, Mr. White filed an amended (and more detailed)
    complaint. In his amended complaint, he alleged that, while in the segregation
    unit of the El Dorado Correctional Facility (“EDCF”) on March 1, 2013, unknown
    correctional officers charged into his cell with sirens blaring, “pepper sprayed
    [him] in the face and down the length of [his] body . . . , tazored” [sic] him,
    “pinned [him] against the side of [his] metal bunk and . . . twist[ed] [his] left foot
    at the ankle[,]” causing him “excruciating” pain. 
    Id. at 73
    (Am. Compl., filed
    Feb. 18, 2014). The officers then purportedly “slid [him] out from under the
    bunk” where he had encamped himself prior to the “attack[,]” handcuffed him,
    4
    and took him to the showers, “bouncing [his] head off the shower wall.” 
    Id. This conduct,
    in turn, caused severe—but largely unspecified—injuries to his left leg,
    ankle, and head, 
    id. at 74–76;
    supposedly, these injuries went largely unaddressed
    by KDOC officials. 
    Id. at 77–82.
    On account of this episode, and the subsequent discrimination allegedly
    borne from his efforts to obtain redress, Mr. White advanced claims that KDOC
    employees and officials violated federal law and his constitutional rights by: (1)
    failing to protect him from discriminatory practices and personal physical and
    mental injury; (2) acting deliberately indifferent to the theft of his personal
    property by other inmates; (3) acting deliberately indifferent to his complaints
    about his medical treatment, housing conditions, and harassment by correctional
    officers; (4) failing to identify the officers who allegedly assaulted him during the
    March 2013 cell extraction; (5) providing him inadequate medical care for the
    injuries he sustained during the March 2013 cell extraction; and (6) failing to
    expedite his administrative grievances on an array of matters. 
    Id. at 63–66.
    The district court concluded that Mr. White’s amended complaint failed to
    state plausible claims for relief in all respects, with the exception of his “most
    serious allegations” concerning the adequacy of the medical care provided to him
    after the March 2013 cell extraction. 3 See R., Vol. I, at 130–37 (Order, filed Sept.
    3
    The district court granted him leave to proceed in forma pauperis
    pursuant to 28 U.S.C. § 1915.
    5
    16, 2014). With respect to that claim, the district court advised Mr. White that
    “[p]ersonal participation” constitutes an “essential [ingredient] in a civil rights
    complaint,” and granted him leave to amend, in order to provide greater detail
    concerning the underpinnings for those allegations—including, the specific
    conduct by each defendant and the specific legal right Mr. White believed each
    defendant violated. 
    Id. at 134–35.
    B
    Following resolution of Mr. White’s first appeal, he filed a second amended
    complaint against KDOC, various KDOC employees and correctional officers,
    and the private KDOC medical providers. See 
    id. at 262–300
    (Second Am.
    Compl., filed Oct. 14, 2015). In the second amended complaint, Mr. White
    asserted—as in the two prior iterations, and in accordance with the district court’s
    instructions—that he sustained serious injuries during a March 2013 cell
    extraction, that Defendants denied him adequate medical care to redress these
    injuries, and that KDOC officials failed to promulgate or follow appropriate
    guidelines and procedures to prevent these constitutional deprivations. See, e.g.,
    
    id. at 264–65
    (alleging that he was injured, “tazored” [sic] and “pepper-sprayed”
    by KDOC officers, and then denied adequate medical care).
    More specifically, Mr. White raised claims that: (1) KDOC officials failed
    to supervise their employees, failed to follow KDOC policies and procedures, and
    implemented policies so deficient that they led to a violation of his constitutional
    6
    rights (“Count I”); (2) KDOC employees acted with deliberate indifference to his
    medical needs, despite his many requests through the state grievance procedure
    (“Count II”); (3) the contract medical care provider for the KDOC, Correct Care
    Solutions (“CCS”), failed to provide timely and adequate medical care (“Count
    III”); (4) the contract medical care provider for the KDOC as of January 2014,
    Corizon Medical (“Corizon”), failed to provide timely and adequate medical care
    (“Count IV”); (5) KDOC’s chief medical officer, Dr. C. Gordon Harrod, denied
    him adequate, timely, and competent medical care by, inter alia, refusing to
    follow certain treatment plans, failing to order necessary follow-up examinations,
    and placing him in “unwarranted” mental health isolation (“Count V”); and (6)
    various employees of CCS and Corizon acted with deliberate indifference to his
    medical needs, by failing to appropriately assess, monitor, and treat Mr. White’s
    mental and physical conditions (“Count VI”). 4
    4
    Shortly after filing the Second Amended Complaint, Mr. White filed
    a document styled, “AFFIDAVIT and Memorandum for the Record[,]” in which
    he purported to provide “proof for the record” of his “current conditions of
    [i]ncarceration and [his] attempts to get humane penological and medical
    treatment from the KDOC.” R., Vol. I, at 301 (Aff. & Mem. for the R., filed Oct.
    20, 2015). More specifically, Mr. White detailed two grievances he filed on
    September 7, 2015, concerning, inter alia, his cell’s poor living conditions and
    his unanswered requests for medical supplies, paper, pencils, and envelopes.
    Nevertheless, the district court deemed these additional episodes improper for
    inclusion in the Second Amended Complaint, and advised Mr. White that he must
    file a separate complaint in order to a raise a conditions-of-confinement claim, or
    any other claim unrelated to the March 2013 cell extraction. See R., Vol. I, at
    366 (finding “any claims based on the September 7, 2015 grievances separate
    from the claims raised in the Second Amended Complaint”). Mr. White mounts
    (continued...)
    7
    In addition, Mr. White raised—for the first time and without leave from the
    district court—allegations embedded within these claims that KDOC personnel
    denied him access to the courts, retaliated against him on account of his requests
    for short and long-term medical care, and prevented him from maintaining his
    correctional facility job. These allegations rested, in part, on the March 2013 cell
    extraction, but also on events that occurred long after the date of Mr. White’s
    initial complaint—January 16, 2014—and extended into 2015.
    C
    Although Mr. White’s pleading exceeded the prior order granting him leave
    to amend, the district court granted Mr. White “leave to assert claims for denial of
    access to the courts and retaliation so long as [those claims rested on] facts
    related to the March 2013 cell extraction incident.” R., Vol. I, at 357 (Mem. &
    Omnibus Order, filed Apr. 12, 2016). The district court, however, found claims
    “based upon unrelated subsequent events . . . improper[,]” and determined that
    those aspects of his claims would “not be considered in this case.” 5 
    Id. 4 (...continued)
    no challenge to this determination on appeal.
    5
    In declining to reach those aspects of Mr. White’s allegations, the
    district court reasoned that Mr. White’s allegations subsequent to his initial
    complaint concerned unrelated claims that could not be joined under Federal Rule
    of Civil Procedure 18, particularly without a motion to amend under Federal Rule
    of Civil Procedure 15(a)(2). See R., Vol. I, at 357 (reasoning that “[u]nrelated
    claims against different defendants belong in different suits,” and that Mr. White
    failed to “first obtain the court’s leave to add claims for denial of access to the
    (continued...)
    8
    Turning then to the claims related to the cell extraction in March 2013, the
    district court reviewed Mr. White’s allegations and concluded at the outset that he
    failed to state a claim for deliberate indifference, 6 because his allegations
    demonstrated at most negligence, and failed to suggest that any defendant acted
    with a culpable state of mind—viz., Mr. White’s allegations fell short of meeting
    the subjective component of the deliberate indifference standard. 
    Id. at 360.
    For
    that reason, the district court concluded that Mr. White’s second amended
    complaint stated “no actionable constitutional claim[,]” seemingly because each
    of his six claims hinged upon his overarching allegation of deliberate indifference
    to his serious medical needs. 
    Id. 5 (...continued)
    courts and retaliation”). In that way, the district court effectively denied Mr.
    White’s proposed amendment.
    6
    The district court referred to Mr. White’s deliberate indifference
    claims interchangeably as claims for “[i]nadequate medical care,” but analyzed
    the claims under the well-established Eighth Amendment rubric for deliberate
    indifference. R., Vol. I, at 360.
    9
    Nevertheless, the district court proceeded to find “each individual count . . .
    deficient or barred on [an array of] other grounds[,]” 7 
    id., and entered
    judgment
    accordingly. 8 This timely appeal followed.
    III
    We review de novo a district court’s dismissal for failure to state a claim.
    Kay v. Bemis, 
    500 F.3d 1214
    , 1217 (10th Cir. 2007) (explaining that we employ
    the same standards for dismissals under 28 U.S.C. § 1915(e)(2)(B)(ii) and Fed. R.
    Civ. P. 12(b)(6)); McBride v. Deer, 
    240 F.3d 1287
    , 1289 (10th Cir. 2001)
    (addressing dismissal under 28 U.S.C. §§ 1915(e)(2)(B)(ii) and 1915A(b)(1)). To
    avoid such a dismissal, “a complaint must contain sufficient factual matter,
    accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft
    7
    The district court concluded, without explanation, that a “private
    corporation performing a government function can be held liable” under 42
    U.S.C. § 1983. R., Vol. I, at 363. “Guided by Supreme Court and persuasive
    circuit court authority,” we have no reason to question this conclusion. Spurlock
    v. Townes, --- F. App’x ----, 
    2016 WL 4743781
    , at *1 n.1 (10th Cir. 2016)
    (collecting cases, and finding a private prison-management company subject to
    suit under § 1983).
    8
    With his Notice of Appeal, Mr. White filed an “Opposition to
    Dismissal[,]” R., Vol. I, at 372–75, which the district court treated as a motion for
    reconsideration; the court denied it on May 16, 2016, see 
    id. at 406–408
    (Mem. &
    Order Den. Recons., filed May 16, 2016). Mr. White, however, never filed a new
    or amended notice of appeal, nor conveyed in his appellate brief any intention to
    appeal the district court’s order on his reconsideration motion. As a result, we
    lack jurisdiction to review the denial of Mr. White’s motion for reconsideration.
    See Fed. R. App. P. 4(a)(4)(B)(ii); Breeden v. ABF Freight Sys., Inc., 
    115 F.3d 749
    , 752 (10th Cir. 1997).
    10
    v. Iqbal, 
    556 U.S. 662
    , 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 
    550 U.S. 544
    , 570 (2007)). A district court may dismiss a pro se complaint for failure to
    state a claim “where it is obvious that the plaintiff cannot prevail on the facts he
    has alleged and it would be futile to give him an opportunity to amend.” 
    Kay, 500 F.3d at 1217
    (quoting Curley v. Perry, 
    246 F.3d 1278
    , 1281 (10th Cir. 2001)).
    We review a district court’s refusal to permit an amendment—as occurred
    relative to Mr. White’s new claims for denial of access to the courts and
    retaliation—for abuse of discretion. Fields v. Okla. State Penitentiary, 
    511 F.3d 1109
    , 1113 (10th Cir. 2007).
    IV
    Mr. White challenges the district court’s dismissal and subsequent final
    judgment on three grounds. First, he claims that the district court “unreasonably”
    dismissed his complaint for failure to state a claim, despite permitting him to
    amend his claims of inadequate medical care (that is, his claims for deliberate
    indifference to his serious medical needs). Aplt.’s Br. at 5. Second, he claims
    that the district court erred in declining to consider his “additional” and
    “continuing” claims of denial of access to the courts and retaliation, by failing to
    appreciate that each new claim arose from his original claim of inadequate
    medical care. 
    Id. at 11–12.
    Finally, he argues that the district court erred in
    dismissing his claims against the unnamed employees of CCS and Corizon,
    11
    because the court failed to fulfill its “duty” to identify and effect service upon
    these unidentified defendants. 
    Id. at 15–17.
    For the reasons expressed below, we reject each of Mr. White’s challenges
    and accordingly uphold the district court’s dismissal and subsequent final
    judgment.
    A
    We first address Mr. White’s contention that the district court acted
    “unreasonably” by permitting him to file a second amended complaint on his
    claim of inadequate medical care, and then “summarily” dismissing that amended
    complaint for “failure to state a claim.” 
    Id. at 5.
    More specifically, Mr. White
    advances the view that, in granting leave to amend, the district court found a
    “valid claim” for inadequate medical care, and therefore “abuse[d] [its]
    discretion” by dismissing his subsequent amended inadequate medical care claim
    without the benefit of discovery. 
    Id. Mr. White’s
    position, however, rests on a fundamental misreading of the
    district court’s order. Indeed, in permitting an additional amendment, the district
    court specifically explained the deficient nature of Mr. White’s inadequate
    medical care allegations, and expressly advised him that a subsequent failure to
    properly plead that claim would result in dismissal. In other words, the district
    court never concluded that Mr. White stated a viable claim for deliberate
    indifference to serious medical needs. Rather, it resolved to provide Mr. White
    12
    with one more opportunity—after he had already had two (i.e., the original
    complaint and one amendment)—to plead the necessary factual underpinnings for
    such a claim. Thereafter, in reviewing the allegations of the second amended
    complaint, the district court simply concluded that Mr. White again failed to state
    an “actionable constitutional claim[,]” because his allegations failed to suggest
    that any of the defendants acted with the requisite culpable state of mind—viz.,
    his allegations did not meet the subjective component of the deliberate
    indifference standard. 9 
    Id. at 360.
    In any event, we agree with the district court’s conclusion that Mr. White’s
    allegations fail to approach the “deliberate indifference to serious medical needs”
    that constitutes an Eighth Amendment violation. 10 See Estelle v. Gamble, 
    429 U.S. 97
    , 104 (1976). The Eighth Amendment standard, which “provides the
    benchmark for such claims,” requires a plaintiff to satisfy both an objective
    component (a sufficiently serious deprivation) and a subjective component
    (deliberate indifference on the part of the official responsible). Craig v. Eberly,
    9
    In dismissing Mr. White’s second amended complaint, the district
    court made no express finding on the issue of futility. Rather, the district court
    appears to have implicitly reached that conclusion when it subsequently entered
    final judgment. Nevertheless, Mr. White mounts no challenge to the absence of
    any express finding on futility, and has therefore waived any such argument on
    appeal.
    10
    The Eighth Amendment, which applies to the States through the Due
    Process Clause of the Fourteenth Amendment, prohibits deliberate indifference to
    an inmate’s serious medical needs. See 
    Estelle, 429 U.S. at 106
    ; Mitchell v.
    Maynard, 
    80 F.3d 1433
    , 1440 (10th Cir. 1996).
    13
    
    164 F.3d 490
    , 495 (10th Cir. 1998). We determine—like the district court—that
    Mr. White failed to adequately plead the subjective component, and therefore do
    not reach the objective component.
    To satisfy the subjective prong, the prison official must have a sufficiently
    culpable state of mind. See Farmer v. Brennan, 
    511 U.S. 825
    , 834 (1994). The
    plaintiff must therefore allege that the prison official “kn[e]w[] of and
    disregard[ed] an excessive risk to inmate health or safety.” 
    Id. at 837.
    In other
    words, the defendant “must both be aware of facts from which the inference could
    be drawn that a substantial risk of serious harm exists, and he must also draw the
    inference.” 
    Id. In that
    way, “allegations of ‘inadvertent failure to provide
    adequate medical care’ or of a ‘negligent . . . diagnos[is]’ simply fail to establish
    the requisite culpable state of mind.” Wilson v. Seiter, 
    501 U.S. 294
    , 299 (1991)
    (citation omitted).
    Applying that rubric here, we agree with the district court that Mr. White
    has not sufficiently alleged the requisite culpability. Critically, his second
    amended complaint includes no plausible allegation that any defendant
    appreciated but ignored a substantial risk of serious harm. Indeed, Mr. White
    acknowledges on the face of his complaint that he received medical
    treatment—even if insufficient in his eyes—in the aftermath of the March 2013
    cell extraction. See, e.g., R., Vol. I, at 270–75 (describing the treatment he
    received for his injuries, including x-rays and medication, and detailing an
    14
    episode in which he challenged the medication a nurse tried to provide him).
    Rather, the complaint simply states his disagreement with the prescribed course
    and speed of medical treatment; even construing his allegations liberally, they
    amount only to bare and unsupported conclusions that he was denied adequate
    medical care. See, e.g., 
    id. at 273
    (arguing what the “proper [medical] response”
    should have been, and concluding that the failure to follow that response
    constituted inadequate medical care); 
    id. at 275
    (arguing, with almost no factual
    support, that medical staff failed to provide him with “adequate medical care” for
    an “infected wound on his left butt cheek”); 
    id. at 276
    (challenging the medical
    decision to place him in mental health isolation after the cell extraction).
    In this way, Mr. White raises only the specter of negligent or inadvertent
    failure to provide medical care, not the deliberate indifference required for
    purposes of an Eighth Amendment violation, and his allegations beyond that
    amount to little more than unsupported conclusions. See Riddle v. Mondragon, 
    83 F.3d 1197
    , 1204–06 (10th Cir. 1996) (affirming dismissal, because the plaintiff’s
    conclusory allegations did not rise to the level of deliberate indifference).
    For all of these reasons, we uphold the district court’s judgment that Mr.
    White failed to state a cognizable claim for deliberate indifference.
    B
    We next address Mr. White’s contention that the district court erred in
    declining to consider his “additional” and “continuing” claims of denial of access
    15
    to the courts and retaliation. Aplt.’s Br. at 11–12. More specifically, Mr. White
    claims that, in declining to consider these new allegations, the district court
    “failed to see that all the additional claims” related to his inadequate medical care
    claims and “showed a pattern” of unconstitutional conduct. 
    Id. at 12.
    Mr. White’s position, however, again distorts the district court’s order.
    Indeed, the district court only declined to consider those new allegations that bore
    no connection to the single claim it permitted Mr. White to pursue in his second
    amended complaint: the claim of inadequate medical care after the March 2013
    cell extraction. The district court did consider those “claims for denial of access
    to the courts and retaliation” that “related to the March 2013 cell extraction
    incident.” 11 R., Vol. I, at 357. In other words, the district court expressly took
    note of and accepted the new allegations to the extent they informed Mr. White’s
    claim of deliberate indifference.
    Aside from that, even a cursory inspection of Mr. White’s new allegations
    reveals that they extend far beyond his core claim of deliberate indifference.
    11
    In reaching its conclusion, the district court did not address Federal
    Rule of Civil Procedure 15(d), which states that, “[o]n motion and reasonable
    notice, the court may, on just terms, permit a party to serve a supplemental
    pleading setting out any transaction, occurrence, or event that happened after the
    date of the pleading to be supplemented. . . . even though the original pleading is
    defective in stating a claim or defense.” Fed. R. Civ. P. 15(d). Mr. White’s
    challenges only go to the characterization of his averments—viz., whether they
    were sufficiently related to his inadequate medical care claims—not to the legal
    premise under which the district court declined to consider them. Therefore, we
    have no reason to opine on the applicability of Rule 15(d) to these facts. In this
    regard, we will not act as Mr. White’s advocate. See 
    Yang, 525 F.3d at 927
    n.1.
    16
    Indeed, in his second amended complaint, Mr. White’s allegations of “retaliation”
    and the “denial of access to the courts” rest upon widely scattered conduct—the
    majority of which has little to no relation to his claim of deliberate indifference.
    Mr. White, for example, claims that correctional officers retaliated against him
    after he complained of the “gross” and “unsanitary” condition of his cell. 
    Id. at 269.
    Similarly, he alleges that correctional officers retaliated against him and
    denied him access to the courts, through the use of a “‘scared straight’
    program[,]” in which officers “condon[ed]” the “violent terroristic behavior” of
    other inmates. 
    Id. at 272.
    These matters have no apparent nexus to Mr. White’s
    claim of deliberate difference—and indeed present no medical issue at all—and
    under these circumstances, we agree with the district court that these “[u]nrelated
    claims against [seemingly] different defendants belong in different suits.” 
    Id. at 357
    (emphasis added).
    Against that backdrop, we discern no abuse of discretion in the district
    court’s refusal to permit another amendment.
    C
    Finally, we turn to Mr. White’s claim that the district court erred in its
    treatment of Count VI—i.e., his constitutional claim against multiple unknown
    employees of CCS and Corizon. More specifically, Mr. White points to 28 U.S.C.
    § 1915(d), and argues that the district court should have helped him identify these
    defendants through discovery and “serve[d] [his] summons,” rather than
    17
    dismissing his claim outright for failure to allege sufficient identifying
    information. Aplt.’s Br. at 15–17. The district court dismissed Count VI on the
    grounds that Mr. White “describe[d] no acts” by the unidentified defendants and
    “provided no information that would allow service upon these unnamed
    defendants”—despite the district court’s prior instructions. R., Vol. I, at 365.
    We are not persuaded by Mr. White’s contention of error.
    Although permission to proceed in forma pauperis triggers the district
    court’s duty “to serve process for the plaintiff” under 28 U.S.C. § 1915(d), Olsen
    v. Maples, 
    333 F.3d 1199
    , 1204 (10th Cir. 2003), 28 U.S.C. § 1915(e)(2) and 28
    U.S.C. § 1915A permit district courts to screen complaints for merit prior to
    proceeding to service (or any efforts directed towards service)—and indeed
    encourage such an approach where feasible. See 28 U.S.C. § 1915A(a) (“The
    court shall review, before docketing, if feasible or, in any event, as soon as
    practicable after docketing, a complaint in a civil action in which a prisoner seeks
    redress from a governmental entity or officer or employee of a governmental
    entity.” (emphasis added)); cf. Buchheit v. Green, 
    705 F.3d 1157
    , 1160–61 (10th
    Cir. 2012) (implying that merits screening often occurs before service, but
    concluding that the statutory screening requirements do not impose a duty to
    screen or review before service). The district court followed precisely that
    process here, and we can discern no error in the discretionary sequencing it
    18
    employed in resolving this matter, particularly given the multiple rounds of
    deficient pleadings.
    Beyond that procedural point, on the merits, the district court rightly
    observed that the allegations of Mr. White’s second amended complaint described
    no specific conduct of the unidentified defendants, nor provided any information
    from which to divine their identities. Indeed, in his second amended complaint,
    Mr. White alleges little more than that various “medical and mental health
    employees” acted with “deliberate indifference to [his] serious medical needs.”
    R., Vol. I, at 278–79. Mr. White, however, provides no information from which
    to ascertain their identities (even in part), nor do his allegations delineate—with
    any degree of specificity—the actual conduct that he claims amounts to deliberate
    indifference. See Hall v. Bellmon, 
    935 F.2d 1106
    , 1110 (10th Cir. 1991)
    (explaining that “conclusory allegations without supporting factual averments are
    insufficient to state a claim on which relief can be based”).
    For all of these reasons, we discern no error in the district court’s order
    dismissing Count IV.
    19
    V
    Based on the foregoing, we affirm the district court’s dismissal and
    subsequent final judgment.
    Entered for the Court
    JEROME A. HOLMES
    Circuit Judge
    20