Kevin Simmons v. G. Arnett ( 2022 )


Menu:
  •                      FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    KEVIN ANGELO SIMMONS,                             No. 20-55043
    Plaintiff-Appellant,
    D.C. No.
    v.                           2:16-cv-02858-
    R-KES
    G. ARNETT; ROMO, Sgt, individual
    capacity; M. LOPEZ, Nurse,
    individual capacity,                                OPINION
    Defendants-Appellees.
    Appeal from the United States District Court
    for the Central District of California
    R. Gary Klausner, District Judge, Presiding
    Argued and Submitted April 14, 2022
    Pasadena, California
    Filed August 31, 2022
    Before: Consuelo M. Callahan and Lawrence VanDyke,
    Circuit Judges, and Janet Bond Arterton, * District Judge.
    Opinion by Judge Callahan;
    Partial Concurrence and Partial Dissent by Judge Arterton
    *
    The Honorable Janet Bond Arterton, United States District Judge
    for the District of Connecticut, sitting by designation.
    2                      SIMMONS V. ARNETT
    SUMMARY **
    Prisoner Civil Rights
    The panel affirmed the district court’s summary
    judgment for defendants in an action brought by a California
    state prisoner alleging excessive force and deliberate
    indifference to medical needs.
    Defendant G. Arnett, a prison guard, shot plaintiff Kevin
    Simmons with three sponge-tipped plastic rounds during a
    prison fight, breaking Simmons’s leg and injuring his butt
    and thigh. Following the fight, prison nurse M. Lopez
    assessed Simmons’s injuries and transferred him to an
    emergency room without fully completing her notes or
    conducting a full body examination.
    The panel first held that the district court correctly
    concluded that there was no constitutional violation.
    Arnett’s decision to shoot Simmons with sponge rounds was
    not an excessive use of force. He had a duty to keep prison
    staff and the prisoners in his care safe and he used the lowest
    level of force available to him. Even viewing the record in
    the light most favorable to Simmons, there was no evidence
    showing that Arnett had any improper motive, let alone that
    he acted “maliciously and sadistically for the very purpose
    of causing harm.” As to defendant Lopez, rather than
    deliberate indifference, her actions seemed to reflect the
    conduct of a medical professional who quickly and
    successfully ensured that her patient received the appropriate
    level of care. Even assuming that defendants somehow may
    **
    This summary constitutes no part of the opinion of the court. It
    has been prepared by court staff for the convenience of the reader.
    SIMMONS V. ARNETT                       3
    have violated the Eighth Amendment, their actions could not
    be characterized as violating some clearly established
    principle of constitutional law. Defendants were therefore
    entitled to protection under the doctrine of qualified
    immunity and summary judgment was properly entered in
    their favor.
    Concurring in part and dissenting in part, Judge Arterton
    concurred with the majority’s conclusion that the district
    court’s grant of summary judgment in favor of Nurse Lopez
    should be affirmed on the view that her conduct did not rise
    to the level of deliberate indifference. Judge Arterton
    respectfully dissented, however, from the majority’s grant of
    qualified immunity to Officer Arnett. Specifically, she was
    troubled by the majority’s determination that Arnett’s
    actions did not violate clearly established law, and its
    decision to rule on qualified immunity while key facts were
    still in dispute.
    COUNSEL
    Michael D. Seplow (argued), Schonbrun Seplow Harris
    Hoffman & Zeldes LLP, Culver City, California; David
    Wilson (argued) and Jonathan Widjaja (argued), Certified
    Law Students, University of California School of Law,
    Irvine, California; Peter Afrasiabi, One LLP, Newport
    Beach, California; for Plaintiff-Appellant.
    Cassandra J. Shryock (argued) and Kevin Voth, Deputy
    Attorneys General; Neah Huynh, Supervising Deputy
    Attorney General; Monica N. Anderson, Senior Assistant
    Attorney General; Rob Bonta, Attorney General; Office of
    the Attorney General, San Francisco, California; for
    Defendants-Appellees.
    4                   SIMMONS V. ARNETT
    OPINION
    CALLAHAN, Circuit Judge:
    A prison guard shot inmate Kevin Simmons with three
    sponge-tipped plastic rounds during a prison fight, breaking
    Simmons’s leg and injuring his butt and thigh. Following the
    fight, a prison nurse assessed Simmons’s injuries and
    transferred him to an emergency room without fully
    completing her notes or conducting a full body examination.
    Simmons later filed this lawsuit against the guard and the
    nurse, alleging that they had violated his rights under the
    Eighth Amendment to the U.S. Constitution. The district
    court entered summary judgment against Simmons, finding
    that even when viewing all the evidence in the light most
    favorable to Simmons, the guard and nurse had not violated
    his constitutional rights. Simmons now appeals.
    We affirm the district court. The district court correctly
    concluded that there was no constitutional violation. We
    further hold that the guard and nurse are protected by the
    doctrine of qualified immunity, which protects government
    officials from civil liability when they are accused of
    violating constitutional rights that are not clearly
    established.
    BACKGROUND
    I. The Prison Fight
    Simmons is 57 years old and has spent much of his life
    in prison. For the past 11 years, he has been serving a life
    sentence without the possibility of parole at California State
    Prison, Los Angeles County, a large facility in the Mojave
    Desert, just north of Los Angeles. During this
    incarceration—his second at the facility—Simmons found
    SIMMONS V. ARNETT                        5
    work as a prison barber. Five days a week, he went to each
    of the prison’s five buildings to give haircuts to inmates.
    Simmons intended to work on Thanksgiving Day 2013.
    When he arrived at his assigned building that morning,
    nothing appeared out of the ordinary. A lone guard sat in a
    control booth overlooking the two floors of prison cells and
    the common yard, where sixteen to eighteen inmates
    gathered. Simmons recognized some of the inmates in the
    yard as members and associates of a gang known as the Two-
    Fivers, including an associate named Salvador Murillo.
    Simmons asked the guard in the control booth if he could
    walk around the cells and sign inmates up for haircuts. The
    guard assented. Simmons then heard several Two-Fivers ask
    the guard if they could sit together at a table in the common
    yard. The guard agreed to this as well. Sign-up sheet in hand,
    Simmons began his rounds on the building’s second floor.
    He had climbed up the stairs and was chatting with another
    inmate when the yard below went quiet.
    A sudden commotion ended the momentary silence.
    Simmons looked down at the yard, where Two-Fivers were
    punching and slapping Murillo—not at full force, but hard
    enough that Murillo had, in Simmons’s words, “his nose and
    his mouth busted.” After about twenty-five or thirty seconds,
    the guard in the control booth told the inmates to stop “horse-
    playing.” The scuffle stopped.
    Bloodied, Murillo crossed the yard and climbed stairs to
    the second floor, where Simmons was speaking with another
    inmate. Murillo walked past Simmons, then suddenly turned
    around and struck him in the head, right above his left ear.
    Murillo continued to hit Simmons, who says he did not fight
    back.
    6                   SIMMONS V. ARNETT
    The guard in the control booth—Garth Arnett—
    immediately responded to the fight. He activated the
    building alarm and announced on the prison-wide radio that
    two inmates were fighting. Typically, prison staff responded
    to such calls for help within thirty to forty-five seconds.
    Arnett says he ordered Murillo and Simmons to stop
    fighting, although Simmons says he heard no such
    command.
    At this point, Arnett’s choices were limited. Prison
    policy forbade him from leaving the control booth because
    it would then be unmanned. But staying in the booth and
    doing nothing could result in severe injury or death to
    Simmons, Murillo, or other inmates who might join the
    fighting. In the booth, Arnett had two weapons that he could
    use to try to stop the fight: (1) a Mini-14, a semiautomatic
    rifle that shot live rounds with deadly force, and (2) a 40mm
    launcher that shot less-lethal sponge rounds, high-speed
    projectiles consisting of plastic bodies and foam noses.
    Arnett chose to use the 40mm launcher. Because
    Simmons was between Arnett and Murillo, Arnett could not
    shoot Murillo. Arnett fired a round at Simmons from about
    10 yards away, aiming for Simmons’s legs and avoiding his
    groin, consistent with protocol for use of the launcher. The
    round hit and broke Simmons’s left leg. Arnett says that he
    kept ordering the two inmates to stop fighting, without any
    success. Arnett fired two more rounds at Simmons, hitting
    him in his butt and thigh. After Arnett fired the third round—
    about thirty to forty-five seconds after he had sounded the
    alarm—other prison staff arrived and Murillo and Simmons
    immediately laid prone and stopped fighting.
    SIMMONS V. ARNETT                      7
    II. The Fight’s Aftermath
    Prison staff immediately took Simmons on a gurney to
    the prison’s medical room to receive medical care. There,
    Simmons met Michelle Lopez, a licensed vocational nurse
    on duty that day. Lopez asked Simmons what had happened
    to him. Simmons answered, “no comment.” Lopez
    transcribed this response onto her forms. One of the other
    prison staff noticed that Simmons’s pants were wet and
    commented on them. Simmons then told Lopez that he “sat
    in some water.” Lopez crossed out her previous comments
    and wrote that Simmons had “slipped in water.” Eventually,
    Simmons told Lopez that he had been shot on his backside.
    On her forms, Lopez wrote that Simmons had lower leg pain,
    but she did not record any other injuries. Lopez quickly
    recognized that Simmons needed a higher level of medical
    care and had him transferred to the prison’s emergency
    room. The forms Lopez filled out were not sent with
    Simmons nor did they establish the basis for his treatment.
    Prison officials stabilized Simmons’s leg, gave him pain
    medication, and transported him to a local hospital. There,
    he was diagnosed with a fractured leg, which was surgically
    repaired the next day. Simmons’s butt and thigh were not
    treated until three days after Lopez examined Simmons. By
    then, Simmons says, his bloodied clothing had dried into his
    wounds such that it had to be painfully torn away. Simmons
    was then discharged, but he has permanent nerve damage
    and now walks with a cane.
    III.   This Lawsuit
    A few years after the fight, Simmons filed this civil
    rights lawsuit in federal court. In the operative complaint,
    Simmons alleges that Arnett and Lopez violated his Eighth
    Amendment rights. Arnett and Lopez moved for summary
    8                   SIMMONS V. ARNETT
    judgment. The district court granted their motion and entered
    judgment against Simmons. Now Simmons appeals.
    LEGAL STANDARDS
    We have jurisdiction to review the district court’s grant
    of summary judgment and entry of judgment because they
    are the district court’s final decisions. See 
    28 U.S.C. § 1291
    .
    We review an order granting summary judgment de novo but
    can affirm on any ground supported by the record, even
    when the district court did not address that same ground.
    Geurin v. Winston Indus., Inc., 
    316 F.3d 879
    , 882 (9th Cir.
    2002); Venetian Casino Resort, LLC v. Local Joint Exec.
    Bd., 
    257 F.3d 937
    , 941 (9th Cir. 2001). We affirm a grant of
    summary judgment if “there is no genuine dispute as to any
    material fact” when viewing the record in the light most
    favorable to the nonmoving party, such that the moving party
    “is entitled to judgment as a matter of law.” Fed. R. Civ. P.
    56(a); Celotex Corp. v. Catrett, 
    477 U.S. 317
    , 322–23
    (1986). A factual issue is genuine “if the evidence is such
    that a reasonable jury could return a verdict for the
    nonmoving party.” Anderson v. Liberty Lobby, Inc.,
    
    477 U.S. 242
    , 248 (1986). A material fact is one that is
    needed to prove (or defend against) a claim, as determined
    by the applicable substantive law. Nat’l Am. Ins. Co. v.
    Underwriters, 
    93 F.3d 529
    , 533 (9th Cir. 1996).
    DISCUSSION
    The applicable substantive law in this case is rooted in
    the Eighth Amendment, which commands that “cruel and
    unusual punishments [shall not be] inflicted” by the
    government. U.S. Const. amend. VIII. Simmons accuses
    Arnett and Lopez of violating this dictate: Arnett by using
    excessive force when quelling the fight between Murillo and
    Simmons and Lopez by being deliberately indifferent to
    SIMMONS V. ARNETT                         9
    Simmons’s medical needs following the fight. Arnett and
    Lopez both counter that they did not violate Simmons’s
    constitutional rights.
    Arnett and Lopez also raise the affirmative defense of
    qualified immunity, which protects government officials
    who violate constitutional rights from civil liability if “their
    conduct does not violate clearly established statutory or
    constitutional rights of which a reasonable person would
    have known.” Pearson v. Callahan, 
    555 U.S. 223
    , 231
    (2009) (quoting Harlow v. Fitzgerald, 
    457 U.S. 800
    , 818
    (1982)).
    We thus confront two questions. First, did Arnett’s and
    Lopez’s conduct violate Simmons’s constitutional rights
    when viewing the facts alleged in the light most favorable to
    Simmons, the party asserting the injury? CarePartners, LLC
    v. Lashway, 
    545 F.3d 867
    , 876 (9th Cir. 2008). And second,
    was the relevant right clearly established at the time Arnett
    and Lopez acted, such that they would have (or should have)
    known to not violate it? 
    Id.
     Arnett and Lopez are entitled to
    summary judgment if the answer to either question is “no.”
    I. Violation of a Constitutional Right
    We begin with the first question, just as the district court
    did. While Simmons accuses both Arnett and Lopez of
    violating the same constitutional provision—the Eighth
    Amendment—separate standards apply to Simmons’s claim
    against Arnett and Simmons’s claim against Lopez given the
    nature of the challenged conduct.
    10                  SIMMONS V. ARNETT
    A. Arnett Did Not Violate Simmons’s Constitutional
    Rights
    To sustain his excessive force claim against Arnett,
    Simmons must show, among other things, that Arnett’s
    actions were not “a good faith effort to maintain or restore
    discipline,” and that Arnett instead acted “maliciously and
    sadistically for the very purpose of causing harm.” Whitley
    v. Albers, 
    475 U.S. 312
    , 320–21 (1986) (quoting Johnson v.
    Glick, 
    481 F.2d 1028
    , 1033 (2d Cir. 1973)). In Whitley, the
    Supreme Court identified some of the factors that courts
    should look to when assessing whether this standard has
    been satisfied. These include the need for application of
    force, the relationship between the need for force and the
    amount of force used, any effort made to temper the severity
    of the force used, and the extent of the threat to the safety of
    staff and inmates. 
    Id.
     at 321–22. Courts have recognized that
    prison officials should be accorded “wide-ranging
    deference” when they are exercising their judgment to
    maintain prison safety. See id.; Bell v. Wolfish, 
    441 U.S. 520
    ,
    547 (1979). In the specialized context of prison operations,
    the use of force can be a “legitimate means for preventing
    small disturbances from becoming dangerous to other
    inmates or the prison personnel.” Spain v. Procunier, 
    600 F.2d 189
    , 195 (9th Cir. 1979).
    The district court correctly held that when these factors
    are viewed through an appropriately deferential lens and
    applied to the facts of this case, Arnett’s decision to shoot
    Simmons with sponge rounds was not an excessive use of
    force. It is undisputed that Arnett was the only guard in the
    control booth and that he saw a fight break out. It is similarly
    uncontroverted that Arnett had a duty to keep prison staff
    and the prisoners in his care safe and that the fight between
    Simmons and Murillo could threaten that safety. And
    SIMMONS V. ARNETT                               11
    Simmons does not dispute that Arnett was not permitted to
    leave the control booth, that he used the lowest level of force
    available to him, and that Simmons was between Arnett and
    Murillo. Even when the record is viewed in the light most
    favorable to Simmons, there is no evidence in the record
    showing that Arnett had any improper motive, let alone that
    he acted “maliciously and sadistically for the very purpose
    of causing harm.” Whitley, 
    475 U.S. at
    320–21 (quoting
    Johnson, 
    481 F.2d at 1033
    ). These undisputed facts make
    clear that Arnett did not violate Simmons’s Eighth
    Amendment rights and as such, Arnett is entitled to summary
    judgment. 1
    1
    The partial dissent disagrees. It argues that qualified immunity
    should be addressed post-trial, primarily because of two differences in
    Arnett’s and Simmons’s accounts of the fight: (1) whether Simmons
    fought back against Murillo and (2) whether Arnett acted with the
    requisite malice. According to the partial dissent, our conclusion rests on
    a view of the record that is favorable to Arnett rather than Simmons. The
    partial dissent offers three cases to show that in situations like this,
    qualified immunity should not be granted: Martinez v. Stanford, 
    323 F.3d 1178
     (9th Cir. 2003), Furnace v. Sullivan, 
    705 F.3d 1021
     (9th Cir. 2013),
    and Hughes v. Rodriguez, 
    31 F.4th 1211
     (9th Cir. 2022).
    The partial dissent’s position does not survive scrutiny. Regarding
    the first difference, Simmons’s testimony that he did not fight back does
    not ineluctably conflict with Arnett’s testimony that he believed he saw
    both inmates throwing punches. To the degree that there is tension, our
    analysis explicitly adopts Simmons’s telling. Regarding the second
    difference, the partial dissent urges that Simmons’s assertion that Arnett
    acted with malice creates a material issue of fact. We disagree. Without
    corroborating evidence of animus—and here, there is none—Simmons’s
    subjective assertion of Arnett’s intent is insufficient. If this were not the
    case, a defendant could circumvent qualified immunity and force a case
    to trial simply by alleging the requisite malice. The three cases cited by
    the partial dissent—Martinez, Furnace, and Hughes—are too factually
    dissimilar to be helpful here, as might be suggested by Simmons’s
    decision to not cite to any of them.
    12                 SIMMONS V. ARNETT
    B. Lopez Did Not Violate Simmons’s Constitutional
    Rights
    To sustain his inadequate medical care/deliberate
    indifference claim against Lopez, Simmons must show
    among other things, that Lopez “purposefully ignore[d] or
    fail[ed] to respond to [Simmons’s] pain or possible medical
    need.” McGuckin v. Smith, 
    974 F.2d 1050
    , 1060 (9th Cir.
    1992) (emphasis added), overruled on other grounds by
    WMX Techs., Inc. v. Miller, 
    104 F.3d 1133
     (9th Cir. 1997).
    Under this standard, an inadvertent failure to provide
    adequate medical care, differences of opinion in medical
    treatment, and harmless delays in treatment are not enough
    to sustain an Eighth Amendment claim. Estelle v. Gamble,
    
    429 U.S. 97
    , 105 (1976); Sanchez v. Vild, 
    891 F.2d 240
    , 242
    (9th Cir. 1989); Shapley v. Nev. Bd. of State Prison
    Comm’rs, 
    766 F.2d 404
    , 407 (9th Cir. 1985). Even medical
    malpractice by itself would be insufficient to establish a
    constitutional violation. Estelle, 
    429 U.S. at 106
    . Instead,
    Simmons must show that Lopez acted with “subjective
    recklessness,” analogous to how that phrase is used in
    criminal law. Farmer v. Brennan, 
    511 U.S. 825
    , 839 (1994).
    Simmons does not come close to satisfying this standard
    as to Lopez, even accepting his allegations that Lopez erred
    when she (1) failed to conduct a full-body examination of
    Simmons as required by prison policy; (2) failed to properly
    document the wounds on his buttocks and thigh; and
    (3) “falsified” medical records by stating that Simmons
    sustained his injury by slipping in water. Lopez was
    presented with a recalcitrant inmate who was clearly injured
    but initially refused to cooperate in his own diagnosis. She
    nonetheless persisted in treating him. Perhaps realizing the
    urgency with which he needed additional treatment, she
    ensured that he was sent to the emergency room within
    SIMMONS V. ARNETT                       13
    minutes of his arrival. Rather than deliberate indifference,
    these actions seem to reflect the conduct of a medical
    professional who quickly and successfully ensured that her
    patient received the appropriate level of care. She did not
    violate Simmons’s constitutional rights and on that basis
    alone, she is entitled to summary judgment.
    II. Clear Establishment of the Right
    We turn to the second question, asking whether the rights
    allegedly violated were clearly established such that a
    reasonable official would have (or should have) known to
    not violate them. While our findings that Arnett and Lopez
    did not violate Simmons’s constitutional rights are sufficient
    to grant them summary judgment, the “clearly established”
    analysis confirms this conclusion. Further, this analysis is
    less fact-bound and more clear-cut than a determination of
    whether there has been a constitutional violation, which can
    involve mixed questions of law and fact. In contrast, “the
    ‘clearly established’ inquiry is a question of law that only a
    judge can decide.” Morales v. Fry, 
    873 F.3d 817
    , 821 (9th
    Cir. 2017).
    For a right to be clearly established, the right must first
    “be defined at the appropriate level of specificity.” Dunn v.
    Castro, 
    621 F.3d 1196
    , 1201 (9th Cir. 2010) (quoting Wilson
    v. Layne, 
    526 U.S. 603
    , 615 (1999)). Then the “[t]he
    contours of [that] right must be sufficiently clear that a
    reasonable official would understand that what [the official]
    is doing violates that right.” Anderson v. Creighton, 
    483 U.S. 635
    , 640 (1987). There need not be “a case directly on point
    for a right to be clearly established, [but] existing precedent
    must have placed the statutory or constitutional question
    beyond debate.” Foster v. City of Indio, 
    908 F.3d 1204
    , 1210
    (9th Cir. 2018) (per curiam) (quoting Kisela v. Hughes,
    
    138 S. Ct. 1148
    , 1152 (2018)). The plaintiff bears the burden
    14                  SIMMONS V. ARNETT
    of proving that the right allegedly violated was clearly
    established at the time of the violation. Moran v.
    Washington, 
    147 F.3d 839
    , 844 (9th Cir. 1998).
    A. Arnett is Entitled to Qualified Immunity
    Although Simmons has the burden to show that the rights
    Arnett allegedly violated are clearly established, Simmons
    makes no effort to identify any relevant precedent in his
    opening brief or in his opposition to the motion for summary
    judgment below. In his reply brief, Simmons points to only
    two cases on this issue: Marquez v. Gutierrez, 
    322 F.3d 689
    (9th Cir. 2003) and Jeffers v. Gomez, 
    267 F.3d 895
     (9th Cir.
    2001). At oral argument, Simmons’s counsel identified
    Marquez as his strongest support for showing that the right
    at issue here was well-established. But we find that neither
    Marquez nor Jeffers placed Arnett on notice that he would
    be violating Simmons’s constitutional rights through the
    conduct alleged in this case.
    In Marquez, we held that under the standards applicable
    at summary judgment—that is to say, when viewing the facts
    in the light most favorable to the non-movant—a prison
    guard violated the Eighth Amendment when he shot live
    rounds at and broke the femur of “a passive, unarmed inmate
    standing near a fight between other inmates, none of whom
    was armed, when no inmate was in danger of great bodily
    harm.” Marquez, 
    322 F.3d at
    691–92. At a high level of
    abstraction, there are some similarities between those facts
    and the facts here—there was a prison fight, a prison guard
    shot a non-assailant, and the non-assailant’s leg was broken.
    But Marquez is materially distinguishable in at least two
    critical ways. First, Arnett did not fire at an inmate who was
    passively standing near a fight, and second, he did not shoot
    the inmate with live rounds. Instead, Arnett shot a sponge
    SIMMONS V. ARNETT                      15
    round at an inmate who acknowledges that he was grabbing
    his assailant in the middle of a fight (though not punching
    back). The use of sponge rounds instead of live bullets is
    particularly important: to the extent Marquez provides
    guidance, it suggests that a prison guard should not shoot a
    fighting inmate with live rounds and should instead take
    “efforts to temper the severity of his response” and use less-
    lethal force—precisely what Arnett did when he used his
    40mm launcher and sponge rounds instead of his
    semiautomatic rifle. See 
    id. at 692
    . Nothing in Marquez put
    Arnett or any other reasonable officer in his position on
    notice that using less-lethal force to break up a prison fight
    would violate an inmate’s constitutional rights. Marquez
    does not clearly establish the rights Simmons says were
    violated here.
    Jeffers provides even less guidance. There, we held that
    two officers did not violate the Eighth Amendment when one
    of them accidentally shot an inmate during one of the largest
    prison disturbances in California history, involving between
    150 and 200 inmates and lasting about 30 minutes. Jeffers,
    267 F.3d at 901. Simmons does not explain how Jeffers—a
    case in which we did not find an Eighth Amendment
    violation—clearly establishes a right relevant to the facts of
    Simmons’s case.
    Simmons offers no other precedent to support his
    contention that the rights Arnett allegedly violated were
    clearly established and thus fails to satisfy his burden. That
    failure confirms that Arnett’s actions are protected by
    16                       SIMMONS V. ARNETT
    qualified immunity, even if we were to assume that they
    somehow may have violated the Eighth Amendment. 2
    B. Lopez is Entitled to Qualified Immunity
    Simmons also fails to satisfy his burden to show that
    Lopez violated a clearly established right when she (1) failed
    to conduct a full-body examination of Simmons as required
    by prison policy; (2) failed to properly document the wounds
    on his buttocks and thigh; and (3) “falsified” medical records
    2
    As noted, the partial dissent disagrees. While we have explained
    why remanding this case for trial is unwarranted, two practical points
    merit mention.
    First, the partial dissent’s suggested approach undercuts the purpose
    of qualified immunity. The doctrine is not just a shield from eventual
    civil liability. Behrens v. Pelletier, 
    516 U.S. 299
    , 308 (1996). It exists to
    prevent the “distraction of officials from their governmental duties,
    inhibition of discretionary action, and deterrence of able people from
    public service”—in sum, it exists to avoid requiring government officials
    to lead lives in limbo while a case is fully litigated over weeks, months,
    and years. Harlow, 
    457 U.S. at 816
    . Accordingly, the Supreme Court has
    “repeatedly . . . stressed the importance of resolving immunity questions
    at the earliest possible stage in litigation.” Hunter v. Bryant, 
    502 U.S. 224
    , 227 (1991) (collecting cases). Adopting a wait-and-see approach
    here runs afoul of this fundamental principle.
    Second and relatedly, the partial dissent does not offer an alternative
    course of action that would have protected Arnett from civil liability.
    Arnett’s only other viable option was to effectively do nothing. But
    doing nothing seems likely to have led to serious injury or death,
    particularly when we accept Simmons’s assertion that he was not
    fighting back. Given that prison officials have a duty to protect prisoners
    from violence at the hands of other prisoners, doing nothing likely also
    would have led to a lawsuit. Farmer v. Brennan, 
    511 U.S. 825
    , 833
    (1994). Denying Arnett qualified immunity for addressing in a moment
    a problem that no one has solved with years of time for deliberation
    appears to be inconsistent with the spirit of the doctrine.
    SIMMONS V. ARNETT                      17
    by stating that Simmons sustained his injury by slipping in
    water.
    Simmons relies on two cases to show that the right at
    issue was “clearly established”—Gibson v. County of
    Washoe, 
    290 F.3d 1175
     (9th Cir. 2002), overruled in part by
    Castro v. County of Los Angeles, 
    833 F.3d 1060
     (9th Cir.
    2016), and Gordon v. County of Orange, 
    6 F.4th 961
     (9th
    Cir. 2021)—but neither illuminates the issues here. Both
    cases relate to fatalities arising out of prison intake
    screenings that failed to identify behavioral health or
    substance use issues, situations far removed from the facts
    of this case. Here, Lopez was presented with a recalcitrant
    inmate who was clearly injured but initially refused to
    cooperate in his own diagnosis. She nonetheless persisted in
    treating him. Perhaps realizing the urgency with which he
    needed additional treatment, she ensured that he was sent to
    the emergency room within minutes of his arrival. Even
    accepting Simmons’s assertions that Lopez did not take the
    time to conduct a full body examination nor correctly
    complete her notes in the face of his shifting stories about
    the cause of his injuries, Simmons fails to identify any
    materially similar case that would have served to put Lopez
    on notice that her conduct violated Simmons’s clearly
    established rights, particularly since the notes at issue were
    not the basis of any future treatment. Instead, Lopez’s
    actions seem to reflect the conduct of a medical professional
    who quickly and successfully ensured that her patient
    received the appropriate level of care. Lopez is thus entitled
    to protection under the doctrine of qualified immunity and
    summary judgment is properly entered in her favor.
    CONCLUSION
    Accepting Simmons’s well-plead allegations as true and
    drawing all inferences in his favor, we can sympathize with
    18                  SIMMONS V. ARNETT
    him on his bad fortune and its lingering, long-term effects on
    his health. But such sympathy does not turn these events into
    constitutional violations. On the record before us, we cannot
    conclude that Arnett or Lopez violated Simmons’s
    constitutional rights, nor can we characterize their actions as
    violating some clearly established principle of constitutional
    law. Indeed, the record reflects that both Arnett and Lopez
    took reasonable steps to address urgent situations in short
    periods of time. They are thus entitled to the protection
    offered by qualified immunity.
    We AFFIRM the district court.
    ARTERTON, District Judge, concurring in part and
    dissenting in part:
    I.
    I concur with the majority’s conclusion that the district
    court’s grant of summary judgment in favor of Nurse Lopez
    should be affirmed on the view that her conduct did not rise
    to the level of deliberate indifference. I respectfully dissent,
    however, from the majority’s grant of qualified immunity to
    Officer Arnett. Specifically, I am troubled by the majority’s
    determination that Officer Arnett’s actions did not violate
    clearly established law, and its decision to rule on qualified
    immunity while key facts are still in dispute. The majority’s
    decision runs afoul of Ninth Circuit precedent requiring
    courts to settle factual disputes material to that inquiry
    before assessing a prison official’s entitlement to qualified
    immunity as discussed below.
    In my view, the qualified immunity analysis in this case
    depends on the resolution of the parties’ two divergent
    SIMMONS V. ARNETT                        19
    narratives. Simmons’s version of events describes him as a
    passive victim, helpless to even find cover from an assault
    when Officer Arnett shot him three times. His account
    demonstrates a violation of his constitutional right to be free
    from force applied for the very purpose of causing harm. See
    Whitley v. Albers, 
    475 U.S. 312
    , 320–21 (1986).
    Additionally, viewing the specific context of the incident in
    the light most favorable to Simmons, his right was clearly
    established such that a reasonable prison guard in Officer
    Arnett’s position would have been aware that his conduct
    was impermissible. See Saucier v. Katz, 
    533 U.S. 194
    , 202
    (2001). But under Officer Arnett’s retelling, Simmons was
    not helpless, or at least not obviously so. If Officer Arnett is
    believed, while there may have been a constitutional
    violation, his actions would not violate clearly established
    law.
    The majority chooses to grant qualified immunity
    despite being presented with two fundamentally inconsistent
    accounts of this case’s critical moments. In concluding that
    Officer Arnett did not violate clearly established law on an
    incomplete view of the relevant facts, the majority’s
    approach diverges from the one established by qualified
    immunity precedent in this circuit. Upon review of all the
    facts, disputed and undisputed, I cannot endorse the
    majority’s formulation of the law. Accordingly, I would
    reverse the district court’s grant of summary judgment in
    favor of Officer Arnett and remand for trial determination
    the factual disputes prior to deciding his entitlement to
    qualified immunity as a matter of law.
    A.
    My analysis begins with Simmons and Officer Arnett’s
    opposing views of the facts. The morning of November 28,
    2013, was Thanksgiving day. That morning, Officer Arnett
    20                  SIMMONS V. ARNETT
    gave Simmons permission to walk freely out of his cell for
    his shift as a barber in the facility. Simmons and Officer
    Arnett diverge on much of what transpired next.
    According to Simmons, as he approached the top tier of
    the building to conduct his business as a barber, he observed
    what he described as “girl fighting” between one prisoner
    and a group of prisoners he associated with a prison gang.
    Simmons recognized this as part of a gang initiation. After
    about thirty seconds, Officer Arnett commanded the group
    to stop “horse-playing” but did not use force or call for
    backup. The prisoners stopped and Officer Arnett took no
    further action.
    At this point, one prisoner, face bloody from the
    exchange, approached Simmons, and began punching him.
    Dazed from the attack, Simmons made no attempt to punch
    back. Even though Simmons did not swing back at his
    assailant, Officer Arnett shot Simmons in the back of his left
    shin. Simmons never heard any orders from Officer Arnett
    before he was shot. Simmons started to collapse from the
    combination of Officer Arnett’s shooting and the other
    prisoner’s punches, and he grabbed hold of the other
    prisoner’s waist for support. Even as the circumstances
    evolved, Officer Arnett’s response remained the same. As
    Simmons fell to the other prisoner’s waistline, Officer Arnett
    shot him again, this time striking his right thigh. Simmons
    slipped further down, grabbing for the other prisoner’s
    ankles, when Officer Arnett shot him a third time.
    Officer Arnett’s version of events differs significantly.
    By Officer Arnett’s account, he observed Simmons and the
    other prisoner swinging at each other, resembling a “boxing
    match.” In his incident report, Officer Arnett represented
    that he saw the two hitting each other in the face and upper
    body. Officer Arnett gave orders to the prisoners to stop
    SIMMONS V. ARNETT                       21
    fighting, activated the building’s alarm, and called for
    backup. Because the two prisoners continued to swing at
    each other despite his command, from a distance of about
    thirty to fifty feet, Officer Arnett fired his forty-millimeter
    launcher armed with sponge rounds at Simmons’s legs.
    Officer Arnett chose to shoot Simmons because his back was
    facing Officer Arnett, obstructing his view of the other
    prisoner. He shot the sponge rounds aimed at Simmons’s
    legs because it was the less lethal alternative to his other
    firearm and he was trained to fire at an inmate’s lower
    extremities (excluding the groin area) to minimize the risk
    of causing severe injury. Officer Arnett could not see any
    indication that his first shot made impact with Simmons, so
    he fired a second shot within five or ten seconds of the first.
    Even after this second shot, the prisoners kept swinging and
    Simmons remained on his feet, so Officer Arnett shot him
    again. Before the first shot and after the first and second
    shots, Officer Arnett gave commands for the prisoners to
    stop.
    Simmons and Officer Arnett agree that additional prison
    staff entered the area within forty-five seconds of Officer
    Arnett’s call for backup and the two prisoners lay down on
    the ground without further incident. Simmons could not be
    handcuffed because he was holding his leg in place so that
    his protruding bone would not pierce his skin. He then was
    placed on a gurney so that he could be transferred to the
    prison’s medical facility for treatment.
    B.
    Next, I consider the district court’s erroneous decision to
    grant summary judgment in favor of Officer Arnett on the
    merits of Simmons’s excessive force claim. To determine
    whether a prison guard used excessive force in violation of
    the Eighth Amendment, we examine “whether force was
    22                  SIMMONS V. ARNETT
    applied in a good faith effort to maintain or restore discipline
    or maliciously and sadistically for the very purpose of
    causing harm.” Whitley, 
    475 U.S. at
    320–21 (internal citation
    and quotations omitted). To make this determination, this
    court follows the five-pronged Hudson test: (1) the objective
    need for force, (2) the relationship between any such need
    and the amount of force used, (3) the threat reasonably
    perceived by Officer Arnett, (4) whether Officer Arnett
    attempted to temper the severity of his response, and (5) the
    extent of Simmons’s injury. See Furnace v. Sullivan,
    
    705 F.3d 1021
    , 1028 (9th Cir. 2013) (citing Hudson v.
    McMillian, 
    503 U.S. 1
    , 7 (1992)).
    The district court’s decision shows it viewed the
    evidence in the summary judgment record in a light less than
    “most favorable” to Simmons, the non-movant. Although
    the district court concluded that Officer Arnett “witnessed a
    violent attack,” that Simmons did not fight back, and that
    Officer Arnett shot Simmons three times to stop the
    altercation, it did not consider that this evidence also could
    support a conclusion that Officer Arnett’s use of force was
    maliciously and sadistically intended to cause Simmons
    harm. Instead, the district court determined that the record
    only showed Officer Arnett was “misguided” and interpreted
    Officer Arnett’s actions as a response to the situation as
    Officer Arnett claims to have perceived it, giving
    disproportionate weight to the facts that Officer Arnett called
    for backup and chose a less severe means of force. See
    Furnace, 705 F.3d at 1026–27 (observing that “the district
    court should have adopted” the non-movant’s version of the
    events).
    In my view, the majority compounds the district court’s
    error; although the majority purports to view the facts
    “through an appropriately deferential lens and applied to the
    SIMMONS V. ARNETT                        23
    facts of this case,” the majority’s consideration of the merits
    instead gives disproportionate weight to the facts supporting
    Officer Arnett’s defense. In its view, because it is undisputed
    that Officer Arnett had a duty to maintain safety, was not
    permitted to leave his post, and used “the lowest level of
    force available to him,” no evidence in the record supports
    an inference that he acted “maliciously and sadistically for
    the very purpose of causing harm.” Whitley, 
    475 U.S. at
    320–
    21.
    However, taking the facts in the light most favorable to
    Simmons, application of force in this situation would have
    been warranted only as to the assaultive prisoner, not to
    Simmons. Yet Officer Arnett shot Simmons while he was
    under attack from that prisoner. Officer Arnett himself was
    inconsistent on whether he saw Simmons strike the other
    prisoner. Simmons maintains that he started to fall after
    Officer Arnett’s first shot, casting doubt on Officer Arnett’s
    claim that he still perceived a threat of violence from
    Simmons thereafter. Additionally, Officer Arnett admitted
    that he did not fear for the safety of other prisoners or prison
    staff, undermining the relevance of his general duty to
    maintain institutional safety. While Officer Arnett chose the
    less lethal force option between a sponge launcher and rifle
    with live rounds, his three shots caused damage so severe
    that Simmons suffered a fractured leg and permanent nerve
    damage. This version of the facts supports a conclusion that
    Officer Arnett purposely inflicted unnecessary and wanton
    harm on a passive prisoner. See Marquez v. Gutierrez,
    
    322 F.3d 689
    , 692 (9th Cir. 2003) (holding that “[t]o shoot a
    passive, unarmed inmate standing near a fight” according to
    the prisoner’s account of events would violate the Eighth
    Amendment).
    24                 SIMMONS V. ARNETT
    II.
    A.
    After affirming the district court’s holding that Officer
    Arnett did not violate Simmons’s Eighth Amendment rights,
    the majority makes the additional assessment that Officer
    Arnett is entitled to qualified immunity. Based on a review
    of the two precedents Simmons presents, the majority
    determines that “Simmons makes no effort to identify any
    relevant precedent” showing that Officer Arnett violated
    clearly established law. Relying only on the facts that
    Simmons acknowledged he was grabbing at his assailant
    rather than passively standing by, and that Officer Arnett
    used “less-lethal force” on a prisoner engaged in a fight
    instead of live rounds, the majority “confirms that Arnett’s
    actions are protected by qualified immunity.”
    I disagree that this is the proper qualified immunity
    analysis. See Tolan v. Cotton, 
    572 U.S. 650
    , 655–57 (2014)
    (observing that “under either prong” of qualified immunity,
    courts must draw inferences in the non-movant’s favor). A
    court should determine whether a prison official’s conduct
    violated a federal right, which, in the Eighth Amendment
    context, depends on “whether force was applied in a good
    faith effort to maintain or restore discipline or maliciously
    and sadistically for the very purpose of causing harm.”
    Whitley, 
    475 U.S. at
    320–21 (internal citation and quotations
    omitted). If a right has been violated, a court asks whether
    the law was clearly established such that a reasonable prison
    official would have believed that his or her conduct was
    lawful. Martinez v. Stanford, 
    323 F.3d 1178
    , 1183 (9th Cir.
    2003).
    SIMMONS V. ARNETT                       25
    B.
    As discussed, under Simmons’s version of the facts,
    Officer Arnett inflicted unnecessary and wanton harm in
    violation of the Eighth Amendment. Moreover, it has long
    been established that prison officials use excessive force
    when they inflict unnecessary harm on a prisoner in bad
    faith. Hoard v. Hartman, 
    904 F.3d 780
    , 790 (9th Cir. 2018)
    (collecting cases).
    Simmons’s right to be free from excessive force must be
    tested in “a particular context.” See Todd v. United States,
    
    849 F.2d 365
    , 370 (9th Cir. 1988). Thus, the question that
    remains is whether a reasonable prison guard in Officer
    Arnett’s position could have believed his use of force was a
    good faith attempt to restore order in the situation he
    confronted. Marquez, 
    322 F.3d at 693
    . I believe that the
    factual dispute in this case leaves that question unanswerable
    at this juncture. Resolution of the difference between
    Simmons’s testimony that he was clearly the cowering
    victim of an attack and Officer Arnett’s view that Simmons
    was an able-bodied combatant is central to a determination
    about the reasonableness of Officer Arnett’s decision to
    shoot Simmons three times. The majority dismissed this
    distinction as unpersuasive when considering Simmons’s
    and Officer Arnett’s factual accounts as part of its Eighth
    Amendment analysis. But the Ninth Circuit has repeatedly
    found a dispute of this nature between prisoners and prison
    guards pivotal in refusing to grant qualified immunity.
    In Martinez v. Stanford, for example, a panel of this court
    reversed a district court’s grant of qualified immunity to
    prison officers because triable issues of fact remained on
    whether they acted reasonably. 
    323 F.3d at 1184
    . Under the
    prisoner’s version of events, the prisoner had covered his cell
    door with a bed sheet to prevent pepper spray fumes from
    26                   SIMMONS V. ARNETT
    entering the cell during a prison disturbance. 
    Id. at 1180
    . In
    response, the officers fired two plastic bullets from a gas gun
    and a taser cartridge into the cell, with one bullet striking the
    prisoner. 
    Id.
     From the prisoner’s account, “[o]nce the
    officers entered the cell, they pushed him into a seated
    position, and tasered him twice on his left arm, despite his
    lack of resistance.” 
    Id.
     Officers continued striking the
    prisoner while he was restrained and eventually dragged him
    out of the cell. 
    Id.
     Given the officers’ denials, the district
    court found factual disputes material to the question of
    excessive force under the Eighth Amendment but did not
    consider those disputes in its grant of qualified immunity. 
    Id. at 1184
    . On appeal, this court disagreed and concluded that
    the district court should have evaluated these issues of fact
    as relevant to whether the officers acted reasonably to
    qualify for immunity. 
    Id.
     Thus, the panel reversed the district
    court’s decision to grant qualified immunity and remanded
    for trial to resolve those factual disputes. 
    Id.
     at 1183–85.
    Martinez does not stand alone. In Furnace v. Sullivan,
    this court again held that “qualified immunity was
    inappropriately granted at the summary judgment phase.”
    705 F.3d at 1030 (citing Martinez, 
    323 F.3d at 1184
    ). There,
    two prison officers sprayed a prisoner with pepper spray,
    causing the prisoner to suffer burns and rashes to various
    parts of his body. Id. at 1025. The parties disputed two
    issues. First, they disagreed about how much pepper spray
    the officers discharged on the prisoner. Id. at 1026–27. The
    district court adopted the officers’ version of events with
    respect to this issue and concluded that the prisoner did not
    raise a triable dispute. Id. Second, the officers argued that the
    prisoner posed a threat to their safety because he held the
    food port to his cell open, while the prisoner maintained that
    he merely “rested his fingers on the already-open food port
    for balance.” Id. at 1027. Even though the district court
    SIMMONS V. ARNETT                       27
    concluded that this factual dispute was triable, “it premised
    its award of qualified immunity to the officers on its
    determination that [the prison officers] could have
    mistakenly, but reasonably, perceived that [the prisoner]
    posed a threat.” Id.
    The panel reversed this determination because the
    “discrepancy” between the parties’ accounts was “too great
    to be capable of resolution on summary judgment.” Id. The
    district court erred by failing to draw all inferences in the
    prisoner’s favor. “Had it done so,” the district court’s
    “analysis of the prison officers’ entitlement to qualified
    immunity” would have been altered. Id. Importantly, though
    the “factual characterization” between whether the prisoner
    held the food port open or just rested his hands on it while it
    was already open “is subtle,” the panel concluded that it
    nevertheless “is relevant to the question of whether [the
    prison officers] could have reasonably believed that [the
    prisoner] posed a threat to the safety and security of the
    institution.” Id.
    More recently, Hughes v. Rodriquez found that questions
    of fact precluded qualified immunity to an officer for
    excessive force under the Eighth Amendment. 
    31 F.4th 1211
    , 1224–25 (9th Cir. 2022). In Hughes, an escaped
    prisoner claimed that, after police officers had apprehended
    him by placing him in handcuffs, one continued to beat him.
    
    Id. at 1217
    . The panel concluded that “whether the post-
    handcuff beating and dog-biting occurred, and whether it
    was proportional to the threat [the officer] reasonably
    perceived by a handcuffed [prisoner], are questions for the
    trier of fact.” 
    Id.
     at 1222–23. Therefore, the panel held that
    the officer was not entitled to qualified immunity for his
    conduct. 
    Id.
     at 1224–25.
    28                      SIMMONS V. ARNETT
    A similar triable dispute as to the reasonableness of
    Officer Arnett’s use of force remains here. Viewing the facts
    in the light most favorable to Simmons, not only was
    Simmons a passive victim of an attack by another prisoner,
    but also the circumstances could not lead a reasonable guard
    in Officer Arnett’s position to a contrary perspective. For
    instance, if, as Simmons contends, he did not rush towards
    his assailant, did not swing back, and lost his footing such
    that he could not stand upright after the first shot to his leg,
    it would have been unreasonable for Officer Arnett to
    believe that Simmons posed a threat to the other prisoner.
    With no other prisoners or prison staff in harm’s way, it
    likewise would have been unreasonable for Officer Arnett to
    shoot Simmons two more times, causing severe leg and
    nerve damage, to restore institutional order. Thus, the
    dispute about Simmons’s behavior in response to the attack
    should be settled by a jury before a court decides Officer
    Arnett’s entitlement to qualified immunity. 1
    1
    I am cognizant of the principle that qualified immunity disputes
    generally ought to be resolved at the “earliest possible stage in
    litigation.” However, this is usually possible “because qualified
    immunity most often turns on legal determinations, not disputed facts.”
    Morales v. Fry, 
    873 F.3d 817
    , 822 (9th Cir. 2017) (citing Sloman v.
    Tadlock, 
    21 F.3d 1462
    , 1468 (9th Cir. 1994)). Morales also recognized
    that while the trend in the Ninth Circuit has been resolving qualified
    immunity at summary judgment, situations still arise where a qualified
    immunity case must go to trial “because disputed factual issues remain.”
    
    Id.
     In that situation, qualified immunity “is transformed from a doctrine
    providing immunity from suit to one providing a defense at trial.” 
    Id. at 823
    . The Ninth Circuit’s Manual of Model Civil Jury Instructions also
    recognizes that the situation may arise, explaining that “[w]hen there are
    disputed factual issues that are necessary to a qualified immunity
    decision, these issues must first be determined by the jury before the
    court can rule on qualified immunity.” Ninth Circuit Model Civil Jury
    Instruction 9.34 (2017).
    SIMMONS V. ARNETT                             29
    The majority does not appreciate the importance of this
    dispute to the qualified immunity question evaluating the
    reasonableness of Officer Arnett’s conduct in light of clearly
    established law. 2 While it is Simmons’s burden to show that
    Officer Arnett violated a clearly established right, Moran v.
    Washington, 
    147 F.3d 839
    , 844 (9th Cir. 1998), the majority
    roundly rejects Simmons’s reliance on Marquez v. Gutierrez
    to show that Officer Arnett’s conduct violated his clearly
    established Eighth Amendment right.
    In Marquez, the Ninth Circuit held that a prison officer
    was entitled to qualified immunity even though he used
    excessive force when he used live rounds to shoot a prisoner
    who was an unarmed bystander to a fight. 
    Id. at 692
    . The
    officer argued that he believed the target of his shots was a
    participant in the fight in which two prisoners were kicking
    one prisoner who was defenseless on the ground. 
    Id.
     The
    court acknowledged “that the law governing prison officials’
    conduct was clearly established” when the Supreme Court
    decided Whitley, but it granted qualified immunity to the
    prison guard under the view that his mistaken belief in the
    circumstances he confronted entitled him to qualified
    immunity. 
    Id.
     at 692–93.
    Finding Marquez of little relevance, the majority
    interprets it to suggest “that a prison guard should not shoot
    a fighting inmate with live rounds and should instead take
    efforts to temper the severity of his response and use less-
    lethal force.” The majority concludes Marquez is also
    2
    The majority characterizes the dispute as, in part, about whether
    Officer Arnett acted with the requisite malice. Of course, this dispute is
    relevant to the merits question of Officer Arnett’s state of mind, but,
    independently, its relevance bears on the reasonableness inquiry integral
    to the qualified immunity analysis as well.
    30                     SIMMONS V. ARNETT
    distinguishable from this case. First, it finds that “Arnett did
    not fire at an inmate who was passively standing near a
    fight.” I agree. A credible view of the record reflects that
    Simmons was passively falling from an attack from another
    prisoner. That Simmons was also grabbing at the other
    prisoner does not end the inquiry; rather, it evidences a
    dispute of fact about whether a reasonable observer would
    have viewed Simmons as a threat. Second, the majority
    underscores Officer Arnett’s use of sponge bullets, rather
    than live rounds. But the fact that Officer Arnett shot
    Simmons three times, severely injuring him, is relevant to
    whether the force used was unreasonable even if it was not
    fatal.
    The proposition that, under Marquez, a prison guard does
    not violate clearly established law, so long as that prison
    guard uses less than lethal force to maintain order is not
    supported by Ninth Circuit precedent. The officers in
    Martinez used plastic bullets, tasers, and their fists, the
    officers in Furnace pepper-sprayed the prisoner, and the
    officer in Hughes beat the prisoner. In all of those cases, this
    court found a dispute of fact relevant to the qualified
    immunity analysis despite the use of “less-lethal” force.
    Marquez itself offers little insight into why prison officers’
    methods of abuse would categorically entitle them (or not)
    to qualified immunity. Nor can Marquez be read to compel
    a grant of qualified immunity every time a prison officer uses
    force against a prisoner because that officer could have
    perceived a threat, without regard to facts that demonstrate
    otherwise. That formulation of the law is in direct conflict
    with Martinez, Furnace, and Hughes. 3 Indeed, this court has
    3
    Notably, the Ninth Circuit has held that disputed facts preclude a
    qualified immunity analysis in Fourth Amendment excessive force cases
    as well. See Estate of Lopez v. Gelhaus, 
    871 F.3d 998
    , 1022 (9th Cir.
    SIMMONS V. ARNETT                             31
    never published an opinion citing to Marquez on that
    premise.
    To be sure, qualified immunity affords prison officers
    grace to make reasonable mistakes under pressure. But the
    dispute between Simmons’s set of facts, which would
    demonstrate that he was a passive victim, and Officer
    Arnett’s facts, which would establish that he perceived
    Simmons as a combatant, requires trial resolution. While
    both accounts could potentially coexist in theory, their
    divergence raises legitimate doubts about the reasonableness
    of Officer Arnett’s claimed perception of mutual combat as
    the justification for shooting Simmons three times. 4 That
    2017) (citing Martinez for the proposition that summary judgment on a
    Fourth Amendment excessive force claim is not appropriate when an
    officer’s entitlement to qualified immunity ultimately depends on
    disputed factual issues); Lolli v. Cnty. of Orange, 
    351 F.3d 410
    , 421 (9th
    Cir. 2003) (also citing Martinez); see also Curnow v. Ridgecrest Police,
    
    952 F.2d 321
    , 325 (9th Cir. 1991) (holding that officers were not entitled
    to qualified immunity at the summary judgment stage where there was a
    triable dispute as to whether they were reasonable in shooting a suspect
    who was not facing or pointing his gun at them). Recently, the Ninth
    Circuit applied the same reasoning in a First Amendment case. See
    Ballentine v. Tucker, 
    28 F.4th 54
    , 63–64, 67 (9th Cir. 2022) (holding that
    an officer was not entitled to summary judgment on his qualified
    immunity claim where there was a factual dispute as to whether the
    officer arrested the plaintiff because of his anti-police speech, which
    would be a violation of plaintiff’s First Amendment rights under clearly
    established law, or for legitimate, non-retaliatory reasons).
    4
    The notions that Officer Arnett had no other recourse and his
    actions served to protect Simmons from serious injury or death betray
    the factual record. There is no dispute that Officer Arnett caused serious
    leg fractures and nerve damage. Shooting Simmons three times in the
    forty-five seconds it took for other prison staff to arrive while Simmons
    was a cowering victim arguably put him in more danger, not less. Thus,
    it remains unclear whether Officer Arnett’s response was reasonable.
    32                  SIMMONS V. ARNETT
    dispute needs to be resolved before considering qualified
    immunity for Officer Arnett because it is centrally relevant
    to the question of whether a reasonable prison guard would
    know that he or she violated clearly established law by
    shooting Simmons in that situation. See Martinez, 
    323 F.3d at
    1184–85; cf. Rodriguez v. Cnty. of Los Angeles, 
    891 F.3d 776
    , 796 (9th Cir. 2018) (affirming denial of qualified
    immunity to prison officers after construing the facts in the
    light most favorable to the prisoners and considering a jury
    finding that the officers knowingly violated the law).
    III.
    In sum, I would find that the record before us shows:
    (1) Nurse Lopez’s conduct did not rise to the level of
    deliberate indifference; (2) under Simmons’s account of the
    facts, Officer Arnett violated Simmons’s constitutional
    rights by using excessive force against him to quell an
    altercation in which he was the victim; (3) that right was
    clearly established; and (4) whether Officer Arnett acted
    reasonably such that he was not on notice that his actions
    violated that clearly established right depends on a trial
    determination of the factual disputes. Accordingly, I would
    remand the claims against Officer Arnett to the district court
    for trial.