                                                    NOT PRECEDENTIAL
                       UNITED STATES COURT OF APPEALS
                            FOR THE THIRD CIRCUIT
                                 ____________

                                       No. 17-1707
                                      ____________

                                    ANTHONY FOX,
                                            Appellant

                                             v.

 BAYSIDE STATE PRISON; NEW JERSEY DEPARTMENT OF CORRECTIONS;
            RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY;
      THE UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY;
     JOHN POWELL, Individually and as Administrator of Bayside State Prison;
     GARY M. LANIGAN, Individually and as Commissioner of the New Jersey
 Department of Corrections; JOHN DOES NOC. 1-25 OF BAYSIDE STATE PRISON
                                 ____________

                     On Appeal from the United States District Court
                               for the District of New Jersey
                                (D. N.J. No. 1-14-cv-05344)
                    District Court Judge: Honorable Robert B. Kugler
                                       ____________

                   Submitted Pursuant to Third Circuit L.A.R. 34.1(a)
                                 December 15, 2017

            Before: CHAGARES, RESTREPO and FISHER, Circuit Judges.

                                  (Filed: March 2, 2018)
                                      ____________

                                        OPINION*
                                      ____________

       *
        This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7
does not constitute binding precedent.
FISHER, Circuit Judge.

       Anthony Fox was an inmate at Bayside State Prison in Leesburg, New Jersey.

Based on a medical mishap, Fox filed a 42 U.S.C. § 1983 claim against Bayside and

associated entities. The District Court dismissed Fox’s claims, and we will affirm.

                                             I

       In August 2012, Fox reported to the prison infirmary complaining of dizziness.

After discovering that Fox’s blood pressure was elevated, the infirmary nurse injected

him with medication. Fox subsequently lost consciousness and fell to the floor, suffering

injuries to his face and nose. Fox was taken to the hospital, and upon his return officials

placed him in “lock-up.” The parties do not define the term lock-up, but we assume it

denotes a punitive confinement status. Fox was placed in lock-up upon suspicion that his

loss of consciousness was precipitated by some form of drug abuse. Fox remained in

lock-up for about three weeks and was released when toxicology results disproved

officials’ drug use suspicions.

       Fox alleges that his medical treatment upon his return to Bayside was improper.

Fox eventually underwent surgery to repair his nose damage, but claims that his surgery

was too long delayed and insufficient. He alleges that Bayside officials continue to deny

him additional, necessary surgeries. As a result, Fox suffers from significant breathing

issues and facial deformity.


                                            2
       Fox filed a civil rights complaint under 42 U.S.C. § 1983 against Bayside State

Prison, the New Jersey Department of Corrections (DOC), Bayside administrator John

Powell, and DOC Commissioner Gary Lanigan.1 Fox’s complaint focuses on alleged

deficiencies in his medical treatment and his placement in lock-up. The District Court

dismissed the claims against Bayside and the DOC on sovereign immunity grounds. To

the extent Powell and Lanigan were sued in their official capacities, they also fell within

the District Court’s sovereign immunity ruling. As to their individual capacities, the

District Court dismissed under Federal Rule of Civil Procedure 12(b)(6).2

                                             II

       The District Court had jurisdiction under 28 U.S.C. § 1331. We have jurisdiction

under 28 U.S.C. § 1291. We review a District Court’s dismissal based on sovereign

immunity under a plenary standard.3 We apply the same standard when reviewing a

dismissal under Rule 12(b)(6).4 In reviewing Fox’s complaint, we accept all well-pled

allegations as true and draw all reasonable inferences in his favor.5




       1
         Fox’s suit also named Rutgers University and the University of Medicine and
Dentistry of New Jersey as defendants. The District Court granted summary judgment as
to those defendants, and Fox has not appealed those rulings.
       2
         Fox does not challenge the District Court’s dismissal of his related state law
claims.
       3
         Blanciak v. Allegheny Ludlum Corp., 77 F.3d 690, 694 (3d Cir. 1996).
       4
         Brown v. Card Serv. Ctr., 464 F.3d 450, 452 (3d Cir. 2006).
       5
         Id.
                                             3
                                               III

                                    A. Sovereign Immunity

       The Eleventh Amendment bars suits against state governments in federal courts.

This immunity extends to any entity that is an arm of the state. 6 We have adopted a three-

part test to determine whether an entity is an arm of the state,7 but a detailed application

of that test is unnecessary here. The DOC is quintessentially an arm of the state and is

funded by, controlled by, and accountable to the state.8 As a facility wholly owned and

operated by the DOC, Bayside is similarly protected. In their official capacities, Powell

and Lanigan are likewise protected because “a suit against a state official in his or her

official capacity . . . is a suit against the official’s office” that is “no different from a suit

against the State itself.”9 Accordingly, the District Court did not err in applying sovereign

immunity to these defendants.

                                    B. Section 1983 Claims

       In their individual capacities, Powell and Lanigan are unprotected by sovereign

immunity and subject to suit under 42 U.S.C. § 1983. The gravamen of Fox’s complaint

is that the medical care he received at Bayside—both before and after his injury—was


       6
         See Regents of the Univ. of Cal. v. Doe, 519 U.S. 425, 429–30 (1997).
       7
         Fitchik v. N.J. Transit Rail Operations, Inc., 873 F.2d 655, 659 (3d Cir. 1989).
       8
         See Snyder v. Baumecker, 708 F. Supp. 1451, 1455–56 (D.N.J. 1989) (describing
the characteristics of the DOC); cf. Koslow v. Pennsylvania, 302 F.3d 161, 169 (3d Cir.
2002) (determining that the Pennsylvania DOC was entitled to sovereign immunity and
then analyzing whether Congress had abrogated said immunity by statute).
       9
         Will v. Mich. Dep’t of State Police, 491 U.S. 58, 71 (1989).
                                              4
deficient. In so pleading, Fox invokes terms indicative of two distinct theories of relief

under § 1983: failure to supervise and deliberate indifference. On both counts, however,

Fox’s pleadings are deficient.

       To state a claim for failure to supervise, a plaintiff must:

              identify a supervisory policy or practice that the supervisor
              failed to employ, and then prove that: (1) the policy or
              procedures in effect at the time of the alleged injury created
              an unreasonable risk of a constitutional violation; (2) the
              defendant-official was aware that the policy created an
              unreasonable risk; (3) the defendant was indifferent to that
              risk; and (4) the constitutional injury was caused by the
              failure to implement the supervisory practice or procedure.10

In this vein, Fox avers that “defendants were aware of . . . the need for additional rules,

regulations, testing, policies, [and] procedures”11 to provide adequate medical care to

inmates, but the complaint is fatally lacking in detail. At the outset, Fox fails to identify a

specific policy to undergird his claim, which necessarily forecloses the possibility of

adequately pleading that any risk associated with the policy was unreasonable, that prison

officials were aware of and indifferent to this risk, and that the specific policy led to his

injury. Accordingly, Fox fails to plead a valid failure to supervise claim.

       An official’s deliberate indifference to an individual’s constitutional rights

provides an alternative basis for relief under § 1983. As relevant here, a prison official’s

deliberate indifference to a substantial risk of serious harm to an inmate violates the

       10
          Barkes v. First Corr. Med., Inc., 766 F.3d 307, 317 (3d Cir. 2014), rev’d on
other grounds sub nom. Taylor v. Barkes, 135 S. Ct. 2042 (2015) (per curiam).
       11
          App. 33.
                                              5
Eighth Amendment.12 To plead such a claim, however, it is necessary—though not

sufficient—to allege that the “official was subjectively aware of the risk.”13 Fox claims

that the “conduct of defendants . . . constituted a breach of . . . duty and was in deliberate

indifference to the danger and substantial risk facing plaintiff,”14 but the complaint lacks

any assertion that either Powell or Lanigan was aware of any risk in this case, let alone “a

substantial risk of serious harm.”15 Thus, the complaint fails to state a deliberate

indifference claim.

                                             IV

       For all of these reasons, we will affirm the District Court’s judgment.




       12
          Farmer v. Brennan, 511 U.S. 825, 828 (1994).
       13
          Id. at 829.
       14
          App. 33.
       15
          Farmer, 511 U.S. at 829. The complaint does allege that “Lanigan[] had specific
knowledge of the within conduct and policy and practice and took no steps to prevent
said actions,” App. 32, but this assertion falls quite short of identifying a specific policy
and alleging that Lanigan was subjectively aware that this policy posed a substantial risk
of serious harm.
                                               6
