Steven C. Crabb v. Wexford Healthcare Services — Pro Se Plaintiff Must File Amended Complaint
Summary
Steven C. Crabb, a pro se civil detainee at the Illinois Department of Human Services' Treatment and Detention Facility at Rushville, Illinois, filed suit against Wexford Healthcare Services alleging the private corporation has been aware of and deliberately indifferent to his untreated inguinal hernia for over five years. The US District Court for the Central District of Illinois denied leave to proceed in forma pauperis, finding the complaint fails to state a Monell claim against a private corporation because it lacks factual allegations that Wexford had a policy, custom, or practice that caused the constitutional injury. The court granted Crabb twenty-one days to file a proposed amended complaint; failure to comply will result in dismissal of the case.
“Plaintiff is given twenty-one (21) days from the date of this Order to file a proposed amended complaint.”
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What changed
The court denied the plaintiff's motion for leave to proceed in forma pauperis because the complaint failed to state a claim upon which relief can be granted. The court held that because Wexford is a private corporation, the plaintiff must plead facts sufficient to establish Monell liability — specifically alleging that Wexford's policymakers were aware of the risk created by a custom or practice and failed to take appropriate steps. The complaint lacked any such allegations, and the court refused to allow the plaintiff to proceed in forma pauperis against Wexford on this basis.
Pro se plaintiffs in civil rights cases involving private corporations should be aware that Monell liability imposes heightened pleading requirements beyond the underlying constitutional claim. Private corporations providing medical care in detention settings may be subject to Section 1983 liability, but only upon a showing of an express policy, a widespread settled practice constituting custom, or final policymaking authority that caused the constitutional injury.
What to do next
- File a proposed amended complaint within twenty-one (21) days from the date of this Order
- Include facts sufficient to hold Wexford liable under Monell if intending to proceed against Wexford
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Apr 25, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
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April 23, 2026 Get Citation Alerts Download PDF Add Note
Steven C. Crabb v. Wexford Healthcare Services
District Court, C.D. Illinois
- Citations: None known
- Docket Number: 4:26-cv-04100
Precedential Status: Unknown Status
Trial Court Document
CENTRAL DISTRICT OF ILLINOIS
STEVEN C. CRABB, )
)
Plaintiff, )
)
v. ) No.: 26-4100-SEM-DJQ
)
)
WEXFORD HEALTHCARE )
SERVICES, )
)
Defendant. )
ORDER
SUE E. MYERSCOUGH, U.S. District Judge:
Plaintiff Steven C. Crabb, proceeding pro se, is a civil detainee
at the Illinois Department of Human Services’ Treatment and
Detention Facility at Rushville, Illinois (“Rushville”). Plaintiff
requested leave to proceed under a reduced payment procedure for
indigent plaintiffs who are institutionalized but who are not
prisoners as defined in 28 U.S.C. § 1915 (h).
The “privilege to proceed without posting security for costs and
fees is reserved to the many truly impoverished litigants who,
within the District Court’s sound discretion, would remain without
legal remedy if such privilege were not afforded to them.” Brewster
v. North Am. Van Lines, Inc., 461 F.2d 649, 651 (7th Cir. 1972).
pauperis “at any time” if the action is frivolous, malicious, or fails to
state a claim, even if part of the filing fee has been paid. 28 U.S.C. §
1915 (d)(2). Accordingly, this Court grants leave to proceed in forma
pauperis only if the complaint states a federal action.
In reviewing the complaint, the Court accepts the factual
allegations as true, liberally construing them in the plaintiff’s favor.
Turley v. Rednour, 729 F.3d 645, 649 (7th Cir. 2013). However,
conclusory statements and labels are insufficient. Enough facts
must be provided to “state a claim for relief that is plausible on its
face.” Alexander v. United States, 721 F.3d 418, 422 (7th Cir.
2013)(citation omitted).
Plaintiff alleges that he has suffered with an inguinal hernia
for at least five years. Plaintiff claims that Defendant Wexford
Healthcare Services (“Wexford”) will not schedule him to have his
hernia surgically repaired. Instead, Plaintiff alleges that Wexford is
aware of his medical condition, but Wexford has turned a blind eye
to his medical needs.
Plaintiff’s Complaint fails to state a claim upon which relief
can be granted. Wexford is a private corporation. Therefore, Plaintiff
must rely upon the United States Supreme Court’s holding in
U.S. 658, 690-94 (1978), in order to hold Wexford liable under §
1983. Dean v. Wexford Health Sources, Inc., 18 F.4th 214, 235 (7th
Cir. 2021); Whiting v. Wexford Health Sources, Inc., [839 F.3d 658,
664](https://www.courtlistener.com/opinion/4311887/calvin-whiting-v-wexford-health-sources-incorp/#664) (7th Cir. 2016). The first element that “a Monell plaintiff must
show [is] that some municipal [or corporate] action directly caused
him to suffer a deprivation of a federal right, and that the
municipality took the action with conscious disregard for the known
or obvious risk of the deprivation.” Dean, 18 F.4th at 236. A Monell
plaintiff must show that municipal or corporate policymakers were
aware of the risk created by the custom or practice, and they must
have failed to take appropriate steps to protect the plaintiff. Thomas
v. Cook County Sheriff’s Dept., 604 F.3d 293, 303 (7th Cir. 2009).
If a plaintiff can make this showing, the plaintiff may then
attempt to impose Monell liability upon a municipality or a private
corporation under three circumstances: (1) the defendant employs
an express policy that causes the Constitutional injury, (2) the
defendant has established a widespread practice that is so well
settled that it constitutes a custom or usage, or (3) the defendant
has final policymaking authority and caused the Constitutional
injury. McCormick v. City of Chicago, 230 F.3d 319, 324 (7th Cir.
municipal (or corporate) policy or custom gave rise to the harm
(that is, caused it), or if instead the harm resulted from the acts of
the entity’s agents.” Glisson v. Indiana Dep’t of Corrs., [849 F.3d 372,
379](https://www.courtlistener.com/opinion/4369657/alma-glisson-v-correctional-medical-services/#379) (7th Cir. 2017) (en banc). Finally, the United States Court of
Appeals for the Seventh Circuit has specifically extended liability
under Monell to a private corporation in the prison context or
detention context if the corporation had a policy, custom, or
practice that caused a Constitutional violation. Howell v. Wexford
Health Sources, Inc., 987 F.3d 647, 652-53 (7th Cir. 2021).
Plaintiff’s Complaint does not contain any of the factual
allegations necessary to hold Wexford liability under Monell.
Therefore, the Court will not allow Plaintiff to proceed in forma
pauperis against Wexford.
Nevertheless, the Court is cognizant that courts should
(generally) give a pro se plaintiff an opportunity to try to amend his
Complaint before the Court dismisses his case. Johnson v. Piontek, 799 F. App’x 418, 420 (7th Cir. 2020) (“Courts should grant pro se
litigants leave to amend a complaint at least once, unless it is
certain from the face of the complaint that amendment would be
such an opportunity in this case.
If Plaintiff files a proposed amended complaint, Plaintiff should
pay attention to the dictates of this Order and should include facts
with which to hold Wexford liable, assuming that Plaintiff intends to
proceed against Wexford. If Plaintiff does not comply with this Order
or if Plaintiff does not submit a proposed amended complaint
timely, the Court will dismiss this case.
IT IS, THEREFORE, ORDERED:
1. Plaintiff’s motion for leave to proceed in forma
pauperis [5] is DENIED because Plaintiff’s Complaint fails to
state a claim upon which relief can be granted.
2. Plaintiff is given twenty-one (21) days from the date
of this Order to file a proposed amended complaint.
- If Plaintiff fails to file a proposed amended complaint by this deadline, the Court will dismiss this case.
- Finally, if Plaintiff decides to file a proposed amended
complaint, Plaintiff should also file another motion for leave to
proceed in forma pauperis.
s/ Sue E. Myerscough
SUE E. MYERSCOUGH
UNITED STATES DISTRICT JUDGE
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