Frank Joe Ramirez

CUSTODIAL DEATH REPORT Agency Information ORIGINAL CDR Number: 25-321-CJ Version Type: VERSION Report Date: 4/28/2025 9:52 AM Status: Submitted Agency/Facility Information Cooke County 300 County Road Agency Name: Agency Address: Sheriff's Dept. 451 Agency City: Gainesville Agency State: TX Agency Zip: 76240 Director Information Director Salutation: Sheriff Director First Name: Ray Director Middle Name: Director Last Name: Sappington Reporter Name: Nathan Ervin Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Frank Middle Name: Joe Last Name: Ramirez Suffix: Date of Birth: 10/9/1971 Sex: Male Race: Hispanic or Latino Age At Time Of Death: 53 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 3/18/2025 7:20 AM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 3/20/2025 5:59 AM Manner / Cause of Death Has a medical examiner or coroner conducted an evaluation to determine a cause of death? Medical Examiner/Coroner Yes, results are Evaluation?: available What was the manner of death? (select only one) Manner of Death: Natural Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Pneumonia Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: Yes If death was an accident, homicide or suicide, who caused the death? Who caused the death?: Not applicable If a weapon caused the death, what type of weapon caused the death? (Hold CTRL to select all that apply) Type of weapon that caused Not Applicable death?: Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Pre existing medical Pre-existing medical condition?: condition If death was an accident, homicide or suicide, what was the means of death? Not applicable, cause of death was Means of Death: illness/natural cause Location / Custody Information Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Where did the event causing the death occur? Street Address: 300 CR 451 City: Gainesville County: Cooke Zip: 76240 What location category best describes where the event causing the death occurred? Law Enforcement Location Category: Facility What type of custody/facility was the Decedent in at the time of death: Type of Custody: County Jail Specific type of custody/facility: Specific Type of Custody/Facility: Jail - single cell What was the time and date of the deceased's entry into the law enforcement facility where the death occurred (mm/dd/yyyy hh:mm AM/PM): Entry Date Time: 3/18/2025 7:20 AM Where did the death occur? Death Location: Medical facility General Information Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: Yes Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- What were the most serious offense(s) with which the deceased was (or would have been) charged with at the time of death? Offense 1: Fail to Comply with Sex Offender Duty to Register Offense 2: Parole Violation Offense 3: Fail to ID Give False Info A probation/parole Were the Charges:: violation What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Other, specify; Type of Offense: Crimes Against Child(ren) Type of Offense, Other: Fail to ID Fugitive At any time during the incident and/or entry into the law enforcement facility, did the decedent display or use a weapon? Decedent display/use of No weapons: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Attempt to Injure Others?: No At any time during the incident and/or entry into the law enforcement facility, did the decedent: Appear intoxicated (alcohol or No Make suicidal statements?: No drugs): Exhibit any mental health No Exhibit any medical problems?: Yes problems?: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- At any time during the incident and/or entry into the law enforcement facility, did the decedent: Barricade self or initiate Resist being handcuffed or No No standoff?: arrested?: Physically attempt/assault Gain possession of officer's No No officer(s): weapon: Verbally threaten other(s) Escape or attempt to No No including law: escape/flee custody: Attempt gain possession No officer's weapon: Was the deceased under restraint in the time leading up to the death or the events causing the death? Under Restraint: No Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: On March 19, 2025, at approximately 0857 hours, Officer Amanda Pena was conducting her observations on the separation cell the deceased, Frank Ramirez, was assigned. Officer Pena reported to Chief Nathan Ervin, after the incident, that while conducting this time check, the deceased was sitting on his bunk. At approximately 0905 hours, Medical Officer Heather Price, attempted to make contact with the deceased for the purpose of administering a TB skin test. Medical Officer Price advised that when she looked in the viewing window, she observed the deceased sitting on the toilet fully dressed and slumped over. Medical Officer Price attempted to call his name and knock on the door several times without any response. Medical Officer Price immediately called for assistance and described the deceased as blue in color and warm to the touch. Immediate lifesaving procedures were began and EMS was notified. Jail Staff alternated giving chest compressions while an AED was placed on the deceased. The AED never gave a shock due to the deceased not having a pulse. At approximately 0919 hours, Cooke County EMS arrived at the Cooke County Detention Center and took over lifesaving procedures and transported him to the North Texas Medical Center (NTMC) in Gainesville, Texas. Once at NTMC, hospital staff was able to obtain a pulse. The decision was made to have Care Flight fly him to Medical City Denton, in Denton, Texas. The deceased was admitted and placed in ICU until he was pronounced deceased on March 20, 2025, at 0559 hours. As standard procedure, the Texas Rangers were notified and an independent investigation was initiated by Ranger Hubble. EOR Custodial Death Report :: Page 6 of 6