Jacobie Shannon Flowers

CUSTODIAL DEATH REPORT Agency Information CDR Number: 17-434-CJ Version Type: AMENDED Report Date: 11/6/2020 1:41 PM Status: Submitted Agency/Facility Information Jefferson County Agency Name: Agency Address: PO BOX 3522 Sheriff's Dept. Agency City: Beaumont Agency State: TX Agency Zip: 77704 Director Information Director Salutation: Sheriff Director First Name: Zena Director Middle Name: Director Last Name: Stephens Reporter Name: Zena Stephens Reporter Email: [email protected] Decedent Information Identity of Deceased Custodial Death Report :: Page 1 of 7 --- PAGE BREAK --- First Name: Jacobie Middle Name: Shannon Last Name: Flowers Suffix: Date of Birth: 4/10/1979 Sex: Male Black or African Race: American Age At Time Of Death: 38 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 8/7/2017 3:25 AM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 8/7/2017 3:43 PM 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) Could not be Manner of Death: determined Custodial Death Report :: Page 2 of 7 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Exsanguination due to Hemophilia A with contributory cause acute combined drug toxicity (phencyclidine, fentanyl, and 5F-ADB. Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: No 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 Could not be condition?: determined If death was an accident, homicide or suicide, what was the means of death? Means of Death: Unknown Location / Custody Information Where did the event causing the death occur? Custodial Death Report :: Page 3 of 7 --- PAGE BREAK --- Street Address: 5030 Hwy 69 S City: Beaumont County: Jefferson Zip: 77705 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: 8/7/2017 3:25 AM Where did the death occur? Law enforcement Death Location: facility/booking center General Information Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: No Custodial Death Report :: Page 4 of 7 --- 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: Public Intoxication Offense 2: Mental Health Hold (suicidal) Offense 3: Not filed at time of Were the Charges:: death What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Alcohol / drug Type of Offense: offense; Other, specify Type of Offense, Other: Subject caused a disturbance while being treated at the hospital and was released and arrested. 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 Yes Make suicidal statements?: No drugs): Exhibit any mental health Yes Exhibit any medical problems?: Yes problems?: Custodial Death Report :: Page 5 of 7 --- 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 8/06/17, decedent was admitted to Christus St. Elizabeth Hospital at 4:46 p.m. He reported to medical staff that he had been assaulted. They noted bruises on his right arm from the inner elbow up to near the shoulder area. The area was X-rayed and determined not to be fractured. They tested his urine and found him positive for Phencyclidine (PCP) and cannabinoids (marijuana). At 8:30, p.m. a CT scan was performed on decedent's head. Those findings were 1) no acute intracranial abnormality, 2) left parietal craniotomy, 3) mild right frontal scalp soft tissue swelling. On 8/7/17 at 12:32 a.m. the hospital printed a specimen report (drug test) that determined that decedent was positive for Phencyclidine (PCP) and cannabinoids. On 8/07/17 at 2:51 a.m. Beaumont PD was dispatched to St. Elizabeth Hospital because decedent had been released and was refusing to leave. He started throwing things around the hospital and was detained by an off duty Beaumont PD officer. According to the probable cause affidavit, decedent was under the influence of PCP, did not have anyone to take custody of him and was arrested for public intoxication due to the fear for his safety and the safety of others. The decedent was booked in to Jefferson County Correctional Facility at 08/07/17 at 3.25 a.m. The decedent has been incarcerated in Jefferson County Jail on 26 separate occasions. His inmate medical records show a history of being suicidal, having self-destructive behavior, diagnosed with Hepatitis B, HIV positive, and hemophilia. He was screened by medical staff within moments of entering the facility and placed on suicide watch. At 3:40 a.m. he was placed in cell B5 in booking under constant watch by staff. At 4:10 a.m. and at 10:55 a.m. meals were offered to the decedent. Staff noted that he did not eat. On 8/7/17 at approximately 12:00 noon, a mental health nurse attempted to conduct an assessment on the decedent. She noted that he was lying on the floor, but sat up and told her he was not suicidal, but that he had been using PCP. He told her “I use PCP because that is the only time I feel normal.” She had the medical nurse check on him. At 2:45 p.m. a correctional officer noticed that the decedent was moaning and did not look right. She asked medical staff to check on him. Medical staff could not get the decedent to respond to his name, but she noted he continued to moan. She started to rub his sternum and obtain his blood pressure. At Custodial Death Report :: Page 6 of 7 --- PAGE BREAK --- 2:52 p.m. she began CPR. EMS was notified and arrived at 3:22 p.m. to continue CPR and transport. 8/7/17 at 3:39 p.m. the decedent was admitted to the Medical Center of Southeast Texas, diagnosed with cardiac arrest. At 3:43 p.m. Dr. Isaac Chan pronounced the decedent deceased. On 8/08/17 at 1:30 p.m. Dr. John M. Wayne, M.D. conducted an autopsy as ordered by JP Marc DeRouen. His findings were as follows: Pending toxicology, investigation report and medical records review. Preliminary Cause of Death: Pending toxicology, investigation report and medical records review. Preliminary Manner of death: Pending toxicology, investigation report and medical records review. Custodial Death Report :: Page 7 of 7