James Ronald Ragland

CUSTODIAL DEATH REPORT Agency Information ORIGINAL CDR Number: 18-663-CJ Version Type: VERSION Report Date: 9/17/2018 1:26 PM Status: Submitted Agency/Facility Information Grayson County Agency Name: Agency Address: 200 S. Crockett Sheriff's Dept. Agency City: Sherman Agency State: TX Agency Zip: 75090 Director Information Director Salutation: Sheriff Director First Name: Thomas Director Middle Name: E. Director Last Name: Watt Harvey Reporter Name: Reporter Email: [email protected] Smitherman Decedent Information Custodial Death Report :: Page 1 of 7 --- PAGE BREAK --- Identity of Deceased First Name: James Middle Name: Ronald Last Name: Ragland Suffix: Date of Birth: 3/3/1949 Sex: Male Race: Anglo or White Age At Time Of Death: 69 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 9/4/2017 6:25 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 7/10/2018 4:57 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) Manner of Death: Natural Custodial Death Report :: Page 2 of 7 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Complications from multiple chronic medical conditions which included, an acute Respiratory Distress Syndrome and septic shock. 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 7 --- PAGE BREAK --- Where did the event causing the death occur? 5016 South US Street Address: City: Denison Hwy 75 County: Grayson Zip: 75020 What location category best describes where the event causing the death occurred? Location Category: Other, specify Other Location Category: Hospital 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: Hospital/Infirmary 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: 9/4/2017 6:25 PM Where did the death occur? Death Location: Medical facility General Information Custodial Death Report :: Page 4 of 7 --- PAGE BREAK --- Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: Yes 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: Murder Offense 2: Aggravated Assault with a Deadly Weapon Offense 3: Injury to a Child/ Disabled Person with intent SBI/ Mental. Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Violent Crime Type of Offense: Against Persons 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 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? Yes, mark which Under Restraint: restraint devices were used Type of restraint Type of Restraint: Leg Shackles Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: On 07-09-2018, at approximately 17:17 hours, Grayson County Sheriff’s Office (GCSO) Inmate James Ronald Ragland (# 99210), a 69 year old white male, died in room #824 at Texoma Medical Center (TMC), in Denison, Grayson County, Texas due to complications from multiple chronic medical conditions which included, an acute Respiratory Distress Syndrome and septic shock. At the request of the GCSO, Texas Ranger Brad Oliver responded to TMC and initiated a Custodial Death Investigation. Grayson County Justice of the Peace Larry Atherton was called to room #824 to hold an inquest. Judge Atherton subsequently ordered an autopsy be performed on Ragland by the Dallas County Medical Examiner’s Office in Dallas, Texas. Ranger Oliver’s investigation determined Ragland had been in TMC continuously since his admittance on 05-24-2018. This was Ragland’s third hospital stay since his arrest and incarceration in the Grayson County Jail on 09-04-2017. GCSO had extensive records documenting Ragland’s declining medical health since his incarceration. Ragland’s family had provided TMC with a Living Will signed by Ragland on 05-27-2014. A Do Not Resuscitate Order was issued my TMC medical staff pursuant to the living will. Family members were present when Ragland died on 07-09-2018. Custodial Death Report :: Page 6 of 7 --- PAGE BREAK --- On 07-10-2018, an autopsy was performed by the Dallas County Medical Examiner’s Office. The cause of death is pending toxicology. Custodial Death Report :: Page 7 of 7