Jerry Drue Ivicic

CUSTODIAL DEATH REPORT Agency Information CDR Number: 22-1252-CJ Version Type: AMENDED 7/17/2023 10:59 Report Date: Status: Submitted AM Agency/Facility Information Johnson County Agency Name: Agency Address: 1102 E. Kilpatrick Sheriff's Dept. Agency City: Cleburne Agency State: TX Agency Zip: 76031 Director Information Director Salutation: Sheriff Director First Name: Adam Director Middle Name: Director Last Name: King David Reporter Name: Reporter Email: [email protected] Blankenship Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Jerry Middle Name: Drue Last Name: Ivicic Suffix: Date of Birth: 2/22/1948 Sex: Male Race: Anglo or White Age At Time Of Death: 74 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 9/11/2022 7:17 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 9/11/2022 8:35 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 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Inmate was on Hospice during his incarceration. He had Liver Cancer, Cirrhosis of the liver, HEP-C, as well as COPD. 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: 1800 Ridgemar Dr City: Cleburne County: Johnson Zip: 76031 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: 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: 7/13/2022 9:03 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?: 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: DWIO 3rd or More Offense 2: Offense 3: Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Alcohol / drug Type of Offense: offense 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?: 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 Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- standoff?: No arrested?: No 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 07/13/2022 Jerry Ivicic was booked into the Johnson County Jail for DWI 3rd or more. He was already under Hospice care before he was booked into jail and Hospice continued services by coming to the jail regularly to care for Ivicic as he remained on Hospice. Hospice advised on 09/11/2022 that they did not expect Ivicic to last more than 24 to 48 hours longer due to his health rapidly declining. At approximately 1917 hours on 09/11/2022 jail medical requested HSA Ashley Lawrence and advised that Ivicic was unresponsive and no longer breathing. Ivicic had a Do Not Resuscitate order in place. Inmate Ivicic's time of death was pronounced at 08:35 pm on 09/11/2022. Inmate Ivicic's body was then transported to the Tarrant County Medical Examiners Office pending an autopsy. Custodial Death Report :: Page 6 of 6