Lawrence Richard Siford

CUSTODIAL DEATH REPORT Agency Information CDR Number: 06-1-CJ Version Type: AMENDED Report Date: 2/23/2026 1:25 PM Status: Submitted Agency/Facility Information Harrison County 200 W. Houston Agency Name: Agency Address: Sheriff's Dept. Street Agency City: Marshall Agency State: TX Agency Zip: 75670 Director Information Director Salutation: Sheriff Director First Name: Brandon Director Middle Name: Director Last Name: Fletcher Reporter Name: John Hain Reporter Email: [email protected] Decedent Information Identity of Deceased Custodial Death Report :: Page 1 of 7 --- PAGE BREAK --- First Name: Lawrence Middle Name: Richard Last Name: Siford Suffix: Date of Birth: 11/29/1962 Sex: Male Race: Anglo or White Age At Time Of Death: 63 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 12/2/2025 2:25 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 2/18/2026 3:58 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 7 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Hypertensive and atherosclerotic cardiovascular disease including congestive heart failure 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 Where did the event causing the death occur? Custodial Death Report :: Page 3 of 7 --- PAGE BREAK --- 811 South Street Address: City: Marshall Washington Ave County: Harrison Zip: 75670 What location category best describes where the event causing the death occurred? Location Category: Other, specify Other Location Category: Hospital Emergency Room 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: 12/2/2025 1:19 PM 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? Custodial Death Report :: Page 4 of 7 --- PAGE BREAK --- 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: Federal Detainer 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?: No problems?: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Custodial Death Report :: Page 5 of 7 --- PAGE BREAK --- Barricade self or initiate Unknown Resist being handcuffed or Unknown standoff?: arrested?: Physically attempt/assault Gain possession of officer's Unknown No officer(s): weapon: Verbally threaten other(s) Escape or attempt to Unknown Unknown including law: escape/flee custody: Attempt gain possession Unknown 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: February 18, 2026 Reference: Custodial Death; Lawrence Richard Siford On February 18, 2026, at approximately 12:59 AM, I received an Active 911 alert on my phone, that EMS had been requested for 110 South Franklin. The alert stated that we had a 63- year-old male having difficulty breathing. Immediately after that notification, I received a group text from our Medical Supervisor Ashley Morris advising that Siford's (Federal Inmate) oxygen kept dropping. EMS is in route due to not being able to get his oxygen levels up. Around this same time, I also received a phone call from Harrison County Dispatch advising that we had EMS in route for inmate transport. Then at approximately 04:00 hours, I received a phone call from Lieutenant Ron England advising that inmate Lawrence Richard Siford had died at the Good Shepherd Marshall Emergency Room. Lawrence Richard Siford was booked into the Harrison County Jail on 12/02/2025 at approximately 14:18 hours for a Federal Detainer, Cause Number 2:25-cr-00022-JRG-RSP. Since Siford's initial booking and processing he had been seen by medical staff on numerous occasions as the timeline reflects below. On February 1, 2026, Siford was sent to Good Shepherd Marshall Emergency Room due to vital signs being out of providers parameters. Good Shepherd Marshall diagnosed Siford with Acute Systolic Chf (Congestive Heart Failure), Aortic Atherosclerosis, Atrial Fibrillation, At Risk for Stroke, Volume Overload, Cap (Community Acquired Pneumonia), Nonsustained Ventricular Tachycardia, Other Emphysema, Acute Hypoxic Respiratory Failure, Cardiogenic Shock, Aki (Acute Kidney Injury), Lactic Acidosis, On Mechanically Assisted Ventilation, Cardiomyopathy, Acute Metabolic Encephalopathy and thus transferred him to Good Shepherd Longview on February 2, 2026 where he could receive continued treatment in a facility that was better equipped to deal with his conditions 12/02/2025 booked into Harrison County Jail with no complaints Custodial Death Report :: Page 6 of 7 --- PAGE BREAK --- 12/07/2025 Siford was seen for history & physical and records were requested from previous doctor that he had last seen in 2013 12/21/2025 Siford complained of leg pain and x-ray was ordered 01/10/2026 Siford reports "asthma like symptoms" 01/13/2026 steroids and inhaler ordered (Siford refused most meds) 01/27/2026 Siford reports swelling in feet 01/29/2026 Siford seen by provider-orders written with strict protocols to send to ER if vital signs get out of parameters. Labs were ordered 01/30/2026 labs drawn 02/01/2026 Siford sent to ER in Marshall due to vital signs being out of provider parameters 02/02/2026 Siford was transferred to Good Shepherd Longview 02/09/2026 Siford was discharged back to jail 02/09/2026 Siford is non-compliant with medication and oxygen orders 02/18/2026 medical advised to have Siford transferred to ER by EMS Lawrence Richard Siford was discharged from Good Shepherd Longview on February 9th, 2026, and returned to Harrison County Jail with medications and orders for oxygen. Siford was non-compliant with his medication and oxygen orders. He would on occasion take some of his medications and use the oxygen, but not as ordered . This is noted in his Medication Administration Records from the medical staff. As per Texas Government Code 511.021, the Texas Rangers have been appointed to conduct the independent investigation of the death of Lawrence Richard Siford, who had been in the care, custody and control of the Harrison County Jail. This death occurred February 18, 2026, at approximately 0406 hours. Custodial Death Report :: Page 7 of 7