Russell Spencer

CUSTODIAL DEATH REPORT Agency Information ORIGINAL CDR Number: 26-671-CJ Version Type: VERSION 8/26/2026 11:16 Report Date: Status: Submitted AM Agency/Facility Information Tom Green County Agency Name: Agency Address: 222 W. Harris Sheriff's Dept. Agency City: San Angelo Agency State: TX Agency Zip: 76903 Director Information Director Salutation: Sheriff Director First Name: John Director Middle Name: N Director Last Name: Hanna Reporter Name: Roger Looka Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Russell Middle Name: Last Name: Spencer Suffix: Date of Birth: 7/17/1969 Sex: Male Race: Anglo or White Age At Time Of Death: 57 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 7/26/2026 2:25 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 8/1/2026 8:29 PM Manner / Cause of Death Has a medical examiner or coroner conducted an evaluation to determine a cause of death? Medical Examiner/Coroner No, evaluation not Evaluation?: planned 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: Stroke with brain bleed. 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: 120 E. Harris City: San Angelo County: Tom_Green Zip: 76903 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: 7/30/2026 9:02 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 6 --- PAGE BREAK --- Other Agencies Respond?: No 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: Criminal Trespass Class B Misdemeanor 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) Crime Against Type of Offense: Property 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: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- 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: Russell Spencer, 57-year-old male, was booked into the Tom Green County Jail on July 26, 2026, after leaving Shannon Medical Center against medical advice and receiving a Criminal Trespass charge for refusing to leave the premises. Russell was hospitalized at Shannon from July 25th through July 26th due to upper gastrointestinal bleeding, anemia, ascites, and esophageal varices. During his stay, he received 2 units of blood and was discharged with a hemoglobin level of 7.3, an increase from the critical admission level of 5. On July 28, 2026, jail medical staff checked his hemoglobin level, which had risen to 7.9. Russell's medical history included significant conditions such as cirrhosis, portal hypertension, hepatitis C, iron deficiency anemia, chronic gastrointestinal blood loss, portal hypertensive gastropathy, COPD, CHF, hypertension, mitral valve regurgitation, infective carditis, long QT syndrome, methamphetamine abuse, alcohol abuse, and medication noncompliance. On July 30, 2026, Russell was sent to the Shannon ER due to altered mental status, weakness, and reports of falling in his cell. On July 31, 2026, at approximately 7:29am Russell was showing signs of a stroke, prompting hospital staff to order a stat CT scan. The CT results indicated a brain bleed. He was intubated to secure his airway, and an emergency decompressive craniectomy was performed. Following the surgery, he was transferred to the ICU. A PR bond was issued at 9:21am on July 31, 2026. Although Russell was unable to sign the paperwork, he was granted a Personal Recognizance Bond to allow his mother and other family members to be with him during his palliative care. Russell Spencer passed away at 8:29pm on August 1, 2026. Custodial death is being investigated by Texas Ranger Terry Eaton. An autopsy was not ordered. Custodial Death Report :: Page 6 of 6