Name not reported
A person held at the Blackfeet Correctional Facility in Montana in May 2018 told staff early that morning that they were feeling unwell, and collapsed that afternoon. According to a Cruzan Group report, officers disagreed over whether the person had a pulse, and a review of video found the delay postponed lifesaving measures by seven minutes. A Bureau of Indian Affairs internal affairs review identified multiple policy violations by staff.
Cause of death, as reported: Cause not yet determined (neglect alleged). The Cruzan Group report says staff delayed lifesaving measures by seven minutes after the person collapsed, and officers disagreed over whether there was a pulse.
Reported by: Cruzan Group report (outside investigators).