Prison inmates found hanging, beaten to death. Where were the officers?

In some of North Carolina’s toughest prisons, officers routinely fail to make their rounds, a Charlotte Observer investigation found. That can put inmates in danger.
In some of North Carolina’s toughest prisons, officers routinely fail to make their rounds, a Charlotte Observer investigation found. That can put inmates in danger.

Early one winter morning in 2012, officers at an eastern North Carolina prison found inmate Willis Gravley hanging from a bed sheet. He’d been dead for hours.

His death raised a question: Why didn’t officers at Bertie Correctional Institution stop Gravley from killing himself – or why, at least, didn’t they find his body earlier?

Prison investigators later found that officers in Gravley’s unit had been skipping a crucial part of their job for years: doing the required 30-minute security checks. Instead, officers falsified prison records to indicate they had made their rounds, according to dismissal letters issued to some officers involved.

In some of North Carolina’s most dangerous prisons, officers routinely fail to make their rounds, a Charlotte Observer investigation found.

State leaders are partly to blame. They’ve allowed many prisons to become dangerously understaffed. The staff shortages – caused partly by the low pay and perennial dangers of prison work – leave some employees hard-pressed to complete all their duties.

Negligence or inaction on the part of prison staff may have contributed to the deaths of at least eight N.C. inmates since 2009, records and interviews suggest. Prison officers found the bodies of some of those inmates stiff in their cells hours after they died.

Prison leaders say they don’t track how much the state has paid to injured inmates or to the families of those who died. But it’s a problem that has proved costly to taxpayers. In one highly publicized case, the state agreed to pay $2.5 million to the family of Michael Anthony Kerr, an inmate who died of dehydration in 2014 after lying for days in his own feces and urine.

Kerr, a habitual felon with mental health problems, died while being transported from Alexander Correctional Institution in Taylorsville to Central Prison in Raleigh. After his death, the state disciplined or fired at least 25 employees. Records show prison mental health officials were aware of Kerr’s deteriorating condition weeks before he died, but did not transfer him to a facility that could provide better care.

Such negligence adds to the dangers inside North Carolina’s prisons. A recent Observer investigation found that some officers smuggle drugs and cellphones to inmates. Others have sex with them or beat them in areas not monitored by security cameras.

Most of the state’s 8,000 correctional officers are honest and diligent, state prison leaders said.

“As a general rule, our staff do a very good job of keeping check on inmates,” said George Solomon, who retired as the state’s director of prisons earlier this year.

Lawmakers and state prison leaders say they’re taking steps to make sure officers complete their rounds. They’ve increased pay and expanded recruitment efforts to attract more qualified officers. In some units, they’ve put in place technology to ensure that officers make their security checks. And prison leaders say they are quick to take action when employees neglect their duties.

“Conducting rounds and documenting security checks on inmates are required by policy and are an important part of prison operations,” Kenneth Lassiter, N.C.’s director of prisons, said in December. “ … When supervisors are aware of officers not following policies, appropriate action is taken, up to and including dismissal.”

‘He’d been down for a while’

When investigators looked into Gravley’s death, they found that the officers responsible for the inmate’s unit had not done their required security rounds in the seven hours before his body was discovered. They were supposed to check that unit every half hour.

Ricky Morris, a former lieutenant with the Windsor Police Department who investigated the suicide, said that by the time he was called to the scene, Gravley’s body was no longer warm.

“He’d been down for a while,” Morris said.

The investigation determined it was a routine unapproved practice for staff ... to falsify the required thirty (30) minute security checks.

From dismissal letter issued to officers who were fired from Bertie Correctional Institution following the death of inmate Willis Gravley

Gravley was sentenced to life in prison in 1993 for the stabbing death of his girlfriend. He died in his cell at the age of 36.

A medical examiner concluded Gravley had killed himself. The investigation that followed his death resulted in the dismissal of six staff members and the reassignment of the prison’s top administrator.

“The investigation determined it was a routine unapproved practice for staff assigned to Gray Unit to falsify the required thirty (30) minute security checks …,” states a dismissal letter written to the former manager of the prison unit. “Your willful violation of policy compromised the safety and security of the inmates … ”

A preventable death?

Prison records also raise questions about whether a former officer at Scotland Correctional Institution in Laurinburg skipped security rounds – and whether that contributed to an inmate’s death last year.

Steffone McCallum, the officer, was fired for failing to document rounds in the solitary confinement unit where inmate Scott Sica was found dead, hanging from a shoelace. Sica died in April 2016 from “autoerotic asphyxiation,” an act in which a person temporarily cuts off the oxygen supply to the brain to heighten sexual pleasure, according to his autopsy report.

“Based on your poor judgment and failure to abide by policy, management cannot substantiate that rounds were made … to observe inmate (Sica’s) behavior, which could have prevented his death,” McCallum’s dismissal letter reads.

Scott Sica
Inmate Scott Sica N.C. Department of Public Safety

McCallum could not be reached for comment. But in statements to prison investigators, he contended he made security rounds in the hours before Sica’s body was discovered.

Following Sica’s death, a prison manager at Scotland sent out an email to staff members. Officers beginning their work days must help departing shifts with security rounds “to ensure that there is a live breathing body in each cell on controlled and restrictive housing units,” it said.

More than a dozen current and former staff members told the Observer it was common for state prison officers to skip rounds and falsify paperwork.

“You could falsify it at any time,” said Marcus Mercer, a former officer at Lanesboro Correctional Institution, located southeast of Charlotte. “Most supervisors don’t check the log book anyway.”

More than a dozen current and former staff members told the Observer it was common for state prison officers to skip rounds and falsify paperwork.

Mercer said he resigned from the prison last year after inmates stabbed him in the cheek with a homemade knife and made threatening calls to his cellphone.

When officers miss their rounds, inmates have more time to make and acquire weapons or to harm themselves, he said.

“Usually that’s when bad things happen,” Mercer said. “Fights in the cells. Inmates trying to commit suicide.”

State: We’re addressing problems

State prison leaders say technology upgrades have helped ensure that staff members regularly check on some inmates. In solitary confinement units, officers now scan electronic tablets at each cell to document that they observed the prisoners.

But staffing challenges make problems inevitable, experts say.

Statewide, about 16 percent of officer positions were vacant in October.

At some prisons, the vacancy rates were much higher. At Polk Correctional Institution, north of Durham, more than 30 percent of positions were unfilled.

“That is an absolutely shocking number that should be raising alarm bells at the legislature and the governor’s office,” said David Fathi, director of the ACLU’s National Prison Project.

At Pasquotank Correctional Institution, where four workers were fatally wounded in an October escape attempt, the vacancy rate was 28 percent.

And at Bertie Correctional, where Sgt. Meggan Callahan was killed in April, the rate was more than 25 percent.

Experts say better staffing might have saved those employees.

Correctional officers are caught in a spiral of impossible demands.

Jennie Lancaster, a former high-ranking N.C. prison official

But finding people who are willing to work as prison officers isn’t easy. The hours are long, the pay is low, and the work is dangerous.

“Correctional officers are caught in a spiral of impossible demands,” said Jennie Lancaster, a former high-ranking state prison official. “ … They are the forgotten actors on the law enforcement stage.”

Prison leaders say they’re beefing up their recruitment efforts. They’re holding hiring events and partnering with schools and military bases to fill jobs.

State lawmakers have boosted pay in recent years in an effort to attract and retain qualified staff.

Officers at maximum-security prisons are now paid an average of about $38,000 a year – still about $8,000 less than the national average for correctional officers and jailers. More salary increases may be needed, legislative leaders say.

A recent study by Duke University recommended additional efforts, including forming recruitment committees at each prison and offering referral and signing bonuses to employees.

This year, N.C. prisons hired an average of 147 officers a month, but lost 153 officers, records show.

Deadly Neglect?

Negligence or inaction may have contributed to the deaths of at least eight inmates in North Carolina since 2009, interviews and state records show.

▪  Richard Dwyer, a prisoner at Lanesboro Correctional Institution, died Aug. 17 of an apparent suicide, a state Department of Public Safety news release said. Officers found Dwyer dead at 10:15 a.m. He had a cord wrapped around his neck, his autopsy report said. According to the report, an officer last saw Dwyer alive at 6:34 a.m. – more than 3 hours and forty minutes before he was found dead. Officers are supposed to make security rounds at least once an hour for inmates in maximum-security prisons like Lanesboro, prison officials say. The state is conducting an internal review of the suicide, a spokeswoman for the prison system said.

▪ Inmate Scott Sica was found dead at Scotland Correctional Institution in 2016 with a shoe string tied around his neck. An autopsy found that the cause of death was autoerotic asphyxiation, an act in which a person temporarily cuts off the oxygen supply to the brain to heighten sexual pleasure. An officer at the prison was fired for failing to document his rounds on the day Sica died, according to a dismissal letter.

▪ Michael Anthony Kerr, an inmate at Alexander Correctional Institution, died of dehydration in 2014 after lying for days in his own urine and feces, court records show. Court documents show prison mental health and nursing staff delayed proper treatment for Kerr. Following the prisoner’s death, the state fired or disciplined at least 25 employees.

▪ Prisoner Willis Gravley hung himself in his cell at Bertie Correctional Institution in Windsor in 2012. A prison investigation found that staff had failed to check on inmates in Gravley’s unit that night. Six officers were fired and a top prison administrator was reassigned as a result.

▪ Thomas Sellars, an inmate at Greene Correctional Institution in Maury, complained to a prison sergeant one morning in 2010 that he was suffering from chest pains, another inmate testified at a N. C. Industrial Commission hearing. The sergeant ignored his pleas, a lawsuit alleges, and Sellars died of a heart attack soon afterward. The Industrial Commission later found wrongdoing on the sergeant’s part and awarded more than $80,000 to Sellars’ sister.

▪ Inmate Charles Branch was strangled in 2010, according to an autopsy report. Surveillance video showed multiple prisoners entering Branch’s cell at Maury Correctional Institution after midnight on Sept. 6 and leaving just before 1 a.m, according to his autopsy report. When emergency workers arrived about five hours later, Branch’s body was “cold to the touch and was in full rigor,” according to the autopsy report.

▪ Officers found prisoner Johnny Lee Lewis at Maury Correctional Institution with a plastic bag over his head and a belt around his neck, according to his autopsy report. When emergency workers arrived at the prison, his body was in rigor and was cold to the touch, the autopsy states. (It typically takes hours for a body to grow cold following death.) Lewis’ 2009 death was ruled a suicide.

▪ One morning in 2009, inmate Prentiss Quick was found unresponsive in his cell at Lanesboro. An autopsy determined that he had died of heart disease. Officers did no hourly rounds in the seven hours before Quick’s body was discovered, according to dismissal letters issued to two officers.

Ames Alexander and Gavin Off

Wrong side of the bars?

A Charlotte Observer investigation, published in June, found that a hidden world of drugs, sex and gang violence thrives inside the state’s prisons – and that officers who are paid to prevent such corruption are instead fueling it. Prison officers frequently collude with inmates on crimes that endanger staff members, inmates and the public.

The newspaper’s investigation found that some officers run lucrative contraband rings inside prisons. Others have sex with inmates. Still others beat shackled prisoners, or team up with gang members to allow brutal attacks.

Subsequent stories – published following the fatal attacks of five prison workers – showed that staff shortages in North Carolina’s prisons have climbed to dangerous levels over the past two years, despite state efforts to attract more officers.

In the months since the deaths and the first Observer stories, state officials say they’ve begun:

▪ Frisking almost everyone who enters the prisons.

▪ Buying batons for officers in medium-security prisons. Currently, only maximum-security officers are issued batons, which can be used to subdue violent inmates.

▪ Upgrading security cameras in several prisons.

▪ Installing additional fencing around some prisons, so that it’s harder for inmates to retrieve contraband that is thrown over fences.

▪ Creating a new security unit that will develop safety training and ensure regular safety audits at all prisons.