We are filled with rage, shock, and grief. Our hearts break for CaSandra Monette Pearson’s friends, family, and everyone who loved her. We offer our deepest condolences.
CaSandra, just 29 years old, tragically passed away on Sunday, May 18th, following a devastating medical emergency inside her cell at the Bexar County Adult Detention Center . She had been incarcerated for two months. CaSandra suffered from a severe, well-documented case of sickle cell anemia, a chronic condition demanding meticulous medical management and immediate emergency care. Her health requirements were a matter of life and death. CaSandra’s family confirmed that in the two months she was incarcerated, she lost 20 pounds and weighed only 113 pounds at the time of her death.
Based on information available to the family, we hold profound concerns that CaSandra’s death was a direct consequence of egregious medical negligence by University Health staff and a dangerously delayed emergency response by Bexar County Sheriff’s Office jailers. These institutions are tasked with ensuring safety for people in custody. They failed CaSandra. This is not merely a tragedy. This is a systemic failure that cost CaSandra her life.
The Bexar County Jail is becoming increasingly dangerous. CaSandra marks the fourth inmate death in Bexar County custody in 2026 alone. Four lives. Four failures. The jail has fallen out of compliance with state standards twice in one year, yet nothing changes.
We demand answers. We demand justice. We demand sweeping changes at the Bexar County Jail immediately. Police cannot police themselves. Jails cannot be left to monitor their own negligence. Transparency is not optional. It is a requirement for public safety.
We call on public officials at all levels, federal to local, elected and appointed, to speak up and take action. We call on the Bexar County Sheriff’s Office, the Commissioners Court, the Texas Commission on Jail Standards, and our entire community to stand with us.
ACT 4 SA stands with CaSandra’s family. We will not stop until accountability and transparency is enforced, not negotiated or buried.We invite the community to join ACT 4 SA and CaSandra’s family for a vigil on Thursday, May 28th at 6:30 PM in front of the Bexar County Adult Detention Center. Come honor CaSandra. Come demand justice. Come build community power, because that is the only real safety we have.
You can support CaSandra’s family at their GoFundMe here.
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