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Health Horror Stories
"These stories of health abuse are not independently verified by the editors of this website. However, all of the women have agreed to a HIPPA release to any qualified attorney willing to take their case, or to an investigative reporter from the media."
Kick the Bums (Naphcare) Out!!
(Ed. note: We read the incredibly long Monitor’s Second Report to the Court, filed 1-7-25. Public access is CV-12-00601-PHX-ROS)
The ACLU did a masterful job in showing Judge Roslyn Silver why she should get rid of Naphcare and put the DOC and Arizona in receivership. They need to do this before any more women die needlessly. This was grim reading folks! Don’t read at night or you’ll have trouble sleeping. It was the mortality (death) reviews that were the worst.
In 2023 Gov. Hobbs and Director Thornell told the ACLU they were dedicated to all the reforms listed in the class action suit. Two years later, patients are dying of preventable suicides and medical conditions. The report implemented a pilot program (which we wrote about) on San Carlos unit…..it lasted 8 whole days.
Naphcare said “overcrowding and understaffing” was the problem. THEY are the problem. Here are some highlights:
- NP’s RN’s and PA’s are still caring for complex medical patients who should be cared for by physicians.
- Mental health has over (statewide)100 vacant positions, and the patient never sees the same provider twice.
- The Naphcare computer is cumbersome and inadequate in providing patient data to the clinician with information when they need it.
- Nurses practice as physicians.
- Thousands of off-site specialist appointments are delayed.
- Virtual TV exams are rampant when hands-on care is necessary.
- Naphcare has a 97% FAILURE rate for the timely completion of specialist referrals. These are life-saving appointments to Cardiology, Neurological, and Chemotherapy doctors.
- One of the worst things the DOC does is place nurses at the forefront of evaluating, diagnosing, and treating patients. This system is not in general use in the community because of its dangers, but it’s even more dangerous in a prison setting.
- Lying about emergency equipment: Naphcare said it had the equipment, but when ACLU checked it wasn’t there.
- Suicide: It demonstrated a substantial avoidable risk of death by suicide within the ADCRR.
- The DOC lacks Continuity of Care. They are understaffed and have unmanageable caseloads.
- ADCRR fails to have a minimally safe mental health care system.
- ACLU also found profound, deep-rooted, leadership problems.
We urge you to read the whole report to fully understand what danger your loved ones are in at Perryville. You can find it here: https://prisonlaw.com/wp-content/uploads/2025/01/25.01.07-Jensen-Monitors-Second-Interim-Report-to-Court.pdf
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Naphcare doing procedures in abandoned buildings now?
(Check out this grievance we received. What’s next with these guys, a back alley in Goodyear?—-Ed.)
“I am grieving Naphcare’s latest attempt to save itself money at the expense of inmates quality health care. Patients are happy with Regency Dermatology for complete care in evaluations, biopsies, and surgery.
Recently, I was subjected to substandard care from an NP, practicing in a filthy room, in an abandoned building, in an abandoned Unit (Santa Maria).
On January 6th, this NP with unknown credentials, put his UNGLOVED finger on my squamous lesion, then proceeded to poke me in the eye! He thought he was going to do a biopsy on my lesion which is 2 cm from my left eye. I refused. In 2021 Provider April McEwen was going to do a biopsy on my face, and Dr. Ibrahim, our board-certified MD for Perryville, stopped her. He said, ” No PA, NP, or RN should ever do a biopsy on the face. You don’t have enough clinical hours for that. The face is full of nerves and one wrong move could be devastating. Send her out.”
Don’t try to save money by causing permanent injury to a patient’s face. And don’t do clinical procedures in a filthy environment, in an abandoned building/unit.”
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EVERYTHING is Broken in Perryville
Nothing works…not even one.
FOOD: Aramark was supposed to be the first thing that really changed for the good in the last 16 years, but alas, that too broke after only 3 weeks. While the Aramark supervisors were here, the prison food made a tremendous improvement and inmates actually had good nutrition. Three weeks later, the Aramark crew flew back east again, and left the food in the hands of the Trinity “retreads”. Same bad habits, different colored shirt. Inmate kitchen workers claim they’ve observed old Trinity workers eating the Aramark food themselves, and taking it home, i.e. chicken breasts, cheese.
Inmate eyewitnesses allege the Aramark recipe/measurement manual is not followed anymore, and menus are whatever the workers slap together. Gravy, syrup and cheese sauce are all ” watered down”. Potato menu items listed as: Hash browns, Lyonnaise, Cajun, and French fries, are ALL the same dehydrated, sliced small frisbee’s. Every meal, no matter what name they call them, the potatoes are undercooked, white, cardboard circles, with no seasonings at all…and served cold. “State Issue” measuring spoons only half filled. (As reported in separate article, the men served out of the same kitchen are given full state issue, temped properly, and adhering to the menu.)
We have 2 printed menus from Aramark, one for Medium/Max custody (Lumley, Cruz) and one labeled Minimum custody (San Carlos). They are identical except Lumley/Cruz, on their Tuesday sack lunch, has 2 additional items….string cheese and saltine crackers! We’ve always been told it was a privilege to be minimum custody, but Med/Max gets more food. Trinity, at least had “restaurant” meals you could buy for a small mortgage each Saturday. It was something to look forward to in the inmate’s pitiful lives. Aramark promised the same thing….but now say it will be about a YEAR until it’s implemented!
We’d like to congratulate the salesman that talked Director Thornell into Aramark.
The other side of the food coin is the commissary store. Keefe/Trinity merged into one company, but in Perryville, Trinity had the kitchen contract and Keefe had the store. Aramark may have recently acquired the kitchen, but the same corporation kept the contract on the store. Inmates have grieved the constant price increases that have far outpaced inflation at the commissary.
Prisoners have had the same 10¢ starting wage since 1973, with the legislature denying any raises. That bag of chicken meat that used to cost .48 cents now costs $3.77. Keefe has not kept essentials in stock, like a comb or brush, it has not been “available” for over a year. No mayo in four months….forget making a simple tuna sandwich. Eating, in the Arizona prison system sucks!
WATER: Government water agencies and news outlets, have kept the public apprised of the toxic contamination seeping into the ground water from Luke Air Force base over the years. Perryville knew about it. Why do you think they advised all their staff NOT to drink the tap water at the prison? Visitors to Perryville were greeted with signs, “Do not drink the water.” But then the visitors predictably asked the prison, “If the water is not good enough for me or your staff, why are you making my daughter drink it?”
California prisons give their residents free bottled water. Arizona makes them buy it at the commissary for $1.37 a piece. Perryville gals have a less expensive workaround. The 7lb bagged ice they can buy on the store for $2.05, is made out of purified water. They melt the ice, and fill their empty soda bottles with pure water for pennies on the dollar. It beats drinking carcinogens your entire sentence.
COMPUTERS: Are run by Securus, and it is broken. The Medical app has had nonstop problems since its inception. Recently, when an inmate pulls the pharmacy tab for a refill on her prescription, instead of going to the pharmacy department, the request goes to Medical and she’s put on Nurses line! Carlos has 1300 people and most take some kind of medication. In that tiny medical lobby, no bigger than a phone booth, now crams half the population waiting for a simple refill. It’s madness.
The Communication app on the tablet rarely communicates anything. Emails to staff go unanswered. They tried doing grievances on it, but Securus can’t seem to set it up correctly. Inmates stopped using it because it doesn’t work! COIII’s tear their hair out trying to get their inmate client load released on time due to “computer errors”.
The tablets themselves are made in China (there’s a clue) and they break all the time. A year ago new inmates received a tablet right away. Now, due to a labor problem in China (?) inmates wait a month. For current residents whose tablet dies, they are put on a waiting list that might take 2 months.
HEALTH (Naphcare): The perpetually broken, for-profit, No Care Naphcare, has been written about extensively. Space for this article does not allow for a reiteration of hundreds of those horror stories. Instead, we will offer the latest update on the cost savings measures taken by this company to insure greater profits for its stockholders, which put the inmate’s lives in critical danger. Reportedly, cancer patients are not being taken to their Oncologists, treatments are not started on time, follow-up appointments are not scheduled, and outright refusals of pain relief are alleged.
There are only THREE schedulers employed at Perryville…… for the whole population!! How can they possibly get outside appointments for mammograms, MRI’s, pre surgery scans of all types, specialists for eyes, ENT, orthopedic, GYN, Endocrinologist, and all others in a timely manner?
They are short-staffed transport guards….how do the patients even get to these appointments? This is how these major healthcare insurance companies make money….they delay, delay, treatment until the patient is so acute she needs emergency care. So, many develop diseases that are easily curable in the early stages, but become a death sentence because of deliberate indifference.
INFRASTRUCTURE: Beyond broken. Media has shed a light on some of the crooked and downright ILLEGAL misappropriation of funds dealing with maintenance. The most recent exposé was by Channel 12 regarding the money spent on air conditioning units, that never made it to cool the inmates. Some units were installed for the comfort of the staff, some cannibalized for parts, most never accounted for, but that money went into someone’s pocket.
Structures on 2 man cell units left to rot, until the stairway on Pedro collapsed. Santa Maria and Pedro not able to pass code inspections and shut down. This led to the severe overcrowding seen on the Units left that are functional. Will Pie/Rosa and Carlos fall down like the 2 man cell units?
Reports indicate a recent uptick in GAS LEAK calls to the Fire Department, and inmates told to evacuate their bays because of gas smells. Residents complain in Town Hall meetings about mold in the showers, backed-up sewage odor permeating the bays, and washer/dryers that cease to work.
A casual inspection of the buildings show deteriorating foundations. Where does that maintenance money go?
Conclusion: As long as the American style of criminal justice reigns supreme, Perryville prison, will continue to be broken. Unfortunately, the women inside the prison will be irrevocably broken too. A casualty of a red state that puts the Almighty Buck ahead of any meaningful rehabilitation, or healing from substance abuse. Arizona does not care about its most vulnerable citizens, it only cares about making money for the vast penal industrial complex. Multi-billion dollar companies exist off the pain and suffering of others. They make huge profits from incarcerating the mentally ill and homeless. Governor Hobbs and Director Thornell fell right in line. They are a vast disappointment.
ACLU Source: “Appalled by Carlos Medical Department”
Reportedly, ACLU staff were shaken and appalled when they found out there was only ONE full-time Provider during the week, and one part-time Provider on the weekends, for THIRTEEN HUNDRED and EIGHTY women! No Care Naphcare is getting worse, not better. So many women...
What is Director Thornell thinking?
We've been hearing for almost two years now, how Thornell wants to improve the nutrition of his residents. We were overjoyed when we heard Aramark was taking over but assumed that meant the commissary too.....not so fast. Aramark only produces the food in the KITCHEN,...
ACLU coming to Perryville before Judge Silver’s big decision
The ACLU always gets its ducks in a row before going to court. In the long-running Jensen v Thornell lawsuit this is especially important. Judge Silver announced she would render a major decision in the case toward the end of August. Lawyers for the ACLU will be...
Reuters: Naphcare had the highest DEATH RATE of inmates!
Reutors News published a report that reviewed 500 jails and prisons and found that Naphcare had the highest death rate among healthcare contractors. The runners-up in the death march were Corizon, Wellpath, and PrimeCare. Despite this dismal performance, AZDOC awarded...
GOOD NEWS, Perryville resident gets multi million dollar settlement!
(We love these stories. Very seldom does the lowly inmate get what she deserves, so this was pure vindication) Robin found out yesterday from the Court, that she had been awarded 6 million dollars from her medical lawsuit in compensatory and monetary damages. This...
Pregnant Women Starved and Neglected in Perryville!
(Editorial note: To the Pro-Life Republicans in this (still) red state. If you really value the unborn and support young mothers, then why do you let incarcerated women be hungry, and neglect their medical needs? These are three women telling the same story.) "I'm...
Carlos Medical Gives NO Pain Meds to Cancer Patient!
(She wrote us this letter and begged to have her real name in the story. Ed.) "My name is Robin Leigh Kulp. I am housed at Perryville prison, San Carlos unit. On 3-25-24 I was having trouble breathing, and having serious chest pain. My legs were throbbing, aching, and...
No-Care Naphcare the Worst EVER!
(We thought after the ACLU descended on Perryville March 14th, that Naphcare would have the fear of the Lord instilled in them. Oh no, they actually got worse toward the inmates. These are snippets of stories we're working on.) M.L. went in for her chronic care...
Woman with 2 uterine masses, cirrhosis, and portal hypertension fights with Naphcare for a doctor
Ms. R. has been churning out urgent grievances to get healthcare for her diagnosis. Naphcare denies her at every turn. She is in constant, severe pain from the uterine masses discovered by CT Scan at Abrazo West hospital. Naphcare denied her request for a hysterectomy...
Breaking News! Has the DOC sabotaged the Injunction App?
For our readers who don't know why this is so critical, let us explain it to you. On April 7, 2023, the United States District Court for the District of Arizona entered a Permanent Injunction to address the unconstitutional provision of health care and the...
Terminal Cancer Patient, Formerly in Hospice, “in Agony” at Perryville’s San Carlos
(Ed. note: We have seen the patient's original X-ray report and copy of the letter she sent to the Prison Law Office, and of course, we did a one-on-one interview. This article starts with an overview of her situation taken from the letter to Prison Law.) "My name is...
When is Deliberate Indifference Like Murder? How a 26-Year-Old Died at San Carlos
(Jowell Jones was only 26 years old with her whole life ahead of her when she was tragically cut down by alleged negligent health care. Many girls close to her were interviewed for this story, so this is a composite of those observations. Only first-hand eyewitness...
I was in prison for 17years and have seen so many people die in front of me It’s traumatic and I have PTSD from it. Medical never helped me for my heart problems, never took tests, just told me I have congested heart failure and didn’t do anything for me. I saw it every day. They never helped us, made us always feel like we were lying and would send us away. Making people work in the kitchen who have scoliosis, heart problems, people who have AIDS and Hep C as well as other STDs. There’s rat poop on our kitchen food, birds all over our trays that we eat off of making us all even sicker, black mold everywhere. We can’t breathe in our cells due to all the mold and crud in our walls, vents, and coolers. They are trying to kill us – they don’t care and the money they get for us does not go to us. There is so much more.
I’ve been sexually attacked by the CO police officers twice. I have my whole life to account for in there and I’m surprised I made it out after 17years. They have medium inmates on max yards getting assaulted and they don’t care. They say it is due to no room. They also send you to max yard as punishment without ever getting tickets. It’s all retaliation. They will ruin your life if you don’t do what they want. They make up lies, yep the sergeants, if you refuse to work because you don’t feel good. I heard a Sergeant say “Oh you’re going to hurt yourself” then cuff her up and put her in isolation when the girl never said it. I’ve seen it all, believe that.
Hi Cynthia! I’m not sure if you’ll see this but I am so sorry for what you went through. Thank you for sharing a glimpse of your story. I would love to ask you questions as I am exploring ideas for my doctoral capstone and am interested in issues in the AZ Women’s Prison. Is there any way we could talk further?
That was my friend 😭 she was cool ag and funny. I feel bad I had to leave San Carlos for Cruz. But fck their medical center, the whole prison is fucked up and corrupted. I’ve been out for 8 months now and I still remember everything like yesterday especially with health care. Like can the prison do an upgrade and fix their shit or will more ppl have to die like my friend here? It’s fucked up because I knew she was having a hard time in the beginning getting her shots. We both came from the same county. She wasn’t even a criminal like person. She was fun, bright and very smart, like she could’ve went to college. She had alot planned for herself…damn I love Jowell thank for the laughs and being a loyal friend. Rest in Paradise
Yeah, she was a very cool person to know. She would hug you when she saw you with a big smile. She was always cool to everyone, no hate or anger in her heart but she probably did towards ADOC health employees
I was incarcerated for 9 years and just released March 2024. In 2019, my stomach swelled up and I looked 9 months pregnant. They told me I had impacted stool and had me drink a laxative. The pain got worse, I couldn’t breath or walk and this went on for 2 months. My family contacted the ACLU and prison and finally in February 2020 I was sent to the hospital and diagnosed with Stage 3 Ovarian cancer. I was in the hospital for 10 days and started chemo. I went back to the prison and was expecting chemo every 3 weeks. It took over a 3 weeks for me to get scheduled for my next chemo. In May, I had just came back from chemo and was told I was packing up and being sent to San Carlos. I had to load and unload all of my belongings after a day of chemo and was being transferred to a yard with 1300 women. I then had surgery to remove the cancer in July and once released from the hospital was sent to Maria and put in a cell, by myself with no A/C. I had to move everything by myself and carry a chair out to take a shower. I had an incision from belly button to my pubic bone. Finally after 2 weeks, I was sent back to Carlos. I was told later that I had peritoneal cancer and not ovarian, after I had had a complete hysterectomy. I never had a follow up PET scan to make sure the cancer was gone. In March of 2023, I started seeing a new oncologist, Dr. Benjamin and he finally ordered a PET scan and saw that I had cancer again in the same area of my stomach. I had surgery again in May and started six rounds of chemo. Between the medical Dr’s John and Johnson my medical treatment at the prison was horrible. They didn’t give me anything but Tylenol and Excedrin for the pain and I had to fight to get an extra mattress and extra milk for protein shakes. If I didn’t have my family to support me and stand up for me I would have died. I applied for clemency 2 times and because I wasn’t dying in 3 months, I was refused. Something needs to change with the health system and prison.