The unusual decision by the prison's medical director to discontinue antidepressant medication for 15 inmates without consulting or examining the patients violated bureau guidelines, risking their mental health and safety.
Investigators were disturbed by the discovery of framed Nazi-themed art and sexual slurs among staff, highlighting a toxic culture that undermines safety and professionalism.
The volume of inmates coming and going at Lewisburg creates extraordinary challenges, particularly with staffing shortages that ripple through the institution from safety to health care.
The inspector general's office found that medical staff failed to provide inmates with essential healthcare services, exposing them to serious health risks and inadequate treatment.
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