FDA DSHS TMB EMS Complaint Williamson County Jail Medical Violations Report

FDA DSHS TMB EMS complaint Williamson County Jail — This document is a formal multi-agency complaint detailing alleged medical, pharmaceutical, and licensing violations within Williamson County Jail. Specifically, it addresses regulatory compliance, credential verification, and controlled substance handling under both Texas and federal law.

Additionally, this publication constitutes a preserved public record. Therefore, the complaint below is presented in its original form and reflects the exact submission as documented. This ensures transparency, accountability, and evidentiary integrity.

Furthermore, this complaint is part of an ongoing effort to document and preserve regulatory gaps, medical oversight failures, and systemic compliance issues within detention facilities.

Agency Recipients and Contact Information

To:

U.S. Food and Drug Administration (FDA) — Office of Criminal Investigations
10903 New Hampshire Ave
Silver Spring, MD 20993
Texas Department of State Health Services (DSHS) — Health Care Quality / Professional Licensing Division
1100 W 49th St
Austin, TX 78756
Texas Medical Board (TMB) — Enforcement Division
333 Guadalupe St, Tower 3, Suite 610
Austin, TX 78701
Texas EMS / Trauma Systems Licensing Division
1100 W 49th St
Austin, TX 78756

From:
LeRoy Nellis
4845 Twin Valley Dr.
Austin, TX 78731
Email: leroynellis2@gmail.com

Date: October 23, 2025 :contentReference[oaicite:0]{index=0}

Subject of Complaint

Formal Complaint — Unlicensed Medical Practice, Fraudulent Prescription Handling, and Concealment of Medical Licensing Information within Williamson County Jail

Summary of Allegations

This complaint outlines systemic medical misconduct occurring within Williamson County Jail in Georgetown, Texas. Specifically, it identifies individuals allegedly engaging in diagnosis, prescribing, and treatment without proper licensure or regulatory compliance.

Moreover, evidence suggests that prescriptions are being routed through a remote physician without direct patient evaluation. As a result, this raises concerns regarding compliance with both Texas Administrative Code requirements and federal controlled substance regulations.

Key Allegations and Evidence

Unlicensed Practice of Medicine
Individuals operating without valid Texas licensure while performing medical duties.
Remote Prescribing Without Evaluation
Prescriptions issued without patient contact, potentially violating federal and state law.
Unverified EMS Personnel
Personnel displaying EMS identifiers while refusing to provide credential verification.
Improper Medication Handling
Potential violations involving storage, labeling, and administration of medications.
Systemic Pattern Across Facilities
Comparable issues documented in other Texas counties, suggesting broader oversight gaps.

Legal Basis for Complaint

Texas Occupations Code §§155.001–165.151
Texas Administrative Code §190.8(1)(L)
Texas Health & Safety Code §481.071
21 CFR §1306.04(a)
21 U.S.C. §331(k)
42 U.S.C. §1983 / CRIPA

Requested Investigations

FDA Office of Criminal Investigations — pharmaceutical and injection compliance review
Texas Medical Board — licensing and practice audit
Texas EMS Licensing Division — credential verification
Texas DSHS — facility compliance inspection
U.S. DOJ Civil Rights Division — civil rights review under CRIPA

Transparency and Public Record Notice

This document is preserved as part of an FDA DSHS TMB EMS complaint archive. Accordingly, it ensures transparency, accountability, and continuity of public records related to detention facility medical oversight.

The current version supersedes all prior versions and reflects the most accurate preserved record available. Additionally, further documentation will be published as it is received and verified.