Exhibit J – Williamson County Jail Medical & Psychiatric Staffing Record and Outcome Analysis (2008 – 2025)
Prepared by LeRoy Nellis | October 2025
Williamson County jail medical staffing analysis presented in Exhibit J documents long-term physician shortages, reliance on contract providers, and systemic medical care gaps within the Williamson County Jail system from 2008 through 2025.
I. Williamson County Jail Medical Staffing Overview
This record documents seventeen years of medical and psychiatric staffing within the Williamson County Jail (Georgetown, Texas), showing persistent reliance on part-time contractors and mid-level providers rather than full-time licensed physicians.
The pattern demonstrates structural non-compliance with Texas Administrative Code § 273.2 (24-hour physician availability) and supports findings of deliberate indifference under Estelle v. Gamble (1976) and Farmer v. Brennan (1994).
For related documentation, see the systemic detention timeline and applicable standards under the 42 U.S.C. § 1983 civil rights statute.
II. Staffing Ledger (2008 – 2025)
| Year | Position / Provider | Employer / Contract | Hours | Pay Rate | Prescribing Authority | Source / Notes |
| 2008 | Dr. Michael Musgrove, Psychiatrist | Williamson Co – Professional Services | ≤ 20 hrs/wk | $85/hr | ✅ Licensed MD | Public contract PDF |
| 2018 Sep 17 | Medic – Jail | Williamson Co Sheriff’s Office | FT 40 hrs | $18.83/hr | ❌ None | GovJobs archive |
| 2019 Mar 13 | Corrections Medical Officer | Williamson Co Sheriff’s Office | FT 40 hrs + benefits | $23.74/hr | ❌ None | GovJobs listing |
| 2022 Aug | Nurse Practitioner – Jail Medical Unit | Williamson Co Sheriff’s Office (ARPA funded) | FT 7-day coverage | ≈ $95k–$110k annual | ⚠️ Mid-level only | Recovery Plan |
| 2024 | Dr. Ghulam M. Khan | Professional Services Agreement | Contract | Not listed | ✅ Licensed | County record |
| 2025 | Part-Time Psychiatrist | GreenLife Healthcare | ~16 hrs/wk | $110–$135/hr | ✅ Yes | Recruitment listing |
| 2025 | Psychiatrist Ref BD-649-01 | Adelphi Medical Staffing | Contract | $250–$285/hr | ✅ Yes | Job listing |
III. Patterns & Key Findings
All psychiatric providers remain contract-based with limited hours, while daily care is handled primarily by non-physician staff.
Prescribing authority exists formally, but inconsistent physician presence leads to operational gaps in treatment oversight.
Pay rates have increased significantly, reflecting recruitment difficulty in a chronically understaffed system.
VII. Conclusion
Williamson County Jail has operated for nearly two decades without continuous licensed medical oversight. Part-time contracts and mid-level substitution have become systemic rather than temporary solutions.
These findings support claims of systemic medical neglect and potential violations under both Texas and federal law.
This Exhibit J Williamson County jail medical staffing analysis supports broader findings of systemic deficiencies in detention healthcare systems and contributes to ongoing civil rights documentation.
© 2025 LeRoy Nellis | All Rights Reserved