On Feb. 13, 2016 – 13 days after arriving in the Holding Center – Cummings was under one-on-one observation. She was babbling to herself and urinating on the floor. The next day, she lay on the floor of her cell moaning, and she urinated on herself. On Feb. 16, she had a bowel movement on the floor of her cell, and there's no record it was cleaned up that day, the Medical Review Board said. That afternoon, she was seen smashing cereal on her body and on the floor and screaming, "I have a sister."

When a deputy arrived for a shift that began at 11 p.m. Feb. 16, 2016, Cummings was again naked and lying on the floor of her cell or on her bunk, crying. The deputy, according to the state report, called her sergeant, said something was wrong with Cummings and asked to have the cell cleaned. When a maintenance worker arrived, Cummings could barely stand. She had lost all her strength, the deputy told state investigators. Cummings was placed in a wheelchair and rolled to the medical unit.

Apparently, Cummings then suffered the "medical event" that a Howard spokesman at the time said led to her being rushed to Buffalo General Medical Center – the nearest hospital for dire emergencies. She died in Erie County Medical Center on Feb. 21, 2016.