Bristol County Jail in North Dartmouth, Massachusetts becomes the center of a mounting crisis as inmates take their own lives at a record pace. The film follows the fallout inside the facility run by a sheriff whose hardline policies have drawn national attention, tracing how overcrowding, isolation, and inadequate mental health care collide behind the walls. Interviews with former inmates, families of the deceased, correctional staff, and advocates lay out competing accounts of what went wrong and who bears responsibility. Footage from inside the jail and surrounding legal proceedings grounds the account in specific incidents rather than generalities, and the sheriff's own public statements are set against the record of deaths on his watch. The documentary treats the jail as a test case for a broader argument about American incarceration: what happens when punishment, understaffing, and untreated mental illness are allowed to compound inside a single institution, and who is left to answer for the result.