Alexandra Faith Rainer was born on March 14, 2022, in Killeen, Texas, to parents Bryan Adam Rainer and Katherine Jo Rainer. After a two-week medical appointment where she weighed nearly 7.7 pounds, the child received no further medical care. On September 11, 2022, police responded to the family's residence and found the nearly six-month-old deceased in her crib, wearing a soiled diaper on a mold-stained mattress. Her stomach was sunken, her ribcage protruding, and her skin loose and sagging. Both parents admitted they had noticed the child losing weight and had discussed seeking medical attention but never did. The autopsy revealed Alexandra weighed 6.17 pounds—less than her birth weight of 6.7 pounds—placing her at less than 1% of normal weight for her age, with wasted muscles, an emaciated face, and shrunken eyes. The cause of death was starvation and neglect, ruled a homicide. Both parents were indicted on two counts of injury to a child and held on $500,000 bonds each.
Contexts/Conditions
Is there any mention of child drug ingestion or overdose?
Is there any mention of a drowning incident (either intentional or accidental)?
Is there any mention of a firearm incident?
Is there any mention of inappropriate supervision (e.g., child wandered off and drowned)?
Is there any mention of inflicted injury? (e.g. slapped, punched, kicked, choked)
Is there any mention of malnutrition, starvation, or dehydration?
The news article explicitly states: "The cause of death was starvation and neglect." It further describes: "the 5-month-old infant weighed less when she died than when she was born, and died of severe malnourishment." The autopsy report described the child as having "wasted muscles, loose redundant skin, shrunken eyes, an emaciated face" and she "weighed 6.17 pounds at the time of her autopsy, which made her less than 1% of the normal weight of children the same age."
Is there any mention of medical neglect?
The news article states: "There were not other medical records for Alexandra Rainer after the two-week visit." Additionally, both parents acknowledged the child was losing weight and discussed taking her to a doctor or ER but "no action was taken." The whenhomeisthedanger.org page also categorizes a case under "Medical neglect," and while that label is associated with a different child on the page, the URL identifies Alexandra's case page. The news article evidence alone clearly establishes medical neglect.
Is there any mention of a motor vehicle crash or incident?
Is there any mention of a murder-suicide incident?
Is there any mention of outdoor elements (including hot car deaths)?
Is there any mention of prenatal substance exposure (including fetal alcohol syndrome or neonatal abstinence syndrome)?
Is there any mention of sexual abuse?
Is there any specific mention of shaken baby or abusive head trauma?
Is there any mention of prolonged abuse or torture (including restraints, captivity)?
Is there any mention of an unsafe sleeping environment?
The news article describes the crib where the child was found: "The sheet and mattress cover of the crib were stained and appeared to have mold on them." While not an unsafe sleeping arrangement in the traditional sleep-safety sense (e.g., co-sleeping), the presence of mold on the crib bedding represents an unhealthy and unsafe sleeping environment for an infant.
Individuals Involved
Was an adoptive parent or guardian involved in the death?
Was a biological father involved in the death?
The news article identifies Bryan Adam Rainer as the child's father and one of her parents "who were responsible for her care." He was indicted on two counts of injury to a child. He admitted awareness of the child's deteriorating condition: "Bryan stated ... he noticed the child was losing weight and her skin hung loose on her body and asked Katherine if she was feeding the child."
Was a biological mother involved in the death?
The news article identifies Katherine Jo Rainer as the child's mother and one of her parents "who were responsible for her care." She was indicted on two counts of injury to a child. Katherine acknowledged the child had "difficulty feeding" and that "she noticed the child was losing weight" and "thought about taking the child to a hospital but did not."
Was a day care worker, babysitter, or nanny involved in the death?
Was a female paramour or friend involved in the death (e.g., girlfriend, stepmother)?
Was a foster parent involved in the death?
Was a male paramour or friend involved in the death (e.g., boyfriend, stepfather)?
Was another adult relative involved in the death? (e.g., grandfather, aunt)
Was a sibling involved in the death?
Child Characteristics
Was the child adopted?
Was the child homeschooled (including "cyberschooling") or taken out of school?
Was the child in foster care at the time of the incident?
Was the child living with relatives at the time of the incident (but not parents)?
Is there any mention of a neurological developmental child disability? (e.g., autism, intellectual disability, nonverbal)
Is there any mention of a physical child disability? (e.g., feeding tube)
Is there any mention of prematurity or low birthweight?
Is there a history of child protection reports prior to death (for this child or siblings)?
Does the child have a history of foster care (but not in care at time of incident)?
Is there a history of a sibling death (separate incident from this death)?
Parent/Caregiver Factors
Was an adult charged or arrested for the child's death?
The news article states: "Bryan Adam Rainer, 22, and Katherine Jo Rainer, 25 ... each were indicted on two counts of injury to a child following the death of their child." They "were being held in the Bell County Jail on Thursday in lieu of bonds of $500,000 apiece on a second-degree felony charge of injury to a child with reckless bodily injury."
Is domestic violence by the parent/caregiver referenced?
Is there any mention that the death occurred in a temporary shelter or while homeless?
Is an intellectual disability of the parent/caregiver referenced?
Is the mental health of the parent/caregiver referenced?
Is a history of arrests or criminal charges for the parent/caregiver referenced?
Is substance use by the parent/caregiver referenced?
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