Deeply entrenched eugenic values overdetermine who is treated with care and dignity and who is treated with violence. These eugenic values inform and are informed by settler colonialism, patriarchy, and ableism. Carceral locales such as nursing homes, hospitals, and jails enact specific kinds of harm onto disabled people and rely on their convoluted and self-serving bureaucratic processes to evade responsibility. Given my interest in the indivisibility of carceral logics, spaces of capture, and ableism, my focus in this dissertation is both the real-life contexts of the individual incidents and the systemic, cross-institutional patterns evident in each of the three incidents analyzed.I take a modified case study approach to three incidents in which disabled people in carceral locales experience tremendous harm. The first incident is about the gross medical neglect and rape of a San Carlos Apache disabled woman at a skilled nursing care facility in Phoenix, Arizona. The second incident occurred at a hospital in Austin, Texas where doctors worked hastily to killing a Black disabled man within only days of his arrival and change his code status to Do Not Resuscitate against his family’s will. The third incident focuses on duty of care violations and disability-based discrimination against a white disabled man at a Chicago jail. These situations, when analyzed individually and with/against one another, identify important connections relating to institutional power and cross-institution patterns of harm. I find that the paternal dynamics of medical[ized] facilities, the pervading anti-disability sentiments in US society, and bureaucratic violence make accountability and justice impossible.