Another case file describes how four-year-old Nathaniel Knox arrived at the hospital with a skull fracture, bruises all over his body, and an adult-sized bite mark on his arm. Nathaniel's mother told doctors that he had fallen off a low deck and hit his head. But his mother's story did not square with Nathaniel's injuries. One doctor said that it would have taken "tremendous force" to crack the toddler's skull, and lesions on his retinas indicated previous beatings. Nathaniel died on August 1, 2009.
The Herald-Leader's analysis of the CHFS files released so far found that:
- children age 4 and younger accounted for 37 of the 41 deaths
- toddler boys are killed more often than girls
- men are more likely to be the perpetrators
- at least one adult was a high-school dropout in homes where a child died from abuse or neglect