Federal officials order Oregon State Hospital to make ‘immediate’ changes following escape

Two weeks after an “extremely dangerous” man facing felony charges escaped from the Oregon State Hospital in a state-owned van, federal health authorities ordered immediate changes to ensure the secure transport of patients, especially those involved in the criminal justice system.

Late Friday, the Oregon Health Authority, which oversees the hospital, issued a brief news release saying an inspector for the federal Centers for Medicare and Medicaid Services had visited the hospital and found “immediate jeopardy” conditions related to the transport of patients. The finding means that the hospital’s transport system poses a threat of injury or harm to patients or others that could even result in death.

Federal officials often give facilities weeks to correct problems but in a case like this one involving the escape of a man facing attempted murder, robbery and assault charges, federal officials demanded a fix within 23 days. If the hospital fails to comply, it will no longer be eligible for reimbursement for the care of Medicaid and Medicare patients.

“We appreciate the findings the investigator provided us this afternoon,” the hospital’s superintendent, Dolly Matteucci, said in the release Friday. “We are taking steps right away to reduce the possibility that an unauthorized leave could occur during transport and potentially put themselves, staff or members of the community at risk.”

Robb Cowie, the health authority’s communications director, told the Capital Chronicle that the inspector found “deficiencies” at Oregon State Hospital but declined to say what they were or how they would be fixed.

“The surveyor arrived on site Tuesday to conduct a CMS certification review following a recent incident that involved secure medical transportation,” Cowie said in an email. “These deficiencies involved physical alterations to vehicles used for secure medical transportation. For security reasons, we are not providing additional details, until these issues are addressed.”

He said the health authority cannot release the inspector’s report without federal approval and that it would be posted by the federal agency in five days.

He declined to confirm the patient’s name involved in the “incident,” citing federal privacy regulations, but the inspector’s visit came 12 days after 39-year-old Christopher Pray stole a state van hours after being admitted to the hospital for treatment. He’s an “aid-and-assist patient” who needs to be treated to stand trial.

After admission, Pray got into a fight with another patient and was transported to an outside emergency room for medical care. He was brought back to the Oregon State Hospital and made his getaway. 

Oregon State Police said he drove away while “fully restrained” with leg shackles, a belly chain, handcuffs and a device connecting the three means of restraint. State police waited three hours before alerting the public after being contacted by the Capital Chronicle about the escape.

Pray was fished out of a muddy pond in north Portland 36 hours after his escape by a rescue crew and returned to the Salem hospital.

The hospital has the capacity to treat 700 patients, and its satellite facility in Junction City can treat about 175. A majority of the patients in the hospital are aid-and-assist cases who are treated according to a court-determined timeline of 90 days to a year, depending on the severity of the charges. 

Pray, a convicted felon facing seven felony charges dating to 2022, could spend a year at the state hospital.

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