CMS Places Oregon State Hospital in Immediate Jeopardy Status

Oregon Health Authority – 04/29/24

April 29, 2024

Media Contact: Amber Shoebridge
[email protected]“>[email protected]
503-931-9586

CMS Places Oregon State Hospital in Immediate Jeopardy Status

(Salem, OR)_Centers for Medicare and Medicaid Services (CMS) has placed Oregon State Hospital (OSH) in immediate jeopardy status. CMS surveyors noted that emergency response equipment was located in more than one room in the admissions area of the Salem campus. 

CMS surveyors were on site after OSH reported a patient death shortly after arrival. Although the location of the Code Blue equipment did not contribute to the patient death, it was identified as a potential future safety risk.

“The primary concern was that all Code Blue equipment for the admissions area was not in the same room. We have already rectified this,” said Interim Superintendent and Chief Medical Officer, Sara Walker, M.D. “I am confident that together we will make the necessary changes to provide a safer environment for patients.”

Meanwhile, a core team of clinical and administrative personnel are creating an immediate jeopardy removal plan describing exactly how and when the hospital will correct any remaining issues (e.g., updating signage) and will continue to abide by this standard to ensure patient safety. OSH will submit the plan early this week. If the plan receives preliminary approval, a CMS surveyor will conduct another unannounced visit to review implementation.

If the plan is successful, CMS will take OSH out of immediate jeopardy status. Otherwise, the hospital may lose eligibility to receive federal Medicare or Medicaid reimbursement for services.