OREGON DEPARTMENT OF CORRECTIONS
Unusual Incident Report
UIR#:
Referred to'StatePolice:

Dyes

IZINo

State Police Case #: --,-l!..1-::.;33"'6'-"8"'3.!..1_ _ _ _ _ _ _ _ _ _~_ _ _ __
Location'. Health svs

Date:

09/07/20 1 I

Time:

11:00 - 12:00 a.m.

Medical Attention Required:

.

.

Functional Unitiinstitution'
Tvae of Incident - Critical Indicators Involved

.

<SpecifY>

Inmate Assault

<SpecifY>

Escape

<specifY>

Contraband

<SpecifY>

Inmate Death

Apparent Natural Cause

Property

<SpecifY>

Medical Emergency

<SpecifY>

Emergency

<SpecifY>

Self Injury

<SpecifY>

<SpecifY>

Type of Force Used:

Attempted Suicide

<SpecifY>

Employee/V olnnteer/
Contractor/Citizen

Blood and/or Bodily Fluid

<SpecifY>

Other:

1. Inmates Involved: (Attach facesheet(s) for all offenders
listed).

4357424

01/23/2019

2.

1N-4

4

v

I. R.N D. MAXEY

2.

2.

3.

3.

4.

4.

5.

5.

Page 1 of3

<SPECIFY>

<SpecifY>

Name(s)

1. HEATH, JAMES C

IZINo

<SpecifY> '

Use ofForce

Staff Assault

(OR)

DYes

~

. or

r Work

~ Contact
,oHnn

O.S,PIINF

I~

CD 115 (712011)

3. Incident: Describe Incident in detail: (Times, dates, locations, weapons involved, sequence of events, inmates/staff involved, etc. For escapes only:
include a detailed description of the inmate(s); height, weight, color of hair/eyes, clothing last worn, and other significant info.
On 09/07/2011 at approximately 11:3Spm R.N. D Makey infonned that inmate Heath, J #4357424 had passed away; I secured the room and notified Lt.
Parker-Kent o.I.e l. Officer Rieske was in charge of the entry log, after the state police and medical examiner cleareo the scene inmate Heath was placed on
a gurney and c/o Rieske removed the body at approximately 1:40am.
'

4. Specific Information: (personal injury, property damage, notification of kin).

Misconduct Issued? DYes
5

IZJNo

Communicated To'.
.'

Name

.

Title

Date

Time

Name

U.Hellesto

OlD

09/07IJ 1

23:57

6.J. Hohn

2.M, Yoder

ASST
SUPI
SEC

09/08IJ 1

00:01,

7.Mr. T randall

09/08IJ 1

00:02

8.R. Torres

3.Mr, J. Premo

-

SUPI

4.Mr, B. Hoefel

ASST
DIROF
INSI.

09/0SIJ 1

S.N.lowe

STATE
POLICE

09/0S/11

00:13

00:08

9.R. Kelly

1O.R. Thompson

Title
DOC
COMM
MGR
HEALH
SVS
MGR
CHAPL
AIN
NEXT
OF
KIN
MED
XAM

Date

Time

09/08/11

00:19

09/08/11

00:17

09/08/ll

00:23

09/0S/l1

00:24

09/08/11

00:09

6. Report Com pleted By: ,
Page 2 of3

CD 115 (07/2011)

OFFICER TODD. W. NICHOLAS

OFFICER

O.S.P

Print Full Name

Title

Functional Unit

Sigllature

Date

09/08/2011

Page 3 of3

CD 115 (0712011)

jJ-~

---------- --Heat--hl---

-,--------'---------------------------~-

James Cruse

6' 01" 240 GRY HAZ
HT
wr flAIR EYES

4357424

5-16-38
DOB

,

.!

-,

-,

,
-

.

-'

-

------ - - - - - - - - -

Corrections Information Systems
Offender Public Information

OPS501I
EBNERM

1:09:53
9/08/11

Offender .. 4357424 HEATH, JAMES CRUSE
Location .. OSP
OREGON STATE PENITENTIARY
Age
Sex
Height
Weight

73
Male
6'01"
2401bs

Caseload 00107 R.
Classification 4
Court Case
Cnty
83112607
LINN
108400703
LANE
108400703
LANE
92102174
LINN
92102174
LINN

DOB
5/16/1938
Race WHITE
Hair GREY
Eyes HAZEL
EDSALL

Status. Inmate
Cell. IN-4
DOC cycles. 01-05-07
DNA Collected
Inst admission date ... 04/13/1993
Earliest release date. 01/23/2019 F

LTD SV 503-378-2319

*DESIGNATOR*
Measure4=Y

ORS Abbr",v_~~~ __':I:yp'~_Be_g_i1f __ P_a.~~_xrs-Mos-Days Term Date
ROBB I
AF I
2/29/1984 020-000-000
ROBB II
BF I
8/28/1984 010-000-000
ROBB II
BF I
8/28/1984 010-000-000
ROBB I
AF I
9/15/1993 000-120-000
ROBB I
AF I
9/15/1993 000-120-000

F4=prompt
F3=Exit
F11=Menu bar
F12=Cancel
Function key not allowed.

F5=Refresh
F6=PTA Caseload
F17=All offenses

&

Code

More ...
F9=Retrieve

ODOC Offender Information - Search Results

Page 1 of2

Oregon Corrections Information System

Logout

Help

HEATH JAf>lES CRUSE Is the court name ror IIEAiH

JA'~ES

CRASE

PubUc Inrolmation
OREGOll STATE PEIllTErmARY
Offe.ndllr flllmel HEATH, lAMES CRUSE

Lo.:ntion

qll:ItH
0015: 05/16/1938
RIICet White
H"lghtl 6' 01"
Hair! Grey
Wl!lghtl 240 Ibs. Eyesz Hazel
AglIl
Se,C1

Stlltt.l51

Male

fllIg: NoUfier
DNA OJllet:ted

Inmate()

Custody Cyelel

1 5 7
4

4

InstltllUon Admlufon Dille 04/13/199]

'11)if"435742~~4 :"_"~ullload400107_R.. EDSAll lTD SV"SO)-318~2J19 ___ l!I!I.tlhlJ.t"Ro;Ie.llu"... tll(e.L....-01123t2019.J'Jrm..na"'-_ _ _ _ _ _
ClauHi.... tf"nI
4

Docket
N... mbar

Comity or
Convlo:t1on

6JI12565
83U2565
83112607
100400703
I(lS<lO(l703
C9l1S4)CR
C921B4JCR
92102174

UNtl
lHiN
Lilm

CIlia

WASlt

U",
lIIIN

UN"
111111

U",
MARl
lA"
LAIIE
MMI

BegIn Oato

InmMt

O:Z/2~/1984

Inmat..
Inmate
Inmat ..
Inmale.

02J2!1IJ904
02/29/196-4
OBnS/19B4
OBJ2B/191l4
04113/1993
04/1311993
09/15/1993

AF

DF
AF

Jnm~le

Of

Inmale
Inmate
Inmate
Inmate
Inmale
Inmate

ROBBERY I"
ROBBERY I
ROSoERV 1
IUlBBERY I
ROBBERYl

'"
'"'"

ROIlBERY I
KIONAPPING II
KIONAPI'IIIG 1I
KIDNAPPING II
SUPPLY COmRAClAND
ROSBER'!" III
UNA\miORI2EO USE VEHICLE
SUPPlY CONTRABAND

AF

Inm~le

BF

Inmalll
Inmalll
InmUe
Inmate
Inmate
Inmate
Inmale

tulll
urlll
UNrI

UN"

SllRtence
Type

"
"
"'

ROB6ERY I
ROBBERY I
ROSSER\' I
ROBBERY II
ROBBERY 11
RO(lBER\' I
I(lONAPPIrIG II

LANE
LAIIE
WASil

92102174
92102174
92102174
92102174
92102174
92102174
92.102174
9210217"'1
94C20213}(ll
109305131
109305]59
06C42686/01

Crime

CrIme

AF

AF

Of

"

C'
C'
CF

C'

sent"nce length
YYl'-HMM-DtlD

TClrmlnation
D,,-,e

Termlnlltlon
Reason

020·0(10-000
020,000-000
02(1-(100.000
(ltO-(lOO-OOO
010·(1(11)-000

1112312003
11/23}2Cl03

"'"

0(10·144·000
000-036-000
000-12(1·000
(1(10-120-000
000-120-000
00(1-120.000
000-120-000
00(1-120·(100
000·120-(100
000-120-(100
00Cl-12Cl-(l00
00(1·010-000
0(10-006·000
OaO-OM-(lO(l
00(1-016-(1(1(1

0J/21J2005
1(1/2512007

I'OST
POST

11/2011994

"'ST·
"'ST

09/1.5/1993
09/15/1993
09/15/1993
09/15/1993
09/15/1993
09/1S/J993
09/15{l993
[19/15/1993
04/121199"
06}2.7/1994
06/27/1994
OQ/06(2006

jl------

""I

1112DJ199~

Select Report Elements

1.!:..~"iJ F~Y,aW"}l~Pb1t)d Preferences! :S:~v_~"1 Jfi"ijej;j 'i¢(aar"1

C

General Information

Select Group

IDescription/Sodalliistory

IEmergency NotificatIon

nOetalners

INames

IScars/Marks(rattoos

I.Other flumbers

r.IIOUficatlons

r:

Health Services

"r

Selet:t Group

Health Status Comml!nts

r

Locale

I
I

r

I

IHOUslng HI5tory

r
r

r

Earned"Tlme

LTrustAcCeunt

r
r

r

r

Sex Offender Assessments

Statlc-99 AssessmenlS

C Trans. ServIces
Classlficatlon/Rlsk A.ssessments

r

r.

Oasslncalion History

DOCSUM

IChronos

Urinalysis Log

Select Group

I

ReJatfonshlps

Program/Treatment

I.SupervisIon Fees

rCaselGad HIstory

SupervIsIon Conditions

r

Trip HIslory

Se{ertGroup

Structured Sanctfons

~l1sconduct

~Iental Health O1agno~es

r

rAddresses

Release Plans

Institution Orrender Mgmt

Other Charges

Select Group

AdmissIons/Releases

Community Offendor Mgmt

r

r.

CMaJor DIagnoses

C OutsIde Appolntmenls

~ Restrictions

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rlnformatfOnal Remarl:s

STG ArtlUaUons

L

caseload Hlslory

r

Urlnalysls Log

C VisItors

r

Chrones

Select Group

r
r

Instltutlon Programs

rCrlm!nogenlcs

CommunltyTJo! Programs

I

Calendar

se/e~ Group

r

Community Risk Assessments

Select
onlv

0"'
v1.4.0

r

rOffenses

LDOCSUI-I file (I-\lcrnso!t Word)

htlpS://docwebapp/OisView/pages/search.jsf

C

DoCSUr1 me (WordPerfect)

9/8/2011

O R E G O N STA.TE PENHTENTDARY

HEALTH

SIie~VI9JC~S

MEMORANDUM
TO:OIC
FROM:

Doug Makey, RN

. DATE:9-8-11
SUBJECT:

Heath, James #4357424

At 2335 on 9-7-11, I pronounced this inmate deceased. This
was an expected death. Hospice volunteer Winchester, Jeffrey
#4 748351 was in the room at the time. At 0140 on 9-8-11, the
body was removed from Health Services by stretcher after the
Medical Examiner was finished. Ted Randall was notified of the
death.

Doug Makey, RN

Department of Corrections

Oregon State Penitentiary
Inmate Death Notification Sheet

Date,~,&.g.L1./-<~~1L./I-ILJ(L-__ Time:
Inmate !>lame:

Harth I 5a.m:!k';

CX\"\Se

<

Use Offender Information Screen,. Print Public Information Screen.

Df\-r~

/.

(I.)/vk.olo-S

1. Assi'i'n staff, !>lame,
in~tiate a Crime Scene ContamInatIon Log.
2. Preserve all Evidence.

to secure the scene and
'

3. Witness list (Do not interviel'l)

Time
paged:

Name of person
contacted:

Time

comments:

contacted:

(-Id/-e.-S~

0,0'-3,

Asst. Supt. Security
M. Yoder

SUperintendent,
J. Premo

OO!() ;;L

Superintendent will determine
if additional notifications
beyond the institution need to
be made.

Asst, DTr.

Inst~tut~ons

To be notified before the State
Police are notified,

B. Belleque - Apr, Aug, Dec
l,f nm·''''r - Feb l
B. Hoe!
-

Jun , Oct
e~

0 0 : /3

S. Blacketter - Mar, Jul,

Unusual Incident Briefing
Summary Requested: Yes~ No __

Nov

Notify for attempted suicide
P.LO.

Michelle Dodson

ob:oS

State Police·

00;08'

Case g i/33¥31

.5JU: tJ. L" .. ,....
DOC. Comma Manager:

S,

After hours call home first
Unusual Incident Briefing

1-/041'7

Summary Requested: Yes

No

l-ledical Examiner:

CTS Manager

Suicide

Brian tlalJeer

!>Iotify for inmate

Health Services:
T. Randall

chaliil~n/Next
.

.

K.

l/ji'''~

DO:

of Kin;To tz;:!l::J

""" ~ z;rr
O{)!

11

med~ca~

transport after normal business
~u=
.

!tiS,

1-3 M><)

Funeral Home Duty Call Calendar
1! = = = = = = = = = = = = = = = = = = = = = = = = 11
Alternative Burial and Cremation of Oregon, Sherwood, or. 503-925-8685
Person Contacted:
Completed By'

P-ttf,f,..a . .::r::>oJ1'1

(!p L.. f- L-t?fL---

Time:

//.'5,,/,/7)

Oregon Department of Corrections
***Cl'ime Scene Contamination Log*"'*
Crime Scene Security Officer:

I

C(0

~
.
t(£ISC \-1.\(£

ce. I

Daterrime Log Started: ' I La

Location: :]::HFIRMA/?\/ k'coHSZ8 Crime:'])EATI-l-

T

'

Victim:

/ 1}!-i<II: YS?I<\

f fI

WEATI+,

slAM"

**** NOTICE: ALL PERSONS ENTERING CRIME SCENEMUST READ AND SIGN ****
Admitting officer will fill out all spaces except the signature of entering person.
Only persons authorized by an Oregon State Police supervisor, or detective in charge, shall be
permitted to enter the crime scene. Those persons may be required to give haiJ~ fiber, or otlier
types ofsamples.

/17
:Ob /·'/7

1-g-/r

CD 1201 D (1/96)