A 40-year-old patient at Western State Hospital, accused of killing another patient by shoving a ballpoint pen into the man's ear, has been ordered held on $1 million bail in the Pierce County Jail.

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A level 2 sex offender at Western State Hospital on Monday was ordered held in the Pierce County Jail while Lakewood police continue to investigate the slaying of a patient who died Friday after a ballpoint pen was shoved into his ear.

A Pierce County judge ordered Elliott Droshun Goodin, 40, held in the Pierce County Jail in lieu of $1 million bail on investigation of second-degree murder. Goodin is to make his next court appearance on Wednesday, the deadline for Pierce County prosecutors to file criminal charges against him.

Lakewood police officers were sent to Western State Hospital in Steilacoom just before 3 p.m. Friday and found 28-year-old Paul Montefusco dead in Goodin’s room, according to the probable-cause statement outlining the police case against Goodin.

“There was evidence of a struggle and Montefusco appeared to have died from having a pen pushed into his skull through his ear,” the statement says.

The officers found Goodin in a nearby seclusion room — used for patients who need to be isolated, the statement says. He had blood on his hands and clothes, the statement says.

According to the statement, Montefusco allegedly came into Goodin’s room while Goodin was sleeping, urinated on him and then “attempted to masturbate on or near him.” A fight ensued and Goodin shoved a ballpoint pen into the younger man’s ear, it says.

Lakewood police Lt. Chris Lawler said in a news release that both men had been civilly committed to Western State Hospital on court orders.

Montefusco was arrested in late January by Tacoma police and charged with criminal trespass, court records show. The case was later dismissed after Montefusco was found to be ineligible for treatment to restore competency in order to stand trial, according to the records. He was to undergo a mental-health evaluation for possible civil commitment. It is unclear when he was admitted as a patient.

Goodin, who has a long criminal history, has been civilly committed to Western State Hospital at least twice, most recently in March after a September arrest for driving under the influence, court records show.

He was previously committed in October 2010, court records show. In that instance, Goodin, upon his release from the hospital in February 2011, pleaded guilty to a riot charge stemming from September 2010 when he tried to get into the cars of customers at a 7-Eleven, then fought officers who used a Taser to arrest him, records show.

Before that, Goodin was ordered to register as a sex offender after pleading guilty to burglary with sexual motivation. In February 2006, he broke into a woman’s home and stood over her as she slept in her bed, according to court records. The woman awoke as Goodin pulled the blankets off her, and she noticed he had exposed himself, records show. He was sentenced to 10 months in jail.

In January 2009, Goodin was charged with failure to register as a sex offender and with malicious mischief after he cut off his GPS monitoring bracelet, according to court records. Police were called to a Tacoma hospital where Goodin had made “homicidal and suicidal comments,” the records show. He later pleaded guilty and was sentenced to three months in jail.

Goodin’s court-ordered psychological evaluations have been sealed in Pierce County Superior Court and are not available for public viewing.

Dr. Jess Jamieson, the chief executive officer at Western State Hospital, released a statement Saturday calling Montefusco’s death “a tragic, unexpected incident.” He said hospital staff members, who have an ongoing relationship with the Lakewood Police Department, are working closely with investigators.

“A tragic death at our facility is extremely rare, and we will do everything possible to prevent a similar occurrence,” Jamieson said in the statement. Staff members “are deeply affected by the death of their patient. … Something like this leaves everyone with a heavy heart.”

Almost 20 years have passed “since something similar occurred at the state’s largest psychiatric hospital,” Jamieson said in the statement.

In October 1997, Guitierrez “Terry” Cammon, 49, of Tacoma, died at Western State a week after he was attacked by a fellow patient. In August 1995, Joan Renander, 56, was fatally beaten with a fire extinguisher by a fellow patient, according to news reports at the time.

Times researcher Miyoko Wolf contributed to this report, which includes information from Times archives.

Sara Jean Green: 206-515-5654 or sgreen@seattletimes.com