Michael Thompson got loose around 2:30 a.m. Sunday from his county cell in Falls City.
According to radio station KLZA, Thompson squeezed between bars that were loose because of a broken steel plate. Sheriff Randy Houser described Thompson as very skinny.
Thompson surprised a jailer who had gone to Thompson's cell to tell him to lower the sound from a television. Thompson handcuffed the jailer to a cell bar, but she was not injured.
County authorities say Thompson escaped from a Falls City doctor's office when he taken there for treatment in January. He originally was arrested by Falls City police on an Arkansas warrant.
A jail spokesman said Monday that Thompson has not been