On 6/1/23, we received a call from Arkansas State Police that they wanted to come in and interview a client about an allegation that was made, but no further detail was provided at that time. Today, 6/2/23, CEO spoke with State Police and was able to determine that the allegation was made against staff in relation to a physical restraint that occurred with on 5/23/23. Client alleged that during a restraint there was a moment where she “couldn’t breathe.” Per internal policy, the restraint in question was reviewed by [REDACTED], Director of Nurse (DoN). After reviewing the video, it appears that a physical restraint occurred involving the staff in question. She was attempting to activate the fire alarms at the facility so she could elope from the facility. Staff tried to stop her. She threatened to assault staff. She attacked a nurse and other staff members. She had to be restrained. She was redirected multiple times, but she continued to assault staff. Staff spoke to a doctor, who authorized her to have “Emergency medication”. Once the emergency medication was administered, she was able to calm down and go to bed.

On 5/24/2023, she was involved in another incident and had to be separated from a peer. She again became violent with staff and was once again restrained. She received medication again to calm her down. Speaking about the incidents later, client said that she was restrained by only male staff. She said that when they restrained her on 5/23/2023, they choked her with a sweater, and she could not breathe. She said the restraint left bruises on her knees and arms. Corrective action: continue to review all restraints as they occur. Retrain all staff and residents about the appropriate reporting process and who their advocate is. Staff has been suspended until completion of investigation. Licensing narrative: Licensing Specialist reviewed camera footage on 5/23/23. Licensing Specialist informed maltreatment was closed. Licensing Specialist: Kendra Rice.