Client was transported to Bridgeway Acute due to being verbally and physically aggressive towards multiple peers. 4/22/24, Per facility, Client will not be returning to the facility.
PRLU or OLTC
Acute Placement, Notice of Incident
Police Report
EMS Assist
Officers responded to location to secure scene for MEMS on a juvenile patient, Victim 1. Victim 1 advised officers that Suspect 1, another patient at this facility, slammed her head against a desk repeatedly, resulting in visible redness. An employee at the facility advised officers that she witnessed the incident. Victim 1 was transported to Arkansas Children’s Hospital for evaluation.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Tara Norton
Buildings & Grounds completed. Census: 46. The following areas were observed: administration building, therapy hallways, dining areas, classrooms, bathrooms, nurse’s station, medication room, storage closet, lobby areas, and “cozy corner”.
MARs were reviewed. All were initialed and up to date.
Police Report
Non Police Incident
Contact was made with employee who advised that no assistance was required. No further action was taken at this time.
Police Report
EMS Assist
EMS assist. The subject went with MEMS without incident.
PRLU or OLTC
Complaint, Notice of Incident
Licensing was informed that facility is out of ratio between the hours of 3pm to 11pm. Reporter stated that staff has addressed their concerns to management about being out of ratio.
Licensing Specialist: Kendra Rice
On 4/4/2024, Licensing completed an after hour visit at EMAC and one dorm (New Dorm) at EMCC.
- Facility cited 907.3: Dorm 2 ratio 1:8 (Staff/child ratio shall be at least 1:6 during waking hours and 1:8 during sleeping hours).
- Facility cited 409.6: Resident pulled an object from a hole in the ceiling (All buildings and furnishings shall be safe, clean, and in good repair). Staff were able to remove the object from the resident, who bit, punched, and pulled a staff member’s hair. The Assistant Director of Nursing was observed calling the doctor due to the resident’s aggressive behavior.
Police Report
Hang Up
Officers made contact with facility receptionist who advised that one of the children dialed the phone, attempting to get an outside line.
PRLU or OLTC
Medical, Notice of Incident
Client was in speech therapy. Facility reported that the therapist, an outside contractor, was unaware of client’s peanut allergy and gave them a mini Snicker bar. Guardian was notified and client was transferred to Arkansas Children’s Hospital where they were treated for the peanut allergy and returned back to the Center’s facility. Facility will address the resident’s allergy with speech therapist.
PRLU or OLTC
Acute Placement, Notice of Incident
Client at EMAC was transported to acute at Pinnacle Point due to telling staff that she wanted to harm herself. The police were not called and the resident will be returning to the facility.
PRLU or OLTC
Acute Placement, Notice of Incident
Client was transferred to Methodist Acute after making homicidal and suicidal threats with plans and intent to use any object she could find. Client will be returning to the facility once discharged from acute.
PRLU or OLTC
Medical, Notice of Incident
Client complained of stomach pain due to constipation. A leave order was placed by the provider and the guardian transported the client to Arkansas Children’s Hospital for evaluation. Client was admitted into ACH for further evaluation. On 4/1/24, facility reported the resident was diagnosed with fecal impaction.
Police Report
EMS Assist
MEMS transported juvenile to Bridgeway.
Police Report
False Alarm
Officers arrived at this location for a 911 hang up call. Officers met with staff who advised that it was accidental.
Police Report
Disturbance
Officers responded to an unknown trouble at the listed location in reference to a 911 hang up. Upon arrival, officers made contact with Scott who stated someone called on accident trying to use the phone improperly. Scott advised officers were not needed.
PRLU or OLTC
Medical, Notice of Incident
Client complained of chest pain and headaches, then went to the nurse’s station because of a nosebleed. The client’s nose was no longer bleeding when the nurse assessed it. The client came back later during the day with a second nosebleed and the nurse observed a blood clot on the tissue. The client was also still complaining of a headache and chest pain. The client was then sent to Arkansas Children’s Hospital and returned with an order for nasal spray. Facility reported client was diagnosed with Epistaxis.
Police Report
Non Police Incident
Non police incident.
PRLU or OLTC
Notice of Incident, Self-Harm, Visit Compliance Report
Client was transported to Arkansas Children’s Hospital (ACH) after an X-Ray was completed on March 9, 2024 due to complaints of knee pain stemming from an incident that occurred on March 8, 2024 where the client was dysregulated and kicking the doors in the dorm. Client was seen by staff at ACH and diagnosed with “Nondisplaced fracture of right tibial spine, initial encounter for closed fracture.” Client was given medication and will have a future follow up appointment with ACH Orthopedic clinic.
Licensing Specialist: Kendra Rice
Program Coordinator visited facility on 3/11/24 and reviewed camera footage and requested nursing notes. On 3/14/24, Program Coordinator reviewed more camera footage and amended 521.
During video review, the resident was observed going back and forth to the corner (kicking the door). Program Coordinator observed resident communicating to a staff member as she limped around the day area. Resident eventually limped to the door leading off the dorm and sat on the floor by a peer where a staff member was standing. Program Coordinator observed peers tending to the injured resident, but did not observe staff members present assess the injured resident. From the camera footage, it appeared that the resident’s right leg below the knee was swollen. During med pass, the nurse assessed the resident’s leg, and an ice pack was provided.
Facility is being cited 907.2 – staff did not provide level of treatment to resident after she was observed limping, and 907.3 – being out of ratio 1:8 during waking hours.
Police Report
False or Unfounded Call
Officers responded to the listed location in regards to an unknown trouble. Communications advised an unknown female called from this location and the call dropped. Upon arrival, officers made contact with staff inside the locked building who advised everything was fine. Officers did not observe any suspicious or criminal activity.
Police Report
Non Police Incident
911 call; Officers made contact with staff who advised everything was okay.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice
Census: 29. Licensing Specialist reviewed three children’s files. All files reviewed complied with minimum licensing standards.
PRLU or OLTC
Medical, Notice of Incident
Client was transported to Arkansas Children’s Hospital due to enlarged tonsils. Client was admitted to ACH and has not yet been discharged.
Police Report
Non Police Incident
Screaming over landline phone. Someone picked up and said it was kids playing on the phone, but call taker could still hear screaming. Check to satisfaction. Officers spoke with the Director. False Alarm.
PRLU or OLTC
Notice of Incident, Peer Altercation
Client was in a physical altercation with another peer and was bit on the left forearm by the other peer. The bite mark became bruised and was tender to the touch. Client was transported to Arkansas Children’s Hospital for an evaluation. The resident was given antibiotics at ACH.
Facility informed Licensing that the peer was placed on assaultive precautions, and the ratio at time of incident was 1:4. The police were not called.
PRLU or OLTC
Acute Placement, Notice of Incident
Client was accepted and transported to Bridgeway Acute after verbalizing that she had suicidal and homicidal ideations.
PRLU or OLTC
Notice of Incident, Suicide Attempt
Client was taking a shower and the staff was standing in the bathroom doorway following line of sight precautions and verbally checking with client every few minutes. Following a few prompts from staff verbally checking on the client, she did not respond. Staff entered the shower and found her sitting on the floor with an article of clothing tied around her neck. Staff removed the clothing from her neck, and she was responsive to them.
Facility reported clothing was pants. Facility also reported that resident was assessed by the nurse and all vitals were within normal limits. Resident was already on Non Suicidal Self Harm B, Line of Sight, and Bathroom Protocols. Facility is in the process of transferring the client to acute care. 3/1/2024, client transferred to acute care.