A resident was transported for acute care after hitting a staff member four times.
PRLU or OLTC
Aggressive Behavior Acute Placement, Notice of Incident
PRLU or OLTC
Aggressive Behavior Acute Placement, Notice of Incident
A resident was transported for acute care after she became upset, punched a wall several times, attacked a nurse, self-harmed, destroyed property, and threatened others.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A resident reported that staff members held her down, put an elbow on her throat causing difficulty breathing, and bruised her arms during a restraint.
Licensing Specialist: Clayton DeBoer
LS DeBoer visited the facility to review video of the incident. At no time is staff seen with their arms around the resident’s neck or head area. LS DeBoer also observed interviews with the other staff members present at the time of the incident and reviewed nursing notes related to the incident.
This complaint has been UNFOUNDED by Licensing and Crimes Against Children Division (CACD). Staff will receive retraining.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
An annual review was conducted. All items were accounted for in hard copy files. No deficiencies were noted.
PRLU or OLTC
Notice of Incident, Self-Harm
| A resident began self-harming by biting her right and left hand. The resident was already on 1:1 due to previous suicidal ideations. The resident was sent to Methodist on 2/11/25 for an acute stay. The resident will return to facility after her acute stay. The facility was cited 110.17 for failure to notify Placement and Residential Licensing Unit (PRLU) of the resident’s placement in acute care. |
PRLU or OLTC
Visit Compliance Report
| Licensing Specialist: Clayton DeBoer LS DeBoer visited the facility to conduct a Buildings and Grounds walkthrough. Census: 19. Buildings were clean, safe, and in good repair except Room 29, which had a broken light fixture in the bathroom and ceiling tiles out of place throughout facility bathrooms. The facility was cited 911.6 for these issues. |
PRLU or OLTC
Medical, Notice of Incident
| A resident was taken to the Emergency Room for dizziness, headache, and coughing up a dime-sized sputum of blood. After the evaluation, the resident was transported back to the facility. |
PRLU or OLTC
Medical, Notice of Incident
| A resident was transported to the Emergency Room for possible seizure-like activity. After the evaluation, the resident returned to the facility. |
PRLU or OLTC
Neglect, Notice of Incident, Visit Compliance Report
| A resident walked into the nurse’s station, opened the medication cart, and took medication that did not belong to her. The resident was transported to the Emergency Room for evaluation. Licensing Specialist: Clayton DeBoer Licensing visited the facility and reviewed video of this incident. The facility was cited 110.17 for failure to report to Licensing by the next business day, 110.9 for failure to report to the Child Abuse Hotline, 907.2 for not supervising the resident to ensure safety and well-being, and 908.4 for medications not being securely locked and stored. Staff have been retrained. This complaint was FOUNDED by Licensing and UNSUBSTANTIATED by Crimes Against Children Division (CACD). |
PRLU or OLTC
Elopement, Notice of Incident, Self-Harm
While at the emergency for a self-harm incident, a resident walked out of the ER and ran. Police were contacted at 5:30 pm. Police located the resident and returned her to the facility at 8:10 pm. The resident remains at the facility with a safety plan of elopement precautions, 24/7 observation, and physical aggression precautions.
PRLU or OLTC
Notice of Incident, Self-Harm
A resident became upset and began punching the wall with her left hand. After punching repeatedly, the resident had a golf ball-sized knot on her knuckle. The resident was evaluated and then sent to Ashley County Medical Center for an x-ray.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A complaint was entered after a resident’s family observed a bigger-than-quarter-sized lump on his head during a visit. The resident stated the injury happened during a restraint when he was pushed down and his head hit the floor. The resident also stated the staff member hurt him and twisted his arm behind his back.
Licensing Specialist: Clayton DeBoer
LS DeBoer visited the facility in response to this complaint. The facility was asked for restraint packets for the time period in question. Video during the incident was reviewed. The video shows staff and resident entering and exiting the resident’s room but does not show the restraint. Staff was interviewed and stated they had used the green pad under the resident’s head, so he would stop banging it on the floor. Staff will be retrained on CPI.
Complaint was Unfounded by Licensing and Unsubstantiated by CACD.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
LS DeBoer performed a Buildings and Grounds walkthrough. Census: 20. Classroom 1 ratio – 3:10. Classroom 2 ratio – 2:8.
Shower areas were clean and sanitary. A baseboard trim needs to be glued down outside Room 67. Room 62’s wall covering was picked away and broken. A hole in the wall was observed in the bathroom of Room 4. Almost all Boys Hall 2 bathroom ceiling tiles were missing or broken. Grounds were clean and free of safety hazards. MARs were checked. All were initialed and up to date.
Facility was cited for 911.6 for issues noted in the walkthrough.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident swallowed a drywall screw she possibly obtained from another room. She was transported to the ER for evaluation at approximately 6:30 pm. At 9:30 pm, she eloped from the hospital. Police were notified and returned the resident to the hospital by 9:40 pm. Resident remained at the hospital while staff looked for an acute placement to send her to.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Buildings & Grounds follow-up conducted to inspect previously noted deficiencies.
All sharp or raised edges on all plywood in all rooms below 6 ft. have been sanded down. Many rooms and bathrooms have added plywood to cover previously identified holes. All added plywood has been painted to match. Some paper towel dispensers have been removed and replaced with plywood. Loose wallpaper has been covered with latus strips. New door was ordered and installed for separating door. New light covers were installed in several rooms. Light switch cover plate replaced in two rooms. Missing baseboards replaced. Broken corner panel was replaced. New floor and ceiling tiles installed.
Additionally, Director and Maintenance did a thorough walkthrough and fixed other identified issues that were observed during today’s visit.
PRLU or OLTC
IOC Report
No deficiencies were cited during the Inspection of Care (IOC) conducted on 09/23/24.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist:Clayton DeBoer
Children’s Records reviewed. All items are present in a hardcopy file except for daily/nightly observations, which were present in a separate file.
PRLU or OLTC
Complaint Survey
Complaint #AR00033801 was in compliance.
PRLU or OLTC
Notice of Incident, Suicide Attempt
Resident gave staff members a letter that included suicidal ideations. A short time later, the resident was found in the bathroom with a pair of pajama pants wrapped around her neck. Staff members restrained the resident and retrieved the pants.
The resident was placed on Suicide Precautions and 1:1 ratio unil further notice.
PRLU or OLTC
Elopement, Notice of Incident
Resident eloped during a trip to the Ankle and Foot Clinic in Little Rock.
Resident returned to the facility on 7/26/2024.
Police Report
Police Report
Officers responded to the facility in reference to a resident taking medications she had been pocketing. Officers assisted as Pro Med Ambulance Service evaluated and transported the resident to the hospital.
PRLU or OLTC
Notice of Incident, Suicide Attempt, Visit Compliance Report
Staff attempted to wake the resident up, but she was groggy and couldn’t stay awake for very long. It was determined that the resident had been “cheeking” medication and took several medications at one time. The resident was transported to the Emergency Room via Emergency Medical Services (EMS) for treatment.
Licensing Specialist: Clayton DeBoer
Facility was visited in response to incident. Camera footage was reviewed. Some, but not all clients were viewed opening their mouths after medication was administered.
Inservice training on sweeping the mouth after medications are taken was provided to Licensing by the Director of Nursing.
Facility was cited. 907.2.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist (LS): Clayton DeBoer
Personnel Records reviewed. All items present in files. No citations.
PRLU or OLTC
Notice of Incident, Suicide Attempt
Client was told to wash her hands and line up for lunch. Staff felt she was in the bathroom too long and went to the bathroom to check on her.
Staff found her on the floor with a sheet wrapped around her neck. The client did not require any medical attention and was placed on 2:1 (two clients, one staff).
PRLU or OLTC
Notice of Incident, Self-Harm
Client was placed on 2:1 with staff due to threats to harm herself earlier in the day.
Around 1910 hours, staff found her in her room, making movements under her covers. When staff members asked her what she was doing, the client stated, “nothing.” Two staff members went into the room and pulled the covers back. The client had taken off her pants, attempting to pull them up to her neck. She was placed in a personal restraint so the pants could be removed.
Client continued on 2:1 (two clients to one staff).