Disability Rights Arkansas

Millcreek Behavioral Health / Habilitation Center, Inc.

*Photos taken by DRA staff during onsite monitoring visits. Photos reflect the most recent conditions observed by DRA staff but may not reflect the current conditions at the facility. If you are associated with a facility and have updated information or photos you would like to share, please contact DRA at [email protected]

Location: Fordyce, AR                   Population Served: Youth ages 6-17

# of residents per unit: Up to 20 Residents per room: 2-3

Capacity: 162 (111 Arkansas Medicaid PRTF beds, 51 Residential beds used for out-of-state resident PRTF placement or AR contract beds).

Contact with family (Calls and visit schedule): Family visits vary on a case-by-case basis. Phone Calls are allowed on 4 days of each week and are limited to 10 minutes unless otherwise specified.

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? Yes

Treatment Components:

Clinical Director: LPC                    Therapists:8 full-time therapists (LPC-S, 5 LPC, 1 LCSW, 1 LMSW)

Treatment modalities offered: 1 EMDR, TF-CBT

# of individual therapy sessions/week: 1

# of group therapy sessions led by a licensed mental health professional/week: 3

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Police Report

Battery First Degree, Radio Log

Police dispatched to Dallas County Medical Center in reference to abuse of Juvenile. Juvenile from Millcreek stated he was pushed down by staff member, causing arm injury (fracture). Juvenile to be transported to ACH for treatment. Juvenile stated staff member was mad due to him being out the door and pushed him back in the room. Police and Millcreek staff viewed video footage. Child Abuse Hotline # 2099453.

PRLU or OLTC

Notice of Incident

  • Injury – Self-inflicted
    • Client stated he got mad and punched a door, hurting his hand; Nurse evaluated, and client was transferred to ER.
    • Radiology report: Mildly displaced dorsal hamate fracture.

Police Report

Sexual Assault Fourth Degree

Staff stated that on 7/13/21 they had caught 2 Juveniles having consensual sex. Staff stated she had called the Child Abuse Hotline to report the incident, but it was not accepted.

PRLU or OLTC

Notice of Incident

  • Injury by Staff – Fracture
    • On day of incident, client initially reported to nurse that he fell and hurt his arm. The next day, 7/16/21, the client was sent to the ER for evaluation of his arm. Client reported to hospital staff he was pushed by staff member at facility.
    • X-ray results: Nondisplaced acute transverse fracture to left humerus. Staff member placed on leave pending investigation. Child Abuse Hotline was called and accepted.

Police Report

Possible Runaway, Radio Log

Nurse stated they have a Juvenile that eloped from the play area about 10 minutes prior. Nurse reported a few minutes later that they had located the missing girl.

PRLU or OLTC

Visit Compliance Report

  • Specialist met with staff in reference to how the program keeps the Residential and PRTF clients separate. Millcreek CEO agreed to look into trying to determine when the capacities changed and would provide the information to the Licensing Unit.
  • Regs out of compliance –
    • R912.2 – Eagle Hill has 1 working shower stall, the other 2 are out of order and the 1 stall that is working is not draining properly.
    • R911.15.f – Shoes with strings in a box in Tiger Hall room; Eagle Hall room 603 viewed rope attached to empty luggage. Correction date 7/8/21.
    • R912.4 – Toilets on Penguin, Zebra, Flamingo, and Café Halls shall be cleaned (viewed rings of dire and build up inside).
    • R911.6 – Shower knobs missing in bathrooms on Penguin, Zebra, and Kangaroo Halls. Tiger Hall bathroom has peeling epoxy in shower stall, paint is peeling in stalls. Eagle Hall toilet stall needs a new cover on the flush button. Black/grey tote in room 609 needs to be replaced. Café walk in area needs to be cleaned to get rid of trash, excessive writing on the boy’s bathroom shall be cleaned off or repainted. Ceiling areas in the halls shall be cleaned to remove the dust on the vents and webs.
    • R913.5 – Mattresses on Zebra, Eagle, and Kangaroo Halls need replaced due to excessive wear in the middle.

PRLU or OLTC

Notice of Incident

  • Illness – Covid-19
    • When staff went to get client up for breakfast, client seemed weak and could not hold her head up. Client stated she felt dizzy and kept leaning as if she could fall; Nurse evaluated, and client was transferred to ER. Client tested positive for Covid-19.
    • Ongoing monitoring, isolation, and safety protocols continue to be in place in accordance with the AR Department of Health recommendations and guidelines.

Police Report

Terroristic Threatening First Degree

Officer was dispatching to facility for a male threatening the staff. Staff stated that a male had called the boys wing cussing and threatening the nurses about his son being at the facility. The male stated he was coming to get the Juvenile to take him away from the facility. Juvenile’s mother and case worker were informed.

PRLU or OLTC

Notice of Incident

  • Other – Client Unconscious
    • Staff member found resident laying on floor. The nurse staff attempted to wake resident, but resident did not respond; Resident sent to ER.

PRLU or OLTC

Complaint Investigation, Licensing Compliance Record

  • Initiated complaint alleging staff pushed and hit involved child while on the bed.
  • Reviewed 1 personnel file, no deficiencies noted. No finding was provided at this visit; A finding will be provided at a later date.

PRLU or OLTC

Licensing Compliance Record

  • Initiated complaint received; child’s records were reviewed.
  • Licensing Complaint is unfounded. There was no significant support of allegations found.
  • TA –
    • Agency may need to incorporate personal item inventories at admission and discharge. Agency should educate parents/guardians on special programs or services not provided at certain locations.

PRLU or OLTC

Notice of Incident

  • Maltreatment – Staff Abuse
    • Staff was said to have pushed client on bed and slapped her. Staff placed on leave until investigation is completed.
    • Child Abuse Hotline was called and accepted. Staff’s records were reviewed

PRLU or OLTC

Notice of Incident

  • Guardian Complaints
    • Guardian reported that while her child was at facility (former resident) there was lack of medical treatment where the child’s lithium levels were not checked by medical staff and when child was discharged her belongings were not returned. Guardian feels that her child was wrongfully discharged because she had not met her goals at the time and that Millcreek did not follow up with the child’s probation requirements. It was also reported that the child was not provided haircuts while at facility and not provided treatment for severe athlete’s foot.

Police Report

Possible Runaway, Radio Log

Staff stated they have 4 girls that ran into the woods about 5 minutes prior. After taking descriptions, Staff informed Officers that the girls were coming back out of the woods.

Police Report

Battery Third Degree

Upon arrival, Juvenile stated that her area had bed bugs and that a staff member pushed her down to the floor causing a bump on her head. Staff stated they were unaware of any incident and that Juvenile has stated several times if she calls the police they would take her to a different place to stay. Officer called the Child Abuse Hotline, it was not accepted.

PRLU or OLTC

Licensing Compliance Record

  • Regs out of compliance –
    • R908.8 – Reviewed med log and noticed clients 8am med for 5/27/21 hadn’t been initialed. Nurse advised she had given it to him but forgot to initial.
    • 911.15.f – Observed shoestrings in 4 different rooms and dayroom, student with strings in hoodie, drawstrings in clothing room 403. Compliance date 5.27.21 for all.
    • 907.2 – Observed client asleep in room and unattended by staff in Kangaroo Hall room 408.
    • 911.6 – Hole in wall outside Nurse’s station, broken bathroom sink, gazebo roof with exposed nails. Compliance date 5.27.21.
    • 911.6 – Trim missing and peeling in rooms 2 & 4, holes in wall in rooms 8 & 9. Painting (agency is working on painting), Hall 2 bathrooms missing shower head. Plate missing in main area. Compliance date 6.27.21. (LS Felicia Moore)
    • 911.15 (f) – Found shoestrings in room 2. Compliance date 5.27.21, corrected 5.27.21. (LS Felicia Moore)
    • 910.1 – Broke swing and trash on playground. Compliance date 6.27.21. (LS Felicia Moore)

PRLU or OLTC

Notice of Incident

  • Maltreatment – Staff Abuse
    • Client reported that 2 weeks ago, staff choked him in the hall; Client stated this has happened several times. Nurse assessed client: Scratch, scabbed over to area below right eye; faint purple area to back of left arm; pain rated as 0/10. Staff placed on leave pending investigation.
    • Child Abuse Hotline was called and accepted. No footage available since incident occurred in back hallway with no camera. Investigation still pending.

PRLU or OLTC

Notice of Incident

  • Maltreatment – Staff Abuse
    • Client reported staff member slapped her and then directed a peer to fight her. Bruises on arms and face. Staff member placed on leave pending investigation.
    • Child Abuse Hotline was called and accepted. After video footage request, Staff reported there was a power outage during the timeframe of incident, so no camera footage was available. Incident still under investigation.

Police Report

Fire Report

Staff stated they did not need an officer to come out, she just needed to make a report that they had a fire on 5/15/21 at one of their houses. Staff advised the fire department came and put the fire out.

PRLU or OLTC

Notice of Incident

  • Injury
    • Client tripped over tree root while playing soccer causing him to fall to ground; Complained about his knee and ankle hurting. Client sent to DCMC-ER for further evaluation.
    • Radiology Report: Oblique fracture through the distal fibula at the syndesmosis. Returned with instructions to take Tylenol or Motrin as needed and to use crutches.

Police Report

Sexual Assault Radio Log

Juvenile Protection Officer from Nevada advised that she wanted to have an officer go and talk to Juvenile because she had made some allegations against staff for sexual assault; No other info.

Police Report

Battery Third Degree

Staff stated that on 5/6/21, a patient reported that a staff member had hit him in the head and held his head against the bed frame afterwards. Staff stated she called the abuse hotline on 5/6/21 and they wouldn’t accept the report. Staff stated she talked with the staff member who was accused, and the staff member stated it didn’t happen but that there was an altercation between him (the patient) and other patients. Staff stated she had put the accused staff member on leave until she could finish her investigation. Staff stated there were no marks or bruises on the patient and there is no video footage or witness to the allegation.

PRLU or OLTC

Notice of Incident

  • Injury
    • Client reported he fell in his room while looking out window. Injury across his left eyebrow. Nurse assessed; bleeding controlled. Sent to ER for evaluation, client denies pain. No follow-up details.

PRLU or OLTC

Notice of Incident

  • “Fight Night”
    • Client reported to nurse/supervisor that 3 staff members allowed unit to have a fight night. Client stated that 1 staff member brought boxing gloves so patients could fight one another. No injuries noted. Staff placed on leave pending investigation.
    • Child Abuse Hotline was called and accepted. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Drug Use
    • Patient reported that a staff member allowed peers to smoke marijuana that staff member had given to them; 3 tested positive for marijuana. Staff placed on leave pending investigation. No follow-up details.