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 rstanford@disabilityrightsar.org

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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PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client slipped and fell while playing basketball outside. Client was sent to ER for x-ray due to his wrist hurting. X-ray results: Fracture to right wrist. Client has brace in place to right wrist/hand area.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client disclosed that previously, another child hit him, and a staff member smacked him with an open hand on his face a couple of weeks ago. Client has still not received eyeglasses (requested on 11/2021) and is on waiting list. Client’s hygiene is inadequate, his clothes were dirty, he was disheveled, and he seemed to be wearing the same clothes for multiple days. Client was asked if he bathes and he stated “no, because they do not make him.”
    • Child Abuse Hotline was called and accepted, unsubstantiated. Licensing follow-up on 4/22/22: Clients (3) were interviewed and all reported access to a shower, clean clothes, feeling safe at Millcreek, and how to report to staff if they feel unsafe. Client received his glasses and was wearing them. Client was showered and had clean clothes on. Client’s therapist reported that client frequently refuses to shower or change clothes.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client alleged that staff member punched him in the jaw while being placed into a physical restraint. Internal Investigation: Multiple staff were interviewed, and no report corroborates the allegation. There were no resident witnesses. In client’s incident debriefing, client stated he didn’t want a witness statement because “the staff did not do anything to me.” Client’s initial discussion with therapist indicates discrepancies, as he first indicated that another staff member was the one that punched him.  
    • Child Abuse Hotline was called, not accepted. Alleged staff member remains on leave until completing in-service Therapeutic Crisis Intervention at which time he will be rescheduled for employment, and client/staff interaction will be limited to basketball events. Licensing follow-up on 4/19: Reviewed witness statements and interviewed client. There is no definitive evidence to support that staff struck client.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC
  • No deficiencies noted.

Police Report

Radio Log

ICF – Staff called for update on missing juveniles and officer stated they had not received a call (staff called Dallas County); Staff stated that 2 juveniles had been missing since about 9:30pm. Juveniles were spotted on morning of 4/10 but not found. At 1240 hours on 4/10, the missing juveniles were found and back at Millcreek.

Police Report

Assault Second Degree

ICF – Officer served an affidavit warrant for Assault 2nd Degree with a bond amount of $570.00 on staff member and issued court date.

Police Report

Battery Third Degree, Radio Log

ICF – Caller stated that on 3/27, resident had wanted to call his aunt and while staff was trying to find the phone number, resident began fighting him. Caller stated the staff member had struck the resident in the head during the fight; Child Abuse Hotline was called but refused the report since the resident was 18y/o.

Police Report

Radio Log

Dispatch reported prank calls coming from facility address; Officer called and spoke with facility staff who stated they would take care of it.

Police Report

Radio Log, Third Degree Escape

Staff reported 3 juveniles escaped facility (Eagle Hall). Dispatch advised that while on the phone, the 3 juveniles were apprehended and back in Millcreek custody.

PRLU or OLTC

Notice of Incident, Visit Compliance Report

  • Maltreatment
    • Licensing received report alleging that unknown staff members allowed client to be struck in the head while showering. Another report alleged that a staff member flipped client’s mattress over and pushed personal belongings off his bed. Client was interviewed by DHS investigator, stating he was kicked in the back during an interaction in his classroom, identifying his teacher as the staff member who kicked him. Nurse evaluation: Reddened area 1” diameter to lower back on left side. Per DHS investigator, staff accused in the incidents were not being required to be placed on administrative leave. “Corrective actions will be taken pending the results of internal and external investigations.”
    • Child Abuse Hotline was called and accepted. Specialist visited facility on 3/16/22 and reviewed witness statements. Regarding the incident in the shower, client stated staff did nothing about it but could not state whether staff was a man or woman. Alleged staff member involved in flipping client’s mattress over could not be reached by phone. Teacher was interviewed regarding kicking the client in the back: Teacher stated that she had stood by client to keep door from banging while client kicked it (laying on floor), and her foot might have touched client, but stated she did not kick client in any way. Interim Corrective Action: Staff member can work but not around children pending further investigation. No citations. CACD investigation unsubstantiated. 

PRLU or OLTC

Visit Compliance Report

  • Census: 18. Buildings and grounds conducted, and MARs checked for 5 clients.
  • TA –
    • R911.15.f – Tie strings found in shorts. House staff advised to search each room and remove all clothing items that had drawstrings.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client was playing recreational game when he fell and hurt his arm. Client was taken to Dallas Co. ER, then to ACH for treatment. AR Children’s Hospital: Closed fracture of distal end of left radius, unspecified fracture morphology. Closed reduction performed under deep sedation. Agency will continue to monitor client.

Police Report

Radio Log

Staff requested officer to Millcreek (Magnolia Hall) due to juveniles hitting staff and 3 juveniles missing from facility. Upon officers arrival, there was no disturbance in halls and they found the missing boys.

PRLU or OLTC

Licensing Compliance Record, Notice of Incident

  • Maltreatment
    • Alleged staff member aggressively yelled at client and intentionally hit him on his head 4 times (unknown what staff used to hit client). No injuries reported. There is a voice recording of the staff member yelling at client.
    • Child Abuse Hotline was called and accepted. Staff member was placed on administrative leave pending investigation. Facility visited on 3/8/22 and video reviewed. Video did not show staff member hitting any children but did show staff member point her finger and appear to yell (no audio). Client and staff statements were reviewed. Staff denied hitting client but admits she yelled at client to go to bed. Two other clients were interviewed and did not indicate staff had ever hit them. Client involved indicated staff member hits and slaps him in the back of his head and grabs his neck. When asked if staff ever called the client names, client stated “FB, MF, SOB”. Client is believable when asked to describe how staff hits him. Risk Management stated the staff member has been involved in a previous incident and is on leave and to be terminated. Facility cited (905.4g and 907.2); Staff member terminated. 

Police Report

Disorderly Conduct, Radio Log

Staff advised officers that some of the residents were trying to fight with the staff (at Magnolia Hall). Staff advised they had the situation contained at this time but if officer could show his presence to keep the residents from acting out again. Officer stayed on scene while they had several residents change rooms.

Police Report

Battery Third Degree, Radio Log

ICF – Staff reported a staff member was hitting on a juvenile, and that the juvenile had told staff about the incident (occurred on 2/13/22). Staff stated she called the Hotline and they took the report.

Police Report

Battery Third Degree, Radio Log

Staff reported juvenile was fighting peer and staff stepped in to break up the fight. Staff stated when staff tried breaking up the fight, the juvenile turned around trying to fight her. Staff stated she called the Hotline but they refused the report because it was resident against resident.

Police Report

Radio Log, Third Degree Escape

On 2/14/22 at approximately 2259 hours, officer was dispatched to facility for escapee. Staff stated juvenile was last seen around 2215 hours. On 2/15/22, staff advised PD that juvenile had returned around 0623 that morning.

Police Report

Abuse Allegation

ICF – Staff called to report that they had contacted the hotline about an abuse allegation on a Millcreek employee. Allegation accepted by hotline. Staff stated they did not need a report filed.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • It was reported that alleged staff member was looking for an object (possibly a pencil or pen) and although client was holding out her hands showing staff the object, staff member still put her hands down in client’s bra. It is unknown whether this was done for sexual gratification or not, but staff member has made it known to the kids that she is bisexual or lesbian. Client has behavioral issues and was violently raped when she was younger and due to this incident, has been having flashbacks of when she was raped. About a month ago, 2 female staff members were trying to restrain client; Staff had client’s hands behind her back while the other choked her. It is unknown who those staff members were, but a report was made to HR and the women quit their jobs. Client was told it was her fault that they quit. Client’s time on the phone has been cut down to where she can only talk for 5 minutes with staff there the whole time. Report was made to law enforcement concerning this.
    • Child Abuse Hotline was called and accepted. Facility visited; Reports in client’s file for previous incident (12/19/21 according to file) and incident on 2/6/22 yield no licensing concerns. Client has a history of self-harm behavior, and staff member reported to have removed the object from client’s bra to prevent injury. CACD investigation unsubstantiated. 

Police Report

Radio Log, Runaway

Staff advised officer at approximately 2300 that juvenile ran away from Oak Creek on Cadiz St. Staff called back at approximately 2341 and requested to know when the juvenile was found.

Police Report

Radio Log, Third Degree Escape

At approximately 1738, staff requested officer to facility for 3 runaway juveniles. At approximately 1932 hours, officer was advised by dispatch that all juveniles had been apprehended by facility staff.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client was oppositional and disruptive most of the day; After entering her room, she was physically assaulted by a peer, resulting in a bloody nose and 2 chipped teeth. Client alleged that staff member and supervisor encouraged the peer to assault her and did not prevent peer from entering her room. Nurse evaluation: Pain reported to nose and mouth area at 7/10; Two chipped teeth with 2-3 loose teeth. Client was transported to ER for assessment and referred to dentist for dental work. No fractures to nose.
    • Child Abuse Hotline was called and accepted. Staff were placed on administrative leave and in-service completed. Each client has been moved to another unit. Facility reported that multiple versions of events had been stated by different staff and clients. CACD investigation substantiated. 

PRLU or OLTC

Visit Compliance Report

Census: 161. Buildings and grounds conducted for PRTF buildings; No regs out of compliance. MARs checked for 5 residents.

Police Report

Third Degree Escape

Staff called to report a runaway juvenile at 2036, stating he had ran away about 10-15 minutes prior. At 2100, staff advised they had caught the juvenile.