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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PRLU or OLTC

Licensing Compliance Record

(1) Licensing Complaint is true.

  • Standards Reviewed: 405.5; 907.2. Personnel Record reviewed with no deficiencies.
  • Corrective Action: Staff was terminated (6/6/19).

(2) Licensing Complaint is true.

  • Standards Reviewed: 404.4c,d; 905.4c,d. Personnel Record reviewed with no deficiencies.
  • Corrective Action: Agency provided retraining of staff (7/18/19).

(3) Licensing Complaint outcome not stated.

  • Standards Reviewed: 102.3h; 907.2. Personnel Records reviewed with no deficiencies.
  • Corrective Action: Retraining of staff completed on abuse, neglect, and exploitation.

(4) Licensing Complaint is true on underage aggressor.

  • Corrective Action: Safety plan was initiated for involved child for strict supervision.

(5) Licensing Complaint is true on underage aggressor.

  • Corrective Action: Safety plan initiated for involved child for strict supervision. New van procedures put in place when transporting children.

(6) Licensing Complaint unfounded.

  • No supporting evidence was found during investigation to support allegations. Standards Reviewed: 405.5; 907.2. Personnel Record reviewed with no deficiencies.
  • Corrective Action: Therapeutic Crisis Intervention retraining provided to staff.

(7) Licensing Complaint is true.

  • Standards Reviewed: 405.5; 907.2.
  • Corrective Action: Staff was terminated by agency.

(8) Licensing Complaint is true.

  • Standards Reviewed: 404.4c,d; 905.4c,d. Personnel Record reviewed with no deficiencies cited.
  • Corrective Action: Retraining of staff completed on Abuse Prohibition (6/27/19).

(9) Licensing Complaint is true.

  • Standards Reviewed: 405.5; 907.2. Personnel Record reviewed with no deficiencies.
  • Corrective Action: Staff was terminated (6/16/19).

PRLU or OLTC

Licensing Compliance Record

  • Viewed Eagle Hall, Dragon Tree, Oak Creek, Willow Creek, and the Boy’s Ranch and grounds used by children.
  • Regs out of compliance –
    • 911.6, 911.15 – Dragon Tree; Electrical outlet in bedroom 4 is bent with sharp metal edges needing replacement. Corrected 7/30/19.
    • 409.6, 408.1 – Willow Creek; Locks needed on backyard storage units, broken chair with sharp edges needs disposal and exposed nails on fence by the driveway needs repair or disposal. Corrected 7/30/19.
    • 409.6 – Oak Creek; Freezer in kitchen has molded appearance and needs either cleaning or disposal. Corrected 7/30/19.
    • 409.6 – Boy’s Ranch; Bathroom in bedroom 6 has strong urine stench that needs attention. May require deep cleanse or floor repair to get out the smell.

Police Report

Welfare Check

Caller requested a welfare check on Juvenile; Caller advised that a nurse at facility called her the previous night to advise her of an incident that happened Friday night. Staff had moved Juvenile due to the incident. After responding to facility, Officer called Caller to inform her that Juvenile was okay.

Police Report

Escape from Juvenile Detention Facility, Second Degree Escape

Staff reported at approximately 1824 hours that 4 Juveniles had escaped from facility. All Juveniles were located later by Officers.

Police Report

Articles from Vehicle, Breaking or Entering, Criminal Trespass

Caller notified Officer there was a child sitting on the side of the highway. Upon locating, Juvenile stated he had tried to steal a vehicle at Southern Dodge earlier. Juvenile was issued citation for criminal trespass and breaking or entering. After investigating Southern Dodge, Juvenile had attempted to steal a total of 10 vehicles.

Police Report

Escape from Juvenile Detention Facility, Second Degree Escape

Staff reported at approximately 0912 hours that 2 Juveniles had ran away from facility. At approximately 1011 hours, the Officer was notified by Staff that both subjects had been found and returned to the facility.

Police Report

Escape from Juvenile Detention Facility, Second Degree Escape

Staff informed Officers of a missing Juvenile; Upon Officers arrival, Staff stated they had located Juvenile in the gym behind the facility.

Police Report

Assist Other Agency, Battery Third Degree, Recklessly Causes Injury

Upon Officers arrival to assist ambulence, Officer observed a group of individuals standing over somone lying face  down. Staff informed Officer that Juvenile had become combative with Staff and they had to physically restrain him. Staff stated when they tried to let Juvenile up, he became unresponsive and began to shake. Paramedic on scene stated it appeared Juvenile had a concussion; Juvenile was transported to ER. Child Abuse Hotline was contacted and advised of the incident.

Police Report

Combative and Suicidal Youth

Caller with Dallas County Medical Center requested Officer to ER for Juvenile who was beating up the staff. Caller advised she is suicidal and has swallowed glass but won’t let the staff help her; Keeps getting violent with them. Officers responded to Hospital and then to Millcreek regarding the matter.

Police Report

Abuse Report

Juvenile called stated he was being abused; Officer could barely hear over female yelling and throwing things in background. When female saw Juvenile on phone with 911, female hung up the phone. Officer arrived on scene and a Staff member stated she would go to cottage and make sure everything was okay, but they didn’t need an Officer to come out unless he wanted to.

PRLU or OLTC

Licensing Compliance Record

  • Licensing Complaint is true. Staff left involved child on Kangaroo Hall alone. Standards Reviewed: 907.2, 3.
  • Corrective Action: Agency has placed staff on Administrative Leave (7/15/19). Agency will provide in-service training to staff on making sure that patients are counted coming and going from area to area.

PRLU or OLTC

Licensing Complaint, Licensing Compliance Record

  • Licensing Complaint is true. Alleged offender unknown. Standards Reviewed: 907.2, 405.5.
  • Corrective Action: None. Offender was unknown.

PRLU or OLTC

Licensing Compliance Record

  • Licensing Complaint is true. Standards Reviewed: 907.2, 405.5.
  • Corrective Action: Staff member terminated.

PRLU or OLTC

Licensing Compliance Record

• Licensing Complaint unfounded. No evidence found to support allegations.

PRLU or OLTC

Complaint Survey, Revisit Survey

  • Complaint #AR000023153 substantiated.
  • PROTECTION OF RESIDENTS: facility failed to ensure a client that was placed in a physical restraint did not sustain an injury.
  • 07.11.19 Letter, facility not in compliance during 06/04/19 Validation Survey, still not in compliance during 06/28/19 Complaint Survey.
  • 07.23.19 Letter accepting POC from 06/28/19 Complaint Survey
  • 07.23.19 Revisit letter, no

Police Report

Possible Stolen Property Report

Caller at facility wanted to make a report in reference to an individual stealing her money earlier in the day.

Police Report

Possible Runaway

Staff reported a runaway Juvenile at approximately 2331 hours; At approximately 0002 hours, Staff reported that the Juvenile had been located.

Police Report

Possible Information Report

Staff called to make a report; Officers responded to facility to make contact with Staff about report being filed. No other info.

Police Report

Escape from Juvenile Detention Facility, Second Degree Escape

Officers were dispatched at approximately 1309 hours in reference to a runaway Juvenile; Staff advised Juvenile had ran from the property 20 minutes prior. On 6/12/19 at approximately 1940 hours, Juvenile was located.

Police Report

Possible Runaway

Caller reported suspicious acitivity on side of interstate; Caller noticed several cars and a van parked on the side of the road and advised 5 people chased a Juvenile into the woods. After contacting facility, Staff advised that they were trying to detain the runaway. Staff also informed Officers that they had found the 2 missing Juveniles that went missing on 6/9/2019 (above).

Police Report

Possible Runaway

Staff reported 2 Juveniles had ran away from facility. Officers were unable to locate Juveniles at the time. A Deputy had picked up a Juvenile while patrolling, and upon returning Juvenile to facility the Staff stated that this Juvenile was a different runaway, and that the 2 Juveniles originally reported were still missing.

PRLU or OLTC

Licensing Compliance Record

  • Licensing Complaint founded.
  • Corrective Action: Staff member terminated.

Police Report

Possible Information Report Concerning Runaways

Police contacted Staff at facility to check if 2 Juveniles that had ran away had returned to facility. Staff stated the 2 Juveniles were located the same day they had ran away. Staff stated all Residents were accounted for at that time.

PRLU or OLTC

Complaint Survey, Recertification Survey, Revisit Survey

  • Complaint #AR00022948 substantiated.
  • Regs out of compliance –
    • N 128 PROTECTION OF RESIDENTS – Facility failed to ensure an Emergency Safety Intervention (ESI) did not result in an injury for 1 resident involved in an ESI.
    • N 196 MEDICAL TREATMENT FOR INJURIES – Facility failed to ensure prompt medical treatment was obtained to prevent further potential complications for 1 client who sustained an injury during an ESI.

A revisit was conducted on 7/23/19 for all deficiencies cited on 6/4/19. All deficiencies have been corrected, and no new noncompliance was found

PRLU or OLTC

Licensing Compliance Record

  • Licensing Complaint founded for lack of supervision.
  • Corrective Action: Agency will re-train staff on client safety and bullying. (Corrected 5/31/19)