A resident was sent to Dallas County Medical Center for a chest x-ray. The resident was discharged back to the facility afterward.
PRLU or OLTC
Medical, Notice of Incident
*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 |
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
PRLU or OLTC
Medical, Notice of Incident
A resident was sent to Dallas County Medical Center for a chest x-ray. The resident was discharged back to the facility afterward.
PRLU or OLTC
Notice of Incident, Peer Altercation
A resident was sent to Dallas County Medical Center for an x-ray of his right hand due to complaints of pain after an altercation with a peer. The residents were separated after the incident.
PRLU or OLTC
Medical, Notice of Incident
A resident was admitted to Dallas County Medical Center on 11/7/2024 due to his condition declining despite a previous antibiotics change. The resident returned to the facility on 11/11/2024.
PRLU or OLTC
Medical, Notice of Incident
A resident was sent to Dallas County Medical Center for an abdomen and pelvic CT due to complaints of rectal bleeding.
PRLU or OLTC
Medical, Notice of Incident
A resident was sent to Dallas County Medical Center for an x-ray due to a worsening cold despite being on antibiotics. The resident was assessed and the antibiotic order was changed.
PRLU or OLTC
Medical, Notice of Incident
A resident was sent for a scheduled scrotal ultrasound due to complaints of pain. The resident returned to the facility afterward.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident reported pain to her right hand after injuring her finger while playing basketball. She was taken to Dallas County Medical Center for an x-ray.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident reported pain to his left foot after a peer stepped on it. He was assessed, then sent to Dallas County Medical Center for an x-ray of his foot.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
A complaint received stated that a staff member called a resident a “gay lil bitch boy,” grabbed him by the collar and pushed him against the wall. The resident’s guardian was informed of the incident by the resident and emailed the facility for more information. Chris Butler responded to the guardian, informing them the staff member had been terminated and apologizing for not reporting to the guardian sooner. The guardian also stated that they had not spoken to the resident since last week and are not sure why the resident has been restricted from phone calls.
Licensing Specialist: Kendra Slade
Program Coordinator Slade reviewed camera footage of the incident and confirmed the allegation. This complaint has been FOUNDED by Licensing. The facility was cited for 109.1.g and 110.9.c for the incident.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was taken to Dallas County Medical Center for an x-ray of his finger. Client injured his finger trying to grab something out of a peer’s hand and jammed his finger. X-ray showed “Areas of cortical irregularity involving the ulnar base of fifth proximal phalanx extending to the physis. This could represent Salter-Harris II fracture if there is pain at the base of the fifth proximal phalanx.” A follow-up appointment is being made with ortho.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was sent to Dallas County Medical Center for an X-ray of his left foot. Patient is complaining of swelling and bruising after kicking a soccer ball. X-ray revealed no fracture or dislocation.
PRLU or OLTC
Complaint Survey
Complaint AR00035145 was in compliance.
Complaint AR00035775 was in compliance.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
A complaint was received stating that the complainant was concerned a resident was being over-medicated. The resident was observed as groggy, incoherent, and drooling.
Licensing Specialist: Arlene Horton
LS Horton visited the facility in response to the complaint. She observed and spoke with various residents, including the resident listed in the complaint. Licensing and OLTC nurse reviewed the resident’s MARs for 9/2024-10/2024, all physician orders since admission, vital stat records since admission, and the facility restraint log for 9/2024-10/2024.
No licensing violations were found. The complaint case was closed as UNFOUNDED.
PRLU or OLTC
Elopement, Notice of Incident
Client was outside playing football and when told it was time to come inside, he ran and went under the fence and took off running. Staff immediately called code orange. Police were notified. Code orange called at approximately 17:00. Client returned to Millcreek at 20:35.
Client is on elopement precautions. Per conversation with Ben Beasley of Millcreek, client did not go “under” the fence but “over”.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
A complaint was received that Millcreek clients are being overmedicated.
Licensing Specialist: Chelsea Vardell
Licensing visited the facility in regard to this case on 10/23/24, 10/24/24, and 12/13/24. Documentation for the following was reviewed: Pest control services, restraint packet and nursing notes, MARs record, Physician Orders and Physician progress reports, Health vital stat sheet, Facility restraint log.
No violations of the licensing standards were discovered during the course of the investigation. Licensing complaint was closed as Unfounded.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
A resident reported that roaches were observed in the cafeteria of the facility. He reported that one bug had been killed in the cafeteria and it remained there for several days. Resident also reported that a dead rat was found in front of one of her peer’s doors. Resident stated that staff yells and cusses at the residents.
Licensing Specialist: Kendra Slade
Census: 165
Licensing visited the facility in response to the complaint. LIcensing observed the following units: Tiger, Eagle, Kangaroo, Deerfield, Magnolia, Pebble Creek, and Success. The bathrooms, bedrooms, and dayroom areas were observed on each unit. A walkthrough of the cafeteria was also completed. The facility provided copies of invoices from the pest control company it uses. No evidence of pests were observed during the walkthrough.
This complaint was Unfounded by Licensing.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact
Resident reported that his roommate touched his private area and tried to pull his pants down.
Licensing reviewed report. Facility reported that the residents had been separated and would no longer be roommates.
PRLU or OLTC
Elopement, Neglect, Notice of Incident, Visit Compliance Report
At approximately 17:00 unit supervisor received a call from Fordyce Police Department reporting that a patient had broken into a house and they needed to return him to Millcreek. Staff went to the residence and found patient sitting in a vehicle. Patient stated that the car battery was dead, so he was just sitting in it. Patient stated that he crawled under the fence while the unit was outside and staff wasn’t looking. Patient was returned to Millcreek and searched for contraband. Patient has been placed on suicide precautions due to patient stating that he wanted to kill himself. Staff that was assigned to patient will be terminated on 10/14.
Licensing Specialist: Clayton DeBoer
Facility visited in response to this incident. Staff/client ratio at the time of this incident was 1:6. Millcreek staff was not aware patient was awol until notified by Fordyce Police Department.
Facility cited 907.2 for staff not supervising patient for the amount of time it took for the patient to elope from facility, travel to and break into a residence.
PRLU or OLTC
Notice of Incident, Peer Altercation
While outside playing basketball, client went up to a peer and confronted him about a missing watch. They started talking and peer got angry and swung and hit client on the lip causing his lip to bleed. Staff intervened and separated patients. Client was sent to Dallas County ER where he received 5 sutures in his lip.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Children’s Records Reviewed for multiple residents. All required items are present in a hard copy file.
PRLU or OLTC
Notice of Incident, Self-Harm
Client went to Dallas County Medical Center for an X-ray of his right hand due to pain after punching a wall. The X-ray showed no fracture or dislocation.
PRLU or OLTC
Notice of Incident, Self-Harm
Client kicked a door during a behavior injuring her left pinky toe. Dr. ordered an x-ray to check for fractures. X-ray came back normal
PRLU or OLTC
Medical, Notice of Incident
Client fell prior to coming to Millcreek. She has since been having knee pain. Dr. ordered an X-ray of her right knee to check it. The X-ray showed no fracture or dislocation.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident was sent to Dallas County Medical Center for an x-ray on left hand due to complaint of hand pain after punching a concrete wall. X-ray found no abnormalities.
PRLU or OLTC
Medical, Notice of Incident
Medical Director ordered a CT for resident due to a history of rectal bleeding. CT Findings: 1. No acute inflammatory changes. No evidence for mechanical bowel obstruction. 2. Hepatic Steatosis 3. Nonspecific small lymph nodes in the right lower quadrant, root of mesentery, and retroperitomeum.