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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
Notice of Incident, Peer Altercation, Visit Compliance Report
Resident was in an altercation with a peer when the peer hit him in the face. Staff immediately separated the two residents. The next morning, the resident complained of jaw pain. He was sent to Dallas County Medical Center for an x-ray of his jaw. No fractures were noted.
Licensing Specialist: Clayton DeBoer
Facility visited in response to the incident. Video of the altercation was reviewed. Staff were present and immediately intervened.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident complained of knee pain and stated that he hurt his knee playing on the waterslides yesterday. Resident was taken to Dallas County Medical Center and diagnosed with a left knee sprain. He was instructed to rest and elevate for 3 days. He then returned to Millcreek.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Buildings & Grounds conducted for Flamingo and Zebra Hall.
Flamingo staff/client ratio: 4:16. Sleeping areas furnished, clean, safe, and in good repair. Bathrooms are clean and sanitary. Client rights and emergency escape diagrams observed.
Zebra staff/client ratio: 2:16. 2 present staff were asked where 3rd staff member was as Zebra is staffed for 3 Behavioral Health Associates. 3rd staff member was reported to be outside of Zebra’s door making a phone call. Outside area was observed and 3rd staff member was not seen. Radio call was made, and later 3rd staff member was seen entering Zebra Hall. Facility cited 907.3.
Sleeping areas furnished, clean, safe, and in good repair. Bathrooms clean and sanitary. MARs checked for residents. All initialed and up to date.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist (LS): Clayton DeBoer
Buildings and Grounds were completed for Penguin Hall, Eagle Hall, and the outdoor area.
Outdoor picnic area staff/client ratio: 4:20. Grounds were clean and free of safety hazards.
Eagle Hall staff/client ratio: 4:11. Building was clean, safe, and in good repair. Bathrooms are clean and sanitary with functioning sinks, showers, and toilets.
Penguin Hall clients outside. Building was clean, safe, and in good repair. Bathrooms are clean and sanitary with functioning sinks, showers, and toilets.
MARs checked. All initialed and up-to-date.
PRLU or OLTC
Elopement, Notice of Incident
While staff were busy with another client, a resident eloped with the aid of his peer, who helped him over the fence. Code Orange was called. Police were notified. The resident was located by staff about 1.5 hours later and brought back to the unit without incident.
PRLU or OLTC
Elopement, Notice of Incident
Two residents eloped through a door during bedtime. Staff immediately called code orange and police were notified.
One of the residents was found on campus and returned to the unit. The other resident jumped the fence and ran into the woods. The resident was finally located at approximately 4:20 am.
While out on elopement, he busted a car window and stole a wallet. Police were notified, and the resident was transported back to the facility.
PRLU or OLTC
Notice of Incident, Self-Harm
Client became angry and punched the wall several times. He was transported to Dallas County Medical Center for an x-ray of his right hand.
X-ray findings: No fractures or misalignments
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was playing kickball and hurt his right hand. Client was taken to Dallas County Medical Center for an x-ray.
X-ray findings: Acute intra-articular fracture of the distal right thumb phalanx
PRLU or OLTC
Recertification Survey
A recertification survey was conducted at the facility.
No deficiencies were cited.
The facility was in compliance with the requirements of 42 CFR Part 483, Subpart G, Requirements for Psychiatric Residential Treatment Facilities.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was sitting on his knees in the floor playing a game. When he rose from the floor, his knee popped and began hurting. Client was taken to Dallas County Medical Center Emergency Department for an x-ray of his right knee. He was discharged back to Millcreek same day.
Diagnosis: Knee Sprain. Knee was wrapped and client was given crutches.
PRLU or OLTC
Medical, Notice of Incident
Client was sent to Dallas County Medical Center for a scheduled CT of head and US thyroid. Scans were ordered due to recent “fainting” spells. Patient reports that she often blacks out when she gets anxious
Both tests negative. No findings.
PRLU or OLTC
Medical, Notice of Incident
Client was taken to Dallas County Medical Center for an x-ray of her left foot. Client stated that she hurt her foot prior to coming to Millcreek.
Diagnosis: No fractures or misalignments.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Complaint received: On 6/7/24, a client got mad and hit a staff member. The staff member stepped on the client’s feet to keep her in place. The client pushed the staff member away, but the staff member grabbed the client’s hair, pulling 6 braids out of her head. Staff didn’t follow proper protocol. They didn’t follow-up with a nurse or send an incident report to the client’s therapist. Staff at the facility are saying that the cameras were being worked on and were not working at the time of the altercation. Staff also changed the story, saying that the client pulled her own braids out of her head.
Licensing Specialist: Clayton DeBoer
6/11/24 – Facility visited in response to complaint. Staff, Client, and Witnesses were interviewed. Nursing note related to the incident does not mention hair being pulled out. Witnesses interviewed stated that staff were “nice”.
LIcensing has determined that complaint is UNFOUNDED. As a precautionary measure, the alleged offending staff member received re-training.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist (LS): Clayton DeBoer
Buildings and Grounds were completed for Kangaroo and Tiger Hall
Kangaroo Hall: Staff/Client ratio: 2:12. Sleeping areas and dayroom were clean, safe, and in good repair. Bathrooms were clean and sanitary with functioning sinks, showers, and toilets.
Tiger Hall: Staff/Client ratio: 3:18. Sleeping areas and dayroom were clean, safe, and in good repair. Bathrooms were clean and sanitary with functioning sinks, showers, and toilets.
MARs checked. All initialed and up-to-date.
PRLU or OLTC
Accidental Injury, Notice of Incident
A client fell and rolled her ankle while she was outside playing and running. The client was sent to Dallas County Medical Center for an x-ray of left ankle.
Diagnosis: No fractures or misalignments
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident was sent to Dallas County Medical Center Emergency Department for evaluation due to having an altered mental status after an altercation with a peer. Resident was returned to Millcreek the same day, diagnosed with a mild concussion.
5/31/24 – Reviewed for licensing concerns. Email sent to facility to inquire if there is video. Received email that there is no video of the incident. Safety plan for resident sent to licensing.
PRLU or OLTC
Notice of Incident, Self-Harm, Visit Compliance Report
Resident informed staff members that she got Ibuprofen out of a staff member’s bag and took it.
Resident was taken to Dallas County Medical Center ER for evaluation. She returned to Millcreek same day. Resident states that she took 3 handfuls of ibuprofen. Staff states that the bottle was almost empty and there were not 3 handfuls of pills in the bottle.
Licensing Specialist: Clayton DeBoer
Visited facility in response to incident. Client showed no sign of overdose. Staff stated that she had only brought enough for personal use for the day.
Technical Assistance given for regulation 910.1 – The grounds of the facility shall be kept clean and free of safety hazards. All staff will receive training on personal medication storage by 6/30/24.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident put a cap off of a marker into her vagina. Nursing tried to talk her through removing it but was unsuccessful.
Resident was taken to Dallas County Medical Center Emergency Department. Patient was discharged back to Millcreek with no new orders.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Resident reported that she had a physical altercation with a staff member. Resident stated that she struck the staff member, and then the staff member hit her back with a closed fist. Afterward, the resident was placed in restraints. Several days later, she was placed in restraints a second time and was scratched.
Licensing Specialist (LS): Clayton DeBoer
5/30/24 – LS DeBoer visited the facility and reviewed video footage of the restraint on 5/22/24, which did not show staff doing anything harmful to the client.
Video was reviewed for the second restraint that occurred on 5/28/24. The alleged incident occurred in the client’s bedroom, which does not contain camera coverage. Various staff are seen in the hallway, entering and exiting the client’s room, including the alleged offending staff member. Incident reports for both incidents were reviewed.
This complaint has been UNFOUNDED by Licensing. As a precautionary measure, the alleged offending staff member will be retrained on restraint techniques.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
All personnel records for this annual year reviewed.
One staff member’s child maltreatment registry check was out of date.
Facility cited 103.3 – Persons required to have the Child Maltreatment Central Registry Check shall repeat the check every two years.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Client was being disruptive. Staff were talking with him when two patients ran up to the client and kicked him in the face and side. Staff immediately separated and called nursing for an evaluation.
Client complained of rib pain and was taken to Dallas County Medical Center (DCMC) for evaluation. He was diagnosed with a rib fracture and sent home with no activity limitations.
Licensing Specialist: Clayton DeBoer
Facility visited and video of incident reviewed. Staff/client ratio visible in video: 3:9. No citations given.
PRLU or OLTC
Accidental Injury, Notice of Incident, Visit Compliance Report
Resident and another peer were horse playing, and resident received a busted lip. Resident was sent to Dallas County Emergency Department for treatment, receiving two sutures.
Licensing Specialist: Clayton DeBoer
Facility visited and residents interviewed. Residents indicated they were playing a game, where they playfight for 30 seconds.
A unit-wide in-service training was conducted on staff not permitting horseplay that would endanger safety of residents. No citations given to the facility.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Personnel Records Review.
All items accounted for except for two missing personal references for one staff member.
Technical Assistance provided for 105.15h for missing personal references.
PRLU or OLTC
Medical, Notice of Incident
This is a follow up to case # 020960 that was reported on 5/1/2024.
Client was sent for a follow up CT scan of hip and leg since pain has continued even though x-rays.
Client was sent to AR Children’s hospital and will be discharged with touchdown weight bearing to right lower extremity with supportive device such as crutches.
PRLU or OLTC
Medical, Notice of Incident
Client was sent to the Dallas County Emergency Department for evaluation due to being lethargic and complaining of shortness of breath. Client was diagnosed with syncope and discharged to Millcreek with no limitations and no new orders.