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Location: Forrest City, AR
Population Served: Males ages 12-17 and a specialized sexual rehabilitative unit for males ages 12-17
| # of residents per unit: Up to 21 | Residents per room: 1-3 (SRU has 1 or 3, never 2) | Capacity: 66 |
Contact with family (Calls and visit schedule): Calls 2x/week.
| Restraint utilized? Yes | Chemical Restraint utilized? Yes | Seclusion utilized? Yes |
Clinical Director - LPC-TA
Therapists: 3 full-time therapists (1 LCSW, 1 LPC, 1 LMSW); 2 part-time/contract therapists (1 LCSW ACSW, 1 LAC)
Treatment modalities offered: DBT, CBT, TF-CBT, Person-Centered, Narrative, Reality, Anger Replacement Therapy
# of individual therapy sessions/week: 1x/week
# of group therapy sessions led by a licensed mental health professional/week: 3x/week
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident presented to the Nurse with a complaint of pain in his mouth resulting from an altercation with a peer. He was sent out to Forrest City Medical Center for further evaluation per order of the APRN. Resident returned to the milieu the same day with no issue.
Program Coordinator reviewed the provider-reported incident and inquired about camera footage. Facility reported no footage available of this incident. Program Coordinator reviewed witness statements.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident was in a physical altercation with a peer and was hit in the nose. He was sent out to Forrest City Medical Center for further evaluation.
Diagnosis: Pain to the nose. No acute fracture or dislocation.
The resident returned to the milieu the same day and was placed on activity restriction until reassessed by APRN.
Both resident and peer were separated and interviewed by Safety Team. The facility reported that the residents were placed on peer restriction.
PRLU or OLTC
Notice of Incident, Peer Violence
Resident was in a physical altercation with a peer while playing dodge ball in the gym. This resulted in swelling to his face and head. He was sent out to Forrest City Medical Center for further evaluation.
Diagnosis: Left lateral facial soft tissue injury.
Resident returned to the milieu the same day.
PRLU or OLTC
Notice of Incident, Peer Violence
Resident was involved in a physical altercation with peers and afterward, complained of pain. After consultation between the Nurse and APRN, the resident was sent to Forrest City Medical Center for X-RAY and treatment.
Diagnosis: Abrasion. The resident was sent back to the facility for continuance of care by the facility nurses.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Chelsea Vardell
Licensing Specialist and Program Manager visited the facility and reviewed children’s records. One record did not include a treatment plan or treatment plan reviews in the chart. The facility was able to produce signed copies which were then added to the chart.
It was noted that all master treatment plans do not contain a plan to ensure the educational needs of the child are met as required in standard 903.5.d. Program Coordinator and Licensing Specialist discussed this with the facility. The facility will receive a Technical Assistance for 903.5.d.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident was in a physical altercation with a peer. The altercation resulted in an injury and he was sent out to Forrest City Medical Center for further evaluation.
Diagnosis: Laceration to left middle finger. Treatment included two sutures, a tetanus shot, and a prescription for antibiotics. Resident returned to the milieu the same day.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident engaged in self-injurious behaviors by collecting a small piece of broken glass from a clock and asking three of his peers to cut him after attempting to cut himself. The cut resulted in bleeding, and the Resident was transported to Forrest City Medical Center.
All clocks have been reviewed to ensure no residual glass is present. Resident is currently on line-of-sight supervision. Resident and peer who performed the cut have been separated.
Both Residents were assessed by their Therapist on 07/01/2024. Both Residents will undergo daily body checks by the Nursing team to assess for any self-harm injuries until further notice.
07/03/24: Facility states that clocks have been replaced. No citations given by Licensing for this incident.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident engaged in self-injurious behavior by banging his head against a door. He was sent to Forrest City Medical Center for further evaluation.
Resident returned to the milieu, same day, at 1034 (10:3 am cst).
Diagnosis: Nondisplaced fracture of the anteriormost aspect of both nasal bones
PRLU or OLTC
Maltreatment, Notice of Incident
Staff member was suspended due to an allegation from a former Resident.
7/15/24: Program Coordinator inquired for more information.
7/18/24: Facility reported the resident’s name and discharge date.
7/19/24 – Facility emailed the Program Coordinator stating the case was closed as Unfounded and inquired if the staff member could return to work.
7/29/24: Program Coordinator discussed staff suspension with Program Manager. Suspension was lifted and facility was informed that staff member could return to work. Case complete.
PRLU or OLTC
Elopement, Notice of Incident
Resident eloped fromthe facility for approximately one hour and forty-three minutes before being returned by Forrest City Police Department. Resident eloped under a fence, held up by a peer.
Camera review was conducted by the Safety Team. Bars for the fence have been ordered, and the Safety team is evaluating all fencing to ensure no other parts need to be re-bared. No outdoor recreation will commence until fencing is completed (all recreation and physical activity will be in the gym).
Supervising staff will be retrained this week. A refresher on supervision will also be completed this week for all Staff.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist (LS): Eleanor White
LS White reviewed personnel records. Records contained the required verifications, certifications, and documentation. Staff training is up to date.
Technical Assistance (T/A) was given for 2 new staff members whose background check paperwork was not submitted correctly to the central registry. The facility will follow up with the Placement & Residential Licensing Unit (PRLU) to have checks run and completed within 10 days.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was sent to Forrest City Medical Center by order of the APRN for further evaluation to his nose. Resident reported the pain after he was hit in the nose while horseplaying with a peer.
Resident returned to the milieu the same day at 1332 (1:32 pm cst) with no other issues presented.
Diagnosis: Contusion to the nose
PRLU or OLTC
Notice of Incident, Self-Harm
Resident was sent to Forrest City Medical Center by order of the APRN for further evaluation to his right hand due to pain and swelling, originating from the Resident punching a wall.
Resident returned to the milieu the same day at 1440 (2:40 pm cst) with no other issues presented.
X-ray findings: No acute fracture or dislocation
PRLU or OLTC
Medical, Notice of Incident
Resident was sent to Forrest City Medical Center by order of APRN due to a complaint of back and leg pain. The resident and his mother were involved in a car accident while on pass.
Resident returned to the milieu same day at 1700 (5:00 pm cst) with bandages and RICE instructions. No other issues presented.
Diagnosis: Sprain of unspecified site of Right knee; Low back pain
PRLU or OLTC
Notice of Incident, Suicide Attempt
Resident was sent to Forrest City Medical Center (FCMC) by order of Physician for a psych evaluation due to self-harm behaviors, which included wrapping a cable cord around his throat and stating, “I want to die.” for approximately one minute.
Red discoloration and one scratch were noted with no other injuries. Columbia Suicide Screening was completed with a score of four.
The maintenance team has since put the cord further into the ceiling and blocked off access to it. The cord’s necessity is being evaluated to determine if it can be removed.
Resident refused transportation to FCMC but was transported via ambulance. Resident was accepted into Acute care and transport is expected today at 0800 (8:00 am cst) from FCMC.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was sent to Forrest City Medical Center (FCMC) by order of the APRN for further evaluation and an X-Ray of his right hand.
Resident accidentally injured his right hand while playing basketball.
Resident returned to the milieu the same day at 1545 (3:45 pm cst) with no issues. No acute fracture or dislocation were found.
PRLU or OLTC
Medical, Notice of Incident
Resident was sent to Forrest City Medical Center by order of APRN for further assessment after labs run at admission showed some low levels.
Resident returned to the milieu same day at 1717 (5:17 pm cst) with no issues.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was sent to Forrest City Medical Center (FCMC) by order of APRN for further evaluation of his right ankle.
Resident accidentally rolled his ankle while playing basketball in the gym. Swelling and pain were noted.
Resident returned from FCMC at approximately 1600 (4:00 pm) with no new issues.
No acute fracture or dislocation. Resident is on activity restriction until 06/01/24 pending further evaluation by APRN.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was sent to Forrest City Medical Center (FCMC) by order APRN for further evaluation of his right ankle.
Resident accidentally tripped and fell, hurting his ankle while playing basketball in the gym. Swelling and pain were noted.
Resident returned from FCMC at approximately 1600 (4:00 pm) with no new issues. Diagnosis: Sprain of right foot. Resident is on activity restriction until further evaluation by APRN.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident was sent to Forrest City Medical Center (FCMC) by order APRN for further evaluation to his left arm.
Resident injured himself with a pencil from his pocket after being upset with a peer, escalating to self-harm behavior. The pencil was confiscated, and sweeps were conducted.
Resident is on self-harm precautions until further evaluation. The second Resident is on assault precautions. Both Residents are currently on line-of-sight supervision, as well as peer restriction until further evaluation.
Camera footage was reviewed and both Residents were interviewed by the Safety Team.
Resident returned from Forrest City Medical Center at approximately 1950 (7:50 pm) with no new issues. The Nursing department bandaged the wound upon return. Wound care ongoing by Nursing department.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was sent to Forrest City Medical Center for further evaluation to his right ring finger after complaining of pain. Slight swelling was noted. Resident describes playing basketball, and the basketball hit his right ring finger.
Resident returned from Forrest City Medical Center at approximately 1746 (5:46 pm) with no new issues.
No acute fracture or dislocation. Resident on activity restriction until further assessment by Nursing/APRN.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Resident alleged a staff member slapped him after attempting an ESI. Resident, witness, and staff statements collected. Camera footage and nursing notes reviewed.
Licensing Specialist: Eleanor White
Facility visited to review video footage. Restraint hold not captured on camera, however, restraint was documented in Facility notes. Statements from resident, witnesses, and staff are conflicting. No abuse was seen. No injuries reported.
Case is UNFOUNDED. Staff received retraining and was returned to normal job duties.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Resident stated to Nurses that a staff member had choked him. The staff member was immediately placed on suspension. The Resident and witnesses were interviewed by a member of the Safety Team and their written statements were collected. Additionally, camera footage was reviewed by the Safety Team.
Based on our internal findings, the staff member will be terminated 05/09/2024.
Licensing Specialist: Eleanor White
LS White and LS Norton reviewed camera footage. No cameras in bedroom, but other residents and staff corroborate Resident statement.
Facility will be cited for 109.1.g: Unprofessional conduct in the practice of child welfare activities. Licensing finds this complaint as FOUNDED.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was sent by order of APRN to Forrest City Medical Center (FCMC) for further assessment to his right foot after complaint of pain after playing basketball. Resident returned to the milieu at 1415 hours with no issues and no new complaints of pain.
Diagnosis: Nondisplaced fracture through base of fifth metatarsal. Resident is on activity restriction until released by APRN. Orthopedic appointment pending.
Agency reported that resident is doing fine, no more complaints of pain, and has been released from activity restrictions. No citations as agency acted within the MLS.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident hurt right hand while playing in the gym. Pain and swelling noted. After consultation with APRN, resident was sent to Forrest City Medical Center for assessment and x-ray. Resident was diagnosed with an unspecified sprain of the right wrist and contusion of the right hand. Treatment included elastic bandage and RICE therapy. Resident was sent back to the facility with orders for Ibuprofen 600mg oral tablet every six hours as needed.