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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
Accidental Injury, Notice of Incident
Per staff report, the resident complained of pain in his right foot. The resident hit his foot and toe on the wall while in the gym playing dodgeball with his peers. The APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his right ankle and foot. The resident was placed on no physical activity restriction until his x-ray results were resolved.
The resident x-ray findings are no acute fracture or dislocation.
PRLU or OLTC
Medical, Notice of Incident
Per staff report during the resident’s routine visit with the facility’s APRN, the resident complained of pain in his right hand. The APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his right hand. The resident was placed on no physical activity restriction until his x-ray results were resolved. The resident x-ray findings are still pending. The resident remains on no physical activities until results return.
6/28/2023 – Licensing Specialist informed resident’s x-ray indicated no acute fracture or dislocation.
PRLU or OLTC
Medical, Notice of Incident
Per staff report during the resident’s routine visit with the facility’s APRN, the resident complained of pain in his left index finger. The resident did not identify why it was hurting.
Actions taken: the APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his left index finger. The resident was placed on no physical activity restriction until his x-ray results were resolved. The resident x-ray findings are still pending. The resident remains on no physical activities until results return.
6/28/2023 – Licensing Specialist informed resident’s x-ray indicated no acute fracture or dislocation.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per staff report, during the resident’s routine visit with the facility’s APRN, the resident complained that he fell on his right elbow in the gym while playing basketball 8 days ago. There is no direct report of the resident falling in the gym 8 days ago. The APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his right elbow.
The resident was placed on no physical activity restriction until his x-ray results were resolved. The resident x-ray was negative. The physical activity restrictions were lifted.
Police Report
Fire Alarm
Police were notified of a fire alarm at facility. Facility communicated that they were doing a fire drill and that everything was fine. Call completed.
PRLU or OLTC
Notice of Incident, Self-Harm
Per staff report the resident came to nurses’ station and complained of pain in the right hand after punching the wall due to being upset with staff. The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center for further evaluation.
The resident was diagnosed with: contusion of the right hand with a splint. The resident was placed on self-harm precautions which will evaluated within 72 hours for safety.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per staff report the resident came to nurses’ station and complained that he was hit in the left eye with a basketball while playing in the gym.
Actions taken: The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center for further evaluation. The resident did not return with any new orders or prescriptions.
PRLU or OLTC
Children's Records Review, Personnel Record Review, Visit Compliance Report
Licensing Specialist: Kendra Rice. Licensing Specialist completed buildings and grounds on the following areas: courtyard, gym, dining room, classroom hall, stations 1 and 2.
Classroom #318 was empty. Classroom #317, ratio 5:12 and classroom #319 ratio 3:8. Residents and staff in the classrooms were working on arts and crafts.
In the gym, ratio 4:10, residents and staff were playing basketball. The courtyard was clean and free of debris.
Licensing Specialist noticed orange cones on the courtyard that are used for velocity airplane activities. Ms. Coplin (Director of Quality and Risk Management) informed the Licensing Specialist that the residents are enjoying the velocity airplane activities.
Licensing Specialist smelled the aroma of cleaning products in the dining room area (Cafeteria), stations 1 and 2. All bathrooms, day areas, and hallways were clean. Licensing Specialist was greeted with cool air on both stations 1 and 2.
Licensing Specialists reviewed five (5) personnel files:
Personnel files reviewed complied with the minimum licensing standards. Licensing Specialist reviewed five (5) children files: all children’S files reviewed complied with the minimum licensing standards.
Police Report
Fire Alarm
Police responded to a fire alarm at facility. Room 104 smoke detector activated at 23:31, call completed 23:50.
Police Report
Fire Alarm
Police responded to a fire alarm at facility. Back hall smoke alarm activated at 19:55, call completed 19:58.
PRLU or OLTC
Revisit Survey
During the revisit survey conducted on June 2, 2023, your facility was found to be in compliance with program requirements. All deficiencies have been corrected, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
PRLU or OLTC
Notice of Incident, Peer Altercation
Per staff report the resident was in a physical altercation with two other residents. The resident presented with a swollen nose. The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center (FCMC) for further evaluation. The resident was diagnosed with: contusion of the nose. The resident x-ray presented negative. The resident has been restricted from his peer. The resident was also placed on assault precautions which will be re-evaluated within 72 hours for safety.
Licensing Specialist inquired about the altercation. Licensing Specialist informed that the altercation in the dayroom on station 1. There is no camera footage due to the camera being broken. A request has been submitted for the camera to be repaired. The residents were separated by staff. All residents involved in the altercation were placed on assault precautions and peer restrictions.
PRLU or OLTC
Medical, Notice of Incident
Per staff report the resident came to nurses’ station and complained of stomach pain. The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center for further evaluation. The resident was diagnosed with: UTI. No licensing concerns noted.
Police Report
Runaway, Runaway Juvenile
At 1152, staff reported that a juvenile ran away into woods. Juvenile returned at approximately 1300.
PRLU or OLTC
Elopement, Notice of Incident
Resident came out of his room, walked to the end of the hallway pushed open the exit door with his shoulder and proceeded to elope from the facility. Camera observation was conducted on 5/22/2023. The resident is observed entering the hallway and standing at his assigned room door until the staff opens his door. The resident waited until one staff member walked of the hall to check the restroom for availability. Once the resident seen the staff member walk off the hall, he proceeded to the backdoor. Staff followed the resident until he was out of sight. Forrest City Police Department (FCPD) was contacted, given a picture, and description of what the resident was wearing. The resident was found by the FCPD and returned to the facility at 12:50Pm on 5/21/2023. The resident was placed on elopement precautions for safety.
Licensing narrative:
Police Report
Fire Alarm
Smoke alarm was noted to be going off in room 104. Alarm was cleared within the hour, no damage or other issues noted.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
Caller stated that the air conditioner in the classroom is broken. Caller stated management is aware and they have not repaired it. Licensing Specialist: Sharra Singleton-Litzsey.
Regulations out of compliance: 911.15.F – room 104 had shorts with a drawstring in them.
Regulations needing technical assistance: 911.10 – the air conditioning was not working properly in 2 classrooms. Store services repair company has been called out to address the concerns. Visit by store services were on 5/15 and 5/17 to fix the problem. This complaint is unfounded based on the fact that the agency was aware and had contacted a repair company.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per staff report the resident fell while in the gym playing basketball and complained of head pains
Actions taken: The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center for further evaluation. The resident was diagnosed with: Encounter for screening, unspecified.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per staff report the resident reported to the nurse that he jammed his fingers while playing basketball in the gym.
Actions taken: The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center for further evaluation. The resident was diagnosed with: no acute fracture or dislocation. The proximal and distal carpal rows are adequately aligned. The soft tissues are grossly unremarkable.
PRLU or OLTC
Notice of Incident, Peer Altercation
Per staff report, the resident was in a physical altercation with a peer. The resident complained of pain in the right fifth digit with swelling from hitting his peer. The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to Forrest City Medical Center for further evaluation.
The resident was diagnosed with: no acute fracture or dislocation. The proximal and distal carpal rows are adequately aligned. The soft tissues are grossly unremarkable. The resident was placed on peer restriction and assault precautions for safety. No licensing concerns noted.
Police Report
Fire Alarm
Officer responded for fire alarm.
PRLU or OLTC
Revisit Survey with POC
On December 14, 2022, a compliant survey was conducted at the facility by the Office of Long Term Care to determine compliance with federal requirements for Psychiatric Residential Treatment Facilities participating in Medicaid Program(s). This survey found this facility was not in substantial compliance.
A revisit was conducted on April 25, 2023, and your facility was still not in substantial compliance with the following participation requirement(s): N142 Order For Use Of Restraints Or Seclusion.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Per staff report the resident was in a physical altercation where he obtained a busted upper lip on the inside of mouth
Actions Taken: The resident was taken to the nurse’s station and assessed. The resident was then assessed by the APRN. The APRN referred the resident to FCMC for further evaluation. The resident was diagnosed with: . The resident has been restricted from his peer. The resident was also placed on assault precautions which will be re-evaluated within 72 hours (about 3 days) for safety. Licensing Specialist: Chelsea Vardell.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Per staff report the resident was in a physical altercation with multiple peers.
Actions Taken: The resident was taken to the nurse’s station and assessed. The resident obtained multiple direct blows to the face. The resident was then assessed by the APRN. The APRN referred the resident to FCMC for further evaluation.
The resident was diagnosed with: The resident is not to participate in any physical activities until further notice. The resident has been peer restricted from all peers involved in the physical altercation. The resident was also placed on assault precautions which will be re-evaluated within 72 hours (about 3 days) for safety. Licensing Specialist: Chelsea Vardell.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per staff report the resident injured their left thumb playing basketball. The resident was taken to the nurse’s station and was assessed. There was no fracture or dislocation.