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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
Medical, Notice of Incident
Resident presented to nurses’ station complaining of pain and bumps in groin area and buttocks. APRN notified and an order was obtained to send client to Forrest City Medical Center for further evaluation and treatment.
Diagnosis was Hidradenitis Suppurativa.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Resident was in ESI for physical aggression towards staff. While in the ESI, resident was hit in the forehead by a peer and has a hematoma on the right side of his forehead. Order obtained from APRN for transport to Forrest City Medical Center (FCMC) for evaluation and treatment. Licensing Specialist spoke with [REDACTED], CEO, [REDACTED], Clinical Director, and [REDACTED], Program Director, regarding emergency safety interventions case [REDACTED].Licensing Specialist informed before the incident, resident was being disruptive, throwing chairs, and disrespectful toward staff. It was reported that resident’s peer felt that resident was being disrespectful and that was a trigger to the peer. In return the resident’s peer hit the resident.
On station 1 hall, Licensing Specialist observed resident in a restraint against the wall, ratio 1:1. Licensing Specialist observed four (4) and then five (5) staff members on station 1. Licensing Specialist observed the male staff member trying to observe what was going on across the hall. Licensing Specialist was unable to observe what was taking place across the hall. Licensing Specialist observed a male staff member move the resident down the hallway for a female staff member to take over the restraint. Resident was observed to what appeared to be defiant toward being placed in a restraint with the female staff member. While in a restraint with the female staff member, Licensing Specialist observed a peer run up to resident and hit him, ratio 1:3.
Licensing Specialist will follow-up with facility regarding camera footage and safety precautions.
Licensing Specialist: Kendra Rice.
PRLU or OLTC
Medical, Notice of Incident
Client reported to staff he did not feel good and asked if he could go to the restroom. Client came to nurses’ station and reported that he had vomited and had a nosebleed at the same time. APRN notified, and an order was obtained to send client to Forrest City Medical Center for further evaluation and treatment. Results: nausea with vomiting, unspecified.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per client report, he stated he hurt right hand playing basketball 2 weeks ago . He has an appointment with Jonesboro Sports Medicine on 8/18/23 for that incident. He presented on 7/28 and stated he jammed his finger while at the gym playing basketball. Order obtained from APRN for transport to Forrest City Medical Center for x-ray of right hand. There has been healing of the mid-fourth metacarpal fracture now with mild intervening callus formation present. Bony alignment is well maintained. There is an old, healed fracture of the fifth metacarpal. There is no adverse change (Healing fourth metacarpal fracture).
PRLU or OLTC
Accidental Injury, Notice of Incident
Per client report, he hurt his hand 2 weeks ago and hurt it again playing in the gym on 7/28/23. Nurse assessment: no bruising, no swelling noted, capillary refill less than 2 seconds, skin warm and dry to touch, non-tender upon palpation. APRN notified and order for x-ray at Forrest City Medical Center obtained. Results: no acute fracture or dislocation (Normal right hand).
PRLU or OLTC
Accidental Injury, Notice of Incident
Per client report, a peer accidentally fell on his left foot causing pain.
Actions taken: order obtained from APRN for transport to Forrest City Medical Center (FCMC) for evaluation and treatment of left foot.
Results: no acute fracture. Soft tissues are grossly unremarkable.
Police Report
Fire Alarm
Dispatch advised the officers on scene at facility that the business is 10-4. The juveniles keep pulling the alarm to escape because the doors will open. Call complete.
Police Report
Elopement
Caller reported they just had another juvenile run from the facility. Officer located the juvenile and provided transport back to the facility. Call complete.
Police Report
Elopement, Fire Alarm
Fire alarm detected in Nurse 1 hall. Staff reported 3 kids ran away from the facility. Alarm company advised the fire department could disregard. Call complete.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist conducted an annual review of policies and procedures for Perimeter of Forrest City. [REDACTED], Clinical Director, assisted Licensing Specialist with the review. Policies and procedures for Perimeter of Forrest City complied with minimum licensing standards. Licensing Specialist: Kendra Rice.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident presented to nurses’ station complaining of pain in his left ear. Resident stated he had a lego in his ear. Resident was noted to have a red foreign object in his left ear. Referral obtained from APRN for transport to Forrest City Medical Center (FCMC). FCMC was unable to retrieve object from his ear and referred him to an ENT specialist. Resident was later transported to Baptist Memorial Hospital for treatment/evaluation of foreign object in left ear at which time the foreign object was removed without complication.
PRLU or OLTC
Elopement, Notice of Incident, Visit Compliance Report
On 7/26/23 resident eloped from the facility at 17:44 from station one by pulling a fire alarm that disabled the doors for safety. Resident returned without struggle per police escort. Police were notified, and the resident was returned to the facility at 18:10. When he was returned to the facility there were no injuries that were apparent. The psychiatrist and Adminstrator on Call (AOC) were notified as well. The resident was placed on elopement precautions.
Licensing Specialist reviewed camera footage of provider reported incidents on station 1 hall. Licensing Specialist observed staff and residents in the hallway, ratio 3:3. One resident was standing at the by the hallway exit door. Resident was observed jumping up by the exit door with his hand in the air by the exit sign. He then pushed the door open and ran off the hallway. Licensing Specialist observed a nurse run after the resident. Two residents [REDACTED] and [REDACTED] were observed bypassing staff, come out of the dayroom, and running off the hall. Licensing Specialist observed a staff member on a walkie come down the hallway and return to her location. Staff member was unable to go after the residents due to having residents in the shower. Staff member that was by the dayroom was unable to go after the residents due to having a resident on line of sight. Licensing Specialist: Kendra Rice.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per client report, he woke up and his left elbow was hurting. Order obtained from APRN to transport to Forrest City Medical Center for evaluation and treatment of left elbow. Upon return APRN made a referral to Orthopedic doctor for left elbow evaluation (Appt set for 8/10/23 Jonesboro Sports Medicine Clinic). Diagnosis: Left elbow displaced medial epicondyle fracture.
Licensing Specialist will follow-up with facility after resident’s appointment with the orthopedic doctor on 8/10/2023.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per client report, he landed wrong on his ankle while playing in the gym. Order obtained from APRN for transport to Forrest City Medical Center for evaluation and treatment of right ankle.
Results: Sprain of tibiofibular ligament of the right ankle.
Police Report
Suspicious Activity
Staff member called to report 2 suspicious individuals in the area. Officer unable to locate. Call complete.
Police Report
Fire Alarm
Fire alarm at front hall of facility. Alarm company made contact with keyholder, everything is 10-4. Call complete.
PRLU or OLTC
Notice of Incident, Self-Harm
Per staff, resident reported that he injured his right hand after hitting a door (small hematoma noted). 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 findings were no acute fracture or dislocation of the right hand. Remote healed fracture of the distal right fifth metacarpal noted.
PRLU or OLTC
Notice of Incident, Peer Altercation
Per resident report, he was pushed into the gym wall by another peer, he complained of right knee pain/swelling. The APRN made a referral for the resident to go out to Forrest City Medical Center for x-ray of right knee. The resident findings were acute fracture or dislocation noted; mild pre-patellar tissue swelling noted.
Police Report
Alarm
Commercial alarm at front south hall of building. False alarm. Call complete.
PRLU or OLTC
Notice of Incident, Self-Harm
Per staff report, the resident complained of having a foreign object in his ear. Resident was examined by the APRN. The APRN made a referral for the resident to go out to Forrest City Medical Center for evaluation and treatment due to object being found. No abnormalities noted.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Upon further video review of incident previously reported on 7/19, it was noted that client and staff were involved in a verbal altercation that turned physical. Written statements were obtained from staff. Staff termination pending (he has been removed from the schedule). Clinical Director to retrain 3-11 staff on verbal de-escalation/Trust-Based Relational Intervention life value terms. Licensing Specialist informed that [REDACTED] (Clinical Director) will begin the training for the 3-11 shift on Wednesday, July 26, 2023 and will run the training until Wednesday, August 4, 2023.
Licensing Specialist: Kendra Rice. Regulations out of compliance: 905.4.G – staff was observed charging towards resident that could have caused bodily harm. 109.1.G – staff member’s action toward resident was unprofessional. Licensing complaint founded.
PRLU or OLTC
Accidental Injury, Notice of Incident
Per staff report the resident was doing cartwheels in the gym and landed on his left hand/wrist and later noticed bruising, swelling and pain to his left elbow. Resident was examined by the nurse on duty and had full range of motion, but reported pain upon bending his arm up and down. The APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his left arm. The resident x-ray findings were no acute fracture or dislocation of the left forearm.
Licensing narrative: Licensing Specialist reviewed provider reported incident for licensing concerns.
PRLU or OLTC
Notice of Incident, Peer Altercation
Per staff report the resident complained of left-hand (thumb) pain after a peer threw a chair at him. The APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his left hand. The resident x-ray findings were no acute abnormality of the left hand.
Licensing narrative: Licensing Specialist reviewed provider reported incident for licensing concerns.
PRLU or OLTC
Notice of Incident, Peer Altercation, Self-Harm
Resident complained of right-hand pain after hitting the wall in anger after an altercation with a peer. 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 x-ray findings were no acute fracture or dislocation.
Licensing Specialist was informed of incident via email.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident injured his foot while playing in the gym. The nurse did her assessment and put in a consult for him to be seen by the APRN. The APRN made a referral for the resident to go out to Forrest City Medical Center for an x-ray of his left foot due to complaint of left foot pain and swelling. The resident x-ray finding is no acute fracture or dislocation.
Licensing narrative: Licensing Specialist was informed of incident via email.