Disability Rights Arkansas

Perimeter Behavioral of Forrest City / Woodridge of Forrest City

*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 [email protected]

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 

Treatment Components:

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

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PRLU or OLTC

Personnel Record Review, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 12:45pm – 2pm; Census: 57. Licensing was informed by HR that the facility has 4 staff members going through orientation. Licensing reviewed background checks and all were approved. No licensing concerns noted.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC (Revised), CAP
  • Multiple deficiencies noted. CAP must be completed within 30 calendar days (CAP submitted and approved).

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client injured his finger while attempting to rebound the ball during game of basketball. Client was sent to the ER and diagnosed with a fracture. Facility is waiting for a call back from ortho clinic regarding a follow-up appointment.
    • Licensing follow-up: Licensing was informed that client’s follow-up appointment is scheduled for 12/08/22. No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Peer Altercation

  • Peer Altercation
    • Client complained of pain to R orbital after a physical altercation with peer. Client was sent to the ER due to bruising and swelling and was diagnosed with an injury. Resident was placed on assault precautions.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Peer Altercation, Self-Injury

  • Peer Altercation, Self-inflicted Injury
    • Client was involved in a physical altercation with peer. Afterwards, client was still upset and began punching a window until it shattered. Client was sent to the ER due to a laceration to his wrist/hand. Client received 2 sutures and will have a follow-up appointment in 7-10 days. Client was placed on self-harm precautions and line of sight.
    • Licensing follow-up: Licensing was informed the client pulled out his sutures and was assessed by nursing, with no follow-up needed. No licensing concerns noted.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client was sent to the ER after he lost consciousness while playing basketball. Staff initially thought client was hit in the head with a basketball, but after camera review, it was determined he was not. Upon return from ER, client stated he got too hot and passed out. Client was diagnosed with a head injury and nosebleed.
    • Licensing follow-up: Licensing was informed it is unknown how/why client overheated. No licensing concerns noted.

PRLU or OLTC

Elopement, Notice of Incident

  • Elopement 1
    • At 6:00 am, 3 residents ran off 100-hall and eloped after kicking open the doors by the nurses station. Staff followed until they were off the premises, and police were contacted. Clients were located by police at around 7:40 am. All 3 residents were placed on unit restriction and elopement precautions.
    • Licensing follow-up: Licensing was informed that the police department did not disclose if the residents committed any crimes when they eloped. No licensing concerns noted.

PRLU or OLTC

Elopement, Notice of Incident, Visit Compliance Report

  • Elopement 2
    • At 11:40 am, client ran off 100-hall by kicking through the doors to the courtyard. Client then ran through the school, kicked open several doors, and exited through the front lobby. Staff followed the resident until he was off the premises, and police were contacted. Client returned on his own at 11:55 am. No injuries were noted, and client was placed on unit restriction and elopement precautions.
    • Licensing follow-up: Facility visited on 11/17/23 and camera footage reviewed. Licensing observed the client in the seclusion room after becoming upset with his peers. After client was informed his family session was cancelled, he kicked open the exit doors to the courtyard and sits outside with staff monitoring him. Client eventually walked to the administration building and once inside, pushed past staff and walked through the unsecured doors to elope. No licensing concerns noted, as staff maintained ratio and supervision of the resident during the incident.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury
    • Client punched the wall in his room multiple times. Client was sent to the ER for an x-ray due to redness of the 3rd and 4th knuckles of his R hand. Client was placed on self-harm precautions.
    • Licensing follow-up: Licensing was informed there were no findings on the x-ray. No licensing concerns noted.

PRLU or OLTC

Elopement, Notice of Incident

  • Elopement
    • At 2:23 pm, client became upset, kicked the school door open, and eloped from the facility. Staff followed until client was off the premises, and police were contacted. Client returned to the facility on his own at 2:50 pm. No injuries were noted, and client was placed on elopement precautions.
    • Licensing follow-up: Licensing inquired about camera footage and damage to the door. Facility reported no repairs were needed to the door.

PRLU or OLTC

Licensing, Neck Pain, Notice of Incident

  • Licensing (Neck Pain)
    • Client complained of neck pain, stating he doesn’t know the cause of pain. Client was taken to the ER for an x-ray.
    • Licensing follow-up: Specialist was informed on 11/15/22 that a follow-up appointment had not been scheduled for client’s neck pain. Staff will follow-up with nursing.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Seizure-Like Activity

  • Licensing (Seizure-like Activity)
    • Client was taken to the ER via ambulance due to seizure-like activity.
    • Licensing follow-up: Specialist received a copy of client’s discharge plan from ER. No licensing concerns noted.

Police Report

Battery Third Degree

Staff reported that juvenile attacked a peer and after staff broke up the fight, juvenile attacked staff, then broke away and ran out the door and attempted to climb the fence. Staff then restrained the juvenile until he broke free and punched a glass cover on a light, causing it to break. Juvenile then grabbed a piece of glass as a weapon, and was restrained again by staff to remove the glass. After juvenile was placed inside the quiet room, he was restrained once again for hitting the windows and walls.

Police Report

Battery Third Degree

Staff member reported that a juvenile was seen climbing on a gate, and once staff removed him from the gate, he began attacking staff. Staff member stated that while assisting other staff, juvenile kicked her in the mid torso.

PRLU or OLTC

Children's Records Review, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 10:55am – 2:45pm; Census: 52. Licensing viewed 3 children files.
  • Regs out of compliance –
    • R903.7 – Treatment plan was not reviewed monthly for 1 resident. Corrected on-site.
    • R1003.13 – Treatment plan was not reviewed quarterly for 1 resident. Corrected on-site.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Self-Injury

  • Licensing (Self-inflicted Injury)
    • Client complained of head pain from a self-inflicted injury and left posturer neck pain from hitting his head on the fence. Client was taken to the ER. Client was placed on self-harm precautions and a safety plan.
    • Licensing follow-up: Specialist observed client upset due to a room change, and client became aggressive with staff. Client was placed in a restraint, and once released, client began to hit his head on the wall of the SRU hallway. He then walked by the door and began to hit, kick, and bang his head on the door, during which staff appeared to be talking with him. No licensing concerns noted.

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

  • Dual (Maltreatment)
    • Licensing received complaint on 11/14/22 regarding incident on 11/3/22: Client reported staff member put him in a restraint hold and bent his arm, trying to break it. Staff member was placed on suspension pending the investigation. Child Abuse Hotline was called and accepted.
    • Licensing follow-up on 11/14/22: CACD investigator reported they received the maltreatment report on 11/8/22 and conducted interviews the same day. Facility was cited for R110.12 for not notifying Licensing that an accepted hotline call was made against staff. Licensing reviewed video on 11/8/22 with no concerns regarding the restraint but did mention client holding his wrist. Staff involved is currently on suspension, and facility has requested an ICA for staff. Licensing reviewed staff’s personnel record which showed all regulatory checks and pre-service training was completed. Staff was previously placed on an ICA due to an investigation in which he was accused of using excessive force on a resident during a restraint hold (Video was reviewed by Licensing with no concerns noted, and staff received retraining on SAMA).
    • On 12/2/22, Licensing was informed the CACD investigation was unsubstantiated. No licensing concerns noted.

PRLU or OLTC

Licensing, Notice of Incident, Peer Altercation

  • Licensing (Peer Altercation)
    • Client was involved in a physical altercation with a peer, and afterwards complained of pain and swelling to his thumb. Client was taken to the ER for an x-ray. Client was placed on assault precautions and peer restriction.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Peer Altercation, Restraint Injury

  • Licensing (Peer Altercation, Restraint Injury)
    • Client walked outside after a physical altercation with a peer and began to fight staff. Client was placed in a physical containment, during which he was aggressive and resistant. Client stated his wrist was injured during the containment and was taken to the ER and diagnosed with a sprain. Client was placed on assault precautions. Client was taken back to the ER on 11/10/22 after he removed his brace and utilized the metal piece as a weapon.
    • Licensing follow-upon 11/8/22: Specialist viewed camera footage and observed the physical restraint and client holding his wrist afterwards. Staff were not observed using inappropriate restraint techniques. No licensing concerns noted. Client has a follow-up appointment for his wrist injury on 11/15/22.
    • See 11/03/22 Maltreatment Notice of Incident for more information.

PRLU or OLTC

Licensing, Notice of Incident, Sore Throat/Fever

  • Licensing (Sore Throat, Fever)
    • Client was taken to the ER after complaining of a sore throat and fever.
    • Licensing follow-up: No licensing concerns noted

PRLU or OLTC

Licensing, Notice of Incident, Peer Altercation

  • Licensing (Peer Altercation)
    • Client was playing “bloody knuckles” with a peer; Client was redirected and taken to the nurse’s station. Nurse noted faint bruising and edema to client’s hand, and client was taken to the ER. Residents have been placed on assault precautions and peer restricted.
    • Licensing follow-up: Specialist was informed on 11/4/22 that assault precaution and peer restriction were still in place. No licensing concerns noted.

PRLU or OLTC

Elopement, Maltreatment, Notice of Incident, Visit Compliance Report

  • Dual (Maltreatment, Elopement)
    • Client eloped from the facility after a fire alarm was activated, unlocking all doors at the facility. Client disclosed that he eloped because Staff 1 hit him, and while trying to elope, Staff 2 choked him by placing his hands around his neck, restricting his breathing. Staff were placed on suspension pending the investigation.
      • Child Abuse Hotline was called and screened out, but later accepted. Licensing follow-up: Specialist spoke with staff and informed them that even though the call was screened out initially, when it became accepted the facility was responsible for reporting the call to the licensing unit the next business day; Facility cited for 110.12. No video footage is available due to time lapse between when the incident occurred and when licensing received notification. Upon review of personnel files, Staff 1 received disciplinary action for “bullying and antagonizing residents” on 07/19/22 and was retrained on SAMA. Staff 2 was involved in an open maltreatment report from 09/07/22 (not mentioned or addressed in his personnel file). Staff 1 is being terminated on 11/17/22, and Staff 2 is suspended pending the review of an ICA requested by the facility. Licensing also discussed with staff that the information regarding staff maltreatment was not included in the original report to Licensing, and provided education that serious occurrence forms must contain all relevant information.
      • CACD investigation was unsubstantiated. No licensing concerns noted.

PRLU or OLTC

Elopement, Notice of Incident, Peer Altercation

  • Dual (Peer Altercation, Elopement)
    • Client was involved in a physical altercation with peer and became aggressive with staff. During the altercation, the fire alarm was disabled, causing all the doors to unlock. Client was able to exit the building at 7pm with staff following, and staff attempted to contain him. Due to being off grounds, staff were instructed to release the client and he continued to run. Police were notified and assisted with searching for the client. Alarm company and maintenance were notified to assist with relocking all doors. Upon camera review, client was seen entering the school building and testing all doors to see if they would open, then entered the courtyard and sat by a door until he was found by maintenance conducted a check on all doors at 7:30pm. Client was assessed (no injuries) and placed on elopement precautions.
    • Licensing follow-up: Specialist was informed that police were called to assist but did not find the client. Client was found by staff and no police report was filed.

PRLU or OLTC

Accidental Injury, Licensing, Notice of Incident

  • Licensing (Accidental Injury)
    • Client complained of finger pain, stating he jammed it playing basketball. Client was sent to the ER for an x-ray.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Licensing, Notice of Incident, Sore Throat/Fever

  • Licensing (Sore Throat, Fever)
    • Client complained of sore throat and presented with a fever. Client was taken to the ER.
    • Licensing follow-up: No licensing concerns noted.