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

Notice of Incident, Peer Altercation

  • Peer Altercation
    • Client and peer were in an altercation, during which peer grabbed a pencil and stabbed client in the L and R forearm. Client was sent to the ER and diagnosed with laceration to both forearms. Resident was placed on assault precautions and peer restricted.
    • Licensing follow-up: Licensing requested camera footage on 01/09/23; Staff reported the camera footage had cycled out, and there were no witness statements. Facility informed licensing that staff did separate the residents, and client’s wounds were superficial and did not require sutures. Residents are only allowed golf size pencils on the units. Client was discharged from facility on 01/25/23.

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client hurt his ankle while playing basketball in the gym. Client was sent to the ER and diagnosed with an ankle sprain.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 12:30pm – 1:30pm; Census: 58. Walkthrough completed of the following areas: Education building, stations 1 & 2, gym and the cafeteria. Licensing spoke with staff regarding repairs made to the building. Windows have been replaced and the exterior doors have double magnets.

PRLU or OLTC

Notice of Incident, Self-Injury, Visit Compliance Report

  • Self-inflicted Injury
    • Client reported he swallowed 2 staples. Client was taken to the ER; X-ray revealed foreign body of alimentary tract, and client was instructed to return to the ER in 2-3 days to identify if the item had passed. Client was placed on suicide precautions.
    • Licensing follow-up: Client got the staples from a classroom. Staff reported the teachers have been made aware for staples to be kept out of view of residents and that residents are not allowed behind or around teachers’ desks. Staff reported daily walk-throughs of facility are conducted, and black tape has been placed on the floor to mark how close residents are allowed to teacher’s desk.

PRLU or OLTC

Complaint Survey with POC, Revisit Survey with POC

  • Complaint #AR000029294 was in compliance.
  • Regs out of compliance –
    • N134 – Failed to ensure that a physician’s order for a physical restraint was obtained and documented for 1 client.
  • POC – All nursing employees will be re-educated by the DON on ESI documentation standards, ESI packets will be reviewed daily, facility will report ongoing compliance rates during daily leadership meeting, and a physician’s order was obtained and documented on 12/19/22 for client 1.
  • A revisit was conducted on 03.30.23, and the facility was still not in substantial compliance with the following participation requirements:
    • N142 – Facility failed to ensure an order for a physical and chemical restraint was not received at the same time for 3 clients and a physical restraint was utilized long enough to determine its effectiveness before the administration of a chemical restraint for 1 client.
  • POC – Facility will conduct mandatory re-education in-service for all RNs and LPNs led by the DON (ESI Documentation, Obtaining and Documenting Physician Orders, Physician Transcribing and Authentication Policy, ESI Policy). Daily chart audits will be conducted, DON will discuss daily compliance rate in Quality/Safety Meeting, and compliance rates will be documented/submitted in monthly Quality Patient Dashboard.
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PRLU or OLTC

Notice of Incident, Peer Altercation, Visit Compliance Report

  • Peer Altercation
    • During an altercation with a peer, client was hit in the head by a desk. Client complained of pain to head area, with slight swelling and redness noted. Client was sent to the ER and diagnosed with contusion of scalp and head injury. Resident was placed on assault precautions and peer restrictions.
    • Licensing follow-up: Staff reported the incident happened in the classroom, and the camera in the classroom is not working. Facility reported that administration was not made aware of resident being transported to the ER until 12/16/22 when reviewing incidents. Licensing interviewed client on 01/06/23, who reported he was attacked by his peer because he was crying, and he was then taken out of the room by staff and escorted to the nurse. Client has recovered from the injury with no complaints.

PRLU or OLTC

Notice of Incident, Sexual Contact, Visit Compliance Report

  • Peer Sexual Contact
    • Client reported that while in their assigned room, peer pushed him on the bed and started humping him from behind (with clothes on). Client was assessed with no injury or complaints. Peer was assigned single room placement and peer restricted, and both residents were seen by their therapist. There is no camera footage due to incident taking place inside their room.
    • Licensing follow-up: Licensing received witness statements from both residents. Peer stated they were horseplaying, he pushed client on the bed and his leg wrapped around his, causing him to fall on client. Licensing spoke with staff, who stated the residents interactions are being monitored by staff.

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client complained of hurting his finger while playing basketball. Client was sent to the ER and diagnosed with contusion of finger. No new orders or prescriptions were given.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client complained of abdominal pain and was taken to the ER. Client was diagnosed with abdominal pain, and no new prescriptions or orders were given.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client was taken to the ER after having seizure-like activity. Client was diagnosed with generalized anxiety disorder, and no new prescriptions or orders were given.
    • Licensing follow-up: No licensing concerns noted.

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.