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

  • Elopement
    • Client eloped from the facility after an altercation with his peer. Client kicked open doors while running through the facility and eventually left the premises. Staff kept the client in line of sight at all times. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Maltreatment (2)
    • Client eloped off his unit with a peer after staff had fallen asleep, allowing the residents to take his key fob. Staff member was placed on immediate suspension.
    • Child Abuse Hotline was called and accepted. Licensing follow-up: On 5/5/22, Specialist emailed the facility to determine the outcome of the camera review and the amount of time between the residents eloping and when staff became aware. On 5/10/22, Specialist reviewed the camera footage and discussed the incident with staff.

PRLU or OLTC

Notice of Incident

  • Maltreatment (1)
    • Client eloped off his unit with a peer after staff had fallen asleep, allowing the residents to take his key fob. Staff member was placed on immediate suspension.
    • Child Abuse Hotline was called and accepted. Licensing follow-up: On 5/5/22, Specialist emailed the facility to determine the outcome of the camera review and the amount of time between the residents eloping and when staff became aware. On 5/10/22, Specialist reviewed the camera footage and discussed the incident with staff.

CWARB Actions

Letter of Reprimand

  • The agency has failed to maintain substantial compliance with Minimum Licensing Standards. Areas of concern are centered around Buildings/Grounds, Behavior Management, Ratio/Supervision, and Unprofessional Conduct.
  • The attached CAA reflects the excessive citations and lack of sustained compliance at Perimeter Behavioral of Forrest City. Because of this, youth are not receiving the required care as intended by the Minimum Licensing Requirements.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Chelsea Vardell.
  • Facility visited; Census: 61. MARs reviewed for 2 SRU residents and 1 PRTF resident.
  • Regs out of compliance –
    • R911.6 – Light cover in bedroom 202 is missing, leaving the fluorescent light bulbs exposed. Station 1 quiet room had damage to the lower part of the right wall, causing shards of wood to be exposed. SRU bathroom shower stall appeared to have a dark matter in the ceiling of the entrance to the shower. The specialist was unable to determine if this was mold or dirt. Due date for all concerns: 4/29/22.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client was taken to the ER for an x-ray of his right thumb due to pain from a basketball injury 2 weeks prior.
    • Licensing follow-up on 4/22/22: Specialist requested x-ray results via email.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client reported that he was choked by staff member after he put his feet on the wall and was flickering the lights on and off. Staff member was placed on suspension pending the investigation results.
    • Child Abuse Hotline was called and accepted. Licensing follow-up: On 4/26/22, Licensing Specialists visited the facility and reviewed camera footage. As of 6/13/22, CACD reported that this case is still pending

PRLU or OLTC

Notice of Incident

  • Elopement (1)
    • Client eloped from the facility, and the police department was notified.
    • Licensing follow-up on 4/19/22: Staff reported to Licensing Specialist that a camera review will be conducted to determine how the resident eloped. Client eloped using a key fob from staff that they obtained in an unknown way.

PRLU or OLTC

Notice of Incident

  • Elopement (2)
    • Client eloped from the facility, and the police department was notified.
    • Licensing follow-up on 4/19/22: Staff reported to Licensing Specialist that a camera review will be conducted to determine how the resident eloped. Client eloped using a key fob from staff that they obtained in an unknown way.

PRLU or OLTC

Notice of Incident

  • Elopement (3)
    • Client eloped from the facility, and the police department was notified.
    • Licensing follow-up on 4/19/22: Staff reported to Licensing Specialist that a camera review will be conducted to determine how the resident eloped. Client eloped using a key fob from staff that they obtained in an unknown way.

PRLU or OLTC

Notice of Incident

  • Elopement (4)
    • Client eloped from the facility, and the police department was notified.
    • Licensing follow-up: On 4/26/22, staff reviewed the camera footage with Licensing Specialist, which showed 2 staff with 9 residents. An incident occurred off the unit, in which the 2 staff members left leaving the residents unattended. Four residents then use a staff key card to elope. A staff member then enters and sits with the 5 residents, unaware of the elopement. The original staff member returns and monitors the 5 residents, also unaware. Staff were unaware of the elopement for 42 minutes until the local fire department called to report 1 resident at their fire station.

PRLU or OLTC

Notice of Incident

  • ER Visit (Arm Pain)
    • Client was taken to the ER for an x-ray after he complained of pain in his right arm. No follow-up details

PRLU or OLTC

Notice of Incident

  • ER Visit (Self-inflicted Injury)
    • Client was taken to the ER for an x-ray after he complained of pain in his right hand due to punching walls and doors. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Passed Out)
    • Client was transported to the ER after he passed out in the classroom. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Unknown)
    • Client was transported by ambulance. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client reported that a staff member grabbed him on the arm, threw him on the bed, and squeezed his arm. Staff was placed on suspension pending the investigation results.
    • Abuse Hotline was called and accepted. Licensing follow-up on 4/12/22: Specialist discussed the incident with staff and reviewed 1 hour of camera footage. Due to the footage being a 3-hour window, it was decided that staff will continue to view the footage and alert Licensing to any findings. Licensing Specialist will return for further camera review if it is determined that staff did enter the resident’s room.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client reported he injured his back 2 weeks prior when he fell off the stairs of his bed. Client was taken to the ER. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Maltreatment (1)
    • Client reported he was pulled from his bed by staff and dragged down the hall to the nurses station. A camera review was conducted of the incident.
    • Child Abuse Hotline was called and accepted, substantiated. Licensing follow-up: On 4/8/22, staff reported they will be terminating the employee. On 4/12/22, Licensing reviewed the camera footage which showed staff dragging the resident from the room after he hid from staff. The resident was not a harm to himself or others at the time of the “restraint”. Additional staff witnessed the unprofessional conduct and did not report it to management. Staff witnesses were retrained by management on mandated reporting and received written disciplinary action.

PRLU or OLTC

Notice of Incident

  • Maltreatment (2)
    • Two clients reported that a staff member pinched them for talking during quiet time and client 1 disclosed a bruise on his left arm that was large and healing. Client 2 stated staff member would not let them get a grievance or therapist sheet. Staff member was suspended pending the outcome of the investigation.
    • Child Abuse Hotline was called and accepted, unsubstantiated. Licensing follow-up on 4/13/22: Staff reported one of the clients did not have any marks, and one had marks because of self-harm and was on restriction because of self-harm and fleeing. There is no video of the incident due to the facility getting new cameras. There was no documentation by nurse of bruises from being pinched, and staff denied allegations against him. The investigation was closed out unsubstantiated.

PRLU or OLTC

Notice of Incident

  • ER Visit (Finger Pain)
    • Client taken to ER after complaining of pain to left hand middle finger. No follow-up details.

Police Report

Battery Third Degree

Director at facility stated that a staff member assaulted a juvenile. Upon video review, director observed staff pick up the juvenile and slam him on the ground. Staff member was then seen going after other juveniles who had tried to hit him during the altercation. Staff member was taken into the administration building where he then left the facility refusing to return his access key.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • After client assaulted staff, staff slammed client and began to physically fight with the client. Facility CEO was present and was able to get staff off client. Staff member was terminated on-site, effective immediately.
    • Child Abuse Hotline was called and accepted, substantiated. Licensing follow-up: On 4/12/22, Licensing visited the facility and reviewed camera footage, which showed staff attacking the resident and engaging in dangerous behavior with the resident. Witness reports state that staff placed the resident in a restraint hold and used profanity towards him in a threatening manner prior to the assault.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client taken to ER due to pain after he reportedly fell while at home and hit his right eye.
    • Specialist followed up on 4/6 to get x-ray results: No findings.

PRLU or OLTC

Notice of Incident

  • ER Visit (Congestion, Cough)
    • Client taken to ER and chest x-ray requested after reporting congestion and cough.
    • Specialist followed up on 4/6 to get x-ray results. No concerns were noted on the visit.

PRLU or OLTC

Notice of Incident

  • ER Visit (Self-inflicted Injury) 1
    • Client taken to ER after repeatedly hitting his head on the wall and hitting himself.
    • Specialist followed up on 4/6 to get x-ray results: No findings.