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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 was observed coughing and wheezing and complained of chest pain. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Results of X-Ray and assessment are no significant findings.
PRLU or OLTC
Medical, Notice of Incident
Resident complained of shortness of breath. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Results: No significant findings, no danger to lungs or airway.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Buildings and grounds completed from 10:30am – 12:45pm. Areas observed: Grounds, dining room, administration building, nurse’s station, bedrooms, bathrooms, parking lot, and courtyard. Ratios observed during walkthrough. MARs reviewed for 4 residents. No licensing concerns noted.
Record Review conducted from 12:45pm – 1:30pm.
Licensing reviewed 4 children files and 3 personnel files with no licensing concerns noted. Licensing received documentation of a staff member’s suspension.
Medicaid Inspection of Care
Corrective Action Plan, Inspection of Care Report
Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted on 10/17/23.
Police Report
Battery
Officer was dispatched in reference to a resident assaulting a staff member.
Upon arrival, the resident advised officer that he was told he had to move halls and he wasn’t moving as fast as the staff member wanted him to, so staff started to throw his things and he got upset. Resident advised officer the staff had grabbed him and he defended himself, stating he complied with all staff orders and the staff member was aggressive with him.
The staff member advised officer that the juvenile was moving at his own pace and became aggressive. Staff stated he attempted to put the resident in a restraint, and he assaulted him.
Both the resident and staff member had red marks to their nose and scratches to their necks. Facility was advised of the affidavit process.
PRLU or OLTC
Accidental Injury, Notice of Incident
In the classroom a desk fell on resident’s right foot causing injury. Nurse note pain and swelling of the foot. Resident was sent to Forrest City Medical Center for evaluation. Diagnosis: Foot contusion. No significant findings on x-ray.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident received laceration to the eye during an accident that took place while playing with a peer during recreation time. Nurse observed the skin above the eye broken. Resident was sent to Forrest City Medical Center for evaluation. After the medical exam there were no other findings other than the eye laceration and some swelling.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident came to Nurse station after hitting the wall with his right hand when angry and in conflict with another peer. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Results of X-Ray: Hand contusion.
PRLU or OLTC
Medical, Notice of Incident
Resident came to Nurse station with redness and swelling to his right hand and did not disclose origin of injury, he just said his hand hurt. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Results of X-Ray and assessment are no findings or significant injury.
PRLU or OLTC
Medical, Notice of Incident
Resident came to Nurse station with complaints of left knee swelling and pain. The origin of the injury was not specified by resident. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Results of X-Ray and assessment are left leg swelling, no acute findings or dislocation, mild prepatellar tissue swelling.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident reported pain in his right hand after hitting the wall because he was angry. Resident was sent to Forrest City Medical Center for further medical assessment and X-Ray. X-ray findings: No acute fracture or dislocation.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported pain and swelling in his great right shoulder after playing a game of dodgeball. Resident was sent to Forrest City Medical Center for further medical assessment and X-Ray. X-Ray findings: No acute findings or injuries.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported pain and injury to back after horseplaying with another peer outside during recreation time. Resident was sent to Forrest City Medical Center for further medical assessment and X-Ray. X-ray findings: No acute findings and no acute lumbar spine abnormality.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported pain in his great right toe after injuring it while outside playing during recreation time. Resident was sent to Forrest City Medical Center for further medical assessment and X-Ray. Diagnosis: Great right toe contusion; No acute findings or injury.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident injured his left thumb while outside playing during recreation time with another resident. Pain and swelling was noted by nurse. Resident was sent to Forrest City Medical Center for further medical assessment and X-Ray. X-ray findings: Mildly displaced, mildly impacted comminuted fracture through base of the proximal phalanx of the thumb notes. Resident referred for ortho. appt. on 10/4/23.
PRLU or OLTC
Medical, Notice of Incident
Resident was sent to Forrest City Medical Center for chest X-Ray from previous orders due to dizziness and increased heart rate for follow up. X-ray findings: The cardiac and mediastinal silhouettes are within normal limits. The lungs are clear. The osseous structures are intact; No acute cardiopulmonary abnormality.
PRLU or OLTC
Injury Follow-up, Notice of Incident
Resident took off splint and threw it away. Resident was sent to Forrest City Medical Center for another assessment, who then referred resident to Le Bonheur Hospital for cast reevaluation and hard cast to be put on it to reset fracture and immobilize it so the wrist can heal properly.
Police Report
Battery
Officer was dispatched to Forrest City Medical Center for a battery report. Upon arrival, juvenile advised officer that he was lying in bed at the facility when a peer walked over and hit him in the eye with a closed fist. Juvenile was then sent to the hospital and diagnosed with a fractured left lamina papyracea. Officer made contact with staff who advised they would make contact with juvenile’s guardian to sign an affidavit to press charges.
Police Report
Assault
Officer responded to facility in reference to an assault report.
PRLU or OLTC
Notice of Incident, Peer Altercation
Client was punched and kneed in the nose by a resident and hit in the face by another resident. Client complained of pain, swelling was noted to his left eye, and client’s nose was bleeding. After nurse assessment, client was sent to the ER. X-ray results: Orbital fracture of L eye. ER recommended follow-up with APRN within 2-3 days, continuance of care and follow-up with ophthalmology in 2 weeks.
Facility informed Licensing no camera footage was available of incident. Licensing Specialist was informed that resident discharged from the program and his guardian took over treatment. Peer who attacked resident was placed on unit restrictions and later discharged from the program for assaulting the resident.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Employee was heard cursing out residents (1 client in particular) in the dining hall by other employees. Employee admitted to cursing at children and resigned on the spot. Resignation was accepted and former employee will not be eligible for re-hire. The Program Director made a Child Abuse Hotline report (not accepted).
Licensing Specialist: Kendra Rice.
Facility cited 905.4.c: Staff member was overheard by other staff members using profanity toward the residents in the dining hall. Facility informed Licensing Specialist that professional conduct will be reviewed with all staff within 30 days. Licensing founded complaint.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident punched a wall when angry in the quiet room and complained of pain to his right hand. Nurse noted swelling of right hand and client was sent to the ER. Results of X-ray: None. Diagnosis: Right hand pain, contusion.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident complained of pain in his left hand after injuring it while playing sports/physical activity. Nurse noted swelling to his hand and client was sent to the ER. Results of X-ray: Dorsal offset of the epiphysis of the radius with suspected metaphyseal corner fracture of the posterior radios is likely a Salter two fracture. Diagnosis: Left wrist and hand trauma/contusion.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident punched a wall when angry and complained of pain to right hand. The nurse observed swelling to his right hand and resident was sent to the ER. Results of X-ray and physician assessment are pending.
Licensing received copy of x-ray results, no acute fracture or dislocation.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Licensing provided facility with the following Technical Assistance: 110.17. Facility did not notify Licensing by the next business day of serious occurrences that required medical treatment for 5 ELS cases. Moving forward, facility will contact Licensing via telephone when unable to email or enter serious occurrences in ELS.