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

Resident came to the nurses station with complaints of left elbow pain from fight with another resident. Resident was brought in to talk to the safety team and placed on assault precautions for fighting with another resident. Corrective Actions Taken: Nurse consulted with APRN who advised that resident be sent to the Forrest City Medical Center for evaluation. Results of examination and X-Ray are no acute findings recommended that resident take Tylenol as needed.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident came to the nurses station with complaints of not being able to move his fingers after punching the wall from being angry after he asked to go to the quiet room for a reason that he did not disclose with staff. Nurse consulted with APRN who advised that resident be sent to the Forrest City Medical Center for evaluation. Results of examination and X-Ray are fracture of hand because of self-harm. Resident placed on self-harm precaution and brought to the Leadership Safety Team for support to investigate what was wrong. Resident who recently admitted said that he is angry because he is in residential and does not want to be here. Resident given splint pain medications.

PRLU or OLTC

Medical, Notice of Incident

Resident was brought to the nursing station after experiencing pain and drainage from the right ear. Corrective Actions Taken: Resident was assessed and checked by nurse. Nurse consulted with APRN who advised that resident be sent to the Forrest City Medical Center for evaluation. Results of examination and X-Ray are Acute suppurative otitis media without spontaneous rupture of ear drum, right ear; other otitis externa, right ear; Prescribed with Amoxicillin and Ciprofloxacin-dexamethasone.

PRLU or OLTC

Accidental Injury, Notice of Incident

While on a High-Level Reward Outing at the skating rink, resident injured his left wrist in an accident when he fell as he was trying to take his skates off. Corrective Actions Taken: Upon immediate arrival back from the outing, resident was assessed and checked by nurse. Nurse consulted with APRN who advised that resident be sent to the Forrest City Medical Center for evaluation at 18:40. Results of examination and X-Ray are radical fracture of left wrist. Resident put in sling to immobilize injury for healing; prescribed pediatric acetaminophen and Ibuprofen.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident injured right knee and complained of pain. This injury took place during recreational activities. Resident was sent to the Forrest City Medical Center for evaluation. Results of examination and X-Ray are no significant findings or injury.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident injured right hand/fingers and complained of pain. This injury took place during recreational activities. Resident was sent to the Forrest City Medical Center for evaluation. Results of examination and X-Ray are contusion right hand, no findings per X-Ray.

PRLU or OLTC

Medical, Notice of Incident

Resident injured right elbow and complained of pain and did not disclose what happened to the nurse or staff when prompted. Nurse observed the skin above the eye broken. Resident was sent to Forrest City Medical Center for evaluation. Results of examination and X-Ray are right elbow pain, contusion, no acute fracture or dislocation.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident came to Nurse station with swelling and pain from punching the wall. 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

Accidental Injury, Notice of Incident

Resident came to Nurse station with pain after peer fell on his leg while playing in the gym. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Results of X-Ray and assessment are musculoskeletal pain, cold therapy to treat.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was kicked in the eye/face area after being attacked by another peer who was trying to take his candy. Resident complained of pain and blurry vision, redness also observed. Resident was sent to Forrest City Medical Center for assessment and X-Ray. Diagnosis: Contusion, deep bruise.

10/30/2023 – Licensing Specialist informed there was no camera footage and peer was placed on assault precautions.

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.