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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 complained of lower back pain with shooting pains to right leg, bruise to left ear, and swelling of right ring finger. Resident expressed that he had experienced pain for the past three days and would not disclose the origin of his injuries. After nurse assessment, resident was sent to the ER. The physician did not confirm any further injuries or conditions. Instructed to take Tylenol as needed. X-Ray completed on finger and no findings present.
PRLU or OLTC
Maltreatment, Notice of Incident
Resident alleged that staff grabbed his neck and hurt his chest after he was guided out of a peer’s room that he had ran into. Resident and peer stated they were horseplaying and staff perceived resident running into peer’s room to fight. The actions of these two resident’s running into the resident’s room resulted in an ESI of another resident. Resident was observed hitting himself in the chest after another resident instructed him to make an old bruise “new again”. Child Abuse Hotline was called, not accepted. Safety Team conducted internal investigation, reviewed staff and resident statements, and talked with resident and 3 peers involved. The resident was moved to another hall immediately after allegations were made as to not work directly with staff he alleged hurt him.
Licensing was informed there is no camera footage. Licensing reviewed witness statements and nursing note. 10/16/2023 – Licensing Specialist inquired if staff member was working with resident. Facility reported the resident has been discharged from the program.
No licensing findings as this was not a licensing complaint investigation.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Buildings & Grounds conducted from 6:15pm – 7:00pm. Census: 56. Areas observed: Bedrooms, bathrooms, cafeteria, nurse’s stations, quiet rooms, laundry rooms, classroom hall, administration building, and gym. MARs reviewed for 5 residents. No licensing concerns noted.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Resident was punched in the face and attacked by another peer, causing injury to nose and causing resident to hit head on the ground. After nurse assessment, resident was sent to the ER. The ER physician confirmed head injury and conducted medical screening exam.
Licensing Specialist: Kendra Rice.
Licensing Specialist was informed resident involved himself in an altercation and was trying to break up a fight, he was not fighting. All parties involved were placed on assault precautions. Resident was moved to another hall for safety.
Licensing reviewed camera footage on 9/20/23. Due to the angle of the camera and the darkness of the area, licensing was unable to view the physical altercation but observed staff members running to the area to intervene. Residents were separated and were walked in two different directions of each other.
PRLU or OLTC
Medical, Notice of Incident
Resident reported worsening feelings of pain and flu-like symptoms with fever present. After nurse assessment, resident was sent to the ER. Client was diagnosed with an upper respiratory infection and prescribed medication.
Police Report
Fire Alarm
Fire alarm. Fire Department responded and advised that everyone evacuated, nothing is showing at this time. Alarm was reset.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident injured his hand by hitting a wall out of anger/frustration. After nurse assessment, resident was sent to the ER. No findings indicated by ER physician. A follow-up appt. was not required for this procedure. Resident placed on activity restrictions until cleared by medical.
Licensing Specialist inquired about late reporting: Staff member advised he was unable to log into his computer from his residence.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident injured his hand from punching a wall and was sent to the ER after nurse assessment. No findings indicated by ER physician. A follow-up appt. was not required for this procedure. Resident placed on activity restrictions until cleared to resume activities by medical.
Licensing Specialist inquired about late reporting: Staff member advised he was unable to log into his computer from his residence.
PRLU or OLTC
Medical, Notice of Incident
Resident reported continued diarrhea and abdominal pain to nurse. After nurse assessment, resident was sent to the ER. No findings indicated by ER physician.
Licensing Specialist inquired about late reporting: Staff member advised he was unable to log into his computer from his residence.
PRLU or OLTC
Medical, Notice of Incident
Resident reported pain in his right thumb and could not specify cause or source of pain. After nurse assessment, resident was sent to the ER. No findings indicated by ER physician. A follow-up appt. was not required for this procedure. Resident placed on activity restrictions until cleared to resume activities by medical.
Licensing Specialist inquired about late reporting: Staff member advised he was unable to log into his computer from his residence.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported that he had pain in his body after falling on 9/11/23. Resident was not able to specify why he fell. After nurse assessment, resident was sent to the ER. No findings indicated by ER physician.
Licensing Specialist inquired about late reporting: Staff member advised he was unable to log into his computer from his residence. Licensing Specialist was informed that the resident fell on the courtyard while playing catch with a football.
Police Report
Information Report
Caller advised dispatch that the facility would not let him have his son.
Police Report
Assault
Officer responded to facility in reference to an assault. Staff advised officer that he was attacked by 2 juveniles and suffered injuries to his right shoulder, back area, and hands. It is unknown why the juveniles attacked the staff member.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident injured his right toes in the gym as a result of his toes being accidently stepped on. He complained of pain and was given an ice pack and Ibuprofen 200mg. APRN ordered resident to be sent to the ER for an x-ray of his foot. Results: No acute fracture or dislocation.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
While in the dayroom, resident told his peers they were too loud and stood up and began to curse at the residents. A physical altercation ensued between client and 4 peers. Staff were able to separate the residents. Upon examination, resident was noted to have a knot under his left eye and a small knot on his forehead. Resident was sent to the ER for further evaluation and treatment. Results: Assault by unspecified means; contusion of other part of head.
Licensing Specialist: Kendra Rice.
Licensing was informed that residents involved were placed on assaultive precautions. Licensing reviewed camera footage on 9/12/23. Staff were observed separating the residents after the physical altercation, ratio 7:10. No licensing concerns noted.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported to staff that during a basketball game, another peer stepped down on his ankle. Resident reported he did not want to be treated because he wanted to play more basketball. Nurse assessed and observed swelling to client’s ankle. Staff explained the importance both long and short term of getting his ankle looked at. APRN recommended an ice pack be given to resident and an X-ray if further swelling and pain persists. Client placed on activity restriction.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident reported pain in his right hand after he punched a wall and a pole outside because he was angry. Resident was assessed and sent to the ER for x-ray. X-ray results: Fracture was indicated in hand. Pain medications PRN to be provided.
Licensing was informed that resident will have a follow-up appointment with Jonesboro Ortho on 9/25/23.
PRLU or OLTC
Medical, Notice of Incident
Resident reported to the nurse that he was having chest pains. Resident was assessed and sent to the ER where he was given an x-ray and medical assessments. The lungs were clear and mediastinal silhouettes were in normal limits. Resident was sent back to the facility for continued monitoring.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported to the nurse that while playing basketball, a peer “kneed him” (residents were not fighting or in conflict). Resident further stated that he fell and hit his head, and complained of head pain. Resident was sent to the ER and diagnosed with head injury. Resident was sent back to facility without any further treatment or pain reported.
PRLU or OLTC
Medical, Notice of Incident
Resident complained to nurse of feeling lightheaded. When the resident stood up from his chair, he fainted and hit his head on the wall at the Nurse’s Station. Resident did not disclose any activities or reason for feeling lightheaded prior to going to the Nurse’s Station. Nurse assessed resident and APRN recommended he be sent to FCMC. Diagnosis: Syncope and collapse – recurrent after assessment by physician at FCMC. Resident has been referred to see a cardiologist specialist on 10/17/23.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident presented to nurses’ station complaining of swallowing a lego and complaining of pain on the left side of his chest. Upon assessment B/P 110/74, Oxygen level 97%, Heart Rate 74, Respiration 20. APRN notified and an order was obtained to send client to FCMC for further evaluation and treatment. Results: Foreign Body (lego) of alimentary tract, part unspecified, follow-up as needed.
Licensing Specialist inquired if resident was placed on any precautions. Licensing Specialist informed that resident reported he was trying to break the pieces apart and accidentally swallowed one.
PRLU or OLTC
Notice of Incident, Self-Harm
Nurse was notified to come and check on resident who had punched the chair with his hand after feeling overwhelmed. Upon assessment, the right knuckle was slightly swollen and reddened. Action taken: APRN notified and an order was obtained to send resident to FCMC for further evaluation and treatment. Results: Right hand contusion, PRN Ibuprofen ordered for pain.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Resident was in a physical altercation with a peer. Per staff, resident was hit multiple times on the left side of his face. APRN notified and an order was obtained to send client to FCMC for X-ray of Face. No acute facial fracture or dislocation. The visualized paranasal sinuses are clear. No air fluid levels are present. The mandible and temporomandibular joints are intact.
Licensing Specialist: Kendra Rice.
Facility visited on 8/23/23 and camera footage reviewed. Licensing Specialist observed the peer jump on resident and staff were observed separating the residents and keeping other residents from participating. Both residents were placed on assaultive precautions and peer restriction.
Police Report
Elopement
Caller advised that a juvenile left the building, unknown direction of travel. Approximately 10 minutes later, officer located the juvenile and brought him back to the facility.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident continued to complain of elbow pain previously reported on 8/18/23 (resident was not able to be sent out due to verbalization of planning to elope when sent out for his elbow). Nurse assessed and APRN recommended resident be sent to FCMC for assessment and x-ray. FCMC Diagnosis: 1.5 mm calcification at the anterior tip of the coronoid process of the ulna is probably tiny developmental unfused apophysis, less likely would be an avulsion injury, correlate history of trauma. There is evidence of a small elbow joint effusion. Prominent soft tissue edema at the posterior and medical elbow, which could be due to trauma or cellulitis. Resident returned to facility with orders of Ibuprofen 3x daily and to see an orthopedic specialist by appointment. Resident placed on acitivity restriction.
Licensing Specialist inquired about resident’s orthopedic specialist appointment. 8/24/2023, Licensing Specialist informed that due to resident having out of state insurance the process could take one to two weeks.