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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 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.
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.