Disability Rights Arkansas

Perimeter Behavioral of the Ozarks / Woodridge of the Ozarks

*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 rstanford@disabilityrightsar.org

Location: Springdale, AR                   Population Served: Adolescent girls ages 7-17

# of residents per unit: Up to 12 Residents per room: 2 Capacity: 32

Contact with family (Calls and visit schedule): Weekly calls up to 3x/week for 10 minutes, intervention call available 1x/week for 10 minutes. Visitation available 2x/week for 30 minutes if previously scheduled. Zoom available if in person is not possible.

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? Yes 

Treatment Components:

Clinical Director: LCSW                    Therapists: 2 full-time therapists (1 LMSW, 1 LAC)

Treatment modalities offered: Facility declined to identify any specific modalities available.

# of individual therapy sessions/week: Varies by client, most clients receive one individual therapy session per month

# of group therapy sessions led by a licensed mental health professional/week: 3

 

DRA Monitoring/Investigations

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PRLU or OLTC

Corrective Action Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 1130 – 1315. Census: 27. Licensing completed a walkthrough of the Orange and Green Halls, and MARs were reviewed for 5 residents.
  • TA –
    • R911.6 – Some of the shower floors on the Orange and Green Halls have roughness around the drain. Maintenance was made aware of the licensing concern and agreed to take care of the concern. Licensing will follow-up with the facility on 9/19/22.

PRLU or OLTC

Corrective Action Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 1245 – 1345. Census: 65. Licensing completed a walkthrough of the Blue Unit. The other units (Orange and Green) had residents either being quarantined or positive for Covid-19. Licensing viewed bedrooms and bathrooms for 101 – 105. All shower floors were viewed where epoxy was applied: No sharp edges were noted around the shower drain and no tiles were able to be pulled up from around the drain. No licensing concerns noted.

PRLU or OLTC

Complaint Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Licensing observed the following areas: Blue Hall, Green Hall, Orange Hall, classrooms, courtyard, and cafeteria. Green Hall had 6 residents test positive for Covid. The residents are having school in their unit hallway due to Covid. Specialist viewed MARs; No licensing concerns noted.

PRLU or OLTC

Complaint Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Licensing spoke with the Director of Nursing regarding an incident that occurred. The residents have been separated and the aggressor was placed on room ban. Licensing is not prepared to leave a finding at this time regarding the outcome. Facility cited for late reporting.
  • Regs out of compliance –
    • 1.110.12 – The agency shall notify the Licensing Unit by the next business day when a report of child maltreatment is accepted by the child abuse hotline against the owner/operator, employee, foster parent, volunteer, child, or other person in a child welfare agency

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm
    • Client used their fingernails to re-open old scars on their left arm. Client’s self-harm precaution for 7 days was extended. Client met with their therapist and C-SSR completed. No follow-up details.

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm
    • Client informed the RN that they self-harmed with a small piece of plastic they found on the floor. Superficial cuts noted to client’s left arm. Client was assessed by nursing staff; No first aid required. The client was placed on a self-harm precaution.
    • Licensing follow-up on 8/15/22: Client was assessed and processed with nursing staff.

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm
    • Client used object on arms to self-harm. Client was assessed by nursing staff; No first aid required. Client was placed on a self-harm precaution for 7 days. No follow up details.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • No licensing visit on 8/12/22. Facility cited for late reporting.
  • Regs out of compliance –
    • 1.110.12 – Reported incident happened on 8/6/22, licensing notified on 8/10/22. (The agency shall notify the Licensing Unit by the next business day when a report of child maltreatment is accepted by the child abuse hotline against the owner/operator, employee, foster parent, volunteer, child, or other person in a child welfare agency).
    • 1.110.17 – Reported incident happened on 7/31/22, licensing notified on 8/8/22 (The agency shall notify the Licensing Unit by the next business day of serious injuries requiring emergency medical treatment, agency vehicle accidents, arrests, elopements, suicide attempts, or deaths, and maintain documentation of the incident and notification).

PRLU or OLTC

Forced Sexual Contact, Notice of Incident

  • Sexual Contact (Forced)
    • Client disclosed that peer hugged client and roughly fondled their fingers inside of client without consent. Client reported that this has happened on several occasions while on the blue unit and always in a bedroom. Residents have not been on the same unit for approximately 30-45 days.
    • Child Abuse Hotline called and accepted. Licensing follow-up on 8/12/22: Per DON, the residents have not been on the same unit for 30 days. One of the clients is on room ban (client can only get dressed in client’s room).

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-injury
    • Client hit a wall, causing open skin and bleeding to 2 knuckles. The client was treated by the RN. Licensing follow-up: Client was treated at the facility.

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm (1)
    • It was reported that client had bilateral marks on arms from biting themselves. No first aid needed. The client was placed on a self-harm safety plan.
    • Licensing follow-up on 8/1/22: Licensing inquired how long client will be on safety plan. Response email indicated 7 days.

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm (2)
    • Client attempted to cut off circulation to their hand by wrapping a hair tie tightly around their wrist. The hair tie was removed with no injury. The client was placed on a self-harm safety plan for 7 days and will not be allowed to use hair ties during this time.
    • Licensing follow-up on 8/1/22: Afterhours hotline for facility was called.

PRLU or OLTC

Arrest, Notice of Incident, Self-Harm

  • Self-harm, Arrest
    • Client tied a hair tie around their hand in attempt to cut off circulation. Staff removed hair tie and client was placed on a safety plan. Client then tried to tie a shirt around their neck; Staff intervened and removed the shirt. Client then became physically and verbally aggressive with staff and was placed in a restraint. Due to continued aggression while in containment, police were called, and charges filed. The client was transported to JDC. No follow-up details.

Police Report

Assault, Battery

Caller (staff) stated she would like to press charges due to her being assaulted by juvenile. Caller stated juvenile was being violent with a staff member and when she went to assist, juvenile grabbed a chunk of her hair and pulled it out. Police responded to scene.

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm
    • Client informed RN that they self-harmed with a sharp piece of plastic found under a bed. Bilateral superficial cuts noted on arms and thighs. No first aid needed. The client turned in contraband to RN and was placed on a 7-day self-harm precaution safety plan with increased line of sight. No follow-up details.

PRLU or OLTC

Notice of Incident, Staff Attacked, Suicide Attempt

  • Suicidal Attempt & Staff Attacked
    • Client became aggressive with staff due to not having markers. The client was separated from staff and residents and placed in the calming room. While in the calming room, the client removed their shirt and another item and attempted to tie both around their neck. Staff removed both objects from client’s neck and offered a paper top to client, but client refused.
    • Licensing follow-up: 1 to 5 ratio, bruises noted on staff, no medical intervention required.

PRLU or OLTC

Notice of Incident, Self-Harm

  • Self-harm
    • Client was in their room with contraband, attempting to self-harm. Client had superficial cuts to forearm but was uninjured. Client was placed on a 7-day self-harm precaution.
    • Licensing follow-up on 7/22/22: Inquired about contraband, self-harm precaution, and incident report. Self-harm precautions explained.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Licensing visit conducted from 12:10 – 13:55 with Program Coordinator Chelsea Vardell. Licensing viewed all 4 units where residents are housed, the seclusion rooms, and the restroom by the seclusion room. MARs viewed for multiple residents. Licensing discussed the new changes in staff with facility management:
    • The current interim CEO/Clinical Director will be leaving at the end of the week, and a new CEO will be selected soon.
    • A new assistant Director of Nursing will begin next week.
    • The new Clinical Director will be an in-house promotion of a current therapist and a new therapist will begin next week.
  • Regs out of compliance –
    • 9.911.15.f – Areas used by children shall be designed, constructed, and furnished to reduce risk of suicide and assault.
    • 9.912.4 – The bathroom shall be clean and sanitary.
  • TA –
    • 9.910.1 – The grounds of the facility shall be kept clean and free of safety hazards.

PRLU or OLTC

Notice of Incident, Suicide Attempt

  • Suicidal Attempt
    • Client wrote “I want to die” in their journal and per staff, reported suicidal thoughts. Client took a sweatshirt and attempted to tie it around their neck; Staff were able to remove the sweatshirt with no injury. Client was taken off the unit to process one on one with staff, and was placed on self-harm precaution.
    • Licensing follow-up on 7/22/22: Emailed regarding self-harm precaution.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Not listed.
  • Buildings & grounds conducted; Census: 24. Areas observed: Green Hall and Orange Hall. Staff/client ratio for both was 1:8. MARs checked for multiple residents. No licensing concerns noted during visit.

PRLU or OLTC

Corrective Action Agreement

  • The following non-compliance areas have been cited during the past six months:
    • 103.8 Central Registry and Criminal Records Checks – Facility received citations on 12/14/21 regarding the staff Central Registry and Criminal Record Checks.
    • 103.11 Central Registry and Criminal Records Checks – Facility received a citation on 6/9/22 regarding staff allowing staff to work with prohibited charges.
    • 910.1 Grounds – Facility received citations on 6/3/22 regarding facility grounds.
    • 911.6 Buildings – Facility received citations during 6 visits regarding facility buildings.
    • 911.15.f Buildings – Facility received citation on 3/1/22 regarding facility buildings.
    • 912.4 Bathrooms – Facility received citations during 4 visits regarding the conditions of the residents’ bathrooms.
    • 907.2 Ratio and Supervision – Facility received citations during 2 visits regarding ratio and supervision concerns.
    • 907.3 Ratio and Supervision – Facility received citations during 2 visits regarding ratio and supervision concerns.

PRLU or OLTC

Maltreatment, Notice of Incident

  • Maltreatment
    • Client reported that a staff member “crossed boundaries” after they grabbed and touched client’s butt. The touching happened above client’s clothing. The alleged staff member was sent home on leave until the investigation is complete.
    • Child Abuse Hotline was called and accepted; Outcome of investigation: True.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client reported to nursing staff that a staff member “crossed boundaries” with her when he grabbed and touched her butt. Facility staff reviewed camera footage which corroborated the allegation. Alleged staff member was sent home.
    • Child Abuse Hotline was called and accepted. Licensing follow-up: On 6/8/22, Licensing requested all documentation or correspondence regarding client’s regulatory checks. On 6/9/22, Licensing reviewed camera footage during an on-site visit. Camera review showed staff did act in an unprofessional manner when he engaged in behavior that can be viewed as sexual with a resident. Additionally, staff was given an ineligible to work status in March of 2022 by Licensing, but the facility allowed him to continue working directly and unsupervised with residents.
    • Outcome of investigation: True.