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

Notice of Incident, Self-Injury

  • Self-inflicted Injury
    • Client was found by staff on unit self-harming with object. Staff intervened and noted dry blood and superficial cuts to client’s arms. Client turned in 2 pieces of material from her fidget she was hiding under her bra, and her cuts were cleaned.
    • Licensing follow-up: Licensing visited facility and viewed client’s treatment plan, that included receiving crisis therapy following self-harm incidents. Client’s room was viewed, and no visible contraband was observed.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 1
    • Client became agitated and began punching herself in the face/head. A physical restraint was initiated to prevent further injury. Client was placed on self-harm precautions x 7 days.
    • Licensing follow-up: During unannounced licensing visit, CEO reported staff have been educated on supervision requirements including that true LOS includes proximity to resident.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 2
    • Client became agitated and began punching herself in the nose. A physical restraint was initiated to prevent further injury. Client was placed on self-harm precautions x 7 days.
    • Licensing follow-up: CEO stated individualized behavior plan for resident will be created to address frequency of self-harm behaviors. In the meantime, client is on constant LOS and increased supervision.

Police Report

Sex Offenses

Juvenile 1 indicated that during a hug, Juvenile 2 grabbed her butt. The contact was not wanted by J1. A date for the incident is unknown. Both juveniles were moved to separate units after facility was made aware of the incident. In a separate incident on 1/14/23, J2 licked and sucked on a peers’ (J3) neck. The contact was not wanted by J3. The Child Abuse Hotline was called.

PRLU or OLTC

Notice of Incident, Sexual Contact

  • Peer Sexual Contact
    • Client reported peer “grabbed her breasts” but could not remember specific day it occurred. Facility Corrective Action Plan: Therapeutic group to be conducted by therapists on peer-to-peer boundaries, implement no touching by residents to each other on unit, evaluate room assignments, re-educate staff on appropriate supervision, and impacted residents will process with their therapist. Child Abuse Hotline called, screened out.
    • Licensing follow-up: Licensing spoke with client, who stated it happened while she was in line for dinner. Client stated she was moved to a different unit but would have preferred for her peer to be moved instead. Client confirmed the interventions listed have been implemented.

PRLU or OLTC

Notice of Incident, Self-Injury, Visit Compliance Report

  • Self-inflicted Injury 2
    • Client entered peer’s room and ripped pieces of the sinks wooden liner off, using it to create superficial cuts on arm. Client’s wounds were cleaned by RN.
    • Licensing follow-up: TA was provided during licensing visit on 01/09/23 to ensure this area was repaired with note that repairs were pending. During visit on 01/19/23, the sink area was repaired and the lining was secured.
  • Regs out of compliance –
    • 911.6 – Ensure repairs are completed timely and ensure the safety of the area while repairs are pending.
    • 907.2 – Ensure there is increased supervision in any area with identified safety hazards.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 1
    • Client began hitting their head against the wall, reopening an existing wound. Client’s therapist removed them from the unit and processed with client. The injury was cleaned, and client will continue self-harm precautions x 7 days.
    • Licensing follow-up: Client has been placed on individualized behavior plan.

PRLU or OLTC

Notice of Incident, Sexual Contact

  • Peer Sexual Contact 1
    • Client reported a peer had grabbed her buttocks while hugging goodnight. Facility Corrective Action Plan: Therapeutic group to be conducted by therapists on peer-to-peer boundaries, implement no touching by residents to each other on unit, evaluate room assignments, re-educate staff on appropriate supervision, and impacted residents will process with their therapist. Child Abuse Hotline called, screened out.
    • Licensing follow-up: Licensing attempted to talk to resident, who stated she didn’t want to talk about it and that “way worse things happen here.” Client abruptly exited the room, so licensing was not able to obtain more specific information regarding her concerns.

PRLU or OLTC

Notice of Incident, Sexual Contact

  • Peer Sexual Contact 2
    • Client reported that while side hugging peer goodnight, peer “Sucked, bit” her neck. Facility Corrective Action Plan: Therapeutic group to be conducted by therapists on peer-to-peer boundaries, implement no touching by residents to each other on unit, evaluate room assignments, re-educate staff on appropriate supervision, and impacted residents will process with their therapist. Child Abuse Hotline called, screened out. 
    • Licensing follow-up: Licensing spoke to resident during visit on 01/19/23. She confirmed the incident occurred and stated, “staff do their job and help us and stuff.” No additional follow-up needed at this time.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 1
    • Client used a small piece of wood to make superficial scratches to her forearm. Staff confiscated the wood and client agreed to leave her room. Client then returned to her room and found another piece of wood but was intercepted by staff. Superficial scrapes noted to forearm (nurse care not required). Client placed on self-harm precautions x 7 days.
    • Licensing follow-up: Licensing completed unannounced visit this day and viewed the client’s bedroom and the entire unit, including baseboards and door frames; No problem areas were identified. DON stated the wood was possibly obtained from bathroom in 201 which has since been repaired.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 2
    • Client became overstimulated due to increased sound on the unit and began to hit her forehead against the wall, causing a disruption to an existing wound. RN provided client with noise canceling headphones and took her off the unit to clean her forehead. Client later repeated the same behavior and was deescalated by staff. Client placed on self-harm precautions x 7 days.
    • Licensing follow-up: Facility has developed and individualized behavior plan for this client that includes recognizing signs and symptoms of escalation and responding with specific interventions. Only staff who have signed off on her behavior plan are to work 1:1 with her during escalation.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 3
    • Client became escalated and used her fingernails to open existing wounds on her forearms and create new abrasions; Client refused first aid. Client was placed on self-harm precautions x 7 days.
    • Licensing follow-up: Per CEO, client will received individualized behavior plan to address self-harm behaviors and is currently on safety plan that includes LOS.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury
    • Client self-harmed with “bendy” pen; Multiple scratches on client’s arms were cleaned with no further medical treatment needed. Client already on safety plan.
    • Licensing follow-up: DON advised Licensing that client has been placed on self-harm precautions, constant LOS, and facility is working to re-direct behaviors. Licensing visited facility on 01/19/23 and the CEO reported that the client remains on precautions and facility plans to create an individualized behavior management plan for her.

Police Report

Hang Up

911 open line; No sounds of emergency. There are several men putting a new roof on the building, no emergencies.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Michele Sutton.
  • Unannounced buildings and grounds visit conducted. Orange Unit, Green Unit, classrooms, and facility grounds viewed. CEO advised that she is working to increase activities and is initiating a new behavior monitoring sheet and shift communication sheet to facilitate better communication.
  • TA –
    • 910.1 – Gap at bottom of outside gate is large enough for residents to pull sheet metal and other building supplies into the recreational area; Maintenance was aware and stated he talked to the work crew to ensure they clean up after each job and is monitoring the area for dangerous materials prior to residents going outside.
    • 911.6 – In Room 201 of Orange Unit, toilet bowl seat needs to be replaced (replacement pending) and laminate in sink area is loose and needs to be replaced (new counter has been ordered).

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 1
    • Client began hitting herself in the nose after becoming overstimulated. RN intervened and noted mild bleeding around nose. Client washed face and hands, and no injury was apparent. Client will be placed on self-harm precaution safety plan with increased LOS.
    • Licensing follow-up: DON advised Licensing that client has been placed on self-harm precautions, constant LOS, and facility is working to re-direct behaviors. Licensing visited facility on 01/19/23; Client remains on constant LOS precautions and facility is working on identifying specific interventions.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 2
    • Client used her fingernails to scratch her inner arm. Staff intervened and nurse assessed, noting 2 new superficial scratches to left inner forearm with some disturbed scabs of old scratches. Client’s arms were cleaned, and coverings placed. Client’s current self-harm precaution safety plan with constant LOS to be extended.
    • Licensing follow-up: No additional licensing follow-up required at this time.

PRLU or OLTC

Notice of Incident, Suicide Attempt

  • Suicide Attempt
    • Client took her hygiene towel and wrapped it around her neck while in the shower. Staff intervened and removed the towel promptly. Mild redness noted to client’s neck. C-SSRS performed, and client scored high risk. Suicide precaution safety plan with constant LOS initiated.
    • Licensing follow-up: On 01/24/23, Licensing reviewed safety plan which is current and reflects self-injurious behaviors and interventions. 

Police Report

Hang Up

Caller was heard stating “Oh, my bad” and then they disconnected. Staff advised no emergency.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 1
    • Client began hitting herself in the nose after becoming overstimulated. RN intervened and noted mild bleeding around nose. Client washed face and hands, and no injury was apparent. Client will be placed on self-harm precaution safety plan with increased LOS.
    • Licensing follow-up: Precautions observed at facility visit on 01/09/23. No additional follow-up required at this time.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury 2
    • Client stood and banged their head against the wall after reports of feeling impulsive and overstimulated. The existing nodule in the middle of client’s forehead noted to be raised with mild bleeding present; Area cleaned. C-SSRS performed, and client continues to score low risk for suicide. It is reported by the client that they have been performing this “head banging” behavior since they were about 10 y/o as a way to cope. Client will remain on self-harm precaution safety plan with constant LOS.
    • Licensing follow-up: Precautions observed at facility visit on 01/09/23. No additional follow-up required at this time.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Michele Sutton.
  • Licensing conducted a follow up targeted buildings/grounds visit to determine if there were any safety hazards or self-harm implements on the blue unit, green unit, or cafeteria. No citations in areas viewed.