*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 |
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
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to review restraint information for November 2024. All restraints reviewed contained required documentation and physician approval and were signed within the required time frame.
PRLU or OLTC
CAP, IOC Report
Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the facility. A Corrective Action Plan was submitted by the facility and approved.
Police Report
Police Report, Sex Offence
Officers received a child abuse report related to the facility from the Arkansas State Police. Officers sat in as the ASP investigator interviewed the related parties.
This report is related to the 11/17/2024 Notice of Incident from the facility.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
A resident reported that she and her roommate had engaged in inappropriate touching after lights out. The residents were separated upon notification and placed on peer restriction, sexual acting out precautions, and Line of Sight precautions.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to the incident. Video from 11/17/24 – 11/19/24 around lights out was reviewed for bed check compliance. Review showed required checks were performed per minimum licensing standards.
This complaint has been UNFOUNDED by Licensing and UNSUBSTANTIATED by CACD.
Police Report
Assault, Police Report
Officers responded to the facility in response to a report of a child who was kicked in the stomach and was spitting up blood. The resident was transported to Arkansas Children’s Hospital for evaluation.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
A resident began throwing up and reported intense pain after being kicked in the stomach during a peer altercation. The resident was transported to the Emergency Room for evaluation and returned to the facility later that evening. Both residents were placed on assault precautions.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to review chemical restraint administration policies and procedures. Medical administration records for three recent restraints were reviewed to ensure restraint documentation was up-to-date and approved by a physician before administration.
The facility records for the restraints were found to be in compliance of minimum licensing standards.
Police Report
Police Report, Sex Offence
Officers received a child abuse report related to the facility from the Arkansas State Police. The report states that a resident complained that another resident touched her and digitally penetrated her vagina without her consent.
This report is related to the 11/5/2024 Notice of Incident from the facility.
PRLU or OLTC
Notice of Incident, Peer Forced Sexual Contact, Visit Compliance Report
A resident reported that her peer came to her bed during the night and kissed and touched her without consent, digitally penetrating her vagina. The resident stated that she told her peer to stop and that the peer’s actions hurt her. The two residents were placed on peer restriction and moved to different units.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to this complaint. Q15 report logs were reviewed. Witness statements from supervising staff and the two residents involved were requested and reviewed. Video of the incident was not available, because it occurred in a private area. Licensing reviewed video footage of bed checks for the date of the incident and found that bed checks conducted at 22:02 and 22:47 did not meet minimum standards for bed checks, which are required every 30 minutes. The facility was cited for 906.7. The facility will provide retraining documentation for bed checks for the staff involved.
This complaint has been UNFOUNDED by Licensing.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
11/7/2024 – A corrective action inspection was completed at the facility to review restraint logs, restraint packets, ensuring packets were signed by a doctor within two business days, camera audit logs for the month of October, and UAMS training logs. Documentation for the reviewed information was sent to licensing.
PRLU or OLTC
Complaint Visit, IOC
Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the facility.
This IOC visit was triggered by a complaint against the facility.
Police Report
Disorderly Conduct, Police Report
Staff advised dispatch that they have a juvenile who is acting out and they are having issues with her and currently have her restrained. She said that they may need police eventually but not right now.
There were at 2 times what sounded like a juvenile screaming in the background of the call.
Staff advised dispatch that a resident just arrived back from JDC and was starting to cause some issues but is fine now. Staff stated the judge advised them to contact police when she got out of hand so it could be documented.
Police Report
Assault, Police Report
On 10/2/24 a report was received from Arkansas DHS in regards to a new report. The DHS snapshot was reviewed and the following is a summary of the report. AV (Alleged Victim) is a resident of Perimeter Behavioral of the Ozarks and AO (Alleged Offender) is a staff member. On 9/30/24, staff received a grievance form stating, “[AO] put bruises on me. ” For context, this resident has been involved in four restraints since 9/26/24 with various staff members. Each restraint was reviewed by camera by multiple leadership personnel and no misconduct was noted. Additionally, [AV] was medically assessed after each incident and did not present with bruising.
Officer spoke with Cathey Coleman who advised this report was assigned to another caseworker who was out. Cathey advised that she spoke with staff who said that they had received multiple reports from [AV] alleging physical abuse and that none had been verified. Staff said that [AO] had been suspended during their investigation as part of their policy. One incident was observed where [AO] had restrained [AV] during an active fight between [AV] and another resident. [AO] only ever restrained [AV] and did not strike her. Lastly, Cathey told officer the only injury observed were bruises on [AV’s] biceps and were consistent with restraining her. Officer requested video and images when they were obtained and has not received anything at this time.
Due to video footage only showing restraining as part of his job and no evidence of abuse, officer closed case as inactive and submitted it to supervisor for review. “Once the video footage is received the case can be reopened if there is evidence to the contrary.”
PRLU or OLTC
Notice of Incident, Self-Harm, Visit Compliance Report
On 09/29/24, resident self-harmed with a piece of wood, resulting in a laceration on the right forearm. Resident was sent to Arkansas Children’s Hospital where she received 6 stitches. She returned to Perimeter and was placed on self-harm precautions for 72 hours and is under line-of-sight observation.
Licensing Specialist: Jarred Parnell
10/8/2024 – A visit was conducted to do a walkthrough of the facility in regards to the report and inspect beds with pressed wood board. Upon inspection, the boards appeared in good repair, and not chipped. It was not verified that the resident acquired the wood from the bed as there are no obvious signs of damage. The facility will be replacing all pressed wood boards in the residents’ rooms as a precaution. Housekeeping staff will conduct regular inspections of the beds until the boards are replaced. 10/15/2024 – the facility sent documentation that the fiberboards have been replaced in the bedrooms.
Police Report
Police Report, Suicide Attempt
Fire Department assisted a female who had cut herself with a piece of wood at the facility. Juvenile was transported to Arkansas Children’s Hospital with non-life-threatening injuries.
Police Report
Assault, Police Report
On September 29, 2024, I (Officer French 367) was dispatched to 2466 South 48th Street for a disturbance call. The caller stated that 7-8 residents were causing issues and attacking the staff. Upon arrival, Officer Moore 397 made contact with the caller Kristopher Teed. Kristopher explained that the building is housing about thirty female juveniles. He stated about seven of them were making threats and had attacked the staff before. Once inside the building, the female juveniles are heard yelling and screaming. The juveniles are heard screaming profanities at the staff and officers. The staff member who was attacked was identified as Jaibriel Burke. The suspect juvenile is identified as [redacted].
While speaking with Jaibriel, juveniles in the rec room started destroying property in the room. Staff members went into the rooms and the juveniles started attacking the staff. One female juvenile had to be restrained due to attacking Kristopher. Kristopher stated he wanted to press charges so the female juvenile identified as [redacted] was detained.
While speaking with Juvenile Intake Officers, they advised that they would be detaining both of the juveniles and requested that officers transport them to the Washington County Juvenile Detention Center. Both juveniles were given a court date and transported to Washington County JDC.
PRLU or OLTC
Notice of Incident, Self-Harm
On 09/29/24, client was transported to the Arkansas Children’s Hospital for evaluation for a left wrist injury. She reported to nursing staff that she punched the window on the door. The resident was diagnosed with a left wrist contusion and prescribed 600mg Ibuprofen every six hours as needed for pain.
PRLU or OLTC
JDC, Notice of Incident, Visit Compliance Report
On 09/29/24, the Springdale Police Department was called to respond to an incident on scene. During their visit, resident attacked and assaulted several staff. She was taken to the Juvenile Detention Center and was scheduled for court on 09/30/24 at 08:10. She returned to Perimeter on 09/30/24 at approximately 14:00.
Licensing Specialist: Jarred Parnell
Licensing visited facility to review video footage of incident: A resident was seen standing on a chair and removing a light fixture cover in the sunroom. A staff member can be seen walking into the unit and initiating a restraint on the resident. The staff and resident struggle for a moment, and another staff takes over the restraint. Police arrived and transported resident.
Facility detailed preventative measures regarding De-escalation Training, Therapeutic Interventions and Programming, Trauma-Informed Care Approach, and Leadership Review of Emergency Safety Interventions (ESIs).
PRLU or OLTC
JDC, Notice of Incident, Visit Compliance Report
On 09/29/24, the Springdale Police Department was called on resident. On 09/28/24, the resident assaulted multiple staff and was exhibiting the same aggression that evening. She was taken to the Juvenile Detention Center and was scheduled for court on 09/30/24 at 08:00. She returned to Perimeter on 09/30/24 at approximately 14:00.
Licensing Specialist: Jarred Parnell
Licensing visited facility to review video footage of incident: Multiple residents can be seen becoming dysregulated, and at one point a resident followed a nurse out of another unit and went to the door of the blue unit, causing residents in the blue unit to become more physical. Police were contacted because the environment was becoming more unsafe. The residents continued to posture and instigate until the police arrived.
Facility staff states they are implementing preventative measures to ensure safety. Facility states they are focusing on escalation and training staff to be aware of the actions, moods, and verbal cues of residents showing aggression or dysregulation.
PRLU or OLTC
Maltreatment, Notice of Incident, Redacted, Visit Compliance Report
On 09/30/24, client wrote a grievance that stated, “[redacted] put bruises on me.” A report was made to the AR Child Abuse Hotline and accepted. The client reported it happened during a restraint on Saturday (9/28/24). Client does have bruising on both arms. Camera was reviewed for that incident and the client was in a restraint; however, [redacted] was not the staff involved in the hold. Justification and execution of the restraint aligns with state, facility, and Handle with Care regulations. Staff member in allegation suspended.
Licensing Specialist: Jarred Parnell
10/3/24 – Licensing conducted a visit and reviewed camera footage for restraints on 9/28/24 and 9/29/24. Restraint packets were reviewed as part of the Corrective Action Agreement and the complaint. “Licensing is not prepared to leave a finding at this time.”
10/23/24 – CACD case unsubstantiated and ICA was lifted. Licensing unfounded this complaint.
PRLU or OLTC
Medical, Notice of Incident
Client reported to staff that she wasn’t feeling well. She appeared to be shaking and very pale. During her assessment, she stood up and immediately collapsed on the floor, becoming lethargic and bradycardic. EMS was called and the resident was taken to Arkansas Children’s Hospital. Diagnosis: Urinary Tract Infection. Client was prescribed cephalexin.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
A visit was conducted to review personnel records. Licensing spoke with the facility concerning training for Restraints documentation for a staff member. Facility reported that the staff member does not participate in holds.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
A complaint received states that a facility nurse made a statement indicating that black techs should only deal with black residents. According to the complaint, several black techs and residents were questioned by the Risk Coordinator, and nothing was done about the statement. Several residents have complained but they were put on restrictions to the unit.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to interview residents and staff about the information alleged in the complaint. Facility staff state that racism is not tolerated and would result in immediate termination.
This complaint has been UNFOUNDED by Licensing.
PRLU or OLTC
Corrective Action Agreement
This document constitutes a formal Corrective Action Agreement (CAA) agreed upon by Perimeter Behavioral of the Ozarks and the Department of Human Services, Placement and Residential Licensing Unit. The following non-compliance areas have been cited during the past six months:
-Citations issued on 5/29/24, 7/3/24, 8/15/24, and 8/27/24 regarding mandated reporting.
-Citations issued on 8/7/24, 8/15/24 and 8/26/24 regarding behavior management and restraint documentation.
PRLU or OLTC
Complaint Survey with POC
Complaint #AR00033420 was not in compliance.
Complaint #AR00034831 was not in compliance.
Complaint #AR00034929 was not in compliance.
The facility was not in compliance with §483, Subpart G – conditions of participation for psychiatric residential treatment center.