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 [email protected]

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

Complaint Survey with POC, Revisit Survey, Workload Report

  • Complaint #AR00026825 substantiated.
  • Regs out of compliance –
    • N 126 – Facility failed to ensure seclusion was not used as a form of retaliation and/or discipline for 1 resident.
    • N 216 – Facility failed to ensure all staff were trained not to use restraint and/or seclusion for disciplines, retaliation, coercion or convenience after an incident with 1 client who was forcefully placed in seclusion.
  • Plan of Correction: Employee involved in restraint was terminated; Changes to policy for reviewing restraints, retraining for staff on restraint, seclusion, and de-escalation.
  • 08.16.21 Revisit, Facility in compliance with program requirements.
  • Survey Team Composition and Workload Report –
    • Surveyor 1 onsite 11 hours 8am – 6pm; 6.5 travel hours, 0.5 off-site report prep hours (07/07/21 – 07/08/21).
    • Surveyor 2 onsite 0.5 hours 8am – 6pm; 6 travel hours, 0.5 off-site report prep hours (07/08/21).
    • Surveyor 1 onsite 3.5 hours 8am – 6pm; 4 travel hours, 0.5 off-site report prep hours (08/16/21).
    • Surveyor 2 onsite 3.5 hours 8am – 6pm; 4.5 travel hours (08/16/21).

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Resident was grabbed from behind by staff member, picked up off the ground and swung into the seclusion room. Staff released the resident with excessive force and the resident hit the floor and slid into the wall. Staff then kicked the resident’s shoe into the room and closed the door.
    • Staff member was placed on immediate leave in which his keys and fob were obtained pending the results of the investigation. Resident was assessed by staff RN and found to have a wound to her forehead. RN stopped the bleeding, applied band-aid, and performed neuro checks with no negative outcomes. Child Abuse Hotline was called and accepted.

Police Report

911 Hang Up

No sounds of distress; Called back and spoke with individual at facility, who stated she was working and had to hang up.

Police Report

Citizen Assist

Caller stated no one would let her know if Juvenile made it to Perimeter where he was transferred. Officer spoke with employee at Perimeter, who stated Juvenile was there, safe, asleep, and in good health. Employee stated they had procedures to follow and not violate HIPAA laws.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance (2 personnel and 2 children’s records reviewed, walkthrough) –
    • P105.5.g – No functional job description was observed in employee’s file. Due date 5.12.21
    • R910.1 – A line of tiles was missing from the bathroom in Green Hall and a loose detached shower head with a sharp edge was observed in Daisy Hall.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R913.5 – Mattress in room 304 has a gash in vinyl measuring approx. 5 inches. (Staff stated they had brand new mattresses in storage, and he left to go get one)
  • TA –
    • R911.6 – Tile in shower floor of one room is missing. Edges are not sharp, but area should be patched with cement or retiled to prevent further deterioration.

PRLU or OLTC

Survey Composition and Workload Report

One surveyor onsite 1.5 hours 8am – 6pm; 4.5 travel hours, 1.5 off-sight report prep hours.

PRLU or OLTC

Licensing Compliance Record

  • R405.5 – Complaint of staff using inappropriate restraint on child is founded. Agency responded  appropriately and terminated the offending staff member.
  • Resident reported via grievance that staff member body slammed her on 01/08/21. Video Review confirmed. AO was previously suspended on 5/18/20 for telling a resident “I hope you break your neck.” He was put on 90-day probation then and successfully completed it.
  • Interim Corrective Action: AO terminated “due to body slamming of AV because this was inappropriate handling of child and was not SAMA…”
  • Accepted by hotline.

Police Report

Citizen Assist

Caller advised someone came into facility and left a very expensive radio there, and would like someone to pick it up. Officer picked up radio from facility.

Police Report

Sex Offenses

Fax received from CACD. Report filed and assigned; No other info.

Police Report

911 Hang Up

Open line silent, there was no response when dispatch called back.

Police Report

911 Hang Up

Call was short, not enough time to determine if call was an emergency. Staff spoke with Officer stated there was no emergency, the call was made by a Resident that thought it was funny.

Police Report

Endanger Welfare

Caller is wanting to report a neglect for Juvenile at facility; Caller is in Ohio and wants a full investigation about this stating that a welfare check would not be enough. From what Juvenile described, everything was consensual; There will be no report. The Mother was given her options in reference to having Juvenile possibly moved from the facility.

Police Report

Citizen Assist

Caller stated facility was not letting her in to see Juvenile. Issue resolved itself.

Police Report

911 Hang Up

Caller stating “Please help they are going to kill me”, then line disconnected.

Police Report

Suspicious Vehicle

Caller reported van parked in front of the facility and had been running for some time. Had been parked there for almost 5 hours.

Police Report

Disorderly Conduct

Caller (parent, adopted Juvenile) advised she was calling on behalf of Juvenile at facility; Caller stated Juvenile had a No Contact Order against grandfather (biological) but he had been sending letters and packages to Juvenile in facility. Officer discovered there was no active No Contact Order against grandfather. Staff advised that they talked to Caller and were holding a letter from the grandfather to give to parent as grandfather was not on the preapproved individuals list from parents. Caller wanted to press charges; Officer advised Caller of her options.

PRLU or OLTC

Licensing Compliance Record

  • Licensing complaint received 2/2020 is founded for inadequate supervision.
  • Corrective Action: Re-training of the employee.
  • Employee was terminated from facility after investigation.

Police Report

Suspicious Person

Staff advised there was an individual going around the building and trying to get into the facility, pushing everyones doorbells. Individual was stating she had just moved there and was out for her first walk and came to see what they were. Officers responded.