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Location: West Memphis, AR
Population Served: Adolescents aging from 12-17 (there is also an Acute onsite for ages 6-17)
| # of residents per unit: Up to 18 | Residents per room: 3 | Capacity: 36 |
Contact with family (Calls and visit schedule): Family calls 2-3 times per week.
| Restraint utilized? Yes | Chemical Restraint utilized? Yes | Seclusion utilized? Yes |
Clinical Director - LPC
Therapists: 6 therapists (1 LMSW, 1 LPC, 1 LCSW, 3 MS) that cover the PRTF and 36 bed acute side
Treatment modalities offered: DBT, CBT
# of individual therapy sessions/week: 1-2
# of group therapy sessions led by a licensed mental health professional/week: 3
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was injured while playing in the gym. The nurse assessed the injury, then the resident was transported to the emergency for evaluation.
Diagnosis: Dislocation of Left Elbow
Elbow was adjusted and a cast was applied. Resident was placed on a 1:1 ratio and activity restriction. A follow-up appointment was scheduled with the Ortho Clinic for 7/22/24.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist (LS): Eleanor White
LS White reviewed personnel records. No discrepancies found. No regulations out of compliance.
Police Report
Assault, Police Report
Officers met with complainant who advised that she was bitten by one of her patients. Officers asked complainant to write her statement and issued a general information report regarding the incident.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident was involved in a physical altercation with another resident on Saturday 5/18/24. Resident sustained one small scratch to her left cheek, a scratch to left side of her neck and one scratch above her right eye.
On Monday 5/20/24 Resident was running and playing in the gym with the other residents. Resident claimed she was “blind” in her left eye. She was assessed by the medical Nurse Practitioner and ordered to be sent to LeBonheur ER for further evaluation. Resident returned from the ER with no follow up appointments.
Police Report
Runaway
Received a call from staff stating that a male patient is running off. Subject is running across the street. Juvenile recovered. No action taken.
Police Report
Disturbance
Received a call in reference to several girls attempting to fight staff. Caller advised none of the females have weapons. Caller advised it is four (4) females and asked officers to come in through the main entrance. No action taken.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Eleanor White
Census: 17. Licensing Specialist reviewed children’s records. Records are complete with no discrepancies noted. Records are well organized, and documentation/notations are detailed and up to date. No regulations out of compliance. Licensing Specialist met the facility’s new CEO, Mr. Landcaster.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
On 3/31/24, Resident was placed in a restraint for physical aggression towards staff. Resident also received a chemical injection for inability to calm down and assaultive behavior towards staff. No injuries to resident were noted following the restraint. On 4/1/24, Resident alleged that two staff members “choked me and threw me and made me hit my head.” Suspected abuse report was made 4/1/24 and accepted for investigation. Resident complained of headache and was evaluated for injuries. No swelling or tenderness noted by Nurse Practitioner. X-ray was ordered with neuro checks x48 hours. X-ray results: No skull fracture.
Camera footage was reviewed, and resident did not appear to have been choked by either staff, however both staff have been removed from working on PRTF pending investigation. One staff member is seen on camera initiating physical restraint on resident alone and escorting her to the seclusion room hallway. Upon entering the hallway the resident is seen falling to the ground. Staff has been placed on administrative leave pending investigation effective 4/2/24.
Licensing Specialist: Chelsea Vardell.
Licensing visited facility and reviewed camera footage. Both physical restraints were executed properly. No concerns noted. Restraint log for the last 30 days and the doctor’s order for the chemical restraint was reviewed with no concerns noted. Staff reported that 2 of the staff involved with this incident have completed restraint policy review 04/02/24. The other staff who is currently suspended pending investigation will complete restraint policy review before being released back to work.
The CACD case was unsubstantiated. Licensing has investigated this complaint and determined it to be unfounded. ICA for staff may be lifted and he can return to regular work duties.
PRLU or OLTC
Notice of Incident, Suicide Attempt
Resident reported to the Nurse that her throat was burning and confessed to ingesting body wash (liquid soap). The Nurse contacted poison control, MD, and Guardian. Abdominal X-ray was ordered and done in house which revealed no abnormalities or foreign objects. Poison Control informed nurse that the resident may experience some nausea or vomiting. Patient’s vital signs within normal range, no nausea or vomiting. MD ordered resident to be placed on suicide precautions. “She was ordered to wear paper scrubs and on a finger foods only diet. We are currently trying to get her stepped up to a higher level of care on our Acute In patient program.”
On 4/1/24, Licensing Specialist requested safety plan and update on youth’s status. Agency responded: “Her therapist states that Resident denied that it was a suicide attempt and just wanted her Aunt to come get her. Resident’s guardian refused to sign consent for her to be stepped up for acute inpatient and discharged her against medical advice Friday (3/29/24), stating that she wanted her to receive outpatient treatment.”
Police Report
Elopement
Officers responded to Perimeter Behavioral Health Center in reference to three juveniles running away from the facility. Officers searched the area for approximately 30 minutes before observing staff running towards a backyard. Officers and staff observed the three attempting to run again. The juveniles kept yelling profanity at Officers and facility workers, and also made comments saying that the officers might as well shoot them.
While trying to escort them to the patrol units, they kept jerking away from Officers and continued to yell out obscenities, making it difficult to keep control of them. Once inside the units, the juveniles began banging their heads against the cage in an attempt to harm themselves. One resident head butted and kicked the right front fender of Unit #2172 causing a dent. When resident was placed in Unit #2169, they continued to head butt the partition causing a cut to the forehead. WMFD EMS was called to the scene and treated minor injuries to the resident’s forehead. The juveniles were placed in custody and transported to Juvenile Detention Center. The Juvenile Intake Officer advised officers that all three Juveniles would be released back to the care of Perimeter Behavioral Health Center.
PRLU or OLTC
Elopement, Notice of Incident
On 3/15/24 at 0752, Residents were in the cafeteria eating breakfast when resident jumped over the dietary counter and slid under the rolling door into the kitchen. Staff was let through the kitchen door to stop her when two other residents pushed past the staff. All three residents eloped out of the dietary exit door. West Memphis PD was called and after approximately 30 minutes, all three residents were found and taken to JDC due to displaying aggression and unsafe behaviors. Residents will be separately transported back to Perimeter of West Memphis by 1800.
Residents placed on peer separation and elopement precautions. Dietary Rolling door will remain closed at all times and Kitchen staff will now dispose of food trays. We are also adding an additional magnetic lock with badge access to the exit door.
Facility reported to Licensing on 3/21/24: “The three residents are doing well. We had Dillard door come out yesterday for the mag lock and should receive a proposal from them today with estimated date of instillation. We are keeping the rolling door in dietary closed at all times when youth are present and the other door entering the kitchen does currently have a badge access lock on it.” Licensing requested police report on 4/1/24.
Police Report
Battery
Officer was dispatched to Perimeter Behavior Health in reference to a worker being battered by a juvenile. Officer made contact with the complainant/victim, who advised that at approximately 4:05 PM the suspect (resident) started to yell and scream at the nurses. Resident said to “get the fuck away from me”, and afterward, staff stated that the resident lunged at her and grabbed her head and neck. Staff had a bruise on her left hand, and completed the Voluntary Statement.
Police Report
EMS Assist
Possible allergic reaction to an antibiotic.
PRLU or OLTC
Medical, Notice of Incident
On 3/7/24, Resident broke out in hives and had complaints of shortness of breath. She was assessed by our Nurse Practitioner and was expected to be having an allergic reaction to a new antibiotic she had just started (Doxycycline). Resident was ordered to be sent out to Baptist Crittenden ER for further evaluation. Resident was returned to Perimeter and Doxycycline was discontinued. Resident has a follow up appointment scheduled Wednesday at Arkansas Health Center.
Facility staff reported to Licensing: “She was returned and started on a Medrol dose pack and different antibiotic; she is doing well no complaints.”
Police Report
Disturbance
Officer made contact with employee in reference to a juvenile threatening her. Caller advised she had help coming but dispatch could hear the juvenile yelling and threatening to kill her in the background. Contact was made with the caller who advised they had patient under control and no longer need assistance.
Police Report
Medical
Currently having a seizure. Medical history of Grand Mal Seizures.
Police Report
Medical
Anaphylactic Reaction. Tongue swollen from medication. CREMS advised 106 will be responding. Transported.
PRLU or OLTC
Medical, Notice of Incident
On 2/6/24, Resident was assessed by our Nurse Practitioner who found visible and palpable abnormalities in her neck. Resident was sent to Le Bonheur ER for medical evaluation. She had an ultrasound and Chest x-ray done and was diagnosed with Cervical Adenitis. She was returned to facility with antibiotics and ENT recommendation. Resident has a follow up appointment with ENT specialist today (2/8/24).
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Census: 16. Licensing reviewed 2 personnel files and 2 children’s files. All files reviewed complied with the minimum licensing standards
Buildings & Grounds completed. The following areas were observed: bedrooms, bathrooms, butterfly room, seclusion rooms, day room, laundry room, and nurse’s station. The dining room was observed and there were residents eating lunch from the acute side. The unit was clean and all areas observed were organized. All furnishings were in good repair. MARs were reviewed. All initialed and up to date.
PRLU or OLTC
Medical, Notice of Incident
Client was seen at East Arkansas Family Medical Center yesterday afternoon due to running fever and complaining of stomach pain. It was recommended that client be taken to the hospital. Client was taken to LeBonheur Children’s Hospital and admitted due to kidney infection requiring IV antibiotics. Client is expected to return to Perimeter of West Memphis tomorrow.
2/5/2024 – Program Coordinator followed-up with facility to see if resident has returned. Resident has not returned to the facility and has been diagnosed with Pyelonephritis. Facility reported resident will be returning to the facility after treatment.
Police Report
Disturbance
Officer made contact with staff in reference to a male patient attacking staff and causing a disturbance. The male subject left prior to officers arriving. The victims have already left the scene.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident 1 was in the cafeteria when she became irate over another resident accusing her of inserting herself in their conversation. Resident 1 threw a chair and almost hit Resident 2, who picked up the chair and threw it back at Resident 1. Resident 2 then laid down and kicked Resident 1 in the stomach then in the face. Staff separated the residents.
Resident 2 did not sustain any injuries. Resident 1 was assessed and was bleeding from her nose with a deformity of her nose noted. Resident 1 was sent to the ER for evaluation and was diagnosed with a nasal bone fracture. Resident returned to the facility with orders for neurological checks every 48 hours, no physical activities, bed rest, ice packs, and a referral to an ENT specialist. Residents were separated, placed on assault precautions and unit restriction.
Facility informed Licensing on 1/23/24 that Resident 1 will have to have surgery.
Police Report
Battery
Officer Kimbrough responded to Perimeter Behavioral Health in reference to a fight. Officer made contact with Jeremy Woods who advised he heard a commotion and saw that two residents were in a fight over stolen property. Woods helped separate the two and grabbed the property. Resident 1 attempted to grab it back, then became irate and pushed Woods, grabbing him. Woods and witness, Bobby Crawford, attempted to put Resident 1 in a hold and Resident 1 punched Woods in the face. Then the two began fighting while Crawford and witness, Walter Sanders, attempted to separate the two of them. Resident 1 was taken to a holding room. Officers reviewed video footage and confirmed the statements of the staff and witnesses. Resident 1 was transported to CCJC.
Police Report
Juvenile Complaint
Received call to make contact with facility in reference to a resident leaving the facility. Caller advised they picked the juvenile up.
PRLU or OLTC
Elopement, Notice of Incident
On 01/04/24 at 12:34PM, resident eloped from facility during fire alarm inspection (strobes and horns). Staff was unaware magnetic locks were also being tested during this time, as they normally would position themselves in front of exit doors during fire alarm drills. Resident eloped out of an unguarded exit door around the side of the building. Line of sight of resident was maintained. Resident returned herself willingly with staff at 12:40pm.
Actions Taken: Resident was medically assessed by Nurse Practitioner Roslyn Perry, APRN on 01/05/24 and reports she sustained no injuries and denies any pain or discomfort. Resident was placed on elopement precautions. West Memphis Police Department was called but was not needed as Resident returned prior to their arrival.