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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
Police Report
Elopement, Police Report
Dispatch received a call from a nurse in reference to a patient running from facility. Nurse wasn’t answering any more questions in reference to the description. Officer located and transported the juvenile back to facility.
PRLU or OLTC
Elopement, Notice of Incident
On 10/15/24 at Approximately 12:10 Resident was outside in the courtyard with the other residents when she climbed over the fence and eloped from facility grounds. West Memphis PD was notified and given a description of the Resident. Sight of the resident was lost for approximately 10 minutes. Resident was then located across the street in the car wash breakroom. WMPD transported the resident back safely to Perimeter of West Memphis. Resident was assessed by RN, no injuries were sustained. MD was notified and Resident was placed on elopement precautions.
Licensing Specialist emailed facility inquiring on ratio and location of staff during the elopement. Facility responded with the following: “Staff to Resident ratio was 3:17 as residents entered the courtyard. One staff member stepped away to use the restroom without notifying appropriate personnel to maintain proper ratio. One staff was sitting with a group of residents at the picnic table, the other was on the sidewalk with another group. While the elopement was in progress a Lead tech was making his rounds and witnessed the resident climbing the fence, ratio of 3:17 was re-established. The Resident was on top of the fence and additional staff was called, the resident leapt from the fence, and code green was announced. The staff member who failed to notify appropriate personnel of needing to step away has received corrective action for not following protocol and compromising patient care and safety.”
On 10/22/2024, police documentation was requested.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was complaining of chest pain and stated it started hurting after she was playing a game outside last week (unknown of the exact day) and accidentally collided with another resident. Resident states the peer’s elbow hit the right side of her chest. X-ray was ordered and performed on 10/12/24. Results showed bronchitis. Resident was ordered to be sent to LeBonheur Childrens ER for further evaluation on 10/13/24. Resident had an EKG-mal Chest Radiograph and was given Ibuprofen 600mg for pain. Resident later returned to Perimeter of West Memphis with a diagnosis of chest wall pain. Discharge instructions to follow up with PCP in two days.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Chelsea Vardell
Licensing completed a buildings and grounds walkthrough of the PRTF unit. All children’s bedrooms, bathrooms, dayroom, and seclusion rooms were seen. MARs were reviewed for multiple residents with no issues noted.
Licensing issued citation (911.6): Damage to the wall in room 133 by bathroom door. Licensing requested the area be repaired and a picture be sent to Licensing by 10/4/24 of the completed repairs.
PRLU or OLTC
Maltreatment, Notice of Incident, Redacted, Visit Compliance Report
On 9/23/24, the Risk Director received a resident grievance form stating “[redacted] got mad at me and pushed me and I kicked the wall so he threw me on the floor and grabbed me by the back of my jacket and choked me.” The resident was assessed and no signs of injury were observed, and no complaints of pain were reported. Staff member was suspended pending investigation. A report was made to the AR Child Abuse Hotline and accepted.
Licensing Specialist: Chelsea Vardell
On 9/25/24, Licensing visited the facility to review camera footage, review restraint documentation, and the personnel file of the alleged offender. The incident occurred on 9/22/24 at which point the resident informed other staff (3) about what had occurred, and the resident was asked to fill out a grievance. The staff made aware did not report to the hotline.
Facility was issued a citation for 109.1.g: Staff engaged in unprofessional conduct when he forcibly grabbed the resident by the left arm and attempted to pull her out of the empty room beside the dayroom. The staff then attempted to push the resident out of the room which resulted in her falling to the ground. The staff also was seen pulling down on the resident’s jacket hood as she was seated in a chair causing it to choke her.
Complaint founded by Licensing. The facility confirmed that the A/O has now been terminated from the facility, and provided retraining documentation that other staff aware of the allegation at the time of the incident have been re-educated on their roles as mandated reporters.
CACD case found unsubstantiated.
PRLU or OLTC
Accidental Injury, Notice of Incident
On the evening of 9/15/24, resident complained of pain in her left hand and was unsure of how she injured it. After RN questioned the resident’s recent physical activities, it was determined that she likely injured it while playing volleyball on Saturday 9/14/24. The nurse obtained an order for an in-house X-ray on 9/16/24; Nurse Practitioner evaluated the resident, reviewed the X-ray results, and ordered for the resident to be sent to LeBonheur Hospital for further evaluation on 9/16/24. Diagnosis: Sprain to left thumb. Discharge instructions were provided.
Police Report
Elopement, Police Report
Officers responded to a call regarding a juvenile who ran from Perimeter Behavioral of West Memphis. Officers located the juvenile.
Police Report
Assault, Police Report
Officers were dispatched to the facility in response to an assault on two staff members by a resident. The resident was arrested and transported to Crittenden County Juvenile Detention Center to be held until further notice.
Police Report
Elopement, Police Report
Officers were dispatched to the facility in response to a missing juvenile. Staff reported the juvenile climbed the fence outside while staff were dealing with another resident. Staff members tried to stop the Juvenile from going over the fence but were unsuccessful. The resident ran to the woods behind the building. Nearly nine hours later officers located the juvenile on Highway 64 and transported the juvenile back to the facility.
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.