Disability Rights Arkansas

Perimeter Behavioral of West Memphis / Woodridge of West Memphis

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

Treatment Components:

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

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PRLU or OLTC

Personnel Record Review, Visit Compliance Report

  • Specialist reviewed personnel records for 5 staff; Census 21.
  • Regs out of compliance –
    • R105.4.b – Specialist could not locate training verification of resident grievance processes for two staff.
    • R105.15.h – Two staff members only have one of three needed reference checks in their charts.
  • TA –
    • R105.10 – Ensure any training considered psychiatric specific is labeled as such so they can be counted in the required 10 hours of psychiatric specific training required.
  • Regs not correctable –
    • R105.14 – Case manager only completed 2 hours of continuing education for 2020-2021 and 14 hours in 2019-2020.

Police Report

Call Report, Disturbance

Officers responded in reference to verbal altercation; One party went inside the residence, the other stayed outside. No action taken.

Police Report

Alarm - General, Call Report

Accidental; Staff stated a nurse hit the alarm in error.

PRLU or OLTC

Visit Compliance Report

  • Completed buildings/grounds walkthrough, reviewed MARs and 5 children’s records.
  • Regs out of compliance –
    • R914.6 – No escape route diagram located in the educational building; Staff placed a paper copy on the wall until a new plastic copy can be ordered (Corrected on-site).
  • TA –
    • R102.11 – Specialist discussed recent administration changes including a new CEO. Specialist was provided with a new organizational chart. Specialist advised the agency is required to report any changes of Administrator, Social Services Director, or Clinical Director to Licensing within 5 days.

PRLU or OLTC

Visit Compliance Report

  • Specialists conducted unannounced visit, reviewed buildings and grounds with no issues. Reviewed MAR for resident.
  • Regs not correctable –
    • R908.8 – Medication was not documented at time of medical given. Night nurse needs to be retrained on use of MAR and sent to Licensing Specialist when completed. Expected completion date: 10/05/21.

PRLU or OLTC

Notice of Incident

  • ER Visit – Self-Harm 
    • Resident reported to staff on 08/23/21 that she punched a wall on 08/21/21. An assessment was done on her hand and the nurse noted swelling. Resident was taken to ER for further evaluation. No follow-up details.

Police Report

Dispatch Call Detail, Medical

Juvenile having possible seizure, transported Juvenile.

Medicaid Inspection of Care

On-Site Inspection

  • Included: IOC, CAP
  • Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.

Police Report

Information Report

Parent of Juvenile 1 (residing at facility) called stating she was contacted about an incident that took place on the evening of 5/24/21 between Juvenile 1 and Juvenile 2. Juvenile 2 had told Juvenile 1 to sneak out and come to his room that night and he would teach him a “special game” to help him “get over his fears”. Juvenile 1 went to Juvenile 2s room that evening, & once Juvenile 2 explained the “special game” to him, Juvenile 1 told him no several times but eventually gave in. Juvenile 2 turned Juvenile 1 around, pulled his pants down, and rubbed his penis all over his bottom area.

Police Report

Dispatch Call Detail, Juvenile Complaint

Officers made contact with Parent in reference to her juvenile son refusing to exit the car and enter the facility. Parent advised that he is ordered to the facility.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance (Reviewed 5 children’s records) –
    • R904.1.h – Resident files for 2 clients do not have copies of legal documents in their files. A copy of their birth certificate, social security card, and immunization records should be placed in the child chart within 30 days after admission or documented attempts to receive them. Due date 6.11.21.
    • R902.2 – There is no medical exam in the chart for client. Due date 6.11.21.

Police Report

Dispatch Call Detail and Incident Report, Runaway

Officers were dispatched to facility in reference to 2 Juvenile runaways. Officers circulated the area with negative results. On 5/8/21 at 2:44 am, Officers were advised that the Marion PD arrested Juvenile 1 and transported him to the Crittenden County Juvenile Detention Facility. On 5/8/21 at 5:22 am, Marion PD advised that Juvenile 2 was located in their city, and was transported to Juvenile Detention.

Police Report

Assist Ambulance, Dispatch Call Detail

CEMS requested assistance with a patient who was irrate; Juvenile was transported to hospital by EMS.

Police Report

Dispatch Call Detail, Request to Speak to Officer

Staff advised Juvenile was being extremely uncooperative and no one feels safe. No police action taken, Officers advised Staff were trying to get in touch with Woodruff County to pick up the Juvenile.

Police Report

Dispatch Call Detail, Request to Speak to Officer

Staff advised Officers of Juvenile on scene causing a disturbance; Parents of Juvenile were trying to drop her off at location and Juvenile refused to go inside. Officers were advised they were able to get Juvenile inside.

Police Report

Dispatch Call Detail, Disturbance, Medical

Juvenile with chest pain, low pulse, and low heart rate transported to hospital; No other info.

PRLU or OLTC

Visit Compliance Report

  • Completed walkthrough of all buildings and grounds. Reviewed 5 personnel records – no violations. Reviewed 2 background checks – no violations.
  • Regs not correctable –
    • No documentation resident was given specific medication on specific date.

Police Report

Dispatch Call Detail, Medical

Juvenile having sever collar bone pains; Transported to ER.

Police Report

Dispatch Call Detail, Juvenile Complaint

Officers made contact with Juveniles Mother who stated she was going to transfer Juvenile to TN where her case worker is; No action taken.

Police Report

Dispatch Call Detail, Medical

Juvenile possibly having seizure; Transported to ER.

Police Report

Alarm-Panic, Dispatch Call Detail

Panic alarm coming from front desk; False alarm.

Police Report

Dispatch Call Detail, Medical

Juvenile having trouble breathing (asthma); EMS transported.

Police Report

Dispatch Call Detail, Medical

Juvenile having difficulty breathing; EMS transported.