Disability Rights Arkansas

Perimeter Behavioral of West Memphis / Woodridge of West Memphis

*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: 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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Police Report

Battery

Officer Chase was dispatched to 600 North 7th in reference to a nurse being battered. Upon arrival, Hanna Brenner (Victim) stated that Arrestee (juvenile) was in a physical altercation with the smaller children. When Brenner tried to break up the altercation, arrestee pushed her to the ground, then broke through the secured door and jumped over the fence. Once Brenner caught up to arrestee, he yelled in her facing stating, “bitch I have choked your ass before”. Brenner advised that this was not the first time the arrestee has intentionally caused harm to her. Brenner advised that arrestee had previously choked her and banged her head against the wall. Arrestee has also caused injury to multiple individuals and has a habit of punching, spitting, and choking individuals. Brenner also advised that before the incident occurred that arrestee had threatened her multiple times to cause her harm.

Officer observed arrestee sitting in the corner advising the staff that they were ready to go to jail and that they did not like the nurses. Arrestee also admitted to trying to cause harm to Brenner a few days ago. Brenner had no bruises but advised that she had pain in her lower back. Arrestee was then placed into custody and transported to the Crittenden County Juvenile Detention Center where he was advised of charges. Intake Officer Murray advised to place a 24 hour hold on him and then release him back into the custody of Perimeter Behavioral.

Police Report

911 Hang Up

Received a 911 call from this address from a subject who was laughing and advised someone was going to kill her. Caller then disconnected before advising further.

Received a second call from Kim in reference to a patient chasing people with scissors and attempting to stab others. Caller advised there will be staff at the front and back doors waiting to let officers in. Subject in custody. Send EMS to Juvenile for a subject needing to be checked out.

Police Report

Battery Report

Make contact with the clinical director in reference to a juvenile patient being assaulted by another patient. Would like to make a report. Incident between two juveniles, they have been advised how to handle the warrant process.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident1 was attempting to rest in her room and came out to ask the other residents to be quiet. At this time Resident1 and Resident2 began to have exchange of words and the Nurse was standing between the two residents trying to deescalate, when Resident2 ran up behind the nurse and shoved Resident1 into a bedroom where the two had a physical altercation. Additional staff responded immediately and separated the two residents.

Resident2 had no injuries. Resident1 sustained several scratches to her face, a knot on the back of her head, and complained of pain in her right hand. Actions Taken: injuries were assessed by RN, scratches were cleaned immediately and given ice pack. Resident1 was seen by our Nurse Practitioner that same day who ordered an in-house X-Ray of her right hand (X-Ray results normal). Scratches were ordered to be cleaned and ointment applied for 7 days and neurological checks for 48 hours. Resident1 did request to press charges against resident and a report was taken by West Memphis PD.

Police Report

Disorderly Conduct

Officers arrived on scene and made contact with Perimeter Behavior Health staff stating that the arrestee was being disruptive and did not want to comply with the policies and procedures of the facility. Officers were advised by staff that Resident was no longer welcome to receive treatment and needed to be transported back to the Crittenden County Juvenile Detention Center. Officers advised that resident was being placed under arrest and being transported.

Resident became irate as officers escorted to the police cruiser. As resident was placed into the cruiser, he began to hit his head against the plexiglass divider. Resident began to bleed from forehead due to the constant banging against the divider. EMS was called to the scene to treat forehead. Resident repeatedly told officers and medical personnel that he did not want any medical treatment. Resident declined treatment or to be transported to the hospital by EMS but did allow medical personnel to irrigate the lacerations on forehead and bandage. Resident was transported to Crittenden County Juvenile Detention Center where he will be placed on a CIT hold for mental evaluation due to making statements that he wanted to die and wanting officers to shoot him.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident became upset after having a verbal altercation with one of her peers. Resident went into the quiet room and flipped over two chairs and punched the wall. Staff placed resident in therapeutic hold for safety due to her self-injurious behaviors. Resident complained of pain on the right hand and the Nurse Practitioner ordered an in house X-Ray. The X-ray demonstrated a fracture. She was transported (12/16/23) to Baptist Crittenden to evaluate and treat.

Baptist diagnosed her with a closed boxer’s fracture of right hand, 5th metacarpal. A splint and ace bandage stabilized as well as pain prescriptions. Actions Taken: Resident returned to facility and was placed on Line Of Sight observation due to resident having an Ace bandage wrap. Resident is scheduled for an outside orthopedic appointment on 12/19/23.

Police Report

Battery Report

Make contact Joe Robertson in reference to being assaulted by juvenile. Caller was advised to make a report w/ juvenile in the morning.

PRLU or OLTC

Visit Compliance Report

Licensing Specialist: Kendra Rice

Census: 18. Licensing Specialist completed buildings and grounds. The following areas were observed: grounds, dining room, dayroom, bathrooms, seclusion room, butterfly room, and nurse’s station. Ratio 1:1, a staff member and resident were walking through the area. Other residents were at school.

Grounds had parked cars and vans by kitchen area. Fallen leaves were on the ground. Licensing Specialist was escorted by Summer Berryhill, Director of Quality and Risk Mgmt.

Licensing observed the ratio (1:1) entering PRTF area,. All rooms observed were recently cleaned by housekeeping. At nurse’s station, Licensing observed staff charting and filing. Nurse Cindy escorted Licensing to the Observation Room were the medication cart is kept. Licensing reviewed the MARs. All initialed and up to date. Licensing was provide a copy of the 12/2023 activity calendar.

Licensing Specialist reviewed 3 children’s files. All files reviewed complied with minimum licensing standards.

Licensing reviewed 4 personnel files. T/A 105.15h (at least 3 positive personal references from non-relatives) – only had one reference verified. Facility was encouraged to request more references to verify. Other personnel files reviewed complied with minimum licensing standards.

PRLU or OLTC

Visit Compliance Report

Licensing Specialist: Kendra Rice

Licensing Specialist spoke with Evelyn Alsup, CEO regarding a staff member mentioned in a maltreatment investigation. Ms. Alsup informed Licensing that staff member mentioned worked only on the acute side and not with PRTF residents. Licensing informed Alsup that she would follow-up at a later date for documentation.

Police Report

Medical

Juvenile in an active seizure. Is breathing. Been in 5 minutes. Transported.

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

On 11/26/23 Staff1 was approaching Resident1 in a threatening manner when another staff member intercepted. Simultaneously another resident (Resident2) ran and began hitting Staff1. A third staff member attempts to separate Resident2 from Staff1. Staff1 is seen reaching over the staff members attempting to strike Resident2′ s head and appears to have pulled her hair. Unable to determine if the strikes made contact. Resident did not sustain any physical injuries. Staff1 was removed from the facility immediately following this incident and termed the following day on 11/27/23. *This incident was reviewed in greater detail via camera footage 12/7/23. Prior to this date it was not discovered that Staff1 was attempting to strike Resident2. Report was made and this incident is currently under investigation.

Licensing Specialist: Kendra Rice

Licensing spoke with Ms. Berryhill, Director of Quality and Risk Mgmt. Berryhill reported that camera footage was observed on 11/27/23 and staff member involved was terminated due to behavior. Keys were taken and she was removed from the facility. On 12/7/23, the Youth Coordinator reported that the staff member involved in this complaint might have hit the resident. Berryhill reviewed the camera footage again from different angles.

Facility will be cited for 109.1g. Staff member was observed charging at a resident in an aggressive manner. 905.4g, Staff member was observed trying to reach over other staff to grab resident.

CHRIS indicated case was found True. Complaint has been Founded by Licensing. Berryhill informed Licensing that staff has been retrained on mandatory reporting.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was playing volleyball in the gym with a large exercise ball when she collided with another resident bouncing her back. Resident hurt her wrist and an x-ray was taken to assess injuries. X-ray results showed artifact but no fracture. Our Nurse practitioner completed a physical exam and the resident had full ROM and denies any pain or discomfort as of 11/20/23.

PRLU or OLTC

Medical, Notice of Incident

Resident was sent to the ER for complaints of shortness of breath and cough. Resident states she has a history of asthma. Discharge medications were to take 4 puffs of albuterol every 4 hours for 2 days (use spacer).

PRLU or OLTC

Notice of Incident, Self-Harm

Resident had verbal altercation with peer and was brought to the hallway and started punching a door. Minor swelling noted on both hands. Order received for bilateral hand X-rays. Results pending as of 10/30/23. Swelling has gone down and resident is not complaining of any pain or discomfort at this time.

Licensing Specialist informed resident’s x-ray showed old fractures of the right 4th and 5th metacarpal and soft tissue swelling. Left hand normal.

Police Report

Elopement

Officers made contact with staff in reference to a patient walking off the premises and seen near the train tracks. Officer located patient who was transported back to the facility.

PRLU or OLTC

Visit Compliance Report

Licensing Specialist: Kendra Rice.

Licensing conducted buildings and grounds visit from 11:45am – 12:30pm. Areas observed: Grounds, dining room, butterfly room, nurse’s station, lobby, and dayroom. Staff informed licensing that the facility was in the process of being renovated.

Residents were on reset due to displaying negative behavior on 10/23/23. They were observed in the dayroom sitting on the floor and on furniture, and appeared to be working on worksheets (school work).

MARs reviewed for 5 residents; All initialed and up to date.

PRLU or OLTC

Medical, Notice of Incident

Resident started complaining of her left pinky finger hurting. Resident states she doesn’t remember bumping it and states it started hurting. The Nurse assessed her finger and noted minor swelling and some redness. The Nurse obtained an order for an x-ray. X-Ray results: No acute fracture or dislocation. Normal exam of the left hand.

Police Report

Medical

Caller reported patient got too hot and dizzy. Patient took lithium for the first time today. EMS transported patient to hospital.

Police Report

Battery

Officers made contact with staff, who stated patient refused to return to unit and was physically escorted by staff. Staff stated that patient became verbally aggressive at this point and charged a nurse at the facility. Staff restrained patient, who then started kicking the staff and staff grabbed patient’s legs to prevent injury. Patient then freed arm and punched staff three times in the back of the head with a closed fist. Staff suffered minor injuries.

Police Report

Suicide Attempt

Officers made contact with staff who stated that while doing a room check, they found patient with an elastic headband wrapped around their neck. After removing the headband, they began to attempt to revive the patient and used an ammonia pack. Patient began to cough, and when staff attempted to use another ammonia pack, patient held her breath. EMS transported patient to the hospital.

Police Report

Medical

EMS Assist: Subject experiencing fast heart beat/respiratory rate. Subject unresponsive but breathing.