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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
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.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
On 10/5/23, client alleged a staff member called her a B****. The staff member was suspended pending investigation on 10/6/23. The Child Abuse Hotline was called, not accepted. Internal investigation was completed and a statement from a staff member who witnessed this did confirm that the resident was called out of her name by the alleged staff member. Staff member was terminated, effective 10/17/23.
Licensing Specialist: Kendra Rice.
Facility cited 905.4: Staff member was overheard using profanity toward a resident.
No licensing findings as this was not a licensing complaint investigation.
Police Report
Suicide Attempt
Officer responded to facility in reference to an attempted suicide. Upon arrival, staff advised that a resident reported he drank toilet bowl cleaner that was in the toilet bowl in an attempt to self-harm. Nurse assessed the resident who reported feeling nauseous. Resident was transported to the hospital.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
Licensing received complaint: This facility is solely focused on keeping beds full and bleeding every bit of insurance they can get from patients visits, and doctors cannot restrict sexual offenders and violent patients from having roommates. Focus is on keeping all beds full, no concerns for patients. Patients beg for therapist sessions, lucky if they get the initial therapist assessment.
Due to caller being anonymous, Licensing Specialist is unable to inquire if the concerns were on the acute (hospital) or PRTF side.
Licensing Specialist: Kendra Rice.
Licensing Specialist reviewed six (6) children files with focus on the treatment plans, individual therapy sessions, and group sessions. Therapy services are being provided to residents according to their treatment plans.
This complaint is unfounded by Licensing.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
Complaint: Patient drank toilet water with chemicals while not being supervised by anyone. Patient sleeping in boats on floors in main areas by nurses station. Ask for camera footage if they are working but they are. Patient and staff fighting and cellphone is used in front of patient and not enough rooms for patient to be placed cause patients just placed on top of each other. Patient attacks other patients all the time and nothing can be done about it.
Licensing Specialist: Chelsea Vardell
Program Coordinator visited facility to discuss complaint. A walkthrough of the PRTF unit was completed to include all resident bedrooms/bathrooms and the milieu area. Areas viewed were very clean and orderly. Footage of the overnight shift on the PRTF showed no residents sleeping in facility “boats” outside their bedrooms.
Facility reports a resident did allegedly drink toilet water containing chemicals on the acute side of the facility. They were taken to the hospital for observation, but it is unknown if they actually drank the toilet water.
Facility stated that very few altercations or issues have occurred on the PRTF side of the facility, and they provided an incident log for the past 30 days to the Program Coordinator. Program Coordinator discussed with the facility that incidents involving need for x-ray should be reported in ELS moving forward.
Licensing complaint is Unfounded.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Buildings & Grounds completed from 7:45pm – 8:30pm. Census: 16.
Areas observed: Bedrooms, common area bathroom, cafeteria, nurse’s station, quiet room, laundry room, common area, and front entrance. Resident bathrooms were not observed due to residents resting or sleeping in their rooms.
Nurse reported the seclusion rooms were not being used due to repairs being made to the ceiling. MARs reviewed for 5 residents. No licensing concerns noted.
Police Report
Medical
Medical requested for juvenile having seizure.
Police Report
Suicide Attempt
Officer responded to facility in reference to an attempted suicide. Upon arrival, officer observed resident laying on the floor with several nurses attending to resident. Resident appeared to be unconscious but breathing. MEMS transported resident to hospital.
Staff member reported he was making his 15-minute rounds at 2am and resident appeared to be okay, but when he made his rounds again at 2:15am he found the resident on the floor, unconscious, with a pair of yoga pants double knotted around their neck so tight they had to be cut off.
Police Report
Medical
Medical requested for juvenile having grand mal seizure, also disoriented.
Police Report
Medical
Medical requested for juvenile having possible seizure, also disoriented.
Police Report
Elopement
Officer responded to facility in reference to a juvenile that escaped. Officer transported juvenile back to the facility.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Licensing completed buildings and grounds and observed the following areas: Butterfly room, seclusion rooms, quiet room, nurse’s station, storage rooms, bedrooms, dining room, courtyard, staff breakroom, and bathrooms. MARs were reviewed for 5 residents. No licensing concerns noted during visit.
Licensing reviewed 6 personnel files. All complied with the minimum licensing standards.
Police Report
Medical
Juvenile fell and busted his head. Ambulance transported juvenile to hospital.
Police Report
Medical
Juvenile fell and injured right ankle. Ambulance transported juvenile to hospital.
Police Report
Medical
Juvenile complained of chest pains. Ambulance transported juvenile to hospital.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist conducted an annual review of policies and procedures for Perimeter of West Memphis. Ms. Summer Berryhill, Director of Quality and Risk Management, assisted Licensing Specialist with the review. Policies and procedures for Perimeter of West Memphis complied with minimum licensing standards. Licensing Specialist: Kendra Rice.
Police Report
Juvenile Complaint
Make contact with [REDACTED] in ref to attempting to runaway. [REDACTED] wearing an orange hoodie and yellow bottoms walking towards the gate. Suspect still on property.