Staff advised dispatch at 1803 that a juvenile had run away from the facility. At 1823, staff reported the juvenile willingly walked back to Piney Ridge with staff.
Police Report
Elopement, Police Report
PRLU or OLTC
Elopement, Notice of Incident
On 10/27/24 at approximately 1801, resident was outside on main court when staff witnessed the resident pass a note to a female resident as south unit transitioned through. Staff redirected resident, which upset the resident. The resident then refused to transition off of main court to dinner with the rest of north unit. Nursing was called and attempted to process with the resident, but the resident refused. The resident then got up and and proceeded to climb the fence and then hop over the edge of the facility property. Resident left the property at 1801. At 1802, administrator on-call and Fayetteville PD were notified. Nurse followed the resident and was able to keep an eye on the resident at all times. The resident eventually processed with nurse and walked willingly back to the facility. Resident returned to PRTC with nurse at 1830. Resident was assessed after the incident and no injury was observed. Resident denied pain. Resident placed on elopement precautions x 24 hours. Resident Restricted to Unit x 24 hours. He will process this with his primary therapist.
10/29/2024 – Licensing reviewed the report and will follow up with the facility in regards to camera footage. 11/13/2024 – Facility response received: “We do not have video outside. I or Angie will send the documentation tomorrow.”
PRLU or OLTC
Notice of Incident, Self-Harm
On 10/24/24, resident became angry regarding a situation with peers, so the resident punched the wall. Resident had pain in her right hand. X-Ray ordered on 10/25/24. No other pain or injury, resident was placed on assault precautions. X-ray occurred in-house on 10/25/2024 and showed no fracture or dislocation.
PRLU or OLTC
Notice of Incident, Self-Harm
On 10/19/24, resident was on the east unit playing with Legos. He placed a lego in his mouth and refused to spit it out upon staff direction. He ran up to the nurses station and stated “I am going to swallow it” and then proceeded to swallow the Lego. APRN notified and a liquid diet for 72 hours was ordered and an abdominal x-ray was ordered. The x-ray occurred on 10/20/24 and the results were: Non obstructive bowel gas pattern. No radiopaque foreign body. Nursing educated resident on the importance of not ingesting objects not meant for consumption. Resident is mildly receptive to education.
Licensing inquired about precautions. Facility response received: “Yes we supervise the residents and the nurse spoke with the resident. Justin the CEO and I had a conversation about mitigation and decided that in the long run? it was therapeutic for residents.”
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
An inspection of the Facility’s policies was conducted for the annual review. No concerns were noted during the review.
PRLU or OLTC
Notice of Incident, Suicide Attempt
Resident was on an educational outing at Farmland Adventure. Staff saw the resident put what appeared to be a small battery into his mouth and a bottle cap into his mouth. The resident refused to give it up when asked and swallowed the item. When arriving back at the facility, he refused a pocket search and wand search and ran past staff at first but eventually was searched. APRN ordered an x-ray and placed the resident on a clear liquid diet until the results of X-ray were back. In-house x-ray showed no radiopaque foreign body. The resident was placed on precautions to be reassessed in 24 hours.
Facility advised Licensing that they believe the resident picked up the items on his outing.
PRLU or OLTC
Elopement, Notice of Incident, Visit Compliance Report
Resident climbed the fence and eloped while outside. Staff tried to intervene, but Resident was able to jump the fence. Fayetteville Police called at 1405. Resident was found by the outside gym and was brought back to the facility at 1525 by Piney staff. Skin assessment and gown search completed. Resident sustained two abrasions to his right hand while climbing the fence, wound care completed and Resident was placed on elopement precautions X 24 hrs. Resident will process with his primary therapist.
Licensing Specialist: Jarred Parnell
The facility has removed the awning to prevent future incidents where residents can climb the awning and scale the fence. Supervision was discussed and it was noted staff saw the resident and attempted to stop the resident with verbal redirection. Physical restraint was not used for safety concerns and the resident was out of reach. “So related to elopement? it depends on situation to the decision of how to intervene.” Facility staff provided a copy of elopement policies and procedures for dealing with elopements.
PRLU or OLTC
Arrest, Notice of Incident, Visit Compliance Report
On 10/4/24 at approximately 1430, the Fayetteville Police Department came and arrested a resident related to PRLU portal entry 024360 (9/28/24 Peer Altercation). He was taken to Washington County JDC and was discharged from PRTC.
Licensing Specialist: Jarred Parnell
Licensing reviewed and uploaded nursing notes, hospital discharge documentation, and after care guide, reviewed and uploaded to ELS.
Police Report
Elopement, Police Report
Staff advised dispatch at 1916 that 2 residents left the facility by climbing a fence. At 1934, staff advised to cancel PD as both residents were located.
PRLU or OLTC
Elopement, Notice of Incident
On 10/03/24, two residents climbed onto the awning and climbed through the fence in the area near the cell phone tower. They were on the awning at 1845 and then left our property at approx 1912, the police were called at 1916. Staff had eyes on the residents the entire time and was able to get residents to walk back to the property rather quickly. Peer stayed off the property but in the sight of staff for approximately 30 minutes. We called the police back to let them know we were with the residents and able to get them back inside without any issues. Both residents are on RTU and elopement precautions x 24 hours. Staff were with them the entire time outside trying to process with residents and were already outside the fence waiting on them so the residents were never out of staff sight.
The facility informed Licensing that they have removed the awning in order to prevent residents from climbing the fence in the future.
PRLU or OLTC
Accidental Injury, Notice of Incident, Visit Compliance Report
On the evening of 10/3/24, resident was running around the court outside and accidentally twisted her ankle. She reports having pain around her ankle and upon further assessment, she currently has a swollen red ankle. Resident was advised to decrease physical activity to avoid pain and further damage to her ankle. In addition, she was also given ibuprofen to help with the inflammation and pain in her ankle. A nurse followed up on 10/4/24 to assess injury again and the resident saw the APRN who ordered an x-ray. The x-ray occurred in-house on 10/5/24 and results showed no acute fracture or dislocation of ankle or foot. No additional orders at this time.
Licensing Specialist: Jarred Parnell
A follow-up visit was conducted at the facility under inspection #081011 to discuss the reported incident. Facility staff will provide nursing notes for the incident.
Police Report
Elopement, Police Report
On 10/1/24 at approximately 5:04 pm, Officer was dispatched to facility for 2 runaway juveniles. Staff advised the juveniles jumped a fence and ran away. Officer searched the area but did not locate the juveniles. Both juveniles were entered as missing and BOLO was issued.
On 10/2/24 at approximately 5:42 am, Officer responded to facility in reference to staff stating both juveniles had returned. Staff stated they were hiding at Walmart and Target stores before returning because they were cold. Officer observed both juveniles inside the facility, and they appeared to be okay.
PRLU or OLTC
Elopement, Notice of Incident
On 10/1/24 at approx. 1700, resident and peer were outside on the main court when staff noticed the resident and peer isolated by the fence. Staff members attempted to process with both the resident and the peer. While processing, the peer climbed the fence, and then the resident appeared to follow. Both residents proceeded to elope off the facility property despite numerous staff attempts to de-escalate and process. Administrator on call was on the scene of the incident. Fayetteville PD were contacted at approx 1702. At approximately 0530 on 10/2/24, both residents knocked on the back door to north and were allowed back in the facility. Both residents were searched and the police were contacted that the residents were back. Both residents were placed on elopement precautions and restricted to the unit x24 hr’s to be reassessed. Both residents will process with primary therapists and JPO of resident was notified.
Police Report
EMS Assist, Police Report
Caller requested an ambulance due to juvenile seeing and hearing things. CEMS requested PD respond for juvenile who assaulted 2 subjects at this location. Police were on standby while CEMS picked up patient. No issues. Juvenile was transported to Children’s Hospital.
PRLU or OLTC
Notice of Incident, Peer Altercation
Peer kept pronouncing staff’s name wrong, and resident told peer it wasn’t a hard name to pronounce and peer told resident to shut up. Resident antagonized peer verbally and peer got up, got a chair, and hit resident on the top of the head. Resident went out of the room immediately and was taken to the nurses.
Nurse noted a laceration on each side of his head. First aid was applied. APRN on call notified and gave orders for resident to go out to Physicians Hospital. Resident also noted swelling to the left hand from punching the wall while resident was frustrated from the altercation.
Resident received two staples to left side laceration, 5 staples to right side laceration. Left hand placed in splint. Resident will follow up with APRN as needed and was placed on assault precautions and no sports.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident reported he was having auditory and visual hallucinations after he had gotten in an altercation with a peer. Referral was made for acute care, and he was transferred to Arkansas Children’s Hospital via EMS. Resident was diagnosed with a fracture to his finger while at the hospital due to a fight that occurred that morning. Resident was then admitted to Bridgeway in Little Rock for acute care.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was playing football in the gym when he jumped to catch a football and landed on his right ankle, twisting it. He expressed pain and an inability to walk on it and was sent to Arkansas Children’s Hospital for evaluation. He was diagnosed with a closed avulsion fracture of the right fibula. Follow-up orthopedic appointment to be scheduled. Resident was placed on no sports.
PRLU or OLTC
Notice of Incident, Peer Altercation
On 09/25/24, resident was in a verbal altercation with a peer that resulted in resident being punched in the mouth. No injuries were reported or observed by/of either resident at that time. On 09/28/24, the resident reported to nursing an inability to swallow easily and pain to his jaw. He was sent on 09/28/24 to Physicians’ Specialty Hospital ER. Diagnosis: right mandible fracture. A follow-up orthopedic appointment to be scheduled. At the time of the incident, the peer was placed on assault precautions.
Licensing inquired if their was camera footage. Facility response: “The incident was outside where there is not video and too far back time-wise.”
Police Report
Elopement, Police Report
Caller reported a resident ran away from the facility at 11:29. Officers checked multiple locations but did not locate the resident.
PRLU or OLTC
Elopement, Notice of Incident, Visit Compliance Report
At approximately 1120, resident was refusing outside, took his shoes and socks off, and while staff was processing with him, resident went over the fence and ran towards the apartments next to the facility. Staff attempted to follow but he could not be located. Fayetteville PD was called at 1128. Resident was brought back by Springdale PD at 1604. Nurse assessment: small abrasion on top of right foot, no bleeding noted. He was placed on elopement precautions and restricted to unit to be re-assessed at 24 hours. He will also process with primary therapist. An X-ray of their left foot was ordered after he reported that he jumped down a bridge while out of facility unauthorized. X-ray results: No acute fracture or dislocation.
Licensing Specialist: Jarred Parnell
10/14/2024 – Facility issued citation for standard 110.17 for reporting an incident on 9/27/2024 which occurred on 9/24/2024.
PRLU or OLTC
Medical, Notice of Incident
When this resident was admitted she was missing her left eye. On 09/21/24, she started complaining of pain in that eye socket. She was assessed by nurse, and redness and swelling were noted. APRN was notified, order was given to send her to the ER at Physicians’ Specialty Hospital for care. They referred her to NW Specialty to see the eye specialist. She returned to the facility the same day with 2 different eye drops to be given to her. Diagnosis: Left eye cellulitis. She also has an eye patch to wear to help prevent any further infections.
PRLU or OLTC
Medical, Notice of Incident
Resident woke up complaining of abdominal pain and had a fever of 101.4. He was assessed by nursing and APRN was called. She instructed us to take him to Arkansas Children’s Hospital for evaluation. Diagnosis: Abdominal pain. He did not return with any new orders or any follow-up unless symptoms worsened.
Police Report
Elopement, Police Report
Caller reported a resident ran away from the facility at 19:33. At approximately 20:16, officers located the resident and he agreed to return to the facility.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident appeared to swallow a lego. He saw the aprn, was placed on clear liquid diet x 72 hours and an x-ray was ordered. He had an X-ray on 9/17/24 and it stated normal radiograph of the abdomen. No further treatment ordered at this time.
Facility reported to Licensing that this was intentional, and the resident was placed on self-harm precautions to be assessed every 24 hours.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was playing basketball and dunked the ball. When he came back to the ground resident lost his footing and landed on his left hand. Resident immediately complained of pain. Left hand was swollen and the on-call doctor ordered resident to be evaluated at Arkansas Children’s Hospital Springdale ER. Diagnosis: X-ray noted no fractures. Resident will follow up with Orthopedics.