Disability Rights Arkansas

Piney Ridge Treatment Center

Location: Fayetteville, AR

Population Served: Children and adolescents ages 7-17 with sexually maladaptive behaviors and other co-occurring psychiatric conditions.

# of residents per unit: Up to 32 Residents per room: 1, 3 or 4 Capacity: 102

Contact with family (Calls and visit schedule): Typically, bi-weekly phone calls. Visits with family are scheduled (frequency or schedule not provided).

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? Yes

Treatment Modalities:

Clinical Director – LPCs

Therapists: 8 full-time therapists (2 LMSW, 1 LPC, 3 LAC, 2 LPC); 1 part-time/contract therapist (LAC)

Treatment modalities offered: TF-CBT, CBT and other modalities individualized for resident and needs.

# 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

Notice of Incident

  • Maltreatment
    • Resident reported that during an altercation with peers, staff kicked him in the head/chest 2-3x.
    • Staff placed on suspension pending investigation as of 9/25/21. Child Abuse Hotline was called and accepted, unsubstantiated. Specialist sat in on interviews with DCFS investigator at facility and reviewed copies of the nurse’s notes regarding the injuries that resident sustained. Six residents were interviewed (witnesses) and all reported that they did not see any kick from the staff member to the resident.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Client reported pain in his right hand due to punching a wall about a month ago. Client received x-ray at the facility.
    • Specialist emailed facility on 4/7 for additional information regarding the delay in reporting the incident to PRLU and inquired if the client has had his follow-up with Orthopedic Clinic.

PRLU or OLTC

Notice of Incident

  • ER Visit (Back Pain)
    • Client taken to ER after complaining of severe back pain and inability to urinate. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Peer Assault)
    • Client was assaulted by 2 peers in which he was hit and bit. Police department was notified and client was transported to the ER.
    • Specialist contacted facility on 3/30 to determine if the residents have been placed on restrictions from one another and if the residents who assaulted client were charged with any violation from the police.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client eloped while transitioning back to the unit from outside. Client went through the double gates leading to staff parking lot. Local law enforcement was contacted and staff maintained visual of client as he went across the street to a gas station. Client stole a snack and pushed staff to the floor.
    • Specialist followed up on 3/30: Facility reported that staff had left the gate unlocked. Facility reported that both department heads of the employees who use this gate were informed to remind staff to ensure the gate remains locked at all times.

PRLU or OLTC

Notice of Incident

  • ER Visit (Stomach Pain)
    • Client taken to ER due to right lower stomach pain. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client eloped from the gym after forcing open a door and ran across the street off facility grounds. Staff followed client across the street and was able to process with him. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Client had his hand in a doorway when peer closed the door and client’s fingers were caught in the door. Client sustained abrasions to the right ring and middle finger and complete nailbed injury to the right index finger. Minimal bleeding noted, and some slight bruising noted to all 3 fingers. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Peer Altercation)
    • Client and peer were in altercation in which peer hit client in the head. Due to a pre-existing diagnosis, client was taken to the ER. Client was then transferred to Mercy Hospital in Springfield, MO as a precautionary measure.
    • Specialist emailed facility on 3/15 to inquire about peer restriction. Staff reported the residents cannot be moved to different units due to their age. Staff reported the residents are on a 6-foot rule, but they are unsure how long as it is decided day to day.

PRLU or OLTC

Background Check Review, Visit Compliance Report

  • Specialist visited facility and reviewed 30 employee background checks.
  • Regs not correctable –
    • R103.8 – Five staff did not have their maltreatment reports initiated within ten days of hire.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident complained of right-hand pain. Resident received x-ray on-site on 2/26.
    • Specialist followed up on 3/2 to gain more info. Staff advised the resident injured her hand after she swung her hand around and hit the back of a chair on accident.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident complained of right-hand pain. Resident received x-ray on-site on 2/26.
    • Specialist followed up on 3/2 to gain more info. Staff advised the resident injured her hand after she swung her hand around and hit the back of a chair on accident.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Resident complained of right-hand pain. Resident received x-ray on-site on 2/26.
    • Specialist followed up on 3/2 to gain more info. Staff advised the resident injured his hand after he punched a wall.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Resident complained of left-hand pain after punching a wall. Resident received x-ray on-site. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident was attempting to do a handstand in the gym when she slipped and fell. Resident complained of neck pain. Resident taken to ER via ambulance for evaluations. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Self-Harm
    • Resident was found in restroom with her jacket tied around her neck. Resident was taken to ER to be evaluated. No follow-up details.

Police Report

Suicide Threat

Resident found on floor with jacket wrapped around her neck. Caller advised resident was not able to speak and keeps going in and out of consciousness. Resident possibly hallucinating, no drug use other than prescribed medications. Officers remained outside, patient transported.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident complained of pain in her ankle after jumping and landing on it wrong on 2/7. Resident received x-ray on-site on 2/9. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Wrist Pain)
    • Resident complained of right hand/wrist pain that has been chronic. Resident received x-ray on-site on 2/9. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Back Pain)
    • Resident complained of back pain on 2/4. He had no known injuries that could have caused the pain. Resident received x-ray on-site on 2/5. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Peer Altercation)
    • Resident complained of pain in the nose after being punched in the face by peer on 2/4. Resident received x-ray on-site on 2/5. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Resident stated she had placed a magic marker lid in her ear on 2/4. The nurse was unable to retrieve it on 2/4. APRN ordered that the resident be taken to the ER if it remained in place until 2/7. Resident was taken to ER on 2/7 to have lid removed from ear. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Knee Pain)
    • Resident complained of left knee pain with no known cause. X-ray was ordered to be completed on-site. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Resident complained of pain to his right hand due to punching a wall the day before. X-ray was ordered to be completed on-site. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Peer Altercation)
    • Resident attempted to get remote from peer when peer punched him in the face. Staff intervened and separated them. Resident was taken to ER. No follow-up details.