Disability Rights Arkansas

Piney Ridge Treatment Center

*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 rstanford@disabilityrightsar.org

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: LPC's                    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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Police Report

Welfare Concern

Caller with CPS in Florida needing a welfare check on juvenile. Juvenile is listed in an investigation in Florida and they need an officer to make sure he is not injured and has no bruises. Officer spoke with juvenile and did not observe any marks, injuries, or bruises on juvenile. Juvenile informed officer of a scar on his leg from a dog bite.

Police Report

Assault & Battery

Caller reported her son is currently a patient at the facility and was assaulted last night by another resident. The patient informed his mother that he thought his nose was broken. The officer spoke with staff about the incident, who stated both patients were playing a game where they were chasing each other and the patient was hit in the nose; His nose was not broken.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 2:45pm – 4pm; Census: 94. Walkthrough completed of the units (South, West, North, East), multipurpose room, day room, gym, phone room, cafeteria, staff breakroom, computer room, outdoors, and classrooms. MARs reviewed for 5 residents. No licensing concerns noted.

Police Report

Disturbance

Caller (patient’s guardian) reported she was in a disturbance with the patient’s mother. Child inside the facility with the subject.

Police Report

Welfare Concern

Caller requested a welfare check on juvenile; Caller is investigating an assault that juvenile is a victim of. Officer spoke with juvenile who was fine and had no complaints of injuries.

PRLU or OLTC

Accidental Injury, Licensing, Notice of Incident

  • Licensing (Accidental Injury)
    • Client complained of pain to his ankle, and an x-ray revealed a possible Salter Type 1 fracture. Client went to Ozark Orthopedics on 11/14/22 and received diagnosis. Client reported that last year, he twisted his ankle at school. No follow-up details.

PRLU or OLTC

Accidental Injury, Licensing, Notice of Incident

  • Licensing (Accidental Injury)
    • While playing basketball, the ball hit client’s finger and caused disfiguration. Client was taken to the ER.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Accidental Injury, Licensing, Notice of Incident

  • Licensing (Accidental Injury)
    • Client was participating in recreational therapy and fell on his left arm. Client reported pain when he tried to move his arm. First aid was provided, and an in-house x-ray showed no fracture.
    • Licensing follow-up: Specialist was informed the client was playing indoor touch football. No licensing concerns noted.

Police Report

Assault & Battery

Caller stated an employee was assaulted by a juvenile patient.

PRLU or OLTC

Accidental Injury, Licensing Follow Up, Notice of Incident

  • Licensing (Accidental Injury)
    • While playing basketball, client’s finger was hit after he tried to catch the ball. Client’s finger began to swell and turn a purple color, and an x-ray was ordered. Upon receiving the x-ray results, a follow-up appointment was made at Ozark Orthopedics. Client was placed on no sports.
    • Licensing follow-up: Specialist was informed that client was seen at Ozark Orthopedics on 10/25/22, and an additional follow-up is scheduled. No licensing concerns noted.

PRLU or OLTC

Licensing, Notice of Incident, Self-Injury

  • Licensing (Self-inflicted Injury)
    • Client became upset and hit a window multiple times. After client was able to calm down, he complained of pain and swelling in his hand. An ice pack and Ibuprofen were provided, and an x-ray ordered. X-ray results were received on 10/24/22. Facility will continue to monitor his symptoms and order follow-up if needed.
    • Licensing follow-up: No licensing concerns noted.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC (Revised)
  • No deficiencies noted upon revised IOC.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Peer Altercation

  • Licensing (Peer Altercation)
    • Client and peer were in an altercation on 10/15/22, during which client fell and landed on his elbow. At the time of the injury, client reported minor pain in his elbow and no bruising or swelling was noted. On 10/19/22, an in-house x-ray was conducted after client complained of pain, and the x-ray showed no fractures. On 10/20/22, client complained of increased pain in his elbow and was transported to Ozark Orthopedics for an x-ray. Client was placed on no sports.
    • Licensing follow-up: Specialist followed up with facility on 10/31/22 and 11/4/22 regarding client’s appointment with Ozark Orthopedics. Facility advised the client has a follow-up appointment scheduled. No licensing concerns noted.

PRLU or OLTC

Accidental Injury, Licensing, Notice of Incident

  • Licensing (Accidental Injury)
    • While playing basketball, client’s thumb was hit while he was trying to block the ball. Client complained of pain and was given PRN medication and an ice pack. An x-ray was completed in-house and revealed no abnormalities.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Licensing, Notice of Incident, Self-Injury

  • Licensing (Self-inflicted Injury)
    • Client became agitated and while staff were walking with her to de-escalate, client punched and kicked a door. Client was assessed and given a PRN and ice pack. An x-ray was ordered on 10/12/22.
    • Licensing follow-up: No licensing concerns noted.

Police Report

Suicide Threat

Caller who brought juvenile to facility stated juvenile was refusing to get out of the vehicle. Juvenile threatened to kill siblings with a knife earlier in the day in Fort Smith. Juvenile was detained and transported to children’s hospital via CEMS.

PRLU or OLTC

Notice of Incident, Peer Altercation

  • Licensing (Peer Altercation)
    • Client and peer were arguing outside and peer threw hard dirt at client, hitting him in the eye. Client denied any pain or difficulty seeing at the time, and first aid was provided (washing eye and applying ice). Client was seen by an eye doctor, and client continues to deny any pain or difficulty seeing. No follow-up was scheduled.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Suicide Attempt

  • Licensing (Suicide Attempt)
    • Client tied a sweater around her neck while in the bathroom. After speaking with staff, client gave the sweater to staff. No injuries were noted to client’s neck. Client was placed on suicide precautions.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Personnel Record Review, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 12:30pm – 2pm. Census: 94. Licensing reviewed 3 personnel charts with no licensing concerns noted.

Police Report

Noise Complaint

Caller (resident at apartment complex nearby) stated loud music was coming from facility area and was playing “all day yesterday and started up again at noon”. Officers responded, and no excessive noise heard in area. Officer advised caller to call back if noise continues.

PRLU or OLTC

Medical, Notice of Incident

  • Licensing (Medical)
    • Client’s nose began to bleed while in the cafeteria, and client was taken to the ER due to client’s history of needing a cauterization procedure in the past due to nosebleeds. Client returned from the ER with new orders for a nose spray (no procedures were completed at ER).
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Suicide Attempt

  • Licensing (Suicide Attempt)
    • Client was observed in the bathroom with a bed sheet tied loosely around neck. Client was talking with staff while nurses were able to remove the sheet and process with the client. Client was placed on suicide precautions which includes leaving the door cracked, 6 ft with staff at all times, and sleeping on a cot in the hallway.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Medical, Notice of Incident

  • Licensing (Medical)
    • Client reported he was having trouble breathing. Client was assessed and the nurse noted client’s vitals were out of range and he had swelling to both hands and his face. Client has a rash that he is currently being treated for with steroids. Client was transported to the ER, and later returned with a new order. Client denied any trouble breathing and the rash was starting to improve.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Medical, Notice of Incident

  • Licensing (Medical)
    • Client complained of left side abdominal pain, nausea, and vomiting. Client was sent to the ER, and then transferred via ambulance to the Children’s Hospital.
    • Licensing follow-up: No licensing concerns noted.