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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 |
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
PRLU or OLTC
JDC, Notice of Incident, Peer Altercation, Visit Compliance Report
A resident escalated and attempted to attack a peer and facility staff. During the incident, the resident punched a staff member in the face. Police were called to the facility, and they arrested the resident and transported him to juvenile detention for processing.
Licensing Specialist: Jarred Parnell
The facility was cited for 110.17 for failure to report a serious incident within one business day.
PRLU or OLTC
Medical, Notice of Incident
A resident was transported to Children’s Hospital Emergency Room due to rectal bleeding. He returned to the facility the same day with orders to follow up with his physician as soon as possible.
PRLU or OLTC
Maltreatment Complaint, Notice of Incident, Visit Compliance Report
A complaint was received that a resident was given the wrong medication.
Licensing Specialist: Chelsea Vardell
Licensing investigated this complaint and determined it to be FOUNDED. The staff involved in the incident were retrained on medication distribution. The facility was cited for 907.2 for the incident.
PRLU or OLTC
Notice of Incident, Peer Forced Sexual Contact, Visit Compliance Report
A resident reported that she had been sexually assaulted by another resident at the facility. The resident stated more than once that the alleged offender did not physically touch her but made inappropriate sexual comments. The residents were placed on proximity precautions and supervision was increased after the incident.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to this complaint to interview the residents and obtain more information. The alleged offender admitted that she made inappropriate sexual comments to the victim because she was trying to flirt with her.
This complaint was UNFOUNDED by Licensing.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A resident complained of pain after being restrained. The resident stated that a staff member shoved him against the fence and down to the ground, scraping his shoulder and the side of his ear.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to this incident. Based on the information received during the investigation, the facility was cited for 109.1.g for unprofessional conduct in the practice of child welfare activities. Due to conflicting reports and a lack of video evidence, licensing was unable to determine if excessive force was used during the restraint hold.
This complaint was UNFOUNDED by Licensing and CACD.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident complained of pain after falling while doing handstands. The resident was treated with ice and a bandage, and an x-ray was ordered. The x-ray showed no fractures.
Police Report
Elopement, Police Report
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.
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.