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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
Notice of Incident, Peer Altercation, Self-Harm
Client reported that a resident tried to hit him in the nose with a ball and said his nose hurt. He also said that his finger hurt as he hit the wall on an unknown day. He has a boxer fracture of the right hand and will receive necessary treatment.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported to nursing that on Saturday he was playing basketball and fell on his hand. On Sunday night it started hurting. X-ray was completed on Monday morning. X-ray shows acute fracture of right hand, fifth proximal phalanx. Resident was taken Ozark Orthopedics on 01/29/24, they placed a soft cast on his right hand and he will be seeing a hand specialist on 2/2/24.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
Complaint received regarding facility: Guardian reported there have been issues with peers stealing from her son, kids fighting kids, and her son reported a nurse physically assaulted a peer and called him a dumbass. Her son has reported unsafe environment, that there are roaches, and the staff have yelled at him a lot. Guardian has heard grown adults screaming at kids while talking with her son on set days.
Licensing Specialist: Jarred Parnell
1/30/24 – Licensing Specialist conducted interviews with residents regarding complaint. Residents were interviewed about the presence of pests, altercations among peers, and theft among peers. A buildings and grounds walkthrough was completed of all living units, the cafeteria, and the day rooms.
2/01/24 – Facility staff stated after looking into the complaint they spoke with two other residents that were not interviewed at the first visit. The residents both remember the incident. Resident told staff that the nurse yelled and cursed at Resident and “shoulder-checked” Resident into the door jam. Resident said he heard Nurse curse and yell at resident, but is unsure how she pushed because of the angle he was sitting at. Licensing spoke with nurse over phone, who stated she thinks she shoulder checked and cursed at the resident saying “dammit”, but does not fully remember the altercation.
PRLU or OLTC
Elopement, Notice of Incident
On 1/7/2024 at approximately 1700, resident was outside and jumped the fence by the garden area and he then climbed up the roof and went to the gas station by Vantage Point on Zion and Crossover St. The police and staff caught up with him at a gas station and he was returned to PRTC within approximately 20 minutes.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported to APRN that he bent his finger back while playing basketball. X-ray was done in house. Resident’s X-ray of his right 5th finger came back positive for fracture. APRN notified and gave order to send patient to Ozark Ortho to evaluate and treat. Injury happened yesterday when resident hit the ball with his fingers as per APRN assessments. He went to Ozark Ortho on same day and they placed a soft splint on two fingers.
PRLU or OLTC
Notice of Incident, Peer Altercation
Residents started a verbal altercation with one another and faced each other. Resident1 was antagonizing Resident2 and hit the peer in the face, and they started hitting each other. Staff was able to separate, and Resident1 was restrained for safety and the other resident was escorted off of the unit. The next day Resident1 reported to APRN facial pain, so he received an x-ray of his nose on 12/18/2023 which was negative for fracture. Both residents were placed on precautions to be reassessed in 24 hours.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident became angry at another resident and hit the wall aggressively. He reported pain in his hand and obtained an x-ray that did not show a fracture. However, because of the swelling, the x-ray will be repeated in a week. The 2nd x-ray confirmed no fracture.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Buildings & Grounds conducted for Piney Ridge Annex (Crossover Unit) Building from 8:00AM-9:30AM. Census: 0.
No noted issues other than per Justin Hoover of Piney Ridge, bedding (sheets, pillows, covers) will be provided prior to occupancy.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident reported that he was having pain 8/10 to his right hand. It was reported that he was upset, hitting walls. Nursing notified APRN, x-ray was obtained in house and findings show acute fracture to mid-shift of 4th metacarpal. Orders received to take resident to Physician specialty for confirmation. Resident was taken via our staff to hospital. Fracture was confirmed and soft cast applied to right hand. Resident to follow-up with Dr. David Yakin in 1-2 weeks. We will treat with Tylenol PRN for pain.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident got his finger smashed in a door on the unit accidentally. He was taken to Children’s Hospital by staff, where he was diagnosed with a fracture to finger. A soft cast was placed before resident returned to the facility. He will be given Ibuprofen as needed for pain. He will follow-up with APRN on site and then we will schedule follow-up at Ozark orthopedics as directed.
PRLU or OLTC
Acute Placement, Notice of Incident
Resident started disrupting the class and other residents were ushered out of the classroom. She started drawing obscene pictures, making obscene statements, stripped in the classroom, stood in the teacher’s chair and forced herself to urinate on the chair. Because this has been a continuation of behaviors, the medical director was contacted and he directed that she be assessed at Arkansas Children’s Hospital.
Because we determined that it was not safe for staff to transport the resident by company vehicle, EMS was contacted and they along with a staff member transported the resident to ACH. While at ACH she started to make comments to kill herself and was eventually admitted and transported to Conway Behavioral Health for acute care. It is not anticipated that she will return to PRTC.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident was upset with a direction from staff and attempted to lock herself into the bathroom. Staff redirected and opened the door and resident had started to drink some soap and the soap was taken away. She reported that she drank the soap and some deodorant, and she was placed on self-harm precautions after assessed.
A little while later she broke her zipper and swallowed part of it before staff could retrieve it. APRN was notified and ordered an x-ray. After the x-ray, she was complaining of her stomach hurting. Results of x-ray came back and showed zipper in upper abdomen. APRN was notified and she ordered that resident be taken to ACH ER. X-ray completed at ER, and she was discharged at 0017 on 12/3/23. She is to follow up with APRN, be on liquid diet to be assessed daily, she was placed self-harm precautions and soap to be placed on wash cloth to be assessed every 24 hours.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident1 was attempting to antagonize Resident2 by being close to him. Resident2 became upset and hit Resident1 in the nose. They were hitting each other while staff members were physically intervening for safety. Resident1 had a nosebleed and the APRN was notified and ordered an x-ray. X-ray results: Non-displaced fracture of R nasal bone. He will follow up with the APRN today related to this injury.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident rolled his left ankle while playing outside. No bruising or swelling noted. An x-ray was ordered and on 11/30/23 the results were negative for fracture. No additional treatment needed at this time.
PRLU or OLTC
Notice of Incident, Peer Altercation
Two residents were playing basketball and they started to push each other. Resident1 kicked Resident2 on the face. Staff stepped in between and body blocked both residents until they were calm. Residents will be placed on 24-hour assault precaution. Guardians were notified. Guardian of one resident stated that he had a hairline fracture from ear to ear in the past and wanted us to keep an eye on it. APRN was notified and requested an x-ray. Mobile x-ray was performed on 11/27/23 and was negative for fracture. Followed up with APRN.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
Resident1 reported that earlier that day, she and Resident2 were sitting beside each other in the dayroom and Resident2 performed digital penetration on her by putting her finger down her pants. She also reported that it occurred briefly again about an hour later on the unit. Internal review including camera footage shows what appears to be consensual sexual behavior to include touching and a few kisses. The residents were placed on no interactions and a 6-foot intervention with staff. Both resident’s primary therapist was made aware of the allegation and guardians. Resident1 made statements that she did not want to engage in the sexual behavior and it was not consensual. The hotline was contacted on 11/28/23 and it was accepted for investigation to CACD. On 11/28/23, Deidre Uselton from ASP came to the facility and viewed camera footage and interviewed residents. She stated that she would be unable to substantiate the behavior as non-consensual. Counseling will occur with the staff members on the unit at the time of the incident. In addition, the Program Manager will teach additional training on active observation with new hires and review with present employees during daily safety huddle debriefings.
Licensing Specialist: Jarred Parnell
Video footage reviewed shows the two residents sitting in the day room in chairs doing an activity on dry erase boards. The staff person supervising the residents can be seen behind the residents approximately 7 feet away. Resident proceeds to engage in sexual interaction by placing her hand on her thigh and then down the front of her pants. The residents have their backs to the staff person and use the dry erase boards to conceal their actions. During the incident the staff person can be seen doing visual checks on the residents. The staff person could not see the sexual contact as the residents are heavy set and were blocking her view from the back, and utilizing the dry erase boards to to conceal their actions from the front.
Video footage for another incident involving the two residents was reviewed. The video footage shows the two residents seated against the wall with the supervising staff approximately 4 feet away. Resident leans into peer and kisses her on the mouth. The staff person did not see the interaction because she was speaking with another resident and resident’s head was blocking her field of view. Staff can be seen interacting with the residents and actively supervising.
Licensing and CACD unsubstantiated.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident reported pain in his right hand after he got upset and hit a wall. Nursing assessed and he was treated for the pain and given ice for swelling. APRN was notified and we received an order for an x-ray. Mobile x-ray came to facility to perform x-ray and late on 11/20/23. X-ray of the right hand showed angulated acute small finger fracture. We will take resident to Ozark Orthopedics today, 11/22/23 as a walk-in for additional treatment.
Police Report
Suicide Threat
Resident at facility broke open a nail polish glass bottle and used the glass to cut her wrists. Unable to control bleeding. Transfer of care.
PRLU or OLTC
Notice of Incident, Suicide Attempt, Visit Compliance Report
Resident had become upset prior to the incident related to a food sensitivity that staff was discussing with her. Resident appeared to calm down and was painting her nails with another resident, then she broke the glass nail polish bottle and started to self-harm by cutting her left arm. There was scant bleeding and staff called for nurse support in the gym. Staff attempted to remove glass, and when the nurses arrived at the scene, resident then cut her left forearm deeper causing a round 3 cm deep laceration and in the process also cutting her right finger. Resident was restrained and nurses applied pressure and first aid was administered to the resident’s left arm and right finger. Resident was transported to Washington Regional Medical Center ER and sutures were applied to her lacerations. Upon her return to PRTC, a referral to Conway Behavioral Healthcare was made and she was accepted for admission in the evening of 11-15-23.
Licensing Specialist: Jarred Parnell
A visit was conducted to review video footage of the reported incident. In the video, the resident can be seen sitting on the basketball court near the basketball goal painting her nails with another resident. The resident proceeds to break a bottle of nail polish and began to self harm. Staff member notices the resident has a piece of the glass bottle. From 12:43 until 12:50 when a nurse entered the room and restrained the resident the resident had possession of the broken bottle. Nursing staff who entered the room were unaware the resident had a piece of glass. Staff interacting with resident prior to the nursing staff entering the room, were aware the resident was self harming with a piece of glass.
Facility cited 1007.2: The resident had the piece of glass for 8 minutes before the staff removed the glass from the resident’s possession.
Resident was moved to acute care and facility has removed all glass nail polish bottles as part of the safety plan. Staff were also educated on supervising residents during gym time and advised not to participate playing sports with the residents.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was outside playing a game with his peers in the gaga pit when the resident ran and tripped hitting his face into the side of the gaga pit. Nurse assessment: Resident had busted his mouth, moderate amount of bleeding noted, and had a 3cm laceration on his bottom lip with a puncture wound from his top teeth. The resident’s top teeth were also chipped and broken from the gum-line.
APRN Karen Reynolds gave orders to send resident to Arkansas Children’s Hospital of Northwest Arkansas for further assessment. While at the emergency room the MD at Children’s Hospital noted resident to have a superficial lip laceration. No stitches required, leave wound to self-heal. He will be following up with a local dentist.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was seen by APRN on 11/9/23 complaining of hurting his hand a few days ago after playing football outside with his peers. An x-ray was ordered and came back as possible fracture . APRN notified and gave order to Ozark Orthopaedics of Fayetteville Arkansas to evaluate and treat. He received a finger splint and will follow-up with hand specialist.
Police Report
Missing Person
Officers responded in reference to 3 juveniles that escaped from Piney Ridge. Staff captured all 3 juveniles and officers responded to location of staff and children.
Police Report
Criminal Mischief
On November 5, 2023, at approximately 4:40 PM, unit 1386 was parked at Piney Ridge located at 4253 N. Crossover Road after transporting three juvenile runaways back to the facility (Incident 2023-74373).
While officers spoke with staff to create a plan for the three juveniles to be removed from the patrol unit and into the facility without running away, two of them began bending the back metal partition in the patrol unit. On the in car Axon Video, both subjects can be seen grabbing the top of the metal partition, and bending it downward to gain access to the rear storage area of the patrol unit. Once they had bent the partition down, both subjects grabbed loaded magazines from a carrier vest and concealed them in their pants. As staff and officers were getting the subjects out of the vehicle, staff noticed the bulge in their pants and searched them discovering the magazines. All magazines were returned and no other items were located missing or on the subjects.
Citation Issued to both juveniles for Criminal Mischief 1st Degree (Felony).
PRLU or OLTC
Elopement, Notice of Incident
Three residents were able to pull a picnic table to the fence and jump over. Staff immediately went to follow them and nursing called the police. The staff were able to maintain the location of the residents and with the assistance of the police they were returned to Piney at approx. 1700.
While in the police car it is alleged that 2 of the residents caused some damage to the police car and stole magazines of bullets. Unsure how many they took, however upon returning to facility this was discovered and they were returned to the police. Both have felony criminal mischief charges pressed against them. Resident1 has court 11/14/2023 and Resident2 has court 11/7/2023 at 1330.
Prior to the incident, staff to client ratio was 2:11 outside. Two residents from west unit were supposed to be transitioning in, however they were refusing and then Resident3 from North unit joined them when his unit was transitioning out. Upon return to the facility the residents were placed on RTU, elopement precautions, and will have a staff remain with them. This will be revaluated every 24 hours. We are also making room changes, the three residents will now be on three separate units.
PRLU or OLTC
Accidental Injury, Notice of Incident
While resident was in the gym he threw a basketball up and it got stuck between the wall and goal. Resident disregarded the staff directs and tried to climb the basketball goal to retrieve the ball. Resident fell approx. 2-3 feet during his climb down the pole and landed on his left wrist/arm. He was immediately assessed by nursing with swelling noted to his left wrist and complains of pain from wrist to elbow. Resident was given medications and ice pack for pain. X-ray was ordered in house and showed acute left radial fracture. Resident was taken to Arkansas Children’s Hospital and fracture was confirmed. Resident returned with a cast to his left arm. He has a follow-up this Thursday at 11am at UAMS orthopedics.
10/24/23 – Licensing inquired if there was video footage. Facility responded that the video footage is no longer available.