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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, Self-Harm
Resident reported that he took an AA battery out of an audiobook and swallowed it. X-ray was ordered. Orders received to take him to Childrens Hospital for evaluation.
He was seen and orders given to repeat x-ray in one week. Return to ER if he has persistent vomiting or acute abdominal pain. Facility will not be using Audiobooks until they have came up with a solution to ensure residents are not able to access the batteries.
Police Report
Elopement, Police Report
Officers are dispatched to search for four missing residents from Piney Ridge. Residents are located and transported back to the facility.
PRLU or OLTC
Elopement, Notice of Incident
On 5/9/24 at approximately 17:33, four residents in the gym with staff members kicked the door open from the gym leading outside. They attempted to climb the fences as staff and nurses attempted to de-escalate. Twenty minutes later, they climbed the fence and went off property.
The Fayetteville Police Department was notified. Staff left the facility in an attempt to locate, however FPD located the residents and returned them to the facility within approximately 25 minutes. All residents were placed on elopement precautions. Precautions will be assessed every 24 hours until precautions removed. All residents will process with therapist.
Licensing followed up with the facility, requesting any video footage of the incident. Facility stated no video footage of the incident exists.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was on an outing when he reported swallowing a plastic bottle cap on accident. He was assessed on site and then brought back to the facility. X-ray revealed no foreign bodies. Will follow up with APRN on 5/8/24.
PRLU or OLTC
Notice of Incident, Peer Altercation
On 05/03/2024, two resident got into an altercation in the gym. One resident shoved another, who in return hit the resident in the face. Staff was able to quickly separate the two residents. They were taken to the nurses station to be assessed. One had no injuries. One reported pain and had swelling to the left side of his jaw. He was taken to the ER where they did an x-ray.
Diagnosis: Fracture to jaw. Resident is on protein shakes and crushed meds for 6 weeks. The two residents were put on assault precautions and had a 6 foot no interaction.
5/6/2024- The provider reported incident was reviewed by the licensing specialist. Licensing Specialist contacted the facility in order to review the video footage of this incident.
5/8/2024 – Licensing Specialist received a response from the facility which stated you could not see the incident. Therefore the video was not saved. The residents were supervised by two staff for 12 residents in addition to the Certified Recreational Therapist and Activities Coordinator.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident was in the floor playing with Lincoln Logs, when he and a peer got into an altercation. During the altercation the resident was bitten and kicked in the face. Resident reported pain in the right side of his jaw. An X-ray was done in-house and showed no acute findings, but recommended CT for follow-up. On 4/21/2024, the resident was taken to Washington Regional Medical Center. CT was completed, and no fractures or dislocations were found. Resident was sent home with a muscle relaxer to take BID for 15 days and follow-up as needed by Primary Care Physician.
4/25/2024 – Licensing Specialist received a response from the facility for the safety plan “So, [the resident] was placed on assault precautions to be reviewed daily, [the peer] was placed on assault precautions to be reviewed daily for kicking the resident.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported pain to his left hand due to hitting a ball with the end of his finger. X-ray was ordered by APRN and shows small chip fracture to the base of the 4th middle phalanx. The fingers were buddy-taped together and an order was given to follow-up with Ozark Orthopedics early next week.
PRLU or OLTC
Notice of Incident, Self-Harm
On 4/17/24, Resident complained of hand pain due to punching a wall 2-3 days prior. X-ray was completed in house and shows fracture to the 5th metacarpal. Resident was taken to Ozark Orthopedics on Thursday 04/18/2024. A splint was placed for one week. Resident will follow-up with Ozark Orthopedics (will likely transition to cast at that time). Tylenol and Ibuprofen is given as needed for pain.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
A visit was conducted for the facility’s annual policy review. Policies reviewed: Personnel, Volunteer, Student Intern, Admission, Intake, Behavior Management, Crisis Management, Child Maltreatment/Mandated Reporter, Child Exploitation, Visitation, Family Therapy or Therapeutic Pass, Admission Health Assessments, Target Population and Admission, Exclusion, and Discharge Criteria.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident reported to the nursing department that on April 5th or April 6th, he was playing basketball and ‘rolled’ his ankle two or three times. APRN ordered an X-ray of the resident’s right ankle. Resident was diagnosed with a small acute nondisplaced fracture of the distal fibular metaphysis. On 4/13/24 the resident was taken to Washington Regional Medical Center and received a walking boot and was referred to an orthopedist specialist.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident reported to the nursing department that he had injured his right hand earlier in the week playing football. APRN ordered an x-ray of the right hand. X-ray found a type II non-displaced fracture of distal fifth phalanx. Findings suggest that the fracture is healing at this time. Resident was sent to Washington Regional Medical Care in Fayetteville, AR on 4/13/24 and received a splint. He is to follow up with an orthopedic specialist.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident got into a verbal argument with a peer about the line order while getting lunch, which soon escalated into a physical altercation. Staff was able to intervene and stepped between the resident and peer. The resident attempted to punch the peer multiple times, but a staff member was using her body to shield the peer and she was hit multiple times. Another peer struck the resident on the left side of the head while the resident was focused on attempting to hit his peer. A second staff member was able to get the resident away from the altercation.
The resident was assessed by nursing and was found to have a laceration on the pinna of left ear. The wound was cleaned, and a sterile dressing was applied. Ibuprofen was given for comfort and APRN was notified. Orders were received to take the resident to the Washington Regional Medical Center ER for evaluation and treatment, where he received 3 sutures.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
Resident was sitting in the classroom beside his peer. Resident reported that his peer started to talk sexually, showed the resident his penis, briefly placed his hand on the resident’s clothed crotch area, and then “made” the resident touch his penis (which was outside his pants). Staff sitting in front of the residents turned around and saw the peer buttoning up his pants. Residents were separated. A meeting is scheduled with the peer’s team to discuss removal, referrals will be sent out to Acute facilities and the peer will not be sleeping in patient bedrooms. He is on additional observation that will be assessed every 24 hours. Re-education will occur with staff. A report was made to the Child Abuse Hotline and accepted for investigation.
Licensing Specialist: Jarred Parnell
Licensing Specialist conducted a visit at the facility to review video footage of the incident. Staff at the front of the classroom was seen going to the door to speak with someone, and during this time, the peer was seen reaching over to resident under the desk. It is unclear what he was doing with his hand under the desk. Peer can be seen looking around the room and then leans his head towards resident’s pelvic region. After the incident the staff person seated directly in front of the boys turned to see what was going on and then the boys were separated due to peer messing with his pants.
The facility is trying to find treatment more suited to the peer’s needs, as he has had other difficulties and behaviors unrelated to this incident which were not conducive to success at the facility. The peer currently sleeps in the hallway or NPR room with doctor’s orders until he is discharged from the facility. Re-education and training was conducted for staff concerning classroom supervision and expectations.
CACD investigation was unsubstantiated. Complaint UNFOUNDED by Licensing.
PRLU or OLTC
Notice of Incident, Peer Altercation
Resident started to antagonize other peers and he and two other residents started a physical altercation with one another. Resident was hit by one of the residents in the face. Staff body blocked and defused the situation. Resident complained of pain in face and an x-ray was ordered by APRN which he received on 3/11/2024. He had no acute fracture and additional medical care was not ordered.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident reported that he ran into the wall during recreational therapy on Saturday and today his left wrist is hurting. X-ray done in house with results showing possible buckle fracture. Resident was taken to Ozark Orthopedics and fracture was confirmed to left wrist. He has a soft splint on and will follow-up in 1-2 weeks.
PRLU or OLTC
Medical, Notice of Incident
Resident reported shaking or tremors and falling outside. She was assessed and had no injuries. APRN was called and gave order to send resident to Physician Specialty Hospital. She came back with new order to discontinue Cogentin and to follow up next week with Psychiatrist. Guardian called and she stated that her daughter used to do that to get attention from others. She followed up with APRN on 2/23/24.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident notified staff and nurses that while playing basketball on 02.22.2024 he ‘jammed’ his right thumb. APRN notified and an x-ray was ordered of the right hand. The results of the x-ray were a fracture of the right thumb. APRN ordered to refer the resident to orthopedics for further treatment.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was in the gym and reported that he hurt his ankle while reaching for a frisbee and tripping. X-ray was performed in house showing fracture to right ankle. He was seen by Ozark Orthopedics 02/22/24 and confirmed diagnosis of fracture to ankle. He was placed in a soft cast with crutches and will return on 02/28/2024 to see specialist.
PRLU or OLTC
Medical, Notice of Incident
Staff reported that resident was having an allergic reaction in the gym. Nurse found resident laying down, face up, she was breathing but not responding to verbal stimuli. EPI pen was administered, and EMS was called. Patient was taken via EMS to Arkansas Children’s Hospital. She was assessed at the hospital and given IV fluids. The physician did not think it was an allergic reaction. She returned to facility and will follow-up with APRN here on 02/21/2024. Diagnosis: Syncope.
The following correspondence was received from the facility in regards to the incident: She saw APRN on 2/21 Subjective Pt reported a food allergy to berries on admit. She had an episode in the cafeteria on 2-20-24 with syncopal episodes and was sent to ER. ACH declined an “allergic reaction response” but no documentation to support. Mother and DHS declined a history of food allergies.
PRLU or OLTC
Medical, Notice of Incident
Resident was walking to get milk when he dropped his food in the cafeteria. Resident then started to walk back and forth. Staff asked resident to go back to the serving line to get a new tray. As resident was walking back, resident fell backwards and was struggling to keep his eyes open. Staff called for nurses. Nurses arrived to the cafeteria and assessed resident. APRN ordered resident be sent to Arkansas Children’s Hospital for an evaluation. Resident was transported to ACH and diagnosed with Orthostatic syncope and encouraged resident to drink more water. Resident returned to facility 2/2/24.
PRLU or OLTC
Accidental Injury, Notice of Incident
Bilateral x-ray was ordered due to swelling in the fingers. The resident stated he was playing football on 2/1/24. X-ray results: Left hand acute 3rd distal phalanx fracture. APRN ordered resident to be taken to Ozark Orthopaedics. The resident reported 2/10 pain and was given 400mg PO Ibuprofen. Resident transported to Ozark Orthopaedics by PRTC transport and returned with a splint and resident to follow up in one week.
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.