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 [email protected]

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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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.

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client was climbing into his top bunk when a step gave way and he fell to the floor, landing on his knee. Client complained of pain and an x-ray was ordered. X-ray results: No fracture or dislocation.
    • Licensing follow-up: Facility believes the step gave way because of wear and tear. The step has been repaired. No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Peer Altercation

  • Peer Altercation
    • Peer appeared to have purposefully stepped on client’s right hand after client crumpled up peer’s paper airplane that landed near him. Nurse noted finger to be slightly red and swollen. After assessment the next day, an x-ray was ordered and returned normal.
    • Licensing follow-up: The residents were separated and are on different units. No licensing concerns noted.

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client was playing in football tournament when he fell and landed on his right wrist. An x-ray was completed in-house with no abnormalities noted. No further treatment required at this time.
    • Licensing follow-up: As of 12/06/22, Licensing has not been informed of any further complaints from client. No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Self-Injury

  • Self-inflicted Injury
    • Client became upset and hit a wall with his right hand. An x-ray was completed in-house and showed a fracture of the fifth metacarpal. Client will follow-up with orthopedic clinic on 11/23/22.
    • Licensing follow-up: On 11/23/22, client was placed in a soft cast for the 4th and 5th metacarpals acute fracture. Client has a follow-up appointment on 12/02/22. No licensing concerns noted. 

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • While playing basketball, client’s hand struck the ball causing injury to the small finger on his right hand. Swelling with pain noted to finger. X-ray was ordered and was negative for a fracture or dislocation.
    • Licensing follow-up: Facility reports client has not reported any further pain to the nurses. No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Pain after Restraint

  • Pain after Restraint
    • Client complained of left shoulder pain after a restraint. An x-ray was completed in-house and showed no fractures. As of 11/21/22, client has no pain or complaints in that shoulder area. No follow-up is scheduled at this time.
    • Licensing follow-up: Facility reported there is no video footage of the restraint due to the camera pointing down at the floor. Staff interviewed the resident, and staff were questioned on the incident. It was reported that the staff member attempted to place the client in a Handle with Care one person hold with the resident struggling against the hold and the staff member needing to reposition the restraint. On 12/12/22, the CEO informed Licensing that no further pain was reported by the client. No licensing concerns noted.

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, Notice of Incident

  • 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 was provided with a walking boot and ordered to have a follow-up in 2 weeks. Client reported that last year, he twisted his ankle in school. It is unknown when the healing fracture occurred.
    • Licensing follow-up: On 12/06/22, Licensing was informed that the client was no longer in the walking boot. No licensing concerns noted.

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.