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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Police Report

Suicide Threat

Staff reported 3 juveniles were on the roof and 1 stated he would commit suicide. Staff didn’t know how the juveniles got on the roof. Juveniles were walking around on the roof, sitting on edges, and laughing at staff. Juveniles got off the roof while police were on scene; No action requested by staff.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client accidentally got her right 5th finger caught in a door. As a result, client had a nail bed avulsion with moderate bleeding and no bruising. Client was transported to the ER. No follow-up details.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Chelsea Vardell.
  • No site visit conducted. Specialist received notification of an incident on 4/6/22 that occurred on 4/1/22. Incident involved resident reporting pain to his right hand to nurse on 4/1/22 due to punching a wall approximately a month prior. An x-ray was ordered and showed a subacute fracture to the fifth metacarpal bone. The resident will follow up with Orthopedic care. Specialist followed up with staff on the cause of the reporting delay: “The nurse forgot to inform the DON that the x-ray occurred – as soon as we received the results the x-ray was forwarded to me and Angie. However, we did provide prompt medical care and he has a follow up on Tuesday at 1300 at Ozark Orthopedics.”
  • Regs not correctable –
    • R110.17 – Please ensure that all required reportable incidents are sent to the Licensing Specialist by the next business day.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Client reported pain in his right hand due to punching a wall about a month ago. Client received x-ray at the facility.
    • Specialist emailed facility on 4/7 for additional information regarding the delay in reporting the incident to PRLU and inquired if the client has had his follow-up with Orthopedic Clinic.

PRLU or OLTC

Notice of Incident

  • ER Visit (Back Pain)
    • Client taken to ER after complaining of severe back pain and inability to urinate. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Peer Assault)
    • Client was assaulted by 2 peers in which he was hit and bit. Police department was notified and client was transported to the ER.
    • Specialist contacted facility on 3/30 to determine if the residents have been placed on restrictions from one another and if the residents who assaulted client were charged with any violation from the police.

Police Report

Battery

Upon officers arrival, staff stated a large fight broke out between the juveniles at the facility. Staff member stated she was hit with a chair. A juvenile had injuries to his face and arms. Staff asked officers to leave due to carrying firearms. Another staff member met officers outside, stating that while she assisted in holding a juvenile back from the fight, the juvenile grabbed her by her thumb and bent it backwards to her arm and then pushed her into a wall and kicked her in the stomach. Staff member stated facility has no safeguards for their employees and they are unable to defend themselves when being attacked. She did not want to pursue charges and stated her employer would do nothing to help her. That staff member was transported to the hospital.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client eloped while transitioning back to the unit from outside. Client went through the double gates leading to staff parking lot. Local law enforcement was contacted and staff maintained visual of client as he went across the street to a gas station. Client stole a snack and pushed staff to the floor.
    • Specialist followed up on 3/30: Facility reported that staff had left the gate unlocked. Facility reported that both department heads of the employees who use this gate were informed to remind staff to ensure the gate remains locked at all times.

Police Report

Missing Person

Caller advised a juvenile left the facility on foot. Upon officers arrival, juvenile was with staff and was given a ride back to the facility. Juvenile was cooperative.

PRLU or OLTC

Notice of Incident

  • ER Visit (Stomach Pain)
    • Client taken to ER due to right lower stomach pain. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client eloped from the gym after forcing open a door and ran across the street off facility grounds. Staff followed client across the street and was able to process with him. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Client had his hand in a doorway when peer closed the door and client’s fingers were caught in the door. Client sustained abrasions to the right ring and middle finger and complete nailbed injury to the right index finger. Minimal bleeding noted, and some slight bruising noted to all 3 fingers. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Peer Altercation)
    • Client and peer were in altercation in which peer hit client in the head. Due to a pre-existing diagnosis, client was taken to the ER. Client was then transferred to Mercy Hospital in Springfield, MO as a precautionary measure.
    • Specialist emailed facility on 3/15 to inquire about peer restriction. Staff reported the residents cannot be moved to different units due to their age. Staff reported the residents are on a 6-foot rule, but they are unsure how long as it is decided day to day.

PRLU or OLTC

Background Check Review, Visit Compliance Report

  • Specialist visited facility and reviewed 30 employee background checks.
  • Regs not correctable –
    • R103.8 – Five staff did not have their maltreatment reports initiated within ten days of hire.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident complained of right-hand pain. Resident received x-ray on-site on 2/26.
    • Specialist followed up on 3/2 to gain more info. Staff advised the resident injured her hand after she swung her hand around and hit the back of a chair on accident.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident complained of right-hand pain. Resident received x-ray on-site on 2/26.
    • Specialist followed up on 3/2 to gain more info. Staff advised the resident injured her hand after she swung her hand around and hit the back of a chair on accident.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Resident complained of right-hand pain. Resident received x-ray on-site on 2/26.
    • Specialist followed up on 3/2 to gain more info. Staff advised the resident injured his hand after he punched a wall.

Police Report

trespassing

Two juveniles from Piney Ridge got onto Vantage Point roof and threw ice/HVAC items down to discourage staff from coming up. They then climbed down to runaway on foot, but staff eventually caught up to them and they returned to facility.

Police Report

911 Hang Up

No sounds of distress, could hear talking in the background. Disconnects at call back. Facility advised no emergency, possibly an accidental call from a kids phone.

PRLU or OLTC

Notice of Incident

  • Injury (Self-inflicted)
    • Resident complained of left-hand pain after punching a wall. Resident received x-ray on-site. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident was attempting to do a handstand in the gym when she slipped and fell. Resident complained of neck pain. Resident taken to ER via ambulance for evaluations. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Self-Harm
    • Resident was found in restroom with her jacket tied around her neck. Resident was taken to ER to be evaluated. No follow-up details.

Police Report

Suicide Threat

Resident found on floor with jacket wrapped around her neck. Caller advised resident was not able to speak and keeps going in and out of consciousness. Resident possibly hallucinating, no drug use other than prescribed medications. Officers remained outside, patient transported.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Resident complained of pain in her ankle after jumping and landing on it wrong on 2/7. Resident received x-ray on-site on 2/9. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Wrist Pain)
    • Resident complained of right hand/wrist pain that has been chronic. Resident received x-ray on-site on 2/9. No follow-up details.