*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 rstanford@disabilityrightsar.org
Location: Benton, AR
Population Served: Youth 4-12 years old
| # of residents per unit: 15 | Residents per room: 1-2 | Capacity: 15 |
Contact with family (Calls and visit schedule): Families can call daily. Clients can call as long as they have been safe towards themselves and others
| Restraint utilized? Yes | Chemical Restraint utilized? Yes | Seclusion utilized? No |
Clinical Director – MSE, CCC-SLP
Therapists: 3 full-time therapists (1 LPE-I, 1 LAC, 1 PhD Neuropsychologist)
Treatment modalities offered: Play therapy, sand tray therapy, polyvagal, CBT, solution focused, reality therapy
# of individual therapy sessions/week: 1-2/week
# of group therapy sessions led by a licensed mental health professional/week: 1
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A resident reported that a staff member cusses him, pushes his head down on the pillow, and pushes his neck down on a wall.
Licensing Specialist: Clayton DeBoer
LS DeBoer visited the facility to review witness statements, nursing notes, therapy notes, restraint packets, and the personnel file for the named staff member.
This complaint has been UNFOUNDED by Licensing and UNSUBSTANTIATED by Crimes Against Children Division (CACD).
PRLU or OLTC
Medical, Notice of Incident
A resident was transported to the Emergency Room due to having a seizure.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
LS DeBoer visited the facility to conduct and after hours visit. No deficiencies cited.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident was transported to Arkansas Children’s Hospital after reporting that he hit his head.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Self-Harm, Visit Compliance Report
A resident reported that he was scratched when a staff member attempted to implement Nonviolent Crisis Intervention (NCI) protocol. Staff members reported that the resident was hitting his head on a window and bed.
Licensing Specialist: Clayton DeBoer
LS DeBoer visited the facility to review all documentation related to this incident. The resident’s safety plan notes that the resident admitted not telling the truth and that he scratched himself.
This complaint has been UNFOUNDED by Licensing and UNSUBSTANTIATED by Crimes Against Children Division (CACD). Staff members will be retrained as a precautionary measure.
PRLU or OLTC
Visit Compliance Report
| Licensing Specialist: Clayton DeBoer Buildings and Grounds were conducted for the Psychiatric Residential Treatment Facility (PRTF) House and Americana Residential Building. The buildings were clean, safe, and in good repair. Bathrooms were clean and sanitary. Grounds were clean and free of safety hazards. |
PRLU or OLTC
Medical, Notice of Incident
A resident was transported to Arkansas Children’s Hospital Emergency Room after becoming unresponsive to staff.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
LS DeBoer visited the facility to complete a Buildings and Grounds walkthrough. Census 13. Ratios observed: 3:1, 4:2, 4:8.
Buildings were clean, safe, and in good repair. Bathrooms obeserved were clean and sanitary. Sleeping quarters were furnished, clean, safe, and in good repair. Grounds were clean and free of safety hazards.
Police Report
Assault, Police Report
Officers were dispatched to the facility in response to a report of a patient strangling another patient.
This call is related to the 12/09/2024 Peer Altercation Notice of Incident.
PRLU or OLTC
Notice of Incident, Self-Harm
A resident complained of pain after kicking his bed frame during an outburst. An x-ray was ordered. The x-ray was negative for fracture.
PRLU or OLTC
Notice of Incident, Peer Altercation
A resident was sent to Saline Memorial Emergency Room for assessment after another resident wrapped a Nintendo controller hanger around his neck in an attempt to strangle him. The resident was cleared and sent back to the facility. The offending resident was transported to Arkansas Children’s Hospital and then transported to another facility for acute psychiatric care.
PRLU or OLTC
Medical, Notice of Incident
A resident was transported to the Emergency Room due to seizure activity. The resident was admitted to the hospital for further treatment.
PRLU or OLTC
Acute Placement, Notice of Incident
A resident was transported to the Arkansas Children’s Hospital emergency room after experiencing suicidal ideations and racing and unorganized thoughts. The resident was assessed but ACH was unable to locate acute placement, so the resident was sent back to the facility. The resident was placed on Intensive Supervision until he was transported to Bridgeway on 11/27/2024 for acute care. The resident returned to the facility on 12/4/2024.
PRLU or OLTC
Medical, Notice of Incident
A resident was transported to Arkansas Children’s Hospital Emergency Room after breaking out in a rash. The ER assessed the resident, gave medication, and set a follow-up appointment.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Buildings and Grounds conducted for Americana and PRTF buildings. MAR checked for multiple residents. No issues were noted by Licensing.
PRLU or OLTC
Notice of Incident, Self-Harm
Medical Director sent client to the Arkansas Children’s Hospital ER due to him putting toilet paper up his nose, and the nurse couldn’t retrieve it. Guardian was notified and stated this is a pattern that he has always done. Client has been placed on increased observation.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Client made an allegation against a staff member on 9/6/24 stating that she slapped him. Staffing documentation states that the client slapped staff but that staff continued in the intervention. Another staff was monitoring the intervention in case staff needed to switch out and she stated that she never saw the staff member slap the client. Nursing notes state no injuries were reported. Staff member on administrative leave. A report was made to the AR Child Abuse Hotline and accepted.
Licensing Specialist: Clayton DeBoer
No visit scheduled at this time. Witness statements and nursing notes provided to licensing and reviewed. 9/9/24-Received email from facility as follows: “When [redacted] came to investigate this morning and spoke with the client involved, he (A/V) named [redacted] as the alleged offered who was terminated in August from our facility. We will be calling and updating the [redacted].” 9/28/24-Received completed training sign-in for [redacted].
10/21/24-CACD case unfounded. Licensing issued a “521 Visit Compliance Report” on 10/21/24 stating the following: “This is to document that Case #023791 has been investigated and determined to be unfounded. A/O no longer works at facility.”
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A resident was engaged in a behavioral outburst and two staff intervened. One staff used an improper intervention by grabbing the resident’s shirt, and while grabbing the shirt, the resident hit the wall. The second staff member asked for the first staff member to leave. A third staff member came to assist, and the resident stated that the staff who was asked to leave grabbed him too tightly and that another staff member scratched him. The resident was assessed by nursing and the scratches were noted and cleaned. Both staff members were suspended pending the outcome of the investigation.
Licensing Specialist: Clayton DeBoer
The facility was visited in response to the complaint. Witness statements from staff support that staff was unprofessional and used excessive force resulting in physical injury to the resident. The nursing note supports that the resident received scratches after this incident and that staff may have been responsible for the scratches. Both staff members have been terminated.
Facility was cited 109.1.g: Unprofessional conduct in the practice of child welfare activities; 905.4.g: Physical injury or threat of bodily harm shall not be used, including as discipline.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist:Clayton DeBoer
An after-hours visit was conducted for Timber Ridge and the Americana building.
Americana staff/client ratio: 3:3. Clients were sleeping. Staff alert and able to answer questions. Buildings and grounds that were observed appeared clean, safe, and free of safety hazards.
Timber Ridge PRTF building staff/client ratio: 4:9. Clients were sleeping. Staff were awake and alert, engaged in paperwork. Buildings and grounds were observed to be clean, safe, and free of safety hazards.
Police Report
Police Report, Sexual Assault
Officers received a referral from the Arkansas Child Abuse Hotline regarding an allegation of abuse. During a FINS intake interview, a resident who had received treatment at the facility three years prior stated that he had been raped. The resident’s parents said that the allegation was reported to a staff member at the facility but “nothing was ever done about it.” The parents could not remember if the incident was reported to DHS or DCFS. The incident was reported to have occurred in approximately 2021-2022.
PRLU or OLTC
Notice of Incident, Peer Altercation
While outside playing, a resident wanted a bucket that a peer had. The resident tried to snatch the bucket away. The peer let go of the bucket and it hit the resident in the face. The resident was assessed by nursing and was ordered to be transported to Saline Memorial Hospital for further evaluation and treatment. Staff to client ratio at the time of the incident was 5:6.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
Resident became aggressive during an intervention. The resident spat in a staff member’s face. The staff member slapped the resident in the back of the head/neck area with an open hand after the resident spat in her face. The staff member was asked to leave the area, and the resident was taken to his room.
Licensing Specialist: Clayton DeBoer
No site visit was conducted. The facility provided Licensing with nursing notes, staff witness statements and case management notes that support the allegation. The staff member was terminated.
Facility was cited for 109.1.g and 404.4.h as a result of the incident.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer
Personnel records were reviewed. All items accounted for except one staff member was missing a signed job description.
Facility was cited 105.15g: The agency shall maintain a personnel file for each employee, which shall include: a signed job description.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Resident was dysregulated and became aggressive toward property and others. The case manager entered the room to help with de-escalation, and the resident reported to the case manager that a staff member pushed him against the wall, put her arm on his neck, and abused him. The staff member was suspended pending the investigation outcome. Staff to client ratio was 5:10.
Licensing Specialist: Clayton DeBoer
The facility was visited by Licensing in response to the complaint. When interviewed, the resident stated that he didn’t remember why he was mad and he didn’t remember what staff did in response. No visual marks or bruising were noted. Nursing note was reviewed and no injury, redness, or bruising was noted there. Witness statements reviewed do not indicate physical abuse or harm. As a precautionary measure, the staff member will be retrained on hands-on and verbal de-escalation.
This complaint has been determined Unfounded by Licensing. Proof of retraining will be immediately provided to Licensing upon completion.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident fell while playing ball. He was assessed by nursing and sent to the emergency room for evaluation, where he received two stitches to his ankle.