QRTP – Staff stated juvenile was attempting to harm himself and possibly commit suicide. Juvenile was assessed by MEMS and transported to hospital at the request of facility.
Police Report
Suicide Attempt
PRLU or OLTC
Notice of Incident, Self-Harm, Threatening Behavior
- Self-harm, Threat to Staff
- Client became upset after receiving a consequence and began self-harming by picking at healing scabs on arms. After staff attempted to talk with client, client began hitting the wall. Client was restrained, during which client banged their head on the floor and head butted, punched, and bit staff. Client was offered oral medication but refused, stating they wanted a shot. Nurse obtained order for medication.
- Licensing followed up on 7/28/22 via email (redacted).
Police Report
Battery
Staff stated that after juvenile received consequence, he went to his room and began punching the wall until his fist became bloody. When staff went to assist, staff stated juvenile became violent and struck both staff several times, and bit one staff on the forearm. Juvenile was placed in seclusion and administered sedation medication. Juvenile issued court date and charged with 2 counts of Batttery in the second degree.
Police Report
Disturbance
QRTP – Staff stated that juvenile ran away but returned a short time later. When staff asked juvenile to move to another couch once in facility, juvenile became irate and staff initiated a restraint. While staff were trying to gain control of juvenile, juvenile kicked a staff in the leg, spat at 2 staff, struck a staff in the back, and scratched a staff’s arm. MEMS arrived on scene and transported juvenile to ER.
PRLU or OLTC
Notice of Incident, Self-Injury
- ER Visit (Self-inflicted Injury)
- Client punched the floor and complained of pain. Client was sent to ER and returned with a splint applied to left wrist (metal pieces removed for safety). Nurse assessed and Ibuprofen provided.
- Licensing follow-up on 7/5/22: Client has splint on left wrist.
PRLU or OLTC
ER Visit, Notice of Incident
- ER Visit (Hand Pain)
- Client complained of pain to right hand and was sent to Urgent Care to rule out fracture.
- Licensing follow-up on 7/5/22: Client has a follow-up appointment at Urgent Care on 7/5/22.
PRLU or OLTC
ER Visit, Notice of Incident
- ER Visit (Accidental Injury)
- Client reported they tripped in the gym while playing basketball. Nurse assessment: Moderate amount of bleeding present and a fairly deep laceration to chin. The area was cleansed, and client was sent to Urgent Care.
- Licensing follow-up on 6/29/22: Client returned from Urgent Care with 4 stitches placed in chin. Instructions: Apply antibiotic ointment to wound and clean twice daily, return in 5 days to have stitches removed.
PRLU or OLTC
ER Visit, Notice of Incident, Self-Injury
- ER Visit (Self-inflicted Injury)
- Client reported they hurt their right hand while punching pillow up against the wall to release aggression. The nurse noted redness to knuckles and skin abrasion. Client was reassessed later in the day and sent to the ER. After returning from the ER, it was noted that the client had removed splint from their hand.
- Licensing follow-up on 6/27/22: Per Nursing Note, client was diagnosed with hand injury and instructed to take Ibuprofen or Tylenol as needed for pain. Client received a splint to wear for the next 3-5 days. It was noted “Patient currently do not have splint on and no pain meds requested.”
PRLU or OLTC
ER Visit, Notice of Incident
- ER Visit (Passed Out, Concussion)
- Client was upset about a rumor and was crying in the cafeteria. Staff attempted to counsel client and began to walk client across the hall where the nurses were. Client stated he didn’t feel good, then passed out and hit his head. CPR was performed and client regained consciousness. Client was transported to the ER and diagnosed with a concussion. No follow-up details.
PRLU or OLTC
ER Visit, Notice of Incident, Peer Altercation, Self-Injury
- ER Visit (Peer Altercation, Self-inflicted Injury)
- Client was upset about an issue between peers and punched the tile and sheet rock in the bathroom. Client then entered the milieu to find the peer involved in the issue, and client yelled at peer before striking them. Client was transported to the ER.
- Licensing follow-up on 6/21/22: Physician’s note indicates left hand fracture and will apply a splint.
PRLU or OLTC
ER Visit, Notice of Incident
- ER Visit (Possible Allergic Reaction)
- Client complained of an itchy throat after dinner. Client was sent to the ER to rule out an allergic reaction. No follow-up details.
PRLU or OLTC
Monitor Visit, Visit Compliance Report
- Licensing Specialist: Not listed.
- Self-report from Youth Home: Client woke up feeling sad and wrapped clothing around neck in attempt to cut off oxygen. Staff immediately intervened, and client asked to call their mother. After phone call, client grabbed a belt and wrapped it around their neck. Staff immediately intervened and nurse assessed client; No injuries noted. Client placed on front of house and eyeball precautions.
- Facility visited and video reviewed from 6/11/22; Client is seen having a Facetime video with their mother, and afterwards grabs a belt off the counter in the recreation room. Client puts the belt around their neck but doesn’t tighten it. One staff is seen and heard counseling the client, then three other staff show up towards the end of the video. Client gives the belt to staff without incident.
PRLU or OLTC
Notice of Incident
- Self-Harm
- Client attended staffing group within the hour of being admitted to facility and became disrespectful and noncompliant. Client returned to bedroom and attempted to use the metal from a 3-ring binder he received from admissions to self-harm. Client was restrained and placed in locked seclusion where he began hitting his head on the wall and rubbing a fidget toy on his wrist. Staff removed object and client agreed to a chemical restraint to calm down. Client was transferred to ER to rule out drug toxicity. No follow-up details.
PRLU or OLTC
Notice of Incident
- Injury (Accidental)
- Client slipped in shower and banged her head. Client was assessed by nurse and placed on eyeball due to history of self-harm. No follow-up details.
PRLU or OLTC
Notice of Incident
- Suicidal
- Client wrapped clothing around her neck and staff intervened. After a phone call with her guardian, client grabbed a belt and wrapped it around her neck. Staff intervened and client was placed on Front of House and Eyeball precautions.
- Per email from facility on 6/13/22, client remains on Eyeball.
PRLU or OLTC
Notice of Incident
- ER Visit (Accidental Injury)
- Client injured left ankle while playing outside. After continued complaints of pain, client was transported to the ER.
- Licensing follow-up on 6/10/22: Client diagnosed with fracture to left foot. Client does not have a walking boot.
PRLU or OLTC
Buildings and Grounds, Visit Compliance Report
- Licensing Specialist: Clayton DeBoer.
- Buildings & Grounds conducted from 11:00am – 12:30pm. Census: 39. Sturgis, Chestnut, and indoor gymnasium observed. MARs checked for 5 clients. No licensing concerns noted.
PRLU or OLTC
Notice of Incident
- ER Visit (Accidental Injury)
- During recreation, client was running and fell, slid on her knees, and hit her head on the wall. Client complained of a headache and was taken to the ER. Client was diagnosed with a head injury and left knee injury, and was given crutches to wear for 24 hours. No concussion noted. No follow-up details.
PRLU or OLTC
Notice of Incident
- Suicidal
- Client was upset with peer for breaking up with her and took of running towards the street when residents were going back inside for lunch. Staff later caught up with her and restrained her. Client stated she wanted to kill herself and tried multiple times to get hit by a car. Client calmed down after being transported back to the facility by van. Client and peer were placed on peer limit.
- Per email from facility on 6/9/22, client is on eyeball, front of house, and run risk but may come off after med checks. Client was taken off eyeball on 6/9/22.
PRLU or OLTC
Notice of Incident
- ER Visit (Accidental Injury)
- Client broke his arm playing basketball and was taken to the ER.
- Licensing follow-up on 6/2/22: Per nursing note, client returned from ER with splint and prescribed Oxycodone 5mg. Client has a follow-up appointment with Orthopedic Clinic on 6/2/22.
PRLU or OLTC
Notice of Incident
- Suicidal
- Client allegedly had a plan to run and encouraged other peers to run with her. After client was placed on House Restriction and Run Risk, she became upset and barricaded herself in her room and tied clothing around her neck. Staff intervened, and client was placed on Eyeball and Front of House in addition to HR and RR.
- Licensing follow-up on 6/2/22: Per email from facility, client is no longer on eyeball and reportedly doing better.
PRLU or OLTC
Notice of Incident
- ER Visit (Allergic Reaction)
- Client complained of itching throat after eating a cookie and thought it was an allergic reaction. The kitchen was certain the meal contained no nuts. Client was given Benadryl, and after client stated it was worse, was given an Epi pen and sent to ER.
- Licensing follow-up on 5/27/22: Client returned to facility on 5/25/22 and is reportedly doing fine.
PRLU or OLTC
Notice of Incident
- ER Visit (Facial Cellulitis)
- Client presented to nurses station with facial pain and moderate swelling. Client was sent to Urgent Care for evaluation. Client was diagnosed with left-sided facial cellulitis and prescribed antibiotics. If the problem does not resolve after antibiotics, another visit will need to be scheduled.
PRLU or OLTC
Notice of Incident
- Maltreatment
- Client went to staff asking to be moved to a different room because her roommate made her feel uncomfortable. Client reported that while in their room, peer was trying to touch her, kiss her, and gave her a lap dance because peer wanted them to be girlfriends. Peer admitted to staff what happened but said she didn’t realize she was making client uncomfortable. The girls have been moved away from each other and should not be in close contact any longer.
- Child Abuse Hotline was called and accepted, unsubstantiated. Per email from facility on 5/23/22, client slept in the front of the house for safety until room changes can be discussed.
PRLU or OLTC
Notice of Incident
- ER Visit (Dermoid Cyst)
- Client complained of having issues with her eye and was transported to ER due to continued complaints. Client has been to multiple appointments to evaluate her eye.
- Licensing follow-up on 5/19/22: Client returned from ER with diagnosis of dermoid cyst of left orbit, and instructions to return if pain increases, or if any symptoms worsen after starting antibiotics.