Officers responded to the facility regarding a disturbance. Staff advised officers that a resident was hitting staff and would not follow instructions. Officers stood by to contact EMS transport if necessary.
Police Report
Disturbance, Police Report
Police Report
Disturbance, Police Report
Officers responded to the facility regarding a disturbance. Staff told officers that a resident would not comply with rules, threw objects, and attempted to hit staff. Officers requested MEMs to transport the resident to acute care.
PRLU or OLTC
Notice of Incident, Self Harm Acute Placement
Resident became dysregulated and began displaying unsafe behavior. Resident attempted to put a broken rubber hair band around her neck to choke herself. She began climbing and jumping off furniture in a reckless manner. Resident was restrained after trying to break a popsicle stick after displaying unsafe behavior. Resident got into her peers’ belongings and tried to remove them. Staff continued verbal de-escalation.
Resident was transported by MEMs to Pinnacle Pointe for an acute stay. She will return to Youth Home once she discharges from acute.
PRLU or OLTC
Elopement, Notice of Incident
While walking back to the house from dinner, a resident and two peers rushed by staff in an effort to elope. The resident was later brought back to the facility by the Pulaski County Sheriff’s Department. The resident was assessed by nursing. Multiple scratches to both legs and arms were noted. No open bleeding was noted. Respirations were even and unlabored. Fluid intake was encouraged to prevent dehydration. The resident was placed on run risk, house restriction, and freeze.
PRLU or OLTC
Elopement, Notice of Incident
While walking back to the house from dinner, a resident and two peers rushed by staff in efforts to elope. The resident was later brought back to the facility by Pulaski County Sheriff’s Department. Resident was assessed by nursing. Multiple pink scratches and bug bites noted on legs. No open bleeding was noted. No bruising.
PRLU or OLTC
Elopement, Notice of Incident
While walking back to the house from dinner, a resident and two peers rushed by staff in effort to elope. The resident was later brought back to the facility by Pulaski County Sheriff’s Department. Resident was assessed by nursing. Two small scratches were found on the left forearm. Breathing was regular and unlabored. Liberal fluid intake was encouraged to prevent dehydration.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident became upset about remaining on freeze. She went to her room and closed the door. Staff opened the door and sat outside of the room to ensure that the resident didn’t close the door again. The resident began pulling her hair out and kicking staff. Staff restrained the resident, but once she was released, she continued to escalate. The resident ripped a shower curtain off and swung and struck a staff member with the shower rod. Resident was placed in another restraint. Staff continued to offer support. After being released, the resident attempted to barricade herself in her room. She also attempted to kick a door down. She began hitting her head on the wall and then experienced a fainting-like episode.
Resident was transported to acute care by MEMs.
Licensing Specialist: Kendra Rice
Program Coordinator reviewed camera footage of the incident. Staff were observed keeping the resident safe.
PRLU or OLTC
Medical, Notice of Incident
A Resident became anxious and began to display a seizure-like episode. Resident had intermittent episodes of muscle rigidity, gurgling, and shaking. Airway remained clear. A one-time dose of diazepam gel was given by the nurse.
EMS was called to transport the resident to Arkansas Children’s Hospital and later returned to the facility with new orders.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident reported that he swallowed a spring he found in his room. Resident was assessed by nursing then sent to Arkansas Children’s Hospital for further evaluation. He later returned to campus—no visible signs or symptoms of distress. Resident continues to be on Front of House (FOH) and Eyeball.
Facility reported to Licensing that they are still going through camera footage, but no footage has been found to indicate where the resident found the spring.
PRLU or OLTC
Notice of Incident, Self-Harm
A resident reported swallowing a screw. No signs of hoarseness, coughing, gagging, retching, drooling, nausea, or vomiting. Clear lung sounds in all lobes—no signs of oropharynx obstructions. Resident denies pain. Resident is NPO (nothing by mouth) while he remains under close observation.
Resident was taken to Arkansas Children’s Hospital for further evaluation and later returned to the facility. Resident remains on Eyeball and Front of House.
The facility reported that maintenance is removing wooden furniture from the resident’s bedroom to make it more difficult to acquire screws.
Police Report
Disturbance, Police Report
Officers responded to the facility regarding an aggressive juvenile. Staff stated that the resident became angry and began to “tear up everything.” Staff stated that the resident started pushing and punching her in the back. Staff stated that she did not want to press charges. Officers made contact with the resident and advised the resident that they could be in trouble if the behavior continues.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident became upset after an altercation with her roommate and began punching a wall. Afterward, the resident was transported to Urgent Care for evaluation of her hand.
Diagnosis: Swelling and bruising to right hand. No fracture was found on the x-ray.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident complained of pain after hitting her head while doing a backbend. Resident was assessed and then transported to the emergency room for further evaluation.
PRLU or OLTC
Neglect, Notice of Incident, Visit Compliance Report
A resident was left alone and unattended in the house while her housemates went to lunch. The resident was found by a nurse entering the house.
Licensing Specialist: Kendra Rice
Program Coordinator reviewed camera footage of the incident. Per camera footage, the resident was left alone for a little more than 2 minutes. Staff members involved in the incident received written warnings. were required to review the policy and were coached verbally.
The facility was cited for 907.2
Police Report
Disturbance, Police Report
Officers responded to the facility in reference to a disturbance. A resident had an outburst and was kicking and headbutting staff members. Officers provided facility staff with a report number and left the scene.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident became upset after learning she was not on the list to go on an outing and began kicking and banging her head on the wall. Afterward, the resident complained of pain in her right hand, so she was transported to the emergency room for evaluation.
Diagnosis: Right hand injury. No evidence of fracture.
Resident returned to the facility with orders to rotate Tylenol and ibuprofen and use ice packs for pain.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice
Program Coordinator completed buildings and grounds for Hickory House. Census: 44.
The following areas were observed: day/common area, milieu, nurse’s office, kitchen, laundry room, storage closet, staff offices, linen closet, bedrooms, bathrooms, dining area, comfort room, seclusion room, and game room.
Program Coordinator observed two water fountains and tree fire extinguishers in cases in different areas of the house, as well as, smoke detectors in each bedroom and other areas of the house. The evacuation plan was located on the wall near the milieu. Interior painting has been completed throughout the entire house.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice
Program Coordinator conducted an annual review of policies and procedures. All policies and procedures complied with minimum licensing standards.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client fell while on an outing to Pinnacle Mountain. After the fall, the client complained of knee pain. Swelling of the knee was noted. Client was carried down the mountain by emergency responders and transported to Arkansas Children’s Hospital.
Diagnosis: Contusion of the Left Knee. No fracture
Client was instructed to take over-the-counter pain medicines as needed and to use crutches and an Ace wrap as needed for ambulation.
PRLU or OLTC
Notice of Incident, Peer Altercation
Client was injured when he was attacked by a peer while playing basketball.
Client’s injuries included abrasions, redness, and bruising. Injuries were assessed and cleaned by staff. Client was then transported to urgent care for evaluation. No signs of a head injury were noted per Urgent Care.
The 2 clients were separated and were not allowed to interact with one another. They were also placed on freeze status.
PRLU or OLTC
Notice of Incident, Self-Harm
Client’s right hand was injured when she became upset and punched a wall several times. Client reported severe pain with limited range of motion. Purple discoloration and mild swelling were noted.
Client was transported to Arkansas Children’s Hospital for evaluation. Diagnosis: Hand injury with no acute fracture. Client was instructed to alternate Ibuprofen and Tylenol and apply ice as needed for pain and swelling.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Tara Norton
Licensing Specialist reviewed Children’s records. All files complied with minimum licensing standards.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Tara Norton
LS Norton completed buildings and grounds for the following houses: Sturgis, Chestnut, Rose, and Mabee.
The following areas were obsesrved: group rooms, common areas, laundry rooms, seclusion rooms, comfort rooms, milieus, game/craft rooms, hygiene closets, storage rooms, bedrooms, and bathrooms.
The grounds around each house were clean and well maintained.
Sturgis: The house and bedrooms were mostly clean and organized. One bathroom was noted to have a black substance around the top of the walls near the ceiling. Facility cited 912.4 for the black substance on the walls.
Chestnut: House was clean and smelled of cleaning supplies. All bedrooms were clean and mostly organized. Bathrooms were clean.
Rose: House was clean and smelled of cleaning supplies. All bathrooms were clean and sanitary. All bedrooms were clean and mostly organized.
Mabee: House was clean and organized. All bathrooms were clean and sanitary. All bedrooms were mostly clean and organized.
PRLU or OLTC
Acute Placement, Notice of Incident
Resident was in the comfort room and refused to come out. Another client wanted to use the comfort room. They started arguing and exchanging words and were separated . Resident was threatening and cussing at everyone.
7:00pm: Personal Restraint: the resident became unsafe in the house, a threat to safety and herself.
7:25pm: Patient found sitting calmly in a chair at a table in the house. Patient denies pain or injury and is calm and cooperative with a depressed affect.
Client was transferred to Pinnacle Pointe for an acute stay on 05/27/24 at 1:30am. Client will return to Youth Home from acute at this time.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was actively playing volleyball with staff and peers. Client fell twice on her bottom and continued to play. Client went to sit and take a break then came to staff reporting that her wrist was hurting and that she thinks she sprained it.
Nursing Assessment: Client reports that she started to feel severe pain while tossing the ball. Left hand /wrist noted with mild swelling and limited range of motion. Tylenol PRN administered and ice pack provided. Dr Bayles notified of the findings and ordered to take client to Arkansas Children’s Hospital ER for evaluation.
05/18/24 5:25pm: Client returned from ER.
Diagnosis: Left Wrist Sprain.