Perimeter Behavioral of Forrest City

Deficiency cited, recertification survey : N 128 PROTECTION OF RESIDENTS N 128 The Resident affected was assessed by Nursing and

other Residents being affected was greatly reduced Based on observations, interviews, and record and minimized due to the organization’s response. and video review, the facility failed to prevent The Chief Executive Officer oversees the injury during an Emergency Safety Intervention implementation of this corrective action plan. A (ESI) for one (Client #3) of three clients reviewed mandated facility-wide retraining for all Mental for injuries. Health Technicians, Nurses, Dietary Staff, Maintenance Staff, Clinical staff, and Administrative The findings include: staff on verbal de-escalation and proper physical interventions was conducted by the Handle with Care Instructor June 18th 2025. Retraining included modeling verbal de-escalation, proper physical intervention, and scenario based participation. All attendees signed acknowledgement and attestation of training on proper Handle with Care technique. The Director of Quality and Risk Management is the custodian of the training log. Training records will be audited weekly by the Quality Risk Director until 100% training compliance is reached for existing staff. This training is already part of the new hire orientation process. The ongoing standard six-month Handle with Care refreshers will also continue as scheduled, conducted by the Handle with Care Instructor and tracked by the Director of Quality and Risk Management. Compliance rate and upcoming trainings will be reviewed in the monthly Committee of the Whole meeting and ...

Deficiency cited, recertification survey : N 142 ORDERS FOR USE OF RESTRAINT OR N 142

Based on observations, interviews and record review, the facility failed to ensure that the least restrictive interventions were implemented prior to physically restraining one (Client #3) of three case mix clients reviewed for restraints. The findings include: Review of Client #3's "Master Treatment Plan," dated 05/06/2025, revealed Client #3 had diagnoses which included major depressive disorder which was recurrent and severe without psychosis, generalized anxiety disorder, history of post-traumatic stress disorder, and history of trauma. Review of an "Emergency Safety Intervention Justification" packet (ESI) dated 05/23/25, and completed by Registered Nurse (RN) #1, indicated Client #3 was placed in a physical restraint at 7:11 PM, and was released at 7:15 PM, due to "resident out of control" and "uncooperative with staff." ESI documentation included check marks under the section that listed interventions attempted before restraint as: emphasized need for self-control, attempted to redirect, and allowed patient other ways to vent anger. Review of the "Client Debrief Form" contained in the ESI packet revealed Client #3 reported that the staff gave no warnings before initiating restraint. Review of the "Staff Debrief Form" contained in the ESI packet signed by Mental Health Technician (MHT) #1 revealed the measure taken to de-escalate the situation prior to implementing the restraint was, processed with patient. Review of a "Body Check Form" contained in the ESI packet ...