Severe reports

During the inspection, investigative interviews with several clients disclosed a staff member making inappropriate sexual and homophobic remarks.

During the inspection, investigative interviews revealed that a client had eloped from the facility. Upon return, the provider failed to conduct a search of the client who had concealed a box opener on their person and ultimately self harmed with it, cutting their arm and neck.

During the inspection, investigative interviews revealed that a client had swallowed a battery. The provider did not seek immediate medical attention or send the client to the Emergency Room.

From the state's report. Out of compliance, complaint, investigation inspection. Cited: R380-80-6(1)(a)-(i) Client rights; R380-80-5(4) Provider shall protect clients from abuse, prevent abuse.

On August 7, 2025, the client's severe self-harm required transport to the emergency room for treatment and necessitated multiple sutures. Three days later, the client was not adequately supervised and self-harmed again by removing multiple sutures from the prior injury. This incident resulted in a second transport to the emergency room for additional treatment.

During the investigation inspection, the evidence substantiated that on September 17, 2025, a client with a history of significant self-injurious behavior engaged in a serious self-harm incident that resulted in a transport to the emergency room which necessitated over 30 sutures. A second client engaged in self-harm with the same contraband which also resulted in transport to the emergency room and sutures.

From the state's report. Out of compliance, investigation inspection. Cited: R380-80-5(10) Services and supervision to meet each clients needs.

During an inspection on 4/28/2025 it was reported that a staff left line of sight supervision of the clients and a client was able to obtain benadryl, which they later ingested with the result of being taken to the hospital.

From the state's report. Out of compliance, investigation inspection. Cited: R380-80-5(10) Services and supervision to meet each clients needs.