summary: A resident began self-harming by hitting her forehead against the wall.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/14/2023
Date Received by DCCECE: 1/16/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , DOB: 1 , Guardian:
Corpus Christi, TX ( Ward of the state)- notified Precaution safety plan: Self-Harm, for 7
days LOS constant Police were called: N/A Incident : 01/14/23 , at 0945 and 1759 On
1/14/2023 approximately 09:45am resident became overstimulated related to increased
sound on the unit from an escalated peer. Resident began to hit her forehead against the
wall down the hallway. Resident was not hitting their head hard but repeatedly in the same
spot causing a disruption of the already existing wound from previous times. RN
approached resident and inquired if this was related to increased volume. Resident shook
her head yes and RN provided them with noise canceling headphones. RN took resident off
the unit to clean forehead. RN instructed resident to wear noise canceling headphones into
the hall way and utilize pop it while cleaning occurred. at 1759: Resident became
overstimulated on unit again and began to hit head on wall again. Staff were successful in
deescalating him and he ceased the behavior. Residents head was cleaned off. Will continue
to monitor for safety. Guardian , therapist and APRN have been notified Related to this
occurrence resident will be continuing on self harm precautions for another 7 days.
Interim Action Narrative:
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Facility has developed an individualized behavior plan for this resident
that includes, recognizing signs and symptoms of escalation, and responding with specific
interventions--weighted vest, noise cancelling headphones, pop it toys, and removing from
the unit. Only staff who have signed off that they understand her individualized behavior
plan are being staffed to work with her 1:1 during times of escalation.


state: AR

facility_name: Perimeter Behavioral of the Ozarks

summary: A resident self-harmed by using her nails to open existing wounds on her forearms.

raw_content:
AR KAN S A S&S
DEPARTMENT OF

4 HUMAN
<a\ SERVICES

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot $140, Little Rock, AR 72203-1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550

Notice of Serious Incident

Date of Incident: 1/14/2023

Date Received by DCCECE: 1/16/2023

Facility Name: Perimeter of the Ozarks
Facility Number: 237

Facility Type: Residential

Incident Type: Licensing

Report Description: Name: Po wes 6 6=6—Sti(itséi*Sd Guardian: DHS (AR) -
notified Incident: 01/14/23 approximately at 1845 (Blue) Precaution safety plan: Self-Harm,
for 7 days LOS constant Police were called: N/A On 01/14/23 around 1845 Resident after
becoming escalated iy) used her nails to open existing wounds on her forearms and
create new abrasions that produced minimal blood. She refused first aid. She will be on self-
harm precautions for the next 7 days.

Interim Action Narrative:

Maltreatment Narrative:

Licensing Narrative: Per facility CEO this resident will also receive an individualized
behavior plan to address self-harming behaviors. She is currently on a safety plan that
includes constant LOS. No need for additional follow up at this time.

We Care. We Act. We Change Lives.
humanservices.arkansas.gov

doc_type: Notice of Incident


summary: A resident reported that a peer grabbed her buttocks while hugging goodnight.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/14/2023
Date Received by DCCECE: 1/17/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Dual
Report Description: ? Allegation of sexual misconduct Residents Name/DOB:
? Victim ? Perpetrator Date/Time of
incident: 1/14/2023, time unknown reported to night staff that had grabbed
her buttocks while hugging goodnight. Immediate Actions Taken: Corrective Action Plan
includes Therapeutic group to be conducted by therapist on peer to peer boundaries,
implement no touching by residents to each other on the unit, evaluate room assignments
for safety, re-educate staff on appropriate supervision, residents who were impacted will
process with their therapist. Additional Information: Follow up: call made; report
taken. Report 9 Texas Online Portal: Report # e Notified:
Guardian Cassie Sowder, CEO Ana Salazar, DON Erin Duvall APRN Madeline Spence
Clinical Director Felicia.Harris@dhs.arkansas.gov Kris Stewart & Reagan Stanford and
Ashlyn Whelchel Disability Rights of AR Chelsea Vardell and Kendra Rice DHS Rebecca
Thomas, Perimeter Arkansas abuse Texas e online portal
Interim Action Narrative:
Maltreatment Narrative: Screened out by
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing specialist attempted to talk to resident about this incident.
She stated she didn't want to talk about, that she has already talked to someone, and that
"way worse things happen here." She abruptly exited the room while talking so licensing
specialist was not able to obtain more specific information regarding her concerns.


summary: A resident reported that her peer sucked on her neck while side-hugging.

raw_content:
Licensing Narrative: Licensing specialist spoke to resident during an unannounced
licensing visit on 01-19-2023. She confirmed that the interventions listed above have
occurred. She stated the "staff do their job and help us and stuff." No additional follow up
needed at this time.


summary: A resident self-harmed with a piece of wood.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/14/2023
Date Received by DCCECE: 1/16/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , DOB: , Guardian: DHS (MT) - notified
Incident: 01/14/23 approximately at 0900 (Green Unit) Precaution safety plan: Self-Harm,
LOS constant Police were called: N/A On 01/14/23 at 0900 , refused to leave the
bedroom his morning and was sitting behind the door. was using a small piece of wood
to make superficial scratches on the right forearm that produced no blood. RN was able to
confiscate the wood and resident agreed to leave the room. was able to get back in her
room and find another piece of wood to attempt to self-harm but was intercepted by RN.
Superficial scraps to right forearm that did not require any nurse care. Because of this
will be on self-harm precautions for 7 days.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Licensing specialist completed an unannounced buildings and
grounds visit today. This resident was within LOS of staff at time of visit. Resident viewed
the resident's bedroom and the entire unit including baseboards and door frames and did
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

not identify any problem areas or fixtures. DON stated that wood was possibly obtained
from bathroom in 201 which has since been repaired.


summary: A resident self-harmed with a pen.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/10/2023
Date Received by DCCECE: 1/11/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , Guardian: Mother (AR) -
notified Incident: 01/10/23 approximately at 2100 (Blue Unit) Precaution safety plan: Self-
Harm, LOS constant Police were called: N/A On 01/10/23 approximately 2100, self-
harmed with ?bendy? pen on blue unit, multiple superficial scratches (cuts) on arms washed
with soap and water, no further medical treatment needed. Resident already on safety plan.
Guardian was notified, and her therapist.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Licensing specialist sent email to DON Ana Salzar requesting
information about nursing and/or therapeutic interventions in place to ensure the safety of
this resident. Ms. Salazar advised that resident has been placed on self-harm precautions,
constant LOS, and facility is working to re-direct behaviors. Licensing specialist will follow
up with facility therapist at next unannounced licensing visit, planned for 1/19/2023, to view
safety plan and inquire if there are specific therapy goals/interventions in place to address
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

resident's self-harm behaviors. 1/19/2023: per facility CEO resident remains on precautions
and facility plans to create an individualized behavior management plan for her.


summary: Licensing visited the facility to perform a buildings and grounds walkthrough. Technical assistance was provided for 910.1.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter of the Ozarks
Facility Number: 237
Licensee Address: 2466 SOUTH 48TH STREET
SPRINGDALE AR 72766
Licensing Specialist: Michele Sutton
Person In Charge:
Record Visit Date: 1/9/2023
Home Visit Date: 1/9/2023
Purpose of Visit: Subsequent Building and Grounds
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Description: The grounds of the facility shall be kept clean and free of safety hazards.
Sub Regulation Description:
Regulation Number: 9.910.1
Regulation Description: All buildings and furnishings shall be safe, clean, and in good repair.
Sub Regulation Description:
Regulation Number: 9.911.6
Regulations Not Correctable:
Narrative:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year
Page 1 of 2

Completed unannounced buildings and grounds visit.
Ratio: all units/classrooms in ratio--Green 1:1, Orange 1:3, Classroom 1 2:12, Classroom 2 3:13.
Buildings:
Orange unit: Room 201--toilet bowl seat needs to be replaced--licensing specialist spoke with maintenance
director Ralph, who stated that seat replacement is pending. The laminate in sink area is loose and needs to be
replaced. Maintenance director stated that facility has ordered a new counter for sink. Licensing specialist will
follow up at next visit to ensure these repairs have been completed. All rooms on unit were clean and free
from visible/obvious hazards at time of visit.
Blue unit: did not view-- strip/waxing of floors in progress on unit at time of visit.
Green unit: Unit was reasonably clean (housekeeping had not been to unit yet) and free from visible/obvious
hazards at time of visit.
Grounds: The roof of the building Perimeter is housed in is currently being replaced. There were no residents
on the grounds at time of visit. Licensing specialist observed a gap at the bottom of the gate that is large
enough for a resident to pull sheet metal and other building supplies that are lying on the ground into the
Perimeter recreational area. Maintenance stated he is aware and has talked to the work crew about ensuring
they clean up after each job is completed. He is monitoring the area for dangerous materials prior to resident's
going outside for recreation.
Licensing specialist also requested a copy of activities calendar for the month of January, which was provided.
There are currently 3-5 activities scheduled per week, and four outings scheduled this month. Facility CEO,
Cassie Sowder, advised that she is working on re-vamping the programming to include increased activities.
She is also initiating a new behavior monitoring sheet for the staff to complete for therapists to facilitate better
communication, as well as a re-vamped shift communication sheet.
No citations in areas viewed.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year
Page 2 of 2

doc_type: Compliance Report


summary: A resident self-harmed by hitting herself in the nose.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/8/2023
Date Received by DCCECE: 1/10/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , Guardian: Mother (AR) -
notified Incident: 01/08/23 approximately at 1444 (Blue Unit) Precaution safety plan: Self-
Harm, for 7 days LOS constant Police were called: N/A On 01/08/23 approximately 1444,
began hitting herself in the nose after becoming overstimulated. RN arrived and was
able to intervene and take resident from the unit to a quieter area in the milieu. Mild
bleeding noted around nose requiring no first aid. Resident washed face and hands with
soap and water. Nose examined after being washed; no injury apparent. Resident was able
to regulate emotions and return to unit without further incident. will be placed on a self-
harm precaution safety plan with increased line of sight as a result of this event. If you have
any questions, please let me know.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Licensing specialist sent email to DON Ana Salzar asking if any
nursing and/or therapeutic interventions are currently in place to address resident's self-
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

harm behaviors. Ms. Salzar advised that resident has been placed on self-harm precautions,
constant LOS, and facility is working to re-direct behaviors. Licensing specialist will follow
up with resident's therapist at next unannounced visit, planned for 01/19/2023, to view
safety plan and determine if there are any specific therapy goals/interventions in place to
address resident self-harm behaviors. 01/19/2023: resident remains on constant LOS
precautions, facility is working on identifying specific interventions.


summary: A resident used her fingernails to self-harm.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/8/2023
Date Received by DCCECE: 1/9/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , Guardian: DHS ( ) -
notified Incident: 01/08/23 approximately at 1800 (orange Unit) Precaution safety plan: Self-
Harm, for 7 days LOS constant Police were called: N/A On 01/08/23 approximately at 1800,
used her fingernails to scratch inner arm to create new abrasions and open old scabs.
Staff intervened and aided to the nurses station. 2 new superficial scratches noted on
left inner forearm with some disturbed scabs of old scratches. No first aid required, arms
cleaned and coverings placed. Residents current self-harm precaution safety plan with
constant line of sight to be extended.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Resident self-harmed with her fingernails. It is noted that she has been
placed on self-harm precautions and her superficial scratches were cleaned. No additional
licensing follow up required at this time.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was found with a towel wrapped around her neck. Staff removed the towel.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/8/2023
Date Received by DCCECE: 1/9/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , Guardian: (AR) -
notified Incident: 01/08/23 approximately at 1900 (orange Unit) Precaution safety plan:
Suicide Risk , for 7 days LOS constant Police were called: N/A On 01/08/23 approximately
at 1900, took her hygiene towel and wrapped it around her neck while in the shower.
Staff intervened and was able to remove the towel from around her neck promptly. Mild
redness noted around neck, no breaks in the skin. C-SSRS preformed, resident scored high
risk. Suicide precaution safety plan with constant line of sight initiated as a result of this
event. Guardian and Therapist were notified
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: It is noted that resident is currently on constant LOS and a suicide
safety plan is in place. Licensing specialist will follow up at next unannounced licensing
visit, planned for 01/19/2023, to review safety plan and determine if there is need for
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

additional licensing follow up. 01/24/2023- reviewed safety plan which is current and reflect
self-injurious behaviors and interventions.


summary: A resident self-harmed by banging their head against the wall.

raw_content:
Licensing Narrative: Facility has placed this resident on self-harm precautions and LOS
precautions, which were being observed at time of unannounced licensing visit on
01/09/23. No additional follow up required at this time.


raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/5/2023
Date Received by DCCECE: 1/6/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: , DOB: , Guardian: - notified Incident: 01/05/23
approximately at 1815, Precaution safety plan: Self-Harm, for 7 days LOS constant Police
were called: N/A On 01/05/23 approximately at 1815 began hitting herself in the nose
after becoming overstimulated. RN arrived and was able to intervene and take resident from
the unit to a quieter area in the milieu. Mild bleeding noted around nose requiring no first
aid. Resident washed face and hands with soap and water. Nose examined after being
washed; no injury apparent. Resident was able to regulate emotions and return to unit
without further incident. will be placed on a self-harm precaution safety plan with
increased line of sight as a result of this event.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Resident is on self-harm protocol for one week and LOS precautions,
which were being observed during unannounced visit on 01/09/2023. No need for
additional follow up at this time.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Licensing visited the facility to perform a buildings and grounds walkthrough. No deficiencies cited.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter of the Ozarks
Facility Number: 237
Licensee Address: 2466 SOUTH 48TH STREET
SPRINGDALE AR 72766
Licensing Specialist: Michele Sutton
Person In Charge: Ana Salazar
Record Visit Date: 1/4/2023
Home Visit Date: 1/5/2023
Purpose of Visit: Subsequent Building and Grounds
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulations Not Correctable:
Narrative:
Licensing specialist conducted a follow up targeted buildings/grounds visit to determine if there were any
safety hazards/self-harm implements on the blue or green unit or cafeteria. Viewed blue unit. Resident with
self-harm behaviors was observed to be 1:1 with and MHP. All light fixtures were observed to be intact. No
contraband or other self-harm implements were observed in resident's bedroom. No loose screws were
observed in or around unit. Hygiene closet door was observed to no longer have a lock on the inside and can
only be opened/closed with a key from the outside.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year
Page 1 of 2

Green unit--no ratio concerns, resident with self-harm behaviors was observed to be sitting by an MHP in the
day room. All light fixtures were observed to be intact; no loose screws were observed in or around unit. No
contraband or other self-harm implements were observed in resident's bedroom. There were no plastic
bottles/pieces observed in resident's bedroom. No loose screws in window of Room 305.
Cafeteria- Ratio 4:9--Light fixtures observed to be intact. No loose screws or other hazards were observed. All
electrical sockets intact.
Grounds- No dangerous materials observed. Small plastic balls were removed by DON to prevent residents
from tearing off plastic pieces, but this was not required by licensing.
No citations in areas viewed.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year
Page 2 of 2


summary: A resident self-harmed with small pieces of plastic.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/3/2023
Date Received by DCCECE: 1/4/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: DOB: , Guardian:
- San Antonio, TX (notified) Precaution Safety Plan: Self- harm, LOS constant
Police were called: N/A On 01/03/2 approximately 1215. . returned to their unit after a
phone call and used small pieces of plastic to make two superficial scratches to their left
forearm. The contraband was removed and the scratches were cleaned and covered. No first
aid was required. A self-harm precaution safety plan has been implemented. C-SSRS
screaming done (scoring Zero)
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Licensing specialist observed this resident?s unit during an
unannounced licensing visit yesterday. Unit was in ratio and no safety
concerns/maintenance issues were identified. Licensing specialist did not view this
resident?s bedroom as she was standing in front of the door stating that she ?hates DHS!?
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

DON stated she is on self-harm precautions and facility staff will monitor her room for
safety. No additional follow up required.


summary: A resident self-harmed with a plastic cap.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/2/2023
Date Received by DCCECE: 1/3/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: ) DOB: Guardian: Ward of the
State (MT) Safety precaution plan: Self Harm/ suicide risk (CSSRS and safety ? daily) - LOS
constant Incident: 01/02/23 - green unit Police were called: N/A On 01/02/23, residents
made superficial cuts on their arm, wound cleaned with soap and water no further medical
treatment needed. The plastic they used was from a cap off of a Christmas present received.
Plastic piece given to staff by resident. Guardian notified. This happened in the dayroom
green unit. Self?harm safety plan extended.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Licensing specialist followed up with DON Ana and therapist
Madelyn about this resident's frequent self-harm behaviors during an unannounced
building and grounds/complaint visit. Therapist Madelyn stated that this resident has
chronic self-harm behaviors that have not increased or changed, therefore, it is the
judgment of the clinical team that an acute referral is not appropriate at this time. They
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

continue to closely monitor the situation and keep resident on LOS and self-harm
precautions. Facility has also implemented a no plastic policy on the units due to these
incidents. Licensing specialist viewed LOS documentation and safety plan for resident.
Licensing specialist viewed resident's unit and checked resident's room for obvious
hazards/contraband. The screw that was loose in her window has been fixed. No
contraband/dangerous materials identified in her room or on her unit day of visit. Resident
was observed to be sitting in the day room with an MHP and several other residents at time
of visit.


summary: A resident self-harmed with a soap bottle.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/1/2023
Date Received by DCCECE: 1/3/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: DOB: , Guardian:
(MT) - notified Safety precaution plan: Self Harm/ suicide risk (CSSRS and safety ?
daily) - LOS constant Police were called: N/A On 01/01/23 approximately 09:06AM. After
. returned from breakfast they went into their room and used pieces from their soap
bottle to make superficial cuts to their arm. No first aid was required. Contraband was
removed. Self-harm and Suicide Precaution Safety Plans initiated after event and response
to C-SSRS scale.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Licensing specialist followed up with DON Ana and therapist
Madelyn about this resident's frequent self-harm behaviors during an unannounced
building and grounds/complaint visit. Therapist Madelyn stated that this resident has
chronic self-harm behaviors that have not increased or changed, therefore, it is the
judgment of the clinical team that an acute referral is not appropriate at this time. They
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

continue to closely monitor the situation and keep resident on LOS and self-harm
precautions. Facility has also implemented a no plastic policy on the units due to these
incidents. Licensing specialist viewed LOS documentation and safety plan for resident.
Licensing specialist viewed resident's unit and checked resident's room for obvious
hazards/contraband. The screw that was loose in her window has been fixed. No
contraband/dangerous materials identified in her room or on her unit day of visit. Resident
was observed to be sitting in the day room with an MHP and several other residents at time
of visit.


summary: Resident used pieces of light cover to self-harm.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/1/2023
Date Received by DCCECE: 1/3/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: Guardian: Mother / notified
Precaution safety plan: 1:1-, Self-Harm Precaution Safety Plan (cafeteria) Police were
notified: N/A On 1/01/23 approximately at 1249, stood on a table in the cafeteria and
used the plastic pieces of the light cover to attempt to cut arm. Additional staff arrived and
was able to promptly talk resident into getting down from table. Resident removed from
cafeteria and taken to nurse?s station. Arm noted to have superficial scrapes over existing
wounds that required no first aid. For the safety of the resident, they were placed on 1:1
status and RTU per APRN. Guardian was informed of event and further plan of care
regarding medications/observation status.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Licensing specialist conducted an unannounced buildings/grounds
and complaint visit to facility this date. Licensing specialist inquired about this resident's
continued self-harm attempts during this visit. Facility staff Ana, DON and Madelyn,
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

therapist, provided LOS documentation and safety plan documentation. Resident was
observed to be 1:1 with an MHP during facility visit. Facility therapist reported that the care
team plans to have a staffing to determine if a referral to an acute facility is needed for this
resident.


summary: Resident self-harmed with her glasses.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 1/1/2023
Date Received by DCCECE: 1/3/2023
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Facility Type: Residential
Incident Type: Licensing
Report Description: Name: DOB: , Guardian: mother
(MT) Safety precaution plan: Self Harm (CSSRS and safety ? daily) - LOS constant Police
were called: N/A ON 01/01/23 approximately 2300 that was using the tip of her glasses
to poke a hole in her skin( left forearm). It was about the size of a small nail. The glasses
were turned into the RN. The wound was superficial, cleaned, no further medical tx needed
at this time. was placed on self-harm precautions x 7 days. would not disclose why
they did this.
Interim Action Narrative:
Maltreatment Narrative: Outcome:
Licensing Narrative: Resident is currently on LOS precautions per her safety plan. No
additional follow up is required at this time.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


facility_name: Perimeter Behavioral of West Memphis

summary: Officers were dispatched to the facility in response to a parent unable to get in touch with someone at the facility.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1179973 - WELFARE CONCERN
Received Date/Time: 09/09/2025 13:49:50 Taken By: Palencia, Jenny
Initial Call Type: WELFARE CONCERN Caller Name
Cleared Date/Time: 09/09/2025 14:03:24 Phone:
Cleared By: Shaw, Susan Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
242 - Banks, Ladayshia - 2176 09/09/2025 09/09/2025 09/09/2025
(WMPD2) 13:52:23 13:52:26 13:52:51
295 - Coburn, Terrance - 2167 09/09/2025 09/09/2025 09/09/2025
(WMPD2) 13:52:30 13:52:33 13:52:52
281 - Pegues, Christopher - 2168 09/09/2025 09/09/2025 09/09/2025 09/09/2025
(WMPD2) 13:52:36 13:52:49 13:55:48 14:03:46
294 - Loving, Cedric - 2166 09/09/2025 09/09/2025 09/09/2025 09/09/2025
(WMPD2) 13:52:46 13:52:49 13:56:30 14:03:47
Narrative
Date/Time Dispatcher Narrative
09/09/2025 13:49:56 Palencia, Jenny ATTEMPT TO MAKE CONTACT WITH AN , REC A CALL FROM HIS
MOTHER SHE ADV SHE HAS BEEN TRYING TO GET IN CONTACT WITH
HIM ALL DAY AND NO ONE HAS ANSWERED..
09/09/2025 14:03:24 Shaw, Susan 281- THEY HAVE BEEN TRYING TO MAKE CONT WITH THE MOTHER ALL DAY AND
SHE IS NOT ANSWERING
Dispositions
No Report Required,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 3 of 3

doc_type: Police Report


summary: Officers were dispatched to the facility in response to staff not being able to contain multiple fights occurring at the facility.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1178355 - FIGHT CALL
Received Date/Time: 08/31/2025 19:21:51 Taken By: Williams, Centerial
Initial Call Type: FIGHT CALL Caller Name TANIESHA,
Cleared Date/Time: 08/31/2025 19:52:56 Phone:
Cleared By: Hawkins, Jennifer Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
263 - Gardner, Imani - 2176 08/31/2025 08/31/2025 08/31/2025 08/31/2025
(WMPD2) 19:22:56 19:22:58 19:27:37 19:52:55
251 - Sloan, Harrison - 2168 08/31/2025 08/31/2025 08/31/2025 08/31/2025
(WMPD2) 19:23:00 19:23:01 19:26:29 19:52:55
Narrative
Date/Time Dispatcher Narrative
08/31/2025 19:22:12 Williams, Centerial REC A CALL FROM TANIESHA A TECH A PERIMETER BEHAVIORAL HEALTH. CALLER
ADVISED THERE ARE A BUNCH OF FIGHTS GOING ON AT THIS LOCATION THEY
ARE NOT ABLE TO CONTAIN IT. UNKNOWN WEAPONS.
Dispositions
Incident Report,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 3


summary: A resident was found with leggings wrapped around her neck.

raw_content:
Division of Provider Services & Quality Assurance
Office of Long-Term Care
P.O. Box 8059, Slot S404, Little Rock, AR 72203-1437
R
Notice of Serious Incident
Case Number: 032493
Date of Incident: 08/27/2025
Date Received: 08/28/2025
Facility Name: Woodridge Behavioral of West Memphis LLC
Incident Type: DPSQA - Incident & Accident - OLTC
Case Status: Under Review
DPSQA - Incident & Accident - OLTC
Report Description: , is currently a resident at Perimeter Behavioral of West
Memphis (PRTF). It was reported that last night during hygiene time , was found in
her bathroom floor with leggings wrapped around her neck. Staff intervened, immediately,
upon discovery by removing the leggings; resident became tearful but was alert and
responsive. Nursing assessed resident and found her vitals to be within normal limits (BP:
117/64 P: 99 O2: 100 R: 17 ) and some redness noted around her neck. Resident is then seen
joining the milieu in the dayroom, engaging with peers, and eating her pm snack. MD
ordered resident to be placed on 1:1 level of observation. Resident was assessed again by our
Nurse Practitioner this morning and ordered to be sent to for further
medical evaluation. Resident has returned to Perimeter Behavioral and is stepping up to
due to her recent behaviors requiring a higher level of care.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to a person making threats and refusing to leave.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1176498 - PERSON REFUSING TO LEAVE
Received Date/Time: 08/22/2025 05:08:59 Taken By: Mason, Shiron
Initial Call Type: PERSON REFUSING TO LCEaAlVleEr Name DESTINY,
Cleared Date/Time: 08/22/2025 05:29:03 Phone: (731) 437 - 1408
Cleared By: Brittmon, Amber Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
263 - Gardner, Imani - 2176 08/22/2025 08/22/2025 08/22/2025 08/22/2025
(WMPD2) 05:10:51 05:11:14 05:16:14 05:29:02
262 - Shaw, Reginald - 2168 08/22/2025 08/22/2025 08/22/2025 08/22/2025
(WMPD2) 05:11:21 05:11:22 05:16:14 05:29:02
Narrative
Date/Time Dispatcher Narrative
08/22/2025 05:09:18 Mason, Shiron QUINTERIOUS ON SCENE MAKING THREATS AND REFUSING TO LEAVE
08/22/2025 05:09:48 Mason, Shiron HES ON UNIT 4
Dispositions
No Report Required,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 3


summary: A resident reported that a peer penetrated her with her fingers after she told her no.

raw_content:
R
Notice of Incident
Case Number: 030987
Date of Incident:
Date Received: 7/7/2025
Facility Name: Woodridge Behavioral of West Memphis LLC
Report Description: , A/V stated that A/O, put her fingers
inside of her private when she told her no. She informed that she didn't know her last name and that
she was a peer at Perimeter Behavioral in West Memphis, AR. She stated this occurred when they
were on a field trip and that it happened sometime last year (2024) and that she believes was
around at the time and she thinks she was of .
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

ARKANSAS DEPARTMENT OF HUMAN SERVICES
STATEMENT OF DEFICIENCIES STATE VENDOR NUMBER: DATE SURVEY COMPLETED
AND PLAN OF CORRECTION
Total # of Page(s):
NAME OF PROVIDER OR SUPPLIER PHYSICAL STREET ADDRESS, CITY, STATE, ZIP
ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER’S PLAN OF CORRECTION
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE
TAG REGULATORY OR LSC IDENTIFYING TAG CROSS-REFERENCED TO THE
INFORMATION) APPROPRIATE DEFICIENCY)
ADMINISTRATOR/DESIGNEE DATE
Survey.
1/1


summary: During a routine check, staff members found marks on a resident’s arm. After further investigation, marks in the form of letters were also found on the resident’s legs.

raw_content:
R
Notice of Incident
Case Number: 030974
Date of Incident:
Date Received: 7/2/2025
Facility Name: Woodridge Behavioral of West Memphis LLC
Report Description: During routine check, staff member found marks on patients arm. When
asked about the marks patient stated that they "happened over the weekend". From initial review, on
July 1st) wounds appear to be older and healed. After further investigation, marks in the form of
letters were also found on patients legs.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

ARKANSAS DEPARTMENT OF HUMAN SERVICES
STATEMENT OF DEFICIENCIES STATE VENDOR NUMBER: DATE SURVEY COMPLETED
AND PLAN OF CORRECTION
Total # of Page(s):
NAME OF PROVIDER OR SUPPLIER PHYSICAL STREET ADDRESS, CITY, STATE, ZIP
ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER’S PLAN OF CORRECTION
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE
TAG REGULATORY OR LSC IDENTIFYING TAG CROSS-REFERENCED TO THE
INFORMATION) APPROPRIATE DEFICIENCY)
ADMINISTRATOR/DESIGNEE DATE
Survey.
1/1


summary: Officers were dispatched to the facility in response to a resident causing a disturbance.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1162174 - DISTURBANCE
Received Date/Time: 06/17/2025 07:05:00 Taken By: Smith, Rakim
Initial Call Type: DISTURBANCE Caller Name BUTLER, QUINTAVIOUS
Cleared Date/Time: 06/17/2025 07:21:18 Phone: (870) 902 - 7882
Cleared By: Shaw, Susan Caller Loc.: 224 MCCAIN BLVD ,West Mem
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
344 - Chavez, Yahir (WMPD2) 06/17/2025 06/17/2025 06/17/2025 06/17/2025
07:08:29 07:08:40 07:11:27 07:21:21
281 - Pegues, Christopher 06/17/2025 06/17/2025 06/17/2025 06/17/2025
(WMPD2) 07:08:37 07:08:40 07:12:56 07:21:21
268 - Borjon, Manuel - 2173 06/17/2025 06/17/2025 06/17/2025 06/17/2025
(WMPD2) 07:11:33 07:11:35 07:11:36 07:21:21
Narrative
Date/Time Dispatcher Narrative
06/17/2025 07:05:31 Smith, Rakim PERIMETER BEHAVIORAL / MAKE CONT WITH EMPLOYEE QUINTAVIOUS BUTLER
IN REF TO RESIDENT, CAUSING A DISTURBANCE / NO WEAPONS /
SUSP STILL ON SCENE
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A resident was sent to the ER after complaining of severe abdominal pain and dark colored emesis.

raw_content:
R
Notice of Incident
Case Number: 030482
Date of Incident: 6/13/2025
Date Received: 6/13/2025
Facility Name: Woodridge Behavioral of West Memphis LLC
Report Description: Residents Name: Date/Time of
incident: 06/13/2025 07:20 This morning at approximately 07:20 resident began complaining
of severe abdominal pain and had an episode of dark colored emesis. Our Nurse Practitioner was
notified and ordered for the resident to be sent to the for further evaluation. Actions Taken:
Resident was sent to . Our nursing staff was informed this
afternoon that the resident would be admitted to the hospital for a . Resident will
be eligible for readmission once medically stable, should the guardian decide to complete treatment.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to a report that a resident attacked a staff member.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1158057 - ASSAULT/BATTERY COMPLAINT
Received Date/Time: 05/28/2025 18:08:58 Taken By: Field, Monieka
Initial Call Type: ASSAULT/BATTERY C CPLaAlleINr TName
Cleared Date/Time: 05/28/2025 19:08:25 Phone: (870) 514 - 7116
Cleared By: Rogers, Ashley Caller Loc.:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
242 - Banks, Ladayshia - 2176 05/28/2025 05/28/2025 05/28/2025 05/28/2025
(WMPD2) 18:11:03 18:11:20 18:19:09 18:44:34
258 - Castle, Nathan - NARC 6 05/28/2025 05/28/2025 05/28/2025
(WMPD2) 18:11:16 18:11:24 18:17:12
257 - Ross, Kailon (WMPD2) 05/28/2025 05/28/2025 05/28/2025 05/28/2025 05/28/2025 05/28/2025 123.0-125.0
18:19:07 18:19:08 18:19:10 18:41:20 18:46:17 19:08:25
262 - Shaw, Reginald - 2168 05/28/2025 05/28/2025 05/28/2025 05/28/2025
(WMPD2) 18:19:59 18:20:01 18:20:01 18:44:35
Narrative
Date/Time Dispatcher Narrative
05/28/2025 18:09:02 Field, Monieka UNIT 4.....MAKE CONTACT WITH TIERIKA WALTON IN REF TO A RESIDENT
ATTACKING HER.... CALLER DECLINED EMS...
05/28/2025 18:34:32 Rogers, Ashley 257 -
05/28/2025 18:38:06 Rogers, Ashley 257 - IN CUSTODY
Dispositions
Incident Report, Transported,
Association
Association Name DOB Race Sex DL Home Phone Home Address
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A resident was sent for evaluation after she was assaulted by a peer.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 030045
Date of Incident: 5/25/2025
Date Received: 5/27/2025
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name:
Date/Time of incident: 5/25/25 13:35 Please describe the incident: On
5/24/25 at 19:44 Resident . was in her bedroom when a peer ran in and physically
assaulted her. Staff intervened immediately and removed the peer. Resident was assessed by
RN and was found to have slight bleeding coming from her right nostril, MD was notified,
Neuro checks were performed, and Resident was given an ice pack and . Actions
Taken: The following day (5/25/25) Resident . was complaining of Headache and
ordered by our Nurse Practitioner to be sent to the for medical evaluation. Resident was
transported to Resident had a CT of her Head and Spine
Cervical without contrast.
PRN, and to schedule follow up at
if symptoms worsen. Resident returned to Perimeter of
West Memphis, no complaints of pain. Residents have been placed on peer separation from
each other.
Interim Action Narrative:
Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 5.28.25- emailed facility inquiring about discharge paperwork and
nurses notes 5.28.25- Uploaded requested documentations


summary: A resident was sent for evaluation after complaining of abdominal pain following an altercation with a peer.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 029683
Date of Incident: 5/9/2025
Date Received: 5/12/2025
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name: Date/Time of
incident: 05/09/2025 @13:50 On 05/09/25 at approximately 13:50 Resident was in class
with her peers when she and another peer had a verbal altercation. Peer was being escorted
out of the class when . stands up and walks towards the other resident. Physical
altercation ensues, while staff is separating the residents, both staff and residents fall to the
floor. As peer is being pulled away she kicks off of resident .?s abdomen. Following the
altercation, . complains of abdominal pain and is assessed by nursing staff and Nurse
Practitioner for further evaluation. Actions
Taken: Resident was transported to where she had
and resident was
discharged back with and follow up appointment at
if symptoms worsen. Resident returned to perimeter of West
Memphis at 19:55 with no complaints of pain.
Interim Action Narrative:
Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 5.14.25- emailed facility requesting nursing notes and discharge
paperwork as well as inquiring on ratio and precautions 5.14.25- Facility said: Staff to
resident ratio was 2:8, residents were placed on peer separation


summary: A resident was transported for labs and tests after appearing to faint while in the classroom.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 029628
Date of Incident: 5/7/2025
Date Received: 5/9/2025
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: On 05/7/25 at approximately 13:30 Resident
Was in the classroom with her peers when she appeared to have fainted.
Resident did not fall but slid down to the floor braced by another patient. Nursing staff was
called and resident was assessed, Vitals were stable but resident had decreased
responsiveness. She was sent to for further evaluation. Resident had
several labs and tests done, and resident was
. Resident returned safely to Perimeter of West Memphis at 17:10.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 5.12.25- Requested discharge paperwork and nurses notes uploaded
paperwork sent by facility
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Licensing visited the facility to conduct a buildings and grounds review. All areas reviewed were clean and in good condition.

raw_content:
521 Visit Compliance Report

Licensee: Perimeter Behavioral of West Memphis

Facility Number: 231

Licensee Address: 600 N 7TH ST
WEST MEMPHIS AR 72301-3235

Licensing Specialist: Andrea Adamson
Person In Charge:

Record Visit Date: 2/14/2025

Home Visit Date: 2/19/2025

Purpose of Visit: Subsequent Building and Grounds

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Licensing Specialist inspected the following areas:

www.arkansas.gov/dhs
Serving more than one million Arkansans each year

ARKANSAS
DEPARTMENT OF

> HUMAN
—=a' SERVICES
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437

P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Page 1 of 2

B129-Clean and in good condition.

B130-Clean and in good condition.

B131-Clean and in good condition.

B132-Clean and in good condition.

B133-Clean and in good condition.

B134- Clean and in good condition.

Common spaces were also clean and in good condition.
New PRTF safe bunk beds are very well made.

Provider Comments:

CCL Staff Signature : Date: 2/19/2025

Provider Signature : Date: 2/19/2025

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident reported that a staff member touched her inappropriately.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 027527
Date of Incident: 2/7/2025
Date Received: 2/9/2025
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type:
Report Description: AV is . AO is (staff). PRFC is
. AO works at Perimeter Behavioral hospital where AV is a resident. Resident
was caught in a peer's bedroom, hiding in the shower. Which is against the rules. Resident
reported "When staff was making me move out of the bedroom, he grabbed my boob".
There were two other girls in the room, and they did not see the staff touch her breast.
Interim Action Narrative: Staff placed on leave pending the investigation.
Narrative: AV is AO is (staff). PRFC is
. AO works at Perimeter Behavioral hospital where AV is a resident. Resident
was caught in a peer's bedroom, hiding in the shower. Which is against the rules. Resident
reported "When staff was making me move out of the bedroom, he grabbed my boob".
There were two other girls in the room, and they did not see the staff touch her breast.
Licensing Narrative: 2.12.25- Program Manager called POWM and let the secretary know
that the CEO needs to contact immediately.
and they did not report it in ELS and we have not been able to reach
anyone for an ICA. The CEO returned the call to the Program Manager and apologized for
the lack of reporting due to the Director of Risk being out of the office. The CEO submitted
the complaint into ELS and it has now been merged with this case number. The reported
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

submitted by the provider reads "Late night on February 7th, resident reported that a male
staff member touched her breast while he was removing her from a peers room. During this
time patients were running into rooms that were off limits. After a verbal attempt to
persuade patients to leave the room, the staff in question had to intervene and remove the
patient from the room. Staff member was relieved and sent home immediately and
subsequently/officially suspended beginning . Staff member was suspended
pending the investigation. Peers, patient, and staff member have been interviewed and
statements have been taken." 2/19/2025, per CHRIS case is pending. 2.14.25- Licensing
Specialist reviewed the following footage: Footage begins at 1957 room involved belongs to
Resident A and B. 1957- Resident A is seen leaving room and returning 17 seconds later.
1958- Resident B is seen peeking out of the room when Resident C goes in. 1959:02- AO is
seen going into the room and comes out asking for help from staff. 1959:21- AO is seen
turning on the lights to the room. 1959:29- Resident C comes out of the room. 1959:29-
Resident C is at door and AO comes out of the room, turns off lights. 2001:01- Resident B
comes out of room and comes back within 6 seconds. 2001:18- AV is seen running down the
hallway and into the room. 2001:30- AO is seen entering the bedroom following AV. 2001:40-
A different resident is seen coming down the hallway and seemingly yelling at everyone and
into the room. 2001:42- AV runs out of room 2001:45- AO is seen walking out of room
2001:48- Additional staff steps into view and goes to the doorframe. End of Video Licensing
is not prepared to leave a finding at this time. 2.19.25- Facility requested an ICA. 3.3.2025-
Facility sent the completed and signed ICA for approval, but the investigation was closed
2.28.2025 and the ICA was no longer needed.

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 N 7TH ST
WEST MEMPHIS AR 72301-3235
Licensing Specialist: Andrea Adamson
Person In Charge:
Record Visit Date: 2/14/2025
Home Visit Date: 2/19/2025
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Licensing Specialist reviewed the following footage:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Footage begins at1957room involved belongs to Resident A and B.
1957-Resident A is seen leaving room and returning 17 seconds later.
1958-Resident B is seen peeking out of the room when Resident C goes in.
1959:02-AO is seen going into the room and comes out asking for help from staff.
1959:21-AO is seen turning on the lights to the room.
1959:29-Resident C comes out of the room.
1959:29-Resident C is at door and AO comes out of the room, turns off lights.
2001:01-Resident B comes out of room and comes back within 6 seconds.
2001:18-AV is seen running down the hallway and into the room.
2001:30-AO is seen entering the bedroom following AV.
2001:40-A different resident is seen coming down the hallway and seemingly yelling at everyone and into the
room.
2001:42-AV runs out of room
2001:45-AO is seen walking out of room
2001:48-Additional staff steps into view and goes to the doorframe.
End of Video
Licensing is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 2/19/2025
Provider Signature : Date: 2/19/2025
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Officers were dispatched in response to a report of a resident eloping from the facility.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1134145 - JUVENILE COMPLAINT
Received Date/Time: 02/05/2025 14:54:45 Taken By: Shaw, Susan
Initial Call Type: JUVENILE COMPLAIN Caller Name
Cleared Date/Time: 02/05/2025 15:11:19 Phone: (901) 359 - 8156
Cleared By: Jeffords, Sarah Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
344 - Chavez, Yahir - 2167 02/05/2025 02/05/2025 02/05/2025
(WMPD2) 14:56:41 14:56:44 15:11:23
242 - Banks, Ladayshia - 2176 02/05/2025 02/05/2025 02/05/2025 02/05/2025
(WMPD2) 14:56:42 14:56:44 14:59:09 15:11:23
295 - Coburn, Terrance - 2178 02/05/2025 02/05/2025 02/05/2025
(WMPD2) 14:56:46 14:56:47 15:11:23
252 - Kimbro, Dequane - CID 5 02/05/2025 02/05/2025 02/05/2025 02/05/2025
(WMPD2) 14:57:01 14:57:03 14:57:04 15:11:23
342 - Forthman, Blake - 2173 02/05/2025 02/05/2025 02/05/2025
(WMPD2) 14:57:52 14:57:53 15:11:23
Narrative
Date/Time Dispatcher Narrative
02/05/2025 14:54:50 Shaw, Susan MAKE CONT WITH THE NURSING DIRECTOR IN REF TO A JUV WEARING BLACK
PANTS AND WHITE TSHIRT WITH BROWN HAIR, RUNNING AWAY, LEFT SB ON 7TH
02/05/2025 14:56:49 Shaw, Susan 295- IM AT 7TH AND COOPER AND DONT HAVE EYES ON
02/05/2025 14:57:19 Shaw, Susan 252- LEAVING THE PD I SAW A FIGURE RUNNING BUT DIDNT SEE WHICH WAY THEY
WENT
02/05/2025 14:57:43 Shaw, Susan 342- DIRECT TO THE AREA
02/05/2025 14:59:43 Shaw, Susan 252- THEY GOT OVER HERE ON PERKINS
02/05/2025 14:59:58 Shaw, Susan 252- THEY ARE TAKING BACK TO THE BUILDING
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 3


summary: Officers were dispatched to the facility in response to a report of a patient hitting a staff member.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1132205 - ASSAULT/BATTERY COMPLAINT
Received Date/Time: 01/26/2025 19:16:42 Taken By: Jeffords, Sarah
Initial Call Type: ASSAULT/BATTERY C CPLaAlleINr TName
Cleared Date/Time: 01/26/2025 19:31:24 Phone: (870) 636 - 2142
Cleared By: Starks, Jacqueline Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
234 - Gibson, Mallory - 2164 01/26/2025 01/26/2025 01/26/2025 01/26/2025
(WMPD2) 19:20:07 19:20:31 19:24:51 19:31:24
270 - Ivey, Rubin - 2172 (WMPD2) 01/26/2025 01/26/2025 01/26/2025 01/26/2025
19:20:36 19:20:38 19:24:55 19:31:24
Narrative
Date/Time Dispatcher Narrative
01/26/2025 19:17:02 Jeffords, Sarah BEHAVIOR HEALTH MAKE CONTACT W SHANE WILLIAMS IN REF TO A PATIENT
HITTING HIM HE WILL BE LOCATED AT FRONT DOOR...HE DECLINED EMS
01/26/2025 19:30:51 Starks, Jacqueline 234- SHE DOSENT HAVE ANY PHYSICAL INJURIES.. I SPOKE WITH THE
SUPERVISOR
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 3


summary: A resident eloped while outside the facility at a dentist appointment. Staff members followed the resident until additional staff arrived to escort the resident back to the facility.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 026709
Date of Incident: 1/8/2025
Date Received: 1/9/2025
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name: Date/Time of
incident: 01/08/25 15:33 (Guardianship: ) Please describe the incident:
Yesterday at approximately 15:33 Resident . was accompanied by Perimeter Staff while
outside of the facility at her Dentist appointment. As staff and two residents exited the
dentist office resident attempted to elope down the street. Staff never lost sight of the
resident and about 5-10 minutes later additional staff arrived to assist the resident back to
the transportation van. Resident was transported back to Perimeter, no injuries sustained.
Actions Taken: . was assessed by RN, no complaints of pain. MD ordered the resident
to be placed on elopement precautions.
Interim Action Narrative:
Narrative:
Licensing Narrative: 1.10.25- Licensing Specialist emailed facility requesting copies of the
nursing notes
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to a report of a juvenile attacking staff.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1126842 - JUVENILE COMPLAINT
Received Date/Time: 12/29/2024 07:30:02 Taken By: Curry, Marisa
Initial Call Type: JUVENILE COMPLAIN Caller Name
Cleared Date/Time: 12/29/2024 07:42:08 Phone:
Cleared By: Palencia, Jenny Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
336 - Ceaser, Brian - 2164 12/29/2024 12/29/2024 12/29/2024 12/29/2024
(WMPD2) 07:31:19 07:31:22 07:35:29 07:42:12
296 - Robinson, Tyler - 2162 12/29/2024 12/29/2024 12/29/2024 12/29/2024
(WMPD2) 07:31:24 07:31:25 07:33:36 07:42:12
350 - Dorsey, Leroy - 2168 12/29/2024 12/29/2024 12/29/2024 12/29/2024
(WMPD2) 07:35:35 07:35:36 07:35:37 07:42:12
Narrative
Date/Time Dispatcher Narrative
12/29/2024 07:30:07 Curry, Marisa UNIT 3- MAKE CONTACT WITH RENEE IN REF TO JUV BATTERING
STAFF
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 10 of 11


summary: Officers were dispatched to the facility in response to a report of a resident attacking two nurses.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1125454 - JUVENILE COMPLAINT
Received Date/Time: 12/21/2024 12:03:56 Taken By: Jones, Lindsey
Initial Call Type: JUVENILE COMPLAIN Caller Name BROWN, RACHEL
Cleared Date/Time: 12/21/2024 12:59:33 Phone:
Cleared By: Curry, Marisa Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
281 - Pegues, Christopher - 2169 12/21/2024 12/21/2024 12/21/2024 12/21/2024 12/21/2024 12/21/2024 216.0-219.0
(WMPD2) 12:13:09 12:13:57 12:21:23 12:42:10 12:46:21 12:59:32
344 - Chavez, Yahir - 2167 12/21/2024 12/21/2024 12/21/2024 12/21/2024
(WMPD2) 12:14:55 12:14:57 12:21:22 12:43:51
Narrative
Date/Time Dispatcher Narrative
12/21/2024 12:04:05 Jones, Lindsey ) ATTACKED 2 NURSES / WILL BE IN UNIT 1 AND 2
BLUE HALLWAY
12/21/2024 12:07:22 Burnett, Amiyah 219 NEXT AVAILABLE
12/21/2024 12:36:13 Curry, Marisa 344- JUV IN CUSTODY
Dispositions
Incident Report, Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 7 of 11


summary: A resident was sent to Baptist Crittenden for a CT scan after she was attacked by another resident.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 025987
Date of Incident: 12/8/2024
Date Received: 12/9/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name:
Date/Time of incident: 12/8/24 10:42am Please describe the incident: On
Sunday 12/08/24 Residents were in the day room when . was grabbed from behind by
one of her peers. Peer grabbed hair and hit her several times, staff intervened
immediately but Resident did sustain a bloody nose. Resident was sent to the ER for
further evaluation. Resident was sent to Baptist Crittenden where CT imaging of facial
bones was performed. Results were , resident was given
ibuprofen for pain and returned to our facility with diagnosis . Actions
Taken: Resident was aggressive this morning and instigated a fight with another peer,
however the resident denies any pain from either physical altercation and has no physical
signs of injury. Residents have been placed on peer separation.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 12.10.24- Facility will hold and retain footage of incident 12.12.24-
Specialist reviewed footage and saw the following: Time and Date: 12.8.24 @1042 Ratio: 5:10
w 2 nurses Residents are seen sitting down in chairs when suddenly another resident comes
running towards and grabbing her by the hair. Resident is seen hitting in the
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

face multiple times while staff quickly try to separate the two. Residents hand was stuck in
hair but staff managed to release it and get resident into a safe hold off camera.
Nurses are seen tending to


summary: Officers were dispatched to the facility in response to an attack on a resident by another resident.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1122908 - ASSAULT/BATTERY COMPLAINT
Received Date/Time: 12/08/2024 10:44:31 Taken By: Curry, Marisa
Initial Call Type: ASSAULT/BATTERY C CPLaAlleINr TName TERRY, NURSE
Cleared Date/Time: 12/08/2024 12:57:09 Phone: (870) 822 - 0336
Cleared By: Brittmon, Amber Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
242 - Banks, Ladayshia - 2176 12/08/2024 12/08/2024 12/08/2024 12/08/2024
(WMPD2) 10:47:18 10:47:32 10:49:28 11:20:18
U15 - Unit 15 (West Memphis Fire 12/08/2024 12/08/2024 12/08/2024 12/08/2024 12/08/2024 12/08/2024 0.1-1.0
Dept Medical) 10:47:35 10:48:52 10:50:29 11:03:11 11:06:13 11:38:47
295 - Coburn, Terrance - 2174 12/08/2024 12/08/2024 12/08/2024 12/08/2024
(WMPD2) 10:49:25 10:49:27 10:49:29 11:20:18
Narrative
Date/Time Dispatcher Narrative
12/08/2024 10:44:39 Curry, Marisa UNIT 4- BLEEDING FROM MOUTH AND NOSE AFTER BEING ATTACKED BY
ANOTHER CHILD.. CALLER WOULD NOT GIVE MORE INFORMATION..
12/08/2024 10:50:21 Curry, Marisa 295- EMS ON SCENE
Dispositions
Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 6 of 11


summary: Officers were dispatched to the facility in response to a report of a group of juveniles fighting each other.


summary: A complaint received states that a staff member pushed a resident against a wall and grabbed her by the hair during an incident that ended with a restraint. The facility was cited 109.1.g, 905.4.g, and 905.9 as a result of this incident. One staff member was terminated.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 025777
Date of Incident: 11/25/2024
Date Received: 11/26/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Dual
Report Description: Residents Name: Date/Time of
incident: 11/25/24 0909 Please describe the incident: Resident was refusing to leave the
bathroom, filling a cup with soapy water, staff stated she was worried the resident was going
to drink it. When the nurse took the cup from the resident, she jumped at the nurse and
called her the B word and threatened her. Resident was being very disruptive trying to grab
things of the desk. The nurse states she saw the resident hit the staff member in
the face and then he pushes her against the wall. The other staff intervene and place the
resident in a physical hold. The nurse was unsure if she witnessed staff grab the
resident?s hair. Following the resident?s release staff member was sent home to
change due to his shirt being ripped. Nurse Fortune then met with youth care manager to
review footage of the incident. At this time, it was discovered that had not used
the proper handle with care technique and was far too aggressive towards the resident.
was suspended immediately and prior to returning to the facility on 11/25/24 and is
to be terminated from employment today 11/26/24. Actions Taken: Incident was reported
and
Resident was assessed by our nurse practitioner this morning when
asked if she had any physical complaints after the physical restraint yesterday, she raised
her sleeve to show 3 small crescent shaped marks on her left forearm. She denied any pain
or discomfort and states the 3 marks occurred during restraint but that the other marks on
her hand were self-inflicted, Neosporin was ordered, no signs or symptoms of infection.
Interim Action Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Program Coordinator checked .
Specialist emailed and got cleared to visit facility and emailed them to retain
footage. 1/3/2025, per and specialist informed. 1.7.24- Specialist
founded complaint

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 N 7TH ST
WEST MEMPHIS AR 72301-3235
Licensing Specialist: Andrea Adamson
Person In Charge: Summer Berryhill
Record Visit Date: 12/2/2024
Home Visit Date: 12/4/2024
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulation Number: 100.109.1.g
Regulation Description: Unprofessional conduct in the practice of child welfare activities shall include, but not
limited to the following:
Finding Description: AV is seen shoving AO multiple times
Action Due Date:
Action Due Description:
Comply Date:
Sub-Regulation Level 1 Description: Engaging in behavior that could be viewed as sexual, dangerous,
exploitative, or physically harmful to children.
Action Due Description:
Regulation Number: 900.905.4.g
Regulation Description: The following actions shall not be used, including as discipline:
Finding Description: AO was seen grabbing and pulling hair to shove AV to ground.
Action Due Date:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 3

Action Due Description:
Comply Date:
Sub-Regulation Level 1 Description: Physical injury or threat of bodily harm;
Action Due Description:
Regulation Number: 900.905.9
Regulation Description: Physical restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any device, for the purposes of restraining the
free movement of a resident's body. Briefly holding a child without undue force in order to calm or comfort, or
holding a hand to safely escort a child from one area to another, is not considered a physical restraint.
Finding Description: AO was seen falling down on AV legs to engage in improper hold, in a way that was not
professional and harmful to the resident.
Action Due Date:
Action Due Description:
Comply Date:
Action Due Description:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Licensing Specialist arrived at facility and was greeted by the Director of Quality and Risk Management. The
Director pulled up footage from the complaint incident and below was the reviewed:
Time of Incident: 11.25.24 @0909 ratio 4:2
0909:11-AV is seen grabbing a cup of water and attempting to spill it on the floor. AO is seen telling AV to
stop and removed the cup from AV hand.
0909:35-AO and AV are seen exchanging heated words and other staff start to walk towards AV and AO.
0909:55-AO is seen shoving AV once and when AV bounces back off wall, AV reached towards AO in an
aggressive manner, to which AO then slams AV against the wall a second time grabbing on to AV arms.
0910:05-AO is seen grasping AV hair as AO pushes AV down on to the ground. Other staff is present to
assist in what looks like a physical restraint. AV is seen holding on to the badge AO keeps on right forearm,
same hand that was in AV hair. Other staff is seen removing AO hand from AV hair.
0910:20-AV is now on floor with other staff engaging a physical restraint, while AO is seen falling heavily on
to AV legs engaging in an improperly executed physical restraint.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 3

0910:40-Other staff are seen correcting AO hold on to AV and nurse was seen talking to AV.
Facility has terminated the AO.
Facility will be cited for
•109.1.g "Engaging in behavior that could be viewed as sexual,dangerous, exploitative, orphysically harmful to
children."
•905.4.g: "Physical injury or threat of bodily harm"
•905.9: "Physical restraints shall be performed using minimal force and time necessary. Physical restraint means the
application of physical force without the use of any device, for the purposes of restraining the free movement of a
resident's body."
Provider Comments:
CCL Staff Signature : Date: 12/4/2024
Provider Signature : Date: 12/4/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 N 7TH ST
WEST MEMPHIS AR 72301-3235
Licensing Specialist: Andrea Adamson
Person In Charge:
Record Visit Date: 2/19/2025
Home Visit Date: 2/19/2025
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit was completed on 02/19/2025.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing received a complaint on 11/25/2024 for ELS Case #025777.
This complaint has beenFOUNDEDby Licensing.
Provider Comments:
CCL Staff Signature : Date: 2/19/2025
Provider Signature : Date: 2/19/2025
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Officers were dispatched to the facility in response to a request for EMS due to an injury sustained during an altercation.

raw_content:
Crittenden County Sheriff's Office

Dispatch Call Detail

Call #: C1118202 - ASSAULT/BATTERY COMPLAINT

Received Date/Time: 11/15/2024 19:35:50 Taken By: Rogers, Ashely
Initial Call Type: ASSAULT/BATTERY C —_ Caller Name
Cleared Date/Time: 11/15/2024 20:01:55 Phone:
Cleared By: Palencia, Jenny Caller Loc.:

Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301

Units Dispatched

Dispatched! Enroute Arrived Transport | Trans Dest| Cleared /|At Station |Mileage Trns To
222 - Jackson, Steven - 2173 11/15/2024 |11/15/2024 |11/15/2024 11/15/2024
(WMPD2) 19:37:47 19:38:26 |19:50:31 20:01:54
279 - Beeler, Chad - 2205 (WMPD2) | 11/15/2024 |11/15/2024 |11/15/2024 11/15/2024

19:38:14 19:38:24 {19:50:31 20:01:54

Narrative |

Date/Time Dispatcher Narrative
11/15/2024 19:35:55 Rogers, Ashely RECEIVED A CALL FROM AN EMPLOYEE REQUESTING AN AMBULANCE FOR A

. THAT WAS INVOLVED IN AN ALTERCATION AND HAS A
FACE. EMS HAS BEEN DISPATCHED.

No Action Taken,

Copynght Relativity Inc.© - RPS(Relativity Public Safety) 1 of 2


summary: A resident was transported to LeBonheur ER for a head injury after being attacked by a peer at the facility.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 025491
Date of Incident: 11/13/2024
Date Received: 11/14/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name: Date/Time of
incident: 11/13/24 11:50am Please describe the incident: Yesterday morning at
approximately 09:10 Resident was sitting in her seat when another resident came up
behind her, grabbed her hair and started hitting her. Staff immediately separated the
residents. Actions Taken: was assessed by our Nurse Practitioner and gave orders to;
be sent to LeBonheur ER for further evaluation, Neuro checks X 48hrs, Ice Pack to head
Right side Q2hr X 10min, and activity restriction X 72hrs. Resident returned safely to
Perimeter of WM at 15:20. Problem/DX:
Treatment: Treat pain with Tylenol/ibuprofen every 6 hours as needed. MD notified and
ordered Resident to be placed on Line of sight Observation and kept off the unit for safety.
Other Parties Notified: Guardian
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 11.14.24- Licensing Specialist emailed facility inquiring about camera
footage, witness statements, and discharge paperwork. 11.14.24-Facility responded with: The
incident was captured on camara and while brief, it does appear staff responded
appropriately, and I don?t feel they could have anticipated the incident
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers received a report from the facility regarding an assault on a patient by another patient.

raw_content:
Crittenden County Sheriff's Office
Dispatch Call Detail
Call #: C1117771 - REQUEST TO SPEAK TO OFFICER
Received Date/Time: 11/13/2024 16:27:55 Taken By: Palencia, Jenny
Initial Call Type: REQUEST TO SPEAK COaFlFleICr ENRame
Cleared Date/Time: 11/13/2024 16:53:11 Phone:
Cleared By: Palencia, Jenny Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
248 - Harvell, Artaurus - 2164 11/13/2024 11/13/2024 11/13/2024
(WMPD2) 16:33:33 16:33:56 16:34:13
242 - Banks, Ladayshia - 2178 11/13/2024 11/13/2024 11/13/2024 11/13/2024
(WMPD2) 16:34:01 16:34:02 16:40:31 16:53:11
292 - Ester, Anthony - 2162 11/13/2024 11/13/2024 11/13/2024 11/13/2024
(WMPD2) 16:34:15 16:34:16 16:40:31 16:53:11
Narrative
Date/Time Dispatcher Narrative
11/13/2024 16:28:02 Palencia, Jenny REC A CALL FROM NURSE RACHEL IN REF TO ONE OF HER PATIENTS GETTING
ATTACKED BY ANOTHER PATIENT...SHE HAS BEEN TO THE HOSPITAL AND HAS
RETURNED SHE WOULD LIKE TO FILE A POLICE REPORT...CALLER ADV TO
REPORT TO THE FRONT AND ASK FOR NURSE RACHEL TO MAKE CONTACT WITH
HER
11/19/2024 16:40:10 Apple, Tabatha FATHER - HAS BEEN IN THE PHILLIPINNES AT
TIMES OF ATTACK AND OFFICER CONTACT // IS NOW BACK IN THE STATES AND
WANTS CONTACT IN REGARDS TO HIS - HAVING
BEEN ATTACKED - WAS TREATED AT LEBONHEUR AFTER THE INCIDENT
OCCURRED
11/19/2024 16:41:34 Apple, Tabatha FATHER LEFT VMAIL ON CAPT HALLS DESK FOR CONTACT BACK // RECORDS HAS
NO INFORMATION ON THIS INCIDENT AND COULD NOT ASSIST HIM IN A FOLLOW
UP
11/19/2024 16:48:40 Apple, Tabatha 219 CONTACTED VIA P/S - WILL LOOK FOR REPORT ON IT
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 2


summary: A resident was outside in the courtyard when she climbed over the fence and eloped from facility grounds. The facility was cited 907.3 for being out of ratio during the incident.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 024764
Date of Incident: 10/15/2024
Date Received: 10/16/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident: Guardianship:
On 10/15/24 at Approximately 12:10 Resident was outside in the courtyard
with the other residents when she climbed over the fence and eloped from facility grounds.
West Memphis PD was notified and given a description of the Resident. Sight of the
resident was lost for approximately 10 minutes. Resident was then located across the street
in the car wash breakroom. WMPD transported the resident back safely to Perimeter of
West Memphis. Resident was assessed by RN, no injuries sustained. MD was notified and
Resident was placed on elopement precautions.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 10.16.24-Licensing Specialist emailed facility inquiring on ratio and
location of staff during the elopement. Facility responded with the following: "Staff to
Resident ratio was 3:17 as residents entered the courtyard. One staff member stepped away
to use the restroom without notifying appropriate personnel to maintain proper ratio. One
staff was sitting with a group of residents at the picnic table, the other was on the sidewalk
with another group. While the elopement was in progress a Lead tech was making his
rounds and witnessed the resident climbing the fence, ratio 3:17 was re-established. The
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

resident was on top of the fence and additional staff was called, the resident leapt from the
fence and code green was announced. The staff member who failed to notify appropriate
personnel of needing to step away has received corrective action for not following protocol
and compromising patient care and safety." 10/22/2024, police documentation requested.


summary: Dispatch received call from a nurse in reference to a patient running from facility.

raw_content:
West Memphis Police
Dispatch Call Detail
Call #: C723987 - Emotionally Disturbed Person
Received Date/Time: 10/15/2024 11:59:45 Taken By: Ross, Paige
Initial Call Type: Emotionally Disturbed P Conaller Name
Cleared Date/Time: 10/15/2024 12:17:21 Phone: (901) 831 - 3838
Cleared By: Ross, Paige Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
336 - Ceaser, Brian - 2176 (WMPD) 10/15/2024 10/15/2024 10/15/2024
12:00:52 12:01:08 12:01:30
350 - Dorsey, Leroy - 2168 (WMPD) 10/15/2024 10/15/2024 10/15/2024 10/15/2024 10/15/2024
12:01:13 12:01:16 12:05:22 12:13:25 12:17:26
231 - Bracey, Thomas - 2173 10/15/2024 10/15/2024 10/15/2024 10/15/2024
(WMPD) 12:01:27 12:01:28 12:05:14 12:11:35
K87 - Thompson, Darius - K-9 5 10/15/2024 10/15/2024 10/15/2024 10/15/2024
(WMPD) 12:09:02 12:09:04 12:09:04 12:13:33
Narrative
Date/Time Dispatcher Narrative
10/15/2024 11:59:58 Ross, Paige RECIEVED CALL FROM A NURSE IN REF A PATIENT RUNNING MADE IT TO THE
CARWASH ON E BARTON NURSE WASNT ANSWERING ANYMORE QUESTIONS IN
REF TO DISCRIPTION
10/15/2024 12:03:46 Babski, Susan WEARING A BLACK HOODIE AND PINK CROCS
10/15/2024 12:09:05 Babski, Susan K87- I HAVE THAT IN CUSTODY AT ALL IN ONE
10/15/2024 12:09:14 Ross, Paige K87-- I CUSTODY
10/15/2024 12:09:29 Field, Monieka 350- IM WITH K87
10/15/2024 12:12:56 Ross, Paige 350--- BACK ENROUTE
10/15/2024 12:13:09 Ross, Paige K87--- FOLLOWING 350
10/15/2024 12:16:54 Ross, Paige 350--- THAT JUV IS BACK AT PERIMETER
Dispositions
Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 6 of 6


summary: A resident was sent to LeBonheur Children’s Hospital after complaining of chest pain that started after accidentally colliding with another resident while playing a game.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 024717
Date of Incident: 10/13/2024
Date Received: 10/14/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident: Resident was complaining of
chest pain and states it started hurting after she was playing a game outside last week
(unknow of the exact day) and accidently collided with another resident. Resident states the
peers elbow hit the right side of her chest. X-ray was ordered and performed on 10/12/24.
Results showed
Resident was ordered to be sent to LeBonheur Childrens ER for further evaluation on
10/13/24. Resident had an EKG- mal Chest
Radiographs and was given Ibuprofen 600mg for pain. Resident later returned to Perimeter
of West Memphis with a diagnosis of Discharge
instructions to follow up with PCP in two days. Guardianship: Mother
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reached out to the Facility and requested the
nursing notes as well as the discharge summary. 10.17- asked for paperwork again 10.17-
Facility provided Nursing notes and discharge summary
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Licensing completed a buildings and grounds walkthrough of the PRTF unit. The facility was cited 911.6 for deficiencies identified during the review.

raw_content:
ARKANSAS
) DEPARTMENT OF

> HUMAN
~a' SERVICES
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

521 Visit Compliance Report

Licensee: Perimeter Behavioral of West Memphis

Facility Number: 231

Licensee Address: 600 N 7TH ST
WEST MEMPHIS AR 72301-3235

Licensing Specialist: Chelsea Vardell
Person In Charge: Summer Berryhill
Record Visit Date: 9/25/2024

Home Visit Date: 9/25/2024

Purpose of Visit: Subsequent Building and Grounds

Regulations Out of Compliance:

Regulation Number: 900.911.6

Regulation Description: All buildings and furnishings shall be safe, clean, and in good repair.
Finding Description: Damage to the wall in room 133 by bathroom door.

Action Due Date: 2024-10-04

Action Due Description: Please have the area repaired and a picture of the completed repairs sent to licensing
by 10/4/2024.

Comply Date:
Action Due Description: Please have the area repaired and a picture of the completed repairs sent to licensing
by 10/4/2024.

Regulations Needing Technical Assistance:

Regulation Not Applicable:

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Regulations Not Correctable:

Narrative:

The program manager and the licensing specialist completed a buildings and grounds walkthrough of the
PRTF unit. All children's bedrooms, bathrooms, dayroom, and seclusion rooms were seen. All resident rooms
were clean and tidy.

One area on the wall connecting to a bathroom inside resident's room 133 appeared to have old water damage
from a previous leak. There was no standing water, and the area was not wet. Licensing felt the wall and it
appeared to be solid under the damage. The facility reported they will have their maintenance remove the old,
damaged drywall and patch the area. The facility reports they will send a picture of the completed repair.

MARs were reviewed for the following residents with no issues noted:

Provider Comments:

CCL Staff Signature : Date: 9/26/2024
Provider Signature : Date: 9/26/2024

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident reported that a staff member threw her on the floor, grabbed her by the back of her jacket, and choked her. The facility was cited 109.1.g for unprofessional conduct. The complaint was FOUNDED by Licensing.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 024194
Date of Incident: 9/22/2024
Date Received: 9/23/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Dual
Report Description: Residents Name: On 9/23/24
Resident wrote a grievance stating ? got mad at me and pushed me and I
kicked the wall so he threw me on the floor and grabbed me by the back of my jacket and
choked me.? I assessed the Resident for any signs of injury this morning and was not able to
see any redness or bruising around her neck and no complaints of pain reported. I then
reviewed footage of the alleged incident. On 9/22/24 at 19:51pm the Resident is seen on
camera walking into the quiet room where she begins kicking/kneeing the wall. Staff
member is then seen entering the quiet room and trying to remove the
resident. The resident holds her arms and feet against the door frame and then releases her
arms and falls to the ground. The resident then stands up and begins hitting
arms. He takes hold of her hands and sits her in a seat. His hands move from her hands to
the hood on the back of her jacket holding against the chair when he is intervened by
another staff member coming to assist. Actions Taken:
terminated
9/23/24
Interim Action Narrative: The facility reports that the staff is on active suspension, pending
certain termination as of 9/25/2024.
Maltreatment Narrative:
This morning 9/23/24 a resident at
Perimeter Behavioral of West Memphis wrote a grievance stating " got mad at
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

me and pushed me and I kicked the wall so he threw me on the floor then grabbed me by
the back of my jacket and choked me. " I reviewed camera footage of last night 7/22/24 at
19:51 walks into the quiet room and begins kicking the wall. is then
seen entering the quiet room and attempts to remove resident from the quiet room.
is seen putting her hands and feet on the door frame, arms release and
she falls to the ground. is seen standing up and attempting to hit , he
holds her arms and sits her in a chair and appears to grab ahold of her hood on her jacket,
briefly, then releases when corrected by another staff member. I assessed for any
signs of injury this morning and was not able to see any redness or bruising around her neck
and no complaints of pain reported. is suspended pending investigation.
Licensing Narrative: 9/24/2024- Licensing requested permission to contact from the
investigator. 9/25/2024- Licensing visited the facility to review camera footage, review
restraint documentation, and the personnel file of the alleged offender. 9/27/2024- The
facility confirmed that the A/O has now been terminated from the facility. 9/30/2024- The
facility provided retraining documentation that other staff aware of the allegation at the time
of the incident have bee re-educated on their roles as mandated reporters. 10/31/2024,
Licensing received notification that complaint was found unsubstantiated. Complaint
founded by Licensing and facility was cited on 9/25/2024. Approved by Program
Coordinator. Case complete.


summary: A resident was sent to LeBonheur Hospital after complaining of pain in her left hand.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 024017
Date of Incident: 9/16/2024
Date Received: 9/17/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name: Date/Time of
incident: 9/16/24 1345 On the evening of 9/15/24 Resident complained of pain in her left
hand and was unsure of how she injured it. After RN questioned the resident?s recent
physical activities, it was determined that she likely injured it while playing volleyball on
Saturday 9/14/24. The nurse obtained an order for an X-ray, done in house by
radiographics. On 9/16/24 x-ray
Our Nurse Practitioner evaluated the resident and reviewed the x-ray
results and ordered for the resident to be sent to LeBonheur for further evaluation on
9/16/24. Resident returned to Perimeter Behavioral of West Memphis with discharge
summary stating ?
? Actions Taken: Problem/DX:
Treatment: Velcro
thumb spica brace provided per pt request, may use as needed/desired for up to 3 days.
Treat pain with rest and protection from further injury, cool compress, elevation, and
Tylenol/ibuprofen as necessary. *Avoid contact sports for 8-10 days, return to activity when
tolerated. Follow-up Needed: None necessary, PCP for ongoing, severe pain, paralysis of
thumb, or deformity. Other Parties Notified: Guardian:
Interim Action Narrative: Resident was assessed by the nurse and evaluated at the hospital.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing reviewed provider reported incident for licensing concerns
and requested a copy of nursing note/discharge summary from LeBonheur.


summary: Officers responded to a call regarding a juvenile that ran from Perimeter Behavioral of West Memphis. Officers located juvenile.

raw_content:
West Memphis Police
Dispatch Call Detail
Call #: C719145 - Runaway Complaint
Received Date/Time: 09/07/2024 16:22:06 Taken By: Smith, Joshua
Initial Call Type: Runaway Complaint Caller Name FORTUNE,
Cleared Date/Time: 09/07/2024 16:36:40 Phone: (870) 494 - 6978
Cleared By: Smith, Rakim Caller Loc.:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
221 - Forthman, Blake - 2183 09/07/2024 09/07/2024 09/07/2024 09/07/2024
(WMPD) 16:24:58 16:25:03 16:25:29 16:36:40
350 - Dorsey, Leroy - 2170 (WMPD) 09/07/2024 09/07/2024 09/07/2024 09/07/2024
16:25:00 16:25:01 16:27:24 16:36:40
270 - Ivey, Rubin - 2172 (WMPD) 09/07/2024 09/07/2024 09/07/2024
16:25:07 16:25:31 16:36:40
339 - Dugan, Bee - 2205 (WMPD) 09/07/2024 09/07/2024 09/07/2024
16:25:09 16:25:33 16:36:40
Narrative
Date/Time Dispatcher Narrative
09/07/2024 16:22:27 Smith, Joshua MAKE CONTACT WITH FORTUNE REGARDING JUVENILE RAN FROM PEREMETER
BEHAVIORAL HEALTH CENTER WM RED HAIR RED PANTS RAN FROM PEREMETER
BEHAVIORAL APPROX 6 FT TALL RAN BEHIND EAST ARKANSAS
09/07/2024 16:24:37 Smith, Joshua WEARING WHITE SHIRT WITH WRITING HAS BLACK
AND GREEN CROCS
09/07/2024 16:26:17 Smith, Joshua 221- ADV WE GOT
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 6 of 8


summary: Officers were dispatched to the facility in response to an assault on two staff members by a resident. The resident was arrested and transported to Crittenden County Juvenile Detention Center to be held until further notice.

raw_content:
Incident # 24-03563 West Memphis Police Report Date 08/27/24
Page 1 of 5 Incident Report Report Time 2:47 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 295 Coburn, Terrance AR0180100
Closed
Assigned Officer Entered By Approving Officer
coburnt Hampton, Anthony
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
Bailey, Corrie Alexandria 47 F Nonresident
Race Black / African Ethnicity DL (#, ST) Email
American Not Hispanic/Latino
Home Phone Work Phone Other Phone Personal Cell Work Cell
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
Perrimeter Behavioral
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Worker
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301
Earliest Possible Date Time Latest Possible Date Time
08/27/2024 14:15 08/27/2024 14:47
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-13-202A(4)E Felony Completed 9 88 99
BATTERY - 2ND DEGREE / INJURES EMERGENCY MEDICAL TECHNICIAN OR OTHER MEDIC
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 9/23/2024 8:33:33 AM

Incident # 24-03563 West Memphis Police Report Date 08/27/24
Page 3 of 5 Incident Report Report Time 2:47 PM
Arrestee #24-A02033
Height Weight Eyes Build AKA
- -
Arresting Officer Arrest Date Time Arrest Type Warrant Number Juv Disp Disposition Date
295 - Coburn, Terrance 8/27/2024 14:45 On-View Arrest Referred to Other Authorities
Multiple Clearance Indicator BAC BAC Operator Arrest Location Zone
Arrest Cleared Incident Drug Store/Doctor's Office/Hospital North East
Weapons At Arrest Court Date Court Name Time
01 - Unarmed
Narrative & Statements
Arrest Notes - 24-A02033
On 8/27/2024 at approximately 2:17 PM, I, Officer T. Coburn #295 was dispatched to 600 North 7th in reference to
a juvenile complaint.
Complainant/victim/RN Corrie Bailey stated that suspect/juvenile was placed in physical restraints then
released. Bailey stated that was suppose to go back in to the classroom, but instead went inside the Physicians
room, stood beside Dr. Hiatt and hit him. Bailey stated that when staff came to assist, stated "I'm going to fight
someone" and hit her in her upper back.
Victim/M.D. Roger Hiatt stated that he was sitting in a chair in a small room in the educational unit. Hiatt stated that
asked him "What would happen if I hit you?", as stood in a threatening manner. Hiatt stated that as he put
his right arm up to protect himself, hit him really hard in that arm before staff could intervene.
was arrested and transported to the Crittenden County Juvenile Detention Center. Intake Officer Wallin advised
that is to be held until further notice.
Unit #2164
Narrative - Dykes, Dana - 8/28/2024 8:03:00 AM (Initial)
CASE FILE: 2403563
Victim Statement V1: Bailey, Corrie Alexandria - 8/27/2024 2:40:00 AM Taken by 295 - Coburn, Terrance
and approved by - ,
See attached.
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 9/23/2024 8:33:33 AM

Incident # 24-03563 West Memphis Police Report Date 08/27/24
Page 4 of 5 Incident Report Report Time 2:47 PM
Dispatch Call Detail
Call #: C717709 - Juvenile Complaint
Received Date/Time: 08/27/2024 14:17:25 Taken By: Burnett, Amiyah
Initial Call Type: Juvenile Complaint Caller Name
Cleared Date/Time: 08/27/2024 15:48:01 Phone: (901) 558 - 5476
Cleared By: Babski, Susan Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
295 - Coburn, Terrance - 2178 08/27/2024 08/27/2024 08/27/2024 08/27/2024
(WMPD) 14:19:32 14:19:53 14:23:54 14:46:24
344 - Chavez, Yahir - 2170 (WMPD) 08/27/2024 08/27/2024 08/27/2024 08/27/2024
14:20:02 14:20:06 14:23:51 14:46:00
259 - Strayhorn, Lillian - 2170 08/27/2024 08/27/2024 08/27/2024 08/27/2024
(WMPD) 14:20:03 14:20:05 14:23:52 14:46:03
292 - Ester, Anthony - 2164 (WMPD) 08/27/2024 08/27/2024 08/27/2024 08/27/2024 08/27/2024 08/27/2024 JUVENILE
14:45:07 14:45:10 14:45:10 14:45:10 14:45:40 15:48:01
Narrative
Date/Time Dispatcher Narrative
08/27/2024 14:17:37 Burnett, Amiyah REC A CALL FROM A MANAGER SHAWANDA IN REF TO NEEDING TO FILE A
RPEORT ABOUT A JUVENILE ASSAULTING TWO OF THE EMPLOYEES
08/27/2024 14:39:40 Palencia, Jenny 295-CORRIE BAILEY
08/27/2024 14:40:06 Palencia, Jenny 295-ROGER HIATT
Dispositions
Incident Report, Transported,
Incidents
Agency Incident Officer
WMPD 24-03563 Coburn, Terrance
Association
Association Name DOB Race Sex DL Home Phone Home Address
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 9/23/2024 8:33:33 AM

Incident # 24-03563 West Memphis Police Report Date 08/27/24
Page 5 of 5 Incident Report Report Time 2:47 PM
Dispatch Call Detail
Call #: C717709 - Juvenile Complaint
Hiatt,Roger L White M
Bailey,Corrie A Black/Afric F
an
American
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 9/23/2024 8:33:33 AM