summary: Officers were dispatched to the facility in response to a missing juvenile.

raw_content:
Incident # 24-03501 West Memphis Police Report Date 08/22/24
Page 1 of 5 Incident Report Report Time 7:57 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 263 Gardner, Imani AR0180100
Closed
Assigned Officer Entered By Approving Officer
Kimbro, Dequane gardneri Mckee, Matthew
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
Pini, Felicia Sanders 54 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
227 Hunters LN,Marion, AR 72364 Perimeter Behavioral Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Staff
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
08/22/2024 18:39 08/22/2024 19:17
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 RUNAWAY RUNAWAY Misd Completed 9 88 99
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
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Incident # 24-03501 West Memphis Police Report Date 08/22/24
Page 3 of 5 Incident Report Report Time 7:57 PM
Narrative & Statements
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Incident # 24-03501 West Memphis Police Report Date 08/22/24
Page 4 of 5 Incident Report Report Time 7:57 PM
Dispatch Call Detail
Call #: C717011 - Runaway Complaint
Received Date/Time: 08/22/2024 18:35:37 Taken By: Johnson, Daniel
Initial Call Type: Runaway Complaint Caller Name BARRINGTON, HEATHER
Cleared Date/Time: 08/22/2024 20:23:35 Phone: (662) 588 - 7164
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
263 - Gardner, Imani (WMPD) 08/22/2024 08/22/2024 08/22/2024 08/22/2024
18:39:04 18:39:26 18:43:14 19:17:48
282 - Bowman, Gregory - K-9 -3 08/22/2024 08/22/2024 08/22/2024 08/22/2024
(WMPD) 18:39:42 18:39:44 20:12:52 20:14:25
343 - Walls, Ladarian - K-9 -3 08/22/2024 08/22/2024 08/22/2024 08/22/2024
(WMPD) 18:47:57 18:47:59 18:47:59 20:23:35
Narrative
Date/Time Dispatcher Narrative
08/22/2024 18:35:48 Johnson, Daniel REC A CALL FROM HEATHER BARINGTON PATIENT LEFT THE FACILITY AND
JUMPED A FENCE LAST SEEN NORTH WEARING A WHITE SHIRT PINK PANTS
08/22/2024 18:42:14 Johnson, Daniel ATTEMPTED TO CONTACT THE CALLER TO GET A LOCATION, NO ANSWER
08/22/2024 18:43:31 Palencia, Jenny WHITE SHIRT BLACK BAREFOOT AND HAIR UP AROUND
08/22/2024 18:44:00 Johnson, Daniel SPOKE TO A NURSE ON SCENE, AND THE LAST THEY SAW WAS RUNNING
THROUGH THE TREE LINE, AND HAVE NOT SEEN SINCE
08/22/2024 18:45:25 Palencia, Jenny CALLER HAS MADE CONTACT WITH A POLICE OFFICER
08/22/2024 19:10:55 Jeffords, Sarah 282--K-9 DEPLOYEMENT
08/22/2024 19:11:22 Forthman, Blake 282- K9 DEPLOYMENT -- 343 IS WITH ME WE WILL BEHIND PERIMETER
08/22/2024 19:32:09 Jeffords, Sarah 282--STATUS SECURE
08/22/2024 19:34:45 Jeffords, Sarah 282-K-9 DEPLYMENT TERMINATED LOST TRACK -JUST WEST NEAR THE WOOD
LINE
Dispositions
Warning,
Incidents
Agency Incident Officer
WMPD 24-03501 Gardner, Imani
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Incident # 24-03501 West Memphis Police Report Date 08/22/24
Page 5 of 5 Incident Report Report Time 7:57 PM
Dispatch Call Detail
Call #: C717011 - Runaway Complaint
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Printed : 9/23/2024 8:32:50 AM


state: AR

facility_name: Perimeter Behavioral of West Memphis

summary: A resident was transported to LeBonheur ER after slipping and falling on her elbow while playing in the gym.

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: 022612
Date of Incident: 7/15/2024
Date Received: 7/16/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name:
Guardianship: Please describe the incident: On 7/15/24 at approximately 18:15
Residents were in the gym for Rec Time when staff instructed residents to line up. was
making her way to the line when she did a cartwheel against the staff?s previous instruction
not to. Resident states she attempted to do a cartwheel but because she had socks on, she
slipped and landed on her left elbow. Nurses were called to the gymnasium to assess
injuries and noted a deformity seen on her left elbow. Orders were obtained and
Resident was transported by ambulance to LeBonheur ER for evaluation. Resident
.
Resident was discharged from LeBonheur ER and returned to Perimeter
Behavioral of West Memphis on 7/16/24 at 00:02. Actions Taken: RN assessment and vital
signs WNL upon return to facility. Nurse Practitioner assessed resident this morning and
gave orders. Resident was placed on 1:1 level of observation for safety, placed on activity
restriction, ordered
Resident currently denies any pain or discomfort. has a follow-up appointment
at Le Bonheur Peds Ortho Clinic
Interim Action Narrative: Resident was transported via ambulance to the ER and placed on
1:1 level of observation and activity restriction.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns and requested documentation. Resident scheduled for a follow up
appointment on Documentation uploaded.

doc_type: Notice of Incident


summary: Licensing visited the facility to review personnel records. No discrepancies found.

raw_content:
Arkansas Department of Human Services
Placement & Residential Licensing Unit
Licensing Compliance Record
Agency Name: Perimeter Behavioral of West Memphis Person In Charge: Summer Berryhill
Address: 600 North 7th St., West Memphis, AR 72301 Phone: (870)394-7113
Licensing Specialist: Eleanor White
Date of Visit: 06/13/24 Purpose of Visit: Personnel Records Review
STANDARD COMPLIANCE DATE
DISCUSSION/OBSERVATION
REVIEWED DATE CORRECTED
Time: 1:00 PM to 4:00 PM
Census: 17
Core Staff: 25
Licensing specialist reviewed the following personnel records:
• -no
discrepancies.
• no discrepancies.
• no discrepancies.
• no discrepancies.
• no discrepancies.
No discrepancies found. Verification of qualifications, continuing education
hours, first aid/CPR certifications, up to date background checks, and all other
requirements met.
No regulations out of compliance.
COMMENTS of Person receiving form
06/13/24 Eleanor White
06PE/R13SO/N2 S4IG NING AS RECEIVING DATE
LICENSING SPECIALIST DATE

doc_type: Compliance Report


summary: Officers met with complainant who advised that she was bitten by one of her patients.

raw_content:
Incident # 24-02230 West Memphis Police Report Date 06/02/24
Page 1 of 5 Incident Report Report Time 8:28 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 350 Dorsey, Leroy AR0180100
Active
Assigned Officer Entered By Approving Officer
dorseyl Jackson, Steven
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
** MASKED ** ** MASKED ** ** MASKED ** 29 F Unknown
Race Black / African Ethnicity DL (#, ST) Email
American Not Hispanic/Latino ** MASKED ** ** MASKED **
Home Phone Work Phone Other Phone Personal Cell Work Cell
** MASKED ** ** MASKED ** ** MASKED ** ** MASKED ** ** MASKED **
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
** MASKED ** ** MASKED **
Work Address Occupation
** MASKED ** ** MASKED **
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
06/02/2024 20:28 06/02/2024 20:28
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 GENERAL INFO GENERAL INFORMATION Misd Completed 15 88 40
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
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Printed : 6/21/2024 1:55:30 PM

Incident # 24-02230 West Memphis Police Report Date 06/02/24
Page 3 of 5 Incident Report Report Time 8:28 PM
Narrative & Statements
Suspect Statement S1: ****** Masked ****** - 6/2/2024 Taken by 350 - Dorsey, Leroy and approved by - ,
see attached...
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Incident # 24-02230 West Memphis Police Report Date 06/02/24
Page 4 of 5 Incident Report Report Time 8:28 PM
Dispatch Call Detail
Call #: C704397 - Walkup
Received Date/Time: 06/02/2024 20:07:37 Taken By: Warren, Mandi
Initial Call Type: Walkup Caller Name
Cleared Date/Time: 06/02/2024 20:17:18 Phone:
Cleared By: Warren, Mandi Caller Loc.:
Location: STATION - POLICE DEPT, 626 E Broadway AVE
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
299 - Gilliam, Tylan - 2170 (WMPD) 06/02/2024 06/02/2024 06/02/2024 06/02/2024
20:07:40 20:07:46 20:11:19 20:17:18
350 - Dorsey, Leroy - 2170 (WMPD) 06/02/2024 06/02/2024 06/02/2024 06/02/2024
20:07:41 20:07:48 20:11:23 20:17:18
274 - Martinez, Kaleb - 2178 06/02/2024 06/02/2024 06/02/2024 06/02/2024
(WMPD) 20:07:51 20:07:53 20:11:34 20:17:18
Narrative
Date/Time Dispatcher Narrative
06/02/2024 20:08:11 Warren, Mandi FEMALE AT THE FRONT DOOR
06/02/2024 20:24:41 Warren, Mandi 299---MS/ ROBIN GORDON
Dispositions
Incident Report,
Incidents
Agency Incident Officer
WMPD 24-02230 Dorsey, Leroy
Association
Association Name DOB Race Sex DL Home Phone Home Address
Gordon,Robin Black/Afric F 5617 Kaitlyn,
an Walls MS
American 38680
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Printed : 6/21/2024 1:55:30 PM

Incident # 24-02230 West Memphis Police Report Date 06/02/24
Page 5 of 5 Incident Report Report Time 8:28 PM
Dispatch Call Detail
Call #: C704397 - Walkup
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Printed : 6/21/2024 1:55:30 PM

doc_type: Police Report


summary: A resident was sent to LeBonheur ER for evaluation of an eye injury sustained during 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
Notice of Serious Incident
Case Number: 021396
Date of Incident: 5/19/2024
Date Received: 5/21/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident:
was involved in a physical altercation with another resident
on Saturday 5/18/24. Resident sustained one small scratch to her left cheek, a scratch to left
side of her neck and one scratch above her right eye. On Monday 5/20/24 I went to speak
with her about the incident and found her running and playing in the gym with the other
residents. On speaking with me she claimed she was "blind" in her left eye. I had our
medical Nurse Practitioner assess . and she was ordered to be sent to LeBonheur ER for
further evaluation. returned from the ER yesterday afternoon and was
and no follow up appointments.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 05/22/24 LS White initiated follow up on status of this youth. No
concerns at this time. 05/23/254 agency reports this youth is doing better.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the facility. A Corrective Action Plan was submitted by the facility and approved.

raw_content:
Client/Guardian Interviews:
There was no active FFS Medicaid clients currently admitted at the time of IOC. Therefore, no client interviews
were conducted.
Program Activity/Service Milieu Observation:
Staff and clients were observed throughout the facility in the classroom setting on the school unit and in
organized group activities in one of the outside courtyards. Clients were engaged in schoolwork and activities.
Staff were calmly interacting with clients and providing a therapeutic environment that was conducive for
learning and treatment therapies.
Medication Pass:
No active FFS Medicaid clients received medications during a medication pass while AFMC staff was onsite.
Due to the observation of non-Medicaid clients not being complaint with the HIPAA minimal necessary rule, no
medication pass was observed. AFMC RN visited with the facility medication nurse who showed AFMC RN the
facility policies and procedures regarding medication administration, narcotic count/reconciliation/handling, and
medication discrepancies.
The facility nurse was able to verbalize the step-by-step process of medication delivery including the
demonstration of the five rights of medication administration, documentation of medication delivery,
verification of client taking medication including mouth/cheek checks, and how clients are educated about each
medication. The facility nurse also verbalized the process utilized when a client refuses medication. Tour of
medication room completed no discrepancies with medication storage, cleanliness of medication room, and
knowledge of medication dispensing found.
Clinical Record Review Deficiencies:
There was no active FFS Medicaid clients currently admitted at the time of IOC. Therefore, no clinical records
reviews were conducted.
Corrective Action Plan:
The CAP must be completed within 30 calendar days of the date of the email notice of the IOC reports.
Additionally, any findings that were noted in any Health and Safety Inspection(s), which are governed by
certification rules and requirements, are shared with DPSQA and may result in other remedial actions, by
DPSQA, if warranted.
*For more details on the individual related deficiencies, please log into the portal.
Respectfully,
Inspection of Care Team
InspectionTeam@afmc.org
1020 W. 4TH ST., SUITE 300
LITTLE ROCK, AR 72201 • afmc.org
Woodridge Northeast, LLC – West Memphis, AR – IOC Report 3 | P ag e

May 16, 2024
Woodridge Northeast, LLC
600 N 7Th Street
West Memphis, AR 72301-3235
The Division of Provider Services and Quality Assurance (DPSQA) of the Arkansas Department of Human
Services has contracted with Arkansas Foundation for Medical Care (AFMC) to perform Inspections of Care
(IOC) for Inpatient Psychiatric Services for Under 21. The Medicaid Manual for Inpatient Psychiatric Services
for Under Age 21 was used in the completion of this report.
Observations and any deficiencies noted are listed below for the inspection conducted at the following service
site on the following date:
Woodridge Northeast, LLC
Provider Medicaid ID:
Onsite Inspection Date: May 09, 2024
Onsite Inspection Time: 9:16 AM
A summary of the inspection and any deficiencies noted are outlined below.
The provider must submit a Corrective Action Plan (CAP) designed to correct any deficiency noted in the
written report of the IOC. Accordingly, you must complete and submit to AFMC a Corrective Action Plan for
each deficiency noted. The Corrective Action Plan must state with specificity the:
(a) Corrective action to be taken.
(b) Person(s) responsible for implementing and maintaining the corrective action; and
(c) Completion date or anticipated completion date for each corrective action.
The CAP must be completed within 30 calendar days of the date of the email notice of the IOC report. Please
follow the link provided in the email notice to submit either a Reconsideration or CAP for the inspection, all via
AccessPoint.
The contractor (AFMC) will:
(a) Review the Corrective Action Plan.
(b) Determine whether the Corrective Action Plan is sufficient to credibly assure future compliance; and
(c) Provide the Corrective Action Plan to the Division of Provider Services and Quality Assurance (DPSQA).
Please see § 160 of the Medicaid Manual for an explanation of your rights to administrative reconsideration and
appeal. Additionally, the imposition of this Corrective Action Plan does not prevent the Department of Human
Services from prescribing additional remedial actions as may be necessary.

Inspection of Care Summary
Facility Tour:
Upon arrival to the facility, AFMC staff was promptly greeted at the locked entrance by a Woodridge Northeast,
LLC receptionist in the main lobby. AFMC staff signed in on the visitor log were immediately taken to a
conference room where they were met by the Chief Executive Officer and the Director of Quality and Risk
Management. AFMC staff was given the completed and signed consent form listing approval for access to the
AFMC portal. Facility staff were given the Document Request Form and AFMC staff discussed the
requirements for the Inspection of Care.
A tour of the facility was completed with the Director of Nursing. The tour included three acute inpatient units,
seclusion rooms, medication room, gymnasium, cafeteria, two outside courtyard areas, and several classrooms.
The facility environment was extremely clean, well-organized, and appeared to be in good repair. There were no
immediate issues noted during the facility tour. Staff were able to answer questions regarding the facility.
Facility Review – Policies and Procedures:
Upon review of the site’s policies, procedures, and certification requirements, the following deficiencies were
noted:
Regulation Deficiency Statement Reviewer Notes
Medicaid IP Sec. 2; There is no documentation in the HR During the personnel record review, it was
CFR 42 482.130, records that all direct care personnel are noted that not all direct care personnel are
483.376 trained in the facility's Restraint and trained, as well as demonstrate competency, in
Seclusion policy. facility's Restraint and Seclusion policy and
appropriate procedures to be used in Restraint
and Seclusion interventions.
Medicaid IP Sec. 2: HR records did not indicate that all direct During the personnel record review, it was
221.804; care personnel have ongoing education, noted that not all direct care personnel have
CFR 42 482.130, training, and demonstrated knowledge of ongoing education, training, and demonstrated
483.376 techniques to identify staff and resident knowledge of techniques to identify staff and
behaviors that may trigger an emergency resident behaviors, events and environmental
safety situation semi-annually. factors that may trigger emergency safety
situations on a semi-annual basis.
Medicaid IP Sec. 2: HR records did not indicate training in During the personnel record review, it was
221.804; the use of nonphysical intervention noted that not all direct care personnel have
CFR 42 482.130, skills, such as de-escalation on an annual training in the use of nonphysical intervention
483.376 basis. skills, such as de-escalation, mediation conflict
resolution, active listening, and verbal and
observational methods, to prevent emergency
safety situations on an annual basis.
Medicaid IP Sec. 2: There is no documentation that all direct During the review of personnel records, it was
215.220, 218.000 care personnel hold current licenses, as noted that one employee had a provisional
42 CFR: 441.156 required by their position and profession license Master of Social Work that expired in
and/or licensing authority. June of 2009.
Personnel Records – Licenses, Certifications, Training:
There was a total of twenty-six personnel records reviewed, nine (27%) professional staff and
seventeen (25%) paraprofessional staff. During the review of the personnel records, the following
deficiencies were noted:
Woodridge Northeast, LLC – West Memphis, AR – IOC Report 2 | P ag e

Personnel Rule Credential Outcome Reviewer Notes
Record Validated
Number
SR016818 215.220, 218.000 Professional License Failed The provider uploaded
or Certificate - IP college degrees; however,
Acute evidence of a professional
licenses was not provided.
SR016815 Medicaid IP Sec. 2: Restraint and Failed Training last completed
221.804; Seclusion Training January 25, 2023
42 CFR 482.130, (CPI)- IP Acute
483.376
Observations:
AFMC staff reviewed the final document request form with the Chief Executive Office, the Director of Quality
and Risk Management, and the Director of Human Resources at the completion of the on-site Inspection of Care.
The provider signed the acknowledgement of manual requirements that were made available in the provider’s
policy and procedures. AFMC staff explained that these findings were preliminary and there was still an off-site
portion to be completed.
Clinical Summary
As a part of the Quality-of-Care survey of the IOC, an active Fee for Service (FFS) Medicaid client list was
requested, client and/or guardian interviews were conducted, and a clinical record review was completed. The
following is a summary of findings and noted deficiencies.
Client/Guardian Interviews:
There was no active FFS Medicaid clients currently admitted at the time of IOC. Therefore, no client interviews
were conducted.
Program Activity/Service Milieu Observation:
Staff and clients were observed throughout the facility in the classroom setting on the school unit and in
organized group activities in one of the outside courtyards. Clients were engaged in schoolwork and activities.
Staff were calmly interacting with clients and providing a therapeutic environment that was conducive for
learning and treatment therapies.
Medication Pass:
No active FFS Medicaid clients received medications during a medication pass while AFMC staff was onsite.
Due to the observation of non-Medicaid clients not being complaint with the HIPAA minimal necessary rule, no
medication pass was observed. AFMC RN visited with the facility medication nurse who showed AFMC RN the
facility policies and procedures regarding medication administration, narcotic count/reconciliation/handling, and
medication discrepancies.
The facility nurse was able to verbalize the step-by-step process of medication delivery including the
demonstration of the five rights of medication administration, documentation of medication delivery,
verification of client taking medication including mouth/cheek checks, and how clients are educated about each
medication. The facility nurse also verbalized the process utilized when a client refuses medication. Tour of
medication room completed no discrepancies with medication storage, cleanliness of medication room, and
knowledge of medication dispensing found.
Clinical Record Review Deficiencies:
There was no active FFS Medicaid clients currently admitted at the time of IOC. Therefore, no clinical records
reviews were conducted.
Woodridge Northeast, LLC – West Memphis, AR – IOC Report 3 | P ag e

Corrective Action Plan:
The CAP must be completed within 30 calendar days of the date of the email notice of the IOC reports.
Additionally, any findings that were noted in any Health and Safety Inspection(s), which are governed by
certification rules and requirements, are shared with DPSQA and may result in other remedial actions, by
DPSQA, if warranted.
*For more details on the individual related deficiencies, please log into the portal.
Respectfully,
Inspection of Care Team
InspectionTeam@afmc.org
1020 W. 4TH ST., SUITE 300
LITTLE ROCK, AR 72201 • afmc.org
Woodridge Northeast, LLC – West Memphis, AR – IOC Report 4 | P ag e

doc_type: IOC Report


summary: Officers received a call from facility staff stating that a male patient is running off.

raw_content:
Dispatch Call Detail
Call #: C698728 - Runaway Complaint
Received Date/Time: 04/27/2024 16:05:10 Taken By: Hopkins, Tiara
Initial Call Type: Runaway Complaint Caller Name
Cleared Date/Time: 04/27/2024 16:14:27 Phone:
Cleared By: Hopkins, Tiara 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
235 - Peoples, Mason - 2177 04/27/2024 04/27/2024 04/27/2024 04/27/2024
(WMPD) 16:08:51 16:08:55 16:11:57 16:14:27
295 - Coburn, Terrance - 2178 04/27/2024 04/27/2024 04/27/2024 04/27/2024
(WMPD) 16:08:52 16:08:54 16:12:00 16:14:27
Narrative
Date/Time Dispatcher Narrative
04/27/2024 16:05:15 Hopkins, Tiara REC A CALL FROM THE STAFF STATING THAT A MALE PT RUNNING OFF... SUBJ IS
WEARING A BLUE SHIRT AND GRAY/BLACK PANTS RUNNING ACROSS THE
STREET...
04/27/2024 16:06:02 Babski, Susan 229- NEXT AVAIL
04/27/2024 16:14:27 Hopkins, Tiara 235 - THEY HAVE THAT JUVENILE
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Officers were dispatched in response to several girls attempting to fight staff.

raw_content:
Dispatch Call Detail
Call #: C698602 - Disturbance
Received Date/Time: 04/26/2024 20:49:40 Taken By: Burnett, Amiyah
Initial Call Type: Disturbance Caller Name
Cleared Date/Time: 04/26/2024 21:48:03 Phone:
Cleared By: Cunningham, Daija Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N .Perimeter Behaviorial Health246 ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
263 - Gardner, Imani - 2256 04/26/2024 04/26/2024 04/26/2024 04/26/2024
(WMPD) 20:55:10 20:55:31 20:55:56 21:48:01
276 - Mcpherson, Nicholas - 2182 04/26/2024 04/26/2024 04/26/2024 04/26/2024
(WMPD) 20:55:20 20:55:29 20:55:52 21:21:33
271 - Kimbrough, Amber - 2213 04/26/2024 04/26/2024 04/26/2024 04/26/2024
(WMPD) 20:55:25 20:55:28 20:56:13 21:46:37
246 - Strayhorn, Cole - VCSU K-9 04/26/2024 04/26/2024 04/26/2024 04/26/2024
(WMPD) 20:59:34 20:59:36 20:59:36 21:21:40
262 - Shaw, Reginald - 2168 04/26/2024 04/26/2024 04/26/2024 04/26/2024
(WMPD) 21:00:09 21:00:11 21:00:11 21:21:36
Narrative
Date/Time Dispatcher Narrative
04/26/2024 20:49:45 Burnett, Amiyah REC A CALL IN REF TO SEVERAL GIRLS ATTEMPTING TO FIGHT STAFF... CALLER
ADV NONE OF THE FEMALES HAVE WEAPONS... CALLER ADV ITS 4 FEMALES..
COME IN THROUGH MAIN ENTRANCE
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Licensing visited the facility to review children’s records. No deficiencies cited.

raw_content:
Arkansas Department of Human Services

Placement & Residential Licensing Unit

Licensing Compliance Record

Agency Name: Perimeter Behavioral of West Memphis Person In Charge: Summer Berryhill
Address: 600 North 7 St., West Memphis, AR 72301 Phone: (870)394-7113
Licensing Specialist: Eleanor White

Date of Visit: 04/19/24 Purpose of Visit: Childrens Records Review

STANDARD Cc
DISCUSSION/OBSERVATION

OMPLIANCE}

DATE
ime: 11:30 AM to 2:00 PM
ensus: 17

Licensing Specialist Eleanor White the following children’s records:

Records are complete. No discrepancies to be noted. Present and viewed
required intake verification and documentation, demographics, case/treatment

plans, daily observation logs, doctors’ orders, medication/medical records, and
ducational verifications. Records are well organized, and
documentation/notations are detailed and up to date.

INo regulations out of compliance.

Licensing specialist met Mr. Landcaster the facilities new CEO.

COMMENTS of Person receiving form

Eleanor White

LICENSING SPECIALIST

04/19/24

DATE


summary: A resident alleged that two staff members choked her and threw her, causing her to hit her head. The complaint was UNFOUNDED 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
Notice of Serious Incident
Case Number: 020265
Date of Incident: 3/31/2024
Date Received: 4/2/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Dual
Report Description: Residents Name: On 3/31/24 at
18:20 Resident was placed in a restraint for physical aggression towards staff. Resident
also received chemical injection for inability to calm down and assaultive bx towards staff.
No injuries to resident were noted following the restraint. On 4/1/24 Resident alleged
that and choked me and threw me and made me hit my
head.? Suspected abuse report was made 4/1/24 and accepted for investigation
. Camera footage was reviewed, and resident did not appear to have been choked
by either or , however both staff have been removed from working on
PRTF pending investigation. is seen on camera initiating physical restraint on
resident alone and escorting her to the seclusion room hallway, upon entering the hallway
the resident is seen falling to the ground. has been placed on administrative
leave pending investigation effective today 4/2/24. Actions Taken: Resident was evaluated
for injuries by our Nurse Practitioner Roslyn Perry, APRN on 4/1/24 Resident complained
of a headache 5/10 pain. Roslyn states no swelling or tenderness was noted on palpation.
Overall normal examination but did order X-ray 3V of her skull and neuro checks x48 hours.
X-ray results: ?No skull fracture. The mandible is normal. Bilateral maxillary sinuses are
clear. The visualized upper cervical spine is normal. No Acute Abnormality.? Other Parties
Notified: Guardian: DHS (Pulaski County)
Interim Action Narrative: Staff was placed on suspension pending the results of the
maltreatment investigation.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative: Resident alleged that and choked
me and threw me and made me hit my head.?
Licensing Narrative: 04/02/24 LS White will verify that doc order is accompanying the
chemical restraint while on site as well as review camera footage and inquire why this was
not reported timely. Permission was granted by investigator to view camera footage and
review restraint documentation. 04/03/24 LS White conducted an unannounced visit to
review camera footage. Time: 3:00 PM to 5:00 PM Census: 18 Summer Berryhill assisted
Licensing Specialist with review of 90 mins of camera footage of before and after the
incident that occurred on 03/31/24 involving a physical then chemical restraint of a female
resident. Footage shows residents going into the day room from the gym accompanied by 3
staff. Said resident starts darting towards one particular staff. 2 other staff members
physically get between resident and the staff that the resident was darting towards. Said
resident then runs over and pushes over the water pitcher. Staff tries to get resident to go
through the door to the seclusion rooms and when resident starts swinging on staff ? he
then initiates a restraint hold and begins escorting resident through the door into the
seclusion rooms hall. As they enter the hall resident breaks free from the hold and falls
forward onto the floor. Camera footage verifies she falls forward as a result of her excessive
pulling forward. Staff ?s hands were at his sides showing that he did not push her as her
lunging forward caused the fall. Another restraint is then executed. Both physical restraints
were executed properly-no concerns. 5 staff are present during the hold in the hall. The
nurse enters and is viewed to be assessing the situation and then makes a phone call. Within
minutes doctor orders were received to execute a chemical restraint. Nurse then assesses
that resident is physically secure and proceeds with injecting chemical restraint into
resident?s hip. It is viewed that resident?s body relaxes, and she is released from the hold.
Resident then sits up with her back against the wall. Resident then gets up and staff walk
her to her room. She gets her hygiene bucket then rejoins the rest of the population in the
day room, gets a snack and is eating it. Restraint log for the last 30 days was reviewed-
complies. Doctor order regarding this chemical restraint reviewed-no concerns as it
complies with verified camera footage reviewed of the execution of the chemical restraint.
No regulations out of compliance. No technical assistance needed. Summer reported that 2
of the staff involved with this incident have completed restraint policy review 04/02/24. The
other staff ? who is currently suspended pending investigation will complete restraint
policy review before being released back to work. This incident occurred 03/31/24. On
04/01/24 resident declared staff physically assaulted her before the restraints on 03/31/24 at
that time facility made the report to the and reported the allegations to
licensing. Prior to the resident?s allegations this incident was not reportable per MLS 110.17.


summary: A resident reported to a nurse that her throat was burning and confessed to ingesting body wash (liquid soap).

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: 020067
Date of Incident: 3/23/2024
Date Received by DCCECE: 3/25/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident: (Guardian:
) On 3/23/24 reported to the Nurse that her throat was burning and
confessed to ingesting body wash (liquid soap). The Nurse contacted poison control, MD,
and Guardian. Abdominal X-ray was ordered and done in house which revealed no
abnormalities or foreign objects. Poison Control informed nurse that the resident may
experience some nausea or vomiting. Patient's vital signs within normal range, no nausea or
vomiting. MD ordered resident to be placed on suicide precautions.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 03/26/14 LS White sent a follow up email asking for a copy of safety
plan that has been implemented for this youth. 03/27/24 agency responded as follows: "She
was ordered to wear paper scrubs and on a finger foods only diet. We are currently trying to
get her stepped up to a higher level of care on our Acute In patient program." 04/01/24 LS
requested safely plan to prevent youth from ingesting soap and update on youth's status.
04/01/24 agency responded: "Her therapist states that Resident denied that it was a suicide
attempt and just wanted her Aunt to come get her. Resident?s guardian refused to sign
consents for her to be stepped up for acute inpatient and discharged her against medical
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

advice Friday (3/29/24) stating that she wanted her to receive outpatient treatment. Youth
was discharged. No violations to the MLS.


summary: Three residents eloped from the facility by pushing through a kitchen door and exiting out the dietary exit door.

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: 019861
Date of Incident: 3/15/2024
Date Received by DCCECE: 3/15/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Residents Name: ,
, Date/Time of incident: 3/15/24 0752
Please describe the incident: This morning 3/15/24 at 0752 Residents were in the cafeteria
eating breakfast when . jumped over the dietary counter and slid under the rolling door
into the kitchen. Staff was let through the kitchen door to stop her when two other residents
and pushed past the staff. All three residents eloped out of the dietary exit door.
West Memphis PD was called and after approximately 30 minutes all three residents were
found and taken to JDC due to displaying aggression and unsafe behaviors. Residents will
be separately transported back to Perimeter of West Memphis by 1800 this evening. Actions
Taken: Residents placed on peer separation and elopement precautions. Dietary Rolling
door will remain closed at all times and Kitchen staff will now dispose of food trays. We are
also adding an additional magnetic lock with badge access to the exit door. Residents?
Guardianship:
Other
Parties Notified: West Memphis Police, Resident?s guardians, Facility Notifications: Art
Hickman CEO, Dr. Hiatt, Chris Perry VP Quality Risk
Interim Action Narrative:
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 03/20/24 LS White initiated follow up via email on the status of these
youth and the status of the installation of the magnetic door lock. 03/21/24 the agency
responded as follows: The three residents are doing well. We had Dillard door come out
yesterday for the mag lock and should receive a proposal from them today with estimated
date of instillation. We are however keeping the rolling door in dietary closed at all times
when youth are present and the other door entering the kitchen does currently have a badge
access lock on it. 03/26/24 agency is still waiting for an estimated date for the installation of
a mag lock on the outside door. 4/1/2024, Program Coordinator requested police report.


summary: Officers responded to the facility in reference to three juveniles running away.


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

raw_content:
Dispatch Call Detail
Call #: C692246 - Battery Complaint
Received Date/Time: 03/11/2024 16:27:13 Taken By: Babski, Susan
Initial Call Type: Battery Complaint Caller Name
Cleared Date/Time: 03/11/2024 17:38:16 Phone: (870) 275 - 9919
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
235 - Peoples, Mason - 2269 03/11/2024 03/11/2024 03/11/2024 03/11/2024
(WMPD) 16:31:29 16:34:13 16:35:16 17:38:16
292 - Ester, Anthony - 2256 (WMPD) 03/11/2024 03/11/2024 03/11/2024 03/11/2024
16:34:18 16:34:19 16:51:18 17:38:16
Narrative
Date/Time Dispatcher Narrative
03/11/2024 16:27:17 Babski, Susan MAKE CONT WITH EMPLOYEE IN REF TO HER PATIENT,
BATTERING HER THIS MORNING AND THREATENING HER
03/11/2024 16:56:57 Babski, Susan 292-
03/11/2024 16:58:16 Babski, Susan 292-
Dispositions
No Action Taken,
Incidents
Agency Incident Officer
WMPD 24-00956 Peoples, Mason
Association
Association Name DOB Race Sex DL Home Phone Home Address
Unknown U
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1

Incident # 24-00956 West Memphis Police Report Date 03/11/24
Page 1 of 3 Incident Report Report Time 5:54 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 235 Peoples, Mason AR0180100
Active
Assigned Officer Entered By Approving Officer
peoplesm Johnson, Eric
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
68 F Unknown
Race White Ethnicity DL (#, ST) Email
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
Perimeter
Work Address Occupation
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
03/11/2024 16:31 03/11/2024 17:12
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-13-203A(2) BATTERY - 3RD DEGREE / RECKLESSLY CAUSES INJURY Misd Completed 25 88 90
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 : 3/28/2024 9:09:31 AM

Incident # 24-00956 West Memphis Police Report Date 03/11/24
Page 3 of 3 Incident Report Report Time 5:54 PM
Narrative & Statements
Narrative - Peoples, Mason - 3/11/2024 6:08:29 PM (Initial)
On March 11, 2024, at approximately 5:31PM,I, Officer M. Peoples #235 was dispatched to 600 North 7th Street
(Perimeter Behavior Health) in reference to a worker being battered by a juvenile
During my investigation, I made scene and made contact with the complainant/victim , who advised
that at approximately 4:05 PM suspect started to yell and screaming at the nurses. told to
"get the fuck away from me", and after stated that, lunged at and grabbed her head and neck.
had a bruise on her left hand, and completed the Voluntary Statement.
Unit #2269
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 3/28/2024 9:09:31 AM


summary: A resident was sent to Baptist Crittenden ER due to an allergic reaction after complaining of hives and shortness of breath.

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: 019768
Date of Incident: 3/7/2024
Date Received by DCCECE: 3/11/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident: Guardian:
On 3/7/24 Resident broke out in hives and had complaints of SOB. After being
assessed by our Nurse Practitioner. She was expected to be having an allergic reaction to a
new antibiotic she had just started (Doxycycline). was ordered to be sent out to Baptist
Crittenden ER for further evaluation. Resident was returned to Perimeter and Doxycycline
was discontinued. Resident has a follow up appointment scheduled Wednesday and
Arkansas health center.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 03/14/24 LS White requested status of youth via email. 03/14/24
received the following response from Summer Berryhill: "She was returned and started on a
Medrol dose pack and different antibiotic; she is doing well no complaints." No licensing
violations. Agency acted in the best interest of resident by seeking immediate medical
attention for her health issue.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: The fire department was dispatched to the facility to assist EMS with an allergic reaction call.

raw_content:
Dispatch Call Detail
Call #: C691639 - EMS Assist
Received Date/Time: 03/07/2024 10:08:10 Taken By: Warren, Mandi
Initial Call Type: EMS Assist Caller Name Amb Run#: AM24-01207
Cleared Date/Time: 03/07/2024 10:49:03 Phone: (870) 275 - 9919 Fire Run#: FM24-00489
Cleared By: Warren, Mandi Caller Loc.:
Controlled:
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
U15 - Unit 15 (West Memphis Fire 03/07/2024 03/07/2024 03/07/2024 03/07/2024 03/07/2024 03/07/2024 0.1-1.3 BAPTIST
Dept Medical) 10:09:11 10:10:25 10:13:49 10:22:41 10:25:07 10:49:00 CRITTENDEN
L1 - Ladder 1 (West Memphis Fire 03/07/2024 03/07/2024 03/07/2024 03/07/2024
Dept) 10:09:14 10:10:30 10:12:13 10:20:46
Narrative
Date/Time Dispatcher Narrative
03/07/2024 10:08:16 Warren, Mandi POSSIBLE ALLERGIC REACTION TO AN ANTIBIOTIC UNK HX
03/07/2024 10:11:22 Warren, Mandi L1-BROWN/MCLAURIN/JOHNSTON/FOY U15-FISHER/KING/N CUPPLES
03/07/2024 10:12:18 Warren, Mandi L1 ON SCENE WILL BE OUT INVESTIGATING/ WILL HAVE COMMAND
03/07/2024 10:20:48 Warren, Mandi COMMAND ADV RELEASED BY U15/CLEARING SCENE IN SERVICE
Dispositions
Incident Report,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


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

raw_content:
Dispatch Call Detail
Call #: C691051 - Disturbance
Received Date/Time: 03/03/2024 15:00:37 Taken By: Babski, Susan
Initial Call Type: Disturbance Caller Name
Cleared Date/Time: 03/03/2024 15:13:00 Phone: (870) 822 - 0336
Cleared By: Babski, Susan 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
235 - Peoples, Mason - 2265 03/03/2024 03/03/2024 03/03/2024 03/03/2024
(WMPD) 15:03:03 15:03:16 15:06:43 15:13:00
295 - Coburn, Terrance - 2277 03/03/2024 03/03/2024 03/03/2024 03/03/2024
(WMPD) 15:03:09 15:03:15 15:06:48 15:13:00
242 - Banks, Ladayshia - 2277 03/03/2024 03/03/2024 03/03/2024 03/03/2024
(WMPD) 15:03:10 15:03:13 15:06:46 15:13:00
229 - Mckee, Matthew - 2183 03/03/2024 03/03/2024 03/03/2024 03/03/2024
(WMPD) 15:12:30 15:12:32 15:12:32 15:13:00
Narrative
Date/Time Dispatcher Narrative
03/03/2024 15:01:03 Babski, Susan PERIMETER--- MAKE CONT WITH EMPLOYEE TERRY IN REF TO A JUV
THREATENING HER,, CALLER ADV SHE HAD HELP COMING BUT DISPATCH COULD
HEAR THE YELLING AND THREATENED TO KILL HER IN THE BACK
GROUND
03/03/2024 15:12:33 Babski, Susan 229- WE MADE CONT WITH THE CALLER, THEYVE GOT THE PATIENT UNDER
CONTROL AND DONT NEED ASSISTANCE ANYMORE
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: EMS was dispatched to the facility for someone having seizures.

raw_content:
Dispatch Call Detail
Call #: C689778 - Medical
Received Date/Time: 02/22/2024 17:42:00 Taken By: Rogers, Ashely
Initial Call Type: Medical Caller Name Amb Run#: AM24-00953
Cleared Date/Time: 02/22/2024 23:04:31 Phone: (901) 326 - 9516
Cleared By: Warren, Mandi Caller Loc.: 1 MCCAIN BLVD ,WEST MEMPHIS, AR
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
CR106 - CR106 (Crittenden EMS ) 02/22/2024 02/22/2024 02/22/2024 02/22/2024
17:44:57 17:45:01 17:47:48 23:04:31
Narrative
Date/Time Dispatcher Narrative
02/22/2024 17:42:23 Rogers, Ashely --- CURRENTLY HAVING A SIEZURE --- MX OF
GRAND MAL SEIZURES
Dispositions
Incident Report,
Association
911 Call
Date Name Phone Address PD FD EMS
02/22/2024 17:42 AT&T MOBILITY (901) 326-9516 1 MCCAIN BLVD - NE Sector WEST REQUEST VERIFY TRANSFER
MEMPHIS AR CALLERS LOCATION TO PROPER
NUMBER AGENCY
02/22/2024 17:42 AT&T MOBILITY (901) 326-9516 1 MCCAIN BLVD - NE Sector WEST REQUEST VERIFY TRANSFER
MEMPHIS AR CALLERS LOCATION TO PROPER
NUMBER AGENCY
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Licensing visited the facility to review personnel files. 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 Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 N 7TH ST
WEST MEMPHIS AR 72301-3235
Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 2/6/2024
Home Visit Date: 2/6/2024
Purpose of Visit: Personnel Records
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 11:15 am to 1:30 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 16
Licensing Specialist Eleanor White and Program Coordinator Kendra Rice reviewed two (2) personnel files:
J. Woods (1/25/2016) Psychiatric Technician
E. Jordan (5/15/2023) Registered Nurse PRN
All files reviewed complied with the minimum licensing standards.
Provider Comments:
CCL Staff Signature : Date: 2/6/2024
Provider Signature : Date: 2/6/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was sent to LeBonheur ER due to visible and palpable abnormalities in her neck.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
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: 019046
Date of Incident: 2/6/2024
Date Received by PRLU: 2/8/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB: Guardianship: ( ,
On 2/6/24 Resident was assessed by our Nurse Practitioner who found visible and
palpable abnormalities in her neck. Resident was sent to LeBonheur ER for medical evaluation. She
had an ultrasound and Chest x-ray done and was diagnosed with Cervical Adenitis. She was returned
to our facility with antibiotics and ENT recommendation. Resident has a follow up appointment
with ENT specialist today (2/8/24) and will be transported by DHS.
Interim Action Narrative:
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: No concerns as the agency is addressing this youth's medical issues.
Requested agency to keep licensing updated.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Anaphylactic Reaction. Tongue swollen from medication.

raw_content:
Dispatch Call Detail
Call #: C687713 - Medical
Received Date/Time: 02/06/2024 08:44:47 Taken By: Burnett, Amiyah
Initial Call Type: Medical Caller Name Amb Run#: AM24-00653
Cleared Date/Time: 02/06/2024 12:36:49 Phone:
Cleared By: Barber, Kaya 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
CR106 - CR106 (Crittenden EMS ) 02/06/2024 02/06/2024 02/06/2024 02/06/2024 02/06/2024 BAPTIST
08:46:33 08:53:33 09:20:23 09:24:22 09:34:15 CRITTENDEN
Narrative
Date/Time Dispatcher Narrative
02/06/2024 08:44:54 Burnett, Amiyah ANAPHYLACTIC REACTION.. TONGUE SWOLLEN FROM MEDICATION
02/06/2024 08:46:37 Burnett, Amiyah CREMS ADV 106 WILL BE RESPONDING
02/06/2024 08:47:18 Burnett, Amiyah PATIENT IN Q2- EMS COME IN AT BACK DOOR
Dispositions
Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A resident was taken to LeBonheur Children’s Hospital after complaining of fever and stomach pain.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
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: 018897
Date of Incident: 1/31/2024
Date Received by PRLU: 2/1/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB: Guardian: Grandparent
was sent seen at East Arkansas Family medical center yesterday afternoon d/t running fever
and c/o of stomach pain. It was recommended that be taken to the hospital. was taken
to LeBonheur Childrens Hospital and admitted d/t kidney infection requiring IV antibiotics
is accompanied by our staff and expected to return to Perimeter of West Memphis tomorrow.
Interim Action Narrative: Resident was transported to East Arkansas Family Medical Center and
transferred to LeBonheur Children's Hospital.
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for licensing
concerns. Program Coordinator will follow-up with facility when resident returns. 2/5/2024,
Program Coordinator followed-up with facility to see if resident has returned. Resident has not
returned to the facility and has been diagnosed with Pyelonephritis. Program Coordinator inquired if
resident will be returning to the facility. Program Coordinator informed resident will be returning to
the facility.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to a male patient attacking staff.

raw_content:
Dispatch Call Detail
Call #: C685729 - Disturbance
Received Date/Time: 01/15/2024 18:44:59 Taken By: Cunningham, Daija
Initial Call Type: Disturbance Caller Name
Cleared Date/Time: 01/15/2024 19:30:39 Phone: (870) 275 - 9919
Cleared By: Rogers, Ashely 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
249 - Jackson, Tiwan - 2277 01/15/2024 01/15/2024 01/15/2024 01/15/2024
(WMPD) 18:59:51 19:00:05 19:13:24 19:30:39
257 - Ross, Kailon - 2277 (WMPD) 01/15/2024 01/15/2024 01/15/2024 01/15/2024
18:59:53 18:59:56 19:13:21 19:30:39
231 - Bracey, Thomas - 2276 01/15/2024 01/15/2024 01/15/2024 01/15/2024
(WMPD) 19:01:51 19:01:52 19:15:43 19:30:39
Narrative
Date/Time Dispatcher Narrative
01/15/2024 18:45:27 Cunningham, Daija MAKE CONT WITH STAFF HERE IN REF TO MALE PATIENT ATTACKING STAFF AND
CAUSING A DISTURBANCE
01/15/2024 19:30:12 Cunningham, Daija 231--- THE MALE SUBJ LEFT PRIOR TO US COMING
01/15/2024 19:30:22 Rogers, Ashely 231 - BACK IN. THE VICTIMS HAVE ALREADY LEFT THE SCENE.
Dispositions
No Report Required,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A resident was sent to Baptist Crittenden ER for assessment of her nose after an altercation with a peer.

raw_content:
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator inquired about camera footage and
documentation from the hospital. Facility reported no camera footage available. Residents
were placed on assault precautions and unit restriction. 1/23/2024, facility reported that
resident will have to have surgery.


summary: Officers were dispatched to the facility in response to a reported fight.

raw_content:
Incident # 24-00118 West Memphis Police Report Date 01/09/24
Page 1 of 4 Incident Report Report Time 4:40 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 271 Kimbrough, Amber AR0180100
Active
Assigned Officer Entered By Approving Officer
kimbrougha Shelton, Jerry
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
Woods, Jeremy 38 M Unknown
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
Perimeter Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Support Staff
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
01/09/2024 15:00 01/09/2024 16:40
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-13-202A(4)E Felony Completed 9 88 40
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 : 1/18/2024 10:15:21 AM

Incident # 24-00118 West Memphis Police Report Date 01/09/24
Page 4 of 4 Incident Report Report Time 4:40 PM
Nomarprataivinea &n tS tSatteameemnts
and approved by - ,
See attached
Witness Statement W1: Crawford, Bobby C - 1/9/2024 Taken by 271 - Kimbrough, Amber and approved
by - ,
See Attached
Witness Statement W2: Sanders, Walter J - 1/9/2024 Taken by 271 - Kimbrough, Amber and approved
by - ,
See Attached
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 1/18/2024 10:15:21 AM


summary: A resident eloped from the facility during a fire alarm inspection.

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
Case Number: 018390
Date of Incident: 1/4/2024
Date Received by DCCECE: 1/5/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: On 01/04/24 at 12:34PM Resident eloped from facility during fire alarm
inspection (strobes and horns). Staff was unaware magnetic locks were also being tested
during this time, as they normally would position themselves in front of exit doors during
fire alarm drills. Resident . eloped out of an unguarded exit door around the side of the
building. Line of sight of resident was maintained. Resident returned herself willingly with
staff at 12:40pm. Actions Taken: Resident . was medically assessed by our Nurse
Practitioner Roslyn Perry, APRN on 01/05/24 and reports . sustained no injuries and
denies any pain or discomfort. Resident was placed on elopement precautions. Other
Parties Notified: . ? Guardian (Ward of State) 01/04/24. West Memphis
Police Department was called but was not needed as Resident returned prior to their arrival.
Facility notifications: Roger Hiatt, MD, Hannah Brenner, DON, and Art Hickman, CEO,
and Chris Perry, VP Q&R on 01/04/24.
Interim Action Narrative: The police were called and the resident was assessed by the
Nurse Practitioner.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator inquired if the police were called. Facility reported
the police were called.


summary: Officers were dispatched in response to a juvenile leaving the facility.

raw_content:
Dispatch Call Detail
Call #: C684360 - Juvenile Complaint
Received Date/Time: 01/04/2024 12:35:53 Taken By: Babski, Susan
Initial Call Type: Juvenile Complaint Caller Name
Cleared Date/Time: 01/04/2024 12:45:37 Phone: (601) 529 - 2836
Cleared By: Hopkins, Tiara 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
271 - Kimbrough, Amber - 2166 01/04/2024 01/04/2024 01/04/2024
(WMPD) 12:38:12 12:38:35 12:42:31
289 - Odom, Cohshun - 2254 01/04/2024 01/04/2024 01/04/2024
(WMPD) 12:38:38 12:38:45 12:42:31
267 - Gaither, Tresure - 2269 01/04/2024 01/04/2024 01/04/2024
(WMPD) 12:38:40 12:38:43 12:42:31
Narrative
Date/Time Dispatcher Narrative
01/04/2024 12:35:59 Babski, Susan MAKE CONT WITH DANESHA IN REF TO LEAVING THE FACILITY..
RED SHOES CREAM SWEATSHIRT AND GRAY SWEAT PANTS HEADED N ON 7TH, AT
GLEN BAILEY
01/04/2024 12:38:06 Babski, Susan POSS TURNED ON E BARTON OR WENT INTO THE GAS STATION ON THAT
CORNER
01/04/2024 12:42:14 Babski, Susan CALLER ADV THEY PICKED THE JUV UP
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Officers were dispatched in response to a report that a juvenile resident attempted to escape from the facility then battered the head nurse.

raw_content:
Dispatch Call Detail
Call #: C683692 - Battery Complaint
Received Date/Time: 12/30/2023 18:51:00 Taken By: Rogers, Ashely
Initial Call Type: Battery Complaint Caller Name
Cleared Date/Time: 12/30/2023 20:29:55 Phone: (901) 859 - 0653
Cleared By: Field, Monieka Caller Loc.: 1 MCCAIN BLVD ,WEST MEM
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
312 - Nash, Clyde (WMPD) 12/30/2023 12/30/2023 12/30/2023 12/30/2023
19:10:57 19:11:01 19:13:58 19:43:26
269 - Chase, Darrin - 2290 (WMPD) 12/30/2023 12/30/2023 12/30/2023 12/30/2023 12/30/2023 12/30/2023 100.0-105.0
19:12:51 19:12:53 19:15:34 19:37:17 19:43:10 20:29:55
Narrative
Date/Time Dispatcher Narrative
12/30/2023 18:52:10 Rogers, Ashely MAKE CONTACT WITH HEAD NURSE HANNAH IN REF TO A PATIENT,
WHO ATTEMPTED TO ESCAPE FROM THE FACILITY. THEY WERE ABLE TO
CAPTURE AND BATTERED THE HEAD NURSE.
12/30/2023 19:26:07 Field, Monieka 269- TN/ HANNAH BRINNER
12/30/2023 19:27:11 Field, Monieka 269- AR/
12/30/2023 19:36:00 Burnett, Amiyah 269- IN CUSTODY
Dispositions
Incident Report,
Association
911 Call
Date Name Phone Address PD FD EMS
12/30/2023 18:51 AT&T MOBILITY (901) 859-0653 1 MCCAIN BLVD - NE Sector WEST REQUEST VERIFY TRANSFER
MEMPHIS AR CALLERS LOCATION TO PROPER
NUMBER AGENCY
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 2

Dispatch Call Detail
Call #: C683692 - Battery Complaint
12/30/2023 18:52 AT&T MOBILITY (901) 859-0653 1 MCCAIN BLVD - NE Sector WEST REQUEST VERIFY TRANSFER
MEMPHIS AR CALLERS LOCATION TO PROPER
NUMBER AGENCY
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 2

Incident # 23-05140 West Memphis Police Report Date 12/30/23
Page 1 of 3 Incident Report Report Time 8:41 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 269 Chase, Darrin AR0180100
Closed
Assigned Officer Entered By Approving Officer
chased Jackson, Steven
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
Brenner, Hannah Lee 28 F Nonresident
Race White Ethnicity DL (#, ST) Email
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
Perimeter Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Nurse
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
12/30/2023 19:12 12/30/2023 19:12
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-13-202A(4)E Felony Completed 9 88 40
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 : 1/18/2024 10:11:20 AM

Incident # 23-05140 West Memphis Police Report Date 12/30/23
Page 3 of 3 Incident Report Report Time 8:41 PM
Narrative & Statements
Arrest Notes - 23-A02628
against the wall. has also caused injury to multiple individuals. has a habit of punching, spitting, and
choking individuals. Brenner also advised me that before the incident occurred that had threatened her multiple
of times to cause her harm. I then observed sitting in the corner advising the staff that was ready to go to
jail and that did not like the nurses. also admitted to trying to cause harm to Brenner a few days
ago.Brenner had no bruises but advised that she had pain in her lower back. was then placed into custody and
transported to the Crittenden County Juvenile Detention Center where was advised of charges. Intake
Officer Murray advised to place a 24 hour hold on and then release back into the custody of Perimeter
Behavioral.
Unit #2290
Narrative - Chase, Darrin - 12/30/2023 10:17:46 PM (Initial)
On 12/30/2023 at approximately 07:12 PM I, Officer Chase #269 was dispatched to 600 North 7th in reference to a
nurse being battered.
Upon arrival I made contact with Hanna Brenner (Victim) who stated that (Arrestee) was in a physical
altercation with the smaller children. When Brenner tried to break up the altercation pushed her to the ground.
then broke through the secured door and jumped over the fence. Once Brenner caught up to yelled
in her facing stating, "bitch i have choked your ass before". Brenner advised that this was not the first time the
has intentionally caused harm to her. Brenner advised that had previously choked her and banged her head
against the wall. has also caused injury to multiple individuals. has a habit of punching, spitting, and
choking individuals. Brenner also advised me that before the incident occurred that had threatened her multiple
of times to cause her harm. I then observed sitting in the corner advising the staff that was ready to go to
jail and that did not like the nurses. also admitted to trying to cause harm to Brenner a few days
ago.Brenner had no bruises but advised that she had pain in her lower back. was then placed into custody and
transported to the Crittenden County Juvenile Detention Center where was advised of charges. Intake
Officer Murray advised to place a 24 hour hold on and then release back into the custody of Perimeter
Behavioral.
Unit #2290
Narrative - Byard, Janet - 1/2/2024 10:14:16 AM (Initial)
case file 2305140
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 1/18/2024 10:11:20 AM


summary: Officers were dispatched to the facility in response to a 911 hang up call.

raw_content:
Dispatch Call Detail
Call #: C683635 - 911 Hangup
Received Date/Time: 12/30/2023 08:57:35 Taken By: Barber, Kaya
Initial Call Type: Welfare Concern Caller Name PERIMETER,
Cleared Date/Time: 12/30/2023 10:13:04 Phone: (870) 275 - 9919
Cleared By: Briggs, Deangela 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
260 - Little, Devonte - 2273 (WMPD) 12/30/2023 12/30/2023 12/30/2023 12/30/2023 12/30/2023 12/30/2023 601.0-603.0 JUVENILE
09:00:02 09:00:33 09:11:14 09:37:50 09:41:19 10:13:04
271 - Kimbrough, Amber - 2166 12/30/2023 12/30/2023 12/30/2023 12/30/2023
(WMPD) 09:00:38 09:00:40 09:11:11 09:52:26
289 - Odom, Cohshun - 2254 12/30/2023 12/30/2023 12/30/2023
(WMPD) 09:13:15 09:13:18 09:52:29
Narrative
Date/Time Dispatcher Narrative
12/30/2023 08:58:19 Barber, Kaya REC A 911 CALL FROM THIS ADDRESS FROM A SUBJ WHO WAS LAUGHING AND
ADV SOMEONE WAS GOING TO KILL HER, CALLER THEN DISCONNECTED BEFORE
ADV FURTHER.
12/30/2023 09:01:41 Barber, Kaya REC A SECOND CALL FROM KIM IN REF TO A PX CHASING PEOPLE WITH
SCISSORS AND ATTEMPTING TO STAB OTHERS. CALLER ADV THERE WILL BE
STAFF AT THE FRONT AND BACK DOORS WAITING TO LET OFFICERS IN.
12/30/2023 09:34:08 Hopkins, Tiara 271 - THAT IS IN CUSTODY
12/30/2023 09:37:48 Hopkins, Tiara 260 -
12/30/2023 09:37:50 Barber, Kaya 260-- SEE IF YOU CAN LOCATE . JUV.
TRANSPORTING TO COUNTY BEGINNING MILEAGE 601
12/30/2023 09:50:51 Hopkins, Tiara 260 - SEND EMS TO JUVENILE FOR A NEEDING TO BE CHECKED OUT...
12/30/2023 10:12:46 Briggs, Deangela 260- EMS CHECKED THAT INDIVIDUAL... BEGINNING MILEAGE WAS 601 ENDING
MILEAGE WAS 603
Dispositions
Incident Report, Transported,
Incidents
Agency Incident Officer
WMPD 23-05133 Kimbrough, Amber
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Officers were dispatched to the facility in response to a juvenile resident being assaulted by another resident.

raw_content:
Dispatch Call Detail
Call #: C683355 - Battery Complaint
Received Date/Time: 12/28/2023 09:40:27 Taken By: Cunningham, Daija
Initial Call Type: Battery Complaint Caller Name
Cleared Date/Time: 12/28/2023 10:07:59 Phone:
Cleared By: Cunningham, Daija 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
292 - Ester, Anthony - 2273 (WMPD) 12/28/2023 12/28/2023 12/28/2023 12/28/2023
09:42:51 09:43:25 09:45:39 10:07:59
257 - Ross, Kailon - 2166 (WMPD) 12/28/2023 12/28/2023 12/28/2023 12/28/2023
09:43:17 09:43:21 09:45:21 10:07:59
252 - Kimbro, Dequane - 2166 12/28/2023 12/28/2023 12/28/2023 12/28/2023
(WMPD) 09:43:18 09:43:23 09:45:23 10:07:59
Narrative
Date/Time Dispatcher Narrative
12/28/2023 09:40:34 Cunningham, Daija MAKE CONT WITH THE CLINICAL DIRECTOR, THIS IS IN REF TO A JUVE PATIENT
BEING ASSAULTED BY ANOTHER PATIENT. WOULD LIKE TO MAKE
A REPORT
12/28/2023 10:07:59 Cunningham, Daija 252--- INCIDENT BETWEEN TWO JUVENILES, THEY HAVE BEEN ADV OF HOW TO
HANDLE THE WARRANT PROCESS
Dispositions
Advised of rights,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: An x-ray of the hand was ordered after a resident was involved in a physical altercation with a peer.

raw_content:
Division of Childcare & 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
R
Notice of Serious Incident
Case Number: 018343
Date of Incident: 12/26/2023
Date Received by DCCECE: 1/3/2024
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Please describe the incident: On 12/26/23 at 12:56pm most of the
residents were in the day room including resident Staff had redirected multiple
times for ?play fighting? with two other residents. was attempting to rest in her room
and came out to ask the other residents to be quiet. At this time and began to
have exchange of words and the Nurse was standing between the two residents trying to
deescalate when ran up behind the nurse and shoved into a bedroom where
the two had a physical altercation. Additional staff responded immediately to separate the
two residents. Staff was able to separate the two residents had no injuries.
sustained several scratches to her face, a knot on the back of her head, and complained of
pain in her right hand. Actions Taken: injuries were assessed by RN scratches were
cleaned immediately and given ice pack. was seen by our Nurse Practitioner that same
day who ordered Radiographics to perform an in-house X-Ray of her right hand (X-Ray
results normal). Scratches were ordered to be cleaned and ointment applied for 7 day and
neurological checks for 48 hours. Resident did request to press charges against resident
and report was taken by West Memphis PD.
Interim Action Narrative: Staff separated the residents, both residents were assessed by the
nurse, and resident requested to press charges on her peer.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator will request the names, DOB of the residents, and
reason for late reporting. 1/4/2024, Program Coordinator informed that incident was not
reported while Director of Quality and Risk Management were out.


summary: Officers were dispatched to the facility in response to a report of an uncooperative juvenile patient.


summary: A resident was transported to Baptist Crittenden hospital after complaining of right hand pain following an incident in which she flipped over chairs and punched a 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: 12/16/2023
Date Received by DCCECE: 12/19/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: On 12/16/23, Resident became upset after having a
verbal altercation with one of her peers. Resident went into the quiet room and flipped over
two chairs and punched the wall, staff placed resident in therapeutic hold for safety due to
her self-injurious behaviors. Resident complained of pain on the right hand and Nursing
contacted our Nurse Practitioner who ordered an in house X-Ray preformed by
Radiographics. The X-ray demonstrated a . She was
transported (12/16/23) to Baptist Crittenden to evaluate and treat . Baptist
diagnosed her with a . A splint and
ace bandage stabilized as well as pain prescriptions. Actions Taken: Resident
returned to our facility and was placed on Line Of Sight observation due to resident having
an Ace bandage wrap. Resident is scheduled for an outside orthopedic appointment today
12/19/23 at 2pm.
Interim Action Narrative: An x-ray was ordered and resident was transported to Baptist.
Resident was placed on line of sight.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 12/21/23-Email sent to to ascertain client's DOB
and guardianship. Phone call made to ascertain same info. No answer. 12/28/2023,
Program Coordinator followed-up with facility on requested information. Facility reported
resident was placed in Metacarpal Brace and has to follow-up with the orthopedic in three
weeks.


summary: Dispatch made contact with the complainant who reported he was assaulted by a juvenile resident.

raw_content:
Dispatch Call Detail
Call #: C681612 - Battery Complaint
Received Date/Time: 12/13/2023 00:15:24 Taken By: Jeffords, Sarah
Initial Call Type: Battery Complaint Caller Name
Cleared Date/Time: 12/13/2023 00:23:17 Phone: (870) 740 - 1847
Cleared By: Jeffords, Sarah 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
Narrative
Date/Time Dispatcher Narrative
12/13/2023 00:15:33 Jeffords, Sarah MAKE CONTACT JOE ROBERTSON IN REF TO BEING ASSAULTED BY
JUVENILE
12/13/2023 00:22:52 Jeffords, Sarah CALLER WAS ADVISED TO MAKE A REPORT W JUVENILE IN THE MORNING
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Licensing visited the facility to conduct a buildings and grounds walkthrough and to review children’s records and personnel files. Licensing provided technical assistance for 105.15.h as a result of the review.

raw_content:
ARKANSAS
DEPARTMENT OF

17 Sevices

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot $140, 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 NORTH 7TH STREET
WEST MEMPHIS AR 72301

Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 12/11/2023
Home Visit Date: 12/11/2023

Purpose of Visit: Subsequent Building and Grounds

Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of visit: 1:00 pm to 1:45 pm

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 3

Census: 18

Licensing Specialist completed buildings and grounds. The following areas were observed: grounds, dining
room, dayroom, bathrooms, bedrooms, seclusion rooms, butterfly room, and nurse’s station. Licensing
Specialist observed ratio 1:1, a staff member and resident were walking through the area. The other residents
were at school.

The grounds had parked cars and vans by the kitchen area. Licensing Specialist observed fallen leaves on the
ground. Licensing Specialist was escorted by Ms. Summer Berryhill, Director of Quality and Risk
Management. Licensing Specialist observed a Christmas tree in the dining area and decorations on the walls.

The Butterfly Room is located outside of the entry to the PRTF hallway. Through the doors leading to the
PRTF area, the Quiet Room is located on the right and the Seclusion Rooms are to the left of the doorway.
Licensing Specialist observed the ratio (1:1) entering the PRTF area. The other residents were not present.

Licensing Specialist observed holiday decoration on the walls throughout the PRTF area. All rooms observed
(day area, bedrooms, and bathrooms) were recently cleaned by housekeeping. Licensing Specialist could
smell the aroma of cleaning products.

At the Nurse’s Station, Licensing Specialist observed staff charting and filing. Nurse Cindy escorted
Licensing Specialist to the Observation Room where the medication cart is kept when not in use. Licensing
Specialist observed Nurse Cindy unlock the medication cart, unlock the drawer, and unlocked box where
controlled substances are kept.

Licensing Specialist reviewed the MAR’s on the residents listed below:

All initialed and up to date.

Licensing Specialist was provided a copy of the activity calendar for December 2023.

Provider Comments:

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 3

CCL Staff Signature : Date: 12/12/2023

} ' i
Provider Signature :

S-type

Date: 12/12/2023

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3

ARKANSAS
\DEPARYMENT OF

E¢ Sievers

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot $140, 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 NORTH 7TH STREET
WEST MEMPHIS AR 72301

Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 12/11/2023
Home Visit Date: 12/11/2023

Purpose of Visit: Child Record Review Visit

Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of Visit: 2:45 pm to 3:45 pm

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

Census: 18

Licensing Specialist reviewed three (3) children files:

All children’s files reviewed complied with the minimum licensing standards.

Provider Comments:

CCL Staff Signature : Date: 12/12/2023

Provider Signature : Date: 12/12/2023

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

ARK ANGAS
DEPARTMENT OF

y 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

921 Visit Compliance Report

Licensee: Perimeter Behavioral of West Memphis

Facility Number: 231

Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301

Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 12/11/2023
Home Visit Date: 12/11/2023

Purpose of Visit: Personnel Records

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Number: 100.105.15.h

Regulation Description: The agency shall maintain a personnel file for each employee, which shall include:
Finding Description:

Action Due Date:

Action Due Description:

Comply Date:

Sub-Regulation Level 1 Description: At least three (3) positive personal references from non-relatives.
Action Due Description:

Regulation Not Applicable:

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

Regulations Not Correctable:

Narrative:

Time of Visit: 2:45 pm to 3:45 pm
Census: 18

Licensing Specialists reviewed four (4) personnel files:

T/A 105.15.hK. only had one reference verified. Facility was encouraged to request more references to

verify.

Other personnel files reviewed complied with the minimum licensing standards.

Provider Comments:

CCL Staff Signature :

An) |,
iN

|

Y

Provider Signature :

oot

www.arkansas.govidhs
Serving more than one million Arkansans each year

Date: 12/12/2023

Date: 12/12/2023

Page 2 of 2


summary: Licensing spoke with the CEO regarding a staff member mentioned in a maltreatment complaint. The CEO informed Licensing that the staff member worked only on the acute side and not with PRTF residents.

raw_content:
521 Visit Compliance Report

Licensee: Perimeter Behavioral of West Memphis

Facility Number: 231

Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301

Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 12/5/2023

Home Visit Date: 12/5/2023

Purpose of Visit: Special Visit

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of Visit: 1:30 pm to 2:30 pm

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

mh ARK ANS AS
) DEPARTMENT OF

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot $140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Page 1 of 2

Census: 18

Licensing Specialist spoke with Evelyn Alsup, CEO, regarding a staff member mentioned in a maltreatment.
Ms. Alsup informed Licensing Specialist that staff member mentioned worked only on the acute side and not
with PRTF residents.

Licensing Specialist informed Ms. Alsup that she would follow-up at a later date for documentation.

Provider Comments:

CCL Staff Signature : Date: 12/6/2023
|

il | a

Provider Signature : . Date: 12/6/2023

S~

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