Failure to Conduct PASRR After Significant Change
Penalty
Summary
The facility failed to obtain a Preadmission Screening and Resident Review (PASRR) after a significant change in condition for a resident. The facility's admission policy requires that PASRR screens be valid and reviewed on admission, annually, and upon any significant change. The resident in question was admitted with diagnoses including conversion disorder with seizures, dementia, and anxiety, but no serious mental illness was documented at the time of admission. However, after being sent to the hospital due to increased behaviors and subsequently transferred to an inpatient psychiatric hospital, the resident returned with a new diagnosis of bipolar disorder and a prescription for Risperidone. Despite this significant change in the resident's mental health status, the facility did not conduct a repeat PASRR Level II assessment as required. The Social Service Director confirmed that the bipolar diagnosis was new following the hospitalization, and the Administrator acknowledged that a Level II PASRR should have been completed but was not. This oversight represents a failure to comply with the facility's policy and regulatory requirements for monitoring and assessing residents' mental health needs.