Failure to Coordinate PASARR Assessments and Referrals
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASARR) program and did not refer residents for Level II reviews upon significant changes in mental status. This deficiency affected three residents and potentially impacted an additional 34 residents with mental disorders or intellectual/developmental disabilities. Specifically, one resident was admitted with multiple mental health diagnoses, including bipolar disorder, which was not reflected in the PASARR form. Another resident had a new diagnosis of schizoaffective disorder, but no PASARR Level II screening was conducted following this significant change. The report highlights that the facility's receptionist, responsible for completing PASARR screenings, was not informed of new diagnoses by the nursing staff, leading to a lack of necessary Level II screenings. This oversight was evident in the cases of residents with serious mental health conditions, such as schizoaffective disorder and bipolar disorder, who did not receive the required assessments. The failure to update PASARR screenings upon significant changes in residents' mental health status indicates a breakdown in communication and procedural adherence within the facility.