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F0644
D

Failure to Update PASARR Screening for Resident

Chicago, Illinois Survey Completed on 04-11-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to initiate a new Pre-Admission Screening and Resident Review (PASARR) for a resident, referred to as R79, who was reviewed for PASARR in a sample of 27 residents. R79's documentation indicated that an SLP (Supportive Living Program) setting was deemed appropriate, and the initial screen and comprehensive assessment were valid for up to 90 days. However, the facility did not update the PASARR screening within this timeframe, resulting in an expired assessment. Interviews with facility staff revealed a lack of awareness and communication regarding the expiration of R79's PASARR screening. The Business Office Manager, who had been in the role for only 11 days, was responsible for inputting resident information into the PASARR system but was unsure of R79's screening results. The Social Services Director, responsible for updating PASARR screenings, was not aware of the expiration and had not received any notification about it. The facility's policy mandates that the transferring facility is responsible for ensuring the correct PASARR paperwork is in place, but this was not adhered to in R79's case.

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