Failure to Conduct PASRR Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to initiate a new Level I Pre-Admission Screening and Resident Review (PASRR) for a resident with a known mental illness, identified as R40. R40 was admitted to the facility with diagnoses including schizoaffective disorders, bipolar disorder, and major depressive disorder. Despite these diagnoses, the facility did not have a current PASRR screening for R40, as the resident was admitted before PASRR screenings were required. The facility relied on an outdated OBRA-I Initial Screen from 2004, which indicated a reasonable basis for suspecting mental illness. During the survey, the Administrator (V1) acknowledged the absence of a PASRR screening for R40 and mentioned that a request for the screening was made only recently. The Business Office Manager (V20), who had been in the position for just 13 days, confirmed that the facility had not conducted a PASRR screening for R40, as it was overlooked during the transition to the current requirements. V20 was in the process of auditing resident charts to ensure compliance with state requirements for PASRR screenings, but R40's screening had not been completed at the time of the survey.