Failure to Complete Required PASARR Screening Prior to Admission
Penalty
Summary
The facility failed to ensure that a Level I preadmission screening and resident review (PASARR) was completed prior to admission for one resident with diagnoses of schizophrenia and major depressive disorder. The resident's admission record confirmed these mental health diagnoses, and subsequent assessments, including the Minimum Data Set (MDS) and care plan, documented ongoing mental health conditions. Despite these documented diagnoses, there was no evidence in the medical record that a Level I PASARR had been completed. Interviews with the Business Office Manager (BOM), Director of Nursing (DON), and Administrator confirmed that the BOM was responsible for ensuring PASARR completion and that the resident should have received both Level I and Level II screenings due to their mental illness diagnoses.