Inaccurate PASARR Screening for Mental Disorder
Penalty
Summary
The facility failed to ensure that a pre-admission screening and resident review (PASARR) was accurately completed for one resident. The resident was admitted with multiple diagnoses, including acute respiratory failure, influenza, emphysema, and schizotypal disorder. The clinical record showed the resident was prescribed Trazodone for depression and was being monitored for behaviors associated with schizotypal disorder, such as social anxiety and a preference for solitary activities. Despite these documented mental health conditions and the use of psychotropic medication, the PASARR Level I screening indicated negative for serious mental illness, with questions regarding diagnosed mental disorders and psychotropic medication use both marked as "no." During an interview, the MDS director confirmed the resident's diagnoses and medication use, and acknowledged that the PASARR was completed by hospital staff and should have indicated "yes" for those questions. The facility's policy requires all new admissions to be screened for mental disorders, intellectual disabilities, or related disorders per the PASARR process.