Failure to Accurately Complete PASRR Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure that the Level 1 Preadmission Screening and Resident Review (PASRR) for one resident was documented correctly. The resident was admitted with diagnoses including schizophrenia and dementia, and exhibited behavioral symptoms such as verbal outbursts, use of foul language, and physical aggression towards others. Despite these diagnoses and behaviors, the PASRR Level 1 screening was marked as negative, indicating no mental illness, intellectual disability, or related conditions, and the case was closed without a Level II PASRR being conducted. This incorrect documentation was confirmed by the Case Manager, who acknowledged the resident's diagnosis of schizophrenia and agreed that the PASRR screening was completed incorrectly. Further review of the resident's records showed ongoing behavioral issues, including an incident where the resident hit another resident and could not recall the reason for the action. The Director of Nursing stated that improper or inaccurate PASRR screening would result in an incorrect plan of care for the resident. The facility's policy requires proper PASRR screening for individuals with major mental illness, intellectual disability, or developmental disabilities prior to admission and throughout their stay, in compliance with federal regulations.