Failure to Accurately Complete and Review PASRR for Resident with Mental Health Diagnosis
Penalty
Summary
The facility failed to accurately review and complete the annual Pre-Admission Screening Assessment and Resident Review (PASRR) for a resident. The PASRR Level 1 Screening, completed prior to admission, indicated that the resident did not have a serious diagnosed mental disorder and was not prescribed psychotropic medications for mental illness. However, upon review of the resident's diagnosis list and physician orders, it was found that the resident had a diagnosis of Bipolar Disorder and was prescribed Risperidone, a medication used to treat this condition. These diagnoses and medications were not reflected in the PASRR documentation. Interviews with facility staff revealed that while the hospital completed the initial PASRR upon admission, the facility did not review or update the PASRR to reflect the resident's current diagnoses and medication orders. The Registered Nurse confirmed that the resident's mental health diagnosis was present in the medical record but not on the PASRR. Additionally, the facility did not have a policy in place for reviewing or updating PASRRs after admission.