Failure to Complete Required PASARR Assessments for Residents with Mental Disorders
Penalty
Summary
The facility failed to complete required Preadmission Screening and Resident Review (PASARR) assessments for two residents with serious mental disorders or intellectual disabilities. For one resident, who was admitted with diagnoses including dementia, psychotic disturbance, mood disturbance, anxiety, major depressive disorder, and psychosis, the PASARR I form was found to be incomplete, with all fields left blank. Additionally, there was no evidence that a proper PASARR assessment was completed at the time of admission, and the initial PASARR I was only completed years later, after the deficiency was identified. The resident's medical record also included documentation of severe cognitive impairment and the use of psychotropic medications. For another resident, admitted with multiple psychiatric diagnoses such as major depressive disorder, bipolar disorder, and paranoid personality disorder, the facility's records showed that while a PASARR I was present, a required PASARR Level II evaluation was not completed despite the presence of qualifying diagnoses. The medical record indicated that some diagnoses were not included at the time of admission, and the necessary follow-up evaluation was not performed as required by regulation.