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F0644
D

Failure to Complete PASARR Rescreen After New Mental Illness Diagnoses

Walnut, Illinois Survey Completed on 04-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to perform a required PASARR (Pre-Admission Screening and Resident Review) rescreen for two residents after the emergence of newly diagnosed severe mental illnesses. According to the facility's policy, any resident who exhibits a newly evident or possible serious mental disorder, intellectual disability, or related condition must be promptly referred to the state mental health or intellectual disability authority for a Level II resident review. However, for one resident who was admitted with a diagnosis of Bipolar Disorder, the facility did not conduct a PASARR rescreen after this diagnosis was made. The resident's previous PASARR indicated that no Level II review was required, as there was no serious mental illness at that time. Similarly, another resident with diagnoses including Delusional Disorder, PTSD, Dementia with behavioral disturbance, and General Anxiety did not receive a PASARR rescreen after being diagnosed with a mental illness. The resident's prior PASARR indicated no need for further screening unless a serious mental illness or significant change in treatment needs occurred. In both cases, the administrator confirmed that the required PASARR rescreens were not completed following the new diagnoses.

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