Failure to Complete Required PASARR Level II Screening
Penalty
Summary
The facility failed to ensure that a PASARR (Preadmission Screening and Resident Review) Level II screening was completed for a resident who was identified as needing further evaluation for serious mental illness or intellectual/developmental disability. According to the facility's policy, all applicants must be screened for such conditions, and a positive Level I screen requires a Level II evaluation prior to admission, with the review to be completed within 40 calendar days of admission. The resident in question had documented diagnoses of Psychotic Disorder with Hallucinations due to a known physiological condition, Anxiety Disorder, and Major Depressive Disorder, all present at the time of admission. The resident's PASARR Level I screen indicated a need for a Level II onsite evaluation, as required by federal law. However, the medical record did not contain documentation that a Level II PASARR screening was ever completed for this resident, a fact confirmed by the facility administrator.