Failure to Maintain PASARR Documentation and Update Care Plan
Penalty
No penalty information released
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
A resident with a diagnosis that included bipolar disorder did not have a Pre-Admission Screen and Resident Review (PASARR) Level I or II on file at the facility. The resident was a long-term care admission, and although a Level II PASARR had been completed at a previous facility and was available online, it was not transferred to the current facility's records during a change in Social Service Directors. As a result, the resident's care plan was not revised to reflect her Level II status, and her admission Minimum Data Set (MDS) assessment did not code her PASARR Level II status. There was no facility policy in place, but staff indicated they follow federal and state regulations.