Failure to Accurately Complete PASARR for Residents Receiving Psychotropic Medications
Penalty
Summary
The facility failed to ensure that the Pre-Admission Screening and Resident Review (PASARR) was completed accurately for two residents. For one resident with diagnoses including visual hallucinations, psychosis, and major depressive disorder, the PASARR did not list all mental health diagnoses or medications, such as aripiprazole and clonazepam, which were prescribed by a physician. The PASARR also lacked a mental health diagnosis to justify the use of these psychotropic medications. Interviews with the Director of Nursing and Social Service Director confirmed that the PASARR was incomplete and needed updating. For another resident with diagnoses including insomnia and pain, the PASARR indicated no mental health diagnoses or medications, despite a physician's order for zolpidem, a sedative-hypnotic medication. The Social Service Director acknowledged that the PASARR did not include any mental health diagnoses or medications for this resident. Additionally, it was noted that the facility did not have a policy related to PASARR, although they reported following CMS guidelines.