Failure to Resubmit PASARR for Resident with Extended Stay
Penalty
Summary
The facility failed to re-submit a Pre-Admission Screening and Resident Review (PASARR) for a resident with mental health diagnoses, including anxiety disorder, bipolar disorder, and delusional disorders, who remained in the facility beyond the 60-day limit specified in the original PASARR approval. Clinical record review showed that the resident's PASARR allowed for a stay of up to 60 days, after which a status change Level 1 was required if the resident was not discharged. Interviews with the Social Services Director revealed a lack of awareness regarding the need to resubmit time-limited PASARRs when the resident's stay exceeded the approved period or when there was a new mental health diagnosis. The facility's policy also directed that PASARRs for short-term approvals must be resubmitted if the resident remained after the designated timeframe, but this was not followed.