Failure to Include Level II PASRR in Resident Care Plan
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan for a resident with a Level II PASRR determination. Record review showed that the resident was admitted with diagnoses including Schizoaffective Disorder, Depressive Type, and had been approved for admission by the Level II Authority for a specified period. The resident's OBH-PASRR Evaluation Summary and Determination Notice indicated the presence of a serious mental illness and recommended nursing home admission. However, review of the resident's care plan revealed that it did not address the Level II PASRR requirements. During an interview, the staff member responsible for Minimum Data Set (MDS) confirmed that the resident was a Level II PASRR and acknowledged that this should have been included in the comprehensive care plan but was not.