Inaccurate PASRR Assessment for Resident with Major Depressive Disorder
Penalty
Summary
A deficiency occurred when the facility failed to ensure the accuracy of the Pre-Admission Screening and Resident Review (PASRR) assessment for a resident with a documented diagnosis of major depressive disorder. Record review showed that the resident was admitted with multiple diagnoses, including major depressive disorder, which is considered a mental illness. However, the PASRR Level 1 Identification Screen completed by staff indicated that the resident did not have a diagnosis or suspected mental illness. During an interview, the DON confirmed that the resident does have a diagnosis of major depressive disorder and acknowledged that the PASRR documentation was incorrect. This inaccuracy in the PASRR assessment was identified through both record review and staff interview, highlighting a failure to properly document the resident's mental health status as required.