Failure to Ensure Accurate PASRR Screening and Evaluation
Penalty
Summary
The facility failed to ensure the accuracy of the PASRR Level I screening for one resident, resulting in the resident not receiving a required PASRR Level II evaluation. The resident, a male with a history of stroke, anxiety disorder, depression, and post-traumatic stress disorder (PTSD), had a care plan indicating risks for re-traumatization and depression. Despite these diagnoses, the PASRR Level I screening completed in 2023 indicated that the resident did not have a serious mental illness, and no Level II evaluation was conducted as required for residents with such conditions. Interviews revealed that the PASRR Level I was entered incorrectly into the electronic system by a previous employee, and the current MDS Nurse did not verify its accuracy. The MDS Nurse acknowledged that the error could have resulted in the resident not receiving appropriate services. The Director of Nursing was unaware of the inaccuracy until informed and indicated that further evaluation would be pursued. Facility policy requires follow-up on all PASRR Level I screenings and obtaining Level II evaluations when indicated, but this was not followed in this case.