Failure to Complete and Resubmit PASARR Screening for Resident with Mental Illness Diagnosis
Penalty
Summary
The facility failed to complete and re-submit the Preadmission Screening and Resident Review (PASARR) Level I screening for a resident who had a diagnosis of major depressive disorder (MDD). The resident was admitted with diagnoses including MDD, cerebrovascular accident with hemiplegia, and hypertension. Review of the resident's Minimum Data Assessment indicated moderately impaired cognitive skills and a need for substantial assistance with daily activities. The PASARR Level I screening, completed by another facility prior to admission, indicated no serious mental illness and the case was closed without a Level II evaluation. During an interview and record review, the Case Manager acknowledged that a new PASARR Level I screening should have been completed and resubmitted due to the resident's diagnosis of MDD, which is considered a mental illness. The Case Manager stated that a positive Level I screening would have triggered a Level II mental health evaluation and referral to the state mental health agency. The PASRR reference manual also indicated that a significant change in a resident's mental condition requires prompt notification to the state authority for re-evaluation.