Failure to Complete Required PASARR Level II Assessment for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that a required Pre-Admission Screening and Resident Review (PASARR) Level II assessment was completed for a resident with mental health diagnoses. The resident was admitted with diagnoses including hypertension, bipolar disorder, and schizoaffective disorder, and was dependent on staff for several activities of daily living. Documentation from the Department of Health Care Services indicated that a Level II mental health evaluation was required for this resident. Despite receiving notification from the state agency, the facility did not respond to multiple attempts at communication regarding the Level II evaluation. The Medical Records Director acknowledged that the Level I screening was not resubmitted within the required timeframe after the case was closed due to lack of response. As a result, the resident may not have received the necessary psychiatric care as mandated by federal requirements.