Failure to Resubmit PASARR Screening for Resident with Mental Illness Diagnoses
Penalty
Summary
The facility failed to complete and resubmit the Preadmission Screening and Resident Review (PASARR) Level I screening for a resident who had diagnoses of bipolar disorder and major depressive disorder (MDD). The initial PASARR Level I screening, completed by another facility, indicated that the resident had no serious mental illness diagnoses and that the case was closed, with no Level II evaluation required. However, upon admission, the resident's diagnoses of bipolar disorder and MDD were documented in the admission record and history and physical, indicating the presence of mental illness. Despite this information, the facility did not conduct a new PASARR Level I screening to reflect the resident's current diagnoses, which would have triggered a Level II evaluation and referral to the state mental health authority. The facility's policy and the PASRR reference manual both require that a new screening and referral be made if a significant change in mental condition is identified. The failure to resubmit the PASARR Level I screening and refer the resident for further evaluation resulted in the resident not being assessed for appropriate mental health services.