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F0644
D

Failure to Update PASARR After New Psychiatric Diagnoses

Encinitas, California Survey Completed on 05-01-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that a new Level I Preadmission Screening and Resident Review (PASARR) was submitted after a resident was diagnosed with additional mental disorders during their stay. The resident was initially admitted with a diagnosis of generalized anxiety disorder, and later received diagnoses of major depressive disorder, recurrent, moderate, and schizoaffective disorder, depressive type. Despite these new psychiatric diagnoses, there was no documented evidence that the facility completed or submitted updated Level I PASARR screenings as required by their policy. Interviews with facility staff, including the Assistant Director of Nursing and the Director of Nursing, confirmed that the facility was not updating Level I PASARRs when new psychiatric diagnoses were added to a resident's record. The facility's policy required prompt referral for a Level II review when a resident exhibited a newly evident possible serious mental disorder, but this process was not followed for the resident in question.

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