Failure to Complete PASRR Level II Assessments for Residents with Serious Mental Illness
Penalty
Summary
The facility failed to ensure that a required Preadmission Screening and Resident Review (PASRR) Level II assessment was completed for two residents diagnosed with serious mental illnesses, specifically schizophrenia and schizoaffective disorder. For one resident, the admission record and medical documentation indicated a diagnosis of schizophrenia and the use of antipsychotic medication, yet the PASRR Level I screening incorrectly marked 'No' for serious mental illness, and no Level II assessment was conducted. For the second resident, records showed diagnoses of schizoaffective disorder and bipolar disorder, with the PASRR Level I screening also failing to identify a serious mental disorder, despite the resident's active psychiatric diagnoses and dependence on staff for daily care. Interviews with facility staff, including the MDS Assistant and Social Worker, confirmed that the PASRR Level I screenings were not accurately completed, and the necessary Level II assessments were not initiated. Staff acknowledged that the screenings are essential for identifying residents who require specialized psychiatric care and services. The facility's policy requires all new admissions and readmissions to be screened for mental disorders, intellectual disabilities, or related disorders per the PASRR process, but this protocol was not followed for the two residents in question.