Failure to Accurately Complete PASRR for Residents with Mental Illness
Penalty
Summary
The facility failed to ensure accurate completion of the Preadmission Screening and Resident Review (PASRR) for three out of five residents reviewed for mood and behavior disorders. For one resident admitted with schizoaffective disorder and major depressive disorder, the PASRR did not document any mental illness, despite physician orders and psychiatric notes confirming these diagnoses and ongoing treatment with psychotropic medications. The Director of Nursing (DON) acknowledged that the PASRR screening was not reviewed until about seven days after admission and confirmed that the screening needed revision to include the resident's mental health diagnoses. Similarly, two other residents with documented diagnoses of major depressive disorder and, in one case, generalized anxiety disorder, had PASRR screenings that failed to reflect their mental illnesses. Both residents were receiving medications for their conditions, and psychiatric notes indicated ongoing management of their mental health needs. The DON confirmed that the PASRRs for these residents were also inaccurate, indicating a pattern of incomplete or inaccurate preadmission screenings for residents with mental health diagnoses.