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F0645
D

Failure to Complete PASRR Level II Assessment for Resident with Serious Mental Illness

Savannah, Georgia Survey Completed on 05-15-2025

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 resident with diagnoses of bipolar disorder with psychotic features and anxiety disorder received a required Pre-Admission Screening and Resident Review (PASRR) Level II assessment. Review of the resident's Annual Minimum Data Set (MDS) and electronic medical record (EMR) showed no evidence of a PASRR Level II evaluation, despite documentation of serious mental illness. The resident was not included on the facility's list of individuals with PASRR Level II, and the administrator confirmed that no submission for the assessment had been made, even though it was required based on the resident's diagnoses.

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