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F0644
D

Failure to Complete Timely PASRR Level II Evaluation for Resident with Mental Health Diagnoses

Burley, Idaho Survey Completed on 05-30-2025

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 multiple mental health diagnoses, including major depressive disorder and post-traumatic stress disorder (PTSD), received a timely evaluation through the State's Level II Pre-Admission Screening and Resident Review (PASRR) process. Upon admission, the resident was granted a 30-day PASRR Level II exemption due to medical issues, with instructions to submit updated documentation if the resident remained in the facility beyond 30 days. Despite the resident staying past the 30-day exemption period, the required PASRR Level II submission was not completed at that time. The oversight was later acknowledged by facility staff, who confirmed that the PASRR Level II should have been submitted when the resident's stay exceeded 30 days.

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