Failure to Complete Required PASRR Screening for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that a PASRR (Preadmission Screening and Resident Review) was properly completed for a resident with multiple mental health diagnoses. The resident was admitted with Alzheimer's disease, depression, and anxiety, and was documented as having additional mental health conditions such as anxiety, insomnia, and dementia with behavioral disturbances. The resident was prescribed both antidepressant and antipsychotic medications, and her care plan included interventions for behavioral symptoms such as restlessness, agitation, and aggression toward others. Despite these documented mental health issues and behaviors, the PASRR Level I screening from Nevada indicated no mental illness, intellectual disability, related conditions, or dementia, and no referral for further evaluation was made. Further review revealed that the resident's admission MDS assessment documented significant cognitive impairment, hallucinations, delusions, and behavioral symptoms that interfered with social interactions and activities. The resident received antipsychotic medication daily during the assessment period. Staff interviews confirmed that the PASRR Level I was incorrect and that the required PASRR Level I and II screenings for Idaho were not completed upon admission, resulting in the deficiency.