Failure to Refer Residents for Required PASARR Level II Evaluations
Penalty
Summary
The facility failed to refer residents with mental disorders or intellectual disabilities to the appropriate state-designated authority for re-screening and Level II PASARR evaluation as required. Specifically, three residents with diagnoses such as bipolar disorder with psychotic features, schizoaffective disorder, obsessive compulsive disorder, post-traumatic stress disorder, anxiety disorder, and major depressive disorder were not properly evaluated or re-evaluated for PASARR Level II. Documentation for these residents showed either outdated or missing PASARR Level II screenings, despite their medical histories indicating the need for such assessments. In some cases, the initial PASARR screenings were completed years prior to the current assessment company taking over, and no subsequent re-evaluations were performed. Interviews with the Social Services Consultant revealed a lack of awareness and follow-through regarding PASARR requirements, with admissions that residents had not been re-evaluated after changes in the assessment process or company. Additionally, the facility did not have a PASARR policy in place, and PASARR Level I screenings were only recently completed for the affected residents after surveyor inquiry. The absence of timely and appropriate PASARR Level II referrals and evaluations was confirmed through record review and staff interviews.