Failure to Refer Residents with Serious Mental Illness for PASRR Level 2 Assessment
Penalty
Summary
The facility failed to refer two residents with serious mental illness for a required Preadmission Screening and Resident Review (PASRR) Level 2 assessment. For one resident, documentation showed diagnoses of anxiety, depression, schizophrenia, and bipolar disorder, with the Minimum Data Set (MDS) confirming these conditions. However, the MDS section A1500 indicated that the resident was not considered by the state PASRR process to have a serious mental illness, and no PASRR Level 2 assessment was provided upon request. The social services staff confirmed that the resident should have been referred for a Level 2 PASRR due to their diagnoses. Similarly, another resident with diagnoses of anxiety and major depression was also not referred for a PASRR Level 2 assessment. The MDS and face sheet confirmed the diagnoses, but the PASRR Level 1 was the only documentation available, and section A1500 was marked as not having a serious mental illness. The facility's policy requires identification and evaluation of all residents with possible serious mental illness for appropriate PASRR screening, but this process was not followed for these two residents.