Failure to Complete Timely PASRR Screening
Penalty
Summary
A deficiency occurred when the facility failed to ensure a timely Level I and Level II PASRR screening was obtained for a resident with diagnoses including dementia, bipolar disorder, and depression. The resident was admitted without evidence of a completed PASRR Level I screen, and the facility's records showed multiple attempts to start the screening, which were either withdrawn or expired before completion. The Level I screen was eventually completed and referred for Level II screening, but this was not done in a timely manner. Interviews with the Social Services Director revealed uncertainty about the PASRR process and timing, and the DON confirmed the absence of a PASRR policy. Documentation indicated that the resident had diagnoses that could impact adjustment, but the required screenings were not completed as required upon admission.