Failure to Update PASRR Following New Mental Health Diagnoses
Penalty
Summary
The facility failed to submit a status change in the Preadmission Screening and Resident Review (PASRR) for a resident who received new mental health diagnoses. Clinical record review showed that the resident had a history of psychiatric and mood disorders, including depression and bipolar disorder, and was prescribed multiple psychotropic medications such as antipsychotics, antianxiety, and antidepressants. The resident's care plan was updated to reflect new diagnoses, including bipolar and paranoid personality disorder, as well as symptoms like tactile hallucinations. However, the PASRR Level I screening on file only documented depression and did not reflect the new mental health diagnoses or recent mental health symptoms, nor did it indicate that the resident was receiving mental health services. Staff interviews revealed that the social services staff was informed of new diagnoses during Quality Assurance meetings but was unsure when the resident received the new diagnoses. The staff member also indicated that managing PASRR updates was a new responsibility and acknowledged that updates are expected with new mental health diagnoses. The facility administrator agreed that the PASRR should have been updated. Facility policy required evaluation of residents on antipsychotic medications and completion of PASRR screenings for those with mental illness, but this process was not followed for the resident in question.