Failure to Complete PASARR Screening Prior to Admission
Penalty
Summary
The facility failed to accurately complete a Level I Pre-admission Screening and Resident Review (PASARR) for one resident prior to admission. The resident was admitted with multiple mental health diagnoses, including post-traumatic stress disorder (PTSD), major depressive disorder, and anxiety disorder. The Minimum Data Set (MDS) assessments indicated the resident was cognitively intact, and additional mental health diagnoses were documented upon admission. However, the Level I PASARR was not submitted for review until after the resident had already been admitted to the facility. Subsequently, the resident required a Level II PASARR evaluation, which was completed after admission and determined that the resident met the criteria for serious mental illness (SMI) and required specialized or behavioral health services. Interviews with facility staff confirmed that there was no documentation showing the Level I PASARR was completed prior to admission, and it was acknowledged that the expectation is for this screening to be completed before admitting residents.