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F0644
D

Failure to Complete Required PASRR Level II Assessment for Resident with Expired Authorization

Huntersville, North Carolina Survey Completed on 05-07-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to complete a required Preadmission Screening and Resident Review (PASRR) level II for a resident who had a history of bipolar disorder. The resident was admitted with a PASRR level II that had expired prior to admission, and no new level II PASRR was obtained after admission. Record review confirmed that the expired PASRR was not updated, and the necessary assessment was not completed as required. Interviews with facility staff revealed that both the Assistant Discharge Planner and the Discharge Planner were responsible for monitoring and completing level II PASRRs. The Assistant Discharge Planner was unaware that the resident's PASRR was a level II that had expired, mistakenly believing it was a level I, and therefore did not obtain a new assessment. The Discharge Planner acknowledged that a new level II PASRR should have been obtained but was overlooked. The Administrator confirmed that the responsibility for ensuring current level II PASRRs rested with the Discharge Planner and Assistant Discharge Planner.

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