Failure to Notify State Mental Health Authority After Significant Change in Condition
Penalty
Summary
The facility failed to notify the state mental health authority and complete a significant change Preadmission Screening and Resident Review (PASARR) for a resident who experienced a notable change in mental health condition. The resident, who was admitted with a diagnosis of unspecified focal traumatic brain injury and was cognitively intact per a recent Minimum Data Set (MDS) assessment, received a new diagnosis of major depressive disorder, recurrent. Despite this significant change in mental health status, there was no documentation of a significant change PASARR or notification to the state mental health authority following the new diagnosis. This was confirmed through record review and staff interview, which verified that the required notification and assessment were not completed after the change in the resident's condition.