Failure to Update PASARRs After New Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that Preadmission Screening and Resident Reviews (PASARRs) were updated and accurate for residents with new mental health diagnoses. Specifically, for one resident with existing diagnoses of dementia, psychosis, and mood disorder, a new diagnosis of anxiety was added, but the facility did not complete a new PASARR following this change. The resident's medical record and Minimum Data Set (MDS) assessment indicated severely impaired cognition at the time of the deficiency. Similarly, another resident with multiple chronic conditions, including depression, anxiety, and bipolar disorder, received a new diagnosis of unspecified psychosis. Despite this addition, the facility did not complete a new PASARR for this resident. The MDS assessment also showed severely impaired cognition. Staff interviews confirmed that new PASARRs should have been completed for both residents after the new mental health diagnoses were added.