Failure to Accurately Update PASARR Assessment for Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure that the Preadmission Screening and Resident Review (PASARR) assessment for a resident was updated and accurate. Record review showed that the resident was admitted with diagnoses including dementia, schizophrenia, high cholesterol, and urinary retention. The most recent Minimum Data Set (MDS) assessment indicated the resident was severely cognitively impaired and required extensive assistance with activities of daily living. However, the PASARR assessment did not indicate the resident's diagnosis of schizophrenia in response to the question regarding significant mental health diagnoses. This omission was confirmed during an interview with the Director of Nursing, who acknowledged that the PASARR did not address the resident's documented diagnosis of schizophrenia.