Failure to Update PASARR Following Changes in Mental Health Diagnoses
Penalty
Summary
The facility failed to notify the state of changes in mental health diagnoses for two residents, as required by the Preadmission Screening and Resident Review (PASARR) process. One resident was admitted with multiple diagnoses, including dementia, epilepsy, bipolar disorder, and later developed schizoaffective disorder, anxiety disorder, and major depressive disorder. Despite these changes, the last PASARR submission was several years prior and did not reflect the updated diagnoses. Another resident, initially admitted with dementia and other conditions, was later diagnosed with major depressive disorder and anxiety disorder, but the most recent PASARR did not indicate any mental disorders. Interviews with the Regional Director of Social Services and Activities confirmed that PASARR updates were not completed when the residents' diagnoses changed.