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F0645
D

Failure to Accurately Complete PASRR for Mental Health Diagnoses

Gahanna, Ohio Survey Completed on 04-28-2025

Penalty

Fine: $26,500
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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 ensure that the Preadmission Screening and Resident Review (PASRR) was completed accurately for a resident admitted with known mental health diagnoses. Upon review, the resident's medical record showed diagnoses of an unspecified (affective) mood disorder and anxiety disorder at the time of admission. However, the PASRR identification screen did not indicate these mental disorders, as required in Section E, despite them being listed among the mental disorders to be reported. As a result, the PASRR result notice concluded that the resident did not have indications of a serious mental illness and did not require a Level II evaluation for specialized services. The current Social Service Director confirmed that the PASRR was not accurate and did not reflect the resident's known mental illness diagnoses.

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