Failure to Complete Required PASARR Level II Assessment
Penalty
Summary
The facility failed to ensure that a PASARR Level II evaluation was completed for a resident admitted with diagnoses including schizoaffective disorder, bipolar type, and probable developmental delay. A PASARR Mental Health Evaluation conducted indicated the need for a Level II assessment for serious mental illness and intellectual or developmental disability. Despite this recommendation and supporting documentation from a hospital discharge summary, there was no evidence in the resident's medical record that a PASARR Level II for intellectual or developmental disability was completed. During interviews, both the Social Services Director and Social Services Coordinator acknowledged they did not request the required assessment and were unaware of when such a request should be made. The Administrator confirmed that the assessment was not completed as required.