Failure to Include PASRR Services in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with multiple mental health diagnoses, including major depressive disorder, schizoaffective disorder, insomnia, anxiety disorder, and unspecified psychosis. The resident's care plan included interventions related to antipsychotic medication use and mental health services but did not reflect the requirement for PASRR (Preadmission Screening and Resident Review) services, despite documentation that the resident had been evaluated and qualified for such services. Interviews with staff revealed confusion regarding whether the resident had refused PASRR services, but it was later clarified that the resident had not refused and was awaiting implementation of these services following a recent evaluation. The facility's policy requires that the care plan include any specialized services recommended by PASRR, as well as documentation if services are refused, but this was not reflected in the resident's care plan at the time of the survey.