Failure to Complete PASARR Level I Assessment on Admission
Penalty
Summary
A deficiency occurred when the facility failed to complete an accurate Preadmission Screening and Resident Review (PASARR) Level I assessment for one resident who was readmitted with diagnoses of bipolar and major depressive disorder. Record review showed that there was no PASARR Level I assessment present in either the electronic medical record or the hard chart for this resident. During interviews, the Director of Social Services acknowledged not identifying the missing PASARR Level I at admission, and the Administrator confirmed that it was not completed at the time of admission. The Director of Nursing stated that the admissions director was expected to identify when a PASARR was missing and notify management, but this did not occur in this case. No additional information was provided prior to survey exit.