Failure to Complete Accurate PASRR Assessments Prior to Admission
Penalty
Summary
The facility failed to ensure that Pre-Admission Screening and Resident Review (PASRR) assessments were completed accurately and as required for two residents reviewed for PASRR screening. For one resident, the Level I PASRR received from the hospital did not include a diagnosis of anxiety, which was later identified and corrected by facility staff. However, although the corrected Level I PASRR included an indicator for Serious Mental Illness (SMI), a referral for a Level II evaluation was not made as required. For the second resident, the Level I PASRR completed at the hospital marked the resident as having no SMI indicators, but also identified depression as an SMI indicator in a subsection. Despite this, the form concluded that a Level II evaluation was not required, and the resident was admitted without the necessary Level II PASRR evaluation. Staff interviews confirmed that the expectation was for Level I PASRRs to be accurate and for Level II evaluations to be obtained when indicated. In both cases, the residents were admitted from the hospital with incomplete or inaccurate PASRR documentation, and the required follow-up for Level II evaluation was not performed, despite the presence of SMI indicators such as anxiety and depression. This failure resulted in the residents not being properly evaluated for mental health needs prior to admission.