Failure to Update PASARR Following New Dementia Diagnoses
Penalty
Summary
The facility failed to ensure that the preadmission screening and resident review (PASARR) was updated and completed when new diagnoses of Dementia (Non-Alzheimer's) and Alzheimer's disease were added for a resident. Record review showed that the resident's initial PASARR only included a diagnosis of major depression, with no indication of dementia or Alzheimer's. However, subsequent medical documentation and the most recent MDS assessment listed active diagnoses of Alzheimer's disease, non-Alzheimer's dementia, anxiety disorder, and depression. Despite these new diagnoses, the PASARR was not updated as required. During an interview, the Nursing Home Administrator was unaware that the addition of dementia and Alzheimer's diagnoses should have triggered a new PASARR assessment.