Failure to Coordinate PASARR Assessment After New Mental Health Diagnoses
Penalty
Summary
The facility failed to coordinate an assessment with the Pre-Admission Screening and Resident Review (PASARR) program for a resident who had newly documented diagnoses of anxiety disorder and major depressive disorder. Medical record review showed that the resident's history and physical examinations reflected these mental health conditions, but the PASARR Level I screening completed did not indicate the presence of a serious diagnosed mental disorder. Additionally, there was no evidence that a new PASARR was completed after the new diagnoses were made. The resident's care plan included interventions requiring a Level I or Level II PASARR review for any new diagnosis warranting such assessment, as well as annual reviews if required. During interviews, the MDS Coordinator confirmed that a new PASARR should have been submitted following the new diagnoses, and both the Administrator and DON acknowledged the findings. This lapse resulted in the resident not being properly assessed for specialized services related to mental illness.