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F0645
B

Inaccurate PASARR Level I Screening for Mental Illness

Santa Ana, California Survey Completed on 05-13-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that the Level I PASARR screening for a resident accurately reflected the presence of serious mental illness. The resident in question was admitted and readmitted with diagnoses including unspecified psychosis, schizophrenia, and anxiety disorder. However, the PASARR Level I Screening completed for this resident indicated that there was no diagnosis of a serious mental disorder, such as depressive disorder, anxiety disorder, panic disorder, schizophrenia, or symptoms of psychosis, delusions, or mood disturbance. As a result, the screening was marked negative and a Level II evaluation was not conducted. During interviews and medical record reviews, the MDS Coordinator confirmed that the PASARR Level I Screening was inaccurate for this resident. The Administrator and DON were also informed and acknowledged these findings. The deficiency centers on the failure to accurately complete the PASARR Level I Screening, which is required to identify individuals with serious mental illness or intellectual disabilities for appropriate placement and further evaluation.

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