Failure to Complete PASARR Level 1 Screening Prior to Admission
Penalty
Summary
The facility failed to complete the required Preadmission Screening and Resident Review (PASARR) Level 1 for one resident prior to or shortly after admission. The resident in question was admitted and later readmitted with diagnoses including schizophrenia, COPD, and hypertension. Medical records indicated the resident had confusion, was unable to make medical decisions, and was rarely or never understood. The resident required varying levels of assistance with daily activities and had a psychiatric diagnosis of schizophrenia, for which antipsychotic and antidepressant medications were prescribed. Despite these indicators, the PASARR Level 1 screening was not completed until the date of the record review, well after the resident's admission. The screening ultimately indicated the presence of a serious mental illness and the need for a Level 2 screening. Interviews with facility staff confirmed that the PASARR Level 1 should have been completed prior to admission, in accordance with facility policy and federal requirements, but this was not done for the resident.