Failure to Timely Implement PASARR Recommendations and Specialized Services
Penalty
Summary
The facility failed to incorporate recommendations from the PASARR Level II determination and evaluation report into a resident's assessment, care planning, and transitions of care. Specifically, the facility did not initiate necessary specialized services within 20 business days following the IDT meeting where services were agreed upon. This delay was attributed to the facility waiting for the resident's Medicaid approval before starting therapy services and providing a new wheelchair, despite the PASARR office's communication with facility leadership regarding the requirement to begin services within the specified timeframe. The resident involved was a female with diagnoses including cerebral palsy, major depressive disorder, and anxiety disorder, and had moderate cognitive impairment as indicated by her BIMS score. Interviews with facility staff revealed that although the IDT meetings and communication with the PASARR office occurred, services such as therapy and equipment provision were delayed until Medicaid eligibility was confirmed. The facility's policy required screening and timely implementation of services as outlined in the PASARR evaluation, but these were not followed due to the pending Medicaid status.