Failure to Update PASARR Following New Diagnosis
Penalty
Summary
The facility failed to ensure that the Pre-admission Screening and Resident Review (PASARR) was updated and re-submitted for a resident who was admitted with multiple diagnoses, including schizophrenia, respiratory failure, and hypothyroidism. Upon review, it was found that eight days after admission, a psychiatrist's assessment documented a diagnosis of schizophrenia for the resident. However, there was no evidence in the clinical record that the PASARR was updated or re-submitted to reflect this new diagnosis. During an interview and record review, the Minimum Data Set Nurse confirmed that it was her responsibility to update and re-submit the PASARR when new diagnoses were identified, but acknowledged that she did not do so in this case. The facility's policy requires that all admissions have the appropriate PASARR completed and that the administrator is accountable for monitoring this process, but this procedure was not followed for the resident in question.