Failure to Validate PASRR Accuracy for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accuracy of the Preadmission Screening and Resident Review (PASRR) for a resident who was admitted from another skilled nursing facility. Upon admission, the staff did not validate or reassess the PASRR that had been completed at the previous facility, despite the resident having documented diagnoses of depression and Bipolar II disorder, as well as being prescribed sertraline, a psychotropic medication. The PASRR from the prior facility indicated no diagnosed or suspected serious mental illness and no psychotropic medication use, which was inconsistent with the resident's medical record and ongoing treatment. Interviews with facility staff, including the DON and Social Services Director, confirmed that the admission team did not reassess or validate the PASRR upon the resident's admission. The staff relied on the previous PASRR without verifying its accuracy, resulting in the absence of a behavioral health care plan for the resident, despite clear evidence of mental health diagnoses and treatment in the resident's record.