Inaccurate PASRR Level 1 Screening for Mental Illness
Penalty
Summary
The facility failed to ensure that the PASRR Level 1 screening contained accurate information regarding a resident's mental illness. Specifically, a resident with a documented diagnosis of schizophrenia, as evidenced by a physician's order for Zyprexa to treat schizophrenia, was incorrectly recorded on the PASRR Level 1 screening as having no diagnosis of a serious mental illness. This discrepancy was identified during a review of the resident's medical record and PASRR documentation. During an interview and concurrent record review, the MDS Coordinator confirmed that the PASRR Level 1 screening for the resident did not reflect the resident's actual diagnosis of schizophrenia. The MDS Coordinator acknowledged that the information on the PASRR Level 1 screening was incorrect and verified that the resident did, in fact, have a diagnosis of schizophrenia as documented in the medical record.