Failure to Complete PASRR Level 1 Screening for New Admission with Mental Health Diagnoses
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a Level 1 Pre-admission Screening and Resident Review (PASRR) was completed for a new admission with diagnoses of major depressive disorder, anxiety disorder, and post-traumatic stress disorder. The resident was admitted with a PASRR Level 1 screen dated several years prior from a previous LTC stay, which was negative at that time. The facility relied on this outdated PASRR Level 1 screen and did not conduct a new screening upon admission, despite the resident's current mental health diagnoses. Interviews with facility staff, including the Administrator and Social Worker, confirmed that the process involved reviewing PASRR outcomes received from the discharging facility. The Social Worker acknowledged that a new PASRR Level 1 screen should have been conducted for a resident admitted with mental disorders, but could not provide a reason for the omission. Facility policy and state procedures require that individuals with known or suspected serious mental illness be evaluated through the PASRR process prior to admission, which was not followed in this case.