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F0644
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Failure to Update PASRR Assessments for Residents with New Mental Health Diagnoses

Gainesville, Florida Survey Completed on 09-05-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to coordinate assessments with the Preadmission Screening and Resident Review (PASRR) program for residents with newly diagnosed mental disorders. For one resident, the admission record and care plan notes documented new diagnoses of post-traumatic stress disorder, anxiety disorder, bipolar disorder, major depressive disorder, and generalized anxiety disorder. However, the PASRR form on file only listed dementia as a secondary diagnosis and did not reflect the new mental health diagnoses. There was no updated PASRR completed to account for these changes, despite facility policy requiring updates when significant changes in a resident's status occur. Another resident was admitted with a diagnosis of paranoid schizophrenia, but the PASRR form only documented anxiety and depressive disorders, omitting the psychotic disorder and schizophrenia diagnoses. Interviews with facility staff confirmed that the PASRR forms were not updated to reflect the residents' current mental health conditions. The facility's policy states that residents with mental disorders should be screened and that updates should be made when significant changes occur, but this was not followed in these cases.

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