Failure to Complete and Follow Up on PASARR Screenings for Residents with Mental Disorders
Penalty
Summary
The facility failed to properly complete and follow up on Preadmission Screening and Resident Review (PASARR) requirements for two residents with mental disorders or intellectual disabilities. For one resident with vascular dementia, major depressive disorder, and other significant medical conditions, the Minimum Data Set (MDS) assessment indicated cognitive impairment and depression. However, the PASARR form on file did not list any diagnoses in the required section, resulting in an inaccurate screening. The Social Services Director acknowledged the omission and confirmed that the PASARR was incorrect at the time of admission. For another resident with schizoaffective disorder, bipolar type, anxiety disorder, and a history of other mental and behavioral disorders, the level I PASARR screening indicated the need for a level II evaluation. Despite this, there was no documentation that a level II PASARR evaluation was completed or that any follow-up was attempted with the contractor responsible for the screening. The Social Services Director verified that the required level II PASARR was not completed and that no evidence of follow-up existed in the resident's record.