Failure to Complete Required Level 2 PASARR Screening
Penalty
Summary
The facility failed to forward a resident for a level 2 Preadmission Screening and Resident Review (PASARR) as required. Record review for a resident revealed that the PASARR form, dated 7/16/20, indicated both depression and dementia, and the completion section specified that a level 2 screening was needed due to suspicion of serious mental illness. However, there was no documentation in the record that a level 2 screening had been completed. During interviews, a Registered Nurse responsible for PASARR compliance stated that the resident's PASARR had not been updated since 2021 and acknowledged it should have been done. Additionally, the Administrator initially reported there was no specific PASARR policy, and when a policy was later provided, it did not address the timing or completeness of PASARRs.