Failure to Update PASARR for Resident with Mental Health Diagnoses
Penalty
Fine: $66,560
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 update the Preadmission Screening and Resident Review (PASARR) for a resident with mental health diagnoses. Record review showed that the resident had a PASARR form completed in July 2020, which listed depression and dementia and recommended a Level 2 screening due to suspicion of serious mental illness. However, there was no documentation of a Level 2 screening being completed. Additional diagnoses of bipolar disorder and anxiety disorder were added in subsequent years, but no further PASARR actions were documented. Interviews with staff confirmed that the PASARR process was not followed up as required, and the facility did not have a specific policy addressing the timing of PASARR updates.