Failure to Complete and Update PASARRs for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to complete and update the Pre-admission Screening and Resident Reviews (PASARRs) for two residents with qualifying mental health diagnoses. For one resident admitted with primary and secondary diagnoses including dementia, mood disorder, depression, irritability, anger, bipolar disorder, anxiety, and failure to thrive, the Level I PASARR was found to be incomplete, with all qualifying diagnoses not checked and no Level II PASARR submitted for further consideration. Similarly, another resident admitted with cerebral infarction, depression, dementia, and psychotic disorder had an incomplete Level I PASARR, with qualifying diagnoses not checked and no Level II PASARR referral made. Staff interviews confirmed that the Social Services Director acknowledged the oversight, stating that a Level II PASARR should have been triggered for both residents after reviewing their records. The facility's policy requires coordination with the PASARR program to ensure appropriate assessment for individuals with mental disorders or intellectual disabilities, but this process was not followed for the two residents identified in the report.