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F0645
D

Failure to Complete/Update PASARRs for Residents with Mental Disorders

Pasadena, Florida Survey Completed on 06-13-2025

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 complete or update the Pre-admission Screening and Resident Reviews (PASARRs) for two residents with mental disorders or intellectual disabilities. For one resident admitted and readmitted with diagnoses including anxiety disorder and bipolar II disorder, the Level I PASARR only noted a substance abuse diagnosis and did not include the qualifying mental health diagnoses, nor was a Level II PASARR submitted. For another resident admitted with major depressive disorder and generalized anxiety disorder, the PASARR form had the section for mental illness left blank and did not reflect any diagnosis. The Social Services Director confirmed the omission during an interview. The facility's policy requires that all admissions have the appropriate PASARR completed, but this was not followed in these cases.

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