Failure to Accurately Complete PASARR Level I Assessment for Resident with Mental Disorder
Penalty
Summary
The facility failed to accurately complete a Preadmission Screening and Resident Review (PASARR) Level I assessment for one resident who had a diagnosis of an unspecified mental disorder and was prescribed an antipsychotic medication. According to the facility's policy, all applicants must be screened for serious mental disorders or intellectual disabilities in accordance with state Medicaid rules, with a Level I screen required prior to admission. If the Level I screen is positive, a Level II evaluation must be completed before admission. In this case, the resident's PASARR Level I application did not list any mental health diagnoses, despite the resident having a diagnosis of an unspecified mental disorder and being prescribed Seroquel for this condition. Further review of the resident's medical record showed a moderate cognitive impairment and ongoing antipsychotic use, both of which could indicate the need for a PASARR Level II evaluation. Staff interviews confirmed that the resident's mental health diagnosis and medication use were not reflected in the PASARR Level I assessment, and the Director of Admissions acknowledged that the resident could potentially qualify for a Level II review. The deficiency was identified through staff interviews, record review, and examination of facility policy.