Failure to Complete PASRR After New Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that a Pre-admission Screening and Resident Review (PASRR) was accurately completed when new mental health diagnoses were identified for a resident. Specifically, the resident was admitted with multiple diagnoses, including Wernicke's encephalopathy and a cognitive communication deficit. On 3/14/24, the resident received two new mental health diagnoses: delusional disorder and alcohol-induced dementia. Despite these new diagnoses, the facility did not conduct a new PASRR Level I screening as required. This was confirmed by staff interview, where the ADON acknowledged that a new PASRR should have been completed at the time the new diagnoses were made. The deficiency was identified through record review and staff interview, and it was noted that the failure to complete the required PASRR screening could have resulted in the resident not being referred for necessary specialized mental health services.