Failure to Refer Resident for PASRR Level II Evaluation for Major Mental Illness
Penalty
No penalty information released
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 refer a resident for further evaluation when the resident was diagnosed with a major mental illness. Specifically, one resident was admitted with multiple diagnoses, including dementia and PTSD. The Level I PASRR completed in Arizona did not document the PTSD diagnosis, even though it was present in the resident's medical record. As a result, a Level II PASRR was not requested or completed as required in Idaho. The Director of Nursing confirmed that an updated Level I PASRR should have been created to document PTSD and a Level II PASRR should have been requested, but this was not done.