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F0645
D

Failure to Complete Required Level 2 PASRR for Resident with Intellectual Disability

Shelbyville, Illinois Survey Completed on 05-02-2025

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 obtain a required Level 2 Pre-admission Screening and Resident Review (PASRR) for one resident who was diagnosed with Major Depressive Disorder with recurrent psychotic symptoms and documented as having an Intellectual Disorder. The resident's face sheet confirmed the diagnosis, and the Level 1 PASRR indicated the presence of an Intellectual Disorder. However, there was no documentation that a Level 2 PASRR had been completed for this resident. The administrator stated that the facility had only been completing Level 2 PASRRs when there was a significant change in status and was not aware that a Level 2 PASRR was required for all residents with an Intellectual Disability, as outlined in the facility's own policy.

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