Failure to Complete PASARR Level 2 Assessment After New Mental Disorder Diagnosis
Penalty
Summary
The facility failed to complete a Preadmission Screening and Resident Review (PASARR) Level 2 assessment for a resident who was diagnosed with schizoaffective disorder. Record review showed that the resident, a sixty-year-old male, was originally admitted to the facility and later received a diagnosis of schizoaffective disorder, with the onset documented in the physician's summary. Despite this new diagnosis, there was no evidence in the electronic record that a PASARR Level 2 screening was completed as required by the facility's policy, which mandates prompt referral for a Level 2 review when a resident exhibits a newly evident or possible serious mental disorder. The administrator confirmed that a Level 2 PASARR assessment is needed for residents with new mental disorder diagnoses.