Failure to Complete Required PASARR Screenings for Residents with Mental Disorders
Penalty
Summary
The facility failed to conduct required PASARR (Pre-Admission Screening and Resident Review) screenings for residents with mental disorders or related conditions prior to admission. Specifically, four residents with diagnoses such as dementia, schizoaffective disorder, major depressive disorder, schizophrenia, and anxiety were admitted without documentation of a PASARR screening in their medical records. In several cases, the admissions director acknowledged that the screenings had not been completed at the time of admission and only initiated them after being prompted by surveyors. For some residents, the only documentation available was an outdated pre-admission screening from many years prior, which did not meet current requirements. Comprehensive assessments for these residents indicated varying levels of cognitive impairment, and their medical records included orders for antipsychotic, antidepressant, and antianxiety medications. Despite these significant mental health diagnoses and medication regimens, there was no evidence that the facility had evaluated whether these residents required specialized services or placement in a more appropriate setting as mandated by PASARR regulations. Additionally, the facility was unable to provide a policy regarding PASARR screening when requested by surveyors.