Failure to Complete Timely PASARR Rescreening After Temporary Approval Expired
Penalty
Summary
A deficiency occurred when the facility failed to ensure a new Pre-Admission Screening and Resident Review (PASARR) was completed after the expiration of the approved 60-day period for a resident with diagnoses including bipolar disorder, post-traumatic stress disorder (PTSD), and autistic disorder. The clinical record showed that the initial PASARR Level I screen outcome provided only a temporary approval for 60 days, with clear instructions that a new Level I screen must be submitted if the resident's stay exceeded the approved period. Interviews with facility staff, including the Social Services Director and the MDS Coordinator, confirmed that a new PASARR was not completed after the initial approval expired. Additionally, a PASARR help desk staff member clarified that the expired Level I PASARR was no longer valid and required resubmission. The facility's policy also required all applicants to be screened in accordance with state Medicaid rules, but this was not followed in this instance.