Failure to Complete New PASRR Following New Diagnosis
Penalty
Summary
The facility failed to complete a new Preadmission Screening and Resident Review (PASRR) Level I for a resident who received a new diagnosis of delusions on 2/27/25. Clinical record review showed that the resident had a history of moderate cognitive impairment, as indicated by a BIMS score of 12, and diagnoses including anxiety, psychotic disorder (other than schizophrenia), and malnutrition. The existing PASRR Level I screening, dated 8/12/24, was completed at the hospital prior to admission and indicated that no Level II was required. Despite the new diagnosis, the facility did not submit a new PASRR as required. During staff interview, the Social Worker confirmed responsibility for completing PASRRs when new diagnoses or medications are identified but was unsure why the new PASRR was not completed in this instance.