Failure to Notify State Authority for PASARR Review After Psychiatric Stay
Penalty
Summary
The facility failed to notify the state-designated mental health disability authority for a Pre-admission Screening and Resident Review (PASARR) when a resident with multiple mental health diagnoses experienced a significant change in mental and physical status. The resident, who had a history of dementia, bipolar disorder, panic disorder, PTSD, and other mental health conditions, was admitted from an inpatient psychiatric facility. After admission, the resident exhibited combative and aggressive behaviors, leading to a transfer back to an inpatient psychiatric facility for further management. Despite the resident's return to the facility following the psychiatric stay, staff did not submit a PASARR review to the designated state authority as required. Interviews with the Social Service Director and the Administrator confirmed they were unaware of the requirement to send a PASARR review after an inpatient psychiatric stay. Record review showed no documentation of a PASARR review following the resident's psychiatric hospitalization, despite the resident's behavioral changes and the need for reassessment.