Inaccurate MDS Coding for PASRR Status
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's status by not properly coding the Preadmission Screening and Resident Review (PASRR) information. Specifically, a resident admitted with diagnoses including Recurrent Depressive Disorders, Bipolar Disorder, and Post-Traumatic Stress Disorder had an approved Level II PASRR for a temporary period, as documented on the state's Form 142. However, review of the resident's Annual MDS assessment showed that Section A1500 (PASRR) was incorrectly coded as 'No' and Section A1510 (Serious Mental Illness) was left blank. Both the MDS coordinator and the Director of Nursing confirmed that the MDS should have indicated a 'Yes' response for PASRR, based on the resident's documentation.