Failure to Implement PASRR Level II Recommendations for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to coordinate assessments with the Pre-admission Screening and Resident Review (PASRR) Level II program by not incorporating the Level II determinations and recommendations into a resident's transitions of care. Specifically, a resident admitted with diagnoses of Bipolar Disorder and Depression was approved for a temporary nursing facility placement, contingent upon several PASRR Level II recommendations, including a psychiatric evaluation for assessment and medication management, referral for dementia testing by a neurologist or neuropsychologist, and community-based mental health services. Review of the clinical record showed that the last psychiatric evaluation occurred prior to the PASRR Level II determination, and none of the required recommendations had been completed since the determination notice was issued. The Director of Nursing confirmed during interview that these recommendations were not implemented as required.