Failure to Refer Residents for Level II PASARR Evaluation
Penalty
Summary
The facility failed to refer residents with diagnosed mental disorders to the appropriate state-designated authority for Level II PASARR evaluation and determination. Specifically, two residents were admitted with or later developed diagnoses such as major depressive disorder with severe psychotic symptoms, mood disorder, generalized anxiety disorder, psychotic disorder with delusions, and delirium. Despite these qualifying psychiatric diagnoses, their Level I PASARR screenings indicated 'No' to the presence or suspicion of mental illness, and there was no evidence that a Level II PASARR had been submitted for either resident. Interviews with facility staff revealed that the LPN responsible for PASARR acknowledged the oversight, confirming that both residents had received qualifying diagnoses after the initial PASARR was completed. The staff member further confirmed that the Level I PASARR should have been resubmitted to reflect the new diagnoses for a Level II determination, but this was not done. This failure was identified through record reviews and staff interviews during the survey.