Failure to Refer Resident for PASRR Level II Evaluation
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency was identified when a resident with diagnoses of generalized anxiety and bipolar disorder was re-admitted to the facility for permanent LTC placement. The resident's clinical record included a PASRR Level I Screen, which was completed for a change in condition and indicated the intent for permanent placement. However, the record did not contain evidence that the PASRR Level I Screen was forwarded to the State Mental Health Authority to determine if a PASRR Level II evaluation and determination was necessary. This omission was confirmed through record review and interview with facility staff.