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F0645
D

Failure to Accurately Complete PASRR Screening Prior to Admission

Franklin, Massachusetts Survey Completed on 06-17-2025

Penalty

No penalty information released
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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

The facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) was accurately completed prior to the admission of a resident with a known mental disorder. The resident was admitted following a seven-week psychiatric hospitalization and had a diagnosis of schizoaffective disorder. However, the PASRR Level I screening form did not indicate the presence of this mental disorder, as the relevant box for schizoaffective disorder was not checked. Additionally, the form did not reflect the recent inpatient psychiatric hospitalization, and the screening results were marked as negative for serious mental illness (SMI), leading to no Level II PASRR evaluation being conducted. Further review revealed that there was no additional information in the PASRR electronic portal or with the PASRR office regarding the Level I screen for this resident, and no evidence of a Level II PASRR evaluation. During an interview, the Administrator confirmed the absence of a Social Worker responsible for PASRR oversight at the time, which contributed to the failure in the screening process. The deficiency was identified through record review and staff interview.

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