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F0645
D

Failure to Notify State PASRR Agency After Psychiatric Hospital Admissions

Fall River, Massachusetts Survey Completed on 07-28-2025

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 notify the state agency responsible for Preadmission Screening and Resident Review (PASRR) following psychiatric hospital admissions for a resident with mental health diagnoses. According to facility policy and state regulations, a post-admission Level II PASRR evaluation (Resident Review) is required when a resident with or suspected of having a serious mental illness (SMI) is readmitted to the facility after an inpatient psychiatric stay. In this case, the resident had diagnoses of schizoaffective disorder, bipolar disorder, and anxiety disorder, and was admitted to psychiatric hospitals on two occasions after their initial admission to the facility. Record review showed that the most recent PASRR for the resident was completed prior to these psychiatric hospitalizations. During an interview, the facility's social worker confirmed that no additional PASRRs were submitted after the resident's psychiatric admissions, despite being aware of the hospitalizations documented in the medical record. This lack of notification and failure to submit the required Resident Review in the PASRR portal constituted noncompliance with regulatory requirements.

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