Failure to Incorporate PASARR Level II Recommendations into Care Plan
Penalty
Summary
The facility failed to ensure that recommendations from a Level II Pre-admission Screening and Resident Review (PASARR) were incorporated into the care plan for a resident with diagnoses including cerebral palsy, learning disorder, and paraplegia. The PASARR Level II Summary of Findings specified that the resident required supports and services such as medication therapy, crisis intervention services, discharge planning, structured development, and a personal support network. However, review of the resident's care plan at the time of survey showed that these recommendations were not addressed. Interviews with facility staff revealed confusion and lack of clarity regarding responsibility for following up on PASARR recommendations. The Social Worker Assistant, Social Services Director, Admission Coordinator, and MDS Rehab nurse each described different understandings of their roles in the PASARR process, with none taking responsibility for ensuring the recommendations were incorporated into the care plan. The DON confirmed that the care plan should reflect the PASARR Level II recommendations, but this was not done for the resident in question.