Failure to Complete and Update PASRR for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure proper coordination and completion of the Pre-Admission Screening and Resident Review (PASRR) process for several residents with mental health diagnoses. For one resident, the PASRR Level I did not include a diagnosis of bipolar disorder, despite the resident receiving Quetiapine Fumarate for bipolar depression. Similarly, another resident's PASRR omitted a bipolar disorder diagnosis, even though the resident was prescribed Risperdal for this condition. In both cases, the PASRR documentation did not accurately reflect the residents' mental health conditions for which they were receiving psychotropic medications. Additionally, a third resident was diagnosed with Major Depressive Disorder after the initial Level I PASRR was completed, but a required Level II PASRR was not conducted following the new diagnosis. Although staff reported contacting the relevant entity and being told that a Level II PASRR was not needed, this communication was not documented, and the facility did not resubmit a Level I PASRR as required after the new mental health diagnosis was made.