Failure to Complete PASARR Level 1 Screening Prior to Admission
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASARR) Level 1 screening was completed prior to the admission of a resident with mental health diagnoses. According to facility policy, all applicants must be screened for serious mental disorders or intellectual disabilities before admission, and a record of this screening must be maintained in the resident's medical record. The policy also specifies that the Social Services Director is responsible for tracking each resident's PASARR status. Exceptions to this requirement are limited to individuals readmitted directly from a hospital or those certified by a physician as likely to require less than 30 days of nursing facility services. A review of the medical record for a resident admitted from another nursing home revealed that the only available PASARR Level 1 evaluation was completed over 14 months prior to admission to the current facility. There was no evidence of a current PASARR Level 1 screen within 30 days before or after the resident's admission, despite the resident having diagnoses of Post Traumatic Stress Disorder, Anxiety, Depression, and Unspecified Psychosis. The Social Services Director confirmed that a current PASARR Level 1 screen was not requested prior to the resident's admission, and the existing evaluation was from the previous facility.