Inaccurate PASARR Screenings for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure accurate completion of Level I Pre-admission Screening and Resident Review (PASARR) for two residents with documented mental health diagnoses. For one resident, the medical record listed diagnoses of Post Traumatic Stress Disorder, Anxiety, Major Depression, and a personal history of suicidal behavior, but the PASARR Level I screening indicated no mental illness. For the second resident, the medical record included diagnoses of Post Traumatic Stress Disorder, Major Depressive Disorder, Anxiety Disorder, and Borderline Personality Disorder, yet the initial PASARR did not indicate any mental illness diagnoses. A subsequent PASARR for this resident later identified the need for a Level II face-to-face evaluation. These inaccuracies were confirmed by the Social Service Director during interviews.