Inaccurate PASRR Coding on MDS Assessments
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments in the area of Preadmission Screening and Resident Review (PASRR) for two residents. For one resident with diagnoses of anxiety, depression, and bipolar disorder, the electronic health record showed a completed Level II PASRR, and the care plan included interventions and goals based on this status. However, the annual MDS assessment did not reflect the resident's Level II PASRR status. The social worker, responsible for coding PASRR status on the MDS, stated she had a list of Level II PASRR residents but could not explain why the resident was not coded correctly, attributing it to an oversight. The administrator confirmed the expectation that MDS assessments, including PASRR coding, be completed accurately. Similarly, another resident with diagnoses of psychosis and hallucinations had a completed Level II PASRR and a care plan addressing the associated needs and interventions. Despite this, the annual MDS assessment did not indicate the resident's Level II PASRR status. The social worker again acknowledged responsibility for coding but could not account for the omission, stating it was likely missed. The administrator reiterated the expectation for accurate completion of MDS assessments, including PASRR status.