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F0644
D

Failure to Complete PASRR Level II Screening for Resident with New Mental Health Diagnoses

Fayetteville, North Carolina Survey Completed on 08-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to complete a Preadmission Screening and Resident Review (PASRR) application for a resident who was readmitted with newly identified mental health diagnoses, including major depressive disorder, post-traumatic stress disorder, and adjustment disorder with anxiety. Upon readmission, the resident was cognitively intact and had not previously been considered for a PASRR level II screening, as earlier records from 2010 showed no mental health diagnoses. However, at the time of readmission, the resident did have these diagnoses, which should have triggered a PASRR level II screening. Staff interviews confirmed that the responsibility to submit the PASRR level II screening was overlooked by the Social Worker, and this omission was not identified or corrected prior to the survey investigation.

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