Inaccurate PASARR Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure that the level one Preadmission Screening and Resident Review (PASARR) accurately reflected a resident's existing mental illness at the time of admission. Specifically, a resident admitted with diagnoses including dementia, post-traumatic stress disorder (PTSD), and epilepsy had a PASARR Identification Screen that did not indicate any of the resident's mental health diagnoses, despite PTSD being documented as an active diagnosis in the resident's Minimum Data Set (MDS) assessment. The PASARR form omitted relevant diagnoses such as mood disorder and other mental disorders, which were present in the resident's medical record. Staff interviews confirmed that the PASARR was not completed accurately and that there was no facility policy in place for PASARRs at the time.