Failure to Complete PASARR After New Psychiatric Diagnosis
Penalty
Summary
The facility failed to complete a required Pre-admission Screening and Resident Review (PASARR) evaluation after a resident received a new diagnosis of psychotic disorder with hallucinations due to a known psychological condition. The resident, who had previously been admitted with diagnoses including Parkinson's Disease, peripheral vascular disease, and dementia, was found to be severely cognitively impaired according to a recent Minimum Data Set (MDS) assessment. Although the initial PASARR was completed prior to admission, there was no evidence in the medical record of a subsequent PASARR evaluation following the new psychiatric diagnosis. Staff interview confirmed that no level two PASARR evaluation or determination was conducted after the significant change in the resident's mental health status, despite facility policy requiring notification of the state mental health authority after such changes.