Failure to Accurately Complete and Update PASARR Documentation
Penalty
Summary
The facility failed to ensure that Pre-admission Screening and Resident Review (PASARR) documents were accurately completed and updated for two residents. For one resident, the PASARR form only listed a mood disorder, despite the medical record showing additional diagnoses such as schizoaffective disorder, insomnia, diabetes, cognitive communication deficit, and encephalopathy. Staff interviews confirmed that the PASARR was not reviewed for accuracy at admission and was not updated to reflect changes in diagnosis. For another resident, the PASARR form listed mood disorder, anxiety, and conversion disorder, but did not include later diagnoses of schizophrenia and unspecified psychosis, as documented in the medical record. Staff confirmed that they were not informed of changes in the resident's diagnoses and that the PASARR was not updated accordingly. Facility policy requires that all residents be screened for serious mental disorders and that records be maintained and updated, but this was not followed in these cases.