Failure to Update PASRR Following New Psychiatric Diagnosis
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) Level I was updated and resubmitted after a new diagnosis of a serious mental illness was added for one resident. Record review showed that the resident initially had diagnoses of dementia/Alzheimer's disease, mood disorder, and major depressive disorder, but later received an additional diagnosis of schizoaffective disorder. There was no evidence in the clinical record that a new or updated PASRR Level I form was completed or submitted following this new diagnosis. Interviews with the Social Services Director confirmed that a new PASRR Level I should have been completed when the psychiatric diagnosis was added, and the Administrator stated it was her expectation that the PASRR be accurate and resubmitted in such cases. The facility's policy also required PASRR updates upon significant changes in condition or new psychiatric diagnoses. Despite these expectations and policies, the required PASRR update was not performed for the resident after the new diagnosis.