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F0641
D

Inaccurate PASRR Coding on MDS Assessments

Sagamore Hills, Ohio Survey Completed on 07-24-2025

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 accurately code the Pre-Admission Screening and Resident Review (PASRR) status on the Minimum Data Set (MDS) 3.0 assessments for two residents. Record review showed that one resident was admitted with diagnoses including bipolar disorder, schizophrenia, and depression, and had a level two PASRR assessment from the state agency indicating a serious mental illness. However, the most recent comprehensive MDS 3.0 assessment for this resident was incorrectly coded as not having a serious mental illness or intellectual disability according to the PASRR process. Similarly, another resident was admitted with diagnoses including cerebral palsy, epilepsy, and anxiety disorder, and had a level two PASRR assessment from the state agency indicating a developmental disability. The most recent comprehensive MDS 3.0 assessment for this resident was also incorrectly coded as not having a serious mental illness or intellectual disability. These coding inaccuracies were verified by a social worker during an interview.

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