Failure to Update PASARR After New Mental Health Diagnosis
Penalty
No penalty information released
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 ensure an updated Pre-admission Screening and Resident Review (PASARR) was completed for a resident with a newly identified serious mental illness. Medical record review showed that the resident was admitted with diagnoses including dementia and later received a diagnosis of schizoaffective disorder bipolar type. The initial PASARR, completed at admission, indicated no serious mental illness, but after the new diagnosis was added, there was no documentation of an updated PASARR. Staff interview confirmed that only the original PASARR was on file, and facility policy requires prompt referral for a Level II review when a new serious mental disorder is identified.