Failure to Complete PASRR Screening Prior to Admission
Penalty
Summary
The facility failed to ensure that a resident received the required Pre-Admission Screening and Resident Review (PASRR) prior to admission. Record review showed that the resident, who had diagnoses including paraplegia, opioid dependence, chronic post-traumatic stress disorder, schizoaffective disorder bipolar type, dependent personality disorder, and generalized anxiety disorder, was admitted without documentation of a PASRR screening in the medical record. The most recent MDS assessment indicated the resident was cognitively intact, had no behaviors, did not reject care, and did not wander. During an interview, the social worker confirmed that residents coming from the hospital should have been screened for PASRR before admission and verified that there was no evidence of PASRR screening for this resident. Facility policy required screening for major mental disability before admission, with Level II PASRR screens sent to Behavioral Consulting Services prior to admission.