Failure to Coordinate PASRR Assessments and Submit Service Requests
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASRR) program for two residents who were identified as PASRR positive. Specifically, the facility did not incorporate the recommendations from the PASRR Level II determination and evaluation report into the residents' care planning. The service request forms were not sent to the state PASRR unit within 30 days of the Interdisciplinary Team (IDT) meeting, which was necessary for the residents to receive the specialized services identified during the meeting. Both residents required total care and assistance with all activities of daily living (ADLs) and had diagnoses including bipolar disorder, anxiety disorder, and severe intellectual disabilities. Interviews with facility staff revealed a lack of understanding and familiarity with PASRR requirements and processes. The MDS nurse, who was responsible for submitting PASRR specialized services, was not employed at the time of the residents' admissions and confirmed that the required submissions had not been made. The ADON and DON both acknowledged limited knowledge of PASRR procedures and the importance of timely reporting. As a result, the residents were not receiving the specialized services recommended by the PASRR process, and the facility's own policy regarding PASRR was not followed.