Deficient PASARR Screening and Referral for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure accurate completion of Preadmission Screening and Resident Review (PASARR) Level I forms and did not make required Level II PASARR referrals for residents with mental health diagnoses. For one resident with diagnoses of depression and anxiety disorder, these conditions were not marked in the Level I PASARR form, and the form incorrectly indicated that no Level II evaluation was needed. The Social Services Director acknowledged that the Level I PASARR was inaccurate and that a Level II referral should have been made for this resident. Additionally, the facility did not complete a Level I PASARR screening for another resident who was admitted as an exempted hospital discharge and remained in the facility for more than 30 days. The Level I PASARR for this resident was marked as exempted hospital discharge, with a note that a Level II must be completed if the scheduled discharge did not occur. However, the resident remained in the facility, and no Level II referral was made. Both the Social Services Director and the Director of Nursing confirmed that PASARR forms should be completed accurately and that Level II referrals should be made when required.