Failure to Complete PASRR Assessment Prior to Admission
Penalty
Summary
The facility failed to ensure that a Level I Pre-admission Screening and Resident Review (PASRR) assessment was obtained prior to the admission of a resident with diagnoses including post-traumatic stress disorder (PTSD), cognitive communication deficit, and depression. The facility's policy requires that all individuals be screened for possible serious mental disorders or intellectual disabilities before admission, with a Level I PASRR to be completed prior to entry. In this case, the resident was admitted without a completed Level I PASRR, and the assessment was only performed after admission. Record review showed that the Level I PASRR form, completed after the resident's admission, indicated the presence of serious mental illness and the need for a Level II evaluation referral. Interviews with facility staff confirmed that the PASRR was not completed prior to admission as required, and the administrator acknowledged that the process did not meet expectations, as the assessment should have been done on the date of admission.