Failure to Complete Timely PASRR Screenings After Exempted Hospital Stays
Penalty
Summary
The facility failed to ensure timely completion of Pre-admission Screening and Resident Review (PASRR) processes for residents with mental disorders or intellectual disabilities following exempted hospital stays. For one resident with end stage renal disease and depression, the initial PASRR indicated an exempted hospital discharge, but the required section of the form was not completed. After the resident was readmitted from the hospital, a new PASRR was not completed as required, despite the resident remaining in the facility beyond the 30-day exemption period. The Social Services Director confirmed that a new PASRR should have been completed upon the resident's readmission. Another resident with medically complex conditions, depression, and dementia was admitted from the hospital with a Level I PASRR indicating exemption due to a hospital stay. However, the resident remained in the facility beyond the 30-day exemption period, and an updated Level I PASRR was not completed until two months after the required timeframe. The Social Services Director acknowledged that the updated PASRR was not completed within the required period and could not locate documentation of timely completion.