Failure to Update PASRR Assessment for Mental Health Changes
Penalty
Summary
The facility failed to ensure that Pre-admission Screening and Resident Review (PASRR) assessments were updated to reflect changes in a resident's mental health status. According to facility policy, staff are required to review and update PASRR screenings periodically and as needed, based on changes in a resident's condition. For one resident with a diagnosis of depression and anxiety, the PASRR Level 1 screening was not revised despite evidence of worsening symptoms and ongoing treatment with antidepressant medication. The resident's medical record and a psychiatrist's note indicated a gradual worsening of depression and anxiety, necessitating further evaluation. During an interview, the Social Services Director acknowledged responsibility for reviewing and correcting PASRR Level 1 and 2 assessments and confirmed that the PASRR Level 1 for this resident was inaccurate. The staff member stated that a PASRR Level 2 evaluation was required but was not initiated, and the Level 1 screening was not updated to reflect the resident's current mental health needs. This oversight resulted in the resident not being properly assessed for necessary mental health services as required by facility policy and regulatory standards.