Inaccurate PASARR Assessment for Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accuracy of a resident's Preadmission Screening and Resident Review (PASARR) assessment, which is required to identify individuals with serious mental illness (SMI) or intellectual/developmental disabilities (ID/DD). A review of the medical record for a resident admitted with diagnoses including a bone infection, depression, and anxiety showed that the comprehensive assessment documented both depression and anxiety. However, the PASARR assessment only marked depression under the SMI/ID section and did not include the resident's anxiety diagnosis. During interviews, the Social Service Director acknowledged being unaware of the anxiety diagnosis and confirmed the PASARR was inaccurate and needed correction. The Administrator also confirmed that the established process for verifying SMI diagnoses in PASARR assessments was not followed for this resident.