Failure to Update PASARR After New Mental Health Diagnosis
Penalty
Fine: $16,149
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to update the Pre-admission Screening and Resident Review (PASARR) for a resident who was diagnosed with Major Depressive Disorder. Record review showed that the resident received this diagnosis on 01/28/25, and a care plan was developed on the same date to address the new diagnosis. However, the PASARR was not updated to reflect this change in the resident's mental health status. This deficiency was confirmed during the annual survey process through both record review and staff interview, with the Director of Social Services acknowledging that the PASARR should have been updated.