Failure to Accurately Coordinate PASRR with Resident Diagnoses
Penalty
Summary
The facility failed to ensure that the Preadmission Screening and Resident Review (PASRR) was current and accurately coordinated with the Minimum Data Set (MDS) for one resident. Specifically, a resident with a diagnosis of major depressive disorder, documented prior to admission and prior to the completion of the PASRR, did not have this diagnosis reflected on the PASRR completed by the facility. The resident was receiving medications for depression, including Quetiapine Fumarate and Sertraline HCl, as ordered by a physician. During record review and staff interviews, it was confirmed that the diagnosis of major depression was omitted from the PASRR, despite being present in the resident's medical history before the PASRR was completed. The Director of Nursing and the facility administrator acknowledged the omission during the survey process.