Failure to Update PASRR Screening After New Mental Health Diagnoses and Medication
Penalty
Summary
The facility failed to ensure that a Pre-admission Screening and Resident Review (PASRR) Level I Screen was updated and a Level II Screen was initiated when a resident developed new mental health diagnoses and was prescribed new psychotropic medication. The resident was admitted with diagnoses including fracture, anemia, hypertension, depression, and mood disorder, and had a BIMS score indicating intact cognition. The initial PASRR Level I Screen did not indicate the need for a Level II evaluation. However, subsequent medical records showed the resident was diagnosed with a mood disorder and depression and was prescribed citalopram, an antidepressant. Despite these changes, the facility did not update the PASRR Level I Screen or submit for a Level II reevaluation. The Nursing Home Administrator confirmed that the required PASRR updates were not completed following the new diagnoses and medication orders, and stated that it was the Social Worker's responsibility to complete these screens.