Failure to Submit PASRR Level II Screens After 30-Day Hospital Exemption Expired
Penalty
Summary
The facility failed to ensure that a Pre-admission Screening and Resident Review (PASRR) Level I Screen was followed by a Level II Screen when the 30-day hospital exemption expired for two residents. Both residents were identified as suspected of having a serious mental illness on their PASRR Level I Screens and were granted a 30-day hospital exemption. However, after the expiration of the exemption, there was no evidence in the medical records that a PASRR Level II Screen was submitted for either resident. One resident had a diagnosis of anxiety disorder and was prescribed Ativan, with a Brief Interview for Mental Status (BIMS) score indicating no cognitive impairment. The other resident had diagnoses of insomnia, depression, and anxiety disorder, was prescribed multiple psychotropic medications, and had a BIMS score indicating moderate cognitive impairment. The Admissions Coordinator confirmed responsibility for completing PASRRs and acknowledged that the required Level II Screens were not submitted after the exemptions expired.