Failure to Complete PASARR Assessment After Change in Mental Health Condition
Penalty
Summary
The facility failed to ensure that a resident was properly assessed for a PASARR (Pre-admission Screening and Resident Review) following a change of condition related to mental illness. Specifically, the resident had a new order for Seroquel, an antipsychotic medication, administered via G-tube every eight hours for psychosis. Despite this significant change in the resident's mental health status and treatment, the facility did not complete a new PASARR assessment to reflect the updated condition and medication order. Record review showed that the most recent PASARR on file for the resident was dated nearly a year prior to the new Seroquel order. During an interview, the DON confirmed that no updated PASARR had been completed after the change in the resident's mental health status. The facility's policy indicated that the MDS Coordinator is responsible for ensuring PASARR updates per guidelines, but this process was not followed in this instance.