Failure to Complete Required PASARR Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to conduct the required Preadmission Screening and Resident Review (PASARR) for a resident with multiple mental health diagnoses, including schizophrenia, bipolar disorder, and major depression. The resident was admitted with these diagnoses and was receiving psychotropic medication. A review of the resident's admission record and Minimum Data Set (MDS) indicated cognitive impairment and a need for maximal assistance with daily activities. Despite these factors, the only PASARR screening on file was dated prior to admission, and no additional screenings were completed before or after the resident's admission. Interviews with the MDS Coordinator and the Director of Nursing confirmed that the facility did not submit a PASARR screening for the resident as required. The facility's policy mandates that all new admissions and readmissions be screened for mental disorders, intellectual disabilities, or related disorders through the PASARR process, regardless of payer source. The absence of a current PASARR screening was acknowledged by facility staff during the review of both paper and electronic records.