Failure to Timely Submit PASRR NFSS Request for Specialized Services
Penalty
Summary
The facility failed to coordinate the Pre-Admission Screening and Resident Review (PASRR) assessment for specialized services for one resident with intellectual and developmental disabilities. Specifically, the facility did not submit a Nursing Facility Specialized Services (NFSS) request for a customized wheelchair with a positioning wedge by the required deadline through the LTC Online Portal. The resident's care plan and PASRR comprehensive service plan indicated the need for specialized services, and the interdisciplinary team had agreed on these services. However, the NFSS form was not completed and submitted in a timely manner, as confirmed by the review of the facility's portal history and interviews with staff. Interviews revealed that the therapy department was responsible for completing the NFSS form, but submission was delayed due to difficulties obtaining the physician's signature. The customized wheelchair was eventually provided, but the required documentation was submitted late. Additionally, the facility's policy did not clearly specify who was responsible for NFSS submission or the required time frame, contributing to the delay. The deficiency was identified through interview and record review, and the facility's policy review showed gaps in guidance regarding PASRR documentation and responsibilities.