Failure to Coordinate Quarterly PASRR IDT Meetings for Resident with Serious Mental Illness
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASRR) program to the maximum extent practicable, resulting in missed quarterly PASRR Interdisciplinary Team (IDT) meetings for a resident with a serious mental illness. Record review showed that the resident, who had diagnoses including schizoaffective disorder and major depressive disorder, was identified as PASRR positive and required specialized services. Although the care plan indicated that the local authority would be invited annually to care plan meetings, documentation revealed that quarterly IDT meetings were not consistently conducted as required. The resident's PASRR Level 1 Screening and evaluation confirmed the need for specialized services, but recommended services were not listed, and only two IDT meetings were documented over a period exceeding one year. Interviews with facility staff, including the MDS Coordinator and PASRR Coordinator, revealed that the missed meetings were attributed to a lapse in the resident's Medicaid coverage. Staff stated that when Medicaid lapsed, IDT meetings were not scheduled, and there was a lack of awareness regarding the missed quarterly meetings. The facility's policy did not specify the required frequency for PASRR IDT meetings. The administrator confirmed the expectation for quarterly meetings and identified the MDS Coordinator as responsible for coordination, but acknowledged the deficiency in meeting this requirement.