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F0645
D

Failure to Submit PASRR Screening After Resident Readmission

Port Arthur, Texas Survey Completed on 06-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to accurately submit a PASRR Level 1 (PL1) screening for a resident who was readmitted from a mental health hospital with diagnoses including anxiety, schizophrenia, and depression. Despite the resident's history of mental illness and use of psychotropic medications, there was no evidence of a PASRR Level II screening or Form 1012 in the clinical record following the readmission. The resident's PL1 form indicated a positive result for mental illness, but the required follow-up evaluation by the local mental health authority was not completed. Interviews with facility staff revealed that the MDS nurse, who was responsible for PASRR forms, acknowledged overlooking the transmission of the PL1 form upon the resident's readmission. The DON confirmed that the MDS nurse had been trained on PASRR procedures but failed to complete the necessary steps, resulting in the absence of required documentation and evaluation for the resident after readmission.

An unhandled error has occurred. Reload 🗙