Failure to Accurately Complete PASARR Level I Screening for Mental Illness
Penalty
Summary
The facility failed to ensure the accuracy of the Pre-admission Screening and Resident Review (PASARR) Level I assessment for one resident. Specifically, the PASARR Level I screening did not indicate a diagnosis of mental illness, despite the resident having a documented diagnosis of bipolar disorder with an onset date prior to admission. The resident's medical record, including the face sheet and care plan, clearly reflected the diagnosis of bipolar disorder and anxiety, and the resident was receiving antianxiety medication. However, the PASARR Level I screening form marked 'no' for mental illness, resulting in an inaccurate assessment. Interviews with facility staff revealed that the PASARR Level I screening was received from the hospital and was not corrected upon admission, even though the error was identified. The MDS nurse, who was responsible for ensuring the accuracy of PASARRs, acknowledged that the form should have been corrected and that there was no evidence anyone at the facility requested a correction from the hospital. The facility's policy required timely and accurate submission of PASARR forms, but this was not followed in this instance.