Failure to Complete Accurate PASRR Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to provide an accurate PASRR Level 1 screening for a resident who was admitted with a diagnosis of psychotic disorder with hallucinations and depression. Despite these diagnoses, the resident's PASRR Level 1 screening, completed by the hospital doctor prior to admission, was marked negative for mental illness, intellectual disability, and developmental disability. Upon review, facility staff including the administrator, MDS coordinator, and DON all acknowledged that the resident's diagnoses should have resulted in a positive Level 1 PASRR screening, which would have triggered a Level 2 evaluation. The resident's care plan indicated the use of antipsychotic medication for the treatment of her psychotic disorder, and her MDS assessment showed intact cognitive function. The facility's PASRR policy required that any indication of mental illness, intellectual disability, or developmental disability in the Level 1 screening should prompt a Level 2 evaluation, following state-specific procedures. The failure to identify the resident's mental illness in the PASRR Level 1 screening resulted in the resident not being properly evaluated for specialized services she may have been eligible to receive.