Failure to Submit Corrected PASARR for Resident with Cerebral Palsy
Penalty
Summary
The facility failed to submit a new, corrected, and accurate Level 1 Preadmission Screening and Resident Review (PASARR) for a resident who was admitted and later readmitted with diagnoses including cerebral palsy, Chiari Syndrome, and dysphagia. The resident's admission record indicated a principal diagnosis of cerebral palsy, but the Level 1 PASARR completed prior to admission did not reflect this diagnosis. The discrepancy was identified during a review of the resident's records, which also showed severe cognitive impairment and total dependence on staff for activities of daily living. During an interview and record review, the DON acknowledged responsibility for overseeing PASARR and confirmed that the Level 1 PASARR contained an error by not listing cerebral palsy as a primary diagnosis. The facility's policy required submission of a new Level 1 PASARR if any error or discrepancy was found in the previous screening, but this was not done. The failure to correct the PASARR could have affected the determination of appropriate placement and the identification of specialized services for the resident.