Failure to Refer for PASRR Level II Evaluation After Identification of Serious Mental Illness
Penalty
No penalty information released
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 refer a resident for further evaluation after the resident was diagnosed with multiple serious mental illnesses, including schizophrenia, bipolar disorder, anxiety, and PTSD. Although the resident's PASRR Level I screening initially indicated no serious mental illness, subsequent documentation in the resident's history and physical, MDS assessment, and psychiatric physician notes all identified these diagnoses. Despite this information, the facility did not update the PASRR Level I screening or contact the state mental health authority for further evaluation, as confirmed by interviews with the administrator and social worker.