Failure to Initiate PASARR Level II After New Mental Health Diagnoses
Penalty
Summary
The facility failed to coordinate Pre-admission Screening and Resident Review (PASARR) Level II assessments for three residents who had new or updated diagnoses of serious mental illness during their stay. Specifically, the records for these residents showed diagnoses such as Schizoaffective Disorder, Bipolar Disorder, and Major Depressive Disorder, which were documented after their initial PASARR Level I screenings. The initial Level I screenings had determined that Level II was not indicated, but the screenings also stated that a new screen must be submitted if changes or new information arose. Despite the emergence of new diagnoses indicating serious mental illness, the facility did not initiate or complete PASARR Level II screenings for these residents. This was confirmed by the Social Service Director, who acknowledged that the required Level II assessments were not performed following the updated diagnoses. The facility's own PASARR policy requires referral for Level II review upon significant changes in status or new evidence of serious mental disorder, but this procedure was not followed in these cases.