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F0645
D

Failure to Complete PASARR Level II Screening Due to Incorrect Information

South Holland, Illinois Survey Completed on 08-01-2025

Penalty

No penalty information released
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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 obtain a required PASARR (Preadmission Screening and Resident Review) Level II screening for a resident with a diagnosis of intellectual disability. Despite the resident's family waiting for over two months for the screening to be completed in order to facilitate a transfer to another facility, the process was delayed due to incorrect information being entered into the PASARR system. Specifically, the facility listed its own address instead of the resident's prior community address, which prevented the external assessment from being initiated. The PASARR Help Desk confirmed that the screening could not proceed without the correct address information. Documentation shows that the most recent PASARR was completed in late May, indicating a referral for Level II screening. Progress notes reveal ongoing communication attempts with the PASARR assessment company and the state, but there were significant gaps between follow-ups, with over 30 days passing between contacts. The resident, who has an intellectual disability, was observed to have limited verbal communication during the survey. The deficiency resulted from the facility's failure to provide accurate information and timely follow-up, leading to a prolonged delay in the required screening process.

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