Failure to Complete PASARR Prior to Admission for Resident with Mental Disability
Penalty
Summary
Facility staff failed to provide evidence that a Level 1 preadmission screening and resident review (PASARR) was completed prior to or at the time of admission for a resident with a mental disability. The requirement is that all applicants to Medicaid-certified nursing facilities be screened for possible serious mental disorders, intellectual disabilities, and related conditions before admission. In this case, a resident admitted with a diagnosis of paranoid schizophrenia did not have documentation of a completed PASARR at the time of admission. During the survey, a review of the resident's paper and electronic medical records did not show a PASARR completed prior to or at the time of admission. When requested, the social worker was unable to provide the PASARR from the time of admission and only produced a PASARR dated nearly two years after the resident's admission. The deficiency was identified during the annual survey for one of two residents reviewed for PASARR compliance.