Failure to Complete PASRR Prior to Admission
Penalty
Summary
The facility failed to ensure that the required Pre-admission Screening and Resident Review (PASRR) was completed prior to the admission of a resident with moderate intellectual disability, autistic disorder, and epilepsy. According to the facility's own policies, a PASRR Level 1 form must be completed before a resident is admitted. However, a review of the resident's medical record showed that no PASRR documents were received prior to their admission. The comprehensive assessment conducted after admission documented the resident's moderate cognitive impairment and a tendency to reject care from staff. During interviews, the Admissions Coordinator acknowledged that there was a process in place to ensure PASRR documentation was included in each resident's records before admission, but admitted that the PASRR for this resident was missing and had been overlooked. The Administrator was informed of the missing PASRR and confirmed the failure to follow the required process for this resident's admission.