Failure to Complete Required PASRR Level II Evaluation Prior to Admission
Penalty
No penalty information released
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Summary
A deficiency was identified when a resident was admitted to the facility without completion of a required Level II PASRR (Preadmission Screening and Resident Review) evaluation. The resident, who was cognitively intact with a BIMS score of 13 out of 15, had documented diagnoses including bipolar disorder, anxiety disorder, and a history of cerebrovascular accident, transient ischemic attack, or stroke. Review of the resident's PASRR Level I screening indicated the presence of a mental illness that necessitated a Level II PASRR evaluation prior to admission. However, medical record review and staff interview confirmed that this evaluation was not completed before the resident's admission.