Failure to Submit PASARR Specialized Services Request in Timely Manner
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASARR) program as required, specifically by not submitting a complete and accurate request for nursing facility specialized services (NFSS) in the LTC Online Portal within 20 business days after the Interdisciplinary Team (IDT) meeting for one resident. The resident, who was cognitively intact and had diagnoses including seizure disorder, schizophrenia, post-traumatic stress disorder, and mild intellectual disabilities, had a positive PASARR Level 1 screening for mental illness and intellectual disabilities. However, there was no care plan for PASARR services in the resident's comprehensive care plan, and the required NFSS request was not submitted following the IDT meeting. Interviews with facility staff revealed a lack of knowledge regarding the PASARR process and the resident's status. The MDS Nurse was unaware of the required submission timeline and the services the resident should be receiving, while the DON believed the resident was receiving PASARR services but could not explain the failure to submit the necessary documentation. The Regional Reimbursement Nurse confirmed that the NFSS request form had not been submitted and indicated that this omission could prevent the resident from receiving appropriate services. Facility policy required submission of IDT meeting information in the LTC Online Portal, which was not followed in this case.