Failure to Coordinate PASRR Assessments and Timely Provision of Specialized Services
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASRR) program and did not incorporate the recommendations from the PASRR evaluation report into the care planning for a resident. Specifically, the care plan identified that the resident, who had diagnoses including muscle weakness, quadriplegia, muscle spasm, and abnormal posture, required specialized services due to mental illness and traumatic brain injury (TBI). The interdisciplinary team (IDT) agreed that the resident needed a specialized or treated pressure-reducing support surface mattress as durable medical equipment (DME), but the facility did not provide or arrange for this service within the required timeframe set by PASRR. Record review and staff interviews revealed that the necessary Nursing Facility Specialized Services (NFSS) form for the DME was not submitted within the 20 business days required after the IDT meeting. The Clinical Reimbursement Coordinator and Corporate Nurse confirmed that the NFSS for the specialized mattress was not submitted until several months after the recommendation, and the facility remained out of compliance. Additionally, the MDS Coordinator reported not having been trained on PASRR, and the facility lacked a policy regarding PASRR coordination at the time of the deficiency.