Failure to Accurately Complete PASRR Screening for Resident with Intellectual Disability
Penalty
Summary
The facility failed to accurately complete the Preadmission Screening and Resident Review (PASRR) for one resident who had documented diagnoses of mild intellectual disabilities and cerebral palsy. Upon review, the PASRR Level I screening did not indicate the presence or suspicion of intellectual or developmental disability or related conditions, despite these diagnoses being present in the resident's admission record. The Minimum Data Set Coordinator (MDSC) confirmed that the PASRR did not match the resident's diagnoses and stated that, had the intellectual disability been identified, it would have triggered a Level II evaluation. The PASRR was completed at the facility but was never reviewed for accuracy. Interviews with facility staff, including the MDSC and Assistant Director of Nursing (ADON), revealed that staff were expected to review completed PASRRs for accuracy, but this was not done in this case. The facility's policy required all new admissions and readmissions to be screened for mental disorders, intellectual disabilities, or related disorders, and to refer individuals for Level II evaluation if indicated. The failure to accurately complete and review the PASRR resulted in the resident not being properly evaluated for specialized services as required by policy.