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F0646
D

Failure to Initiate PASARR Review After Significant Change in Condition

Wilmington, Delaware Survey Completed on 11-12-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to initiate a new PASARR (Pre-admission Screening and Resident Review) evaluation for a resident with mental health diagnoses when there was a significant change in condition. The resident, who had a history of bipolar disorder and was previously determined to require a PASARR Level II without specialized services, was later diagnosed with delusional disorder, a diagnosis not present in the initial PASARR evaluation. Following this change, the resident exhibited escalating delusional behaviors and was started on a new atypical anti-psychotic medication (Rexulti) for delusional disorder. Despite these significant changes in the resident's psychiatric condition and medication regimen, the facility did not request a new PASARR evaluation as required.

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