Failure to Accurately Reflect Developmental Disability in PASARR Screening
Penalty
Summary
The facility failed to ensure that the required Preadmission Screening and Resident Review (PASARR) Level I screening accurately reflected a resident's possible or suspected developmental disability. One resident, a 33-year-old female, was observed to be very childlike, expressed confusion about her placement, and had a documented history of developmental delay and mild cognitive impairment. Despite these observations and documentation from the emergency room physician indicating a developmental delay and behavior significantly younger than her stated age, the PASARR Level I screening completed at admission indicated that there was no diagnosis or suspicion of intellectual disability. The facility relied on the PASARR completed by the hospital and did not conduct further assessment or question the findings, even though the resident's records and observed behavior suggested otherwise. The facility's policy requires review of PASARR documents to assess resident needs, but in this case, the documentation and observations indicating a developmental disability were not reflected in the PASARR screening outcome.