Failure to Complete PASARR Level II Screenings After New Mental Health Diagnoses
Penalty
Summary
The facility failed to refer two residents for a required PASARR Level II screening after new or changed diagnoses of serious mental illness were identified. For one resident, a new diagnosis of Paranoid Personality Disorder and the addition of psychotropic medications were documented, but no subsequent Level II PASARR was completed following these changes. The administrator confirmed that a new Level II PASARR should be completed when a new mental health diagnosis is added, and the social services staff acknowledged that this was not done after the resident's diagnosis and medication changes. For another resident, new diagnoses of unspecified psychosis and delusional disorder were recorded, along with the initiation of a psychiatric medication. The social services director confirmed that a new PASARR Level II screening should have been completed for this resident but was not. Facility policy requires coordination with the Medicaid PASARR program to determine the needs of individuals with mental disorders, but this process was not followed for these two residents after significant changes in their mental health status.