Failure to Complete PASARR Screening Prior to Admission
Penalty
Summary
The facility failed to ensure that Preadmission Screening and Resident Review (PASARR) Level I and Level II were conducted prior to admission for two residents with mental disorders or intellectual disabilities. Interviews with the admission director and administrator confirmed that PASARR screenings were not completed for these residents before their admission, despite both staff members acknowledging the requirement for such screenings to determine eligibility and specialized service needs. The facility's policy also states that nursing and medical needs for individuals with mental disorders or intellectual disabilities should be determined through coordination with the Medicaid PASARR program. Record reviews revealed that one resident, a female with diagnoses including dementia, unspecified psychosis, delusional disorder, bipolar disorder, and adjustment disorder, was admitted without a PASARR screening. Her care plan noted psychiatric illness and behavioral disturbances. Another resident with major depressive disorder and delusional disorders was also admitted without the required PASARR screening, with care plans indicating severe mental illness and behavioral concerns. The lack of PASARR completion prior to admission was confirmed by both the administrator and admission director.