Failure to Accurately Complete PASARR Screening for Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accuracy of the Preadmission Screening and Resident Review (PASARR) for a resident with multiple mental health diagnoses. Record reviews showed that the resident was admitted with diagnoses including anxiety disorder, major depressive disorder, and ADHD. Despite these diagnoses, the PASARR form completed for the resident was inaccurate: Section A, which identifies the type of review, was left blank, and Section C, which should list mental illness evaluation criteria, was marked 'No' and did not include the resident's mental health diagnoses. The resident's Minimum Data Set and care plan both documented the use of antidepressant medication for depression, further confirming the presence of mental health conditions that should have been reflected in the PASARR. Interviews with facility staff revealed that the Admissions Director acknowledged the PASARR was incorrect and did not align with the resident's medical orders. The Social Services Assistant stated she was familiar with the PASARR process but had not received formal training and was not involved in the completion or review of the resident's PASARR. The Administrator and Social Services Director both confirmed that PASARR responsibilities are shared between Admissions and Social Services, and both agreed that the PASARR for this resident was not completed accurately, as required.