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F0641
D

Inaccurate PASRR Coding on MDS Assessment

Barco, North Carolina Survey Completed on 12-04-2025

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 accurately code the Minimum Data Set (MDS) assessment in the area of Preadmission Screening and Resident Review (PASRR) for one resident with diagnoses of bipolar disorder and schizophrenia. The resident's PASRR Level II determination indicated that nursing home placement was appropriate and required follow-up psychiatric services by a psychiatrist, with no expiration date on the determination. However, the resident's annual MDS assessment was incorrectly coded to indicate that the resident was not considered by the state Level II PASRR process to have a serious mental illness or related condition. The MDS nurse responsible for coding acknowledged that the resident's PASRR status was Level II and admitted to not coding the annual MDS assessment accurately. The administrator also confirmed that the MDS assessment should have been coded accurately.

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