Failure to Timely Rescreen Expired PASRR Level II for Resident with Mental Health Diagnosis
Penalty
Summary
The facility failed to obtain further approval and screening through the Level II Pre-admission Screening and Resident Review (PASRR) evaluation process as required for a resident with a diagnosis of bipolar affective disorder. The resident was admitted with a PASRR Level II Determination Notice that specified nursing facility placement was appropriate for a limited stay of no more than thirty days, with an explicit expiration date. However, the facility did not recognize that the PASRR had expired, and the required rescreening was not completed in a timely manner. The deficiency was identified when the Social Worker discovered the expired PASRR during a periodic audit, noting that the original PASRR letter had not been scanned into the electronic record, which contributed to the oversight. Interviews confirmed that the facility had not been consistently tracking PASRR statuses to ensure they were current, and the lapse was only discovered after the expiration had already occurred. The resident involved reported receiving all needed care and had no concerns at the time of the survey.