Failure to Ensure Accurate PASRR Screening for Mental Illness
Penalty
Summary
The facility failed to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) was completed for one resident. Upon review of the resident's admission record, it was found that the resident had a diagnosis of schizophrenia and was prescribed aripiprazole, an antipsychotic medication. The resident's Minimum Data Set (MDS) also indicated severe cognitive impairment and a need for assistance with most activities of daily living. However, the Level I PASRR screening completed prior to admission did not identify the resident's serious mental illness or the use of psychotropic medication. During interviews and record reviews, the Director of Nursing (DON) acknowledged that the PASRR was inaccurate and should have been reviewed and corrected before admission. The facility's policy required all applicants to be screened for mental illness to ensure coordination with appropriate state agencies if indicated. The discrepancy in the PASRR was not identified or addressed prior to the resident's admission, resulting in the deficiency.