Failure to Obtain PASARR Level I Screening Prior to Admission
Penalty
Summary
The facility failed to ensure completion of a Pre-admission Screening and Resident Review (PASARR) Level I prior to admitting a resident, as required by its policy and state Medicaid rules. The facility’s policy dated 12/24/25 stated that all applicants would be screened for serious mental disorders or intellectual disabilities through a PASARR Level I pre-screening completed before admission. One resident, identified as Resident #32, was admitted with multiple diagnoses including kidney failure and cancer, but the PASARR Level I, dated 12/16/25, was not received by the facility until four days after the resident’s admission. Record review on 1/28/26 confirmed the PASARR I was not on file at the time of admission, and during an interview, the ADON acknowledged she had not requested or received the PASARR I prior to admission and only realized it was missing on 12/16/25, at which time she requested it from the hospital. This failure created the potential for harm if residents required but did not receive specialized services for mental health while residing in the facility.
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