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F0645
D

Failure to Complete Timely PASARR Rescreening for Resident With Mental Health Disability

Millsboro, Delaware Survey Completed on 08-25-2025

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

A deficiency occurred when the facility failed to ensure a timely PASARR Level I and II rescreening for one resident with a mental health disability whose initial PASARR determination authorized only a 60‑day convalescent categorical stay. The resident’s Notice of PASARR Level I Screen Outcome, dated 6/5/25, documented a convalescence categorical approval period of 60 days with a suspected or confirmed mental health (MH) disability and specified that a 60‑day or less NF stay was authorized and that rescreening must occur by or before 60 days if the individual was expected to remain beyond that timeframe. The resident was admitted on 6/12/25 with diagnoses including post‑traumatic stress disorder and anxiety and remained in the facility beyond the 60‑day authorization period without a new PASARR rescreening being submitted. During an interview on 8/22/25, the social worker acknowledged that the PASARR rescreening had not been submitted and stated they believed the approval period was 90 days, confirming that the required rescreening had not been initiated within the mandated timeframe.

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