F0645

D

Failure to Complete Required PASARR Level II Referral for Resident With Intellectual Disability

Baltimore, Maryland Survey Completed on 02-24-2026

Penalty

Fine: $55,890

Summary

The facility failed to complete the required Level II Preadmission Screening and Resident Review (PASARR) referral for a resident with an intellectual disability. Record review on 2/20/26 at 11:00 AM showed a PASARR Level I screening form dated 10/12/23 that indicated the resident should have been referred for a Level II evaluation, but no Level II PASARR documentation was found in the resident’s record. During an interview at 11:15 AM on the same day, the Director of Social Work acknowledged that the resident’s diagnosis of intellectual disabilities had been overlooked at admission, despite the Level I form indicating that a Level II referral was required. On 2/24/26 at 2:15 PM, the Nursing Home Administrator was informed that the resident did not have the required PASARR Level II referral.

The deficiency centers on the omission of the mandated Level II PASARR referral and associated documentation for a resident whose Level I screening and documented diagnosis of intellectual disabilities required such an evaluation, with the oversight confirmed by the Director of Social Work during the surveyor interview.