F0644

D

Failure to Complete Correct PASRR Level I and Required Level II for Resident With Mental Health Diagnoses

Coeur D'alene, Idaho Survey Completed on 03-20-2026

Penalty

No penalty information released

Summary

Surveyors determined that the facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASRR) program by not providing a required PASRR Level II to the designated state agency for one resident. The resident was admitted with multiple diagnoses, including PTSD, anxiety, and depression. A PASRR Level I completed on 3/27/25 did not document that the resident had PTSD or an anxiety disorder, despite these diagnoses being present. During an interview on 3/18/26 at 9:34 AM, the Social Services Director (SSD) acknowledged that the resident should have had a corrected PASRR Level I completed, along with a PASRR Level II, due to the PTSD and anxiety diagnoses. This failure resulted in incomplete coordination of care and lack of appropriate documentation of interventions in the resident’s care plan, as identified through observation, policy review, and staff interviews.

The deficient practice was identified for 1 of 2 residents whose records were reviewed for PASRR documentation and was based on the discrepancy between the resident’s documented mental health diagnoses and the information recorded on the PASRR Level I, as well as the absence of a PASRR Level II referral to the state agency.