Failure to Complete Required PASARR Follow-Up After 60-Day Convalescent Approval
Penalty
Summary
The facility failed to ensure that a required PASARR (Preadmission Screening and Resident Review) follow-up screening was completed for a resident whose initial PASARR Level I determination authorized only a 60-day convalescent stay. The resident was admitted from a rehabilitation hospital with diagnoses including anoxic brain injury and bipolar disorder, and the PASARR Level I screening dated 11/29/23 documented a convalescence categorical determination with an approval period of 60 days, noting that the resident may have a serious mental illness or intellectual/developmental disability and could remain in the nursing facility for up to 60 days without further PASARR assessment. After this 60-day approval period expired, no subsequent PASARR screening was completed as required. According to the Social Service Director, corporate staff had been completing the initial PASARR screenings and social services staff were responsible for following up on cases with a 60-day limit, but the social services staff member in place at that time did not complete the follow-up screening, and the current Social Service Director, who started in April, was unaware that it needed to be done.
