Failure to Ensure Completion of Required Level 2 PASRR Evaluation
Penalty
Summary
The facility failed to ensure completion of a required Level 2 Preadmission Screening and Resident Review (PASRR) evaluation for a resident admitted with known mental illness. The resident’s Facesheet documented an admission with multiple psychiatric diagnoses, including schizoaffective disorder, dementia, major depressive disorder, post-traumatic stress disorder, and generalized anxiety disorder. A PASRR report dated 10/2/24 indicated that a Level 2 PASRR evaluation was required for this resident, but the facility was unable to provide evidence that this Level 2 evaluation was ever completed. During an interview on 12/10/25, the Restorative Nurse stated that the facility had requested a Level 2 evaluation for the resident, but the evaluation was canceled when the evaluator went to the resident’s previous facility to conduct it. Despite this cancellation, there was no documentation showing that the Level 2 PASRR evaluation was subsequently completed after the resident’s admission. This failure occurred despite the facility’s own PASRR policy stating that it would request full and complete PASRR materials, including Level 1 and Level 2, from each referral source prior to or soon after admission.
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