Failure to Complete Timely PASRR Re-Screening for Resident With Mental Illness
Penalty
Summary
The facility failed to ensure timely resubmission of a Level 1 Preadmission Screening and Resident Review (PASRR) evaluation before the expiration of a 60‑day approval period for one resident with a mental health diagnosis. The resident’s facesheet showed admission with a diagnosis of bipolar disorder. A PASRR Level 1 screening dated 1/24/24 authorized a nursing facility stay of 60 days or less and explicitly required that a re‑screening be performed by or before the end of that 60‑day period. However, the next PASRR document available in the record was a Level 2 evaluation dated 2/26/25, which was completed well beyond the 60‑day timeframe specified in the initial Level 1 approval. During an interview, the Social Services Director stated that PASRR is completed on admission and after a temporary approval expires, that hospitals usually complete the 30‑ or 60‑day temporary assessments, and that a new PASRR 2 is requested when there is a new mental illness diagnosis, but there was no evidence that a timely re‑screening occurred within the required 60 days for this resident. This deficiency centers on the lapse between the expiration of the resident’s 60‑day PASRR Level 1 approval and the subsequent PASRR Level 2 evaluation, with no documented re‑screening by or before the required deadline.
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