Inaccurate PASARR Level I Screening for Residents With Mental Illness
Penalty
Summary
The facility failed to ensure accurate completion of PASARR Level I Identification Screens for two residents with documented mental health diagnoses. For one resident, the admission record showed diagnoses including metabolic encephalopathy, generalized anxiety disorder, hemiplegia and hemiparesis following cerebral infarction, and dysphagia. However, the PASARR form dated 08/23/25 indicated that this resident did not have a suspected mental illness diagnosis. During an interview, the DON confirmed that the resident’s generalized anxiety disorder should have been indicated on the PASARR form but was not. For another resident, the admission record listed multiple mental health-related diagnoses, including Alzheimer’s disease, delusional disorders, dementia with agitation and anxiety, major depressive disorder, bipolar disorder with psychotic features, anxiety disorder, obsessive compulsive disorder, PTSD, and panic disorder. Hospital discharge paperwork showed this resident had been admitted to and received inpatient care at a behavioral health hospital. Despite these documented conditions, the PASARR form dated 12/18/25 stated that the resident did not have a diagnosis or suspected mental illness. In an interview, the DON confirmed that this PASARR form was not correct and did not meet her expectations.
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