Inaccurate PASRR Level 1 Screening for Resident With Bipolar Disorder
Penalty
Summary
The facility failed to ensure an accurate Preadmission Screening and Resident Review (PASRR) Level 1 screening was completed for one resident at admission. Record review showed that this resident’s face sheet listed diagnoses of unspecified dementia, moderate, with agitation, and bipolar disorder, unspecified, at the time of admission. However, the PASRR Level 1 form completed for this resident indicated that the resident did not have a mental illness diagnosis. During an interview, the Admissions Coordinator stated that she and the admissions liaisons were responsible for reviewing PASRRs upon admission and ensuring they were accurately completed, acknowledged that the PASRR documented no mental health diagnosis despite the resident’s bipolar disorder diagnosis, and stated it was her expectation that this inaccuracy should have been identified and corrected at admission. This discrepancy between the admission documentation and the PASRR Level 1 screening, and the failure of the admissions staff to identify and correct the error during their review process, led to the cited deficiency for not accurately assessing the resident’s mental health status at admission as required.
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