F0645

D

Inaccurate PASARR Level I Screening for Mental Health Conditions

Artesia, New Mexico Survey Completed on 02-26-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure PASARR Level I Identification Screens accurately reflected residents’ mental health diagnoses and need for Level II evaluations. For one resident with hemiplegia and hemiparesis following a stroke, Type II diabetes, depression, and mixed anxiety and depression, record review showed a PASARR form dated 06/20/25 that indicated a Level II PASARR was required. During interview, the DON stated that Section E of this PASARR should not have indicated the need for a Level II evaluation and acknowledged the form was not filled out correctly and did not meet her expectations because it was incorrect.

For another resident admitted with schizophrenia, psychoactive substance abuse, and PTSD, review of the PASARR dated 12/29/25 showed that Section E indicated the resident had no mental health illness issues. In interview, the DON stated that the PASARR should have indicated the schizophrenia diagnosis in this section and confirmed that it did not, again stating this did not meet her expectations because it was incorrect. The survey findings note that 2 of 5 residents reviewed for PASARR accuracy had forms that did not correctly identify their diagnoses or need for secondary screening.