Failure to Complete and Maintain Required PASARR Screenings
Penalty
Summary
The facility failed to ensure required Preadmission Screening and Resident Review (PASARR) documentation was completed and present in the medical records for two of five sampled residents, identified as Residents #5 and #48. Record review showed that neither resident’s chart contained a PASARR, which is a federal requirement used to ensure that individuals with serious mental illness or intellectual/developmental disabilities are appropriately screened and directed to the most suitable setting with needed specialized services. A Level 1 PASARR screening is intended to identify conditions that require specialized services. During an interview, the Director of Social Services confirmed that all residents are required to have a Level 1 PASARR screening completed before admission. She explained that for new admissions from the community, she conducts the PASARR interview starting with the Level 1 screening. She further confirmed that PASARR documents were not present in the charts of Resident #5 and another resident (also referenced as Resident #109), verifying that the required screenings and documentation had not been completed or maintained for these residents.
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