Penalty

No penalty information released

The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that required PASRR (Preadmission Screening and Resident Review) Level I and Level II screenings were completed for two residents with mental health diagnoses. For one resident admitted with diagnoses including unspecified schizophrenia and bipolar disorder, there was no evidence of a PASRR Level I screening in the medical record from the time of admission through the date of review. The Director of Nursing confirmed that the PASRR Level I screening was missed for this resident. For another resident admitted with a diagnosis of unspecified psychosis, the pre-admission PASRR Level I screening indicated a positive result for serious mental illness, which required a Level II mental health evaluation. However, there was no documentation of a Level II PASRR evaluation in the medical record from the time of the positive Level I screening through the date of review. The Director of Nursing confirmed that the PASRR Level II evaluation was not completed for this resident. The facility's policy requires Level I screenings for all admissions and Level II evaluations when indicated, but these procedures were not followed in these cases.