Based on interview and record review, the facility failed to coordinate assessments for two residents, (R#6 and R#21) with the pre-admission screening and resident review (PASRR) program under Medicaid. The facility did not complete a corrected PASRR Level One evaluation for R#6 and R#21 when they were incorrectly identified on their original PASRR Level One Screening Forms as not having Mental Illness. This failure could affect the quality of life of three residents who were identified as being PASRR positive. This failure could negatively affect 22 residents who were identified as having a psychiatric [DIAGNOSES REDACTED]. The findings were: R#6 Review of R#6's Face Sheet dated 02/20/17 revealed he was admitted to the facility on [DATE] and readmitted on [DATE]. …
F285
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F285 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D150.0% | E150.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F285 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review and staff interview, the facility did not ensure 3 (R (Resident) 11, R12, and R7) of 24 sampled residents reviewed met the PASRR (Pre-Admission Screen and Resident Review) requirements. R11's Level 1 PASRR documented R11 did have a current [DIAGNOSES REDACTED]. No further PASRR screens were completed for R11. R12's Level 1 PASRR documented R12 did not have a current [DIAGNOSES REDACTED]. R12's medical record indicated R12 did have a depression disorder. No further Level 1 or Level 2 screens were completed for R12. R7's Level 1 PASRR documented R7 had a serious mental illness and received medication to treat the symptoms or behaviors of a major mental disorder. No further PASRR screens were completed for R7. Findings include: 1. …
Based on observation, interview and record review, the facility failed to provide and arrange for specialized services identified by the facility for 4 of 6 residents reviewed for PASRR (Resident #2, #3, #4, and #5) Pre-Admission Screening and Resident Review. A. Resident #3, #4, and #5 did not have specialized services approved through PASRR as the documents were not submitted through the online Long-term Care portal. B. Resident #2 did not have accurate information submitted into the online portal within 20 business days, and did not receive PASRR approved services. This failure has the potential to affect the quality of life of all 7 residents identified as a Level II or PE PASRR by contributing to their not receiving specialized services in the most appropriate setting. …
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