F645 · PASARR screening

Based on interviews, resident record review, and review of a facility policy titled Pre-admission Screening for Mental Disorder and or Intellectual Disability Patients, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR) screening process was completed for Resident Identifier (RI) #119 for a Level I or Level II determination to be made about the level of services RI #119 required for Mental Disorder or Mental Illness (MI) before admission to the facility. RI #19 was admitted to the facility on [DATE] and had a diagnosis of Schizoaffective Disorder which is a Mental Illness.On 03/18/2025 RI #119 threatened to kill people in the facility. On 04/01/2025 RI #119 hit another resident, RI #53, in the face twice with a fist. …

Magnolia Ridge · Alabama

Based on observation, interview and record review, the facility failed to ensure a resident with a positive Pre-admission Screening and Resident Review (PASRR) Level II evaluation ensured recommendations from a Positive Behavioral Support Plan was implemented and incorporated into the plan of care for 1 of 1 (4) residents reviewed for PASRR evaluations. This failure to ensure a behavioral support plan was implemented caused harm to Resident 4 who experienced plaque build up, bleeding and irritated gums, oral pain and the dentist would not repair a broken bridge until Resident 4 exhibited good oral hygiene which had the potential to impact the resident's sense of self. Findings included: Resident 4 was a long-term care resident with [DIAGNOSES REDACTED]. …

Alderwood Park Health and Rehab of Cascadia · Washington

Based on record review, policy review, and staff interview, it was determined the facility failed to submit a required PASRR Level II evaluation to the State designated PASRR authority. This was true for 1 of 5 residents (Resident #34) reviewed for PASRR documentation. This deficient practice created the potential for harm if Resident #34 did not receive mental health services appropriate to their diagnosed condition. Findings include:The facility's Resident Assessment - Coordination with PASRR Program policy (undated) documented that all applicants must be screened for serious mental illness, intellectual disability, or related conditions in accordance with Idaho Medicaid PASRR rules. …

Idaho State Veterans Home - Lewiston · Idaho

Based on review of the clinical record, facility documentation, facility policy and interviews for 2 of 3 sampled resident (Resident #6 and Resident #11) reviewed for Preadmission Screening and Resident Review (PASRR), the facility failed to notify the contracted Stage Agency to complete a new Level II assessment for a new diagnosis of severe major depression (Resident #6) and failed to obtain a repeat PASRR Level II assessment for Resident #11. The findings include: 1. Resident #6 had diagnoses that included diabetes, major depressive disorder, and bipolar disorder. A PASRR Long-term Nursing Facility Approval dated 10/12/20 identified Resident #6 had a Level II screen which indicated he/she required the level of services provided in a nursing facility. …

Waterbury Center for Nursing & Rehabilitation LLC · Connecticut