Is a Resident Review (RR) required when an individual is transferred from one facility to another?

According to 42 CFR 483.106(b)(4) of the Code of Federal Regulations (CFR), when an individual is transferred from one nursing facility (NF) to another NF, with or without an intervening hospital stay, the individual is not considered a “new admission” and does not need preadmission screening. 42 CFR 483.106(b)(4)(ii) clarifies that the transferring NF must ensure that all copies of the resident’s PASRR paperwork (including any Level II information) must be transferred with the individual.

The likelihood of a RR evaluation being requested will be based on the information the receiving NF obtains from the sending NF or what is observed once the individual resides in the receiving NF. Depending on the individual’s needs, he/she may require a Level II RR, particularly if the transfer is the result or cause of a significant change in physical or mental status.