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States must establish and maintain a system for tracking records of evaluations and determinations to support future reviews and appeals. This section contains resources regarding timing and recordkeeping for PASRR.

E-PASRR systems – Key considerations and resources for state to state consultation

A number of states with internal or vendor provided e-PASRR systems have agreed to be a resource for state to state consultation around their e-PASRR experience. A full listing of the states and a contact person may be found on the following e-PASRR Resource Guide.

FAQ

In a preadmission screen, what counts as recent information?

For a variety of reasons, including the availability of evaluators, it may not always be possible to perform a complete psychiatric evaluation on an individual before they are admitted to a nursing facility (NF). In these cases, it is possible to rely instead on information in the individual's medical record and/or psychosocial history.

FAQ

If a nursing facility resident with MI/ID is admitted to a hospital for a short time and then wishes to return to the facility, must a Level II evaluation be completed prior to their return to the facility?

There is no federal requirement that a Level II evaluation be completed prior to the individual returning to the nursing facility (NF). A Level II evaluation is required when there is a significant change in a resident’s condition. When a resident is returning from a hospital stay, there may be a clear change in condition. In instances where the significant change is evident, the individual would be subject to a Resident Review upon their return to the nursing facility, per CFR §483.106(b)(3).

FAQ

If a nursing facility resident with mental illness or intellectual disability is admitted to a hospital for a short time and then wishes to return to the facility, must a Level II evaluation be completed prior to her return to the facility?

There is no federal requirement that a Level II evaluation be completed prior to the individual returning to the nursing facility (NF). A Level II evaluation is required when there is a significant change in a resident’s condition. When a resident is returning from a hospital stay, there may be a clear change in condition. In instances where the significant change is evident, the individual would be subject to a Resident Review upon their return to the nursing facility, per CFR §483.106(b)(3).

FAQ

How Long Should PASRR Records Be Retained?

The Code of Federal Regulations (CFR) provides no specific guidance related to retention of PASRR records, but it does make clear that retention of PASRR records is a requirement.

FAQ

How quickly must resident reviews be completed?

Originally, Resident Reviews—Level II post-admission evaluations—had to be conducted annually; hence, the original name of the program was Preadmission Screening and Annual Resident Review, or PASARR, which is the title that is still in the rule.

FAQ