Resident Assessment and PASRR Flashcards

Which federal regulation governs the Preadmission Screening and Resident Review (PASRR) program?

Answer: 42 CFR Part 441

PASRR requirements are found in 42 CFR Part 441, Subpart D.

A PASRR Level I screen must be completed before an individual is admitted to a NF on a:

Answer: Medicaid-certified basis

PASRR Level I screening is required prior to admission to any Medicaid-certified nursing facility.

When a PASRR Level II evaluation is required, which professional must conduct it?

Answer: A qualified mental health professional or intellectual disability specialist

Level II evaluations must be performed by a qualified mental health professional or intellectual disability specialist as defined by the state.

Under the MDS, the 'look-back period' for most clinical assessments is:

Answer: 7 days

The standard MDS look-back period is 7 days, capturing clinical status over the week preceding the assessment reference date.

What triggers a Significant Change in Status Assessment (SCSA) under MDS requirements?

Answer: A major decline or improvement that will not return to baseline within 2 weeks

An SCSA is triggered when a resident experiences a major decline or improvement not expected to resolve within 2 weeks.

A facility admits a resident under Medicare Part A. When must the first MDS assessment (5-Day PPS) be completed?

Answer: By day 5 of the Medicare stay

The 5-Day PPS assessment must be completed by day 5 of the Medicare-covered stay to establish the initial payment classification.

During a survey, a surveyor finds a resident's care plan does not address a newly identified pressure injury documented in the MDS. This is an example of a failure in:

Answer: Care plan development based on assessment findings

Federal requirements mandate that care plans be developed from comprehensive assessment data, including MDS findings such as pressure injuries.