SMQT Resident Assessment and PASRR 2 — Questions and Answers
Question 1: Which federal regulation governs the Preadmission Screening and Resident Review (PASRR) program?
- 42 CFR Part 483
- 42 CFR Part 441 (Correct answer)
- 42 CFR Part 431
- 42 CFR Part 435
Correct answer: 42 CFR Part 441
PASRR requirements are found in 42 CFR Part 441, Subpart D.
Question 2: A PASRR Level I screen must be completed before an individual is admitted to a NF on a:
- Voluntary basis only
- Medicaid-certified basis (Correct answer)
- Private-pay basis only
- Skilled nursing basis only
Correct answer: Medicaid-certified basis
PASRR Level I screening is required prior to admission to any Medicaid-certified nursing facility.
Question 3: When a PASRR Level II evaluation is required, which professional must conduct it?
- A licensed social worker
- A registered nurse
- A qualified mental health professional or intellectual disability specialist (Correct answer)
- The nursing facility's medical director
Correct 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.
Question 4: Under the MDS, the 'look-back period' for most clinical assessments is:
- 3 days
- 5 days
- 7 days (Correct answer)
- 14 days
Correct answer: 7 days
The standard MDS look-back period is 7 days, capturing clinical status over the week preceding the assessment reference date.
Question 5: What triggers a Significant Change in Status Assessment (SCSA) under MDS requirements?
- Any new physician order
- A major decline or improvement that will not return to baseline within 2 weeks (Correct answer)
- An emergency room visit
- A change in roommate assignment
Correct 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.
Question 6: A facility admits a resident under Medicare Part A. When must the first MDS assessment (5-Day PPS) be completed?
- By day 3 of the Medicare stay
- By day 5 of the Medicare stay (Correct answer)
- By day 7 of the Medicare stay
- By day 14 of the Medicare stay
Correct 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.
Question 7: 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:
- Comprehensive discharge planning
- Care plan development based on assessment findings (Correct answer)
- PASRR Level II follow-up
- Minimum Data Set transmission
Correct 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.
SMQT Resident Assessment and PASRR 2
Which federal regulation governs the Preadmission Screening and Resident Review (PASRR) program?