What to Expect: PASRR

Prepare for your PASRR

When does PASRR take place?
Preadmission Screening and Resident Review (PASRR) is a federal program requiring a brief screening whenever an individual seeks admission to a Medicaid-certified nursing facility from the community, hospital, or from another nursing facility. This assessment, known as a Level I, is conducted to determine if there are any indications of mental illness or intellectual or developmental disabilities (IDD).  If there are none, then the individual may enter the nursing facility directly.  Ascend provides the tools to conduct this screen in some states.

If, after the Level I is reviewed, there are indications of any mental illness or IDD, then Ascend is notified that a face-to-face PASRR Level II evaluation is necessary.  We work closely with hospitals, providers, etc. to coordinate these evaluations with minimal delay or stress on the individual.  Ascend immediately dispatches an assessor who schedules a meeting with the individual to perform the assessment.  The PASRR interview generally takes between 45 minutes and 1 hour.

Who will participate?
Ascend’s assessors are experienced clinicians who will make contact with the individual and his or her providers, family members, or other caregivers in order to obtain all necessary information.  Although assessors are only required to speak with the individual and his or her legal guardian (if one exists), other respondents may be contacted to help the assessor better evaluate the individual’s needs.

What will happen the day of the interview?
The assessor will explain how the interview works.  During the interview, the assessor will ask you questions that cover all realms of physical, mental health, and intellectual and developmental disability symptoms and history. The assessor will also make efforts to speak with caregivers and review your medical chart, if available, to obtain further details.

Where will the interview take place?
The assessment meeting should take place wherever the individual and other respondents choose.  If the individual is in the hospital, it can take place in his or her room. It can also include (but is not limited to) the individual’s home, his or her service provider, or the home of a family member or friend.  It would be best if the interview could take place in a room that is quiet, private, comfortable and appropriate to meet the individual’s needs.

What topics does the PASRR cover?
The assessor will ask questions that evaluate the following areas:

  • Communication needs
  • Psychosocial information
  • Employment/vocational training
  • Mental Status and psychiatric/behavioral presentation
  • Cognitive impairment
  • Medical status and history
  • Activities of daily living
  • Medications

Some of the questions are federally required to identify your wishes and whether resources exist to keep you in the community.

There is no need to be anxious about your assessment. Ascend assessors are highly trained PASRR professionals, and your PASRR determination is based on more than just your interview; the assessor also reviews records and performs a methodical investigation to ensure accurate results.