Top Non-Compliance Trends with the Preadmission Screening and Resident Review (PASRR) Requirements
The Texas Department of Aging and Disability Services (DADS) is issuing this provider letter to remind providers that individuals with mental illness (MI), an intellectual disability (ID), or a developmental disability (DD) must be identified prior to NF admission. If a NF admits an individual with MI, an ID, or a DD, the NF must also ensure the individual receives the specialized services they may require to be maintained in the NF.
DADS Regulatory Services surveys for PASRR requirements at each survey and investigates PASRR complaints from various sources. Below, DADS identified the top non-compliance trends with the PASRR requirements in the Texas Administrative Code (TAC) Title 40, Part 1, Chapter 19, Subchapter BB (note: in numerical order):
• §19.2704(b) – A nursing facility must not admit an individual who has not had a PASRR Level I screening (PL1) conducted before the individual is admitted to the facility. • §19.2704(c) – If an individual’s PL1 indicates the individual is not suspected of having MI, ID, or DD, a nursing facility must enter the PL1 from the referring entity into the Long Term Care (LTC) Online Portal. The nursing facility may admit the individual into the facility through the routine admission process. • §19.2704(d)(1)(A)-(B)(2) – For an individual whose PL1 indicates the individual is suspected of having MI, ID, or DD, a nursing facility: (1) must enter the PL1 into the LTC Online Portal if the individual’s admission category is: (A) expedited admission; or (B) exempted hospital discharge; and (2) must not enter the PL1 into the LTC Online Portal if the individual’s admission category is pre-admission. • §19.2704(g) – A nursing facility must check the LTC Online Portal daily for messages related to admissions and directives related to the PASRR process. • §19.2704(h)(2) – Within seven calendar days after the Local Intellectual Developmental Disabilities Authority (LIDDA) or Local Mental Health Authority (LMHA) has entered a PASRR Level II evaluation (PE) or resident review into the LTC Online Portal for an individual or resident who has MI, ID, or DD, a nursing facility must: (2) certify in the LTC Online Portal whether the individual’s or resident’s needs can be met in the nursing facility.
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