Provider Letter No. 17-15 – DAD’S latest provider letter addressing Nursing Facilities reports on clarification that the role of the nursing facility (NF) is to coordinate completion of the Level I screening and Level II evaluation assessments with appropriate entities.
The letter reports:
Nursing Facilities must comply with both state and federal requirements related to Preadmission Screening and Resident Review (PASRR). This includes coordinating with appropriate entities to ensure completion of Level I screening and Level II evaluation assessments, participating in interdisciplinary team meetings (IDTs) and providing necessary specialized services for individuals with intellectual disabilities (ID), developmental disabilities (DD), or mental illness (MI) when IDTs determine services are needed. Full information about these requirements is in the Texas Administrative Code, Title 40, Chapter 19, Subchapter BB and the Code of Federal Regulations (CFR), Title 42, Part 483, Subchapter C.
IMPORTANT: On any investigation related to PASRR, a surveyor will investigate whether or not the facility initiated and provided specialized services for residents identified by the IDT as having special needs related to PASRR. A failure to initiate or provide such services will result in a violation of the PASRR service
delivery requirement at 40 TAC §19.2704(i)(7)(A)(B). Because of the crucial nature of the PASRR specialized support services, neglect will also be cited if the surveyor finds evidence that the facility’s failure to provide services constituted neglect. Find out more here.